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Home My WebLink AboutBUSINESS PLAN/VERIZON WIRELESS -HALEY ' 2320 HALEY STREET ti + VERIZON WIRELESS - HALEY ____________________________ SitelD: 015-021-003375 + Manager ALAN HOLZMAN Location: 2320 HALEY ST City BAKERSFIELD BusPhone: (661) 873-2401 Map 103 CommHaz High Grid: 21A FacUnits: 1 AOV: CommCode: BFD STA 08 SIC Code:4812 EPA Numb: DunnBrad:01-216-7078 Emergency Contact / 'itle Emergency Contact / Title ALAN HOLZMAN / NET'OPER MGR RUSS WALKER / OPERATIONS TECH Business P e: (661) 8T3-2401x Business P (661) 747-7001x 24-Ho one (661) 8T2-2662x 24-Hou one (661) 321-5214x +--- r Phone ( ) Pa_--_Phonr- ( - ~----x-----+ ImmHlth Hazmat Hazards: ~~/,, f Fi e ~ ~a2 C~C ---------- _ ~~ N~ _ ---------------- ----------------------- Contact SHAWN STACEY ~D ~~ Phone: (916) 357-2520x MailAddr: 255 PARKSHORE DR /~ State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELES~S'~ Phone: (925) 279-6455x Address 2785 MITCHELL D~2' State: CA City WALNUT CREEK Zip 94598 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: ~ Emergency Directives: ~ ~N1"Q ~ ~ ~ ~ 9 ~00~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under pen Ity of law that I have personally examined a d am familiar with the information submitted a d believe the information is true, accurate, an omplete. ~ ~~ o ~ Signature Dat ~~ Es ~a1~~1 -1- 02/24/2006 ~ v 4 VERIZON WIRELESS - HALEY SiteID: 015-021-003375 Manager MARK IVERSON Location: 2320 HALEY ST City BAKERSFIELD BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 21A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title NETWORK OPERATIONS / CONTROL CENTER MARK IVERSON / OPS MANAGER Business Phone: (682) 831-3523x Business Phone: (661) 664-5601x 24-Hour Phone (800) 264-f~6~ 24-Hour Phone (661) 203-3205x Pager Phone ( ) -[apZpx Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND ST ORAGE TANK CALL MARK IVERSON 203 ENr~D ~ u L ~ ~ ~~~~ 3205 FOR INSPECTIONS , - , . ~3ased on my in~iairy of those indivicu-ls res~r^ri~.~ i~~r otair?ing tha lnforrration, ! c:;rtify under pen~!iy a~ la vv that 1 have personally examined and am fairiliar with the information submit ed and believe th information is true, accura a, and complete ~~~~ ~ Signature Date -1- 07/16/2007 - ~ - i. F VERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... TpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI ELECTRIC STORAGE BATTERY F IH S 5166.00 LBS Hi ELECTRIC STORAGE BATTERY F IH L 99.12 GAL Hi DIESEL #2 L 210.00 GAL Low -2- 07/16/2007 r :y -3- 07/16/2007 t_ .r F VERIZON WIRELESS - HALEY ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE T TYPE ~~~ PRESSURE Solid I Mixture I Ambient SiteID: 015-021-003375 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 215.25 LBS 5166.00 LBS 5166.00 LBS 1'll-~GHKLVU~ 1.V1~lYV1VJ;1V1a %Wt. RS CAS# 70.00 Lead No 7439921 tiL1GHiC1.J HaaJ;SJl~lt'~1V 1.J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~ixture I Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 4.13 GAL 99.12 GAL 99.12 GAL nxc~Htcl~vua ~.vlnrvlvlJlvl~ %Wt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 rid-~GHK1J H~ ~~~J1~11~;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/16/2007 F VERIZON WIRELESS - HALEY ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME DIESEL #2 LOW SULFUR DIESEL FUEL Location within this Facility Unit AST STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-003375 ~ 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 I Daily Average 210.00 GAL 210.00 GAL I` 210.00 GAL t1HGHttLV U 5 1:V1~1rV1vli1v~1~5 %Wt. RS CAS# 99.00 Diesel Fuel No. 2 No 68476346 1.00 Naphthalene, Crude Or Refined No 91203 riHGL-1tGL A~SL"~5~1~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -5- 07/16/2007 .~ i F VERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/09/2007 ~ PHONE 800-621-2622 AFTER NORMAL BUSINESS HOURS, LOCAL PERSON IN CHARGE WILL BE NOTIFIED AND WILL RESPOND. SITE SHOULD BE IDENTIFIED BY SITE NUMBER. DURING REGULAR HOURS, USE CONTACT NUMBERS PROVIDED IN SECTION 2: EMERGENCY NOTIFICATION. Employee Notif./Evacuation . ,~ tU3.J111: 1VV l..ll ~ ~VQV UCLLlV11 l~uicl.ycll~.y i-acui~.ai riall -6- 07/16/2007 .. ,~ F VERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/09/2007 ~ BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED 24-HRS PER DAY BY THE LOCAL SWITCHING STATION. DIESEL FUEL IS DOUBLE-WALLED CONTAINMENT AND IS ALSO MONITORED BY LOCAL SWITCHING STATION. BOTH ARE INSPECTED ONCE PER MONTH BY SITE TECHNICIAN. Release Containment 03/09/2007 DOUBLE-WALLED FUEL TANK. CONTAINMENT OF ANY SPILL IS MADE BY A POLYETHLENE LINER UNDER 3 TO 6" OF CRUSHED STONE WHICH SURROUNDS THE BLDG AND GENERATOR LOCATIONS. Clean Up INTERNATIONAL TECHNOLOGY CO 800-262-1900 03/09/2007 Other Resource Activation -7- 07/16/2007 ~~ _ ~.- F VERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~p~c;iai na.zarczs Utility Shut-Offs 03/09/2007 ELECTRICAL - E SIDE OF BLDG Fire Protec./Avail. Water 1 HALON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS. 03/12/2007 Building Occupancy Level 08/29/2006 CRJMANNED SITE -8- 07/16/2007 . _ ., F VERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/09/2007 ~ MSDS SHEETS ON FILE. ra~c ~ nclu tVi t ULUIC V.7-C nClu lVt 1'UI..ULC V.y_"C -9- 07/16/2007 ~JERIZON WIRELESS - HALEY SiteID: 015-021-003375 Manager MARK IVERSON Location: 2320 HALEY ST City BAKERSFIELD BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 21A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title NETWORK OPERATIONS / CONTROL CENTER MARK IVERSON / OPS MANAGER Business Phone: (682) 831-3523x Business Phone: (661) 664-5601x 24-Hour Phone (800) 264-6630x 24-Hour Phone (661) 203-3205x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. based on my inquiry of those individuals responsible for obtaining the informatlan, I rectify ~NT'~ ~~~ . ~ zQQ~ under penalty of law that I Nava personally xamined and am familiar with the information -ubmitted and bei' ve the information is true, ccurate, and c .,, ,, .te. ~.~•~~ Signature D to \ O ~O l C` -1- 02/20/2007 z,, r. r- P j'IERIZON WIRELESS - HALEY ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-003375 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY F IH S 4310.40 LBS Hi ELECTRIC STORAGE BATTERY F IH L 98.88 GAL Hi DIESEL #2 L 210.00 GAL Low O~U2 I ~clb C2~-~ -2- 02/20/2007 ~.- -3- 02/20/2007 t• 1 n~ F VERIZON WIRELESS - HALEY ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE SiteID: 015-021-003375 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 170.00 LBS 4310.40 LBS 4310.40 LBS ri1~L,L-1K.LVUb 1=V1~lYV1V~1V1J ~Wt. RS CAS# 73.00 Lead No 7439921 8.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene No 9003070 tlt]GKK1J 1~.~J~JJ1~1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Cont4130rGAL Daily M98i88m GAL I Daily A98r88e GAL nl-1GHttL/VUJ ~.Vinrvlv.Glv1J ~Wt. RS CAS# 73.00 Lead No 7439921 8.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene No 9003070 t1EiGKttL 1-~J w71',.7 J1~lL" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 02/20/2007 ~. F ~IERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site LOW SULFUR DIESEL FUEL 365 Location within this Facility Unit Map: Grid: AST CAS# 68476-34-6 Liquid TMixture~ Ambient~E ~ AmbientT~E ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 210.00 GAL - 210.00 GAL I 210.00 GAL ns-~c~tutLV V a l..Vl"1rV1V iS1V t ~ oWt. RS CAS#. 99.00 Diesel Fuel No. 2 No 68476346 1.00 Naphthalene, Crude Or Refined No 91203 iltyL~ly.RL tiJ .7 L' J~J1~1L' 1V 1 ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -5- 02/20/2007 F ZIERIZON WIRELESS - HALEY SiteID: 015-021-003375 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notification Employee Notif./Evacuation Public Notf-:/Evacuation r:mergency i~ieaical rlan -6- 02/20/2007 F VERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ xe1ec15e YI.~V•~ill.1(Jil xelease ~onLainmenti ~..a.call vN_ V1.11C1 ICCAVUl I.C til.: 1.1 VGi 1.1 Vll -7- 02/20/2007 F ~IERIZON WIRELESS - HALEY SiteID: 015-021-003375 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ atJC l.:1a1 nac,al_u.7 V 1.1111.y ti7111.LV-V11~A r 1iC r1Vl..C l:.~l'iVd11 WdI, C.L Building Occupancy Level 08/29/2006 I:fNMANNED SITE -8- 02/20/2007 F iTERIZON WIRELESS - HALEY SiteID: 015-021-003375 Fast Format ~ Training,- _ Overall Site ~ Employee Training 9 9 rayC ~ Held for Future Use Held for Future Use -9- 02/20/2007 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one page per material per building or area) ^ ADD ^ DELETE ®REVISE 200 Page _of_ ' I.' FACILITY>INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless-Hale CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202. Sealed Batte Case ^ YES ®NO FACILITY ID # ' 1. MAP # zoa. GRID # zoa. (Agency Use Only) --- II. CHEMICAL INFORMATIO N CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zoa. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME zo7. zos. EHS* ^ Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amow3ts below must be in lbs. Not A licable FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. Acute-Chronic H=3 F=1 R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2t t. RADIOACTIVE ^ Yes ®No z12. 213. CURIES TYPE (Check one item only) PHYSICAL STATE z1a. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215. LARGEST CONTAINER 215.25 FED HAZARD CATEGORIES 216. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7. MAXIMUM DAILY AMOUNT 2IS. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE zzo. 5166 lbs 5166 lbs 0 N/A 221. DAYS ON SITE 222. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON 2Y3. STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c, BELOW AMBIENT 224. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c, BELOW AMBIENT ^ d. CRYOGENIC 225. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 60-70 226. Lead/Lead Compound z27. ^ Yes ®No zzs. 7439-92-1 229. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4, 236. 239. ^YCS ^ NO 240. 241. 5. 242. za3. ^ Yes ^ No zaa. gas. If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6. DOT Hazard Class: Batteries Douglas DSV2-1610 -Electrolyte & Lead chemical are for the same battery product If EPCRA, Please Sign Here. UPCF hwf2731(1/99) -1/2 http://www.unidocs.org Rev. 04/17/00 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one page per material per building or area) ^ ADD ^ DELETE ®REVISE 200 Page _ of_ I. FACILITYTNFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless-Hale CHEMICAL LOCATION zol. CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®NO FACILITY ID # 1 MAP # 203 GRID # zoo. (Agency Use Only) ~_- IL: CHEMICAL INFORMATION CHEMICAL NAME z°s. TRADE SECRET ^ Yes ®No zob. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME zo7. 2os. EHS* ^ Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amotn3ts below must be in lbs. Not A licable FIRE CODE HAZARD CLASSES (Complete if required by local agency) 21°. Corrosive H=3 F=1 R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2n. RADIOACTIVE ^ Yes ®No 212. CURIES 213. TYPE (Check one item only) PHYSICAL STATE zta. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER 41.75 Ibs or 4.13 gals 215. FED HAZARD CATEGORIES 216. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 21s. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 1002 Ibs or 99.12 als 1002 lbs or 99.12 als 0 N/A 221. DAYS ON SITE 222. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC z25. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I. 20-30 226. Electrolyte/Sulfuric Acid 227. ^ Yes ®No z2s. 7664-93-9 229. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4. 238. 239. ^YCS ^ NO 240. 241. 5, zaz. z43. ^ Yes ^ No zaa. zas. If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6. DOT Hazard Class: Batteries Douglas DSV2-1610 -Electrolyte & Lead chemical are for the same battery product If EPCRA, Please Sign Here. UPCF hwf1731(1/99) -1/2 http://www.unidocs.org Rev. 04/17/00 ~_ _, s Narardous Materials Division or~s~~~at~d ~~ntn~~n~ flan yJaste & Underground Storage Conks FACILITY IDENTIFICATION /OPERATIONS OVERVIEW BUSINESS NAME FA IL1TY ID # DATE Verizon Wireless - ~- ~ BUSINESS ADDRESS _° ~ - - =' _ Check elements covered by this con IId plan: + Hazardous Materials.. '~ .. Hazardous Waste ^ Underground Storage Tanks ^ a Supplemental elements submitted: ` t = UST Written Monitoring Plan ^ B e.g. pa nt ng contractor ~~ ,F e.g. ee ma ntenance Wireless Telecommunications un-staffed facility; shelter, and/or cabirets v AZARD EVENT VERED B e.g. c em ca spi s, ire, ea qUa e, etc OSHA -EPA Hazard Communication Standard EMERGENCY COORDINATOR & ON-SITE TECH ADVISORS J`INTERNAL RESPONSE r Identify your Emergency Coordinator & On-site Technical Advisors: ~~ ~ Name /Position: ~ NOCC -Network Operations Control Center Emergency Coordinator: ` Address: 255 Parkshore Drive, Folsom, CA Must have the authority to classify the __ _ _ _ .....Day'--NOCC~~800-264-6620or ~ AfferC~iiurs:"'.N000~~~800-264-6620T~ Phone #s: 682-264-6620 or 682-264-6620 release, make management decisions, & i Responsible for: spill prevention ^ .antacting fzdli*y responders ' determine appropriate response (check all that apply) emergency assessment / ^ authorizing spill response work ^ ~ ^ ® ' .....manage[1.tent_....._...__...._....._.... .............._._....__._-_ _...._.............-........_...._..-.._._...__._.~_......._._.........._.........____.......................... i h bli f d Person is: on-site or on-call acing w pu c emergency respon ers t Initiating alarms ^ Inter .. ....- ................._._....... agency notification ^ ^ Alternate # 1 (INSPECTIONS) Alternate # 2 . ...•,. CORRESPONDENCE & BILLING Name /Position: Mark Iverson, Operations Shawn Stacey ....Mona-ger~_._.._._........_._. Address: 255 Parkshore Drive Alternate Emergency Coordinators: , cl ......_ ............._.._._..__.................__.._. _..__.....__......__...._...._........._....... _.._.__.__.._._..._...._..._...........___._...__.._.............._._........_.._._._......__.._.... ry: Folsom List In order of responsibility. .......... zip: CA Day phone: 661.664.5601 866-694-2415 After hours phone: NOCC 800-264-6620 NOCC 800-264-6620 ~ I Person Is: ^ on-site or ®on-call ^ on-site or ®on-call ~~= On-Site Technical Advisors Owner: Su ervlsor: p (AVellable, t0 I)rOVIdP. ,Slte~~SpP,CIfIC tP.ChnIC~l adVICL' to off-site emergency responders) Manager: other: un-staffed facilit /shelter /cabinets ~, Identify,,type of internal response: ^ Internal facility Team Mem ers name or position : Responsi i ides: response team ~ (,att~~ch additional pages iP needed: .Options; indicate an attachinesrt by ~heclung ~ i 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. l -..M~•~,.. thi~• x 1 % Name: Onyx Sp2C18I SerVIC2S Descri a ro a response i hies: Spill response, ® Contractor ••-address:'"'--""~'-'-""""""-' ~""-'-~ -'-~ - ~ clean up, and hazardous material _..P~ne #:-.....so~~agi~._y~.a.~__..__...---..--...._._...._-------- disposal 1': ^ Call public emergency responders / 911 -1- ~~~~Q~~~~e~ ~Qnl.~~ ;~n~ ~~ for Hazardous Material,, hlazardous Waste & Underground Storage Tanks Hazardous Materials pivision FACILITY IDENTIFICATION ~; ' ,: BUSINESS NAME FACILITY ID # DATE Verizon Wireless - EM1CRGENCY' COMMON CATIO /PHONE NUMBERS / NOTI1=iCATIONS is Internal & External flnergency Con-mwicatior-5 a..,. ,. Name Position: Individual responsible for on-site and off-site Operations Manager and/or NOCC -Network Mark Iverson emergency alarm notifications /communications: , . O erations Control Center lv C 0C a t at app y: verbafwarnings-~'~"~'~'~~`~~~~~--'~~""~'~"~~-'~-"'~'~"-- "' ""~'~ public address orTntercom system ~ INTERNAL facility emergency communications or ^ ^ alarm notification will occur via: _ . _. __.__._,____,~_____. ~ .. ®telephone ®pagers ~~ ® alarm system ^ portable radio c~~.c ail t at apply: EXTERNAL notifications / communications to .. ..._.____._.._..._.......I.._ ..............:..__..._~.......____.____..._..._.__.--r---._~_...dhll... addr..._...r-intercorri....._stem _......._............. ^ verbs warnings ^ p c ess o sy neighboring facilities that may be affected by an -~........~..teTepii'orie _..._...._._._...._.__................._---.._._.._..._. ........_....P.a'gers....._.........___............_....._...-...._.- .............._.-_......._....._....._..... off-site release will occur by: .® -~__._..-......-_._-......___.._._._._._...____.-..._.._........ _.-~........._-._-. . ~~~ ® alarm system ^ portaile ~edlo zo Emergency Phone Numbers /Notification Lists u n ° Bakersfield Police Deat. 911 ° Bakersfield Fire Dept. 0 661:3 ° Kern Medical Center o Emergency response phone numbers . .........................---...........-_..................................................------.._._......................_.._..........._................................. __.~...._.___.._ ................_......-........_._........- County Hazardous Materials Division r'poison Control Center 800=222=1122__._......_...._....__._..__._.._. zz Nearest medical facility /hospital ~ Name: Kern Medical Center Phone #: 661.326.2000 2s Your medicalfacility /hospital Name` Kern Medical Center Phone #: 661.326.2000 ~y Dept o Toxic Su stances ntro Hea quarters : 91 -323- 78 or -72 - 942 NV Dlvlslon of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV:775-684-7524 ice o Emergency rv ces or 1 - 4 - NV Department of Public Safety NV: 775-684-7500 CA Water Quality Contro Board or - NV Water Qual(ty Control Board NV: 775-684-2800 nv ronmenta rote on gency o Environmental Information Center o Toll Free: 866-372-9378 0 24-HR Environmental Emergencies o 24-HR: 800-300-2193 Agency Notification Phone List o RCRA Information o RCRA: 800-424-9346 National Response Center 1-800-424-8802 pt o s ame - NV Dept of Wildlife NV: 775-688-1500 US Coast Guard (spill response) 1-510-437-3073 4 CA OSHA CA OSHA o Dlvlslon of Occupational & Health o 510-286-7000 o CAL -OSHA Enforcement o 714-558-4411 i orn a fate re ars a - Nevada State Fire Marshall NV: 775-684-7500 -Y- Qns~al~a~ec~ ~~n~n~n~ Phan ror riazameus Matenais riazaraous waste ?~ Other Important Numbers l.6 Neighbor Notification List z7 List alt businesses i structures bordering &/or adjacent to your facility at ariiity s Business name:, O at 'acility s Business name: , Q northern southern barde~r: address: , , border: address: , phone #: phone #: i._....__........_._.._._.._~..._.._._.__....._.._....---___._....._......__._ .... ._ __---......._.._..-------~---..__.. contact name /position: contact name /position: z<~ at acuity s I Business name: , () at aci ity s Business name: , Q eastern horder: address: bnrder: address:, phone #: phone #: 3U ..............._.....__._..._.............._......-_-...__......----........_..._.._.........__.......~.._._.........._~__._..__.._...........__ ._._..._.__._._..._...._...._..._._..._..._...-- contact name /position: ~ contact name /position: ianKs -3- Consolidate ~ontinc~~ne~e ~~an Hazardous Materials Division for Hazardous Materia4s, Hazardous waste & Underground Storage FACILITY IDENTIFICATION %> : BUSINESS NAME FACILITY ID # DATE Vcriaon Wireless - EMERGENCY CONTAINMENT & C EAN-UP PROCEDURES 3? Containment, Prevention & Clean-Up ,~ Indicate your procedures for: ~ ~ provMe-strvctorei phystcaF barrier. _(e:g:-portabte- .._._..._._._._ ........................._.........._...........__ _ ~.___..._~... .. __ -. spill containment walls) ®monitor for leaks, ruptures, pressure build-up, etc 1. containing spills, releases, fires ~ rovlde--'afi'sorl~ent ....h Tslcal-barrief ~'~ ~'""~_~ ^ P P y `-~-'cover or 61ock~floor'~ or storm drains ""~""""''°'~~'"'-"-"""'-"°" ^ or explosions, & l. -__......._......., .. it _.-_..b__r_-_ `__ork .............~...__......a _...____..._._... _...__ _. ^ bu tin e m In w /'sto age rea . _ ..... ..._..---..........__m...t~c f`ir__...............ressCon._.._§tern ~ auto a e supp sy 2. preventing and mitigating i associated harm to persons ... .......... ........................................-._..__.._.._._.........._---... stop processes &/or operations ® _.- _._................_._............ _. _.._..........,..y....... _...._..._.........__....... ........__............... automatic /electronic equipment shut-off system ^ , property & the environment: _ _ ~-® shut-off water, ~ gas, electrical utilities as ~ ®call 911 for public emergency responder appropriate assistance /medical aid . _.. _. _... __..._ .._.V.._~._.. _. _._.._ ._.___._._.___-. ~... _... ___-.___. ® provide protective equipment for on-site response ...__.__._____. ___-.._.._. _.__._.._ .__.__.. _~..._........_....---..._...........~.__ ............._..._........... ^ eliminate sources of ignition for flammable hazards i team (e.g. fuel, propane) ® notify & evacuate persons In all threatened areas ~ remove or isolate containers /area as appropriate account for evacuated persons immediately after evacuation caN ~ ®other (specify): Contact Verizon Wireless 24-Hour Hotline (800-488-7900) and report Incident, which will trigger ~i f Onyx Special Services. sa Indicate your clean-up procedures: c ec a t at app y: _.._____..._ ...............------__......._...........---_.___._..._..............._..._.__.........._..._._..............__...._....._.....__._....__._.__...___._......._.._......__..._.__..............__...__.~___........___.___................. ' ®hire licensed hazardous waste contractor. (ONYX Special Services) `~~~-use a6sor6ent-material"for spilrs~w(tri~~su~sequenf ~properTaTel(rig; storage ~and"'fiazafdous waste dsposaT-as --°"°" appropriate suct on us ng s op vacuum wit su sequent proper la a ing storage and fiazar ous waste sposal as appropriate wash /decontaminate equipment wj containment & disposal of effluent %rinsate as hazardous waste -'-~ ~provlde safe temporary storage of emergency-generated wastes ""'"~_._..______..-.........__...._............_.._........_...____...._._-....____......._.._...._._. other (specify): Evacuation Coordinator & Assembly Area ;K; Provide name /position of evacuation coordinator who will account for all on-site employees and / or site visitors after evacuation: Name: un-staffed facility /shelter /cabinets j' Identify / describe emergency st~ecify: un-staffed facility /shelter /cabinets assembly area for evacuees: Identify the location where your evacuation route /map is posted: ~ Specify: ; un-staffed facility /shelter /cabinets Other facility evacuation procedures: Specify: I -4- for liazardaus Materials, Hazardous Was~Ye & Underground 5torage'lanks Hazardous Materials Division FACILITY IDENTIFICATION :.j4 BUSINESS NAME FACILITY IO # DATE Verizon Wireless - I EMERGENCY EQUIPMENT , Listof available emergenCyy. equipment f cite[k all that appi'y> a, I Z twrtable fire extinguishers ~ c:hemical pmtecaive groves Use Category .;1 c emlca protedlve suits, aprons or vests Safety & First Aid Equipment ®chemical protective gloves chemical protective boots ~ safety glasses /goggles /shields ® _^~ hard-hats ._..__...._._......___.._------___..._..._......._._. __._. _. .. ............... TO. cartridge respirator --- _._.......-. _. ___. _..--.- -._._.~. self-contained breathing apparatus ®flrst aid kits /stations plumbed eyewash fountain /shower ® portable eyewash kits ~ other: ~3 ®porta a ire extinguls ers Fire Extinguishing . Equipment ~ flxed fire systems (sprinklers (fire hoses _... .. ..__......._... . .. .. . M..---..._. _.__...._ _ _.. ------ _ . ........ . . . .___ . ._.............. ._........- _ ~ fire alarm boxes or stations other: °? Spill Control & Clean- ®a sor nt materla Up Equipment ® container for used absorbent berming / diking equipment ® broom shovel shop vac exhaust hood ~ emergency sump /holding tank ® chemical neutralizers gas cylinder leak repair kits spill overpack drums other: ~s to ep ones Inc u es ce u ar Communications & Alarm System ~ Intercom / PA system Equipment ~ portable radios automatic alarm chemical monitoring equipment UST monitoring system operations manual ® Ilst of notification phone numbers center of each wall in shop ~ rated as "C' spill rerpcm:;e kif: ~ one-time use; oil t4 soiv+ only Because each site is an un-staffed facility, shelter or outdoor cabinet, the Operations Cell Tech./Mgr. carries a portable spill kit located in One time use & their trucks. Each Replaced/Maintained equipment item marked is when needed contained within the portable spill kit. There is also an additional 5-gallon tub spill kit located within each shelter design facility. Located with the portable spill kit with the One time use & Operations Cell Replaced/Maintained Tech./Mgr. Within the when needed portable spill kit. One time use & Same as above. Replaced/Maintained when needed Cell phone and #'s with Operations Cell Tech./Mgr. for lazardous Materials, Hazardous Waste & Underground Storage Tanks Marardotis Materials Division FACILITY IDENTIFICATION {«; = BUSINESS NAME FACILITY ID # DATE Verizon Wireless - ' ~/~ EARTHQUAKE VULNERABILITY I Areas of earthquake vulnerability ~+ ~ deck a I t at app y: Location (e,q, shop, outdoor shed, forensic Iafa;: Identify areas of foci-ity vulnerable to l ill d t th k ..._......._ ..... ..................... _..._............._....._.__..__.. hazardous materials /~~waste storage area ® .____._...._..__..................._................._..__..............._...........__.....__............_............._._......-_.......... re eases /sp ue o ear qua e s related motion: I . _......-..._.._.__._...._._.__._..____._._.____............_....-....___...._.__._ ~ process Ilnes /piping Batteries installed exceed 1997 UBC (require irnrneciiate isplatian and inspection) ------_._.._......___........_............_ ...................-.............................__.___......-___.. and/or 2000-2003 IBC Seismic Zone 4 ^ laboratory _._ ................____......_.__.........._..._...._~_...----.-.--..__._..._..._..._..._._._.._ specifications. waste treatment area Al c 7ec a I C iat app y: A ec.Ce ovations: Identify mechanical systems ~. __........._..shelves; ca6ine£s.~i_iacCi;s_.._._ .................._.........__............_..__.... ......_-........................................._.._.................___.........---........-_. vulnerable to releases (spills due to I ^ earthquake related motion: ~ tanks (emergency shutoff) (require immediate isolation and in>pection) ~ Dortable gas cylinders _ _ __ _ _ ~~~~~-~~Y-~_~ Power Breaker Located on/at un- emergency shutoff &/or utility valves ® staffed facility, shelter or outdoor sprinkler systems cabinet. { ~ stationery pressurized containers (e.g. tank for dispensing propane) ARRANGEMENTS FOR EMERGEN CY SERVICES sn ~xplanaijon of_~equfremenfi Advance arrangements vrith local fire z"k pd ice departments, hospit<31s and /ar contrarkors for emtrgency 5ervlres sl~auld he made as appropriate for your facility; you may determine that advance arrangements are not necessary far your facility. '~' Describe any advance arrangements ^ Determine not necessary made for local emergency services: .... .... .... ......... _ .................._.._.._....._.._......----.._...._..._.__.............._............_._......._............-...._.........._.._........._...-..........._._..._............._._................. ® specify: ONYX is available 24 hours per day to assist in spill clean up, and/or telephone support regarding spills or venting of batteries. I EMPLOYEE TRAINING CONTENT & FORMAT 'z Employee Training Content & Format 5:3 txptanatian af_(?cquiremgnt Employee training is require br all empoyees ban ing hazarcfotts materials bazar ous wastes in clay to coy or clean-up operations including volunteers f;</or contraakars. Required content far employee training includes all of the following: 54 ... _ ................._...__......_..........._. _..__. • ° communication £~ alarm >ystems Material Safety Data Sheets • personal protective equipment • hazard communication related to health & safety fe.q, • • use of errrergencr response equiprnenC methods for safe handling of hazardous substances fire extinguishers, respirators, etc) • fire hazards of materials / processes decantaminatian procedures conditions likely to worsen c.rnergencies • • evacuation procedures coordination of emergenty response • contra) & containment procedures • notification procedures • UST moniloring SySterTl equipment & • applicable laws & regulations rocedures fif a livable "> ' Indicate how employee training check all that apply: ... .. . ~ ~~ ~ program (with required content) is ®Formal classroom ~ ~ video(sj (specify): administered: ..........................._.....____.._....__......_........__......_......_............_ --~---..__..._..._..._..._...__......_._.....---~--..__._.___.__............-._..._.._...._............._............_......--- -~®T~~Safety /tall-gate meetings ~ ®Other (specify): Annual online training ~~~~~Study Guides j Manuals (specify): -s- ~Q~1SQ~I~~~~t".~ ~~t~tlt~t~~~C ~~a ~...~ for Hazardous Materials, Hazardous Waste & Underground Storage Tanks Hazardous Materials Division FACILITY IDENTIFICATION .6 ', BUSINESS NAME FA ILITY 1D ;x DATE Verizon Wireless - EMPLOYEE TRAINING FREQUENCY & DO MENTATION 57 Required frequency oftraini,ng 'a ~xptanation of_i?.e_yuiremgnfi I employee training must e: i ~ provided within 6 months for new hires, E amended as necessary prior to chanoe in process or work assignment, s ~ given upon modification to emergency response J contingency plan, and o updated I refreshed annually for ALL employees. 5~' Certify that the facility's employee training program meets minimum ®Employee training Is provided, at a minimum, as described above. fre uen re uirements: Cr° Record of trainpg 61 Exptanatian af_~?equiremen# Written documentation of employee Graining sessions must be kept which include: ~ training outline; agenda ~ date of training session ~ employee names & jab titles o brie# jab description for hazardous titi~aste generator faciiitics ~~ Certify that the facility's training documentation meets minimum record ®Employee training documentation Is provided, at a minimum, as described above. < kee in re uirements: 6s Training program description Or Outline ^ EmpI ~~4hg~. RyGEr 7rralning prggram ou~lin~ i~ attached: ,,__,~,,,~,_,____,,,,__._,_._, , „ „ , ,,, ® Employee training program Is described here: ! The Verizon Wireless Operations Managers make sure that their Field Operation I Staff, depending on their position, are trained in the applicable topics located in the Environmental Health Safety Awareness Training Overview at the date of hire. There is also annual online training with TargetSafety.com performed in Hazardous Communications, Combustible & Flammable Liquids, Eye Safety, and ~ Personal Protective Equipment. Attached is the following: LIS T OF ATTACHMENTS F;2 List all attachments to thIS document here: o Verizon Wireless Additional Information for SPILL PREVENTION, EMERGENCY RESPONSE, TRAINING and CLOSURE PLAN o VZW Environmental Health Safety Awareness Training Overview o VZW Network Training Matrix that gives the training topic and frequency of training. o TargetSafety.com training objectives, table of contents, and a list of staff that have completed the online annual trainin . .SIGNATURE / :CERTIFICATION Based on my ngwry of those individuals responsi le far obtainrna the information, I certify under penalty o law that ave personal y examihed and am amiliar witri the information submitted and betieve the infom~ation Is true, accurate and complete and that a copy is avallabie on-site. gnature ate o comp a on 2/23/2007 rrnt ame a os on Shawn Stacey Environmental Compliance -7- • Vtye~- ~'~~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT $'~~ ~ OFFICE OF ENVIRONMENTAL SERVICES m ~ UNIFIED PROGRAM INSPECTION CI-IECKLIST s . `w ~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~Ff~-12nN wI~FL~SS' PECTION DATE l Z - O Iy -o (o ADDRESS Z3 Z~ f-~~~lf ~`f P NE NO. C~v1) 7'~~ - 7U(2J FACILITY CONTACT ,[~4~c ~t/~~_ BUSINESS ID NO. +~+~- d/~~ OZ I ~ a o 3'~) S INSPECTION TIME__ ~D vr-~~ NUMBER OF EMPLOYEES _ Section 1: Business Plan and Inventory Program ~ja ~ l0 ^ Routine Combined ^ Joint Agency ^ Iviulti-Agency ^ Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand . Business plan contact information accurate q ' .Q ~.. ~, ~+ 4Q0~ ... ,, . Visible address Correct occupancy Verification of inventory materials S~~~Iv !t'(yC~'k,~ ~ Verification of quantities 1/ N~ f~fi'1"/'~!K ON Gl S'tF~ /Nf'TF.,eJ~~-S 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 V Site Diagram Adequate & On Hand ,/ C=Compliance V=Violation Any hazardous waste on site?: ~xplain: Questions regarding this inspection? Please call us at (661) 326-3979 ~(~td,~ ~-- g7r- ~~+1s ~q~. rn~ ~l~f..t~o ^ Yes [~No White -Env. Svcs. Yellow -Station Copy Pink -Business Copy !/~-i ///s~iv~-- Business Site Responsible Party Inspector: Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A £ R s F , , D 9ooTruxtun Ave., Suite 210 _- __ ________ - - __ FIRE_ Bakersfield, CA 93301 _ _ _--- _ _ SECTION 1: Business Plan and Inventory Program "RTM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME , r INSPECTION DATE INSPECTION TIME Ver~~2a~ ~2elesS ~~-~z-off /D ~~,~ ADDRESS 23ZU ,~\e. Ste- PHONE NO. Z63-3Zv~ NO OF EMP OYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- dC~~ ~~ S~ J C'~-'LSG ~ 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 ^ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS Gil e :~pt12~SS i~,~a ve Oba ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~. ^ PROPER SEGREGATION OF MATERIAL ~ ^ VERIFICATION OF MSDS AVAILABILITY p lAl ^ / ` VERIFICATION OF HAZ MAT TRAINING ~,~ ~' 1 Q ,( (7 ^ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~, ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: Qu Inspector (Please ^ YES ~ NO L~/ Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy DI G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Fire Prevention / 1s` In /Shift of Site/Station # FD 2155 (Rev. 09/05