HomeMy WebLinkAbout3809 San Dimas ste B_San Dimas Dental Care_8.29.23_HMBP;�M S ✓ C
/ram BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST_ 21 1 0 H Street
Bakersfield CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661)� 326-3979
Inspection r Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
vL
) �� v�
l� caw` d .
V 7
ADDRESS e9_
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
X ,
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=violation; 1,11 Minor
CERS
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
a *ILA
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
1
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
W
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)
FARE PROTECTION (CFC: 903 & 906)
3030032
� Q Y �J � ��
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
10100051
_
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Sillnature of Receipt
Explain:
Inspector: YV /V ) ' -I--
POST INSPECTION INSTRUCTIONS: 7
• Correct the violation(s) noted above by Z
• 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
Signature (that all violations have been corrected as noted)
�e
Q r 1
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6,'2021)