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5600 AUBURN ST #V_HMBP 6.11.19
FACILITY'NAME ' ` 77t INSPECTTE INSPECTION TIME ADDRESS PHONE'NO,/ NO OF ^EMPLOYEES FACILITY,CONTACT BUSINESS ID,NUMBER 15 S - 9! .k. ,... tit,. „.....�. r� s �?� �,s >: ,. , >:.;... :..� -e• �. .,,.....e. .: �, ,. <..q �" of .0 s� ? ,. ... , F v,ls. ,✓,:ti 2s � f ± s. _ . ... a., ... ';a. .3 a .. . ..,i^ �" �:r ,:.. :.«� .. a.,._.. ..., .x.:. ,. ...., � ' =',,.w ...,? ..,. ��� ,.:' # , i`s` 4� .Y, :,:�._. rZ. �•. £ a,. 5... ....x_ ii .:. ,. 1. ,,. s,,. , l oF<' �F .S !#,{ ,�f'.:^v,. ,.+ v , t q r,. '�i..'i� .�. ,,.kM:✓ 4N ,« s <r,.�. �' �, ., ss'? F, 4 �� r 's ,. ;�.• i ;. ,,. ,: ,., .: ,. n.' v ..' m5 Y '?�a"�' +^4 sa � -"a,. �, :,..91 ,.fi:.� - •h@F.. r �.s.: a .. 2, :. .. ,..,, s h. ., .. ' 3, ,. � <..,.., ,.. "3. , 9; x,6 r .sk., akv` J�s�Y���.;;+. :�- �b�� ., .,..., „.. ,, ��?�^: .. &:,�,., t'` -x... :.:�,.a v a +e:: .�,«., 3.. >�'rn ,....a ., �..r a _ x.: a,. +� . _., � .. `� . , ,, ... .. E �:. , :. ,�r, �....�? •..,a,. _ . , .{ .fir•' . �...k,r :.�.. , �i ,w.`,>'^ rrs�..�:...x .. x`3x"`.:Y,, >,3 . �.,«a ?:•� ,,.,�,.� �. .rk}.,... .�., -,: a� .,s ROUTINE ❑ COMBINED;' ❑ JOINT AGENCY ❑ MULTkAGENCY' ❑ COMPLAINT ❑ 'RE- INSPECTION C= Compliance , OPERAT-ION COMMENTS , V= Violation (] `,❑ APPROPRIATE PERMIT ON HAND 11, ❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑v ❑ CORRECT OCCUPANCY 011, ❑ VERIFICATION' OF INVENTORY MATERIALS ED ❑ VERIFICATION OF QUANTITIES E ❑ VERIFICATION OF LOCATION ` ❑ P ROPER `SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ER/ ❑ 'VERIFICATION OF HAZ MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES El El EMERGENCY PROCEDURES ADEQUATE ❑� ❑ CONTAINERS, PROPERLY LABELED ❑ HOUSEKEEPING El FIRE PROTECTION IY ` ❑ SITE DIAGRAM ADEQUATE &`OWHAND KBF -6013 ANY HAZARDOUS WASTE ON SITE? ❑ YES C] /NO EXPLAIN: F QUESTIONS REGARDI G THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 t`� Business Site / ResponsibWPady (Please Print) Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site /Station #' White - Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 {Rev. 09/05