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532 BELLE TERRACE STE 3 HMBP 7.6.15
C BAKERSFIELD FIRE DEPT. Prevention Services $..._. E:. R...._s.:.F..:.i.. ._>? 2101 H Street UNIFIED PROGRAM INSPECTION CHECKLIST A rM r Bakersfield, CA 93301 Tel.: (661) 326 = 3979 SECTION 1: Hazardous. Materials Business Plan Fax: (661) 852 -2171 Ins ction FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS p 1 PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title 0 ROUTINE Q COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V omp fiance OPERATION CERS V =Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 ,r BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401), r VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 � (V ` JI VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION i OF LOCATION. (CCR: 2729.2) �. PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION i OF SDS AVAILABILITY (CCR: 2729.2(3) (b)) VERIFICATION OF HAZ MAT TRAINING 2732) (CCR: 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) t... V FIRE PROTECTION (CFC: 903 & 906) 3030032 -- - ` - ` - SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 4/1 ANY HAZARDOUS. WASTE ON SITE? 0 YES ❑ NO ISienature ofRecei t, Explain: Inspector: POST INSPECTION.INSTRUCTIONSc 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:, Signature (that all violations have been corrected as noted) . Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White - Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14) re BAKERSFIELD FIRE DEPARTMENT FIRE PREVENTION INSPECTION -- Prevention Services B E R S F I D FaRE 2101. H Street aRrM r Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 DISTRICT - __TBL NO. DATE f FEE / . i� FACILITY ADDRESS _ r E �, ti- fr: fiEl. ~• `� [`6 d C' i✓ 4" J CITY, STATE, ZI_P y �^ a7'c"fJ .iJ i r ? FACILITY NAME L/ C` (�' _ (` 1.✓ (l ill ` d . / < < C'! MANAGER'S NAME P0. BUSINESS OWNER'S NAME AND ADDRESS t COY, STATE, ZIP Pftl 0. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP; PH NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG' RISER DATE £j m ©YES N011 CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW NO. 1 Remove and safely dispose of all hazardous refuse 'n,dl dr egetation on the above premises (CFC COMBUSTIBLE WASTE / DRY VEGETATION 3 04.1.1) '— to 2 Provide non - combustible containers with tight fiitin* §-fills for storage of combustible waste and rubbish pending its safe disposal. (CFC 304.3.2) Note: applies to containers over 40 gallons. COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC 605.3) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (CFC 906.5 & 906.9) EXTINGUISHERS 5 Provide and install (amount) approved e & size _______ ( ) - - - -- roved Pp (type ) portable fire ----- - - - - -- extinguisher to be immediately accessible for use in (area) __________ __ ____ _______ _ _ _ _ __ (CFC TABLE 906.3(1)) 6 Re- charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and /or after each use, by a person having a valid license or certificate. (CFC 906.2) 7 Provide and maintain "EXIT" sign(s) with letters 6 or more inches in height over each required exit . SIGNS (door /window) to fire escape. (CFC 1011) 8. Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the .correct address of the building. (CFC 505.1) 9 Repair all (cracks /holes /openings) in plaster in (location) -------------------------------------- FIRE DOORS / FIRE SEPARATIONS Plastering shall return the surface to its original fire resistive condition. (CFC 703.1) 10 Remove /repair (item & location) ______ _______ _ _ ___ Self- closing doors: shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self - closing doors shall have no attachments capable of preventing the operation of the closing .device. (CFC 703.2) EXITS 11 Remove all obstruction from hallways. Maintain all means of,egre,s" free of any storage. (CFC 1028.3) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ____ -- to clearly indicate it as an exit. (CFC 1006.3) STORAGE 13 Remove all storage and /or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes /stair shafts are to be maintained free from obstructions at all times.) (CFC 1003.6) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved ELECTRICAL APPLIANCES electrical outlets where needed. (CFC 605.5) 15 Remove multiple attachment cords from specific.electrical convenience outlet (one plug per outlet) (CFC 605.4) OUTDOOR BURNING 16 Recreational fires or open burning CFC 307.1 FIREWORKS 17 Violations of Section (CFC 5608.1) & 8.44.040 (B.M.C.). OTHER (18 iie (m � . E _ � � i tJJa -4 }e. .".�f�{�..t P • r ;o iz.i2'. i✓,`,t�... r- .o',E1LL% A` >r 5 #f. L /—Ji'_i< rG? �t ; �__ �f Irt1 �:�d s" l�fc�'f --- .""'�r ,:��.- t.:�= 1..�,�'i`�. i �` � ��.`�'""� C_ + a ^•, f� �, f-°� r C � Lit, C� � ya ° —i f �: �, �'' r . �' _ ` �.��'� �i -_:._t � � i'lti.,� i—.�: :.. #T�.'t % .= v-3>�4�- �'_.f_� � !�'., #@M..�C1(f�Ld �•�' �..,�t.:'v �� - !_, -7�»' / �sJiJ ,5 CORRECTION DATE Correct the violations noted above by: - / LEGEND: C.F.C. CALIFORNIA FIRE CODE CUSTOMER: ' j� ! t '� C.B.C. CALIFORNIA BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION d (Signature) (Please Print Name Legibly, Title) INSPECTOR: �'" e '• 3� i `O.: 'z NO.: y ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE i White - Customer /Original Yellow - Station Copy Pink - Prevention Services_, FD 2022 (Rev. 06/14)