HomeMy WebLinkAbout5600 california bp 6-20-1367
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KERN BUSINESS FORMS - (661) 325- 5818 - #6013
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Prevention Services
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UNIFIED PROGRAM 'INSPECTION CHECKLIST � �JRe ” -0 2101.H Street
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�RTN T 'Bakersfield, CA 93301
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Tel.:. (661) 326 -3979
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Fax: (,661)85 2-2171 i
INSPECTION DATE
INSPECTION TIME
FACILITY NAME
PHONE NO.
NO OF P. S'
:
ADDRESS_
Imo- "'"
BUSINESS ID :NUMBER
FACILITY CONTACT
Consent to Inspect flame /Title -
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F. rA Pr. 0 a m
nes Pla n-a,nd inuen�o 3
; Sec'�>ton i Busy s ,-.. .
JOINT AGENCY MULTI-AGENCY ,❑ COMPLAINT' ❑ RE- INSPECTION
ROUTINE ❑ .- COMBINED- ❑ JO
C V (C= Compliance _:OPERATION,
COMMENTS
V= Violation
❑ ®' APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ ' Bu " "SineSs:PLAWCONTACT INFORMATION`ACCURATE (CCR: 2729.1)
Y
.® VISIBLE ADDRESS (CFC: 505.1,BMC:.45.52:020)
CORRECT OCCUPANCY (CBC: 401)
Q , ❑ VERIFICATION OF INVENTORY'MATERIALS (CCR: 2729:3)
{ ❑ VERIFICATION OF QUANTITIES. (CCR: 2729.4)
VERIFICATION ES El 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)
® ❑ VERIFICATION OF ABATEMENT. SUPPLIES & PROCEDURES (CCR: 2731(c))
"
❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), "CFC: 2703.5)
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(C C: 304.1)
0 ❑ HOUSEKEEPING
-° _' - , - Et
:. - (CF 903 & 906}
❑`�' FIRE PROTECTION -
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❑ SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
;<Si�nat�re of�Receipt
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ANY HAZARDOUS WASTE ON :SITE? ❑`YES ❑ NO
Explain:
POST INSPP;CT1ON INSTRUCTIONS;
g ( ons have been corrected as noted)
Signature that all violati
h s Correct the violation(s) noted above'by'
of:this a e to:
and return a copy p -g
,