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FIRE PREVENTION INSPECTION a EFiRE - D
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BAKERSFIELD FIRE DEPT. ~~ --
Prevention Services ~~
900 Truxtun Ave., Ste. 210
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Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661).552-2171
DISTRICT OCK NO. DATE '~ t- ~ 1 ~ EE {(• r~ ^~ "
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FACILITY ADDRE$S~'~ ( ~ (_
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FACILITY NAME -1
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MANAGER'S NAME FACILITY PHONE NO.
BUSINESS OWNER'S NAME AND ADDRESS ,~ "~ ' °-`~-,` CITY, STATE, ZIP OWNER
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BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE
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CORRECT ALL VIOLATIONS vio~~rioN ~ REQUIREMENTS
CHECKED BELOW No.
COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
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.)
q 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.)
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g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each ear, 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 mor i g 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 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 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 18
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CUSTOMER: V~.~--~;.::~( ~~.~-=%=~'r~,.-~ ~' --'L'EGEND:"`
~~($IgnatUre) ~ ~ (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
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INSPECTOR: ~
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...:..._ N:F.P.A. NATIONAL FIRE PROTECTION
` (Signature) ;o~ ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)