HomeMy WebLinkAboutBUSINESS PLAN AND INVENTORY PROGRAM CHECKLIST 11-24-14FACILITY NAME
INSPECTION DATE
J
INSPECTION TIME
FrS i2 C4 K
P" V7 0
1112-
ADDRESS
PHONE NO.
NO OF EMPLOYEES.
f
f
FACILITY CONTACT
BUSINESS ID NUMBER
F
•' . t. F i./ rte`..
_ " .'} ° S '.." i. B Z_ _
Consent to Inspect Name /Title
.:. Section 1 :Busy e Y
❑ MULTI- AGENCY
❑ ROUTINE . �❑� COMBINED El `JOINT AGENCY .
❑ COMPLAINT El 'RE-INSPECTION.
C= Compliance
OPERATION COMMENTS
V
C
V= Violation
[{ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
F1 ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
*®- ❑ VISIBLE ADDRESS (CFC:505.1,`BMC:15.52.020)
❑ CORRECT. OCCUPANCY (CBC: 401)
{ . ` ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2.729.3)
f
. " ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
.M ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 27292(3)(b))
[�- ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
(o'" . ❑ VERIFICATION, OF ABATEMENT SUPPLIES &PROCEDURES (CCR: 2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
�] ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)`
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,❑ ❑ HOUSEKEEPING (CFC: 304.1)
0 : 1771 FIRE PROTECTION (CFC 903 &'906)
D ❑ : • SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
-,, Signature of R(ceiU -t
ANY ;HAZARDOUS WASTE ON SITE?
❑YESNO,\
'Explain: _
POST INSPECTION INSTRUCTIONS-.. -
• Correct the violations) noted above by Signature (that all violations have been corrected as noted)
�w;rh;,, 5 rla�c c,f-correctfna all of the violations, sign and return a copy of this page to: