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HomeMy WebLinkAboutInspections FIRE PREVENTION INSPECTION B E R S F I L D P/AE ARTM T BAKERSFIELD FIRE DEPT. /~~6 (j~ Prevention Services O~ 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ ~ I ~ l~ EE FACILITY ADDRESS ~ l l _ Q ~ q ~ ~ ~ ~ ~{IG~ CITY, STATE, ZIP ~ KEiucc> > ei' C FACILITY NAME ` p O d) ~iA.~ Gn w ~ V P. MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. 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 VIOLATION CHECKED BELOW No. REQUIREMENTS 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.) 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 5 Provide and install (amount) _____ approved (type & size) ____ ____ portable fire extinguisher 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, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to 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.) FIREDOORSI FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster i to t~~~~711~l,,~~) ___ _______________________________. Plastering shall return the surface to its Origin ~ e ~ve~oRtlition. (U.B.C.) 10 Remove/repair (item & 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 1g Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapeslstair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets 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 1f~~lrlir~ Ih °.~G~ pr^ 1~~4~ 41S~C v CUSTOMER: Signature) (Please Print Name Legibly, Title) INSPECTOR: G ~ G lL ~.) ~- S AP NO.: (Signature) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yetlow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ,. ~ _ , i ~~-~ EAKERSFIELD FIRE-DEPT. ~~ E E R S F I L D Prevention Services FIRE PREVENTION INSPECTION FARE 900 Truxtun Ave., Ste. 21o Cj~ ~-' ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171 DISTRICT BLOCK NO. DATE fJ w ~ ~~ EE ~ ~ ^ ~U FACILITY ADDRESS /(~/ Oj7~'' a-~,. J/J , / CITY, STATE, ZIP ~ / / ~ ! .(/ ~~ ~ ._ ~g (y FACILITY NAME Af,((., ~ /~% l f ~ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE N0. 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 VIOL/TION CHECKED BELOW Ho. REQUIREMENTS 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.) ~G,g. ~ 4 1 13'elor>~te fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the t extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) j ~ EXTINGUISHERS ~ Provide and install (amount) _____ approved (type 8 size) __________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 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. SIGNS 7 Provide and maintain "EXIT" sign(s) with le 5 r nc s n over each required exit (door/window) to 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.) FIRE DOORS/ g Repair all (cracks/holes/openings) in plaster in (Iocation) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEPARATIONS 10 Remove/repair (item & 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.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets 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 CUSTOMER: ( ~~~_ ''"'^~'~ ~ ~, ' ` ~ ~ "` "'"t`~~''~ ` ~" t''1 (Signature) - (Please Print Name Legibly, Title) G ~ / INSPECTOR: 9f .•~ ~`~''F f,<,/`"~ % AP NO.: ~~ (Sigriat re) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE s White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09!05) ' dt',,; FIRE ORDINANCE VIOLATION. B_ IQ_ 8 9 P._. D w/R/ All Pr ~. BAKERSFIELD FIRE DEPT. 6~ j~ Prevention Services 900 Truxtun Ave., Ste. 210 (/ Bakersfield, CA 93301 Tel.: (661) 326-3979 X Fax: (661) 52-2171 OCCUPANCY DISTRICT BLOCK NO. DATE ~ n f` TO rte. TALE FIRM OR DBA COMPANY ADDRESS (CITY, STATE, zIP) .T BUSINESS PHONE HOME PHONE CORRECT ALL VIOLATIONS vrourloN CHECKED BELOW No. REQUIREMENTS 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE /DRY VEGETATK)N 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 5 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, by a person having a valid license or certificate. (U. F.C.) SIGNS 7 Provide and maintain °EX17" sign(s) with letters 5 or more inches in height over each required exit (door/window) to 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.) F~REDOORS/ Fl A N g Repair al{ (cracks/holes/openings} in plaster in (tocation) ____________________________________. Plastering shall return the surface to its original fire resisti ition. (U.B.C.) RE SEP RATIO S 10 Removelrepair (item 8 location) ______________________ _ ___`_ __________. Self-closing doors shall be designed to close by gravity, or by the action o n~c~nij~gice, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capaf~f~ preventing the operation of the closing device. (U. F.C.) ~~ 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.) ELECTTtICALAPPLUWCES 14 Extension cords shalt not be used in lieu of permanent approved wiring. Install additional approved electrical outlets 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. FlREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OT1iER 1 g a -- ' o ~ -- ~ ON (DATE) AN INSPECTION WILL BE MADE, IF NO COMPLUWCE HAS BEEN MADE, ADDITIONAL REGULATORY ACTION MAY BE INITIATED. PERSON RECEMNO NOTICE OF VIOLATION AN EN RCEM RD ENT BY C RTIFlED MAI PR IN A NG DATE 81f-NATURE AFTER VIOLATIONS ARE CORRECTED, RETURN THIS NOTICE BY MAIL OR IN PERSON TO: By oROER OP rNE FVtE CNIEF DATE COMPLETFL~ -zs BAKERSFIELD FIRE DEPT. OFFICE OF PREVENTION SERVICES 900 TRUXTUN AVE., SUITE 210 l3AKERSFIELD, CA 83301 wsPECroa sIGNATVRE ~~NO' c.F.c. CALIFORNIA FIRE coDE u.ec. uNraRM Bun-dNO cooE B.M.C. BAKERSFIELD MUNK7PAL CODE NFPA NATIONAL FSIE PROTECTION ASSOClAT10N NEC. NATIONAL ELECTRIC OOOE WSPECTOR SNiNA RE (/ Gi White-Customer/Original Yellow-Station Copy Pink-Prevention Services FD1916 1REV. o:lost INSPECTION RECORD ~~a~ Bakersfield Fire Dept. 1715 Chester Ave. Bakersfield, CA 93301 DATE: a ~ [c~ ~ ~ FACILITY ADDRESS: o [ ~~~~ ZIP: ~' ~ FEE: FACILITY NAME: ~ ~ NC lY~` MANAGER NAME: ll S ~ BUSINESS OWNER NAME, ADDRESS, ZIP CODE FACILITY PHONE ~~ ^~3~Z' BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO O RISER DATE VIOLATION NOTICE CORRECTION: 1. DATEbFREINSPECTION 2. ~ h r5 ~ ~~ 3. 4. 5. 6. 7. 8. '... 9. q~ 06 ... n~ 10. 11. 12. 13. 14. 15. NOTES CUSTOMER: ~ INSPECTOR: AP No. FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE FD1952 INSPECTION RECORD pia Bakersfield Fire Dept. 1715 Chester Ave. Bakersf field, CA 93301 DATE: i 0- FACILITY ADDRESS: Z v ZIP: FEE: L FACILITY NAME: /~ l~~/9~Aal lL ~ rtit~£,f~Zii o~ Gf,~{, 4 ~,~ MANAGER NAME: BUSINESS OWNER NAME, ADDRESS, ZIP CODE FACILITY PHONE BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO O RISER DATE VIOLATION NOTICE CORRECTION: 1. DATEbFREINSPECTION ' ~ 3. _ r 4. 5. 6. 7. 8. 9. ,a. EN~'D F E 11. 12. 13. 14. 15. NOTES CUSTOMER: INSPECTOR: AP No. ~ FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE v7~ji/ FD1952 ~~ai~ FIRE PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. a E R S P I D Prevention Services PARE 900 Truxtun Ave., Ste. 210 ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE Z EE FACILITY ADDRESS `~ CITY, STATE, Z q l`~'r /~ I FACILITY NAME ~ bq ~ ,y h c ~ C, LITY PHONE NO. MANAGER'S NAME FAC BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD N0. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS viourioa REQUIREMENTS CHECKED BELOW No. STIBLE WASTE /DRY COMB 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) U 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 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher 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, 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 more inches in height 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 & 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 ER I `gtorage and/or other obstructions from fire escape landings and t rways tair shafts. (Fire [) ~~ P s (a~s+ j ( ; Ps"trdi'r 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 6.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g ti^ ~..~.~`~ - ~ 2 O ~.~ f ,n CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE ~Srignature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE ~~/~ ~~,'"/ INSPECTOR: ~~ir-/~", AP NO.: PQ.E~ B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION (SlgnatU~e) _ ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) INSPECTION RECORD ~~~ia Bakersfield Fire Dept. 1715 Chester Ave. Bakersf field, CA 93301 DATE: )j ~~~r~ lD FACILI/TY ADDRESS: ©Q' ~_ 1 t ~~~1I1~~ ~ ZIP:/ ~~Yl' FEE: FACILITY NAME: r 6 ~-- rC ~. MANAGER NAME: C BUSINESS OWNER NAME, ADDRESS, ZIP CODE FACILITY PHONE .~~ " `73u Z BILL TO: (fF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO O RISER DATE VIOLATION NOTICE CORRECTION: 1. DATE bF REINSPECTION . 2. .,1e - - - - - - 3. CQ . S ~ r6 ~`) - 4 ~ 4. 5. 6. 7. 8. 9. 10. 11. ~ ~ "` 12. 'Tr~ 13. D " 14. 15. NOTES CUSTOMER: INSPECTOR: AP No. FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR`S COPY PINK-FILE FD1952 FIRE PREVENTION INSPECTION i ~~~ B E R S F I L D F/IPE ARTM T BAKERSFIELD FIRE DEPT. ~l ~" Prevention Services ~ ~~ 900 Truxtun Ave., Ste. 210 ~ / Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE h ~ y t i' (' EE FACILITY ADDRESS O ~. x kti ~Ne CITY, STATE, ZIP kc,( ,mil FACILITY NAME ~ O~ ~~ ~ ~ f e MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. 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 VIOLATION CHECKED BELOW No. REQUIREMENTS COMBUSTIBLE WASTEIDRY 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 boxlfire 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 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher 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, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to 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.) FIREDOORSI FIRE SEPARATIONS g Repair all (cra~~/~r~i~s) in la location) ____ ___________________________. Plastering shall return the t~ t o iginal 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 andlor 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.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets 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 1$ k` d~ fd w~ ~ a® oti. CUSTOMER: gnature) (Please Print Name legibly, Title) C /~.~iL~ INSPECTOR: C:/ AP NO.: (Signature) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) FIRE PREVENTION INSPECTION a EF~RE I D ARTM T BAKERSFIELD FIRE DEPT. ~~ Prevention Services (~ 900 Truxtun Ave., Ste. 210 ~~ Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~o ~ ~ ~ EE ~~~ `~ -1 v~ FACILITY ADDRESS Q CITY, STATE, ZIP t ~~ , ~ ~ I T ~ ~ FACILITY NAME ~ ~ b ~ ~~ Y~. w v~ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. 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 VIOLATION REQUIREMENTS CHECKED BELOW wo. MB TIBLE WASTE! DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) CO US 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 & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 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.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and m~i~pp'~te u be contrasting background and visible from the street to indicate the correct addres h bui ing. .C. ( .F.C.) g Repair all (crackslholeslopenings) in plaster in (location) ______________________________________. Plastering FIREDOORSI shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEPARATIONS 10 Removelrepair (item & 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 andlor 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.) oUTDOORBURNING 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 ~ ~ ~ yr ~ off,- d ~ of CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE ( ture) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE G~1 B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: ~ AP NO.: 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 FIRE PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. j,f~ » 8 R S P 1 o Prevention Services ~ f~j~YJY' PARE 900 Truxtun Ave., Ste. 210 ~~ (~i/"' ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 2-2171 DISTRICT BLOCK NO. DATE ~ ... EE FACILITY ADDRE CITY, STATE, ZIP FACILITY NAME MANAGER'S NAME FACILITY HONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, 21P OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG ^ YES ^ NO RISER DATE CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS 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.) 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 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 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.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting g u vi~b~fr~ifl~street to indicate the correct address of the building. (B.M.C.) (U.F.C.) lJJ FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & 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 1g 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.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets 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 16 CUSTOMER: 19f1 t e) (Please Print Name Legibly Itle) INSPECTOR: AP NO.: (S19f18tUfe) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) FIRE PREVENTION INSPECTION Tel.. (661) 326 3979 ^ Fax ( ) DISTRICT BLOCK NO. DATE /y/S EE FACILITY ADDRESS ~ ~ ^ z t% CITY, STATE, ZIP ~ `a C. G L ~/ FACILITY NAME Ij A / ~- ~ll~~ MANAGER'S NAME ACILITY PHONE NO. F E AND ADDRESS BUSINESS OWNER'S NAM CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD N0. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS wourioN REQUIREMENTS CHECKED BELOW No. COMBUSTI E WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) BL 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 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 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.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or morq,jnches in height over each required exit (door/window) to fire escape. (U.F.C.) b g Provide and maintain appropriate urR~~~n ntrasting background and visible from the street to indicate the ) correct address of the bull ~ ~,,{{~~~~ 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 S .~ Y i .r ~ _ /Q r !~ v ' "~ ICJ " `G/ mac. ~ / CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE (Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: AP NO.: ~ N.F.P.A. NATIONAL FIRE PROTECTION (SI ature) ASSOCIATION - N.E.C. NATIONAL ELECTRIC CODE BAKERSFIELD FIRE DEPT. H >? R s P t D Prevention Services ~ a~ PARE 900 Truxtun Ave., Ste. 210 .i Alt fM T Bakersfield, CA 93301 - 1 852-2171 White -Customer/Original Yellow -Station Dopy Pink -Prevention Services FD 2022 (Rev. 09/05) BAKERSFIELD FIRE DEPT. / ~~ Prevention Services FIRE PREVENTION INSPECTION >I sP/RE t D 900 Truxtun Ave., ste. 210 ~/1i AIt TM T Bakersfield CA 93301 j Tel.: (661) 326-3979 ^ Fax: (661) 85 -2171 DISTRICT BLOCK NO. DATE j~ / 1 EE FACILITY ADDRESS CITY, STATE, ZIP /2 ~U FACILITY NAME MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AN ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, 81LLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG ^ YES ^ NO RISER DATE CORRECT ALL VIOLATIONS vio~wrioH CHECKED BELOW No. REQUIREMENTS RY TI / 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUS BLE WASTE D 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 boxlfire 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 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher 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, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to 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.) FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U. B.C.) 10 Remove/repair (item & location) __!~_ ~ _ _ ______________ ___________. Self-closing doors shall be designed to close by ~t ol~ ~ i~io~o~~ echanical 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.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets 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 `1 CUSTOMER: (Signature) (Please Print Name Legibly, Title) INSPECTOR: AP NO.: ~ (Sf ture LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) FIRE PREVENTION INSPECTION ~r B E R S F I D PIPE AR1M T BAKERSFIELD FIRE DEPT. ~~ Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 ~~ Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171 OISTRlC7 BLOCK NO. DATE / ~ ~, EE FACILITY ADDRESS CITY, STATE, ZIP FACILITY NAME ~/ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. 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 VIOLATION CHECKED BELOW xo. REQUIREMENTS 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.) 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 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher 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, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate , b~s (p~ . n a ing background and visible from the street to indicate the correct address of the building. ( ( l~~ - , FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & 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.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one p{ug per outlet) (N.E.C.) (U.F.C.) oUTDOORBURNING 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 t eci ~ ~ `v ~ t CUSTOMER: (Signatur) (Please Print Name Legib4y, Title) INSPECTOR: ~-~-~ - AP NO.:~_ (Signature) ,--' LEGEND' C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE KBF-7320 White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ~~ ~ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST Prevention S s B....._ E_R s F_. __n 9001Yuxtun Ave., Suite 210 SECTION 1: Business Plana F'RE sakersfiela, cA s3so 1 nd Inventory Program ~' ''~ r Fes: ~ssi~ 872_8s~9 ., ~ ~ -/~ FACILITY NA E ~ INSPE TION D TE / ~ INSPEC ION TIME ~ /~~ ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- ';; Section 1: Basiness Pl~~t and Inventory P.rogr~rn~ ^ ROUTINE ^ 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 ^ ^ VISIBLE ADDRESS r-- ~ T'~ 1,,,~ ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIAI~T~ N ~ ~ 2 7 - ^ ^ VERIFICATION OF QUANTITIES .V ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ~ I ^ ^ VERIFICATION OF HAZ MAT TRAINING ~ ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ~~~ n / / ^ ^ CONTAINERS PROPERLY LABELED y ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE 8 ON HAND I ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~s ~ QUESTIO~V~ R~¢ARDII,~IG~THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Print) - .Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services - Yellow -Station Copy ^ YES ^ NO ~ //n ~~~ K/ Business Site /Responsible Party (Please Print) Pink-Business Copy FD 2155 (Rev. 09/05 FACILITY NAME ¡. ADDRESS I ð D I (.L FACILITY CONTACT 1-/· ('.' ~fN¡-- INSPECTION TIME ~ M I . . CITY OF BAKERSFlEtD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., Jrd {i'loor, Bakersfield, CA 9JJOJ at1 C¿ t\ 10\1) '/J,d) INSPECTION DATE It? - 2L - 6 PHONE NO. é~2. ~ 73'-/1 BUSINESS ID NO. 15-210- O,:S-OZI-oo¡3ø7' NUMBER OF EMPLOYEES Section, I: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand / Business plan c.ontact inf.ormati.on accurate ~ I / Visible address Correct .occupancy J Veri ficati.on .of inveritory materials V , j Verificati.on .of quantities Verificati.on .of l.ocation I, ~ ------ Pr.oper segregation .of material ,\I ~---- Verification .of MSDS availability ¡ ð!- C- V-UJ ff d /'rìl..hr. Verificati.on .of Haz Mat training ¡ '/þ¡¿Oc¡ \... Verification .of abatement supplies and procedures VI Emergency procedures adequate ~, Containers properly labeled J Housekeeping Ii I Fire Protecti.on .¡ Site Diagram Adequate & On Hand J C=Compliance V=Violation Any hazardous waste on site?: Explain: 1:1 Yes IfiJ'No White· Env. Svcs. Yellow· Station Copy Pink - Business Copy Inspector: J.J ¿) r..cJ ¿JeÓ h Questions regarding this inspection? Please call us at (661) 326-3979