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HomeMy WebLinkAboutBUSINESS PLAN (2)~ _ ~ , c~ I ~ `'~~, ~~~, M~ ,~~ - "a ;, ~~~ ~ ~ ~ ~.. {1 w d ~~, ~ ~ z fJ ~ ~~:. _ ~ ~ •- ~_~_`1_ ~ PRENTISS PROPERTIES, INC._ : '~ ~~ -- - --- - ~! - 5060 CALIFORNIA AVENUE - ~~ 1 _- -. _RA~ ~ r~~. . MAR-15-2006 13:20 MORELAND CORP~RATI~N P.02i02 + `STOCRDA'G8 TOWER LLC (MO~.n~) _-_-_-_~_=_=_-__---__-- SitelD: 015-021-401149 Manager ~~:cr~ ~ec+~ BusPhane: (651) 322-10$1 Location: 5060 CALYFORNIA. AVS Map x.02 CotitmIlax Moderate City : BARE~LSFIEY+D Grid: 34B F3cUnits: 1 AOV: CammCode: HFD STA 11, SIC Code:6512 EPA Numb: i.huu7iBrad:19-468-1110 }==O=s~S,P6~-.r ~~-=.'.C==C.: C'--.~_~-- ^--~Cr--.r r.--...=..--~ :.OR=~-Q~~~O~ ~~.~=~~.~=NCO} ~} .r-Op=~~~~~~~-..=~~P=.:=Q=S~.rt.CT.c~O~~.~C~-.='S~~'t~~-.~..-.---~-~~~=co~4=a--.-=..~--_~~~~...=-P~~~~` Emergency Contact,,. / Title Emergency Contact / Title t~rrr~~ c K ~'€ MAi1iAGER F p~ ~ir~/ V F Business Phone: (661} $4g-038~4x Business Phone: (661) 322-1081x 24-Hour Phone : { ) - x 24-Hour Phox:,e ( ) - xC Pager Phone ( ) - x Pager Phone ( } - x - i Hazmat Hazards; Fire IttumIilth DelHlth I~E~Chf t ---------Y-- f~ 1 +- - - --'--- -- R-+ -i .cC k i4" Contact . 322-1t)$1x Phone: (661) MailAddr: 5060 CALIFORt3TA AVE 1150 State: CA Gity AAKER.SFIELD .Zip 93309 +--w--------------~--------- ------------ -----------~-------------~---------'--+ Otaner MORELAND CORD Phone: (661) 322-lOBlx Addxess 5060 CAX,IFORNIA AUE ].150 State: CA City BAKEItSFTBLD Zip : 93309 Periad to TotalASTs; - Gal Preparers TotalUSTs: = Gal Certif' d: RSsS : No ParcelNo: ~ Emergency Directives: PROG A - HAZMAT PROD T - ABOVEtsRQL]ND STORAGE TANK ~Nr~ ~~, ~ ~ ~ 2oos Based on ~fiy inq~,iry o responsible for obtaining hC under penalty of law tiya examined and am familiar submi a ~ e rite €iocu t~e, ~!'te. i$natu {~ those indiViduelg information, f certify i i have perspnaily •~rith tt1Ei infprtflatipll intorrnation is true, 3~-~S-ca,~ Date -1- 03/03/20p6 TaTAL P.02 G j` SALIN DDS& ASSOC I SiteID: 015-021-002337 Manager v" ~~~rr^~ ~~~~1'~ ~~y BusPhone: (661) 323 (~~~ Location: 5060 CALIFORNIA AVE ~ Zr/ ~ Map 102 CommHaz Minimal City BAKERSFIELD Grid: 34B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8021 DunnBrad: Emergency Contact / Title Emergency Contact / Title / RDA ~~ oL //E ~~~ / MANAGE ~%l Business Phone: (661).323-2~x '~~~ ~/ v r~ a Business Phone: ~61) 323-• 24-Hour Phone (~O(~/) ~-~7 - yd~~' 24-Hour Phone (6d/) ~3 ~- ZU~'c~' Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 323-~~~ MailAddr: 5060 CALIFORNIA AVE ~~ Z o© f ,O ~ O State: CA City BAKERSFIELD Zip 93309 Owner I SALIN DDS & ASSOC Phone : ( 661) 323 -X939-~e (00 Address 5060 CALIFORNIA AVE '~ 2 ~0 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~NT,~ j' ~~~ ~ ~ " ~~~ PROG H - HAZ WASTE GEN ~ Based on my inquiry of thoae indi~'s;luF:':; responsible far obtaining the intormntia~, l an y r aii under penalty at faw that I ha~<. p . ~ Y examined and am familiar with the intormation submitted and belie ., the information is true , accur. , and co te. _ Signature Date -1- 08/10/2007 F SALIN DDS & ASSOC I SiteID: 015-021-002337 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min / i?~LDGc~!'l_ -2- 08/10/2007 -3- 08/10/2007 F SALIN DDS & ASSOC I SiteID: 015-021-002337 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: ~~~ IC ~Q®~ CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E ~LASTOICTCONTAINERE -- --_ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL I1HGE'l1.SLVUiJ l.Vl"lYV1V~1V 17 oWt. RS CAS# Silver No 7440224 ISHGH.CCL [i~ a~aal~l~lvt~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 08/10/2007 F SALIN DDS & ASSOC I SiteID: 015-021-002337 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/12/2002 ~ IN CASE OF LEAK ALL EMPLOYEES AND PATIENTS WILL BE NOTIFY AND WILL CALL 911 AND MANAGER WILL NOTIFY THE OFFICE OF EMERGENCY SERVICE AT 800-852-7550 Employee Notif./Evacuation 06/12/2002 IN CASE OF LEAK ALL EMPLOYEES AND PATIENTS WILL B OTIFY AND WILL CALL 911 AND MANAGER WILL NOTIFY THE OFFICE OF EMERGENCY S VICES AT 800 852-7550 Public Notif./Evacuation Emergency Medical Plan 06/12/2002 WILL TRANSPORT INJURED PERSON TO MERCY HOSPITAL 661 632-5000 AND WILL CALL 911 -5- 08/10/2007 F SALIN DDS & ASSOC I SiteTD: 015-021-002337 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/12/2002 ~ EMPLOYEES ARE TRAINED IN HANDLING HAZARDOUS MATERIALS Release Containment 06/12/2002 EMPLOYEES ARE TRAINED TO USE KITTY LITTER TO ABSORB WASTE FIXER Clean Up EMPLOYEES ARE TRAINED TO USE KITTY LITTER TO ABSORB WASTE FIXER 06/12/2002 Other Resource Activation -6- os11o/2007 F SALIN DDS & ASSOC I SiteID: 015-021-002337 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~:iai raac.aiu~ ~~ ~r/~~~ ~~, ~~~ ~~ s %~~ ~ ~ ' ~.~ ~~ ~~ C~c~ ~~ ~~ ~ ~~ ~~__e__ ~! ~.~~ ~-c~C2.-~.~-. C Ors ~~ ~-~~c%~ J Fire Protec./Avail. Water ~~ =Building Occupancy Level' 'Z O ~~p ~ ~ dui f ra-,c'-~~~ Utility $hut-Offs -7- os/lo/2007 F SALIN DDS & ASSOC I SitelD: 015-021-002337 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 06/12/2002 D NUMBER OF EMPLOYEES ~ MSDS IN THE FILE ROOM. EMPLOYEES ARE TRAINED WHEN HIRED THEN ONCE A YEAR UPDATE IN TRAINING PROCEDURE USING VIDEO FROM KERN COUNTY DENTAL SOCIETY rayc ~ 11c1u tvt rUI. UlC U5C riclu tV1 L'Ul..I.LLC U5C -8- 08/10/2007 ~~~~ STOCKDALE TOWER LLC (MORELAND) SiteID: 015-021-001147 Manager PATRICK FERCH Location: 5060 CALIFORNIA AVE City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: BusPhone: (661) 322-1081 Map 102 CommHaz Moderate Grid: 34B FacUnits: 1 AOV: SIC Code:6512 DunnBrad:l9-468-1110 Emergency Contact / Title Emergency Contact / Title PATRICK FERCH / BLDG ENGR TAMMY FLEMMING / VICE PRESIDENT Business Phone: (661) 549-0384x Business Phone: (661) 322-1081x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact PATRICK FERCH Phone: (661) 322-1081x MailAddr: 5060 CALIFORNIA AVE 1150 State: CA City BAKERSFIELD Zip 93309 Owner MORELAND CORP Phone: (661) 322-1081x Address 5060 CALIFORNIA AVE 1150 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ,~ „, PROG T - ABOVEGROUND STORAGE TANK 1 rn~ ~~/~ ' J(u"L Based dh my inquiry of those individuals I certify rQ€~~er~~ik~le for bt~falning the information, ~ law that 1 have personally t ~~~~~ ~~® Ij ~~~~ y o under p~n~l ramingd artd am framiliar with the information e t . e ru submitt . an c i v0 the information is accur e, c • , ete. ~' ~~Lo _ --"-"'"'- Date ~ignatu+ -1- 02/16/2007 Y, r. F STOCKDALE TOWER LLC (MORELAND) SiteID: 015-021-001147 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NALCO 2807 T L 60.00 GAL Mod DIESEL FUEL NO. 2 F IH DH L 150.00 GAL Low DIESEL FUEL NO. 2 F IH DH L 75.00 GAL Low -2- 02/16/2007 _ m -3- 02/16/2007 F STOCKDALE TOWER LLC (MORELAND) ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME NALCO 2807 T Location within this Facility Unit CTR OF BASEMENT STATE TYPE PRESSURE _ Liquid TMixture ~mbient SiteID: 015-021-001147 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 75.00 GAL 60.00 GAL 60.00 GAL t1t1G[-~ttLVU~J 1:u1~1ru1vt51vla %Wt. RS CAS# 5.00 SODIUM TOLYTRIAZOLE No 64665-57-2 5.00 Potassium Hydroxide No 1310583 t1E~GHtCL AJ J~~Ja1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME DIESEL FUEL NO. 2 Location within this Facility Unit NE CRNR OF BASEMENT Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS.AT THIS LOCATION - Largest Container Daily Maximum Daily Average 200.00 GAL 150.00 GAL 150.00 GAL r~~r-ucLVUa ~vrirviv.c~iv l oWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riHGHK1J 1~.75~J51~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/16/2007 r F STOCKDALE TOWER LLC (MORELAND) ~ Inventory Item 0001 COMMON NAME j CHEMICAL NAME DIESEL FUEL NO. 2 Location within this Facility Unit BASEMENT MECHANICAL ROOM STATE TYPE PRESSURE Liquid TMixture Ambient SiteID: 015-021-001147 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 GAL 75.00 GAL 75.00 GAL t1HGH.tCLV U 5 1.:V1~lYV1V I;1V ~15 °sWt . RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 tif~GAhC1J H~~.C;~~1~1tS1V 1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 02/16/2007 r F STOCKDALE TOWER LLC (MORELAND) SiteID: 015-021-001147 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/28/2001 ~ CALL 911. ' Employee Notif./Evacuation 02/28/2001 EVACUATE ALL INDIVIDUALS WITHIN THE FACILITY BY SOUNDING GENERAL ALARM LOCATED IN THE FIRE CONTROL ROOM OF STOCKDALE TOWER. PA SYSTEM WILL BE USED TO EVACUATE THE BLDG. Public Notif./Evacuation 02/28/2001 EVACUATE ALL INDIVIDUALS WITHIN THE FACILITY BY SOUNDING GENERAL ALARM LOCATED IN THE FIRE CONTROL ROOM OF STOCKDALE TOWER. Emergency Medical Plan 02/28/2001 MERCY SOUTHWEST - 400 OLD RIVER RD - 663-6000. -6- 02/16/2007 F STOCKDALE TOWER LLC (MORELAND) SiteID: 015-021-001147 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 02/28/2001 IN THE EVENT OF A LEAK IN THE DIESEL FUEL CONTAINER, ALL PERSONNEL WILL BE INSTRUCTED TO IMMEDIATELY EVACUATE THE BLDG. DIESEL FUEL IS STORED IN 55 GAL DRUM WITH LID TIGHTLY SECURED IN PLACE. 9 9 Release Containment-' ~,"Clean Up V1~11C.L 1CC .7-V U1.. l:C 1'il: l.lVdl.l Vll -7- 02/16/2007 F STOCKDALE TOWER LLC (MORELAND) SiteID: 015-021-001147 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ -~ - ~- ~~~~~a~ ~~a~a~u~ Utility Shut-Offs 11/30/2006 A) GAS - N CRNR OF BLDG B) ELECTRICAL - E CRNR OF BASEMENT C) WATER - NW CRNR OF PARKING D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/30/2006 PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND HAND-HELD FIRE EXTINGUISHERS. FIRE HYDRANT - FIRE DEPT HOSE CONNECTIONS IN STAIRWELLS. Building Occupancy Level 03/03/2006 2 EMPLOYEES -$- 02/16/2007 _ _ ~,,,,~ 'S- - . F STOCKDALE TOWER LLC (MORELAND) SiteID: 015-021-001147 Fast Format ~ Training Overall Site ~ Employee Training 11/30/2006 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES AND CONTRACTORS SHALL BE PROVIDED WITH INFORMATION AND TRAINING ON HAZARDOUS SUBSTANCES IN THEIR WORK AREA AT THE TIME OF THEIR INITIAL ASSIGNMENT, AND WHENEVER A NEW HAZARD IS INTRODUCED INTO THEIR WORK AREA. ADDITIONAL TRAINING SHALL BE PROVIDED TO EMPLOYEES AND CONTRACTORS REGARDING NEW OR REVISED MATERIAL SAFETY DATA SHEETS ON HAZARDOUS MATERIALS IN THE WORK PLACE IF THE NEW INFORMATION INDICATED SIGNIFICANTLY INCREASED RISKS TO, OR MEASURES NECESSARY TO PROTECT, EMPLOYEE HEALTH AS COMPARED TO THOSE STATED ON A MATERIAL SAFETY DATA SHEET PREVIOUSLY PROVIDED. PERIODIC RETRAINING SHALL BE CONDUCTED FOR 9 9 rays ~ Held for Future Use -9- 02/16/2007 ;: _ ~: •a' ~; r F STOCKDALE TOWER LLC (MORELAND) SiteID: 015-021-001147 ~ Fast Format ~ ~ Training Overall Site ~ nciu ivL ru~.uic ~~c -10- 02/16/2007 ... i~ , S`X'QCKDALE TOWER Y.IT~C (MdRELAND) - - SiteTD: 015-021-001147 Manager PATRZCR FERCFI HusPhane: (651) 322-1081 Locatioan: 5060 CALIFdRNIA p,VE Map 10"2 CommHaz Moderate City BAKERSFTELD Grid: 3~4B F'acUniCs : 1 AOV': CommCode: BFD STIl 11 SIC Code:6512 $ PA 1~Ttxmb = DurizlBrad : 19 - 4 6 8 -11 ~. 0 Emergency Cantact.~- / Title PATRICK FERCH / BLDG ENG]!2 ' Business Phone: 1,661} 549'-4384x 2 4 ~ four Phone i; ) - x Pager Phone ( ) - x Hazmat ~Ta~ards Contact PATRICK ~'ERCT-T MailAddr: 506o cA7~IFORivxA AVE a~iso City : HAKERSF:CEZD fawner MORELAN73 CORP Address 5060 CA:LI~`ORNIA AVE 1.150 City BAKERSFZF:LD Period to Preparers Certif'd: ParcelNo; Emergency Directives: PROD A - H~MAT PROD 'Z' ~ ABOVLGRC~L71~T1,? STORAGE TANY{ ~Nc~ ~ -1- Emergency Contact / Title TAMMY ~'LEMMIATG / VICE FRESIDEN'Y` Business Phone: (66~.) 322~1081x 24-Hour Phone { } - x Pager Phor~,e ( } - x Fire TmmHlth pe~IHlth Pk~.one: (661.) 322-1081~c State: CA Zip : 93349 Phone: {661) 322-1081x State: CA Zip 93309 Tota1.AST5: - GaY Tc~ta1C]STs : - Gal RSs: Na :~' ;<~ ,~?! f.': ~' ~ ~1~.tv i;. ~f.`f'al.' l;!rjt'i: ~!i;y l':i t~, ,; 11, 'r~ i~11± fi"!uhf t`nfilli'lt~ i:~ !; 1.?I~;. .'in ,e. a~/~.~/avo~ Z@/T0 39Cd NOIla2lOda00 QNd~3~OW Z08I5Z£Z99 ZL~bZ L00Z/LL/L0 I~ C `:.. .r FIRE PREVENTION INSPECTION BAKERSFI~LD FIRE DEPT. a H R S P I D Prevention Services. PARE 900 Truxtun Ave., Ste. 210, ~~~~ ARfM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ ry o ! ? b EE Ci~,~/ FACILITY ADDRESS (' © l~ ~C~i"'C G~ 1G C.. CITY, STATE, ZIP FACILITY NAME ~ ) ` ~ 0N i O. ~ ~ F,~1i1LITY PH MANAGER' NAME ~ ' E ~Q L ~ /h G N 1 ' d _ ~ZS~ 1 ~ r~ 5 a ~ S ' - - A , BUSINESS OWNER'S NAME AND ADDRESS WNER'S PHONE NO. , ZIP O CITY, S T A T E BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLO~d~ HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. COMBUSTIB E WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) L t- 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.) 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 back round and visibl fr m et to indicate the correct address of the building. (B. M.C.) (UCF.C.) 9 g Repair all (cracks/holes/openings) in plasteAi in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS Shall return the surface to its original fire reslstlve condition. (U.B.C.) ~~ 10 ______. Self-closing Remove/repair (item 8 location) ________________~_______________________________ % 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 doorsti: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.) 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 V iolations of S e ction 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER t 18) ~ y-f ~ '` I S 1 N 6' C Y1...~ i ~ _7 ~ C~' ~ C.e. ~C.' O k In Lr, C~~ ~ }},~ ` ^Q tA,r•e _ Cr ~C,L' QJ~.r ~ /"Mdr~~+Sr ~ r _'~ L rS~ ~Gv ~. a Ob c'f'~.~ ~~ ~ ~z- J ~ C.G ~ ~ r'C~'~` Cl. -~ ~ ~ ~. r* ~I ~-~- c. ' ~.>!t."'~ w-S fcC.7 r0 r.1 f It . W ! t~ ~ I Of+~i CUSTOMER: ( , 1 ~ t ( ~ LEGEND: " C.F.C. CALIFORNIA FIRE CODE (SignatuneJ (Please Print Name Legibly, Tltle) U.B.C. UNIFORM BUILDING CODE ; "' ~ r~ B.M.C. ~'; BAKERSFIELD MUNICIPAL CODE N.F.P.A.•. NATIONAL FIRE PROTECTION INSPECTOR: tom- AP NO.:~~~ a (Signature) ') ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) - ~ BAKERSFIELD FIRE DEPT. ~~~ Prevention Services FIRE PREVENTION INSPECTION B EP/RE t D 90o Truxtun Ave., ste. 210 ~j _..... ~ ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE / /_ ,`/' v ~~O t J EE FACILITY ADDRESS t'%1fO ~~`I(~,~M~t~ ~J ,, vv vv CITY,STATE , ZIP .~C t`~~~ ',~~wC~S FACILITY NAME S 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 IGH RISE BLDG RISER DATE 1Z-- YES ^ NO CORRECT ALL VIOLATIONS wo~~rioH REQUIREMENTS CHECKED BELOW xo. 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE /DRY 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 (t e) _ portable fire extinguisher to be immediately accessible for use in (area) _____~~~~~~~ .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 exii (doorlwindow) 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 IREbOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) wA '. . Y~2 ~ oS~2S LoPSF~ "1~C Gc Ef F R i f l i / kC~ 10 j _ _ . _________ Sel . . repair (item 8 locat _ -c ng emove on) f~`~- os 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.) 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 E- /.-.~ S PC-G'f / `('p 'P,~ ~ a2 A(`i C~2 ,~iY ~ 200 <o ''T7-~iK_ Vcx~ CUSTOMER: p LEGEND: C.F.C. CALIFORNIA FIRE CODE (SI re) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE 3 ~ t3•M.C. BAKERSFIELD MUNICIPAL CODE / ~S Z 0 INSPECTOR: 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 (R2V. 09(05) i - Bakersfield Fire Dept. Enironmental Services UNIFIED PROGRAM INSPECTION CHECKLIST ,~. t 1.715 Chester Ave SECTION_1 BuSinE$S P18t1 and II1V@11tOC~/ PI'OgCatl1 Bakersfield, CA 93301 • Tel: (661)326-3979 • FACILITY NAME ~ INSPEC~T,IO,~ DATE INSPECTION TIME ADDRESS S~ lS!~ --------------- ~ ) - --------------- -~ -- +- ~ ------------------ - _- - - PH NE No. 9 y ~~-` O~~ i - No. of Employees ~~---- - - FACILITYCONTACT P~-~ . ~cl ~~ C +3~0 9G , c~~, Business ID Number t s-o21- ~ _. ~~ Section 1: Business Plan and Inventory Program ^ Routine ^ Combined O, Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection C V ncel OPERATION ti COMMENTS on IV=Vioa ^ APPROPRIATE PPERMIT ON HAND - -- --- ~f ,~(, J ^ C ~ ---- --------- --- BUSINESS PLAN CONTACT INFORMATION ACCURATE - _-- - -- --- ---- - ----_ --- -_- -- -..__. .. ------ -- _ _._ _ _ EI~~"p t -All 3 0. 206 ~^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS r ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ ~ CONTAINERS PROPERLY LABELED I - . ' ^ __._ -.-_ _.-- -___ ___ -__ -___. -__._ -__. HOUSEKEEPING .. _._. ..._ _. ._._ _.. ... ...._. __.- . _____ .... _- ...--. _. ___ ^ FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~O EXPLAIN: ~"C/` ~ ~- / __ 9 ~ /t~ ~ 1..~ 1.,~ • QUESTIONS REGARDING IS INSPECTIONS PLEASE CALL US AT (66~ ~ 3X)-3979 Inspector (Please Print)-----_---- -- --- ---- - -Fire Prevention 1~~...- ---- -- - _.._.. ,[~~, M, ~.y~ ~ nlShik of Site IWNhite `- Environmental Services Yellow -Station Copy Business Site Responsible Party (Please Print) S N Pink -Business Copy ~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and nventor Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~~ INSPECTION DATE INSPECTION TIME AOORESS PONE No. No. of Employees FACILITYCONTACT Business ID Number O~ ~ 15-021- DO//~ Section 1: Business Plan and Inventory Program ~LRoutine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ncel OPERATION - ( pl COMMENTS J v=VOa on I~ ^ PERMIT ON HAND APPROPRIATE ^ ~- BUSINESS PLAN CONTACT INFORMATION ACCURATE V G/ /T ~~ ^ VISIBLE ADDRESS 4p3 --- -------------- --- - ---~------------------- -~ -- ~------------ -- ---~ - -- O~-C , ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~L ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ ~ HOUSEKEEPING ! ^ ~ FIRE PROTECTION CSW e~~ V~ ~ ~fLl ^ SITE DIAGRAM ADEQUATE 8t ON HAND SP~QI/'tCG'i r</~~ ~'XT~ fUtS~-et~C'S ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO ~ f c w ,~. EXPLAIN: d ~/ C/ V QUEJST~ S ARDI THI INSPECTIONS PLEASE CALL US AT ~G6'I ~ 3Z6-3979 nspe r Bad No ~ Business Site Responsible Party White -Environmental Services Yellow • Station Copy Pink • Business Copy ~ ` Bakersfield Fire Dept. l1NIF1ED PROGRAM INSPECTION CHECKLIST ~ Enironmental Services SECTIOiV 1 Business Plan and Inventory Prog 1715 Chester ave ram Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECjJQN 71ME ADDRESS ~ [~ A' ~ ~ n^o^ P'H'ONE No. (~ No. of/`E~m/plo~yees FACILITYCONTACT Business ID Number ~ , a g 15-021- ~l) Section 1: Rusin®ss Plan and Inventory Program .j?'Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection C V pl nce~ OPERATION ~ COMMENTS on lV=Voa ^ APPROPRIATE PERMfT ON HAND ,~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ,Pr ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY 1 'U ^ VERIFICATION OF INVENTORY MATERIALS ____----.._.. - ----_... .....-. - -----.. ^ VERIFICATION OF QUANTITIES l - __ - ^ -- ------ - -- - -- - __ --- --- --- -I VERIFICATION OF LOCATION _ --- ----- --_ . - -- _ .. .._.- --- RI ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE /U ^ VERIFICATION OF HAT MAT TRAINING ~ I ^ VERIFICATION OF ABATEMENT SUPPLIES ANO PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~ .^ ^ FIRE PROTECTION I~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~C6'I) 326-3979 ~a.l~ Inspector (Please Prinl) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy Business Site Res ble Party (Pleas Print) S N Pink -Business Copy ~