HomeMy WebLinkAboutBUSINESS PLAN (2)
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,• -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
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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 "~
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CUSTOMER: /'~r~/Z~ra 1~1A
/,LUGL~i
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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