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BAKERSFIELD FIRE DEPT.
Prevention Services -
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979 X Fax: (661) 852-2171
OCCUPANCY ./~ s '" DISTRICT ? rte' BLOCK NO. DATE ~' !
TO „/1.51 ~~ A.~ t~~f ^~ /4 f ~ CJ~ TITLE ~IA.J M L®,C..... FIRM OR DBA +~. }°~~ / a :A/C7 f' J`~i~ ~Z~ %'~?~.• f' f"~ ,K
COMPANY.ADDRESS (CITY, STATE,ZIP) !y '} fy~ ;;>" "ry -^'"`
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CORRECT ALL VIOLATIONS vaurwx REQUIREMENTS
CHECKED BELOW xo.
I 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 S Provide and install (amount) approved (type & size) ~_~__~_______ portable fire extinguisher to be
immediately accessible for use in (area) ____________ _____ (U.F.G.)
~g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use,
" l~ ° by a person having a valid license or certificate. (U.F.C.) •~
7 Provide and maint§~,,In "EXIT" sign(s) with letters 5 or more inches in height over each required exit (doorlwindow) to
SIGNS fire escape. (U.F.G~~p''"~
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 alt (cracks/holes/openings) in plaster in (location) ____________________~_______________. Plastering
FJREDOORS/
P shall return the surface to its original fire resistive condition. (U.B.C.)
FlRE SE
ARATIONS
10 Remove/repair (item.8 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 otistructiens 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
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~` ON (DATE) d - / /rr - tl t SAN INSPECTION NALL BE MADE, IF NO COMPLIANCE HAS BEEN MADE, ADDff10NAL .f
`~ PERSONRECEMNO NOTICE OF VpLATiON
REGULATORY ACTION MAYBE INITIATED.
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AN F RC I D T ..:/ .. `"". ,•''> NATURE
AFTER VIOLATIONS ARE CORRECTED, RETURN THIS BY ORDER OFTNEFUlECNIEF DATE PLETEDc ./
NOTICE BY MAIL OR IN PERSON TO: _ ' o ~ ~ (~/~j'r
BAKERSFIELD FIRE DEPT. INSPECTOR sx3NATURE
~O~Dc ~ . _ INS CTOR s14NATURE
OFFICE OF PREVENTION SERVICES CF.C. CALIFORNIA FIRE CODE
• :900 TRUXTUN AVE., SUITE 210 u.aa. uN~oRM eunnlND CODE
BAKERSFIELD, CA 939111
. - ~•C• BAKERSRELD MUNx7PAl CODE
NFFA. NATIONAL FIRE PROTECTION ASSOCIATpN "
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. - N.E.C. NATIONAL ELECTRIC CODE
White-CustomedOriginal, Yellow-Station Copy Pink-Prevention Services _~FD1910 (REV.~o2toti)
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UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plan and Inventory Program
Prevention Services
B__. E R_S F,l_ _..D 900 Truxtun Ave., Suite 210.
F/RE Bakersfield, CA 93301
ABfO- T Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTI DATE INSPECTION TIME
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ADDRESS
~ PHONE NO. NO OF EMPLOYEES
6
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FACILITY CONTAC
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BUSINESS ID NUM61 5'~2~ ~ ~~~~jfi
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Section 1: Business Plan and inventory. Program ~ 'd
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND t~ ~ ~ ZQO6
BUSIfIeSS 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
^ ^ 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
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ANY HAZARDOUS WASTE ON SITE? YES ~ NO /t/[`,F-~('-/y~ ~/f ~/
EXPLAIN: ~ ~"" ~ ~ ~~ / "~ ~- j// ~b+L ~
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QUESTIONS REGARDING THIS INSP ION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire revention / 1~` In /Shift of Site/Station # Business Site / Responsi arty (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/OS
UNIFIED PROGRAM INSPECTION CHECKLIST
• FACILITY NAME
SECTION 1 Business Plan and Inventory Program
/ t• ~ .~. r
Bakersfield Fire Dept~~' ~~a~~~
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301 ~i
Tel: (661)_326-3979 _ ____ _
WSPECTION DATE INSPECTION TIME
9-3~- 05 I ICX~
PHONE No. No. of Employees .
---_ ._ .._.---------_ .._ ._...._.__ ._.__. _.. _ 32~_1oz9 ...--~-.------
Business ID Number
15-021- l8'd(
Section 1: Business Plan and Inventory Program
L~Routine O Combined D Joint Agency l7 Multi-Agency O Complaint O Re-inspection
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ADDRESS
FACILITYCONTACT
ANY HAZARDOUS WASTE ON SITE?: ~ES O
EXPLAIN: ~Q~~-
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QUESTIONS REGARDING THIS INSPECTION? PL E CALL US AT ~F)s'I ~ 3Z6-3979
__ _._. _
Inspector (Please Print) Fire Preventi n 1st-INShik of Site
Whfte -Environmental Services Yelknv -Station Copy
Bust esponsible P (Please Print)
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Pink • Business Copy