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COMMENT
:
V= Violation; 01
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o5', ROUTINE
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ENCY ❑. COMPLAINT ❑ RE- INSPECTION
C,. V C=C
O`PERATF
C E RS
COMMENT
V= Violation; 01
Minor
3
Violation
APPROPRIAI
E PER
ON HAND
B
C: 15;65.080)
3010001
CERS INF
MATT
ENTERED & UP
T
D '
N
ALLY
CCR:; 2729.1
3210043
'VISIBLE AD ,
I
RESS .
i
Fill
: 505 1, B
C: 15.52.020
"
I
CORRECT O
CUPA
Y
E
(CBC:401
VERIFICATI +
N OF I
I
ENTORY.MATERI
LS
CCR: 2 729.31
1010004
VERIFICATI9
N,QF`
U NTITIES
i
3
CCR:2729.4
1010006
VERIFICATI 1'N
'8F L
ATION
CCR: 2729.2
PROPER S
RE GA
:I t N OF MATERIAL
CFC 12704.1
VERIFICATI O
N OF JD
AVAILABILITY
(CCR:
2729.2(3)(b))
VERIFICATI
N OF.'
MAT TRAINING
(CCR: 2732 )
1020002
i
VERIFICATI CON
N OF
B .TEMENT SUPPLI
I
S
I
P
O
DURES
CR:2731(c)
_
EMERGENC
(PRO CE
URES ADEQUAT
I
i,
(CCR: 273)
1010010
CONTAINER
PRO
E LY LABELED
(
C :6626234(17
CFC, 2703.
3030007
HOUSEKEEI
ING
(CFC:304.
)
FIRE PROT
TION
(C
C: 903 & 90)
3030032
S,ITE,DIAGRA
M AD;E
ATE &ON"HAND
�,
(CCR: 2729.)
101000,5
ANY HAZARDOUS WA }
TE O
rITE?
ES
NO
Si nature ofRecei t
Explain:
i
Inspector:
POST INSPECTION INST
UCTI
S
• Correct the violation(s)
orre °
• Within 5 days of correcting'
noted
ting all
ve by
o fthe violations, si
i
copy ;of th
s page to:
Signature (that all violations have been corrected as noted)
d MUM;
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