HomeMy WebLinkAbout3501 STOCKDALE HWY #B_KAISER PERMANENTE_HMBP 5.19.22UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEFT.
•_��� Prevention Services
2101 H Street
Bakersfield, CA 93301
.. • Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
KA 15e I- c L t
ADDRESS
PHONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
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Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
is
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
1 d 1 3.3so,_3 G
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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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 & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
AC Ait
P^A-C� SCX.>Th► Uj
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
d g:
t ►J t i� _
ANY HAZARDOUS WASTE ON SITE? ES ❑ NO
�ignature of Recei t
Explain:
S�r�Ap�S
Inspector: 2,
POST INSPECTION INS RUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign Id return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (to
a all violations have been corrected as noted)
Date
A.11
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)