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- - - BAKERSFIELD FIRE DEPT. .
4 ~ Prevention Services '!~
FIRE PRA-VENTION INSPECTION B EF~RE I D 900 Truxtun Ave., ste. 210~~~~~ ~` ,~'
A/t fM T Bakersfield, CA 93301 ,J~'
- ~ Tel.: (661) 326-3979 ^ Fax: (6 1)08.52=2171
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FACILITY ADDRESS ' ~° ~ a ( ,/) ~! , , ~
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CITY, STATE, ZIP (!~ ~ ~/ } #
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FACILITY NAME
/ MANAGER'S NAME f F CIkITY PHON NO.
BUSINESS OWNER'S NAME AND ADD SS ~ ~ CITY, STATE, ZIPS OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS 'k' CITY, STATE, ZIP, BILLING PHONE NO.
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CORRECT ALL VIOLATIONS VIOLATION r
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 mo ~ bo /fire door (N.E.C.) (U.F.C.)
4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on a t~wiED tl~~ op to the
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extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10)
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EXTINGUISHERS 5 Provide and install (amount) _ a roved 1 e 8 size ______ portable fire extinguisher to be
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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.) ~~' ~,,a_r~ L'=!/ ~~`~ '
7• Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/windli"w) to
SIGNS fire escape. (U.F.C.) 4c..----
" 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.)
~ Re air all cracks/holes/o enin s In taster in location Plasterin
FIRE DOORS/ ,
FIRE SEPARATIONS
~ "~ '~sball return the surface to its original fire resistive condition. (U.B.C.)
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, ;•- 10 y„I emove/rrepair (item & loc'a'tion) __=_____,______-_______________________________________. Self-closing
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~ doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and
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~}} ~ ; heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the
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" ~"'"'~~ j~ j JI ~ t ~ -closing device.: (U.F.C.)' ~ _
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EXITS ~
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Remove all obstruction;from hallways. Maintain all means of egress free of ariy storage. (U.F.C.)
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12 Provide a contrasting colored and permanently installed electric light over or near required exit (location)
______________________________ to clear~l.y indicate it as an exit. (U.F.C.)
STORAGE 13 Remove all storage and/or other obstructions from~sfire escape landings and stairways stair shafts. (Fire "
escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.)
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y 14 AjExtension; cords shall not be used in, lieu of~permanent approved wiring. Install additional approved electrical outlets
ELECTRICAL'
`APPLIANCES_,.. w~-,__.-••
~_ where needed. (N'.E:C.) (U.F.C.) ! ~I ,?} '
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emove mu
iple a
tac
ment co
rds from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.)
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OUTDOOR BURNING ~ ti~1..
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~ Violation ofiSection 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORKS) { 17`~ Violations of Sectio
n 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
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CUSTOMER: ~G 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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INSPECTOR: ~r ~ _ ~~ ,:G~------ AP NO.: B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
,j x. `'(Slgna~Uf2) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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