HomeMy WebLinkAbout6201 lake ming bp 7-24-12KERN BUSINESS FORMS - (661).325 -5818 - #6013
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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Pier.
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ADDRESS 3� �`
45
PHONE. NO.
NO OF EMPLOYEES
FACILITY CONTACT �
BUSINESS, ID NUMBER
Consent to Inspect.N.ame /Title 1 "D
C= Copliance
< ( _ ) OPERATION
C V m
COMMENTS"
V= Violation
❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
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. ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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1] ❑ VISIBLE ADDRESS (CFC: 505.1,. BMC: 15.52.020)
❑ ; CORRECT OCCUPANCY (CBC: 401)
❑ VERIFICATION'OF INVENTORY MATERIALS (CCR: 2729.3)
[3"'- ❑ VERIFICATION OF QUANTITIES ' (CCR: 2729.4)
El VERIFICATION OF LOCATION (CCR: 2729.2)
" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704:1)
❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
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❑`- , VERIFICATION'OF HAZ MAT TRAINING (CCR: 2732)
C] ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR:2731(c))
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�❑` ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑, ❑ CONTAINERS: PROPERLY LABELED (CCR: 66262:34(f), CFC: 2703.5).
❑ HOUSEKEEPING (CFC: 304.1)
.
❑ % FIRE PROTECTION (CFC: 903 & 906)
❑ ` SITE DIAGRAM ADEQUATE & ON HAND (CCR: "2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES CKNO
Signature of Receipt .
Explain:
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POST INSPECTION INSTRUCTIONS:
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• Correct the violations) noted above by Signature (fhat:aU viol ons .have been corrected as noted) '
Within :5 days of correcting all of the violations, sign and return a co of this page to:
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