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UNIFIED PROGRAM INSPECTION CHECKLIST
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.SECTION 1: Business Plan and inventory Program
BASERSFIELD FIRE DEPT
a p Prevention Services
~~~~ 900 Truxtun Ave., Suite 210
~w>rr ~ Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPECTION DATE INSPECTION TIME
`,TA SZ ~A ~5 r~l I / ~ i~0 /~L~
ADDRESS HONE NO. O OF EMPLOYEES
i 222 r-~ CA U r` a 2~ I,A /r_ 3Z5~ ~5~~
FACILITY CONTACT USINESS ID NUMBER
~ s-o2~- /'70 `~
~ Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
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C V (~=compliance` OPERATION
V=Violation / COMMENTS
^ APPROPRIATE PERMIT ON HAND
_ ^ BUSIIIBSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^
^ ^ CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
--- -
^ VERIFICATION OF LOCATION
^ ^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
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^ 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
ANY HAZARDOUS WASTE ON SITE? YES ^ NO
EXPLAIN: ~'~s ioi may/ - _--
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~UESTIONS REGARDING THIS INSPECTION4 PLEASE CALL U8 AT (861) 326-3979
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Inspector (Please Print) Fire Prevention / 1 `~ In / Shift of Site/Station # usiness Site/School ' e R s iWe PaAy (Please Print)
White - Prwention 3arviees Yellow - SlaGon Copy Pink - Business Copy FD2049 (Rw. t>•d/OS)
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'' ~` ~ BAKERSFIELD FIRE DEPT.
Prevention Services
FIRE PREVENTION INSPECTION a EF~RF 1 D 90o Truxtun Ave., ste. 210
- Ali<TM ~ Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
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DISTRICT /U ~ „ .~ ~ ~ BLOCK NO. /~~~ ~ ~" DATE ~l//~/~~ ~ EE
FACILITY ADDRESS J.1 Z ~ CITY, STAT ZIP ,,,,r
FACILITY NAME (^~~ 1. J / " i Y~J ~~ S.J ~
7 MANAGER'S NAME ~'~ FACILITY PHONE NO.
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BUSINESS OWNER'S NAME AND ADDRESS //~ v~ ~
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,v CITY, STATE, ZIP O,W~ ~ i jS/ r ONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
~
k. CITY, STATE, ZIP, BIL_ tNG PHONE NO.
OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE'BLDG RISER DATE
^ YES ^ NO
CORRECT ALL VIOLATIONS wo~~noe REQUIREMENTS ;
. CHECKED BELOW xo.
COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) }
VEGETATION Provide non-combustible containers with tight fitting lids for the storage of combustible waste a drub{tiislh pending its
2 safe disposal. (U.F.C.) _ ~) ~ '
COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse boz/f e)d~or'(N.E. ,),'(U.F.C.)
' 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with~tli'e ttop~to the
extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) ', ~'
EXTINGUISHERS 5 __________ portable fir, ex inguisher~to,beJ
Provide and install (amount) _____ approved (type & size) _____
___
immediately accessible for use in (area) _____________ (U.F.C.) y;~,iti )
g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or~afte er ach use,
by a person having a valid license or certificate. (U.F.C.) ~1 ~~ ;1'~
7 (~door/wihdow) to
Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each require
d exi~
SIGNS s
,
fire escape. (U.F.C.) Q ~,~
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 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.)
aSTORAGE ~ 13 Remove all storage and/or other obstructions from fire escape landings a,nd 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.)
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 1g
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U$T~MERt t ,'rj -=2~'` J" ---.
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'J~'' LEGEND:
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_`________..~ ~ (Signature) \~"' " ` ~ (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
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_____.- - B.M.C. BAKERSFIELD MUNICIPAL CODE
,
INSPECTOR: t ' ' AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION
~U ~9 atU ASSOCIATION
N
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NATIONAL ELECTRIC CODE
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^or 'JLV WFilte._-; Casto" mer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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.UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program ':
Prevention Services
B e R s ~, D 900 Truxtun Ave.; Suite 210
FeRE .Bakersfield, CA 93301 _
ARTM Tel.: (661) .326`3979 ~-
Fax: (661) 872-2171
FACILITY NAME INSPECTION+DA~TE7 ~ INSPEJCTION/TI~ME.
ADDRESS PHONE NO. NO O_ F EMPLOYEES .
FACILITY CONTACT - BUSINESS ID NUMBER -
`~j~, /I'p (/~C1 rL.t, ~ C/A 15-021- C>Oi'10~
~ -. __
I Section 1: Business Plan and Inventory Program
(ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS t J l
(~J
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
~/
I~ ^ 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
a
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? (a YES ^ NO
EXPLAIN: G~~~r= O/~/
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979
J l~ /, ~I ~G ~jy~t~l~ ~ ~ r ~..
Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # siness Site /Responsible arty (Please Print)
White -Prevention Services Yellow -Station Copy ~ Pink -Business Copy - - FD 2155 (Rev. 09105
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ST SiteID: 015-021-001707
Manager
Location: 1222 E CALIFORNIA AVE
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
BusPhone: (661) 325-7408
Map 103 CommHaz Moderate
Grid: 32B FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DAVID VALENCIA / OWNER .A4~BTA D T. n T~DO / OWNER
Business Phone: (661) 325-7408x Business Phone: 4~F~1 ";-~?__~~8x
24-Hour Phone (661) 326-1317x 24-Hour Phone : ~2~ ~~L
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire DelHlth
Contact DAVID VALENCIA Phone: (661) 326-1317x
MailAddr: 1105 RALSTON ST State: CA
City BAKERSFIELD Zip 93307
Owner DAVID VALENCIA Phone: (661) 326-1317x
Address 1105 RALSTON ST State: CA
City BAKERSFIELD Zip 93307
Period to TotalASTs: = Gal
Preparers Tot alUSTs: = Gal
Certif'd: RSs: No
ParcelNo: 017-370-05-00
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN _
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PROG T - ABOVEGROUND STORAGE TANK
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-1- 03/22/2007
interoffice memo
Date: 1 /24/07
To: JEANNI LOVEN, ENVIRONMENTAL SERVICES `~'
From: DREW SHARPLES, FINANCIAL INVESTIGATOR ~'~,~''"'
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RE: ES ACCOUNTS
6081-ES 1222 E CALIFORNIA AVEa~~~~ STAR TRANSMISSION
Judgment granted in the amount of $1656.00. Customer has sold business. Please remove the auto
charges and adjust of the billings dated 01/01/2007. Supposedly the new owners name is Juan
Huerta. You may wish to verify this as there is no business license on file.
ENT'D JAN 2 5 2007
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