HomeMy WebLinkAbout3201 CATTLE DRIVE (3)SELF-CERTIFICATION CHECKLIST
Fire Prevention
B E_R S P I D
wItTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Avenue, 1St Floor
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FA ITY NAME: DATE:
ADDRESS: (Complete Address with City, State and Zip ode) HONE NUMBER:
FACILITY CONTACT: AX NUMBER:
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DO NOT bISCARD -FAILURE TO. RETURN: WILL' RESULT IN i=1RE. DEPARTMENT INSPECTION
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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:"" _ -`~ - "` - ' - -
hone No.:
ddress:
^ .Waste batteries saved in suitable container for recycling*
^ Discarded electronic devices saved for recycling*
^ ^ Discarded items containing Mercury saved for recycling* ~ /
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^ ^ Discarded non-empty aerosol spray cans saved for recycling* ~ / /'~
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^ Current annually serviced "ABC Type" fire extinguisher every 75 feet of travel
^ Extension cords not used in place of what should be permanent wiring (not longer
than 6 feet
^ 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
f~^ Cover plates installed on all electrical outlets, switches, and junction boxes (no
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_ _ exposed wirin9~
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ud' ^ 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?
^ Does your building have a monitored fire alarm system?
^ Does your building have a fire suppression (sprinkler) system?
*Recycle at the Kern County Special Waste Facility, 4951 Standard Street, Bakersfield, CA 93308. Phone: (661) 862-8922
COMMENTS:
QUESTIONS EGA DING THIS CHECKLIST? PLEASE CALL US AT (661) 326-3979 nn ~~ M e~
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Signa ure Business Site /Responsible Party (Please Print)
FD 2155b (Rev. 01/08)