HomeMy WebLinkAboutBUSINESS PLAN 9/13/2006:_
~~~ UNIFIED PROGRAM INSPECTION CHECKLIST
.SECTION 1: Business Plan and Inventory Program
•
BAKERSFIELD FIRE DEPT
Prevention Services
~/t~ 900 Truxtun Ave., Suite 210
~Rrr Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~~
~A~~-~~i~~ ~~~~ ~~~ T -3 NSPECTION DATE
~ Q6 NSPECTION TIME
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ADDRESS ~~ O ~ ~/~~ ^
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FACILITY CONTA S ID NUMBER
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15-021- ~~~
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Section 1: Business Plan and Inventory Program
^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (~=Compiiance~ OPERATION COMMENTS
V=Violation
^ APPROPRIATE PERMIT ON HAND
^
BUSIt1BSS PLAN CONTACT INFORMATION ACCURATE p J y 1
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^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES ~ : u~
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^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~ VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PR CEDURES
^ MERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED ~ ~;`.
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^ HOUSEKEEPING
^- FIRE PROTECTION
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^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZAR~DIOUS WASTE ON SITE? 'IYJYES ^ NO
EXPLAIN: ~lSn ~ I _ - --- ------ --------
~UESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (861) 326-3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station /1 Business tte/School Site Responsible arty ease Print)
White -Prevention Services Yellow • Station Copy Pink - Buainesa Copy FD2049 (Rev. 02/OS)
BUSIP
~CERN COUNTY ENVIItONMENTAL HEAL
12700 M STREET, SUI'T'E 300
~; BAI(ERSFIELD, CA 93301
(6611862-8700 Fax (661186
OWNER/OPERATOR IDENTIFI
VICES DEPARTMENT
I. IDENTIFICATION
~I'ION
Unified Program Consolidated Form (UPCF)
y' ~~ , /,/- FACILITY INFORMATION
FACILITY ID # 1. BEGINNING DATE too. ENDING DATE Toi.
(Agency Use Only)
BUSINESS NAME (same as FACtt.ITY NAME or DBA -Doing Business As) 3. BUSINESS PHONE 1°2.
Verizon Wireless - "Pumpkin Center" Site Unstaffed
BUSINESS SITE ADDRESS to3
8101 Ashe Road
CITY toa ZIP CODE tos
CA
Bakersfield 93313
DUN & BRADSTREET 106 SIC CODE (4 digit #) toy
88-463-8305 4812
couNTY 108
Kern
BUSINESS OPERATOR NAME lov BUSINESS OPERATOR PHONE uo
Skip Severance 559-268-7878
II. BUSINESS OWNER
OWNER NAME 1tt OWNER PHONE ttz
Verizon Wireless 866-694-2415
OWNER MAILING ADDRESS tt3
255 Parkshore Dr. Building B
CITY tta STATE tts ZIP CODE ttb
Folsom CA 95630
IQ. ENVIItONMENTAL CONTACT
CONTACT NAME 117 CONTACT PHONE tts
Shawn Stacey 866-694-2415
CONTACT MAILING ADDRESS t t v
255 Parkshore Dr. Building B
CITY 120 STATE to ZIP CODE tzz
Folsom CA 95630
-PRIMARY- N. EMERGENCY CONTACTS -SECONDARY-
NAME 123 NAME tza
National Operations Control Center Skip Severance (For Inspection)
TITLE tea TITLE tzs
Operations Manager Operations Manager
BUSINESS PHONE 125 BUSINESS PHONE 130
800-264-6620 559-246-7002
24-HOUR PHONE 126 24-HOUR PHONE tat
800-264-6620 559-246-7878 ~
PAGER # 127 PAGER # t 32
800-264-6620 800-264-6620
ADDITIONAL LOCALLY COLLECTED INFORMATION ~~
APN
497
050
01 & 497
050
07
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Environmental Contact E-M ' Address: shawnstacev,~7a,venzonwtreless.com 5
Certificati' n: Based on my inquiry f those individuals responsible for obtaining the information, I ce 'fy under penalty of law that I have personally examined and am
familiaz the informatio sub and believe the information is true, accurate, and complete.
SIGN '~ P T ESI PRESENTATIVE D.~TE ~ 34
/
" S NAME OF DOCUMENT PREPARER 135
a
ir
b Ridge Communications Q ~6~
NAME OF SIGNER (print) 136 TITLE F SI R 137
Shawn Stacey - 866-694-2415 Verizon Environmental Specialist
~~/
Business Owner/Operator 2005.doc l ~~
Rev 1/3/05
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UNIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
SITE MAP
Site Address: 8101 Ashe Road, Bakersfield, CA 93313
Date Map Drawn: 09/30/05 Map Scale: 1/4 inch = 6.5 ft.
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Site Map 2005.doc '] Rev 1/3/05
1 -
UNIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
STORAGE MAP
Site Address: 8101 Ashe Road
Date Map Drawn: 09/30/05 Map Scale: 1/4 inch = 6.5 ft.
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