HomeMy WebLinkAboutBUSINESS PLAN 8/24/2006~ PANORAMA HUB -CELL SITE
2603 PANORAMA DRIVE
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Bakersfield Fire Dept.
UNIFIED PROGR~IIVI INSPECTION CHECKLIST _; Enironmental services
- ~ ~ ~ . ~ , _ ~:,. ~ ~ . _~ > ' 1715 Chester Ave
SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE No. No. of Employees
FACILITYCONTACT Business ID Number
~~ V ~(a . S New L 15-021-Cx7! X 8 7
`Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
C V \V=Vioationnce~ OPEFtATiON COMMENTS
^ ^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
-._._
__ ------
^ CORRECT OCCUPANCY ~ ~ _"'QO~+ _ .._..._- -.----___._..-_-
f)~j ~j
^ ~ VERIFICATION OF INVENTORY MATERIALS
~- ^ VERIFICATION OF QUANTITIES
(~ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
^ VERIFICATION OF HAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE .
(~ ^ CONTAINERS PROPERLY LABELED
~.. ^ HOUSEKEEPING
LS. ^ FIRE PROTECTION ~
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES t~NO
EXPLAIN:
• QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979
Inspector (Please Print) Fire Prevention tst-In/Shift of Site
White -Environmental Services Yellow - Station Copy
Pink -Business Copy
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Page 1 of 1 pages
Form Approved OMB No. 2050-0072
Facility Identification Owner/Operator Name
Name Panorama Hub -Cell Site (Old Bakersfield MTSO) Name Verizon Wireless Phone 908-607-8133
Tier Two Street 2603 Panorama Drive Mail Address 30 Independence Blvd., Warren, NJ 07059
EMERGENCY City Bakersfield County Kern State CA Zip 93306
AND Emergency Contact
HAZARDOUS SIC Code 4812 Dun & Brad Number
CHEMICAL Name Shawn Stacey Title Specialist-Regulatory
INVENTORY Phone 916-357-2520 24 Hr. Phone 800-264-6620
FOR ID #
Specific OFFICIAL Name Colleen Casey Title Associate Director
Information USE Date Received Phone 908-607-8133 24 Hr. Phone 908-488-7900
by Chemical ONLY
Important: Read all instructions before Completing form Reporting Period From January 1 to December 31, 20 05 [ ] Check if information below is identical to the information submitted last year.
Physical ~ ~ ~ Storage Codes and Locations
Chemical Description and Health Inventory ~
~ £ (Non-Confidential)
Hazards i;.
v E'' a I°-' °'
O
check all that a I Stora a Locations
Trade
CAS 7664-93-9 Secret
[x] Fire
Max. Daily
R
1
4 In batteries in Battery Room
Chem. Name Sulfuric acid [ ]Sudden Release 0 3 Amount (code)
of Pressure
check an [ ] [x] [ ] [x] [ ] [x] [x] Reactivity 0 3 Avg. Daily Amount
that apply Pure Mix solid Liquid oas eHS [x] Immediate (acute) code)
EHS Name [x] Delayed (chronic) 3 6 5 No. of Days [ ]
On-site (days)
Trade
CAS secret [ ]Fire Max. Daily
Chem. Name [ J Sudden Release ~ Amount (code)
- of Pressure
Check au [ ] [ ] [ ] [ ] [ ] [ ] { ]Reactivity m Avg. Daily Amount
that apply Pure Mix solid Liquid oas eHS [ ]Immediate (acute) code)
EHS Name [ ]Delayed (chronic) No. of Days [ ]
On-site (days)
Trade
CAS secret
[ ]Fire
Max. Daily _
Chem. Name [ ]Sudden Release ~ Amount (code)
of Pressure
Check all [ ] [ ] [ ] [ ] [ ] [ ] [ ]Reactivity m Avg. Daily Amount
that apply Pure Mix solid Liquid oas eHS [ ]Immediate (acute) code)
EHS Name [ ]Delayed (chronic) No. of Days [ ]
On-site (days)
Certification (Read and sign after completing all sections) Optional Attachments
I certify under penalty of law that I have personally examined and am familiar with th form do submitte in ges one through 1 , and t at based [ ] I have attached a site plan
on my inquiry of those individuals responsible for obtaining the i nformation, I believ at th s tte i rm ion 's t ,accurate, and I [ ] I have attached a list of site coordinate abbreviations
Colleen F. Casey, Associate Director ~ ~ [ ] I have attached a description of dikes and other
Name and official title of owner/operator OR owner/operator' s Sig re Date s',Ined safeguards measures
authorized representative