HomeMy WebLinkAbout7701 white ln_ white ln dialysis hmbp 6.18.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
BAKERSFIELD FIRE DEPT.
Prevention Services
r ° 2101 H Street
Pk4L Bakersfeld CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Inspection
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS HONE NO O OF EMPLOYEES
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USINESS ID NUMBER
FAGLITV CONTACT
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Section 1: Business Plan and Inventory Program
ROUTINE ❑COMBINED ❑ JOINTAGENCV ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
C V ' °i" a"`a OPERATION
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CERS
Violation
COMMENT
Y1
APPROPRIATE PER ON HAND -M' "'M
2010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2129.1)
1010009
VISIBLE ADDRESS (CFC: W5.I, BMC: 15.52020)
✓
CORRECT OCCUPANCY (CBC:401)
VERIFICATION OF INVENTORY MATERIALS (QCR:27OLS)
1010004
V
VERIFICATION OF QUANTITIES (CCH:2]28A)
1010000
VERIFICATION OF LOCATION (MR: 2]282)
✓
PROPER SEGREGATION OF MATERIAL (CFC: 2]o4.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.20)(b))
J
VERIFICATION OF HAZ MAT TRAINING (OCR: 2122)
1°20002
VERIFICATION OFABATEMENT SUPPLIES &PROCEDURES (GCR:2T31(c))
EMERGENCY PROCEDURES ADEQUATE (OCR: MR
101W10
CONTAINERS PROPERLY LABELED (CCR: 60262.39(Q. CFC: 2703.5)
W90W]
HOUSEKEEPING (CFC:304.1)
FIRE PROTECTION (CFC: 909 & 900)
3030032
SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2/29.2)
101 W05
NY HAZARDOUS WASTE ON SITE? 13 YES NO
oP Recei t
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POST INSPECTION INSTRUCd tbove
• Within Nays ofcorrecvotedaboveby
• Within 5 days of correcting all of the vivlauon2 sign and mtam a copy of 330page to:
Bakersfield The Dept. Prevenfivv Services, 2101 H Sheet, Celifvmia 93301
White — Business Copy Yellow— Stedon Copy Pik— Prcvevtioh Services
Signetute (that all violations have been corrected as voted)
Date
M2155 (Rev 81/14)