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HomeMy WebLinkAbout3150 PANAMA LANE #GSELF-CERTIFICATION CHECKLIST i Fire Prevention B E R S F I D FIRE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 1501 Trtaxtun Avenue, 1St Floor Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661)852-2171 FACILITY NAME: ncc,rm a, a d r ~ i ~ DATE: ~ ~ ADDRESS: (Complete Address with City, State and Zip Cod) i, ~~ ~-~c~ ~n0.m C ~'~ °c33 3 PHONE NUMBE ~~ 7 © ~ FACILITY CONTACT: FAX NUMBER: DO NOT DISCARD -FAILURE TO RETURN WILL RESULT IN FIRE DEPARTMENT INSPECTION INSTRUCTIONS: Please verify and check each item as appropriate. Include comments on each line or at the bottom as necessary. When completed, make a second copy for your records and mail the original to the address above. Failure to return will result in inspection. Y N OPERATION COMMENTS ~ ^ Spent fluorescent tubes saved in a suitable container and recycling* (If you rely on an outside agency for the recycling, please indicate the name, address, and phone number of the agency that removes your tubes.) Name: Phone No.: ddress: ~] ^ Waste batteries saved in suitable container for recycling* ~ ^ Discarded electronic devices saved for recycling* i~ ^ Discarded items containing Mercury saved for recycling* ~ ~ ~ ^ Discarded non-empty aerosol spray cans saved for recycling* 1~ ^ Current annually serviced "ABC Type" fire extinguisher every 75 feet of travel 0' ^ Extension cords not used in place of what should be permanent wiring (not longer than 6 feet l~` ^ All exits indicated by exit signs, not more than 100 feet apart, if occupant load is 100 or more ® ^ Minimum of 30 inches of clearance in front of electrical panels fd ^ Cover plates installed on all electrical outlets, switches, and junction boxes (no ex osed winn) ~ ~' ^ Flammable and combustible material stored properly and not adjacent to a ~ source of ignition (check hot water heater and furnace area) - ® ® Do you use or store any hazardous materials on site? ~0 ~ ~' ^ Does your building have a monitored fire alarm system? PJ' ^ Does your building have a fire suppression (sprinkler) system? *Recycle at the Kern County Special Waste F~anci~lity, 4951 Stancdar1d Street, Bakersfield, CA 93308. Phone: (861) 862-8922 COMMENTS: -, ~- ,~ S Q `~ ~`-'~` ~ JqL©~ QUESTIONS REGARDING THIS CHECKLIST? PLEASE CALL US AT (667) 326-3979 ~C``~l ~ ~' L,/ W V~ ~/ i Signature Business Site /Responsible Party (Please Print) FD 2155b (Rev. 01/08)