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HomeMy WebLinkAboutBUSINESS PLAN (2) ~~~ i, - ~ i~ SOUTHWEST URGENT CARE 6401 TRUXTUN AVE u ~'~ ~ Ec~1--1~ ~~~ ,.. ,44 , ; __ _ y s`- - r-w- ~`''.; @., uS "`~< ~n,~r-1>.~:^'~s-!' ' v~,;.,?".. ._- .:sx~~.-- -.m~..~-.ra-."# _ v-. ~.,~~~i+~.L*"-ts~~*~"~rP"~~v.T"~.,~. F~*.°~ .. -'.s~P. ,r ~,~.T` v~ ~ ..:"t^'-,,:..-'""y ,• -BAKERSFIELD FIRE DEPT. m e >? R s F, ~ D Prevention Services ~~`V FIRE PREVENTION INSPECTION FIRE 900 Truxtun Ave"., Ste. 210 ~RrM r `° - Bakersfield; CA 93301 Tel.: (661).326-3979- ^ Fax: (66'"1) 852-2171. ~~ DISTRICT ~ BLOCK NO. ~ ~ DATE !~ f ~` f EE "!'}^ ~"-~ FACt LITY ADDRESS ~ ~r 1 ~n w ~ ~~y ~~ ~~ ~ ~ ~v ,L.t ~ ~ I CITY, STATE, ZIP. ~ ~ " .~•~ .-. t ~ ~ ~ ~ FACILITY NAME MANAGER'S NAME ;j ~ •_ "' ' ~ ` •, FACILITY PHONE,NO. BUSINESS OWNER'S NAME AND ADDRESS ~ ~~~ ~~ y ~ f~~ ~,. ~ 1. i CITY, STATE, ZIP ~ _ ~1 tR'S PH~~O~E ~ O BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, ~ BILLING PHONE NO., OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^-YES ^.,NO CORRECT ALL VIOLATIONS ,vio~nnoH - ~ ~ REQUIREMENTS -. _ CHECKEDBELOW xo. COMBUSTIBLE WASTE IDRY 1 Remove and safely dispose of all hazatdous 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.) 4 Relocate fire extinguisher(s) so that they will be in' a conspicuous location, hangirig,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 & siie) __________________ pprtable fire ex,tingu.isher-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, andJor after each use, by a person'having.a valid license or certificate. (U.F.C.) ~ Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height dver each required exit (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. FIRE DOORS/ P N shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SE ARATIO S _ - 10 _ _ ___. _ _______ '___ ______. Self-closing Remove/repair (item & location) ____________ __ _ p- p, doors shall be designed to close roved smoke and ce, or b an ap gravity, or ~t ~~ r~c~ P~~~~p 9 p heat sensitive device. Self-closin doors shall a enAs reventin the o eration of ttie Rt9 9 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 alt times.) (U.F,C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install add'+tional 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.) ou7DOORBURNfNG 16 Violation of Section 1102 dealin with recreational fires oro 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 "~ Y~ O LJ'a.. T ~' ct > ~^t t.~ -~, t"k x..10 4 !x .3 (C)/' °`" i.:~ .,~ A/~ Cam:: ~^ r "~ r 2 r U: I;. 50 +t:. $' ~ s t~ 1 C7 G.5 , .~ ..~ . t!, r i t ~~~ r ~=- .7 "".~ t i YI"4 C,'Fi« i-:~ i:,. ~..i"i ~. t O.S r. r~ lh ~'t ~rw ~ G,.- .S~,tiaY C.':, Lt v'+~ 4 , r Ii r - ry v, w ~ ~ Y)~-°T' ~ ~ ~. ll '4sC C't °`~C i' !3 .+', y ~ ~i .y ~: ra Ste.... ' ^ _p CUSTOMER: /'~r~/Z~ra 1~1A /,LUGL~i ~ LEGEND: _. . (Signature) (Please Print Name Legibly, Tltle) C.F.C; `CALIFORNIA FIRE CODE . U.B C. UNIFORM BUILDING,CODE ; "~~,~ ..w INSPECTOR: ~') ~ AP NO.:~~' ~ B.M C. BAKERSFIELD MUNICIPAL CODE . 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 (Rev. 09/05) ~_ 7:'} + BURMAN/WILSON DDS ___________________________________ SiteID: 015-021-002281 + Manager MICHAEL C BURMAi+d DDS Location: 6401 TRUXTUN AVE 200 City BAKERSFIELD BusPhone: (661) 631-5585 Map 102 CommHaz Minimal Grid: 33B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8021 DunnBrad: Emergency Contact / Title Emergency Contact / Title MICHAEL E BURMAN / OWNER JOHN C WILSON / OWNER Business Phone: (661) 323-2916x Business Phone: (661) 631-5585x 24-Hour Phone (661) 747-4690x 24-Hour Phone (661) 747-4628x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Reac t Contact DEBBIE OSV~G Phone: (661) ~3~3-~~ MailAddr: 6401 TRUXTUN AVE 200 State: CA .~ 3-aq~~ City BAKERSFIELD Zip 93309 Owner MICHAEL BURMAN/JOHN WILSON Phone: (661) 631-5585x Address 6401 TRUXTUN AVE 200 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG H - HAZ WASTE GEN ~~~ // , Based on my inquiry of those individuals ~~ !~~/ responsible for obtaining the information, I certify ~ t/ ~9 under penalty of law that I have personally examined and am familiar with the information ~j submitted and believe the information is true, O accurate, and complete, r ~j~~ l ignature ~ Da e v -1- 05/11/2006 + BAKERSFIELD PULMONARY SLEEP & MED ___________________ SiteID: 015-021-002270 + 3Z3•$3~~ Manager Bus Phone : ( 6 61) ==-~-=r3fl 1 Location: 6401 TRUXTUN AVE Map 102 CommHaz Low City BAKERSFIELD Grid: 33B FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code:8011 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title Business Phone: (661 - 301x Business Phone: ( ) - x~ 24-Hour Phone ( ) 321=53° x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth -' C: c + ..r. ~ ~• Contact ~ot Phone : ( 661) - x MailAddr : 6401 TRUXTUN AVE State : CA ~ Z 3 - 53 o'a City BAKERSFIELD Zip 93309 Owner Phone: (661) Address 6401 TRUXTUN AVE State: CA ?L3 -53 ~° City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals- responsibie fcr obtaining the informatioersonal~ urrcier penalty of law that I have p Y examined and am familiar with the information submitted and believe the information is true, accurate, a plet ~~~~ C.. j~~r, ;o ~° Date ENT Mq ~ 2 2006 -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ~r" Prevention Services _ B A FRS,: , - n 900 Truxtun Ave., Suite. 210 F~~F Bakersfield, CA 93301 aRtM -Tel.: (661) 326-3979 Fax: (661) 872-2171 FACIL E kit ~ c.~~' wr INSPECTION DATE ~ t 2- Z 1 - !5 INSPECTION TIME ~,5~zv 1 ~M ADDRESS ~~ PHONE N0. ~Z -~~ NO OF EMPLOYEES FACILITY C NTACT ~ .~ BUSINESS ID NUMBER 15-021- Da227a ~ ~,~ _. - _ _ ROUTINE _ - _ - Section 1: Business Plan and Inventory Program c,J~ O-'~ ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ~ ~~~~ ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE p~l ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY f~I \ ^ VERIFICATION OF INVENTORY MATERIALS O ~ ^ VERIFICATION.OF QUANTITIES ^ VERIFICATION OF LOCATION ` ~I ^ PROPER SEGREGATION OF MATERIAL ' ^ VERIFICATION OF MSDS AVAILABILITY ~I ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~I ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDO~/US WA//STE /O'N SITES DYES ^ NO EXPLAIN: ~ 1 ~~~1`1.~~~ ~~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Insp r Please Print) Fire evehtion / 1s` In /Shift of Site/Slat on # usi s Site / R onsible Party (Please Print) - White -Prevention Services Yellow- Station Copy Pink -Business Copy - _ FD 2155 (Rev. 09/05