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BUSINESS PLAN 7/25/2007
Verizon Wireless-Rosedale -- - _ __ _ 2100 Bricyn Ln a r`.~ , F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 Manager MARK IVERSON Location: 2100 BRICYN LN City BAKERSFIELD CommCode: KCFD STA 66 EPA Numb: BusPhone: (661) 664-5601 Map 102 CommHaz High Grid: 26A 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) 264-6.6-3~0"x Pager Phone ( ) - x Pager Phone ( ) j,P~,~x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth 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 : Yes ParcelNo: Emergency Directives: ~~~'~ ~ ~ ~ ~ ~ ~ ~"~~ PROG T - ABOVEGROUND STORAGE TANK + CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. Based on my incairy of those individuals respona; ibEe for ot'~.aininy fhe information, I certify undQr penalty of Ir~•d that I have personally examinr .f and am familiar v~~ith the information submitt d and believe the information is true, aceur~4 ,and complete 7~ZS~o ~ Signatu re Date -1- 07/16/2007 ~ - ; -,; F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY F P R IH DH S 5594.40 LBS Hi ELECTRIC STORAGE BATTERY F IH L 175.20 GAL Hi DIESEL #2 F IH DH L 200.00 GAL Low -2- 07/16/2007 -3- 07/16/2007 T: '=~ F VERIZON WIRELESS - ROSEDALE ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE ~~~ PRESSURE Solid Mixture I Ambient SiteID: 015-021-001303 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 93.24 LBS 5594.40 LBS 5594.40 LBS riHGHtt1JVU~ l:vlYlrvlVl'~lvia ~Wt. RS CAS# 72.00 Lead No 7439921 tiLjGE1KL Aa51';5J1~1L;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P R IH DH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid TMixtur~Ambient TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2.92 GAL 175.20 GAL 175.20 GAL riAGEittLVUb 1=V1~lYV1VJ'!~1V1.7 %Wt. RS CAS# 10.00 Sulfuric Acid (EPA) No 7664939 r1H~titc1~ Ha~~a~l~i~iv l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/16/2007 ~1 ~ f( F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: AST CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 50.00 GAL HHGHKI~UU~ C:UMYUNr;N'1'~ %Wt. RS CAS# 99.00 Diesel Fuel No. 2 No 68476346 0.01 Naphthalene, Crude Or Refined No 91203 i1tiGHtCL Li~ .7L~.7.7P71J1V l w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 07/16/2007 i ` ,f F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/18/2006 ~ 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 ECP-5 #8. DURING REGULAR HOURS, USE CONTACT NUMBERS PROVIDED IN SECTION 2: EMERGENCY NOTIFICATION. _, ~~ ~.:~uit/.a.Vycc ivV~,1t . / L~VC1.l~UQl.1V11 Public Notif./Evacuation Emergency Medical Plan 03/09/2007 KERN MEDICAL CENTER, 326-2000 -6- 07/16/2007 :~- F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ 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. DIESEL FUEL IS DOUBLE-WALLED CONTAINMENT AND IS ALSO MONITORED BY LOCAL SWITCHING STATION. BOTH ARE INSPECTED ONCE PER MONTH BY SITE TECH. 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 07/18/2006 INTERNATIONAL TECHNOLOGY CO 800-262-1900. v~,iici ncavui~.c ta~.~.iva~.~.vit -7- 07/16/2007 ~°~-: w ,r F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ .~Nc~..ia.i nac~a.LU~ Utility Shut-Offs 03/09/2007 ELECTRICAL - E SIDE OF BLDG Fire Protec./Avail. Water 03/12/2007 1 HAT,ON 1211 FIRE EXT (9 POUNDS) L SIDE OF ENTR DOORS. Building Occupancy Level 03/22/2006 UNMANNED SITE -$- 07/16/2007 .-= rl; .. F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/17/2007 ~ MSDS SHEETS ON FILE. rayc c. RC1U Lv1 ru~.uic roc nciu ivL ru~utc u~c -9- 07/16/2007 VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 Manager MARK IVERSON BusPhone: (661) 664-5601 Location: 2100 BRICYN LN Map :.102 CommHaz High City BAKERSFIELD Grid: 26A FacUnits: 1 AOV: CommCode: KCFD STA 66 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title MARK IVERSON / SITE INSPECTION NETWORK OPERATIONS / CONTROL CENTER Business Phone: (661) 664-5601x Business Phone: (682) 831-3523x 24-Hour Phone (661) 203-3205x 24-Hour Phone (800) 264-6630x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press .React ImmHlth DelHlth 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 : Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~ N~~ ~1-IU ~~~ ® CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. ,~~eji Based on my inquiry of those individu.zis {certify ti I on, responsible for obtaining the informa that ! have personally l 1, i ` ~J aud under penalty of examined and am familiar with the inforrnat'son n is true ti C~v I~'~` , o submitted and elieve the informa accurate, an : ~plete. ~,~~W'' Signature ate -1- 02/20/2007 r'. ,F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ ' ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ I Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax ~UnitIMCPI ELECTRIC STORAGE BATTERY ELECTRIC STORAGE BATTERY DIESEL #2 F P R IH DH S 1380.00 LBS Hi F IH L 516.00 LBS Hi F IH DH L 200.00 GAL Low ~LCwn,~,,,~ ~ z v~ NrTx ~~~ C ~o~ -2- 02/20/2007 c.ooz/oz/zo -~- -~' .- t ; F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ .Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 115.00 LBS 1380.00__ LBS 1_ 1380.00 LBS nr~~titcL~u~ ~vlnr~iv~iv 1 ~ °sWt. RS CAS# 75.00 Lead No ,7439921 t1E~GEitCL Ei~7~71J.~.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P R IH DH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con43100rLBS Daily 516100m LBS I Daily 516r00e LBS tlliL~ri[CLVU~7 1..V1~lYV1VI;1V 1.7 %Wt. RS CAS# 15.00 Sulfuric Acid (EPA) No 7664939 nr~a.~lcl~ r~a ~l;~alnl;lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 02/20/2007 i. ` ~ F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: AST CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL __.200.00 GAL I 50.00 GAL iit~[JriRLVl/J t.Vl•lr V1V L'1V1S %Wt• RS CAS# 99.00 Diesel Fuel No. 2 No 68476346 0.01 Naphthalene, Crude Or Refined No 91203 r1tiL~ti1CL K J~7 G.7 w71"11'.~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 02/20/2007 F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/18/2006 ~ 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 ECP-5 #8• DURING REGULAR HOURS,, USE CONTACT NUMBERS PROVIDED IN SECTION 2: EMERGENCY NOTIFICATION. Employee Notif./Evacuation rUiJ11C~ 1VV 1.11. / L' VdC:Udl.l Vil ~mergency.Medical Plan -6- 02/20/2007 F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention- 07/18/2006 ~ 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 07/18/2006 DOUBLE-WALLED FUEL TANK. CONTAINMENT OF ANY SPILL IS MADE BY A POLYETHLENE LINER UNDER 3 TO 6" OF CRUCHED STONE WHICH SURROUNDS THE BLDG AND GENERATOR LOCATIONS. Clean Up INTERNATIONAL TECHNOLOGY CO 800-262-1900. 07/18/2006 Vuiicl iccaVUl~c t~l.:l~1VCLl..1V11 -7- 02/20/2007 F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ arv~:lcal nct~aLUS Utility Shut-Offs 07/18/2006 A) GAS - NONE B) ELECTRICAL - E SIDE OF BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/17/2007 PRIVATE FIRE PROTECTION - 1 HALON 1211 FIRE EXTINGUISHER (CONTAINS 9 POUNDS) L SIDE OF ENTR DOORS. Building Occupancy Level 03/22/2006 UNMP.NNED SITE -8- 02/20/2007 F VERIZON WIRELESS - ROSEDALE SiteID: 015-021-001303 ~ Fast Format ~ ~ Training- Overall Site ~ ~ Employee Training 01/17/2007 ~ MSDS SHEETS ON FILE. ruyc ~ nciu tvi ru~.ul..c vac 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_ ` " L FACILITY.: INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless- Rosedale CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®NO FACILITY ID # ~ 1. MAP # zo3. GRID # zoo. (Agency Use Only) IL C HEMIC AL INFORMATIO N CHEMICAL NAME zos. TRADE SECRET ^ Yes ®No zo6. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME 2°z zos. EHS* ^ Yes ®No Electric Stora a Batte CAS# z°9. *If EHS is "Yes," all amota3ts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. H=3, F=O, R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No z1z. 213. CURIES TYPE (Check one item only) PHYSICAL STATE 214. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS z15. LARGEST CONTAINER 93.24 lbs 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 21 g. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 5594.40 lbs 5594.40 ]bs 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 ^ £ CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 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. 72 226. Lead/Lead Compound zzz. ^ Yes ®No 22g. 7439-92-1 z29. 2, 230. 231. ^ YeS ^ NO 232. 233. 3, z3a. 23s. ^ Yes ^ No 236. 237. 4. z3s. z39. ^ Yes ^ No zoo. 2a1. 5, zaz. 2a3. ^ 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 zo6. DOT Hazard Class: Batteries Fiamm 12UMTX 170 Electrolyte and Lead Chemical sheets 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 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 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless-Rosedale CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz. Sealed Batte Case ^ YES ®NO FACILITY ID # l MAP # zo3. GRID # zoa. (Agency Use Only) ~ 71. CHEMICAL INFORMATIO N ` CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6. V alve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME zoo. 2os. EHS* ^ Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amotrtlts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210 Corrosive H=3, F=O, R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No 212. 213. CURIES TYPE (Check one item only) PHYSICAL STATE 21a. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215. LARGEST CONTAINER 29.52 lbs or 2.92 gals 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 22°. 1771.20 lbs or 175.20 als 1771.20 lbs or 175.20 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 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. 10 226. Electrolyte/ Sulfuric Acid zz~. ^ Yes ®No 2zs. 7664-93-9 229. 2, 230. 231. ^ YeS ^ NO 232. 233. 3, z3a. z3s. ^ Yes ^ No 236. 237. 4, z3s. z3s. ^ Yes ^ No zao. zal. 5. zaz. za3. ^ Yes ^ No zaa. zas. Ir more hazardous components are present at greater than 1 % by weight if nan-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6. DOT Hazard Class: Batteries Fiamm 12UMTX170 Electrolyte and Lead Chemical sheets 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 ' ~~r°~~Qlia~~d ~~~~in~~'C1C Plan for hiazardeus Materials, hlazardou5 Waste & Underground Storage Tanks Hazardous Materials Division FACILITYTDENTIFICATION / OPERATIONS`OVERVIEW BUSINE NAME FA LITY ID # DATE i' Verizon Wireless - ~ l/ ,~ ,~ ~ BUSINESS ADDRESS •• ' Check elements wvered by this consollda plan: ~` ' ~; ~ Hazardous,Materials ®~ '; ~ , " Hazardous Waste ^ Underground Storage Tanks ^ _r Supplemental elements submitted: , I ` UST Written Monitoring Plan ^ B e.g. pan ng contractor e.g. eet ma ntenance Wireless Telecommunications un-staffedfaciliky;~~shelter,~and/or cabinets v RD EVENT R B e.g. c emrca spl s; ire, eart qua, Q, etc _ , . " - ~. _ OSHA -EPA Hazard Communication Standard EMERGENCY COORDINATOR & 4N-SIi'E TECH ADVISORS /INTERNAL RESPONSE 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. _ ....................__.....---._...__.__-_._'--....-'---._._....i._.Affer~hours...-_.._.....---.......__..........---............_._......-............._.... NOCC 800-264-6620 or NOCC 800-264-6620 I Phone #s: 682-264-6620 or 682-264-6620 release, make management decisions, & .... ... Responsible for spell prevention contacting fay I ; res~+rnders - ' determine appropriate response ~ (check au that apply) emergency assessment / ^ authorizing spill response work ^ ^ ® l ~ _n13R;39.QQllwllt_............_..__-._.......__..~-_........--_.._..._... -.......-.__~.___.._ .............__.........__.......__......-.-..._._........._._..............._ h bli d Person Is: on-site or on-cal pu c emergency respon ers initiating alarms ^ interfacing wit ....-.._. -.-.-...__. _..___._......__._.....__._._...----'--- -'---..__..._........___...._...._..__..._...---.....-u-..._....__....._....---...._......_. ~ agincy notifcation ^ ^ Alternate # 1 (INSPECTIONS) Alternate # 2 CORRESPONDENCE & BILLING Name /Position: Mark Iverson, Operations Shawn Stacey Mana er ~ Address: 255 Parkshore Drive Alternate Emergency Coordinators: city: ......_............___.._._......_.._....._....____......__......_.~._._._._.__. _. _._ .__..._......_..........___..._.._._._ ..................__.._.._.._.............._.__..........._.................... Folsom List Irt 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 r On-Site Technical Advisors Owner: Su ervlsor: P (AVailal)le t0 pl'OV1dP. Sete°5(SP,CIfIC tP.CI1111Ca1 adVlCe t0 Off-Site, P.rnP.rgenCy t'P.SpOndP.l"S) Manager: Other: Un-Staffed facile /shelter /cabinets i' Identify type of internal'response: ^ Internal facility Team Mem ers name or position : esponsi i ities: response team tattach additional pages if needed: Options: indicate an t+ttachmenY by 1 checking ~ ~ 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. t ris x 1 ~ ` ~ ~ i ^' ~ Name: OnyX SpeCldi Service$ Descri a roe responsi Titles: Spill response, ®Contractor address: clean up, and hazardous material _._pCione'#........B.~.~=48A=7.4.~.~._...........___......_____.__-...--'-'---- -'-'-'--._.~ dispOSal ^ Call public emergency responders / 911 -1- • ~c~ns~~~da~e ~Q~ll~1t~C1~ P~a~ for Hazardous Materials, Hazardous Waste & Underground Storage Tanks FACILITY IDENTIFICATION BUSINESS NAME FACILITY ID # DATE ~'erizon Wireless - ~~ EMERGENCY COMMUNICATIONS J PHONE NUMBERS J NOTIFICATIONS it Internal & External'Emergency Communications Name Position: individual responsible for on-site and off-site Mark Iverson, Operations Manager and/or NOCC -Network emergency alarm notifications /communications: O erations Control Center ~.~ c ec a t at aoo v: INTERNAL facility emergency communications or alarm notification will occur via: i~,";. ~o ti t~ system pagers EXTERNAL notifications /communications to ~ verbal warnings ~ pu Tic ~ada~es§ or ntercom system neighboring facilities that may be affected by an ......_..__.....__ ._..____r.__...._._..._~__..._.....___...______ __...__..._....._.........._.__........__..........._...___._...__._._._._...._..._._....._._......._ telephone ~ pagers off-site release will occur by: ®,,.,,....._...._...._._._.........._... ___..~......_.___.__........._. __~ _.. ___. ® alarm system ~ portable radio ~~ - Emergency'Phone Numbers J Notification Lists n ° Bakersfield Police Dept. 911 ° 0 661:3 Bakersfield Fire Dept. Emergency response phone numbers ° Kern Medical Center o Nearest medical facility /hospital Your medical facility /hospital Agency Notification Phone List County Hazardous Materials DIvlslon Name: Kern Medical Center Name: Kern Medical Center Dept o Toxic u stances ntro He NV DIvlslon of Environmental Protection NV State Haz-Mat Office ice o mergency rvices NV Department of Public Safety CA Water Quality Control Board NV Water Quality Control Board o Environmental Information Center 0 24-HR Environmental Emergencies o RCRA Information NV Dept of Wildlife CA OSHA o DIvlslon of Occupational & Health o CAL -OSHA Enforcement California State Flre Marsha Nevada State Flre Marshall Phone #: Phone #: G1: 916-3Z3-Z67tl Or SOU-Rtl-694Z NV: 775-687-4670 NV: 775-684-7524 -5- or 1 -4- NV: 775-684-7500 or NV: 775-684-2800 o Toll Free: 866-372-9378 0 24-HR: 800-300-2193 o RCRA:800-424-9346 1-800-424-8802 NV: 775-688-1500 1-510-437-3073 CA OSHA 0 510-286-7000 0 714-558-4411 NV: 775-684-7500 -Y- ~nsea~da~~ ~~n~~ ?6 Neighbor No tification Li st zr List all businesses (structures bor dering 8c(or a djacent to your facility at tarility's Business name:, O at aciliky s Business name: , Q northern southern border: .___...._...................__....._..._...._.__..~__....._.-....._..._...._._..._.__._...__.......___..._.._._.___....... address: , , border: address: , phone #: phone #: contact name /position: contact name /posltlon: 2<9 at aci ity s Business name: , Q at aci ity s Business name: , () eastern '.~.___........__._..---....____. ..........~_.__.___.___......._._...__...._...----__._ western border: address: , border: address: , phone #: phone #: 30 contact name /position: contact name /posltlon: ~~~~ -3- Hazardous Materials Division ~~n~~li~at~ ~~rt~ki for Hazardous Materials, hiazardous waste & t Ply Storage "Tanks FACI LITY'''I D E NTI FICATION 3. BUSINESS NAME FACiLI-tY iD # DATE Verizon Wireless- V~ ~,~,~ EMERGENCY CONTAIWMENT & CLEAN-UP PROCEDURES 3z Containment, Prevention & Cleart-Up Indicate your procedures for: ~ .. _~ -provtde"structurei"""phystcat°barrier--(e:g:-portable-~~ ~------_._..._.._......._.-.-.._._._...._---._......------._._..._.._._......._.___..........---._ ................ i spill containment walls) ® monitor for leaks, ruptures, pressure build-up, etc 1. containing spills, releases, fires ~ Provide absorbent physical`barrier ^ ^ cover or bock floor ~ or storm dra(ns or explosions, & - ^ built=fn berm In work/'storage area - - ~~ ^ automatic fire supp ess o syste 2. preventing and mitigating . I associated harm to persons, , _...._ ........................__........._....._- __.....-.._. _.._.._..........._.._.__.__...............___ stop processes"~br operations ® _...._.__.._..............._._......... ..........._...----...... _ automatic / efictronic equipment-shut-off system- ^ t property & the environment: I" _ ®~ shut-off water, gas, electrical utilities as ®call 911 for public emergency responder appropriate assistance /medical aid ® provide protective equipment for on-site response ^ eliminate sources of ignition for flammable hazards 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 f evacuation call I ._-_........_._............___..._.-........._._ ..........................................._.__...___.__....._.......____.._.._._.. ®other (specify): Contact Verizon Wireless 24-Hour __.._.~.---~----_.._..___.........__.- . Hotline (800-488-7900) and report Incident, which will trigger Onyx special services. 34 c ec a t at aPR Y~ Indicate your clean-up procedures: 1 ......-..-..........__..__......--..._..._.._..-_...-...-........._._._._~..........._._.._.._.._-_.-.......-.--.--........_._..._._._.._-.._----..._.._...__.._....._.___._.._._...._.____._.__--___._........__... ® hire licensed hazardous waste contractor. (ONYX special Services) °-'a use aC~sot6erif materi'ial-for spllis'with subsequerit'pFoper taliel(ng;-'storage aril""Hazardous waste"disposal"as---~~~ ~ ~°° appropriate '-~-' suct(on using shop vacuurn~~wltfi'suC~sequerif proper Cabeling,~storage`and Hazardous waste sposal as"""" ~~~~ ~ ' appropriate .....................................-. ._._....._..............._....-..-.............q. p --._._._...__....._.._..__.__.__......_._......._p.__..-......._...._....._._______.._.._...-_-._......__.........-----......................_............._................. ^ wash / decontaminate a ui ment w/ containment & dis oral of effluent / rinsate as hazardous waste ^ provide safe temporary storage of emergency-generated wastes ^ other (specify): " _ Evacuation Coordinator & Assembly Area 3v 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 ~' Identify / describe emergency Specify: 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: -k- for Hazardous Materials, Hazardous Waste & Underground Storage yanks Hazardous Materials division FACILITY IDENTIFICATION 3t; BUSINESS NAME ( FA 1lIlY 1D # PATE Verizon Wireless - ~~~~~~ ~ A ~ 1 List of available emergency equipment (wreck all that apply} - ~ ~yu~pmcn~ wvanau~c 4T Example: Z rx~rtable fire extinguishers ~ C:r1en11C:7I i)rgtE'C:tVYe. x~IOVf'.5 Use Category ' c emica protective suits, aprons or vests ® Safety & First AId „ Equipment ®chemical protective gloves chemical protective boots ® safety glasses /goggles /shields hard hats ~ cartridge respirator self-contained breathing apparatus ® first aid kits /stations plumbed eyewash fountain /shower ® portable eyewash kits ~ other: ~s ®porta a Ire extinguls ers Fire Extinguishing Equipment ~ fixed fire systems /sprinklers /fire hoses fire alarm boxes or stations other: ~~ a sor ent materla Spill Control & Clean- Up Equipment ®container for used absorbent ~~~~~ ~~~ ^~ berming / dlking~~equipment ~T~~~~~~~~~~~ ® broom shovel shop vac exhaust hood ~ emergency sump /holding tank ® chemical neutralizers ~ gas cylinder leak repair kits spill overpack drums other: ~+~ 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 ® list of notification phone numbers center of each wall in shoP L rated as „~„ _ ..............._............ spill resi:Kmse kit .......................................... one-tune use; uil R. sglvent resista I 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 Hazardous Materials, Hazardous Waste & Underground Storage Tanks Narardt~tas Materials Division FACILITY IDENTIFICATION ,E, BUSINESS NAME FACILITY ID # DATE Verizon Wireless - ~~5~~ EARTHQUAKE VULNERABILITY 47 Areas of earthquake vulnerability 4tS ~ deck all t at apply; Location (e,q• shop, outdoor shed, forensic lab): Identify areas of facility vulnerable to - ill rth k l d t -_••-•--hazardous"materials_/waste-'~sforage area~~~-----"` •°'"~~'~_....__.__._..__.__.._......_.._........_.___...._._.__........_............~...-..- ....................... qua re eases /sp s ue o ea e related motion: _...__._.-.-..._...____._.___._._....__..._._.-..___._....._.........._.~._..........._..._..________... ~ process Imes /piping Batteries installed exceed 1997 UBC (require immediate isplation arts Inspec~tion) -........______._...._-....__.__...._...._._....__._........_.___...~~......___. and/or 2000-2003 IBC Seismic Zone 4 laboratory __.~._.__~.........-..__...........~.__._..-.__.._.__..__~.._......---._.....__. specifications. waste treatment area ~~~ c 7eck a I t: aC app y: A ecte ovations: Identify mechanical systems . ----...-..- - - -- - shelves;TcabTriefs-~racks~~~°~~~~~~-~~~~~~~~~-~---° vulnerable to releases /spills due to ~ earthquake related motion: ~ tanks (emergency shutoff) (requirn immediate isolation and in>pection) ~ portable gas cylinders Power Breaker Located On/at Un- ® emergency shutoff &/or utility valves Staffed facility, shelter or outdoor ~ sprinkler systems cabinet. stationery pressurized rnntainers (e.g. tank for i dispensing propane) ARRANGEMENTS. FOR EMERGENCY SERVICES sa ~xpianai~on of_{zequirement Advance arrangements vrith local Tire & police departments, hospitals and or contrectors for emergency service; should be made as appropriate for your facility; you may determine that advance arrangements are not necessary for 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. EMPLOYEE TRAINING CONTENT & FORMAT ''~ Employee ?raining Content & Format 5:3 Exptanatior~ of_(zequirement F.mp ogee training is requires 'or all emp ogees ban ing azarcfous materia s bazar aus svasles in ay to day or clean-up operations including volwrteers fk/or contractor>. Required content far errfployee training includes all of the following: 54 communication ~ alarm systems • Material Safety Data Sheets • • personal protective equipment hazard communication related to health & safety t~•q• • use of erneryency response equipment • methods for safe handling of hazardous substances fire extinguisher, respirator, etc) • fire hazards of materials (processes • • decontamination procedures conditions likely to worsen emergenries • evacuation procedure> • coordination of emergency response • control & containment procedures • notification procedures • UST rnonitoring system equipment & • applicable laws ~ regulations rocedures (if a livable ~'~ Indicate how employee training rheck all that apply: `--~•_....~...._.._.._.....__.~..-.........._~.._~.......~-_~._.~_......._..___ .............__.._._....... • program (with required content) is ® Formal classroom ~ Video(s) (specify) ~ administered: ..-._....._ ............................_........-_.~_..._.._.__......__. _.. ..... _..._....._... ~.~....._.........~.~___....._.-..........__...........-_..-._............_...~... ® Safety /tall-gate meetings ®Other (specify):-Anriuei oriiine training _. _._...__.. _. _._...._.__.__._.._.._._..._...._._....__._.__.._._~_.._........-...__~_....._-...._._..___..r..__....~.__._____.__.-.-...._.....-..__..._...........____-__.._ Study Guides /Manuals (specify): -6- i ~ _ for Hazardous Materials, Hazardous Waste & Underground Storage banks Narardous Materials Division FACILITY IDENTIFICATION Sc; BUSINESS NAME FA LITY ID ~ DATE Verizon Wireless - ~~~~ ~~~~ EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION Required frequency of training ~~ Explanation o{_i?~equirement Employee training must e: ~ provided within 6 rnanths For new hires, ~ amended as necessary prior to rhange in process ar work assignment, a given upon modification to emergency response /contingency plan, and ~ updated /refreshed annually for ALL employees. JJ Certify that the facility's employee training program meets minimum ® Employee training is provided, at a minlmum, as described above. fre uen re uirements: I c>o `Record of training Ex tans#ian of ~ uiremtnt _ _p. _._._._._._ _ _. q_.-.-._--.- WriYCen documentation of employee Graining sessions must be kept which include: ~ training outline ; agenda ~ date of training session ~ employee names & job titles ~ brief jab description for hazardous wa>te generator facilitic;s ~~ '°~: Certify that the facility's training documentation meets minimum record ® Employee training documentation Is provided at a minlmum as described above. kee in re uirements: , , v3 Training program description or outline 0 program er~tlln~r~ ~~ g~winng ghe~ EmRIQY attached: ._ .. ~ ._ . ...._ __~~__.._.____.._...__......__........~.._._____.._._...__...._..__...._........._._._............__........ . ® Employee training program Is described here: The Verizon Wireless Operations Managers make sure that their Field Operation 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: .LIST OF ATTACHMENTS r>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 an my inquiry of those individuals responsitilc for obtair~mg the information, I certi y under penalty o lour that I ave personal y examined and am amiliar with the information submitted and believe the information is true, accurate and complete and that a copy is available on-site. Ignature ate o comp et on 2/23/2007 not ame to oston Shawn Stacey Environmental Compliance -7- _, ~~ _~, + VERIZON WIRELESS - ROSEDALE _________________________ SiteID: 015-021-001303 + Manager ALAN HOLZMAN BusPhone: (661) 873-2401 Location: 2100 BRICYN LN Map 102 CommHaz High City BAKERSFIELD Grid: 26A FacUnits: 1 AOV: CommCode: KCFD STA 66 SIC Code:4813 EPA Numb : DunnBrad : C~~6~d3~7~~'~~'~ Emergency Contact / Title Emergency Contact / Title ALAN HOLZMAN / NET OPS MGR RUSS WALKER / OPS TECHNICIAN Business Phone: (661) 873-2401x Business Phone: (661) 747-7001x 24-Hour Phone (661) 87,2-2662x 24-Hour Phone (661) 321-5214x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact SHAWN STACEY Phone : ( °' ~ ` ' «-z~-5z@-~ MailAddr: 255 PARKSHORE BLVD BLDG B State: CA ~(oj, (eQt~ Z4l City FOLSOM Zip 95630 Owner VERIZON W ELESS Phone: (925) 279-6455x Address 2785 MI HELL DR GJ""_'e State: CA City WALNU CREEK Zip 598 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: Yes Emergency Directives: PROG A - HAZMAT ~ PROG T - ABOVEGROUND STORAGE TANK ID~' Based on my inquiry of those individuals responsiblQ for obtaining the information, I certify under penalt of law that i have personally xamined an am familiar with the information ~ubmitted an , believe the infor tion i true, ccurate, and c mplete. _ ~ l l~ Ofo Signature Dat 0 ~~~~~ END RUC 18 2046. -1- ~T~ 03/22/2006 i B i C i D i E i F 0 LEGEND Batteries Q Eye Wash . Fire Extinguisher o Fire Suppression ,^, ' First Aid/Survival 7 Kit ® Personal Protective Equipment e Power Breaker ® Spill Containment Kit nnsas MSDS & & cP Contingency Plans I 27 ft ~ r - - _ _ ---- ~_ -- ~~ Equip. Equip. ft Equip. ;~ ~ Rack Rack Rack 2 1 aft ~ III 3 11 ft Equip. Equip. Ft Equip. Equip. Equip. Rack Rack Rack Rack Rack Transfer Switch 4 ~'~ c~V ,~~ ft e 5 .`,r Equip. Rectifier Batteries nnsos Rack Rack acP ~~~~Q~~~ ~~~lJ SITE Rosedale Address 2100 Bricyn Lane City, State, Zip Bakersfield CA 93308 REV. DESCRIPTION DATE BY Drawing 2 Prevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT THIS PERMIT IS ISSUED FOR THE FOLLOWING: Permit ID # ]01~-021-0e1303 ~,~;?~'~%-m tq Hazardous Materials Plan i ................ . ........ ~., : ~ , ~:~,,~ ........... ,. ' - ,'* [] Underground Storage of Hazardous Materials .~ ~.~** *~ ~ ~3~? ~*',,~ ' .-*'/~ ~ ~anromla ~CCloental ~mease Program 12100 BRICYN LN .~T~*" '~,;,, :ye, ~.. ~ ;[~'~ ,}}~::....' ~,%:~ ~ Hazardous Waste Generator and/or Treatment · . ~- {:'~.~:~ ~, ,-,-:~';-- ........... ~ -,/*-.,~' . T .. '*~ D Above ground Storage Storage of Petroleum IBAKERSFIELD CA 193308 /.~, ,., j~, - ,5? "'c -' ' "- , .r ~./-~,%.,~?. <¢ .... ":%, ~ Industrial Hood Suppression System I~ued by; Bake,8feld Fire Department ~,.~. 0~I~ OF P~~ON SER~5 '. ':"~:'- Approved by: ~ 1715 Chester Ave., 3rd Floor ~ph Huey, Director ,.~. ~ ?..., Bake~sRcld, CA 9330~ Prevention Se~ices Voice (661) 326-3979 ' l' : ' '~' ~ ' June 30, 2006 '*~.:.l:~ ...... ~Z (661) 852-2171 [x~lrotion ~ FAcu~rrY DIAGRAM ! SITE DIAGRAM '~R~on Wireless - Rosedale B~ N~: B~~: 2100 Bric'~ ~n Lane, Ba,~ersfield % ~'~ ~ '~~ '** **' *' Power Disconnect ,* * 80 .... ** *Utility Meter Asphalt ' - ] Verizon '*~ ' ' ' · ~Wireless 70' .~lr'~ Shelter ., Link Fence Wet Cell Battery/' ~_~ (Corrosive) ~ ' 30' Generator w1150 · ' ' gallon diesel fuel tank (Flammable) GRAVEL ROCK 1°i .... / Three Foot : Hazardous'Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ~ This _~ermit is issued for the following: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001303 [] Risk Management Program GTE WIRELESS - ROSEDALE E] Hazardous Waste On-Site Treatment ' LOCATION: 2100 BRICYN LN ..~:.,'~ ~ ',~ - ~. · ,..~ :~,~., ~,,~--~. ; '1% Issued by: Bakersfield Fire Department OFFICE OF EN~R ONMENTAL SER ~CES 1715 Chester Ave., 3rd Floor Approved by : Bakersfield, CA 93301 o~ceof~im~ic~ Voice (661) 326-3979 ~~~ F~ (661) 326-0576 Exp~tion Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ...... ¢.~'~ Materials Plan d~,~i:i ~,.~!j~:!,.;~:;~;~,~. ..... ~x.::~,~ ~?,~, round Storage of Hazardous Materials PERMIT ID# 015-0214)01303 .dii?ii :i~,i:#iil;ii::iiiiiiii?i!iiiiii!Z ..?~!!!i!!ii!!iiiiii!~:!':i!!! Program ~q "~ ..... i,. ~ ~? "'" ::'":;' .......... "~:?~ Waste GTE WIRELESS - ¢,. ",... '.~¢ ~' ~ .~7 ........ ,... '""' *'"'-'*...d ;;" .'~ii~t ". '~. ~i~'-.1?'['~¢~.lii ...................... ' '. ~,..,...-...~. '~i~ ..... OFFICE OF E~R O~3L S~ ~S 1715 Chewer Ave., 3rd [loot B~e~fiel& CA 93301 Voice (805) 32&3979 F~ (805)3Z~576 Expiration Date: .June 30, 2000' , ~-~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST EnironmenteJ Sez~dces .. ................ .............. , ,,,, j, , , , ,,,,,,, i 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield. CA 93301 Tel: (661)326-3979 ] FACILITY NAME I INSPECTION DATE }ADDRESS U~,. -~_Z_0 $~ction ~' Business ~lan and In~,nto~ Pro, mm O Routine r'l Combined ~ Joint Agency ~] Multi-Agency I~l Complaint ~ Re-inspection C V /C:Comp,ano~l OPERATION COMMENTS ~. V=Violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ~ P~OPER SEGREGATION OF MATERIAL -~- VERIFICATION O~ MSDS AV*ILABILI~E ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEOURES ................................................................................................... --~ EMERGENCY PROCEDURES ADEQUATE S~TE DtASRA~ A~EQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~] YES /=1 No EXPLAIN: QUESTIO/I/~i/REGARDING, THIS. INSPECTION? PLEASE CALL US AT (661) 326-3979 While - Environmenlal Se~i~s Yell~ - ~t~n ~py Pink - Business Copy CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805)326-3979 INSTRUCTIQN$: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole 4. Be as brief and concise as possible. SECTIQN l' BUSINESS IDENTIFICATION DATA Verizon Wireless - Rosedale BUSINESS NAME:. iLOCATION: 2100 Bricyn Lane M_AI'I.[N'G ADDRESS: Verizon Wireless - PO Box 5011 94583-0811 CITY: San Ramon STATE: CA ZIP: ~ PHONE: (925) 904-3460 DUN & BRAI)STREET NUMBS: 01-216-7078 SIC CODE:.4812 PR]MARY ACTMTY: Telecommunications OWNER: Verizon Wireless I~,{AILING ADDRESS: PO Box 5011, San Ramon, CA 94583-0811 SECTION 2: EMERGENCY NOTIFICATIQN CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Allan Holzman Supervisor (805) 872-2662 1-800-621-2622 :2. Skip Severance Supervisor (559) 268-7878 1-800-621-2622 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINTNQ NUMBER OF ~LOYEES: At Site 0 MATERIAL SAFETY DATA SHEETS ON FTr.I~.: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Non-Manned Site SECTION 4; EX~-.MPTION REOUEST I CERTIFY UNDER PENALTY OF PER,FURY THAT MY BUSINESS IS EXEMlYr FROM THE REPORTING REQUII~blE~qTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WEDONOTHANDLEHAZARDOUSMATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT TIlE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITEES. OTHER (SPECII=Y REASON) .SECTION 5: CERTI~CATION I, Richard Day CERTIFY THAT THE ABOVE INFOR~TION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WrLI. BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH A.ND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES P~Y. Property ^drninistrator 12/14/00 TITLE DATE 2 tlAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION .AND... EVACUATION PROCED__URF,~ A. AGENCY NOTll;ICATION PROCEDURES: Phone 1-800-621-2622 after normal business hours, local person in charge will be notified and will respond. Site should be identified by site number ECP-5 #8 During regular hours use contact numbers provided in Section 2: Emergency Notification B. EMPLOYEE NOTll;3CATION AND EVACUATION: N/A Non-manned site C. PUBLIC EVACUATION: N/A D. EMERGENCY MEDICAL PLAN: N~A BAZARBOUS MATERIALS MANAGEM3ENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: 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 B. RELEASE CONTAINMENT AND/OR MINI2effZATION: Double Walled Fuel Tank. Containment of any spill is made by a Polyethlene Liner under 3 to 6" of crushed stone which surround the building and generator locations C. CLEAN-UP PROCEDURES: International Technology Company (1-800-262-1900) SECTION S: UTIL~ S:~]'~-OFFS (LOCATION OF SHI. JT-OFF$ AT YO~ FAC~ NA~ G~ROP~: ~one ELE~C~: Located on the east poRion of yard next to ent~ gate WA~ None SPECIe: None LOCK BOX: ~S~O E ~S, L~A~ON: None sE~ON ~: P~A~ F~ PRO~C~O~A~R AV~~Z~ A. ~A~ F~ P~O~C~O~; Halon fire extinguisher left side of the entrance door. WA~ AV~~ITY ~ ~~): None 4 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME Verizon Wireless FACILITY NAME Verizon Wireless - Rosedale 2100 Bricyn SITE ADDRESS CITY Bakersfield STATE CA ZIP 93308 NATURE OF BUSINESS Telecommunications SIC CODE 4812 DUN & BRADSTREET NUMBER. 01-216-7078 OWNER./OPERATOR. Verizon Wireless PHONE (925) 277-9400 MAILING ADDP.,ESS PO Box 5011 CITY San Ramon STATE CA ZIP 94583-0811 EMERGENCY CONTACTS NAME Allan Holzman TITLE Supervisor BUSINESS PHONE (805) 872-2662 24 HOUR PHONE 1-800-621-2622 NA~'~_. Skip Severance TITLE Supervisor BUSINESS PHONE (559) 268-7878 :24 HOUR, PHONE 1-800-621-2622 1 HAZARDOUS ,MATERIALS INVENTORY Bmmcr~ Name Verizon Wireless - Rosedale Adarc~ 2100 Bricyn Lane, Bakersfield Page ..... 1, of_l CHI. MICAL DF-.~CRIFTIOfl' I)INVENTORYSTATU$:Ncw[ JAddi~icm[x]~[ ]Deledea[ ] Cl~.kitchemicalJsaNONTmdeSecr~[XjTra~.~cr~t~t j 2) C~ Name: C&D Wet Cell Batteries 3) DOT # (optional) CbemindNan~ Sulfuric Acid Concentration is 21% AHM[ ] CA~# 7664-93-9 4) Pt~i~ & I4atlth PHYSICAL I-IFmt,TH Bazard~ F~[ ]Rce, ctive[ S) WASTe ~C. AT~O~ .... O-a~it~ trna r)~ t~o~ ~022) os~: COD£. 47 6)Pm, stoa. ST^~ Sotia[ ] ~a[xl c.~[I 7) AMOUNT AND 3'IME AT FACILI'fY ONn'S OF i~..ASttRE 8) STORAGE CODES Maximum~~ 100 Ltn{ ]cm[x]n3[ ] a)Comainer. Battery Avense ~~t 100 Curie~ [ ] b) Ptessu~. 1 Annmd Ammmt --7 00 c) 'ramp=tram 4' ' Ltr~st Si~ Container 8.3 J Elays aa Sj~ 365 9) M]XTUI~ L~ CO!~Oh'ENT CASt % WT AI-IM tl~ tlu~ mo~ ~ I) [ ] cl~mi~lmapmmU = 2) [ ] 10)LOCATION I)INVENTORYSTA'I=US:New! ]Additkm[x]Revision[ ]D~letion[ } Chcckitc,13cmimlisaNONTrndcSccrc~[ x]Tnuictmm:t[ 2) C~ Nnne: Diesel Fuel _3) DOT # (op..omi) Cl~ggd¢~ Nmm~ Petroleum Distillate AHM[ ] CA~ # 68476-34-6 4) Plosical & Health PHYSICAL HEALTH ~z=raCau~ie= Fim[xl~ve[ ]S~.__,,~-ReJm~eofPe~m~[ ] Immai~Hc~(~)[ ]~~(~)[x] S) W.~'E CL~S~CATZO~ ~ (3.ai~ ~ t=~ ]mS ]:~ mrz2) uSE OOD£ 19 6)~vsw.~s'rA'm s~[ ] riq~t[x] c~{ ] ~,.~[x] mixt~[ ] waae[ ] ~ti~=i,e[ 7) AMOUNT AND ~ AT FACR.rrY ~ OF ~ S} STORAGE CODES lvla.ximumDailyAmmag 200 LI~[ lC_~(Xl~[ ! a)C.~m,i=~. 02 A~~,,u~x~t 2OO. Cua~[ I b)P¢=~.~r~ 1 Amml ~ 200 c) ?~mim'~ 4 I~ -~,,- ~ 2OO ~ ~=.~ ~ ~.~.r~ ~). ~ ~~ ~ 2) I0~~N Richard Day for Verizon Wireless ~~ ~ 12/14/00 ~N~ TigeofA~ Comfy ~~~~ / S~ FAC~_~ITY DIAGRAM ! | SITE DIAGRAM L~J Business Nme: V~ireless - Rosedale Business ,A,dd~: 2100 Bricyn Lanel Bakersfield ,, KERN RIVER oot Berm /,'"' Cyclone // Fence oo' GRAVEL ROCK Generator w/150 Gallon Diesel ~/'~ 130' Fuel Tank /Tower-~ Fire Extinguisher ~' 12 Wet Cell batteries ! I Cyclone Fence 70' GTE Shelter Asphalt Electrical Disconnect 80' December 14, 2000 veri Ollwireless Verizon Wireless ~i)~q~,j~,~,~ 12677 Alco st a Blvd. San Ramon, CA 94583 Bakersfield Fire Department 1715 Chester Ave. Bakersfield, CA 93301 Attn. Esther Duran RE: Updated Hazardous Material Management Plans Dear Esther, Enclosed are the update plans for each site location under the Bakersfield Fire Department jurisdiction. The only change is for the amount of hazardous material inventory at the Panorama Switch (diesel fuel) and the company name change for all sites. Property Administrator Verizon Wireless (925) 904-3460 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~VC-' t,0,a,.%c-~ [~-oXc-oo~ INSPECTION DATE '7 ADDRESS 2_ too ~,c~,,~ ~d PHONE NO. FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~.~...a'r~ ,~outine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ,,~--t_c.,- ( 'I-C'~ $ <2~-/~_ 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 C=Compliance V=Violation Any hazardous waste on site?: [~l Yes ,]~No Explain:t ~. ~ Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: {.~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer tho questions below for the business as a whole. 4. Be as brief'and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: GTE Wireless - Rosedale LOCATION: 2100 Bricyn Lane ]~],,]~TO ADD]~ESS: GTE Wireless-PO Box 5011 CITY: San Ramon STAI~: CA Zl~: 94583 PHON~: (925) 904-3460 DUN & BRADSTREET NUMBER: 01-216-7078 SIC CODE:, 4812 P~Y ACTIVITY: Telecommunications O~rN"~R.: GTE Wireless MA]~.ING ADDRESS: PO Box 5011, San Ramon, CA 94583-0811 SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 I--IR. PHONE 1. Allan Holzman Supervisor (805) 872-2662 1-800-621-2622 2, Skip Severance Supervisor (559) 268-7878 1-800-621-2622. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAININQ NUMBER OF EMPLOYEES: At site 0 MATERIAL SAFETY DATA SI-IF. RTS ON FILE: Yes BRIEF SLIIVIMARY OF TRAINING PROGRAM: Non-Manned Site SECTION 4: E ,X~, .,MPTION REOUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXF. MPT FROM THE B~PORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HF_ALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTn~,C. ATION I, Richard Day CERTIFY THAT THE ABOVE INFORMATi°N IS ACCURATE. I UNDERSTAND THAT TI-ES INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER ~ "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS ~D1V. 20 CHAPTER 6.95 SEC. 25500 TE INFO~ON CONSTITUTES PERJURY. Property Administrator 6/9/99 c-SIGNATURE TITLE DATE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURI=..~ A. AGENCY NOTIFICATION PROCEDURES: Phone 1-800-621-2622 after normal business hours, local person in charge will be notified and will respond. Site should be identified by site number ECP-5 #8 During regular hours use contact numbers provided in Section 2: Emergency Notification B. EMPLOYIk'~ NOTIFICATION AND EVACUATION: N/A Non-manned site C. PUBLIC EVACUATION: N/A ; D. EMERGENCY MEDICAL PLAN: N/A 3 RAZARDOUS MATERIALS MANAGEM]E~ PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: 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 B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Double Walled Fuel Tank. Containment of any spill is made by a Polyethlene Liner under' 3 to 6" of crushed stone which surround the building and generator locations C. CLEAN-UP PROCEDURES: International Technology Company (1-800-262-1900) SECTION 8: UTILITY SH[~., -OFFS (LOCATION OF SHUT-OFFS AT YOUR,FACILITY') NATURAL OAS/PROPANE: None ELECTRICAL: Located on the east portion of yard next to entry gate WATER: None SPECIAL: None LOCK BOX: YES/NO IF YES, LOCATION: None SECTION 9: PRIVATE FIRE PROTECTION/WATER A,VAILABIL~TY A. PRIVATE FIRE PROTECTION: Halon fire extinguisher left side of the entrance door. B. WATER AVAILABILITY (FIRE HYDRANT): None 4 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS 13fVENTORY FACILITY DESCRIPTION CHECK 11~ BUSINESS IS A FARM [ ] BUSINESS NAME GTE Wireless FACILITY NAME GTE Wireless - Rosedale 2100 Bricyn SITE ADDRESS CITY Bakersfield STATE CA ZIP 93308 NATURE OF BUSINESS Telecommunications SIC CODE 4812 DUN & BRADSTREET NUMBER 01-216-7078 OWNE1L/OPERATOR. GTE Wireless PHO1N'~_, (925) 277-9400 MAILING ADDle.ESS PO Box 5011 CITY San Ramon STATE CA ZIP 94583-0811 EMERGENCY CONTACTS 1N'AM~ Allan Holzman TITLE Supervisor BLTSI3rESS PHOI~E (805) 872-2662 24 HOUI~ PHON~ 1-800-621-2622 NAMF_. Skip Severance TITLE Supervisor BUSINESS PHONE (559) 268-7878 24 I-IOUI~ ?HO1N"E 1-800-621-2622 1 HAZARDOUS ~~S INVENTORY Page Busiuc~5 N~.mc GTE Wireless - Rosedale Addrc~ 2100 Bricyn Lane 2)C~Nm: C&D Wet Cell Batteries ~Nme: So{fudcAcJd Concentration Js 2~% ~ [ ] ~$ 7664-93-9 5) W~ C~CA~ON (3~t ~ ~ D~ F~ ~) ~E COD~ 47 ~ ~O~ ~ ~ AT FAC~ ~ OF ~~ a) STO~ COD~ ~~y~ 100 L~[ ]~[ ~M[ ] a)C~ Batte~ ~ ~t 100 c) T~ 4 ~ ~ C~ 8.3 I}IlCVENTOR¥STATUS:N~w[ ]Addition[x]Revisiouc ]Deletion[ ] 2)C~ N~ Diesel Fuel ~) ~T ~ (~) ~N~ Petroleum Distillate ~[ ] ~ 68476-34-6 $) W~ C~~ON ~~ (a~ ~ ~ ~ F~ ~) ~E~ ,1~ ~ ~o~ ~ ~ AT FAC~ ~ OF ~ 8) S~OE C0D~ ~m~y~~~00 L~[ ]~[x]~[ 1 ~)~ 02 A~e~~t 200 C~[ J b)~ 1 ~ ~; 200 ;) T~ 4 ~ ~ ~ 200 ~$i~ ~ 365 . C~e~M~ ~Y~,J,F,~J,J,~O,N,D ~)~: L~ CO~~ ~ %~ ~~~ ~ ~~ ~ 2) .,, t0~HON Richard Day Prope~y Administrator ~ ~ 6/9/99 SITE DL~GRAM [ × _! FACI~rTY DIAGRAM [ ] ]~tl$~lt~S ~'~tle: GTE Wireless - Rosedale BU~JR~ A~; 2100 Bricyn Lane, Bakersfield Dm Cyclone Fence Generator w/150 Gallon Diesel ~ 130' .' Fuel Tank /Tower'S.. Fire Extinguisher '11~ "~.~ ' '~ "~ 12 Wet Cell batteries Cyclone Fence 70' GTE I ~ Shelter Asphalt Electrical Disconnect 80' GATE ' GTE WIRELESS - ROSEDALE | ~ SiteID: 215-000-001303 I DEC 1 0 998 I ~$-7~7~ Manager :f~/~ f~/,~u~- [ / BusPhone: ~_~95) 872-2~2 Location: BRIC~ LN ~BY:... [ Map : 102 Com~az : Low City - B~ERSFIELD " Grid: 26A FacUnits: 1 AOV: CommCode: CO~TY STATION 66 SIC Code: 4813 EPA Nu~: DunnBrad: 01-216-7078 Emergency Contact / Title Emergency Contact / Title SKIP SEVERANCE / SUPERVISOR RICHARD DAY ga~ PROPERTY ADMIN Business Phone: (209) 268-7878x Business Phone: ~-e) 4J.6-~4F~3~x~3~F6b 24-Hour Phone : (800) 621-2622x 24-Hour Phone : (800) 621-2622x Pager Phone : (209) 246-7002x Pager Phone : (.~) 838-3549x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : ~, Phone: ~vv~ G72-2662k MailAddr: D.~OD P~:O~-~ ~ /~ ~OW ~// State: CA City : ~ ~ /~D~o~/ ~ Zip : ~6F~S~y--OF// Owner GTE ~ ~{~ Phone: -'~% ~i~ 459~x Address : ~~ ~S/d~X ~// State: CA City : .~EAS.U~TON ~ ~~l f~ Zip : ~ ~f--OF// Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif' d: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax Unit MCP BATTERY ELECTROLYTE F P R IH DH S /0, ~ /~S Hi DIESEL FUEL ~ ~W~.._ Q© hereby ce~i~ GTE WIRELESS - ROSEDALE SiteID: 215-000-001303 = Inventory Item 0001 Facility Unit: Fixed Containers on Site BATTERY ELECTROLYTE Days On Site 365 Location within this Facility Unit Map: Grid: IN STORAGE RACKS CAS# 7664-93-9 F STATE i TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average ~ LBSI 1060.00 LBS /O,F ~ HAZARDOUS COMPONENTS %Wt. Rye~sS CAS# 29.50 Sulfuric Acid (EPA) 7664939 HAZARD ASSESSMENTS TSecretNo N~SIBioHazNo Radioactive/AmountNo/ Curies FEPAHazardsp R IH DH NFPA/// IUSDOT# HiMCP = Inventory Item 0002 Facility Unit: Fixed Containers on Site t..:~lVUVlt,..)l~{ l~{_X-kl. Vil"; / ~l--J.l-';lVl.J. ~_y-k_J_~ .!.%l_X-~J. Vll-'; DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: NEXT TO GENERATOR CAS# 68476-34 -6 F STATE TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION I Largest Container ILBS Daily Maximum ~250.00~ Daily Average ~s250.00 -~ HAZARDOUS COMPONENTS 100.00 Diesel Fuel No. 2 N 68476302 HAZARD ASSESSMENTS TSecretl oRS BioHazl Radioactive/Amount EPA HazardsI NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Low -2- 11/10/1998 F GTE WIRELESS - ROSEDALE SiteID: 215-000-001303 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 10/17/1995 THIS IS AN UNMANNED SITE Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -3- 11/10/1998 GTE WIRELESS - ROSEDALE SiteID: 215-000-001303 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 10/17/1995 HAZARDOUS MATERIAL IS NOT ROUTINELY HANDLED BY PERSONNEL AT THIS SITE. CONTAINMENT OF ANY FUEL SPILL IS MADE BY A POLYETHYLENE LINER UNDER 3-6" OF STONE WHICH SURROUNDS THE BLDG AND GENERATOR LOCATIONS. THIS SITE IS REMOTELY MONITORED AND INSPECTED AT LEAST ONCE A MONTH. ADDITIONAL PROTECTION AGAINST FUEL TANK RUPTURE IS PROVIDED BY A TANK WITHIN A TANK --Release Containment -- Clean Up Other Resource Activation -4- 11/10/1998 F GTE WIRELESS - ROSEDALE SiteID: 215-000-001303 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 10/17/1995 A) GAS - NONE B) ELECTRICAL - LOCATED ON THE E SIDE OF THE BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/17/1995 PRIVATE FIRE PROTECTION - SITE HAZ 1 HALON 1211 FIRE EXTINGUISHER (CONTAINS 9 POUNDS) TO THE LEFT SIDE OF THE ENTRANCE DOORS. Building Occupancy Level 5 11/10/1998 GTE WIRELESS - ROSEDALE SiteID: 215-000-001303 Fast Format ~ Training Overall Site Employee Training -- Page 2 --Held for Future Use Held for Future Use I -6- 11/10/1998 GTE WIRELESS ROSEDALE SiteID~ 215-000-001303 Manager : ~Phone: (805) 872-2662 Location: BRICYN LN : 102 CommHaz : Low City : BAKERSFIELD id: 26A FacUnits: I AOV: CommCode: COUNTY STATION 66 SIC Code:4813 EPA Numb: DunnBrad: 0~6J078 Emergency Contact / Title Emergency Contact / Title SKIP SEVERANCE / · SUPERVISOR RICHARD DAY / PROPERTYADMIN. Business Phone: (209) 268-7878 Business Phone: (510) ..416~592 24-Hour Phone : (800) 621-2622 24-Hour Phone : (800) 621-2622 Pager Phone : (209) 246-7002 Pager Phone : (510) 838~3549 Hazmat Hazards: Fire Press React ImmHlth DelHlth Agency-Defined Topic Tttle = Hazmat Inventory One Unlfled List -- MCP+DatlyMax Order All Materials at Site BATTERY ELECTROLYTE F P R IH DH S 1060 LBS Hi DIESEL FUEL F IH DH L 250 LBS Low l that l have reviewed trna ~,~ h~a~ous materials manage- ~ent plan for~ ~~ .ano ~hal it alo~ with any ~rr~ions constituto a complete ana ~rrem men-. ~ement pl~ lor my -1- :~ - ROSEDALE SiteID: 215-000-001303 Manager : BusPhone: (805) 872-2662 Location: BRICYN LN Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 26A FacUnits: 1 AOV: CommCode: COUNTY STATION 66 SIC Code:4813 EPA Numb: DunnBrad~ Emergency Contact / Title Emergency Contact / Title Business Phone: 24-Hour Phone : ~O5) 3~6-$567x 24-Hour Phone : (800) 621-2622x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Agency-Defined Topic Title = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax lunitlMcP BATTERY ELECTROLYTE F P R IH DH S 1060 LBS Hi DIESEL FUEL F IH DH L 250 LBS Low Do hereby certify ~h~ I hay® reviewed the attached hazardous ma[e~els manags- mere plan fo~_ ~ny ~rm~ions constitute a comp~a~e and co~Fg~ ~D~~ .... agamas[ p~an for my -1- F~- ROSEDALE SitelD: 215-000-001303 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 10/17/1995 THIS IS AN UNMANNED SITE -- Employee Notif./Evacuation -- Public Notif./Evacuation Emergency Medical Plan -2- C~2~TEL CELLULAR - ROSEDALE SiteID: 215-000-001303 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 10/17/1995 HAZARDOUS MATERIAL IS NOT ROUTINELY HANDLED BY PERSONNEL AT THIS SITE. CONTAINMENT OF ANY FUEL SPILL IS MADE BY A POLYETHYLENE LINER UNDER 3-6" OF STONE WHICH SURROUNDS THE BLDG AND GENERATOR LOCATIONS. THIS SITE IS REMOTELY MONITORED AND INSPECTED AT LEAST ONCE A MONTH. ADDITIONAL PROTECTION AGAINST FUEL TANK RUPTURE IS PROVIDED BY A TANK WITHIN A TANK -- Release Containment Clean Up Other Resource Activation -3- F ~ONTEL-CELLULA~ - ROSEDALE SiteID: 215-000-001303 I Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 10/17/1995 A) GAS - NONE B) ELECTRICAL - LOCATED ON THE E SIDE OF THE BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/17/1995 PRIVATE FIRE PROTECTION- SITE HAZ 1HALON 1211 FIRE EXTINGUISHER (CONTAINS 9 POUNDS) TO THE LEFT SIDE OF THE ENTRANCE DOORS. Building Occupancy Level -4- F~D ..... ~v~,~ ..... ROSEDALE SiteID: 215-000-001303 Fast Format Training Overall Site Employee Training Page 2 Held for Future Use Held for Future Use -5- CONTEL CELLULAR - ROSEDALE Overall Site with 1 General Information ~.,~' '~¢~ Location: BRYCIN LANE Map: KEY 102; SEC 26A Hazard: City: BAKERSFIELD Grid: ~ ~ 4~ : AOV: ADMINISTRATIVE DATA Contact Name: Title: Contact Name: Title: Alan Holzman Operations Manager Atlanta Network Support Business Phone: 805-872-2662 Business Phone: 800-621-2622 24 Hour Phone: 805-396-8567 24 Hour Phone: 800-621-2622 Pager Phone: N/A Pager Phone: N/A Mail Address: 2603 Panorama Drive D&R Number: City: Bakersfield State: CA · Zip: 93306 Corem Code: SIC CODE: 4813 Owner: Contel Cellular Phone: 805-872-2662 Address: 2603 Panorama Drive State: CA City: Bakersfield Zip: 93306 Summary: CONTEL CELLULAR - ROSEDALE 02 - Fixed Container at Site Hazmat Inventory Detail in Reference Number Order 02-001 BATTERY ELECTROLYTE Liquid 1060 High > Reactive, Immed. Hlth. Delay High LBS CAS # 7664939 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: Other Daily Max. LBS Daily Average LBS Annual Amount LBS 1060.00 1060.00 1060.00 Storage Press Temp. Location Plastic Container Ambient Ambient In Storage Racks. CONC. COMPONENTS MCP GUIDE 0.0% Sulfuric Acid (FPA) High 39 02-002 DIESEL Liquid 250 Low > Fire, Immed. Health, Delay High LBS CAS # 68476302 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: Fuel Daily Max. LBS Daily Average LBS Annual Amount LBS 250.00 250.00 250.00 Storage Press Temp. Location Above Ground Tank Ambient Ambient Next to Generator CONC. COMPONENTS MCP GUIDE 100.00% Sulfuric Acid (FPA) Moderate 27 .CONTEL CELLULAR - ROSEDALE 015-010-001671 00 - Overall Site <D> Notif. / Evacuation / Medical <1 > Agency Notification <2> Employee Notifi / Evacuation THIS IS AN UNMANNED SITE. <3> Public Notif. / Evacuation <4> Emergency Medical Plan CONTEL CELLULAR - ROSEDALE 015-010-001671 00- Overall Site <F> Prev./ Minimization/Cleanup <1 > Release Prevention HAZARDOUS MATERIAL IS NOT ROUTINELY HANDLED BY PERSONNEL AT THIS SITE. CONTAINMENT OF ANY FUEL SPILL IS MADE BY A POLYETHYLENE LINER UNDER 3- 6" OF STONE WHICH SURROUNDS THE BLDG. AND GENERATOR LOCATIONS. THIS SITE IS REMOTELY MONITORED AND INSPECTED AT LEAST ONCE A MONTH. ADDITIONAL PROTECTION AGAINST FUEL TANK RUPTURE IS PROVIDED BY A TANK WITHIN A TANK CONTAINMENT. <2> Release Containment <3> Clean Up <4> Other Resource Activation CONTEL CELLULAR - ROSEDALE 015-010-001671 00- Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility_ Shut-Offs A) GAS/PROPANE - NONE B) ELECTRICAL LOCATED ON THE EAST SIDE OF THE BLDG. C) WATER NONE D) SPECIAL NONE F) LOCK BOX NO <3> Fire Protec. / Avail. Water SITE HAS 1 HALON 1211 FIRE EXTINGUISHER (CONTAINS 9 POUNDS) TO THE LEFT SIDE OF THE ENTRANCE DOORS. <4> Earthquake Vulnerability. CONTEL CELLULAR- ROSEDALE 00- Overall Site <G> Training <1> Training Record Location <2> Describe Training Program <3> Emer. Agency Coordination <4> Emer. Response Equipment CONTEL CELLULAR - ROSEDALE 00- Overall Site <H> Schools Within I/2 Mile <1> High Schools <2> Jr. High Schools <3> Elementary Schools <4> Private & Pre-Schools Prevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT THIS PERMIT IS ISSUED FOR THE FOLLOWING: Permit ID # ]01~-021-0e1303 ~,~;?~'~%-m tq Hazardous Materials Plan i ................ . ........ ~., : ~ , ~:~,,~ ........... ,. ' - ,'* [] Underground Storage of Hazardous Materials .~ ~.~** *~ ~ ~3~? ~*',,~ ' .-*'/~ ~ ~anromla ~CCloental ~mease Program 12100 BRICYN LN .~T~*" '~,;,, :ye, ~.. ~ ;[~'~ ,}}~::....' ~,%:~ ~ Hazardous Waste Generator and/or Treatment · . ~- {:'~.~:~ ~, ,-,-:~';-- ........... ~ -,/*-.,~' . T .. '*~ D Above ground Storage Storage of Petroleum IBAKERSFIELD CA 193308 /.~, ,., j~, - ,5? "'c -' ' "- , .r ~./-~,%.,~?. <¢ .... ":%, ~ Industrial Hood Suppression System I~ued by; Bake,8feld Fire Department ~,.~. 0~I~ OF P~~ON SER~5 '. ':"~:'- Approved by: ~ 1715 Chester Ave., 3rd Floor ~ph Huey, Director ,.~. ~ ?..., Bake~sRcld, CA 9330~ Prevention Se~ices Voice (661) 326-3979 ' l' : ' '~' ~ ' June 30, 2006 '*~.:.l:~ ...... ~Z (661) 852-2171 [x~lrotion Hazardous'Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ~ This _~ermit is issued for the following: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001303 [] Risk Management Program GTE WIRELESS - ROSEDALE E] Hazardous Waste On-Site Treatment ' LOCATION: 2100 BRICYN LN ..~:.,'~ ~ ',~ - ~. · ,..~ :~,~., ~,,~--~. ; '1% Issued by: Bakersfield Fire Department OFFICE OF EN~R ONMENTAL SER ~CES 1715 Chester Ave., 3rd Floor Approved by : Bakersfield, CA 93301 o~ceof~im~ic~ Voice (661) 326-3979 ~~~ F~ (661) 326-0576 Exp~tion Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ...... ¢.~'~ Materials Plan d~,~i:i ~,.~!j~:!,.;~:;~;~,~. ..... ~x.::~,~ ~?,~, round Storage of Hazardous Materials PERMIT ID# 015-0214)01303 .dii?ii :i~,i:#iil;ii::iiiiiiii?i!iiiiii!Z ..?~!!!i!!ii!!iiiiii!~:!':i!!! Program ~q "~ ..... i,. ~ ~? "'" ::'":;' .......... "~:?~ Waste GTE WIRELESS - ¢,. ",... '.~¢ ~' ~ .~7 ........ ,... '""' *'"'-'*...d ;;" .'~ii~t ". '~. ~i~'-.1?'['~¢~.lii ...................... ' '. ~,..,...-...~. '~i~ ..... OFFICE OF E~R O~3L S~ ~S 1715 Chewer Ave., 3rd [loot B~e~fiel& CA 93301 Voice (805) 32&3979 F~ (805)3Z~576 Expiration Date: .June 30, 2000' CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 FACILITY NAME ~'FC-- oo,t~.cc-c~ ~C-~oo,~: INSPECTION DATE ADDRESS 9_. ~oc.~ ~.¢~',,a ~ PHONE NO. FACILITY CONTACT BusINESS IDNO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES C.,h,o,~ ~.~,,~C--~ Section 1: Business Plan and Inventory Program · ~,..Routine [~ Combined [~l Joint Agency ~ Multi-Agency I~ Complaint [~ Re-inspection OPERATION C ¥ COMMENTS Appropriate permit on hand ~&'c c.. ¢ q"~-,n., £ 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 . Contain, ers properly labeled . . Housekeeping Fire Protection Site Diagram Adequate & On Hand ", C=Compliance V=Violation Any hazardous·waste on site?: 'l~l Yes ~..No Questions regarding this inspection? Please callus at (661) 326-3979' . Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: , ~-~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST EnironmenteJ Sez~dces .. ................ .............. , ,,,, j, , , , ,,,,,,, i 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield. CA 93301 Tel: (661)326-3979 ] FACILITY NAME I INSPECTION DATE }ADDRESS U~,. -~_Z_0 $~ction ~' Business ~lan and In~,nto~ Pro, mm O Routine r'l Combined ~ Joint Agency ~] Multi-Agency I~l Complaint ~ Re-inspection C V /C:Comp,ano~l OPERATION COMMENTS ~. V=Violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ~ P~OPER SEGREGATION OF MATERIAL -~- VERIFICATION O~ MSDS AV*ILABILI~E ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEOURES ................................................................................................... --~ EMERGENCY PROCEDURES ADEQUATE S~TE DtASRA~ A~EQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~] YES /=1 No EXPLAIN: QUESTIO/I/~i/REGARDING, THIS. INSPECTION? PLEASE CALL US AT (661) 326-3979 While - Environmenlal Se~i~s Yell~ - ~t~n ~py Pink - Business Copy �4 BAKERSFIELD FIRE DEPT. Prevention Services R- F. R. $ .F.. L n UNIFIED PROGRAM INSPECTION CHECKLIST FIRE - 2101 H Street :,.:::< Bakersfield CA 93301 HaZ -Mat BUSIn @SS Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661).852-2171 • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) FACILITY NAME INSP CTION ATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES €' I„ P4) FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance) OPERATION COMMENTS V= Violation -� ❑ VISIBLE ADDRESS (CFC:505.1, BMC: 15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) 3 ❑ — ;BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ El VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) _ ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR:. 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Si nature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) BAKERSFIELD FIRE DEPT. p Prevention Services B...... E...._R...._s...._F...._!... ... _n 2101 H Street FIRE r M T AR T Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 NSPE TION ATE, INSPECTION TIME 2� 'HON NO. NO OF EMPLOYEES 3USINESS ID NUMBER ' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C y = ompiance OPERATION V= violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010 4 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofRecei t Explain: Inspector• POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8H14) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan IMAMAA'I.AM BMERSFIELD FIRE DEPT; 1V VVi ■r►■ ■ FACILITY NAME E Q INSPE TIO DATE '~ 1 ) INSPECTION TIME Q(- Z '�-Fa L �cS.S . - —. L APPROPRIATE PERMIT ON HAND (BMC:15.65.080 ) BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ADDRESS PHONE NO. NO OF EMPLOYEES BUSINESS ID NUMBER FACILITY CONTACT Consent to Inspect Name/Title A ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gompliance OPERATION V =Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC:15.65.080 ) BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 3010001 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (GBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 - SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ff YES VS NO Sienature ofReceipt Explain: Inspector: U\ C— -% POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection FACILITY NAME ki �tZ i Z tom: INSPECTION ATE < 5--- ze, INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS ID NUMBER FACILITY CONTACT CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 Consent to Inspect Name/Title 5 F Section y , Business Plan antl Inventory Progr♦am ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ M. ULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V G=Uompliance OPERATION V =Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 ` �CJ VERIFICATION OF QUANTITIES (CCR: 2729.4) VERIFICATION OF LOCATION (CCR: 2729.2) 1010006 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES "',�0 i natureofReceipt Explain: Inspector: 6 /4t2 0 N e__ � POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept_ Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Station Copy Pink — Prevention Services Signature (that all violations have been corrected as noted) Date FD2155 (Rev 9/2017)