HomeMy WebLinkAboutBUSINESS PLAN 12/10/2014KERN BUSINESS FORMS- (661)'325- 5818 46013
FACILITY NAME INSPECTION PATE INSPECTION TIME,
ADDRESS - PHONE NO: NO OF EMPLOYEES
C= ComplianceV ( ) OPERATION COMMENTS
FACILITY CONTACT BUSINESS ID NUMBER
V= Violation
Conse` p Ins ec Name /Tp . t Name/Title
pr`
s ,
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
f
r .
BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR :.2729.1)
El COMBINED El JOINT AGENCY El MULTI-AGENCY COMPLAINT RE- INSPECTION
C= ComplianceV ( ) OPERATION COMMENTS
V= Violation
pr`
s ,
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
r .
BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR :.2729.1)
0 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
FT" CORRECT OCCUPANCY (CBC: 401)
f.' VERIFICATION OF INVENTORY MATERIALS. (CCR: 2729.3)
El VERIFICATION OF QUANTITIES. CCR: 2729.4)
VERIFICATION OF LOCATION (CCR- 2729.2)
0 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
11,15' VERIFICATION OF HAZ MAT TRAINING - (CCR: 2732)
01 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
i
71 0 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
7 CONTAINERS PROPERLY LABELED (CCR: .66262.34(f), CFC: 2703.5)
El HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2.)
ANY: HAZARDOUS WASTE ON. SITE? AYES KNO Signature of:Receipt s f' ,.' lr '.'l
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
within 5 rinvc ofcorrecting all of the violations, sign and return a copy ofthis page to: