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HomeMy WebLinkAbout1022 17 STREETSELF - CERTIFICATION CHECKLIST -- Jj B E R S F I D Fire Prevention Ij � Frr r V l 6 q i /o S< VIl ,c S- E S 11111111111111111111 09 IE BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME: ELF - CERTIFICATION DATE: a SITE ADDRESS: ZIP CODE HONE NUMBER: MAILING ADDRESS: ZIP CODE FAX NUMBER: SA ME 6�t 325 -9163 DO NOT DISCARD — FAILURE TO RETURN WILL RESULT IN FIRE DEPARTMENT INSPECTION INSTRUCTIONS: Please verify and check each item as appropriate. Include comments on each line or at the bottom as necessary. When completed, make a second copy for your records and mail the original to the address above. Failure to return will result In inspection. Y N OPERATION COMMENTS ❑ Spent fluorescent tubes saved in a suitable container and recycling.' Name: (If you rely on an outside agency for the recycling, please Indicate the name, address, and phone number of the agency that removes your tubes.) Phone No.: Address: ❑ Waste batteries saved in suitable container for recycling.' ❑ Discarded electronic devices saved for recycling.' ❑ Discarded items containing Mercury saved for recycling.' ❑ Discarded non -empty aerosol spray cans saved for recycling.' '. ❑ Current annually serviced "ABC Type" fire extinguisher every 75 feet of travel. ❑ Extension Cords (longer than 6 feet) shall not be used in place of permanent 6y MA R14, I /1G approved wide . w F otyT 14AVE A N ❑ All exits indicated by exit signs, not more than 100 feet apart, if occupant load du ILb I OG c A ?Rc 1 S is 100 or more. 15 -M6%- ❑ Minimum of 30 inches of clearance in front of electrical panels. - ❑ Cover plates installed on all electrical outlets, switches, and junction boxes (no exposed wiring). ❑ Flammable and combustible material stored properly and not adjacent to a source of ignition (check hot water heater and furnace area). ❑ �k Do you use or store any hazardous materials on site? ❑ Sr Does your building have a monitored fire alarm system? uL ' oXi. Dos .r ❑ AK Does your building have a fire suppression (sprinkler) system? 'Recycle at the Kem County Special Waste Facility, 4951 Standard Street, Bakersfield, CA 93308. Phone: (661) 862 -8922 COMMENTS: QUESTIONS REGARDING THIS CHECKLIST? PLEASE CALL US AT (661) 326.3979 //Rn /MM /GRgT /oN Sti/e d I C!_= S /NC Signature Business Site / Responsible Party (Please Print) I IIIIII II FD 2155b (Rev. 09/06) lllllllllllllllllll 10 IE