HomeMy WebLinkAbout5401 WHITE LN_PREMIER MEDICAL GROUP HMBP INSP 2018FACILITY NAME"
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INSPECTION DATE,
INSPECTION TIME
k I
Violation
COMMENT
ADDRESS"
PHONE NO '' i
, .
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMB ER
CERS INFORMATION ENTERED & UPDATED
ANNUALLY (CCR: 2729.1)
Consent to Inspect Name /Title
..255
'24
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;� or Pro ram
Sect o.n.'1..3, us�ne s Plan_and Invent.
,.ROUTINE ❑ COMBINED ❑ JOIN AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE INSPECTION
C V C =Compliance OPERATION
C E RS
v= Violation;I,IIMinor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED
ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
- VERIFICATION OF ABATEMENT SUPPLIES & FIROCEDURES
(CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(tJ, CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
A FIRE PROTECTION
(CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? X"YE
❑ NO
SiLynature ofRecei t � ��� �
Explain:
LO &t i
Inspector: Y P�qi, rk�1 <
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and i eturn. a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Str et, California 93301
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White Business Copy Yellow — Station Copy Pink- Prevention Services FD2155 (Rev 9/2017)