HomeMy WebLinkAbout2524 oswell bp 3-12-14KERN BUSINESS FORMS - (661) 325 -5818 - #6013
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Fax: (:661) ,852 2171 -
FACILITY NAME" '
•INSPECTION'DATE,:
INSPECTION TIME
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ADDRESS
PHONE NO. NO OF EMPLOYEES'
BUS NESS IDNUMB,ER
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FACILITY CONTACT
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Consent toJn,5pect Name /Title
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❑ ROUTINE : COMBINED, ❑ " ^JOINT AGENCY. ❑ ..MULTI - AGENCY" . " ❑ :COMPLAINT . ❑ ''RE- INSPECTION" "
C =.Comp,liance , O P E RA"T I0 N
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C O M M,E N T S
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- Violation .:
. APPROPRIATE P.ERMIT. HAND (BMC- 15.65.080)
ON
El "
-
❑. ��" "' BUsines8 PLAN CONTACT INFORMATION ACCURATE '. (CCR:`2729.1)
. .
.' VISIBLE A bDRESS .. " (CFC: 505.1;`BMC: 15.52:020)''
[ � ..El CORRECT OCCUPANCY (CBC: 401)
CCR: 2729.3)
` ❑ VERIF•ICATIQN .F INVENTORY MATERIALS. (�
❑ VERIFICATION OF QUANTITIES (CCR::2729.4)
[:. El VERIFICATION OF LOCATION {CCR: °2729:2)
❑ PROPER SEGREGATION ,..F MATERIAL (CFC "::2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY ' ' 2729:2(3)(6))
❑ .. VERIFICATION OF: HAZ: MAT TRAINING (CCR :" 2732)
` " ....
' < .,❑ VERIFICATION OF•ABATEMENT SUPPLI ES. & PROCEDURES " (CCR:2731.(c))
."
EMERGENCY PROCEDURES ,ADEQUATE'_ ' (CCR: 2731)
❑ ❑ ." CONTAINERS "PROPERLY °LABELED" (CCR:"66262.34(f), CFC: "2703:5)"
❑' .HOUSEKEEPING (CFC: 304::1).
El `',,�� FI"PROTECTION (.CFC: 903 &'906)
RE
oco x ca / !c
r ❑ " SITE DIAGRAM.ADEQUATE -ON, HAND . (CCR: :2729.2)
..� : .
Sinature.of Receipt
ANY, AZA`RDOIJ'S WASTE,.ON SITE? ❑'YES. - ,ENO - -�=- --
:Explai.n:
POST�INSPECTION.INSTRUCTIONS:
" Signature: (that all V o1, i.ons j avefbeen- corrected as noted)
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C,
orrecti the violations) noted above by '
` -:® W,thm:_S days nfcorrectiris "all "of the violations, sign and return acopy -of this' "page to: