HomeMy WebLinkAboutBUSINESS PLAN 1/16/2009tY ~
UNIFIED PROGRAM INSPECTION CHECKLIST'€ ~~---~--
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SECTION 1. Business Plan and Inventory Program ~~ ° aRrM ~
Prevention Services
900'IYuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~ INSPECTION DATE INSPECTION TIME
Ve ~ 2~^ ~ ~~ ~33
ADDRESS ~ /~ /'~ ; t I ~ P~NE NO.
"~°1
~ O OF EMPLOYEES
r~ ~ ; ~ 5
c~y
FACILITY CONTACT ~ BUSINESS ID NUMBER
15-021- 633~(;
Section 1: Business Plan and Inventory Program
^ ROUTINE ^ COMBINED ^ JOINTAGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=~omP~iance~ OPERATION
V=Violation COMMENTS
6d ^ APPROPRIATE PERMIT ON HAND
Is ^ BUSIII2SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
l~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~ ^ VERIFICATION OF MSDS AVAILABILITY
L1 ^ 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 L7 NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
r~ , xt- ~~~,~5~ -~ ~ ~C~
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
+ VERI~ZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
Manager : MARK IVERSON
Location: 1516 RICHLAND ST
City : BAKERSFIELD
CommCode: BFD STA 06
EPA Numb:
BusPhone: (661) 664-5601
Map : 124 CommHaz : High
Grid: 06A FacUnits: 1 AOV:
SIC Code:4812
DunnBrad:88-463-8305
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
MARK IVERSON / OPS MANAGER NETWORK OPERATIONS / CONTROL CENTER
Business Phone: (661) 664-5601x Business Phone: (682) 831-3523x
24-Hour Phone :(661) 203-3205x 24-Hour Phone :(800) 264-6620x
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
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
CALL MARK IVERSON, 203-3205, FOR INSPECTIONS.
+______________________________________________________________________________+
-1- 08/25/2008
+ VERIZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
+= Hazmat Inventory _________________________________________ By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
I ELECTRIC STORAGE BATTERY F IH S 6153.84 LBS Hi I
ELECTRIC STORAGE BATTERY F IH L 81.76 GAL Hi
+______________________________________________________________________________+
-2- 08/25/2008
+ VERIZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers at Site +
+_= CONIMON NAME / CHEMICAL NAME ______________________________+________________+
ELECTRIC STORAGE BATTERY I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
SEALED BATTERY CASE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Solid I Mixture ~ Ambient ~ Ambient ~ OTHER - SPECIFY ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Con93i~~rLBS I Daily6153184m LBS I Daily6153r84e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 72t00ILead INosl CAS#7439921I
+---_--_+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cur1'es I FPA HalHrds I jFjA/ USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+---_----+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: (
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag . Def ined8 :
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
t______________________________________________________________________________+
-3- 08/25/2008
+ VERIZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= CODM~ION NAME / CHEMICAL NAME ______________________________+________________+
ELECTRIC STORAGE BATTERY Days On Site
I 365 I
Location within this Facility Unit Map: Grid: +----------------+
SEALED BATTERY CASE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture I Ambient ~ Ambient ~ OTHER - SPECIFY I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
2.92 GAL 81.76 GAL 81.76 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 1Ot00ISulfuric Acid (EPA) INosl CAS#7664939I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F IH /// Hi
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
Ag.Definell ----------------------------------------------------------------+
*______________________________________________________________________________+
-4- 08/25/2008
+ VERIZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ___________________________________= Overall Site +
+_= Agency Notification ___________________________________________ 03/12/2007 +
PHONE 800-621-2622 AFTER NORMAL BUSINESS HOURS, LOCAL PERSON IN CHARGE WILL
BE NOTIFIED AND WILL RESPOND. SITE SHOULD BE IDENTIFIED BY SITE NLTMBER.
DUR.ING REGULAR HOURS, USE CONTACT NUMBERS PROVIDED IN SECTION 2: EMERGENCY
NOTIFICATION.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation _______________________________________________+
+______________________________________________________________________________+
+___= Public Notif./Evacuation ________________________________________________+
+______________________________________________________________________________+
+____= Emergency Medical Plan _________________________________________________+
+______________________________________________________________________________+
-5- 08/25/2008
+ VERIZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 03/12/2007 +
BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED
24-HRS PER DAY BY THE LOCAL SWITCHING STATION. INSPECTED ONCE PER MONTH BY
SITE TECH.
+______________________________________________________________________________+
+__= Release Containment ______________________________________________________+
+______________________________________________________________________________+
±___= Clean Up ____________________________________________________ 03/12/2007 +
INTERNATIONAL TECHNOLOGY CO 800-262-1900
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-6- 08/25/2008
+ VERIZON WIRELESS - CHESTER _________________________= SiteID: 015-021-003366 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ___________________________________________= 03/12/2007 +
ELECTRICAL - E SIDE OF BLDG
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 03/12/2007 +
1 HALON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS.
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 03/08/2006 +
UNMANNED SITE
+______________________________________________________________________________+
-7- 08/25/2008
+ VERIZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 03/12/2007 +
MSDS SHEETS ON FILE.
+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-8- 08/25/2008
+ VERIZON WIRELESS - CHESTER __________________________ SiteID: 015-021-003366 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ____________________________________ +
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-9- 08/25/2008