HomeMy WebLinkAboutBUSINESS PLAN 12/12/2016FACILITY NAME
INSPECTION DATE
INSPECTION TIME
7
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
PHONE NO. / �7�yc�j'�
O OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect- Name/Title
.. 12r ROUTINE . �❑ COMBINED ❑JOINTAGE�:,�
NCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omplance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
7
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)"`"
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
k'
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
°
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION.OF HAZ MAT TRAINING (CCR: 2732)
1020002
f
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0 NO
0i:mmtqre ofRecei t
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
0 Correct the violation(s) noted above by
9 Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signatw
Bak fi ld F' D Pr S 2101 H Str t Calif 93301
ers a ue ept., evention erv' ices, ee , orma
Date
White — Business Copy Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8H14)
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