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_ ❑ -COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY . - ❑ COMPLAINT,. ❑ RE- INSPECTION
ROUTINE
C= Compliance
C v (
V =violation
) OPERATION
COMMENT S
❑ APPROPRIATE
PERMIT ON HAND (BMC: 15:65080)
1.
❑ (� BUS111
@SS PLAN CONTACT INFORMATION ACCURATE.. - (CCR: 2729.1)
❑ VISIB L� E ADDRESS (CFC: 505.1, BMC: 15:52.020)
El CORRECT OCCUPANCY (CBC: 401)
r E:1 VERIFICATION OF INVENTORY MATERIALS (CCR.: 2729.3)
,.. ❑. VERIFICATION
OF QUANTITIES (CCR: 2729.4)
r°I ❑ VERIFICATION
OF LOCATION (CCR:-2729..2)
❑ PROPER
SEGREGATION OF MATERIAL (CFC: 2704.1)
] : ❑ VERII'ICATION
OF MSDS AVAILABILITY (CCR:.2729.2(3)(b))
❑ 12, VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ `1,9( VERIF[CATION OF ABATEMENT SUPPLIES &PROCEDURES: - (CCR: 2731(c })
❑ EMERGENCY
1
PROCEDURES ADEQUATE (CCR: 2731),
��
El CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703:5)
Do El HOUSEKEEPING (CFC: 304.1)
❑ FIRE
PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? DYES ❑ hIO
X
Signature of Receipt`
_Explain:
POST INSPECTIOhh
• Correct the violations)
• Within 5 days of`correcting
INSTRUCTIONS:
noted above. by Signature (that all violations have been corrected as noted)
all of the violations, sign and return a copy of this page to: