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HomeMy WebLinkAbout5625 gosford bp 10-8-13KERN BUSINESS FORMS - (661) 325-5818-#6013 BAKERSFIELD :FIRE 'DEFY', Pr on Se r ces B rvi - B '' E R_S F__I_ L'_D" UNIFIED P:ROGR M PEG 10 CHECKL 1S.TT - 21:01 H`Street rRE ARM T­ Bakersfield; CA 93301 ' " . SECTION "'I : `.BUSI1'i @SS Plan .and In -v" t ®' Pro ram" ! Fax: (661] 852 -2171 " FACILITY.NAME INSPECTION DATE INS CTI,O.N T E r t. ADDRESS P.HON&NO: " NO OF EMPLOYEES- w FACILITY CONTACT ' :BUSINESS- ID:NUMBER " -' p itle Consent to h s ect , Mme /T r , svn .. d. ,... _ v S e :i,. 'w{.... f... Y ..,.,r .✓.:. .,. -f .... ._..a .,.., >:.e:: r•.. . -.,... i ,r ". ,r. ...... .' .... :.. '- •a:. "' 3 E., :. F v F .,. ;. ". �' {): J L f ��� ^ems ". BINED❑ JO.INT:AGENCY ❑ :MULTI - AGENCY COMPLAINT ❑ � � RE- INSPECTIONS ❑ ROUTINE . "� CO. . ''El:.. C r ,C =Compliance) Q P E °;RATIO N l COM:IVIENT�S E " V =Violation ' ❑ APPROPRIATE`PERMIT'ON HAND.. (BMC: 115'.'65 .- 080) ❑ Business PLAN CONTACT INFORMATION ACCURATE < (CCR: "2729;1) ❑ VISIBLE ADDRESS" (CFC: 505.1, BMC:•1.5:52.020) ❑ CORRECT OCCUPANCY (CBC: 401') ❑ ' VERIFICATION OF•INVENTORY.MATERIALS (CCR: :2729:3) ❑ - "VERIFICATION OF QUANTITIES' (CCR: 2729.4) VERIFICATION OF LOCATION '(CCR: 2729 ".2.) ❑ PROPER SEGREGATION OF MATERIAL (CFC.`2Z04 1) �- ❑, MSDS AVAILABILITY (CCR: 2729:2(3)(b)) ❑ .VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ,VERIFICATION OF ABATEMENT, SUPPLIES'& PROCEDURES (CCR: 2731(c)) . ❑ EMERGENCY PROCEDURES ADEQUATE" (CCR: 2737) ❑ CONTAINERS PROPERLY LABELED ' (CCR: 66262:34(f.), CFC:;2703 5) , Zfj ❑ HOUSEKEEPING' (CFC:304.1) ❑ FIRE PROTECTION (CFC: 903 &'906) `® ❑ . ' SITE DIAGRAM ADEQUATE & ON HAND (CCR :2729.2) ANY 'HAZARD`Ol1S WASTE ,ON :SITE ?� °YES . ` ❑' =NO.' Si7nature of Receipt,, ✓"°'" -/— Explain: " -POST `INSPECTION INSTRUCTIONS:. all violations have been corrected as noted)' Signature.(that Correct the violation(s).rioted above-by An' c r,f r-�,-rPr.tinc, Al.] ofthe violations, sign and return a copy of. this - page #to: