HomeMy WebLinkAbout4500 MORNING DR_BKFLD SURGICAL CTR_HMBP 1.24.23i?i"ts % C ERS:�
BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
4' 2101 H Street
SECTION 1: Hazardous��°� Bakersfield,
Materials Business Plan geld, CA 93301
Inspection Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
� ., � � e �� � • % 1 INSPECTION TIME
�s ! ADDRESS e
tr--N f _N, VXA bN PHONE NO. �NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
❑ RE -INSPECTION
--------------------------
C V C=Compliance OPERATION C E R S
V=violation; I, I I Minor Violation ' COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (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 )
VERIFICATION
1 010004
OF QUANTITIES (CCR: 2729.4)
1010006
-
VERIFICATION OF LOCATION (CCR: 2729.2)
U
PROPER SEGREGATION OF MATERIAL -
(CFC: 2704.1)
c) 3
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
-
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
j
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1 010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
_7Z 2,
SITE DIAGRAM ADEQUATE & ON HAND -
(CCR: 2729.2)
-
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO iSignature
ofReceipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: 'a
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)