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HomeMy WebLinkAboutBUSINESS PLAN 10/6/2014KERN BUSINESS FORMS - (661) 325 - 5818- #6013 FACILITY NAME C= Compliance C V ( ) OPERATION INSPECTIO�IDATE INSPECTION TIME V= Violation ❑ APPROPRIATE PERMIT ON HAND (BMC. 15.65.080) ADDRESS PHONE NO. NO OF EMPLOYEES . ❑ ❑ BUSIR @SS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1 FACILITY CONTACT ` E R BUSINESS ID NUMB _ t Conse6t to Inspect`Name /Title ❑ CORRECT.00CUPANCY (CBC: 401) [1 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) f Y a,o S Ni r � Se�tFOn � �us�ness fan x d Z J ... �a ,. ..w.F. .,:., .A .,: if .. �r.�.., .... ,n a::. LK. :... .» fix. ✓...2, aaY .R.. 5. C ;.ROUTINE ❑ COMBINED: ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C= Compliance C V ( ) OPERATION COMMENTS V= Violation ❑ APPROPRIATE PERMIT ON HAND (BMC. 15.65.080) t,Lfl ❑ ❑ BUSIR @SS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.:52.020) ❑ CORRECT.00CUPANCY (CBC: 401) [1 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) VERIFICATION OF QUANTITIES (CCR: 2729.4) [1, VERIFICATION OF LOCATION (CCR: 2729.2) . PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ 'VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©° ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) . El VERIFICATION OF ABATEMENT SUPPLIES ,& PROCEDURES . (CCR: 2731(c)) ❑, EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) - ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑`� CI HOUSEKEEPING (CFC:;304.1) ❑ ' ❑ - FIRE PROTECTION (CFC: 903 & 906) ;❑ `. El SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES /j2 NO Signature ofRIeeeipt ,. Explain,: POST INSPECTION INSTRUCTIONS: • :. Correct the violation(s) noted above by ; !:' Signature (that all violations have been corrected as noted) • Within 5 days of correcting all of the violations, sign: and :return a copy of this page to: