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HomeMy WebLinkAboutBUSINESS PLAN~W A~ W H I ~M a~ ~7 'I _-_J _~ llNIFIE® PROGRAnII INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 2i0 Bakersfield, CA 93301 Tel: (661) 326-3979 FACILITY NAME ~ n INSPECTIO^DATE INSPECTION TIME 1 ----------.-~-~___-1 ---_~?-~.-~i_ _. - __ -.__...-- .. ____ ..- -. -- -- s~~~- -_~0~~~~.._-- ADDRESS ~~ _'` --- - ------- -- - ---- - P~E No. ~ No. of ~ ployees --~~_3_I---_. _~~--__ __.._ s+~ ~zq ,~3 FACILITYCONTACT Business ID Number ~~ ~ p~ (~ ~1 ~ 15-021- U \Ud/ Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • ANY HAZARDOUS WASTE ON SITE?: OYES ~I NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979 _ ~~~ ~ Inspector (Please Print) iF re Prevention 1st-In/Shik of Site B siness Si Responsible Party (Please Print) rn B White -Environmental Services Yellow -Station Copy Pink • Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST Bakers$eld Fire Dept. ~' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) _326-3979 _ _ ___ _ _ _ SECTION 1 Business ,Plan and Inventory Program • FACILITY NAME ~ r INSPECTION DATE INSPECTION TIME ADDRESS PHONE tJo. No. of Employees L~-~-~------,~ _ ~__~_~-~ _~-------------- ------.. ____ _ __.--- -- _ __ _ _ _ _ --- - - ?~ mss- ---- _ -------- _.. FACILITYCONTACT ~ Business 10 Number 15-021- 6 Section 1: Business Plan and Inventory Pmgiram ~2outine O Combined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection C V OPERATION ti n`~ COMMENTS on l l V=Vio a ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE l~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS ---- Ld --_- ^ ----------_------ ------. _V ....--- ------- ..__ . _-.....-. I VERIFICATION OF QUANTITIES __. _ ... ........... .. . ...__ _ ... _............ ... _._... _ . _____. ...----.. _...... L~J ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE -- - -- ^ - ------- - --- ....--- --- - .._......... _ ----- __._ ._ ..._- - VERIFICATION OF HAT MAT TRAINING i -.. -_.. _ _._.._. _ . ... _.. .... ... ._-.... .. --- - .-- C ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 11 ^ ~ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING Ld ^. FIRE PROTECTION ~ ^ S ITE DIAGRAM ADEQUATE S ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GS'I ~ 326-3979 ~~~ ~3 In or Please Print Fire Prevention 1st-INShik of Site WhRe -Environmental Services Yelknv -Station Copy s -- de - sponsible Party (Please Print) Pink -Business Copy Uf~IFIED PROGRAM INSPECTION CHECKLIST ~ ' /ItI .~,.~ T ,.., .. ti. ..,- ,,.. ,.:..,. AR .SECTION 1: BusinessxPlan and Mvoentory Program ~ BAHERSFIEILD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfteld, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~q~- ~ NSPECTION DATE NSPECTION TIME ADDRESS ~~~i ~- 33RD s HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER ~~ 15-021- Section 1: Business Plan end Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~~ C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSlflt?SS PLAN CONTACT INFORMATION ACCURATE ~~ ^ ^ VISIBLE ADDRESS ~ _~J ~/~ ` ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES ^ ^ VERIFICATION OF LOCATION ^ ^ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~ITTrD s7 ~ f ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES ANO PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^. ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: O YES ^ NO QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (861) 32E-3979 Inspector (Please Print) Fire Prevention / i" In / Shik of Site/Station aY Business Site/School SNe Responsible Party (Please Print) White - Prwention Sarvieas Yallow -Station Copy Pink - Buainesa Copy FD2049 (Rw. 02105) h it' - FIRE PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. B E R S P I D Prevention Services Flli<E 900 Truxtun Ave., Ste. 210 ARTM ~ Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE EE ~ ~8 FACILITY ADDRESS / / CITY, STA P FACILITY NAME ~ r MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S AME AND ADDRESS CITY, STATE, 21P 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 wo~~rioN CHECKED BELOW Ho. REQUIREMENTS MBUSTI WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) CO BLE 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 & 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.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to 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.) FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering 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 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. (U.F.C.) 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.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets 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.) OUTDOOR BURNING 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 18 CUSTOMER: (Signature) (Please Print Name Legibly, Title) INSPECTOR: AP NO.: (Signature) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Plnk -Prevention Services FD 2022 (Rev. 09!05) V, ~~ y, ~_ ~. + GILS WELDING ________________________________________ SiteID: 015-021-001068 + Manager BusPhone: (661). 329-7395 Location: 1331 33RD ST Map 103 CommHaz High. City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:l799 DunnBrad:56-466-5140 Emergency Contact / Title Emergency Contact / .Title GIL ROBBINS / 1 Business Phone: (661) 329-7395x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 329-7395x MailAddr: 2400 WESTHAVEN AVE State: CA City BAKERSFIELD Zip 93304-5454 Owner GILBERT L ROBBINS Phone: (661) 329-7395x Address 2400 WESTHAVEN AVE State: CA City BAKERSFIELD .Zip 93304-5454 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ~a~a~ on my inquiry of those individuals rer~panslble tar attaining the Information, I c®rtify under penalty of law that I have personally examinQd and am familiar with the Information submitted and believe the information is true, accurate, and complete. Signature Date -1- 08/29/2006