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HomeMy WebLinkAboutBUSINESS PLAN UNIFIED PROGRAM.INSPECTION CHECKLIST SECTION. 1: Business. Plan and Inventory Program • __ Prevention Services. >j F R s F , ,, 900'IYuxtun Ave., .Suite 210 FIRE Bakersfield, CA 93301 ARTM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ - ~ Q t.lf4rrS Ti2,uG~C' ~ ~4-rc7a ~orJY ~.i~/-~j~ INSPECTION DATE S ~~l -G~ INSPECTION T_IM J /~ ~o•~, ADDRESS ~/ L~ r . l~ ~"~ PHONE NO. G3G- OG9t; - NO OF EMPLOYEES FACILITY CONTACT ~ - ~ _ ~~,,,,tib~ BUSINESS ID NUMBER ` 15-021- QOl/C3/. -_ - - - _ _ .Section 1: Business Plan and Inventory Program ~5 ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ~,/ ^ CJ /APPROPRIATE PERMIT ON HAND - `Y~~~~' ~~2~ ~ ~ ~ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE , pd ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY tG ^ VERIFICATION OF INVENTORY MATERIALS 4Y ^ VERIFICATION OF QUANTITIES .. i' ,.. ~ .~! . II~ ^ VERIFICATION OF LOCATION -• , id ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY --// J~ ^ VERIFICATION OF HAZ MAT TRAINING L7 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES IL!f ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~y~. ~O ~ ~~~~~f~ /~- l!/ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? O'1'ES "L~7 NO EXPLAIN: I~~~l~ bl L J QUESTIONS REGARDING THIS INSPECTION? PLease cALt_ us Ar (661) 3z6-3979 /~i(JT~yvY G.~G~G~ ~4 2~i4 ~ f Inspector (Please Print) Fire Prevention / 1'~ in /Shift of Site/Station # Business Site / Responsibl arty (Pleas rint) White -Prevention Services - Yellow -Station Copy -Pink--Business Copy ~ - ~ FD 2155 (Rev. 09/05 . .._-__ ,-._.-a, ~ .,~. ~- , , . . . . _ ,_ .. .. , . - ,- ,.~_ :; , BAKERSFIELD FIRE DEPT. /~ ~`~~' Prevention Services ~ ` FIRE PREVENTION INSPECTION a EP/RE 1 D 900 Truxtun Ave., Ste. 210 ~ ~~~ ARTM T Bakersfield, CA 93301 ' ~ Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ J(~~1~ E I ~'~~ I FACILITY ADDRESS -7 /c. CITY, STATE, ZIP / ~ ~ FACILITY NAME ~/ /+ ,, ( (~ / die/ ~~~5 ~ (t~-- ~--L ~~l/7C~ rJ~.+' c ~/ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS ~ Jn CHECKED BELOW No. / `(J CO TIBLE W STE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) MBUS A VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 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. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g 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. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) ____________________ ___________ _ _____ ___________. Self-closing doors shall be designed to close by gravity, or by the action of a mecha !~ vi or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments cap ~j1 p~~t~r1t?ng~(h operation of the ~ 'device. (U.F.C.) `x'1177 vU closing EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) to clearly indicate it as an exit. (U.F.C.) ----------------------------- 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.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) oUTDOORBURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g ' f, ~ ~~ ~/ s -r ~ ~ „war f I.~.' :~-,~'~.-L c~ ~ ~' .~t~~ G,~.~ ~,,~-~ _ CUSTOMER: I 1 ~--! LEGEND: _ _ ' ~" Signature) (Rlease Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: /T. ~,~/ AP NO.: ~ N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) - .~. ~~~ UN,~i~I:ED PROGRAM INSPECTION CHECKLIST=: .SECTION 1: Business Plan and inventory Program BAgERSFI(ELD FIRE DEPT' Prevention Services j 1 R/t~ 900 Truxtun Ave:,Suite 210 ~~tir Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE NSPECTION TIME ADDRESS ~~ '~/~ 1 ~' l ~ ~ HONE NO. '~/°d3~-o69G O OF EMPLOYEES FACILITY CONTACT ~ USINESS ID NUMBER 15-021- Section 1: Business Plan end Inventory Program ^ ROUTINE ~D"-COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION . ~ l/c- l C V (c=Compliance OPERATION V=Violation COMMENTS _ ^ APPROPRIATE PERMIT ON HAND ~ ^ ^ BUSItIeSS PLAN CONTACT INFORMATION ACCURATE Q*~^ VISIBLE ADDRESS ~,-`^ CORRECT OCCUPANCY ^~ ~ VERIFICATION OF INVENTORY MATERIALS ^,~''`~ VERIFICATION OF QUANTITIES C~~'''^ VERIFICATION OF LOCATION ~] ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ ^~RIFICATION OF HAZ MAT TRAINING ^ ^' ,'VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES <]~ EMERGENCY PROCEDURES ADEQUATE ^ Q./'CONTAINERS PROPERLY LABELED ^°~^ HOUSEKEEPING ^. ^D IRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ~C~`~Y,ES ^ NO ~^~~) EXPLAIN: L~ ~ ~~ °i ~ /~ia ~~?~' ~"/i • i ~7 s~ ~ c~ L_..-=- S k~-`1l,°r'-°_c! _ ~. c~G.~ S / lJ ~ . Q~ TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 528-3879 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Statlon k Business Site/School Site Responsible Part' (Please Print) White -Prevention Services Yaltow -Station Copy Pink - Businese Copy F02049 (Rev. 02J05~ . 1,~, ;~. 't QUATES TRUCK & AUTO BODY REPAIR _____________________ SiteID: 015-021-001101 + Manager BusPhone: (661) 636-0696, Location: 421 E 18TH ST Map 103 CommHaz Moderate City BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:7532 EPA Numb: DunnBrad:548-56-4890 +______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title RAY RUIZ / OWNER / Business Phone: (661) 636-0696x Business Phone: ( ) - x 24-Hour Phone (661) 397-3116x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 636-0696x MailAddr: 421 E 18TH ST State: CA City BAKERSFIELD Zip 93305 Owner RAMON RUIZ Phone: (661) 636-0696x Address 421 E 18TH ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ~,~~ -~-~ ~N~pgU~1® _ ~ ~0©6 0~ ~ 0 of those indivtduafs ~D ,~,=.c,s~ vn my inquiry I certify esoonsibl~ for obtaining the Informatioe~rsonally ~,-,~yer p®nalty of f~mll aatWithahe Information ~~ =.a amined and mm uumitted and beille a the information is rue, accurate and comp -31-D~v Date glgnature -1- 07/31/2006 -- r'' ~~~4 ~~D pf ~ D FIRE DEPARTMENT i4 CITY OF BAKERSFIEI. ~~~ ~ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST ~~ ~~ '" ~ i~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 ~.E :~~ FACILITY NAME %J .~7~ S ~~ ~ ~~v' INSPECTION DATE d ` ©3 °- D ~o ADDRESS ~ I ~_ / 8 ~ S~ PHONE NO. FACILITY CONTACT~.~K~ nt (-~`~ i Z BUSYNESS ID NO. 15-21 U- ~ INSPECTION T1ME~+{Zc~ NUMBER OF EMPLOYEES t~ Section 1: Business Plan and Inventory Program ~Itoutine ^ Combined ^ Joint Agency (~ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand / Business plan contact information accurate ,/ Visible address ,/ Correct occupancy ,~ Verification of inventory materials 'v Verification of quantities Verification of location ,~ Proper segregation of material ~;'''t~ M Verification of MSDS availability ~; . Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: a Yes [.~No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy u i ens Site Responsible Party Inspector:_~!~ti~.-,/C.H. _~ ~4, ''r~ CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMF,NTAL SERVICES •'~ UNIFIED PROGRAM INSPECTION CHECKLIST `wa';'a~.~ 1715 Chester Ave., 3rd I' loor, Bakersfield, CA 93301 FACILITY NAME ~~-a.1-ef ~ Kc,~ ~A~to ~d~ INSPECTION DATE t ~ ) U G 3 _ , ADDRESS yZl ~• l8{~ PHONE NO. 636 -06 '-6 any FACILITY CONTACT ~~ I~~ti ~- BUSINt:SS ID NO. I5-21U- INSPECTION TIME lyi0 NCIMBER OF EMPLOYEES _ Section 1: Business Plan and Inventory Program - J~ Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities I/ Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand (~ C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~ No Explain: ~-- =~~~ i 7 ,~ ~~~ / a ~ '~~_ .~~~.~ r .~~~ 1 l~ ~'~« "Business Site Responsj}ifie Party Inspector: --- ~~f ~~.~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink • Business Copy