HomeMy WebLinkAbout9870 Brimhall_Apple Surgery Center_9.25.23_HMBP�;,v15 ✓ C � 24 ✓
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
1 5 f."- A e- #- vj
A PR i e
INSPECTION D'?As t 7ATE
_-�
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO I SPECT NAME/TITLE
t
Section 1:
Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
❑ RE -INSPECTION
C u 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
(r —19
.r .2, ee
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
/
_ -
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
%L��j
b ^`o sew f f
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
ldilo
— f
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)
y;
FIRE PROTECTION
(CFC: 903 & 906)
3030032
% ' Z0Z
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES
❑ NO
Si2nature of ReceiOF
Explain:
16Z r 0- b(I
010
Inspector: PLOA.- ;/100e,
POST INSPECTION INSTRUCTIONS: / V
• Correct the violation(s) noted above by — / 9 ;?
• 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)