HomeMy WebLinkAbout3200 21ST STREET #101FEB-25-2009 12:23P FROM:COUNSELING OFFICE 6613950372 T0:8522171 P.2~2
SELF-CERTlFICATION CHECKLIST
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Fire Prevention
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BAKER3FILLD FIRE DEPT.
Preveatioa Seivices
I SQl Truxtun Avenue, 1~` Floor
B_ 6._R_$_„P_ [ -~ B~ersfield, CA 93301
ARTM T Tel.: (661) 326-3979
~ Fax: (66l) 852-2171
`CILITY NAME: ~ _ _ DA7E:
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AODRESS. (Comploie Addrvsa witlt City, lale and ' ) ii0 E M E
ia __ ~3301 ~~ -~tS~~d~6
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DO NOT DISCARD - FAILUR~ TO RETURN WILL RESULT IN FIRE D~PARTMENT INSPECTION
INSTRUCTTONS: Please verify and check ea h item as appropriate. Tnclude comments on each line or at the bottom as necessary. When
completed, make a secoad copy for your records~ nd mail the original to the address above. Failure to retum will result in inspaction,
Y N OPERATION COMMENTS
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^ Spent fluorescent tubes saved i~ ___~_. . -- - - - --- -- -- -- _ .. _~. _.
a suitable contalner and recycling' ... .... ..
Heme:
(IF u raly on an outelde agency for the recyclfng, ple se indipte the rsame, address, and phone number oi the
agency that removes your tubas.) Phone No.:
qress:
,~ ^ Waste batteries saved in suitabl container for recyCling`
~^ qiscanded electronic devices sa ed for recycling'
y~ ^ Discarded items containing Mer ury saved for recycling'
~ p Discarded non-empty ae~osol s ray cans saved for recycling"
-~ 0 Current annually serviced "ABC 7ype" fire extinguisher every 75 feet of travel
~^ Extension cords not used in pla e of what should be permanent wlring (not longer
than 6 feet
'j~, ^ All exits indicated by exlt signs, ot more than 100 Feet aparl, if occupant load
is 100 or more
~ 0 Minimum of 3b fnches of cleara ce in front of electrical panels
~^ Cover plstes installed on all ele rical outiets, swftches, and Junctlon boxas (no
_... _ EXposed wirin ~' _ i
~^ Flammable and oombustible materlal stored praperly and not adjacent to a
source of ignition (check hot water heater and fumace area)
^ Do you use or store any hazardous materials on site?
^ Does your building have a monitored fire alarm system?
D ~ Does your building have a fire suppression {sprinkler) system?
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COMMENTS:
CHECKLIST? PLlASECALLU9ATi661)926.9879
A1 t~~P- 7~4-J~SE'rJ
Buainesa Sfte ! Responsibla Parry (Please Pri~t)
FD 2'155b (Rev. 01/08)