The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLANI li ~ M(:1 ~' 4901 COMMERCE #170 - _- - - - VE~I`ZONBUSINESS SiteID: 015-021-002207 Manager PAUL LOPEZ Location: 4901 COMMERCE DR 170 City BAKERSFIELD BusPhone: (972) 729-5671 Map 102 CommHaz High Grid: 34B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:4813 DunnBrad:02-028-9070 Emergency Contact / Title Emergency Contact / Title BOB BLACKBURN / TECH VICTOR CABANAS / FIELD ENGINEER Business Phone: (661) 281-6160x Business Phone: (818) 922-1875x 24-Hour Phone (800) 444-0902x 24-Hour Phone (800) 444-0902x Pager Phone (661) 979-8431x Pager Phone (760) 535-6429x Hazmat Hazards: Fire React ImmHlth DelHlth Contact : TODD HARRIS Phone: (972) 729-5671x MailAddr: 2400 N GLENVILLE DR State: TX City RICHARDSON Zip 75082 Owner VERIZONBUSINESS Phone: (972) 729-5671x Address 2400 N GLENVILLE DR State: TX City RICHARDSON Zip 75082 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK SITE LOCATION: 4901 COMMERCE DR, IN BACK OF BUILDING, SUITE 170. ~N~`~ ~~~. ~ ~ ~~~d resp~r~si!~~n tmy rt'~uiry of #,~n~e indi•rie;;,~a, e or ot~#aining the inforr ti a on, I certify under penalty of ladv tha4 I have pc~rsor~ally examined and am familiar with the information su4~mitted and belie ve the information is true a , ccurate, and complete. J'~ .~.~,~ Signature Date -1- 07/16/2007 t F VE~2IZONBUSINESS SiteID: 015-021-002207 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BATTERY ACID DIESEL #2 F F R IH IH DH L L 2983.00 1500.00 LBS GAL Hi Low -2- 07/16/2007 -3- 07/16/2007 jt (i F V£RIZONBUSINESS SiteID: 015-021-002207 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BATTERY ACID Days On Site SULFURIC ACID 365 Location within this Facility Unit Map: Grid: BATTERY ROOM CAS# 7664-93-9 Liquid TMixtur~mbient~E ~ AmbientT~E OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 42.00 LBS 2983.00 LBS 2983.00 LBS HAZARDOUS COMPONENTS oWt. RS CAS# 29.60 Sulfuric Acid (EPA) No 7664939 r~~1-ucL .yaar~a~i~i~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 2000.00 GAL 1500.00 GAL 1500.00 GAL ruyc~s~cLVVa ~.vrirviv~ly t S %Wt• RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 ritiGtiRL Eiw 7.7 L.7 J1"1L'1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/16/2007 F VERIZONBUSINESS SiteID: 015-021-002207 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 05/08/2001 THE FACILITY MANAGER OR ALTERNATE WILL NOTIFY: 1. 911 TO REQUEST FIRE DEPT, POLICE/SHERIFF AND AMBULANCE ASSISTANCE AS NECESSARY. 2. THE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 326-3979 TO REQUIRE ABOUT REPORTABLE QUANTITIES. 3. STATE WARNING CENTER (800) 424-8802 OR (916) 427-4341, IF WARRANTED. 4. NATIONAL RESPONSE CENTER (800} 424-8802, IT WARRANTED. Employee Notif./Evacuation 05/08/2001 THE FACILITY MANAGER OR ALTERNATE WILL SOUND INTERNAL FACILITY EVACUATION ALARM, USE TELEPHONE AND VOCAL COMMAND. EMPLOYEE HEAD COUNT WILL BE CONDUCTED AT ASSEMBLY AREA. EVACUATION ROUTE AND ASSEMBLY AREA IS SHOWN ON FACILITY DIAGRAM. THE FACILITY MANAGER OR ALTERNATE WILL NOTIFY THE GLOBAL EMERGENCY NETWORK MANAGEMENT CENTER (800) 444-0902 WHO WILL MAKE INTERNAL NOTIFICATIONS TO APPROPRIATE WORLD COM PERSONNEL. Public Notif./Evacuation 05/08/2001 PUBLIC EVACUATION TO BE HANDLED THROUGH 911 CONTACT WITH POLICE/SHERIFF. Emergency Medical Plan 05/08/2001 FIRST AID KIT IS AVAILABLE ON SITE FOR EMPLOYEE USE. ALL OTHER MEDICAL ASSISTANCE PROVIDED BY 911 MEDICAL EMERGENCY ASSISTANCE. -5- 07/16/2007 l ~ F VER~ZONBUSINESS SiteID: 015-021-002207 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/08/2001 ~ BATTERIES EQUIPPED WITH SAFETY FEATURES AND REGULAR INSPECTION AND MAINTENANCE OF ALL EQUIPMENT. EMPLOYEE SAFETY TRAINING. FIRE PROTECTION AND VENTILIATION SYSTEMS IN EQUIPMENT AREAS. Release Containment 05/08/2001 ACID SPILL KIT ON SITE INCLUDES BAKING SODA AND ABSORBENT BOOMS, CAN BE USED TO ENCIRCLE MATERIAL AND CONTAIN IT. Clean Up 05/08/2001 SHOVEL 5PENT BAKING SODA AND BOOM INTO OVER PACK DRUM SUPPLIED WITH SPILL KIT. LABEL DRUM AND PLACE IT INSIDE AND AWAY FROM HEAVY TRAFFIC AREA. STORE DRUM PENDING PICK UP BY APPROVED DISPOSAL/HANDLER. Other Resource Activation -6- 07/16/2007 l S F VERIZONBUSINESS SiteID: 015-021-002207 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~iai na~a.LU~ Utility Shut-Offs 03/02/2007 GAS - NW CRNR ELECTRICAL - AC POWER RM WATER - SW CRNR OF BLDG BY ENTR TO LOT LOCK BOX - YES ABOVE FRONT ENTR Fire Protec./Avail. Water 03/02/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN BATTERY ROOM, TECHNICAL SPACE, AND AC POWER ROOM. NEAREST FIRE HYDRANT - SW CRNR OF BLDG BY ENTR TO LOT. Building Occupancy Level 03/03/2006 4 EMPLOYEES -7- 07/16/2007 r ~ ~' } F VERIZONBUSINESS SiteID: 015-021-002207 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/30/2006 ~ MSDS SHEETS ON FILE FOR BATTERY ACID, SULFURIC ACID, AND HALON. BRIEF SUMMAY OT TRAINING PROGRAM: ALL EMPLOYEES; CPR, FIRST AID, DISASTER PREPAREDNESS, EVACUATION, FIRE EXTINGUISHER DEMONSTRATION, EARTHQUAKE, REVIEW OF MSDS, REVIEW BUSINESS PLAN, REVIEW BATTERY MAINTENANCE PROCEDURES. SAFETY OFFICERS AND ALTERNATES; FROM THE LOLL EMERGENCY RESPONSE UNITS; CPR, FIRST AID, DISASTER PREPAREDNESS, EVCUATION, FIRE EXTINGUISHER DEMONSTRATION rays ~ nciu Lv.i r u~.uic ~~c ncl.u ivt, ru~uiC ~5c -8- 07/16/2007 Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST ;i Enironmental services ._,_ ~.:~~ a ; i 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME -- ADDRESS ~ ~ /~ q~/'~ ~ ~1 /1 ~ ~ ~-200/ PHONE No. No. of Employees _Lis.!_~--- LD~_ _ M. 4.-~~£ ----- I_L-~J - ---- ----- -// J1-~ -- ---- --o- "~81hIGO - ---~------- -- - FACILITYCONTACT Business ID Number ~I~ .~+:./~~.K ~' u1Zn~ IS-021- aaQ~j .' ~ Section 1: Business Plan and Inventory Program 'Routine ^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection C ~ nce~ OPERATION Pl COMMENTS on \V=Vioa ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMA710N ACCURATE ~' ^ VISIBLE ADDRESS .0 ^ CORRECT OCCUPANCY ,~ ^ ~ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION -. ,0 ^ PROPER SEGREGATION OF MATERIAL ,~1 ^ VERIFICATION OF MSDS AVAtLABILiTYE ^ VERIFICATION OF HAT MAT TRAINING 1 ~I ^ I VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES P ^ EMERGENCY PROCEDURES ADEQUATE ~' ^ CONTAINERS PROPERLY LABELED Ca -- ^ - --- HOUSEKEEP{NG -- ---- -- - ------ ------ ---- - - ~) ^ -- - ---- --- --- - ----- --__ FIRE PROTECTION t- _.... -- ------- --- - - ... --- -- --- - - - -- - .....-..--- ---- ----- ----- ------ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 ~~ i Yh _ a4Trf 25~ N _ _ ____ __ _ __O I ~ ~ _ _ ___ Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy { Bus ess Si esponsible Party (Please Print) o+ 8 N Pink -Business Copy ~ ~! @ ~ ~ "W'~ ~~ ~ ~ nc55 + _______________________________ _____________ SiteID: 015-021-002207 + ~~~~~ °l ~}9- Si.1 ~ Manager BusPhone: ( - Location: 4901 COMMERCE DR 170 Map 102 CommHaz High City BAKERSFIELD Grid: 34B FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code:4813 EPA Numb: DunnBrad:02-028-9070 Emergency Contact / Title Emergency Contact / Title BILL WEARE / MANAGER V 1 L~'~! Ga~c„n~.~ / ~'~~~ ~^S'^`~'~ Business Phone: (559) 490-3060x Business Phone: (~r'~ )91? -~`'~'~ x 24-Hour Phone (800) '~~9--9`I`-~1-~~~ a 24-Hour Phone (g~,~ti )~14y -o~~~x Pager Phone ($yq) `3~1 - t)Sa"~ x Pager Phone (-~b~ ) 53S - 6~'~a x Hazmat Hazards: Fire React ImmHlth DelHlth 1-l d u~r.~ ~ Contact I~ Phone : ( 972 ) 729-~~ MailAddr: 2400 N GLENVILLE DR State: TX 5b'1~ City RICHARDSON Zip 75082 Owner 11~r;1~.nSu~,n~~~ Phone: (972) 729-fr3~x Address 2400 N GLENVILLE DR State: TX S(~'~~ City RICHARDSON Zip 75082 Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK EN~''~ ~a ~ ~~06 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Signature Date -1- 03/03/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAM I INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees FACILITYCO CT Business ID Number Co pC ~~/-(a/~n-S 15-021- Section 1: Business Plan and Inventory Program ^ Routine ~ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V ^ \V=V'oationncel OPERATION J APPROPRIATE PERMIT ON HAND ___ __ __ _,_____ ____ __ _ COMMENTS 1043 .____________ _ ~p ~~. `~ ^ ^ ______`__ BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS / ~ ~ ~-~•p (~ I~ ^ CORRECT OCCUPANCY ~~~ 3 Co Q ~~ ~I ^ VERIFICATION OF INVENTORY MATERIALS ~) A~ -v 2 Z d `7 ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION _^ ^ PROPER SEGREGATION OF MATERIAL `- ___ _ VERIFICATION OF MSDS AVAILABILITYE - _ ~_ _ !„ ~ ~I ~~ Ly FO a~~s_ ^ VERIFICATION OF HAT MAT TRAINING I~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ ^ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED HOUSEKEEPING ^ ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND 3a~-~gs'( ANY HAZARDOU,S /WASTE ON SITE: ^ YES I~ NO ~/ ~ ~ pf,e vLN /~ pyt,, EXPLAIN: C P~(l - l %P~' ~~/' ev C~~IJ~(_ 1=~~-,,, ,~~rc,~J F oyfr-t,4-7; Gam, i¢~3o y % 5 % ~/ ~~I C / `> QUESTIONS EGARDI THIS INSPECTIONS PLEASE CALL US AT ~C)G'I ~ 326-3979 ~f In ector Badge No. B siness Site Respo le Party White • Environmental Services Yellow • Statbn Copy Pink • Business Copy / ~ ~--- i Q ;~ MI .q UNIFIED PROGRAM INSPECTFON CHECKLIST: SECTION 1: Business Plan and Inventory Program .~ - A E R S F I P P/RE ARTM T Prevention Services 900 Truxtun Ave., Suite 210. Bakersfield, CA 93301 Tel.: (661) 326=3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE - INSPECTION TIME ADDRE`S'S /+~ '-!C~(~J C,C~GZ'7vls-L%1tt~ ~/1. ~ ~~ PH^ONE NO. ~~17~"6~ ~1 O OF EMPLOYEES ~ FACILITY CONTACT BUSINESS ID NUMBER ~~ ~ j~~~~~ 15-021- d0~~,--7 ~ -: -- ~ Section 1: Business Plan and Inventory Program LYROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND / Id' ^ BUSICteSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY !~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL"US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # si e White -Prevention Services Yellow -Station Copy Pink -Business Copy /Responsible Party FD 2155 (Rev. 09/05 a^~ VERIZC3NBUSINESS Manager P w~ ~ L~~t Location: 4901 COMMERCE City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: SiteID: 015-021-002207 BusPhone : ( 6~-~) '' QUA DR 170 Map 102 CommHaz High Grid: 34B FacUnits: 1 AOV: SIC Code:4813 DunnBrad:02-028-9070 Emergency Contact / Title Emergency Contact / Title BOB BLACKBURN / TECH VICTOR CABANAS / FIELD ENGINEER Business Phone: (661) 281-6160x Business Phone: (818) 922-1875x 24-Hour Phone (800) °~~~~°1~'-1-3y~~ 24-Hour Phone (800) 444-0902x Pager Phone (661) 979-8431x Pager Phone (760) 535-6429x Hazmat Hazards: Fire React ImmHlth DelHlth Contact TODD HARRIS Phone: (972) 729-5671x MailAddr: 2400 N GLENVILLE DR State: TX City RICHARDSON Zip 75082 Owner ~VERIZONBUSINESS Phone: (972) 729-5671x Address 2400 N GLENVILLE DR State: TX City RICHARDSON Zip 75082 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~" PROG T - ABOVEGROUND STORAGE TANK- SITE LOCATION: 4901 COMMERCE DR, IN BACK OF BUILDING, SUITE 170. lndivlcU~13 Based on my inning the= intormatio~r~ ovally t 1 havo P tion for D a Pon~;,bie oti lav'~ tha rr'' enalty ~ with the intorm under P am tarnl.iar anon is true, e the inform 3 ~IY~ ~~~ ® ~ d beliEV e~aml~t d subm lete. - omp ~ ~~U~ 1 nd c accurate, a ~r ®- ~~' Date Sig a ,an tt re -1- 02/20/2007 F VERIZONBUSINESS ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002207 ~ By Facility Unit e Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BATTERY ACID F R IH L 2983.00 LBS Hi DIESEL #2 F IH DH L 1500.00 GAL Low -2- 02/20/2007 _3_ 02/20/2-007 F VERIZONBUSINESS ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME BATTERY ACID SULFURIC ACID Location within this Facility Unit BATTERY ROOM STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-002207 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# ~~~ ~i-q3.-~j TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con42100rLBS Daily2983100m LBS Daily3A~~r00e LBS ~~ ~3 t1AGHKL V U 5 l; V1~lY V1VL' 1V l J %Wt. RS CAS# 29.60 Sulfuric Acid (EPA) No 7664939 t1HGHKL H~~~~J1~1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME DIESEL #$2 Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixtur~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average . .2000.00 GAL _ 1500.00 GAL I 1500.00 GAL nt~at~tcLVUa ~.vl~irVlvl;lvt~ %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 r1~,~s~cL r-~aar.~~1~i~1Vl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/20/2007 F VERIZONBUSINESS SiteID: 015-021-002207 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/08/2001 ~ THE FACILITY MANAGER OR ALTERNATE WILL NOTIFY: 1. 911 TO REQUEST FIRE DEPT, POLICE/SHERIFF AND AMBULANCE ASSISTANCE AS NECESSARY. 2. THE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 326-3979 TO REQUIRE ABOUT REPORTABLE QUANTITIES. 3. STATE WARNING CENTER (800) 424-8802 OR (916) 427-4341, IF WARRANTED. 4. NATIONAL RESPONSE CENTER (800) 424-8802, IT WARRANTED. Employee Notif./Evacuation 05/08/2001 THE FACILITY MANAGER OR ALTERNATE WILL SOUND INTERNAL FACILITY EVACUATION ALARM, USE TELEPHONE AND VOCAL COMMAND. EMPLOYEE HEAD COUNT WILL BE CONDUCTED AT ASSEMBLY AREA. EVACUATION ROUTE AND ASSEMBLY AREA IS SHOWN ON FACILITY DIAGRAM. THE FACILITY MANAGER OR ALTERNATE WILL NOTIFY THE GLOBAL EMERGENCY NETWORK MANAGEMENT CENTER (800) 444-0902 WHO WILL MAKE INTERNAL NOTIFICATIONS TO APPROPRIATE WORLD COM PERSONNEL. Public Notif./Evacuation 05/08/2001 PUBLIC EVACUATION TO BE HANDLED THROUGH 911 CONTACT WITH POLICE/SHERIFF. Emergency Medical Plan 05/08/2001 FIRST AID KIT IS AVAILABLE ON SITE FOR EMPLOYEE USE. ALL OTHER MEDICAL ASSISTANCE PROVIDED BY 911 MEDICAL EMERGENCY ASSISTANCE. -5- 02/20/2007 F VERIZONBUSINESS SiteID: 015-021-002207 ~ Fast Format ~ ~ Mitigation/PreventjAbatemt Overall Site ~ ~ Release Prevention 05/08/2001 ~ BATTERIES EQUIPPED WITH SAFETY FEATURES AND REGULAR INSPECTION AND MAINTENANCE OF ALL EQUIPMENT. EMPLOYEE SAFETY TRAINING. FIRE PROTECTION AND VENTILIATION SYSTEMS IN EQUIPMENT AREAS. Release Containment 05/08/2001 ACID SPILL KIT ON SITE INCLUDES BAKING SODA AND ABSORBENT BOOMS, CAN BE USED TO ENCIRCLE MATERIAL AND CONTAIN IT. Clean Up 05/08/2001 SHOVEL SPENT BAKING SODA AND BOOM INTO OVER PACK DRUM SUPPLIED WITH SPILL KIT. LABEL DRUM AND PLACE IT INSIDE AND AWAY FROM HEAVY TRAFFIC AREA. STORE DRUM PENDING PICK UP BY APPROVED DISPOSAL/HANDLER. V1.11C.L 1CC.~. VULI.:C til:LlVClL1V11 -6- 02/20/2007 F VERIZONBUSINESS SiteID: 015-021-002207 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 11/30/2006 A) GAS - NW CRNR B) ELECTRICAL - AC POWER RM C) WATER - SW CRNR OF BLDG BY ENT TO LOT D) SPECIAL - NONE E) LOCK BOX - YES ABOVE FRONT ENT Fire Protec./Avail. Water 11/30/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN BATTERY ROOM, TECHNICAL SPACE, AND AC POWER ROOM. NEAREST FIRE HYDRANT - SW CRNR OF BLDG BY ENT TO LOT. Building Occupancy Level 03/03/2006 4 EMPLOYEES -7- 02/20/2007 }' ^ .~ F VERIZONBUSINESS SiteID: 015-021-002207 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/30/2006 ~ MSDS SHEETS ON FILE FOR BATTERY ACID, SULFURIC ACID, AND HALON. BRIEF SUMMAY OT TRAINING PROGRAM: ALL EMPLOYEES; CPR, FIRST AID, DISASTER PREPAREDNESS, EVACUATION, FIRE EXTINGUISHER DEMONSTRATION, EARTHQUAKE, REVIEW OF MSDS, REVIEW BUSINESS PLAN, REVIEW BATTERY MAINTENANCE PROCEDURES. SAFETY OFFICERS AND ALTERNATES; FROM THE LOLL EMERGENCY RESPONSE UNITS; CPR, FIRST AID, DISASTER PREPAREDNESS, EVCUATION, FIRE EXTINGUISHER DEMONSTRATION rcayc ~ nc~.u Lvi ru~uic use nci.u ic~i r uuure use -8- 02/20%2007 = Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R_ P R S e , _~ 900~-uxtui~ ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Proaralm "RTM T Tel:: (661) 326-3979 w • ~ rax: wnil aiz-~i i i FACILITY NAME INSPECTION DATE INSPECTION TIME o i~~,~,/t VV ~ ~~ ADDRESS ~ /1 ~ PHONE NO. NO OF EMPLOYEES D, ~Q ~ N A~ L W' FACILITY CONTACT USfNESS ID NUMBER - 15-021- /~~,D Section 1: Business Plan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND t ! 4 ~~~~ ^ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ - ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES ~ ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 • Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site /Responsible Party (Please Print) ^ YES ^ NO White -Prevention Services - Yellow -Station Copy Pink -Business Copy ~ FD 2155 - (Rev. 09/05