HomeMy WebLinkAboutUST-MONITORING CERT. 4/14/2004 PACIFIC BELL BKFDCA15 SAl14 '~17~"'- t 0 =~q ~ 0A~ 11/07/2000
~9RBBB ~501 COLUMBUS AVE. BAKERSFIELD ~ C00B 9~01 NOT TO SGALE
~ S~BOL LEGEND
SHUT-~
NA~RAL GAS~
SHUT-~
~ WA~ ~UT-o~
~ EMERGENCY PUMP'
SHUT-O~
/ ~ TANK MONITORINGA~RM
~ ~PHONE
/
~ FIRST AID KIT
/
~ ERE EX~NGUISHER
/ ~ STORM DRAIN
/
~ SANITARY SE~R
/ ~ STAGING ARE~
~ACUA~ON/
/ ~LOCA~HMMP' AND M~S
EMER~NCY REPONS[
EQUIPMENT/ABSORBEN~
/ ,
/ m COLOCA~ON ~ ~ ~ ABO~GROUND
STORA~ T~K
/ m AREA (~-~1 UNDERGROUND
~ I ~ ~--~ STORA~ TANK
~ ~ L ] ~ MOTOR OILS ~ LUBRICAN~
/ m, I ~ ~ BARRY E~CmOL~
(CORROSI~ UQUID
[-] ~ I ~GASmNE
(~MABLE UeU~DS)
J ] (90MPRESSED GAS)
~ ~ ~ PROPANE
(~MAB~ UQUID)
~ AN~EE?E/cOOLAN~
WASE OIL
· (~aAB~ UeU~D)
ACIFIC ~ BELL I SITE MAP
BUS]]~ESS Nkl~ PACIFIC BELL BKFDCA13 SAl14 DA~ 12/51/96 D~G SC~
BUS.SS ~D~S 3501 COLUMBUS AVE. BAKERSFIELD ZIP CODE 95301 NOT TO SCALE
/ SYMBOL LEGEND
SHUT-O~
NA~RAL OAS
SHUT-O~
WA~R SHUT-O~
EMER~NCY PUMP
...... SHUT-~
~ ~PHONE
/
/
~ n~¢ EX~N~U~
3 ~ STORM DRNN
~ SANIT~Y S~R
/
EVACUA~ON/
4 / ~ HMMP, AND M~S
LOCA~ON
E~IPM~T/ABSORB~
STORAGE TANK
I~-~) UNDER~OUND
~ ~--~ STORAGE TANK
MOTOR OI~ · LUBRICAN~
(COMBUS~B~ U~DS)
E~C~OL~
G~OMNE
(COMBUS~B~ U~IDS)
7 I ~ ~ (~P.EmD OAS).
PROP~E
8
· (~MM~ UQUID)
~ RRE PU~ BOX
9
PACIFIC~]BELL. ($A-114) DA~ 8/07/$6 FACILITY STORAGE MA? SCALg 1":60'
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PACIFICal]BELL. (SA-114) DA'I~ 8/07/80 FACIL'I'TY S'I'ORAGIg ~? SCALg 1"=60'
UST Construction · Design · Maintenance · Compliance
May ] 0,'2004
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
E-Cerfified No,F' 91 7108 2133 3930 8585 7380'1
Mr. Ralph Huey
City of Bakersfield Fire Department
Protection Services
900 Truckston Ave.
Bakersfield, CA 93301
RE: Pacific Bell Sites & CLLC Codes:
13501 Columbus Ave, Bakersfield Geo Par: SA-114 CLLC: BKFDCA13
Dear Mr.' Huey:
Enclosed are the following forms for the above-referenced facilities:
· Monitoring System Certification
· Spill/Overfill Containment Form
Feel free to call if you have any questions.
Very Truly Yours,
ALAN THROCKMORTON
Compliance Manager
AT:clb
Enclosure
:\tes\pb2004\letters\kem\huey.r3 '
CC: Andy Taylor
Harry Dyck (Post At Site)
CA Lic #588098'o AZ Lic #095984 ° NV Lic #0049666
1863 North Neville Street o Orange, California 92865 o 714.560.8222 o 714.685.0006 Fax
3283 Luyung Drive o Rancho Cordova, California 95742 · 916.858.1090 o 916.858.1011 Fax
www. SB989.com
MONITORING SYS 'EM CERTIFICATION
For Use By All Jurisdictions Within the State of California
AUthority Cited.'- Chapter 6. 7, Healih and Safety Code; Chapter 16, Division 3, Title· 23, California Code of Regulations
This'form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be
prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be
provided tO the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating
UST sYstems within 30 days of test date.
A. General Information
Facility Name: SBC CEO PAR # SA-114 CLLC Code: BKFDCAI3
Site Address: · 13501 COLUMBUS AVENUE. City: BAKERSFIELD Zip:
Facility Contact Person: LINDA PORTER Contact Phone No.: 818-908-6044
Make/Model of Monitoring System: VEEDER-ROOT TLS-350 Date of Testing/Service: 4/14/04
B. Inventory of Equipment T~stmt/C~rtifie~l
Check the appropriate boxes to indicate specific equipment ins ~ected/serviced:
Tank ID: 334 Tank ID:
I~In-Tank Gauging Probe: Model: 847390-107 I-lin-Tank Gauging Probe: Model:
[~Annular Space or VaUlt Sensor: Model: ' 794390-420- --- -l~Ann~l~TS~-a~6 o~ X¢huk Sensor ~ Model:
[5~Piping Sump/Trench Sensor (s): Model: 794380-352 I-']Piping Sumpfrrench Sensor (s): Model:
UlFill Sump Sensor(s): Model: []Fill Sump Sensor (s): Model:
FlMechanical Line Leak Detector. Model: [~Mechanical Line Leak Detector. Model:
[]Electronic Line Leak Detector Model: []Electronic Line Leak Detector Model:
[]Tank Overfill: Model: 790091-001 []Tank Overfill/High-level Sensor: Model:
[]Other, Specify equip, type and model in Section E on Page 2 []Other, ~e and model in
Tank ID: Tank ID: .
[]In-Tank Gauging Probe: Model: Flirt-Tank Gauging Probe: Model:
[]Annular Space or Vault SensOr: Model: []Annular Space or Vault Sensor Model:
F1Piping Sump/Trench Sensor (s): Model: F1Piping Sump/Trench Sensor (s): ·Model:
[]Fill Sump Sensor (s): Model: []Fill Sump Sensor (s): Model:
[]Mechanical Line Leak Detector. Model: []Mechanical Line Leak Detector. Model:
F1Electronic Line Leak Detector Model: []Electronic Line Leak Detector Model:
F1TankOverfill/High-level Sensor: Model: []Tank Overfill/High-level Sensor: Model:
[]other, Specify equip, type and model in Section E On Page 2 and·model in Section E on
Dispenser ID: Dispenser ID:
[]Dispenser Containmen~ Sensor(s): Model: F1Dispenser Containment Sensor(s): Model:
[3 Shear Valve(s). [3 Shear Valve(s).
[]Dispenser Containment Float(s) and Chain(s) []Dispenser Containment Float(s) and Chain(s)
Dispenser ID: Dispenser ID:
[]Dispenser Containment Sensor(s): Model: []Dispenser Containment Sensor(s): Model:
JT'l~Shear Valve(s). ' []_Shear_Valve(s)
[]Dispenser Containment Float(s) and Chain(s) []Dispenser Containment Float(s) and Chain(s)
Dispenser ID:. Dispenser ID: .
[]Dispenser Containment Sensor(s): Model: []Dispenser Containment Sensor(s): Model:
[] Shear Valve(s): [] Shear Valve(s).
[]Dispenser Containment Float(s) and Chain(s) and
· If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility.
C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the
manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that
this information is correct and a Plot Plan showing the layout of monitoring ·equipment. For any equipment capable of generating
such.reports, I have also attached a copy of the report; (check all that apply): [] System set-up [] Alarm history
report
Technician Name (Print): DON S. THOMPSON Signature: . '~,
Certification No.: 3344 License No.: . 58~[0'~f8r ....
Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-82~2
Monitoring System Certification ,, ,~,
Site Address: SBC, 13501 COLUMBUS AVENUE, BAKERSFIELD Date of Testing/Servicing: 4/14/04
D. ResUlts of Testing/Servicing
Software Version Installed: 120.00 '
Complete the following checklist:
[] Yes [] 'No* Iithe audible alarm operational?
[] Yes [] No* Is the visual alarm operational?·
[] Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational?
[] Yes [] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere 'with their proper operation?
[] Yes [] 'No* If alarms are relayed to a remote monitoring station, is all communicatiOns. equipment (e.g. modem)
[] N/A operational? ..
[] Yes [] No* For pressurized piPing systems, does the turbine automatically shut down if the piping secondary containment
[] N/A monitoring system detects a leak, fails t° operate, or is electrically disconnected? If yes:. which sensors initiate
positive shut-down? (Check all that apply) [] ·Sump/Trench Sensors; [] Dispenser Containment Sensors.
· Did you confum positive shut-down due to leaks and sensor failure/disconnection? [] Yes; [] No.
[] Yes [] No* For tank systems that utilize the m0nit0~rin~ sYst~em ?s the pr! _n?-ary-. tank oye_rfill warning devi?e. (i.e'. _n_o
[] N/A mechanical overfill prevention Valve is installed), is the overfill warning alarm visible and audible at the tank
fill point(s) and operating properly? If so, at what percent Of tank capacity does the alarm trigger? 95%
[] Yes* []. No Was any monitoring equipment·replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
[] Yes*- [] No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)
[] Product; [] Water.· If yes, describe causes in Section E, below.
[] Yes [] No* was monitoring system set,up reviewed to ensure proper settings? ~
[] Yes [] No* Is all monitoring equipment operational per manufacturer's specifications?
* In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments:
Page 2 of 3
Site Address: SBC, 13501 cOLUMBUS AVENLrE, BAKi~RSFIELD Date of Testing/Servicing: 4/14/04
F. In-Tank Gauging / SIR Equipment: [] check this box if tank gauging is used only for inventory
control.
" [] Check this box if no tank gauging'or SIR equipment is
· installed. ·
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
[] Yes [] No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
[] Yes [] No* Were all tank gauging probes visually inspected for damage and residue buildup?
[] Yes [] N°* Was accUracy of system product level readings tested? 'i
[] Yes [] No* Was accUracy of system water level readings tested?
[] Yes [] No* Were all probes reinstalled properly?
[] Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed?
· In the Section H below, desCribe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD): [] Check this box ifLLDs are not installed.
Complete the following checklist:
'[] Yes [] No* F Jr equipment start-up or annual equipment CertificatiOn, was a leak simulated to verify LLD performance?
[] N/A (Check all that apply) Simulated leak rate: []3g.p.h.~; [] 0.1g.p.h.2; [] 0.2 g.p.h.2
Notes: 1. Required for equipment start-up certification and annual certification.
2. Unless mandated by local agency, certification required only for electronic LLD start-up.
[] Yes [] No* Were all LLDs confn-med operational and accUrate within regulatory requirements?
[] Yes [] No* Was the testing apparatus properly calibrated? I
[] Yes [] .No* For mechanical LLDs, does the LLD restrict Product flox~ if it detects a leak?
[] N/A
[] Yes [] No* For electronic LLDs, does the turbine automatically shut offifthe LLD detects a leak?
[] N/A
[] Yes [] No* ! For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
[] N/A or disconnected?
[] 'Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system
[] N/A malfunctions or fails a test?
[] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected?
[] N/A
[] Yes: [] No* Were all items on the equipment manufacturer's maintenance checklist completed?
· In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Site Address! SBC, 3501 COLUMBUS AVE., BAK, ERSFII}LD Date of Testing/Servicing: APR J. 4 2[I[~/~.
Monitoring System Certification
UST Monitoring Site Plan
Date map was drawnl
Instructions
If you already have a diagram that. shows all required information, you may include it, rather than this .page, with
your Monitoring System Certification. On your site plan, show the general layout-of tanks and Piping. Clearly
· identify locationS of the fOllowing equipment, if installed: monitoring system control panels; sensors monitOring
tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or
electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note
the date this Site Plan was prepared.
Page __ of__
Secondary Containment Testing RepOrt Form
This form is intended for use by contractors Performing periodic testing of UST secondary containment systems. Use the appropriate pages of
heiS form to report results for all components tested. The completed form, written test procedures, and printouts from tests (if applicable), shoul¢
provided to the facility owner/operator for submittal to the local regulatory agency. '
I 1. FACILITY INFORMATION CLLC: BKFDCA13 GEO PAR: SA-114
Facility Name: SBC I Date of Testing: 4/14/04
Facility Addressi 13501 COLUMBUS AVENUE ROAD, BAKERSFIELD
Facility Contact: LINDA PORTER I Phone: 818-908-6044
Date Local Agency Was Notified of Testing: 48 HOURS PRIOR
Name of Local Agency Inspector (if present during testing): BAKERSFIELD FIRE
· 2. TESTING CONTRACTOR INFORMATION
Company Name: TAIT ENVIRONMENTAL SYSTEMS
Technician Conducting Test:. DON S. THOMPSON
Credentials: [] C$/B licensed Contractor SWRCB Licensed Tank Tester
License Type: AASB HAZ B C-10 I License Number: 588-098 .
Manufacturer Training
Manufacturer Component(s) 'Date Training Expires
EBW
3. SUMMARY OF TEST RESULTS
Component Pass Fail Not Repairs
Tested Made Component Pass 'Fail Not Repairs'
Tested Made
Diesel Fill []
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal
requirements
Technician'sSignature: ~ ' '~'~
Date:__4/14/04
4. SPILL/OVERFILL~ CONTAINMENT BoxEs
Facility is Not Equipped With Spill/Overfill Containment Boxes
_S:pill/Overfill Containment Boxes are Present, but were Not Tested
q3est Method Developed By: Spill Bucket Manufacturer [] Industry Standard' Professional Engineer
! Other (SpecifY)
Test Method Used: Pressure Vacuum [] Hydrostatic
Other (Specify) '
Test Equipment Used: Marker/Visual EquiPment Resolution: N/A
Spill Box #
Spill Box # Spill Box # Spill Box #
Bucket Diameter: 12"
Bucket Depth: 12"
Wait time between applying
pressure/vacuum/water and 5 minutes
starting test:
Test start Time: 8:00
Initial Reading (Ki): 5 ....
Test End Time: 9:00
Final Reading (RF): 5"
Test Duration: 1 hour
Change in Reading (RF-R~): 0
Pass/Fail Threshold or 0
Criteria:
C6mments - qnclude information on rePairs made prior to testing, and recommended follow-UP for failed tests)
C £>MMUN I CRT I ONE SETUP
SYSTEM SETUP
.............. PORT SETT I NC;S '.
APR !4. 2004 8:59 AM
COP1M BOARD : 1 (FXIdOD)
BgUD RgTE : 1200
P~RITY : ODD
SYSTEM UNITS STOP BIT : 1 ~TOP
U.S. DgTg LENGTH: 7 DgT~
· SYSTEM LANGUAGE RS-232 SECURITY
ENGLISH CODE :
SYSTEM DATE/TIME FORMAT DIAL TYPE : TONE
":' MON DD YYYY MM:MM:SS xP1 ANSWER ON : 1 RING
' MODEM ~ETUP STRING :
PB BKFDCA13 o.._~14
PB.BKFDCA1S SA-'!1'4 3501 COLUMBUS DIAL TONE INTERVAL:
: ~501 OOLUMBUS BAKERSFIELD CA 93306
BAKERSFIELD CA 93306 661 873-1204
661 872-1204 RECEIVER SETUP:
" SHIFT TIME 1 : 6:00 AM
· ~__ APR 14. 2004 8:59 Ah SHIFT TIME 2 : DISABLED
SHIFT TIME 3 : DISABLED D I:EMOC
SHIFT TIME 4 : DISABLED 1800-450-0241
RGVR TYPE: FACE I M I LE
SYSTEM STATUS REPORT TANK PER' TST NEEDED WRN PORT NO: 1
............ DISABLED. RETRY NO: 99
, .'ALL FUNCTIONS NORMAL TANK ANN TST NEEDED [~RN RETRY DELAY: 10
D I SABLED C:ONF I RMAT I ON REPORT: ON
INVENTORY REPORT
LI NE RE-ENABLE '~IETHOD D 2 :ALARM MONITORING CO
PASS LINE TEST 17145608237
T I:DIESEL TANK 931 ~CV~ TYPE: FACSIMIILE
= ,o~L._, LiNE PER TST NEEDED WRN NO 1
VOLUME 746 ..... c. PORT :
, '" ' · ' RETRY NO: 99
ULLA~E = 254 GALS DISABLED
90~ ULLAGE= 154 GALS LINE' ANN TST NEEDED WRN RETRY DELAY: 10
TC VOLUME = 742 GALS DISABLEr) CONFIRMATION REPORT: OFF
HEIQHT = 37.72 INCHES
WATER VOL = 0 GALS PRINT TC VOLUMES
WATER = 0.00 I NGHES ENABLED
TEMB = 69.7. DEG' F
· .- TEMP COMPENSATION
: VALUE (DEC F ): 60.0
~ ~ ~ ~ ~ END ~ ~.~ ~ ~ STIOK HEIGHT OFFSET
HEIGHT
DgVLI¢HT ~gVING TIME gUTO DIgL TIME SETUP:
ENgBLED
~T~RT DgTE
gPR ~EEK 1 ~UN D 1
START TIME DIgL ON D~TE
2:00 gM OgN 9, 2001
END DhTE DI~L TIME : DISABLED
OCT ~EEK ~ ~UIq RECEIVER REPORTS:
END TIME SYSTEM STgTUS
2:00 ~M PRIORITY HISTORY :
i Iq-TgNK STgTUS :
RE-DIRECT LOC:gL PRINTOUT I NVENTORV
D I SgBLED
D 2 :~LgRM MOIqI TOR I NG CO
EURO PROTOCOL PREFIX DIgL ON DgTE
S ,3~Iq 9, 2001
DIAL TIIdE: DISRBLED
RECEIVER REPORTS:
SYSTEM STATUS :
, ,PR I OR I TY H I STORY :
I N-TANK STATUS :
INVENTORY :
IN-TAN}( SETIJP LEAK TEST METHOD
TEST CSLD : ALL TANK
T I:DIESEL TANK 921 Pd = 95%
PRODUCT CODE : 1 CLIMATE FACTOR :MODERATE
THERMAL COEFF :.000450 TST EARLY STOP:DISABLED
TANK D I AMETER : 54. O0
TANK PROFILE : I PT LEAK TEST REPORT FORI~AT
FULL VOL :' 1.000 ENHANCED·
RS-232 END OF MESSAGE
DISABLED FLOAT S I ZE; 4.0 I N.
AUTO DIAL ALARM SETUP WATER WARNING : 1.0
- -' ..... · .... HIGH WATER LIMIT:
D 1 :EMCC. MAX OR LABEL VOL: ~1'000
II~-TANK 'ALARMS OVERFILL LIMIT : 90~
: 900
ALL: LOW PRODUCT .ALARM H I GH PRODUCT :
ALL:PROBE OUT : 950 LIQUID SENSOR SETUP
ALL:DELIVERY NEEDED DELIVERY LIMIT ; 70% ..........
LIQUID SENSOR ALMS ; 700 L i:AIqNULAR
· ALL:FUEL ALARM LOW PRODUCT. : 500 TRI-STATE (SINGLE FLOAT)
ALL:SENSOR OUT ALARM LEAK. ALARM LIMIT: 99 CATEGORY ; ANNULAR SPACE
ALL:SHORT ALARM SUDDEN LOSS LIMIT: 9'9
ALL ;WATER 'ALARM
ALL:WATER OUT ALARM TANK TILT ; 0.00
ALL; RI GH L I OUI D ALARM MAN I FOLDED TANKS L 2: SUMP SENSOR
ALL:LOW LIQUID ALARM
ALL :LIQUID WARNING T~: NONE DUAL FLT. DISCRIMI NATI NC;
CATEGORY : PIPING SUMP
D 9:ALARM MONITORING ~-;0 LEAK MIN PERIODIC:
': 800
I N-TANK ALARMS
ALL:LOW PRODUCT ALARM.
ALL:PROBE OUT LEAK MIN ANNUAL : @0~
, : 800
ALL: DEL I VERY NEEDED
LIQUID SENSOR ALMS
ALL: FUEL ALARM PER I OD I C TEST TYPE
ALL :SENSOR OUT ALARM STANDARD
ALL :SHORT ALARM
ALL:WATER ALARM ANNUAL TEST FAIL
ALL:WATER OUT ALARM 'ALARM DISABLED OUTPUT RELAY SETUP
ALL:HIgH LIQUID ALARM .......
ALL:LOW LIQUID ALARM PERIODIC TEST FAIL
ALL: L IQU I D 'WARN I NG ALARM D I SABLED R 1: OVERF ILL ALARM
GROSS TEST FAIL . TYPE:
ALARM DISABLED STANDARD
NORMALLY OPEN'
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF I N-TANK ALARMS
: ALL: OVERF ILL ALARM
TANK TEST NOTIFY: OFF P~LL:HIGH PROr~UC.'.T ALARM
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 5 MI.N:'
ALARM H'ISTORY REPORT
.... I N-TANK ALARM .....
.'T I:DiESEL TANK 921
SETUP DATA WARNING
RECORC I L I AT 1 ON SETUP OVERF ILL ALARM
......... APR 14, 2004 8:4] AM
OCT QO. 2002 8:~9 AM
AUTOMAT I C DA I LY CLOS I NG LOW .PRODUCT ALARM
TIME: 2:00 AM APR 14, 2004 '8:39 AM
PERIODIC RECONCILIATION
MODE: MONTHLY HIGH PRODUCT ALARM
. APR 14, 2004 8:40 AM ALARM HISTORY REPORT
' ' APR 16, 200~ 8:19 Aid
TEMP COMPENSATION APR 9, 2002 l l :57 AM ..... ~ENBOR ALARM .....
STANDARD L 2 :~UMP SENSOR
B~ ~LO_T FUEL METER TANK PROBE OUT P IPI NG SUMP
_ APR 14, 2004 8:~9 AM HIGH LIQUID ALARM
APR 16, 200~ 8:19 AM APR 14, 2004 8:50 AM
TANK MAP EMPTY JAN 9.. 2001 1:13 PM
HIGH LIQUID ALARM
APR 14, 2004 8:49 AM
DELIVERY N~EDED
APR 14, 2004 8:39 AM HIGH LIQUID ALARIfl
APR 16, 2003 8:18 AM APR 16, 2005 8:15 RM
JUN 19, '-'OOO 7:09 AM
MAX PRODUCT qLARM
APR 14, 2004 8:40 ~M
APR 16, 200~ 8:19 aM
SOFTWARE REVISION LEVEL APR 9, 2002 l l :57 AM
VERSION 120.00
SOFTWARE~ $46'12O-~ O0=A
CREATED - 00,07.28.~5.~
s-MODULE~ BBO160-002=A ~
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
· ANNUAL IN-TANK TEST~
'cSLD
ALARM HISTORY REPORT
SENSOR aLARM .....
ALARMHISTORY REPORT OTHER SENSORS
..... SYSTEM ALARM ---:-
P~PER OUT ALARM HISTORY REPORT
FEB 28, '2004 6:00 AM
PRINTER ERROR' SENSOR aLARM
APR 14, 2004 8:56 AM L I:ANNULAR
BATTERY IS OFF ANNULAR SPACE
JAN 1, i996 8:00 AM FUEL ALARM
APR i4, 2004 8:50 AM
FUEL ALARM
APR 16J 2003 8:i4 mM
NOV 26. 2002 9:'?~ AM
SBC ~SAll4 SiteID: 015-021-000896
Manager : Ft~ L,~douPor4-e/- BusPhone: -(6'6~1~ :87±-~011.
LocatiOn: 3501 COLUMBUS ST Map : 103 CommHaz : Low
City : BAKERSFIELD' Grid:' t5D ~FacUnits: .1 AOV:
'CommCode: BAKERSFIELD STATION 08 'SIC Code:4813
EPA Numb: DunnBrad:10-340-1618
,EmergeJcy Contact / Title Emergency Contact / Title
L~nda Porter / FACILITY MGR .EMERG CONTROL CTR / 24 HR
Business Phone: (818) '908-6044x Business Phone: (877) 322-4722x
24-Hour Phone..: (877). 823-9833x '24-Hour Phone : (877) 823-9833-x
Pager Phone : ~ Pager Phone : ( . ) x
Hazmat Hazards: . RSs Fire React ImmHlth
Contact : MATTHEW/HOPWOOD Phone: (925) 824-5784x
MailAddr: 2600 CAMINO-RAMON 3E000T State: CA
City .' SAN RAMON Zip : 9458.3-0995
Owner SBC Phone: (877) 823-9833x
Address : PO'BOXy5095 3E000 ,State: CA'
City : SAN RAMON Zip : 94583-0995
PeKiod : to' TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: Yes
ParcelNo: '
Emergency Directives:'
/, /_j ~J~. Do hereby certify tha~ I have
r~,~.'.~ve(~ ~he a~ached hazardous mmeriais man~
ment plan for ~ ~ ~ a~d t~t it ~ong with
any co~ions ~ns~u~e ~ ~mPlet~ an~ ~rr~ man-
agement plan for ~y f~cility,
' g!g.~ure ·
-1- 04/14/2004
SBC #SAll4 SiteID: 015-021-000896
STORAGE CONTAINER DATA (UST FORM A)
Last Action Type:
FAcILiTY/SITE INFORMATION
Business Name: SBC #SAll4
Cross Street :
Business~Type: ~ Org Type:
Total Tanks : 1 IndnRes/Trust: No PA Contact:
~PROPERTY OWNER INFORMATION
Name : EMERG CONTROL CTR Phone: 877) 322-4722x
Address:
City : ~State: Zip:
Type : CORPORATION
TANK oWNER INFORMATION
Name .: EMERG CONTROL cTR- Phone: 877) 322-4722x
Address:
City : State: Zip:
Type. -:
BOE UST Fee# : 031914
Financ'l Resp: SELF INSURED
~Legal'Notif : Tank Owner Mailing Address
Date:08/12/1997 Phone: (800) 757-6575x
Name:ARMI STRICKLA~D Ttl:ENVIRONMENTAL ASSOCIATE
State UST # : 1998 Upg Cert#: 00791
SBC #SAll4 ~SiteID: 015-021'-000896
~ Hazmat Inventory ~By Facility Unit
MCP+DailyMax Order Fixed Containers on Site
Hanmar Common Name~.. ISpocHazlEPA HazardsI Frm I DailyMax iUnitIMcP
SULFURIC AcID (BATTERIES) R IH L 758.00 GAL Hi
DIESEL FUEL- #2 F IH L 1250.00 GAL Low
-3- 04/14/2004
~ SBC #SAll4 SiteID: 015~021-000896
~ Inventory item 0002 .Facility Unit: Fixed Containers on'Site
-- COMMON NAME / CHEMICAL NAME
SULFURIC'ACID (BATTERIES) '~, - Days on, site:,
· "' 365
Location Within this Facility Unit Map: Grid:
lST FLOOR . CAS#
7664-93-9
F. STATE ~ TYPE? PRESSURE TEMPERATURE CONTAINER TYPE
Liquid /Mixture I Ambient I Ambient PLASTIC CONTAINER
AMouNTs AT THIS LOCATION
Largest Container Daily MaXimum Daily Average.
· . 15.00 GAL 758.00 GAL 758.00 GAL
'HAZARDOUS COMPONENTS
'30.00 Sulfuric,Acid (EPA) No 7664939
TSecret RS BioHaz. Radioactive/Am°unt EPA Hazards NFPA ~'USDOT# MCP
No Yes No .No/ Curies R IH / / / Hi
.. MISC. LOCAL AGENCY DATA
Ag. Definedl: . Ag.Defined2: Ag. Defined3: Ag. Defined4
Ag. Defined5: : Ag.Defined6: Ag.Defined7:
Ag. Defined8: Ag.Definedg:~ Ag.Definel0:
-- Ag.Definell
~-4 04/.14/20'04
: SBC #SAll4 ~ SitelD: 015-021-000896
~ Inventory item 0001 Facility Unit:-Fixed containers on Site 7
-- COMMON N~E / CHEMICAL NME
DIESEL FUEL #2' Days On Site
365
Location within,~this Facility Unit Map:l' Grid:D6 '
~NE SIDE bF LOT CAS#
68476-34-6
L_quid.~Pure ' A~ient A~ient ~DER GRO~D T~K
' · ~O~TS 'AT THIS LOCATION
I Largest Container ' I - Daily Maximum · Daily Average
· 1000.00 GAL ' 1250.00 GAL 1000.00 GAL
%Wt. - RS CAS#
100.00 Diesel Fuel No. 2 · N° ' .684'76302
TSecret RS BioHaz '~ZARD ASSESSMENTS I I
Radioactive/Amount EPA Hazards NFPA USDOT# MCp
No ' No.l.,No No/ Curies F IH / / /' ~ Low
MISC..LOCAL AGENCY DATA
Ag.Definedl: Ag.Defined2~: Ag.Defined3: A~.Defined4:
Ag. Defined5: Ag. Defined6: A~.Defined7,:
Ag. Defined8: Ag. Definedg: Ag.Definel0:
-- A~.Definell
-5- 04/14/2004
SBC #SAll4 SiteID: 015-021-000896
~ Inventory Item 0001 Facility unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY~DEFINED) Page i of 2
Last Action Type:
Location In Site: NE SIDE OF LOT
TANK DESCRIPTION
Tank ID#: 334~ Mfr: JOOR Compart Tank: N
Installed: 07/1987 Capacity: 1000 Gals No. Of Comparts:
Additional Info: TANK USED FOR BACK UP POWER SUPPLY FOR GENERATOR
TANK CONTENTS
Tank Use: MOTOR VEHICLE FUEL Petrol Type: DIESEL
Matl Name:DIESEL FUEL #2 Cas #: 68476-34-6
TANK CONSTRUCTION
Type : DOUBLE WALL
Material(p): STEEL CLAD.W/FIBERGLASS R. P.
Material(s): STEEL CLAD W/FIBERGLASS R. P.
Lining : UNLINED Installed:
Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed:
Spill Cnt : 1987 'Alarm : Exempt: No
Drop Tube : 1987 Ball Float :
St~riker Plate: 1~87 ~ Fill Tube S/O: 1987
TANK LEAK DETECTION
Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING
TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE
Last Used: Qty Remaining: Was Filled: No
-6- 04/14/2004
SBC #SAll4 SiteID: 015-021-0'00896
.Inventory Item 0001 Facility Unit: Fixed Containers on Site
STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED). Page
2
of
PIPING CONSTRUCTION
~" UnderGround PiPing - ~ AboveGround Piping
Type.: SUCTION
Const: DOUBLE WALL
' Mfgr : UNKNOWN ,.
Corr :
Prot : ."FLEX".
PIPING LEAK DETECTION
UnderGround Piping AboveGround'Piping
AuToMATIc LEAK DETECTORS
'DISPENSER CONTAINMENT
Installed: Type: NONE
OWNER/OPERATOR SIGNATURE
Date: 06/07/2000
Name:ARMI STRICKLAND 'Ttl:ENVIRONMENTAL ASSOCIATE
Prmt Number.: 0896 Approved: Yes Expiration Date: 06/30/2006
AGENCY DEFINED
TANK/LiNE TEST : ~
CP CERT. :04/10/1997 QUARTERLY
MANWAY INSP. :07/01/1999
UST~MONIT.' CERT:04/16/2003
',~ " -7- 04/!4/2004
SBC #SAll4 SiteID: 015-0'21~000'896
Manager' : HARRY DYCK BusPhone: (661) 871-0011
Location: 3501 COLUMBUS ST ~ 1~ ~ Map : 103 CommHaz : Low
City. : BAKERSFIELD Grid: 15D FacUnits: 1 AOV:
C0mmCode: BAKERSFIELD STATION 08 SIC Code:4813
EPA Numb-: DunnBrad:10-340-1618
Emergency Contact / Title Emergency Contact / Title
HARRY DYCK / FACILITY MGR EMERG CONTROL CTR / 24 HR
Business Phone: (559) 454-3003x Business Phone: (877) 322-4722x
24-Hour Phone :' (877) 823-9833x 24-Hour Phone : (877) 823-9833x
· Pager Phone : (559) :-~~~q~ ~' Pager Phone : ( ) - x
Hazmat Hazards: RSs Fire React ImmHlth
Contact : MATTHEW HOPWOOD Phone: (925) 824-5784x
MailAddr: 2600 CAMINO. RAMON 3E000T State: CA
City : SAN RAMON Zip : 94583-0995
Owner SBC Phone: (877) 823-9833x
Address : PO BOX 5095 3E000 State: CA
City : SAN RAMON Zip : 94583-0995
Period : to TotalASTs: ~ = ~gO Gal
Preparer: TotalUSTs: I = !O~O Gal
Certif'd: ~~SON Res: Yes
ParcelNo:
Emergency Directives:
STEVE SKANDERSON
I, ~ hereby certify that I have
rrv.e er ~r. na,~e)
~®~,sd ~hs a~ached h~ardous mmedals manage-
~n~ p~n ;or ~ and t~t it ~ong ~i~h.
(~e ~ 8~) - '
~Y ~i~ns ~nsfitu~e a ~mpi~ and.~rr~ man-
~ms~ plan for my fedli~.
-[- 09/15/2003
SBC #SAll4 SiteID: 015-021-000896
STORAGE CONTAINER DATA (UST FORM A)
Last. Action Type:
FACILITY/SITE INFORMATION
Business Name: SBC #SAll4
Cross Street
Business Type: Org Type:
Total Tanks : 1 IndnRes/Trust: No PA Contact:
PROPERTY OWNER INFORMATION
Name : EMERG CONTROL CTR Phone: (877) 322-4722x
Address
-City : State: Zip:
Type : CORPORATION
TANK OWNER INFORMATION
Name : EMERG CONTROL CTR Phone: (877) 322-4722x
Address:
City : State: Zip:
Type :
BOE UST Fee# : 0-31914
Financ'l Resp: SELF INSURED
Legal Notif : Tank Owner Mailing Address
Date:08/12/1997 Phone: (800) 757-6575x
Name:ARMI STRICKLAND Ttl:ENVIRONMENTAL ASSOCIATE
State-UST # : 1998 Upg Cert#: 00791
2 09/15/2003
F SBC #SAll4 SiteID: 015-021-000896
---- Hazmat Inventory By Facility Unit
-- MCP+DailyMax order Fixed Containers on Site
HaZmat Common Name... IspecHazlEPA HazardsI Frm DailyMax IUnitlMCP
SULFURIC ACID (BATTERIES) R IH L -~ ~A9~.80 GAL Hi
DIESEL FUEL #2 F IH L 1250.00 GAL Low
-3- 09/15/200
SBC #SAll4 SiteID: 015-021-~000896
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
~~ ~Vl~ / ~1~ ~Vl~
SULFURIC ACID (BATTERIES) Days On Si~e
365
Location within this Facility Unit Map: Grid:
1ST FLOOR CAS#
7664-93-9
r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient I Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
I~ ~.20~ GALI ~5~ ~80 GAL 75~ 7~.~0 GAL
HAZARDOUS COMPONENTS
30.00 Sulfuric Acid (EPA) N 7664939
HAZARD'ASSESSMENTS
lTsecretl 'RS[BioHaz Radi°active/Amount IEPA HazardsNo Yes No No/ Curies R IH NFPA/// I USDOT# IMCPHi
= Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
{J~31VllVlUN N~J.Vl]~ / {Jl-].~lVll~%.m, l~4~--~lVl~
DIESEL FUEL #2 Days On Site
365
Location within this Facility Unit Map: { Grid: D~
NE SIDE OF LOT CAS#
68476-34-6
F STATE ~ TYPE PRESSURE --~ TEMPERATURE I CONTAINER TYPE
Liquid [Pure[{ Ambient Ambient UNDER GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container [ Daily Maximum I Daily Average
1000.00 GALI 1250.00 GALI i000.00 GAL
HAZARDOUS COMPONENTS
io SI
100.00 Diesel Fuel No. 2 N 68476302
HAZARD ASSESSMENTS
TSecretl oRS BioHazl Radioactive/Amount EPA Hazards NFPA USDOT# I MCP
No N No No/ Curies F IH / / / Low
-5- 09/15/2003
F SBC #SAll4 SiteID: 015-021-000896
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 05/01/2000
CALL 911-
-- Employee Notif./Evacuation 02/22/1994
NOTIFICATION OF EMERGENCY & EVACUATION PROCEDURES ARE DIRECTED BY THE
BUILDING WARDEN AS OUTLINED.
SHOUTING, HORNS, ALARMS, VOCAL,~ WHISTLE AND FIRE ALARMS ARE USED TO NOTIFY
EMPLOYEES TO EVACUATE~. THE INSTRUCTIONS FOR EMERGENCY EXITS AND ALTERNATE
ROUTES TO BE USED FOR EVACUATION ARE POSTED ON EACH FLOOR.
Public Notif./Evacuation 02/22/1994
~.-.~RC .... Y OPERATING
THE P'~CiFiC BELL .... ~"~ ............... ~ , ........ ~ IDENTIFIES
THE BUILDING WARDEN/SITE MANAGER AS THE RESPONSIBLE EMPLOYEE TO NOTIFY THE
BUILDING occUpANTS AND THE APPROPRIATE EMERGENCY CONTACTS:
LOCAL FIRE/MEDICAL PERSONNEL
LOCAL ADMINISTERING AGENCY
OFFICE OF EMERGENCY SERVICES
PACIFIC BELL
EMERGNECY CONTROL CENTER
SECURITY
MEDICAL FACILITY
ENVIRONMENTAL MANAGEMENT
SAFETY
Emergency Medical Plan 05/12/1998
EMPLOYEE'S OWN DOCTOR OR 911.
THE IMMEDIATE SUPERVISOR OR AVAILABLE BUILDING WARDEN IS RESPONSBILE FOR
CONTACTING AN AMBULANCE OR MEDICAL FACILITY FOR AN INJURED EMPLOYEE.
THE NEAREST EMERGENCY MEDICAL FACILITY IS: KMC -1830 FLOWER ST - 326-2000.
-6- 09/15/2003
SBC #SAll4 SiteID: 015-0212000896
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
-- Release-Prevention 04/10/1996
PERIODIC TESTS MADE ON UNDERGROUND TANKS. HAZARDOUS MATERIALS .ARE UTILIZED
AND STORED FOLLOWING MANUFACTURER' S RECOMMENDATIONS AS WE ARE A CONSUMER OF
PRODUCTS AND NOT A MANUFACTURER OF HAZARDOUS MATERIALS.
-~-jThe following describes what action our business will take to prevent a hazardous materials or waste release from.I.
i occurring: I
i 1. TRAINING: Employees are provided training annually through the Tra~mng evelopment Center to handle ~
i hazardous materials and how to read an MSDS as required by the unication Standard;-.they are ~_
J also trained on the SBC Operating Practice 130.
72. MATERIALS: Hazardous materials are utilized and stored following manufacturer's recommendations, as we
are l~
a consumer of products and not a manufacturer of hazardous materials.
1
9
9
6
ELECTROLYTE IS CONTAINED IN BATTERIES AND BATTERIES ARE SECURED IN A
SPECIALLY DESIGNED BATTERY RACK WHICH WORKS IN CONJUNCTION WITH EARTHQUAKE
RACING.
DIESEL FUEL: CONTAINED IN AN UNDERGROUND, DOUBLE WALL STEEL T,ANK.
__' The SBC Hazard6us-~aterials/Waste. Management Handbook requires that environmental management in I
ithe eyent of'a spill or release of a hazardous material at sec facilities complete a Hazardous Material !/10/1996
'
Incident Reportl
ii Battery Electrolyte is used in maintaining storage batteries that are used for standby power in our
]Central/Switching facilities. This standbY power is primarily to provide cOmmunication services during
it emergency conditions. Batteries have explosion proof cases and are mounted in reinforced racks to enable~
l!hem to withstand the-shocks of.earthquakes. In the event of a spill or leak Baking Soda and Soda Ash
and/or an acid Spill kit' With neutralizing acid absorber (e.g. Ramsey Kit) stored in containers in the battery
! power rooms is used to contain and clean up battery electrolyte.
t Contractors utilized to clean .Up spills and releases for our facilities include: ~
;1. Shaw Environmental - ~D(D- ~'7'~/5~'O u.=/10/1996
AS OUTLINED IN PACIFIC BELL;S HAZARDUS MATERIALS MANAGEMENT PLAN ITEM G'
"UNAUTHROIZED RELEASES (LEAKS AND SPILLS) OF PETROLEUM PRODUCT WILL BE
REPORTED IMMEDIATELY BY THE OPERATOR OF THE UNDERGROUND TANK TO THE
FOLLOWING:
P~CiFiC DELL EMERGENCY CONTROL CENTER (916) 977-7777
................. (~10) e~°i~28
~.~FiC BELL '~' o ~,-
ANY UNAUTHORIZED RELEASES WILL BE RECORDED USING THE HAZARDOUS MATERIAL
INCIDENT REPORT FORM NUMBER FR-0023, AS SHOWN IN APPENDIX III. FOR
INCIDENTS INVOLVING SPILL, THE OPERATOR OF THE UNDERGROUND TANK WILL NOTIFY
-7- ~ 09/15/2003
SBC #SAll4 SiteID: 015-021-000896
Fast Format
Training Overall Site
--' Employee Training 05/01/2000
WE HAVE 2 EMPLOYEES AT THIS FACIL'ITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
. yees are provided INITIAL Safety Plan training on the Hazard Communication Certification, as well as
~i! function specific before they begin their work operations. This also includes training on the Emergency ~ 3
~ Operating p~:ocedures.
: Additionally, the SBC Emergency Plan requires that. employees receivb ANNUAL REFRESHER training on the
i HaZard Communication Certification, function specifics and the Emergency Operating Instructions. '-
~ Specific employees are selected to be Building or Floor Wardens; for which they receive additional training
' and.attend the following interdepartmental courses.
i Course #1000039 (Network Services First Aid/CPR);
Course #1000728 (Emergency Methods of Procedures);
Course #1000824 (Hazardous Communication Certification);
[----~,,; Cburse #1000825 (Hazardous Materials/Waste Management)
The aBC Emergency Plan Binder serves as a reference guide for the Emergency Site Coordinator/Building
Warden.
Held for Future .Use
-9- 09/15/2003
BUSINESS NAME SBC BKFDCA13 SAl14 DATE 10/07/2003 DRAWING SCALE
NOT
TO
SCALE
BUSINESS ADDRESS 3501 COLU'MBUS AVE. :BAKERSFIELD ZIP CODE 95501
/ SYMBOL LEGEND
DRtV£WA¥ Q NATURAL GAS
SHUT-OFF
(~) WATER SHUT-OFF
' O EMERGENCY PUMP
SHUT-OFF
2 /-- TM~A TANK MONITORING~
~ ALARM I
/
Q TELEPHONE
/
~-~ FIRST AID KIT
/
~ FIRE EXTINGUISHER
3 / ~ STORM DRAIN
/
~ SANITARY SEV~ER
~ ~ STAGING AREA
EVACUATION/
/
HMMP, AND MSDS
4 / I-~ LOCATION
* x FENCE
EMERGENCY RESPONSE
(~ EQUIPMENT/ABSORBENTS
s ~ []~ ~1 ~ ( ) ABOVEGROUND
COLOCATION STORAGE TANK
~' / I r--~, UNDERGROUND
AREA ~-~ STORAGE TANK
/
I
® ® ~ ~- _ _, ® MOTOR O,LS ', LUBR,CANTS
, (COMBUSTIBLE LI~S )
/ F-/ I A ® BATTERY ELECTI
(CORROSIVE' L I QIII~II
TMA
~ ® GASOLINE
- (FLAMMABLE LIQUIDS)
,T~AA,I I ® DIESEL FUEL
I ® (COMBUST,BLE L,0U,0.S)
~ I I NITROGEN
(COMPRESSED GAS)
I ~ PROPANE
(FLAMMABLE LIQUID)
ACETYLENE ·
~ (COMPRESSED GAS)
ANTIFREEZE/COOLANTS
E~ ~ WASTE 0IL
(FLAMMABLE LIQUID)
] FIRE PULL BOX
9
A B_ C D E F 7 . G [ H . I d
K
L
M
FILE THIS DOCUM~ IN THE SECTION
HAZARDOUS MATERIALS PLANS
PROGRAMS PERMITS BINDER 1
Hazardous Materials Business Plan
YEAR 2003
SBC - SAll4'
(Facility Name and ID)
3501 COLUMBUS ~ AUBURN
(Facility Address)
BAKERSFIELD
(Facility City)
(Facility County)
Maintain this Hazardous Materials Business Plan
and Emergency Response Plan On Site, Until
Updated, a minimum of eVery three years.
POST THIS DOCUMENT ON SITE
SO IT WILL BE AVAILABLE IN
THE EVENT OF A GOVERNMENT AGENCY INSPECTION,
SITE ASSESSMENT OR AUDIT.
Revised by Stan Brodecki 12/02/2002
;IED PROGRAM CONSOLIDATED FORO
FACILITY INFORMATION
BUSINESS ACTIVITIES ·
BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business AS) 3
SBC SAl14 3501 COLUMBUS (~ AUBURN BAKERSFIELD
NOTE If vouchecki ?¥:ES to anY: : i!
please i ubm th,ei B smess Owner/Operato: ii !d; ntdmatmnliipage ::
.......................... ~ ........ Does. oa~fac~ ~:~: ....... ~:~ ............. ....... ~,.,,~:.,~,~lf.~es lease:~com letetl~ese a esofthe~GF
A. HAZARDOUS MATERIALS
Have on site (for any purpose) hazardous materials at or above 55
gallons for liquids, 500 pounds for solids, or 200 cubic feet for
compressed gases (include liquids in ASTs and USTs); or the ['~']YES [--] NO 4 [~ HP~.~RDOUS M~IERIALS INVENTORY -
applicable Federal threshold quantity for an extremely hazardous CHEMICAL DESCRIPTION(eLS 2731)
substance specified in 40 CFR Part 355, Aappendix A or B; or
handle radiological materials in quantities for which an emergency
plan is required pursuant to 10 CFR Parts 30, 40 or 70?
~YES ~ NO 5 .-~ UST FACILITY (Formerly SWRCB Form A)
B.
UNDERGROUND
STORAGE
TANKS
~USTs)
1.
Own
or
operate
underground
storage
tanks?
,~/ UST TANK (One page per tank) (Formerly Form
B
2. Intend to upgrade existing or install new USTs? ~-1 YES ['~--"INO 6 ,,// UST FACILITY
'~ UST TANK (One per tank
UST INSTALLATION - CERTIFICATE OF
COMPLIANCE(one page per tank)(Formerly Form C
3. Need to report closing a UST? [~ YES ~NO 7 ~- UST TANK
(closure
portion-one
page
per
tank
C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs)
Own or operate ASTs above these thresholds: I--~r~ --
tank capacity is greater than 660 gallons, or [~] YESL_J '"-' 8 ,V/ NO FORM REQUIRED TO CUPAS
---the total capacity for the facility is greater than 1,320 gallons?
D. HAZARDOUS WASTE
1. Generate hazardous waste? ~ YES ~--~NO 9 ~- EPA ID NUMBER-provide at the top of this page
2. Recycle more than 100 kg/month of excluded or exempted ~ YES [~'INo 10 r,~ RECYCLABLE MATERIALS REPORT
recyclable materials (per HSC ~ 25143.2)?~ ~ '~ (one per recycler)
3. Treat hazardous waste on site? [~ YES-,.=_ur~"1NO11,~-~- ONSITE HAZARDOUS WASTE
TREATMENT - FACILITY
(Formerly DTSC Form 1772)
- ONSITE HAZARDOUS WASTE
TREATM ENT-U NIT(one page per unit)
(Formerly DTSC Form 1772A,B,C,D, and L)
4. Treatment subject to financial assurance requirements (for Permit ~1 YES~,~][~1NO12,,,r-~ CERTIFICATION OF FINANCIAL
by Rule and Conditional authorizaton)? ASSURANCE (Formerly DTSC Form 1232)
5. Consolidate hazardous waste generated at a remote site? [--1 YES E~NO13 r~ REMOTE WASTE/CONSOLIDATION SITE
ANNUAL NOTIFICATION (Formerly
DTSC Form 1232)
6. Need to report the closure/removal of a tank that was classified as ~ YES ['~'INo 14 ~ HAZARDOUS WASTE TANK CLOSURE
hazardous waste and cleaned onsite?~ ""='"' CERTIFICATION (Formerly DTSC Form 1249)
E. LOCAL REQUIREMENTS ~5
(You may also be required to provide additional information by yourCUPA or local agency.)
UPCF (1/99) 2
UNI_~ PROGRAM CONSOLIDATED FOR
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
I. IDENTIFICATION
FACILITY ID#
~ ~ ~ 01/01/2003 '~ 12/31/2003
BUS1NESS NAME (Same as FACILITY NAME or DBA - Doing Businesg As) :5 BUSINESS PHONE 102
SBC . SAl14 805-871-001
BUSINESS SITE ADDRESS 103
3501 COLUMBUS @ AUBURN
104 CA ZIP CODE 105
CITY BAKERSFIELD
93301
DUN BRADSTREET 106 SIC CODE (4 digit #) 107
~ 10-340-1618 I 4811
iCOUNTY 108
KERN
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
HARRY DYCK 559-454-3003
II. BUSINESS OWNER
111 ;OWNER PHONE 112
~WNER NAME SBC 877-823-9833
)WNER MAILING ADDRESS 113
P.O. Box 5095, Room 3E000
~ITY SAN RAMON 114 STATE 115 ZIP CODE 116
CA I 94583-0995
III. ENVIRONMENTAL CONTACT
CONTACT NAME
Environmental Management, attn: Matthew Hopwood 925-824-5784
CONTACT MAILING ADDRESS 119
2600 CAMINO RAMON, RM 3E000
CITY 120 STATE 121 ZIP CODE 122
SAN RAMON CA 94583-0995
PRIMARY IV. EMERGENCY CONTACTS SECONDARY
123 NAME 128
NAME HARRY DYCK EMERGENCY CONTROL CENTER
I~ITLE 124 TITLE 129
Site Manager 24 HR EMERGENCY SERVICE
BUSINESS PHONE 125 BUSINESS PHONE .130
559-454-3003 877-322-4722
24-HOUR PHONE 126 24-HOUR PHONE 131
877-823-9833 877-823-9833
PAGER# 127 PAGER# 132
559-421-3847
ADDITIONAL LOCALLY COLLECTED INFORMATION:
Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am
familiar with the information submitted and believe the information is true, accurate, and complete.
SIGNATURE OF OWNEPJOPE~T~ .,...~ ~,~--~,~,~. J DATE 134 NAME OF DOCUMENT PREPARER 135
- 4/4/2003 RHL DESIGN GROUP, INC. - AGENT FOR PACIFIC BELL
NAME OF SIGNER ~ .... ~- 136 TITLE OF SIGNER 137
Steve Skanderson Project Manager
-UPCF (1/00 revised)'.' 167 OES FORM 2730 (1/99) '
PROGRAM CONSOLIDATED
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY- CnV MICAI DwSCmeXlON
One page per material per building or area)
[ IADD t IDELETE [ ]REVISE 200 I Page ~ ofq
I. FACILITY INFORMATION
3
BUSINESS NAME S BC S^114
NORTHEAST SIDE Of LOT [~ ~s ~] ~o
~'~ ~ ~, ,~ ~'~ .... I MAPg (optional) 203 GRID# (optional) 204
FACILITY
ID#
~ 1 D6
II. CHEMICAL INFORMATION
205 TRADE SECRET [_~ Yes ~X[ No 206
c.E~cAL~v~ PETROLEUM HYDROCARBON
If Subject to EPCRA, refer to instructions
COMMON NAME 207 EHS 208
DIESEL FUEL #2 [] Yes [] No
209
:AS# 68476-34-6 IfEHS is "Yes", all mounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
COMBUSTIBLE LIQ. II
HAZARD MATERIAL 211 212 213
TYPE (Check one item [~a. PURE [~b. MIXTURE []c. WASTE RADIOACTIVE ~]Yes [~No CURIES
215
PHYSICAL STATE [~ a. SOLID [~ b. LIQUID [~ c. GAS 214 LARGEST CONTAINER 1 000
Check one item only)
216
~'ED HAZARD CATEGORIES [~ a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e. CHRONIC HEALTH
'Check all that apply)
AVERAGE DALLY AMOUNT 217 MAXIMUM DALLY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220
1 000 '~ 250 222
365
ICheck one item only) ifEHS, amount must be in pounds.
:ONTAINER UNDERGROUND TANK f. CAN BAG ~n. PLASTIC BOTTLE ~;: OTHER
TANK INSIDE BUILDING CARBOY . BOX ~o. TOTE B1N
STEEL DRUM SILO CYLINDER [_~p. TANK WAGON
223
STORAGE PRESSURE [~] a. AIV1BIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIEN~F 224
STORAGE TEMPERATURE [~a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT [~d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS#
99.5% 226 DIESEL FUEL NO. 2 227 [~trcs [~No 228 68476-34-6 229
0.5% 230 NAPHTHALENE 231 ~Ycs ~No 232 91-20-3 233
234 PETROLEUM DISTILLATES 235 [~Yes I~No 236 NONE 237
4
5 242 243 ~-~Yes [~No 244 245
If more hazardous components are present at gre~ter 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 246
IfEPCRA, Please Sign Here
UPCF (1/99) 169 OES Form 2731
PROGRAM CONSOLID~
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY- CI EM]CAL OESCm TION
One page per material per building or area)
ADD DELETE REVISE 20O Page
I. FACILITY INFORMATION
3
BUSINESS NAME SBC SA114
HEMICAL LOCATION ECpc~Rj~CAL LOCATI ON CONFIDENTIAL 202
STORED ON 1ST FLOOR [~] YES IX] NO
g ~ 1 ~ (optional) 203 GRID# (optional) 204
FACILITY ID# ~ 1 E6
II. CHEMICAL INFORMATION
205 TRADE SECRET ~_~ Yes [~ NO 206
C~MIC^LN~ LEAD/ACID BATTERY VV/SULFURIC ACID
If Subject to EPCRA, refer to instructions
COMMON NAME 207 208
BATTERY ELECTROLYTE-WET CELL EHS [] Yes [~ No
209
CAS# 7664-93-9 IfEHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
CORROSIVE
211 212 213
HAZARD MATERIAL RADIOACTIVE [~ Yes [] No CURIES
TYPE (Check one item [~ a. PURE [~ b. MIXTURE [] ¢. WASTE
· 215
PHYSICAL, check one itemSTATEonly) [] a. SOLID ~ b. LIQUID [] c. GAS 214 LARGEST CONTAINER 8.3
216
'ED HAZARD CATEGORIES ~ a. FIRE[] b. REACTIVE ~ c. PRESSURE RELEASE ~ d. ACUTE HEALTH [] e.CHRONICHEALTH
Check all that apply)
AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220
796.8 796,8 222
UNITS* [] a. GALLONS ~ b. CUBIC FEET [] c. POUNDS ~ d. TONS 221[ DAYS ON SITE:
365
[Check one item only) ifEHS, amount must be in pounds.
TANK INSIDE BUILDING CARBOY . BOX ~_~o. TOTE BIN
STEEL DRUM hl SILO CYLINDER ~]p. TANK WAGON
223
STORAGE PRESSURE [~ a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT 22~
STORAGE TEMPERATURE [~a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT []d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS#
18-37 226 SULFURIC ACID 227 ~Yes ~qo 228 7664-93-9 229
2 12-15 230 WATER 231 [~Yes [~No 232 7732-18-5 233
3 67-77 234 LEAD 235 [~Yes [~qo 236 7439-92-1 237
<1 238 COPPER 239 [~¢s [~Xlo 240 7440-50-8 241
.2-.3 242 CADMIUM 243 [~Yes [~No 244 7440-93-9 245
If more hazardous componems are present at greater than 1% by weight if non-carcinogenic, or O, I% by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPCRA, Please Sign Here
UPCF (1/99) 169 OES Form 2731
¢O.SOLID~ED CONTINGENCY.LAN & BUstEss .LAN
BUSINESS NAME FACILITY ID #
SBC SA114
SITE ADDRESS CITY ZIP CODE
3501 COLUMBUS ~ AUBURN BAKERSFIELD 93301
EPA ID NUMBER
CATO80020548
PRIMARY SECONDARY
NAME NAME
HARRY DYCK Emergency Control Center
TITLE TITLE
Site Manager 24 hour Dispatch
BUSINESS PHONE BUSINESS PHONE
559-454-3003 877-322-4722
24-HOUR PHONE .. 24-HOUR PHONE
877-322-4722 877-322-4722
PAGER # PAGER #
559-421-3847
* Notifications *
Your business is required by State Law to provide an immediate verbal report of any release Or threatened release of a hazardous
material to local fire emergency response personnel, and the Office of Emergency Services.
IF YOU HAVE A RELEASE OR THREATENED RELEASE OF HAZARDOUS MATERIALS, IMMEDIATELY CALL:
FIRE/PARAMEDICS/POLICE
PHONE: 911
AFTER the local emergency response personnel are notified, you shall then notify this Unified prOgram Agency and the office of
Emergency Services.
Local Program Agency:. 661-326-3979
State Office of Emergency Service: (800) 852-7550 or (916) 845-8911
National Response Center: (800) 424-8802
INFORMATION TO BE PROVIDED DURING NOTIFICATION:
.:. Your Name and the Telephone Number from where you are calling.
.:. Exact address of the release or threatened release.
-:- Date, time, cause, and type of incident (e.g. fire, air release, spill etc.)
4- Material and quantity of the release, to the extent known.
o:o Current condition of the facility.
.:. Extent of injuries, if any.
.:o Possible hazards to public health and/or the environment outside of the facility.
List the local emergency medical facility that will be used by your business in the event of an accident or injury caused by a
release or threatened release of hazardous material
HOSPITAL/CLINIC: PHONE NO:
KERN MEDICAL CENTER 661-326-2000
ADDRESS:
1830 FLOWER ST
CITY: ZIP CODE:
BAKERSFIELD
BUSINESS PLAN (01/2000 Version) 1
1. The following alarm signal(s) will be used to begin evacuation of the facility (check all which apply):
[] Verbal [] Telephone (including cellular) [] Alarm System [] Public Address System [] Intercom
[] Pagers [] Portable Radio [] Other (specify):
2. [] Evacuation map is prominently displayed throughout the facility.
3. [] Individual(s) responsible for coordinating evacuation including spreading the alarm and confu-ming the business has been
evacuated:
Building Warden or HARRy DYCK
Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the'
vulnerability to earthquake related ground motion.
[] Hazardous Waste/Hazardous Materials Storage Areas [] Production Floor [] Process Lines
[] Bench/Lab [] Waste Treatment [] Other:
Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the
vulnerability to earthquake related ground motion.
[] Utilities [] Sprinkler Systems [] Cabinets [] Shelves
[] Racks [] Pressure Vessels [] Gas Cylinders [] Tanks
[] Process Piping [] Shutoff Valves [] Other: Tank Monitor Alarm Panel
Natural Gas/propane: NONE
Electrical: HSP ON NORTHWEST WALL INSIDE (E6)
Water: SOUTHWEST CORNER OF BLDG (J7)
Tank Monitor Alarm: ENGINE ROOM WALL (E7)
Environmental Documents: SE WALL BY ENTRANCE
Spill kit / Absorbent: BATTERY AREA
First Aid Kit: BATTERY AREA
BUSINESS PLAN (01/2000 Version) 2
EMERGENCY PHONE NUMBERS
Emergency Name of medical facility/nearest hospital (enter):
response KERN MEDICAL CENTER
phone Phone number of medical facility/hospital (enter):
number 661-326-2000
Fire .... ,. ....................... · .................................. : ................................................. 911
Police/Sheriff...' ...................... : ...................................... ............ ........................ 911
California Highway Patrol ......................... : ................. :'. ................... ~ ................ 911
Bakersfield Fire Department ............................................................. 661-326-3979
Ambulance Service .......................................................................................... 911
Poison Control Center ........... i ............................................ ' ............. .800-342-9293
Agency California.Office of Emergency
notification ' Services · . ............. :.800-852-7550
numbers
State Department of Toxic Substances
Control ................ 916-324-1826
State Water Quality Control Board Regional Offices
· .. North Coast Region ...................................... ~ ................................... 707-576-2220
San Francisco Bay Region ............................................................... 510-622-2300
Central Coast Region ~ ....................................... ; .............................. 805-549-3147
Los Angeles Region ......................................................................... 213-576-6600
Central Valley Region: Sacramento Office .................................... 916-255-3000
Fresno Office .............. ; ......................... ~ .... 559-445-5116
Redding Office ......................................... 530-224-4845
Lahontan Region: Victorville Office ................................. : ...... 760-241-6583
Lake Tahoe Office ....... ....... 530-542-5400
Colorado River Basin Region ........................................................... 760-346-7491
Santa Ana Region ............................................................................ 909-782-4130
San Diego Region r · ...... 619--467--2952
US Environmental prOtectiOn Agency (Region 9) ............................. 415-744-1702
National Response Center ................................................ ' ............... 800-424'-8802
other Other Important Numbers
. SBC Emergency Control Center 877-322-4722
Shaw Environmental 800-537-9540
SBC Corporate Environmental Management 877-823-9833
BUSINESS PLAN (01/2000 Version) 3 . '
AC,F,O L~ ~LL I MAP# 1 SITE MAP
BUSINESS NAME PACIFIC BELL BKFDCAI5 SAl14 DATE 11/07/2000 DRAWING SCALE
BUSINESS ADDRESS 5501 COLUMBUS AVE. BAKERSFIELD ZIP CODE 95301 NOT TO SCALE
SYMBOL LEGEND
SHUT-OFF
QNATURAL GAS
SHUT-OFF
Q WATER SHUT-OFF
Q EMERGENCY PUMP
-- -- -- SHUT-OFF
TANK MONITORING
ALARM
Q TELEPHONE
/
~Rp FIRST AID KIT
/
u
FIRE EXTINGUISHER
STORM DRAIN
SANITARY SEWER
/ ~ STAGING AREA
EVACUATION/
~
HMMP, AND MSDS
LOCATION
O'~ / ~ FIRE HYDRANT
:: :: FENCE
~ EMERGENCY RESPONSE
EQUIpMENT/ABSORBENTS
/ i
/ [-~'~ i [-~-[ I ~ ~ ABOV[GROUND
STORAGE TANK
COLOCATION
~r' / [ AREA [ ~-~! UNDERGROUND
~ I I i-~ ~-~ STORAGE TANK
/
Q Q 1. J Q MOTOR OILS & LUBRICANTS
__ (COMBUSTIBLE LIQUIDS)
/ ( ~ Q BATTERY ELECTROLYTE
, , I ~TMAA, (CORROSIVE LIQUID
/ ~, ] Q Q GASOLINE
- (FLAMMABLE LIQUIDS
(COMBUSTIBLE LIQUIDS)
I Q NITROGEN
(COMPRESSED GAS)
(FLAMMABLE LIQUID)
) ACETYLENE
(COMPRESSED GAS)
~ Q ANTIFREEZE/COOLANTS
Q WASTE OIL'
· (FLAMMABLE LIQUID)
] FIRE PULL BOX
Emergency Response New D&B.doc
SBC EMERGENCY RESPONSE PLAN
The Emergency Site CoordinatodBuilding Warden for the facility is responsible for noticing the occupants of the
building and advising them on how to respond in the event of a hazardous materials incident as required in the
SBC's Operating Practice 130 (The Fire Safe~ Program and Emergency Plan) and described in the SBC
Emergency Plan Binder. Additionally, the Emergency Site CoordinatodBuilding Warden will contact the California
Office of Emergency Se~ices, Local Administering Agency, and SBC's internal contacts as appropriate; the
Operations Information (OlCC) Control Center, local Security Office, Environmental Management, Safety
Depadment.
The following describes what action our business will take to prevent a hazardous materials or waste release from
occurring:
1. T~NING: Employees are provided training annually through the Training and Development Center to handle
hazardous materials and how to read an MSDS as required by the Hazard Communication Standard; they are
also trained on the SBC Operating Practice 130.
2. MATERI~S: Hazardous materials are utilized and stored following manufacturer's recommendations, as we are
a consumer of products and not a manufacturer of hazardous materials.
The'following describes what procedures will be followed to reduce any harm or damage to persons, properly or
the environment:
1. BaEe~ Electml~e: Electrol~e' is contained in batteries with explosion proof cases and batteries are secured in
specially designed reinforced batte~ racks which work in conjunction with eadhquake bracing.
2. Diesel~ Underground tanks are monitored and/or inspected frequently as required to maintain the integrity of
tank contents. Aboveground tanks are inspected on a regular basis.
The following'describes what actions our business will take to stop any hazard caused by the release of a
hazardous material or waste:
The Emergency Site CoordinatoflBuilding Warden is responsible for following these steps as outlined in the
Hazard Communication Program, the Hazardous Materials~aste Management Handbook and the SBC
Operating Practice 130.
1. Determining the nature, location, magnitude and severi~ of the incident.
2. Move people away from the ama as appropriate.
3. Avoid inhalation of all gasses, fumes or smoke.
4. Contain materials as appropriate by arranging physical barriers, use of absorbents (i.e., diA, oil baking soda or
other absorbent material).
5. Noti~appmpriate emergency personnel.
I:XHAZMAT',PACBELL~FORMSXEmergency Response New D&B.doc
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1
Emergency Response New D&B.doc
Employees are provided INITIAL Safety Plan training on the Hazard Communication Certification, as well as
function specific before they begin their work operations. This also includes training on the Emergency
Operating procedures.
Additionally, the SBC Emergency Plan requires that employees receive ANNUAL REFRESHER training on the
Hazard Communication Certification, function specifics and the Emergency Operating Instructions.
Specific employees are selected to be Building or Floor Wardens; for which they receive additional training
and attend the following interdepartmental courses.
Course #1000039 (Network Services First Aid/CPR);
Course #1000728 (Emergency Methods of Procedures);
Course #1000824 (Hazardous Communication Certification);
Course #1000825 (Hazardous Materials/Waste Management)
The SBC Emergency Plan Binder serves as a reference guide for the Emergency Site. Coordinat0dBuilding
Warden.
The SBC Hazardous Materials/Waste Management Handbook requires that environmental management in
the 'event of' a spill or release of a hazardous material at SBC facilities complete a Hazardous Material
Incident Report.
Battery Electrolyte is used in maintaining storage batteries that are used for standby power in our
Central/Switching facilities. This standby power is primarily .to provide, communication services during
emergency conditions. Batteries have explosion proof cases and are mounted in reinforced racks to enable
them to withstand the shocks of earthquakes. In the event of a spill or leak Baking Soda and Soda Ash
and/or an acid spill kit with neutralizing acid absorber (e.g. Ramsey Kit) stored in containers in the battery
power rooms is used to contain and clean up battery electrolyte.
Contractors utilized to clean up spills and releases for our facilities include:
1. shaw Environmental
Diesel Fuel: As outlined in the SBC Hazardous Materials Management Plan Item G (Contingency Plan):
Incidents involving spills, the operator of the underground tank will notify:
1. Local Fire Department
2. Department of public h
3. SBC Operations Information Control Center
4. SBC Environmental Management
5. SBC Real Estate Client Service Center
6. SBC respective manager
This varies with each building and should be verified with the Emergency Site Coordinator of each facility. A
standard statement would be:
METHOD OF Al_ARM TO EMPLOYEES:
Vocal, intercom and fire alarms are Used to notify our employees to evacuate.
(For unmanned offices, we need on/~, state "Th/s /s an unmanned office and evacuat/on map/s posed at
ent~ of bui/ding. '~
I:~IAZMAT~PACBELL~:ORMS~Emergency Response New D&B.doc
East. Updated: 11/07/200 ]
2
Emergency Response New D&B.doc
ROUTES OF EGRESS:
This also varies with each building and should be verified with the Emergency Site Coordinator of each
facility. A standard statement would be:
"Employees exit through front, rear and side doom. Alternate routes include...."
The instructions for emergency exists and alternate routes to be used for evacuation are posted on
each floor
METHOD TO ACCOUNT FOR ALL PERSONS:
The SBC Operating Practice 130 identifies the Emergency Site CoordinatoflBuilding Warden as the
responsible employee to the Supervisors in the building to ensure that all employees are accounted for:
Employees for this facility are instructed to meet ..... (obtain this information from the Emergency Site
Coordinator/Building Warden).
ALERTING NEIGHBORS:
The SBC Operating Practice 130 identifies the Emergency Site Coordinator/Building Warden as the
responsible contact to work with all agency emergency/rescue personnel to notify building neighbors.
SBC has'emergenCY response plans and procedures in place for all facilities. The following is a description of
tl'ie'programs and prOcedures in place:
1. The Operations Information CONTROL CENTER (OlCC) is a 24-hour communications center established
through which emergency condition information flows from and within SBC. In the event of a major
emergency the center also provides coordination, communications and is the established liaison with
federal, state, local and military agencies.
2. EMI~RGENCY PLAN BINDER, The SBC OPerating Practice 130 provides fire, safety and emergency
guidance, checklist, forms, and company contacts for emergency situations, interruptions of company
services, and other threats to our operations, facilities, personnel or property.
Outlined in the SBC Operating Practice'130 is the Emergency Site CoordinatodBuilding Warden
program. The Emergency Site Coordinator/Building Warden is involved in directing and coordinating the
following activities with the occupants of the facility.
· Establishing and training the Emergency Site Coordinator/Building Warden organiZation.
· Implementing the Emergency Procedure Plan.
· Occupant emergency preparedness.
· Reviewing the Planning Engineering sketch.
· Establishing and maintaining the Emergency Procedures Board.
· Developing and maintaining the Emergency Methods and Procedures (EMOP) binder.
· Scheduling and conduct semi-annual fire and take cover drills and record drill results on the
Fire/Evacuation Drill Report.
· Conducting fire safety surveys using form SBC3077
· Daily administration of fire prevention practices.
· Reporting all bomb threats to appropriate security office and the ECC.
· Advising security of all emergencies.
· : Accompanying external or internal personnel agencies on building inspections.
· Arranging for selection of Emergency Site Coordinator/Building Warden successor (transfer of
responsibilities).
· Communicating to occupants via emergency communications systems (if applicable).
· Contact the Departmental Safety Coordinator in the event of an OSHA visit.
I:',I-IAZMAT~PACBELL~FORMS~Emergency Response New D&B.doc
Last Updated: 11/07/2001
3
Emergency Response New D&B.doc
The SBC Operating Practice 130 also requires that each facility have an Emergency Plan binder. The
binder is a guide providing for personal protection and emergency procedures for company locations
during emergencies. The binder is developed and held by the Emergency Site Coordinator/Building
Warden at each facility location.
Additionally, the SBC Operating Practice 130 provides the following procedures for the Emergency Site
Coordinator/Building Warden and Site Managers in the event of a hazardous materials incident at the
facility.
1. Identify and locate the problem.
2. Isolate, relocate or evacuate employees as required.
3. Notify emergency rescue personnel if needed.
4..Investigate the problem.
5. Avoid inhalation of all gasses, fumes or smoke.
6. If the release or threatened release has the potential to harm the population and environment contact:
· Operations Information Control Center 877-322-4722
· SBC Environmental Management Hotline 877-823-9833
: ' ~ Environmental Control Center for Fuel Storage Tanks 800-7'57-6575 ~
· Security Office (SBC) 800-421-2568
· Local Hazardous Emergency Response Agency 911
· Office of Emergency Services (OES) (800) 852-7550
3. The ."HAZARDOUS MATERIALS/VVASTES MANAGEMENT HANDBOOK" (HM/WM) is provided to comply with
environmental laws and regulations and to assist managers in the protection of employee's health and
protection of the public welfare. This handbook gives our personnel a basic understanding of the
regulations and other legal requirements pertaining to the management of hazardous materials and
wastes. It identifies and provides procedures for the handling, transportation, storage and disposal of
hazardous materials/wastes found at SBC facilities.
In the event of a .spill or release, the Hazardous Materials Incident Report is to be completed by SBC's
Environmental Management group.. The HMWH Section 8 outlines the procedures for completion of this
report and immediate actions to be taken to protect health and environment.
I:~IAZMAT~PACBELL~FORMS~Emergency Response New D&B.doc
Last Updated: 11/07/2001
4
FILE THIS DOC IN THE SECTION
HAZARDOUS MATERIALS PLANS
PROGRAMS PERMITS BINDER 1
Pacific Bell
Hazardous Materials Annual Inventory
YEAR 2003
SBC/Pacific Bell - SAl14
(Facility Name and ID)
3501 COLUMBUS ~/AUBURN
(Facility Address)
BAKERSFIELD
(Facility City)
KERN
(Facility County)
POST THIS DOCUMENT ON SITE
SO IT WILL BE AVAILABLE IN
THE EVENT OF A GOVERNMENT AGENCY INSPECTION,
SITE ASSESSMENT OR AUDIT.
Rev. 11/09/2001 (jsb)
PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNERJOPERATOR IDENTIFICATION
Page of
I. IDENTIFICATION *.
FACILITY ID# BEGINNING DATE 100 ENDING DATE 101
01/01/2003 12/31/2003
BUSiNESS NAME (Same as FACILITY NAME or DBA - Doing Business As) :3 BUSINESS PHONE 102
NBC/Pacific Bell SAl14 805-871-0011
BUSINESS SITE ADDRESS 103
3501 COLUMBUS @ AUBURN
104 CA ZIP CODE 93301 lO5
;ITT BAKERSFIELD
DUN BRADSTREET lO6 SIC CODE (4 digit #) lO7
10-340-1618 4811
COUNTY 108
KERN
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
HARRY DYCK 559-454-3003
II. BUSINESS OWNER
111 OWNER PHONE 112
OWNER NAME SBC/Pacific Bell 877-823-9833
)WNER MAILING ADDRESS 113
2600 CAMINO RAMON, RM 3E000
114 STATE 115 ZIP CODE 116
CITY SAN RAMON CA 94583-0995
III. ENVIRONMENTAL CONTACT
CONTACT NAME 117 CONTACT PHONE 118
MATTHEW HOPWOOD 925-824-5784
CONTACT MAILING ADDRESS 119
2600 CAMINO RAMON, RM 3E000
CITY 120 STATE 121 ZIP CODE 122
SAN RAMON CA 94583-0995
PRIMARY IV. EMERGENCY CONTACTS SECONDARY
NAME 123 NAME 128
HARRY DYCK EMERGENCY CONTROL CENTER
TITLE 124 TITLE 129
Site Manager 24 HR EMERGENCY SERVICE
BUSiNESS PHONE 125 BUSINESS PHONE 130
559-454-3003 877-322-4722
24-HOUR PHONE 126 24-HOUR PHONE 131
877-823-9833 877-823-9833
PAGER~ 127 PAGERg 132
559-263-2433
ADDITIONAL LOCALLY COLLECTED INFORMATION:
Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am
familiar with the information submitted and believe the information is tree, accurate, and complete.
SIGNATURE OF O~ ,.,~..~~~:~_~ DATE 134 NAME OF DOCUMENT PREPARER 135
11/21/2002 RHL DESIGN GROUP, lNG. -AGENT FOR PACIFIC BELL
NAME OF SIGNLCJ~ (print) - 136 TITLE OF SIGNER 137
Steve skanderson Project Manager
UPCF (1/00 revised) 167 OES FORM 2730 (1/99)
PROGRAM CONSOLIDATED
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CImMICAI IW Seme'noN
One page per material per building or area)
I. FACILITY INFORMATION
BUSINESS NAME
SBC/Pacific Bell SA114
CHEMICAL LOCATION CONFIDENTIAL 202
CHEMICAL LOCATION EPCRA ~-~ YES ~-~ NO
NORTHEAST SIDE OF LOT
:i::,i:: ::::',::' 1 MAP# (optional) 203 GRID# (optional) 204
FACILITY ID# ~ ~ 1 D6
II. CHEMICAL INFORMATION
205 TRADE SECKET ~ 206
3HEMICALNAME PETROLEUM HYDROCARBON r--] Yes i^1 No
If Subject to EPCRA, refer to instructions
COMMON NAME 207 EHS ~ ~ 206
DIESEL FUEL #2 [ lYes
No
209
CAS# 68476-34-6 IfEHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
COMBUSTIBLE LIQ. II
211 212 213
HAZARD MATERIAL RADIOACTIVE [~ Yes [-~No CURIES
rYPE (Check one item [~a. PURE [-~']b. MIXTURE [~c. WASTE
2.1§
PHYSICALcheck one itemSTATEonly) a. 214
[--] SOLID [] u. LIQUID [] o. GAS L^RGESTCONT^r ER 1000
2.16
FED HAZARD CATEGORIES
Check all that apply) [--~a. FIRE [-~b. REACTIVE ['-'] c.PRESSURE RELEASE [~d. ACUTE HEALTH [~]e.CHRONICHEALTH
AVERAGE DAILY AMOUNT 217 MAXIMUM DALLY AMOUNT 218 ANNUAL WASTE AMOUNT 2'19 STATE WASTE CODE 220
1000 1250
3NITS' [~a. GALLONS ~]b. CUBICFEET l--lc. POUNDS [~d. TONS 221 DAYS ON SITE:365 222
'Check one item only) if EHS, amount must be in pounds.
STORAGE ~i ABOVE GROUND TANK ~ii PLASTIC/NONMETALLIC DRUM i~i FIBER DRUM ~m. GLASS BOTTLE- ~i RAIL CAR
CONTAINER UNDERGROUND TANK CAN BAG IIn. PLASTIC BOTTLE OTHER
TANK INSIDE BUILD1NG CARBOY . BOX ~o. TOTE BIN
STEEL DRUM SILO CYLINDER I ~P. TANK WAGON
223
STORAGE PRESSURE ~ a. AMBIENT l---lb. ABOVE AMBIENT ~']c. BELOW AMBIENT 224
22§
S~TORAGETEMPERATURE ['-~]a. AMBIENT l--lb. ABOVE AMBIENT [~c. BELOW AMBIENT [~d. CRYOGENIC
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS#
99.5% · 226 DIESEL FUEL NO. 2 227 [~res [~[No .228 68476-34-6 229
0.5% 230 NAPHTHALENE 231 [~Yes [~qo 232 91-20-3 233
234 PETROLEUM DISTILLATES 235 [~res [~No 236 NONE 237
238 239 [~{es [~No 240 241
242 243 [-~Yes ~No 244 245
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 thc required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPCRA, Please Sign Here
UPCF (1/99) 169 OES Form 2731
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cI-mmc I :SCmPTION
One page per material per building or area)
I {ADD I IDELETE I IREVISE 200 I Page of
I. FACILITY INFORMATION
BUSiNESS NAME 3
SBC/Pacific Bell SA114
CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202
STORED ON 1ST FLOOR EPCRA ~ YES IX~
NO
'.~.-~:~[i>.'. I MAP# (optional) 203 GRID# (optional) 204
FACILITY ID# ,,~?
II. CHEMICAL INFORMATION
205 TRADE SECRET[~1 Yes ~ 206
CHEMICAL
NAME
No
LEAD/ACID BATTERY W/SULFURIC ACID
If Subject to EPCRA, refer to insa'uctions
ZOMMON NAME 207~ ~ 208
BATTERY ELECTROLYTE-WET CELL EHS ] ] Yes ]X~
No
~'AS# 209
7664-93-9 If EHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
CORROSIVE
HAZARD MATERIAL 211 212 213
TYPE (Check one item [~a. PURE ['~b. MIXTURE [~c. WASTE RADIOACTIVE []Yes [-~No CURIES
215
PHYSICAL STATE 214
[] a. SOLID [] b. LIQUID [] c. GAS LARGEST CONTAINER 8.3
i~em
Check
only)
216
FED HAZARD CATEGORIES
(Check all that apply) [] a. FIRE ~ b. REACTIVE ~ c. PRESSURE RELEASE ['~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH
AVERAGE DAILY AMOUNT796.8 217 MAXIMUM DAILY796.sAMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220
UNITS* ~ a. GALLONS ~'~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE:365 222
(Check one item only) if EHS. amount must be in ~ounds.
STORAGE -~ ~. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE RAIL CAR
CONTAINER __'~ a. UNDERGROUND TANK __-- f. CAN Z j' BAG l-- n. PLASTIC BOTTLE OTHER
I:. TANK iNSIDE BUILDiNG g. CARBOY k. BOX o. TOTE BiN
~ ~. STEEL DRUM -- h. SILO -- 1. CYLINDER p. TANK WAGON
.... 223
~-~ a. AMBIENT []b. ABOVE AMBIENT ~c. BELOW AMBIENT 224
STORAGE
PRESSUKE
STORAGE TEMPERATURE ['-~a. AMBIENT [~b. ABOVE AMBIENT ~c. BELOW AMBIENT ["~d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS#
18-37 226 SULFURIC ACID 227 ~'es ~No 228 7664-93-9 229
2 12-15 230 WATER 231 [~Yes [~No 232 7732-18-5 233
:3 67-77 234 LEAD 235 ~Ycs [~o 236 7439-92-1 237
¢ <1 238 COPPER 239 [~es ~qo 240 7440-50-8 241
242 CADMIUM 243 [~Yes [~[No 244 7440-93-9 245
5
If more hazardous components ~xe present at greater than 1% by weight if non-carcinogenic, or O. 1% by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPCRA, Please Sign Here
UPCF (1/99) 169 OES Form 2731
BUSINESS NAME PACIFIC BELL BKFDCA13 SAl14 DATE 11/07/2000 DRA~NG SCA~
BUSINESS ADDRESS 5501 COLUMBUS AVE. BAKERSFIELD ZIP CODE 95501 NOT TO SCALE
SYMBOL LEGEND
1
NATURAL GAS
SHUT-OFF
' ~ WATER SHUT-OFF
~ EMERGENCY PUMP
SHUT-OFF
2
T~A TANK MONITORING
. ~ ALARM
/
~ FIRST AID KIT
/
~ FIRE EXTINGUISHER
3 ~ STORM DRAIN
~ SANITARY SEWER
/ ~ STAGING AREA
EVACUA~ON/
4 / ~ HMMP, AND MSDS
LOCATION
x x FENCE
~ EMERGENCY R[SPONS[
EQUIPMENT/ABSORBENTS
/
5 / ~ ~ ~ ~ ~ ,~ov~o~.~
STORAGE TANK
COLOCATION
~ / IAREAI 1~-~,UNDERGROUND
~ J [ ~ ~--~ STORAGE TANK
~ ~ L 1 r J ~ MOTOR OILS ~ LUBRICANTS
_ _ _ ~co~.us~,~
BATTERY ELECTROLYTE
/ (--~ ~ (CORROSIVE LIQUID)I
~] ~ I I ~ ~ GASOLINE
I
(oo...s.,B.[ LIQUIDS)
. ~ I I NITROGEN
(COMPRESSED
~ (FLAMMABLE LIQUID)
ACET~ENE
COLu~t / ~ANTIFREEZE/COOLANTS
8 ~ W, ST~ o,~
. . (FLAMMABLE LIQUID)
~ FIRE PULL BOX
9
A J B C D , : E F G H J I d K L M
I
I
- ~ '~ - rx~ tH~S Do~ ~ T.E SECTION
~ HAZARDous MATE~ALs PLANS
PROGRAMS PERMITS BINDER 1
HazardoUs Materials Annual Inventory
YEAR 2002
Pacific Bell - SAll4
(Facility Name and ID)
3501 COLUMBUS (~ AUBURN
(Facility Address)
BAKERSFIELD
(Facility City)
KERN
(Facility County) '
POST THIS DOCUMENT ON SITE
SO IT WILL BE AVAILABLE IN
THE EVENT OF A GOVERNMENT AGENCY INSPECTION,
SITE ASSESSMENT OR AUDIT.
Rev. 11/09/200'1 (jsb)
lED PROGRAM CONSOLIDATED
? FACILITY INFORMATION
BUSINESS ACTIVITIES
Page ~ of ~
I. FACILITY IDENTIFICATION
FACILITY ID# ~ ' I I EPA ID# (Hazardous Waste Only) 2
I
CATO80020548
3USINESS NAME (Same as FACILITY NAME or DBA-Doing Business AS) 3
Pacific Bell SAl14' 3501 COLUMBUS (~ AUBURN BAKERSFIELD
I, ACTIVITIES DECLARATION
NOTE: If ~you CheCk YES to any part of this list,
PleaSe submit the Business Owner/Operator Identification page (OES Form 2730).
Does your facility .... If Yes, please complete these pages of the.UPCF...
A. HAZARDOus MATERIALS
Have on site (for any purpose) hazardous materials at or above 55
gallons for liquids, 500 pounds for solids, or 200 cubic feet for
compressed gases (include liquids in ASTs and USTs); or theI'~'lI I I /IyES~NO4 'v/ HAZARDOUS MATERIALS INVENTORY-
applicable Federal threshold quantity for an extremely hazardous CHEMICAL DESCRIPTION(oES 2731)
substance specified in 40 CFR Part 355, Aappendix A or B; or
handle radiological materials in quantities for which an emergency
plan is required pursuant to 10 CFR Parts 30, 40 or 70?
B. UNDERGROUND STORAGE TANKS lUSTs) ,[] YES [~ NO 5 ,~' UST FACILITY (Formerly SWRCB Form A)
1. Own or Operate underground storage tanks? v/ UST TANK (One page per tank) (Formerly Form B)
2. Intend to upgrade existing or install new USTs? []YESr~NO 6 ~ UST FACILITY
~ UST TANK (One per tank
~,/ UST INSTALLATION - CERTIFICATE OF
COMPLIANCE(one page per tank)(Formedy Form C)
3. Need to report closing a UST? [~ YES [] NO 7 ,~' UST TANK (closure portion-one page per tank)
C..ABOVE GROUND PETROLEUM STORAGE TANKS lASTs)
Own or operate ASTs above these thresholds:
---any tank capacity is greater than 660 gallons, or [] YES ~;~ NO 8 ~ NO FORM REQUIRED TO CUPAS
---the total capacity for the facility is greater than 1,320 gallons?
D. HAZARDOUS WASTE
Generate hazardouS waste? []YES[]NO 9 ~' EPAIDNUMBER-provideatthetopofthispage
2. Recycle more than 100 kg/Tenth'of excluded or exempted [] YES [~]NO 10
RECYCLABLE
MATERIALS
REPORT
recyclable materials (per HSC ~ 25143.2)? (one per recycler)
3. Treat hazardous waste on site? [~ YES r~ No 11 ~ ONSITE HAZARDOUS WASTE
TREATMENT - FACILITY
(Formerly DTSC Form 1772)
~ ONSITE HAZARDOUS WASTE
TREATMENT'UNIT(one page per unit)
(Formerly DTSC Form 1772A,B,C,D, and L)
4. Treatment subject to financial assurance requirements (for Permit ~] YES r~-------']NO12 ~/ CERTIFICATION OF FINANCIAL
by Rule and Conditional authorizaton)? ASSURANCE (Formerly DTSC Form 1232)
5. Consolidate hazardous waste generated at a remote site? [] YES r~---"~NO 13 ~ REMOTE WASTE/CONSOLIDATION SITE
ANNUAL NOTIFICATION (Formerly
DTSC Form 1232)
6. Need to report the closure/removal of a tank that was classified as [] YES r~NO 14 ~/ HAZARDOUS WASTE TANK CLOSURE
hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249)
E. LOCAL REQUIREMENTS 15
(You may also be required to prov. ide additional information by yourCUPA or local agency.)
UPCF (1/99) 2
UNI PROGRAM CONSOLIDATED FORM
~ . . FACILITY INFORMATION
· BUSINESS OWNER/OPERATOR IDENTIFICATION
Page 7..- of~
· I. IDENTIFICATION
FACILITY ID# I [' I I t~]' I I[II]~ IBEG~INGDATE ~oo ENDING DATE ~o~
BUS1NESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 BUSINESS PHONE' 102
Pacific Bell SAl14 805-871-0011
BUSINESS SITE ADDRESS 103
3501 COLUMBUS @ AUBURN
104 CA ZIP CODE 105
BAKERSFIELD ' I 93301 .
DUN BRADSTREET ~06 SIC CODE (4 digit #) ~07
10-340-1618 I 4811
COUNTY 108
KERN
BUSINESS OPERATORHARRyNAME DYCK log BUSINESS OPERATOR559.454.3003PHONE 110
II. BUSINESS OWNER
111 OWNER PHONE 112
OWNER NAME Pacific Bell 877-823-9833
i ADDRESS 113
2600 CAMINO RAMON, RM 3E000
114 STATE 115 ZIP CODE 116
CiTY SAN RAMON CA 94583-0995
IH. ENVIRONMENTAL CONTACT
117 CONTACT PHONE 118
STAN BRODECKI , 925-823-6161
CONTACT MAILING ADDRESS 119
2600 GAMINO RAMON, RM 3E000
120 STATE 121 ZIP CODE 122
SAN RAMON CA 94583~0995
PRIMARY IV. EMERGENCY CONTACTS SECONDARY
123 NAME 128
HARRY DYCK EMERGENCY CONTROL CENTER
TITLE 124 TITLE 129
Site Manager 24 HR EMERGENCY SERVICE
PHONE 125 BUSINESS PHONE 130
559-454-3003 877-322-4722
24-HOUR PHONE 126 24-HOUR PHONE 131
877-322-4722 877-322-4722
PAGER# 127 PAGER# 132
559-263-2433
INFORMATION:
Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am
familiar with the information submitted and believe the information is true, accurate, and complete.
SIGNATURE OF OWNER/OPEJ?eA-jTOR /~ ~.. DATE 134 NAME OF DOCUMENT PREPARER 135
12/15/2001 RHL DESIGN GROUP, INC. - AGENT FOR PACIFIC BELL
NAME OF SIGNER (pfi~ - - v - 136 TITLE OF SIGNER 137
Steve Skanderson - Project Manager
UPCF (1/0Orevised) 167 OES FORM 2730 (1/99)
PROGRAM CONSOLIDATED
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY- CI'IEMIC DESCmpTION
One page per material per building or area)
ADD DELETE REVISE 200 Page "~ of.~
.. I. FACILITY INFORMATION
Pacific Bell SA114
CHEMICAL LOCATION CONFIDENTIAL
CHEMICAL LOCATIONEPCRA[~ YES [~ NO 202
NORTHEAST SIDE OF LOT
~ ~ 1 MAPg (optional) 203 GRID# (optional) 204
II. CHEMICAL INFORMATION
205 TRADE SECRET [~ No 206
PETROLEUM HYDROCARBON [] Yes
If Subject to EPCRA, refer to instructions
207 208
DIESEL'FUEL #2 EHS [~ Yes [~ No
3AS# 209
68476-34~6 IfEHS is "Yes", all amounts below must be in lbs.
CLASSES (Complete if required by CUPA) 210
COMBUSTIBLE LIQ. II
HAZARD MATERIAL 211 212 213
rYPE (Check one item []a. PURE [~ b: MIXTURE []c. WASTE RADIOACTWE ~]Yes ~]$o CURIES
21§
E~ a. SOLID [~ b. LIQUID [~ C. GAS 214 LARGEST CONTAINER 1000
216
FED HAZARD CATEGORIES E~ a. FIRE' [] b. REACTIVE [] c. PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH
~pply)
AVERAGE DAILY AMOUNT1000 217 MAXIMUM DAILY1250AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220
UNITS' ~a. GALLONS [~ b. CUBIC FEET [~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222
Check one item only) if EHS. amount must be in pounds. 365
STORAGE ~ii ABOVE GROUND TANK ~ii PLASTiC/NONMETALLiC DRUM i~! FIBER DRUM ~m. GLASS BOTTLE. BOX~]~ TOTE BIN ~;i RAIL CAR
CONTAINER UNDERGROUND TANK CAN ' BAG lin. PLASTIC BOTTLE OTHER
TANK INSIDE BUILDING CARBOY
STEEL DRUM SILO ~o.
CYLINDER IIP- TANK WAGON
223
STORAGE PRESSURE ~ a. AMBIENT ~]b. ABOVE AMBIENT ~lc. BELOW AMBIENT 224
STORAGE TEMPERATURE' [-~a. AMBIENT E~b. ABOVE AMBIENT ~c. BELOW AMBIENT [~d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS cAS#
99.5% 226 DIESEL FUEL NO. 2 227 ~Yes . [~No
228
229
68476-34-6
0.5% 230 NAPHTHALENE 231 [~Yes [~No 232 91-20-3 233
234 PETROLEUM DISTILLATES 235 ~Yes ~No 236 NONE 237
238 239 ~Yes [~No 240 241
242 243' [~Yes ~qo 244 245
If more hazardous components are present at greater than 1 ~ by weight if non-carcinogenic, or 0.1Vo by weight if carcinogenic, attach additional sheets of paper capturing thc required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
· · If EPCRA, Please Sign Here
UPCF (1/99) 169 OES Form 2731
UN~D PROGRAM CONSOLIDATED F~/I
~7 HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CI-IEMIC~U~ DESCRIpTIoN
One page per material per building or area)
I IADD I )DELE,TE I [REVISE 200 I Page ~ of q
· I. FACILITY INFORMATION
BUSINESS NAME 3
Pacific Bell SA114
CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202
STORED ON 1ST FLOOR EPCRA [~ YES ~]
NO
1 MAP# (optional) 203 aRID# (optional) 204
FACILITY ID# ~}~ ~' ~ii 1 E6
II. CHEMICAL INFORMATION
205 TRADE SECRET~ Yes ~ 206
CHEMICAL
NAME
No
LEAD/ACID BATTERY W/SULFURIC ACID I_~ ~J
If Subjeet to EPCRA, refer to instructions
COMMON NAME. 207~ ~-~ 208
BATTERY ELECTROLYTE-WET CELL EHS ~] Yes ~J
No
CAS# 209
7664-93-9 IfEHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
CORROSIVE
HAZARD MATERIAL 211 212 213
rYPE (Check one item []a. PURE []b. MIXTURE []c. WASTE RADIOACTIVE ~]Yes [~No CURIES
215
PHYSICAL STATE [] 'a. SOLID []b. LIQUID [~ c. GAS 214 LARGEST CONTAINER 8.3
Check one item only)
216
FED HAZARD CATEGORIES [] a. FIRE ~] b. REACTIVE [] c. PRESSURE RELEASE []d. ACUTE HEALTH [~ e. CHRONIC HEALTH
Check all that apply)
AVERAGE DAILY AMOUNT796.8 217 MAXIMUM DAILY796.sAMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220
UNITS' []a. GALLONS [~b. CUBICFEET [~c. POUNDS [~d. TONS 221 DAYS ON S1TE: 222
365
Chcck one item only) if EHS. amount must be in hounds.
STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM I m. GLASS BOTTLE RAIL CAR
CONTAINER -- b. UNDERGROUND TANK -- f. CAN j. BAG !__ n. PLASTIC BOTTLE OTHER
~ c. TANK 1NSIDE BUILD1NG g. CARBOY k. BOX o. TOTE B1N
d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON
.... 223
~ a. AMBIENT ~b. ABOVE AMBIENT [~c, BELOW AMBIENT 224
STORAGE
PRESSURE
STORAGE TEMPERATURE [~a. AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT ~d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS#
I 18-37 226 SULFURIC ACID 227 ~Yes ~qo 228 7664-93-9 229
2 12-15 230 WATER 231 ~}Yes [~No 232 7732-18-5 233
3 67-77 234 LEAD 235 ~Yes ~qo 236 7439-92-1
237
4 <1 238 COPPER 239 [~Yes [~No 240 7440-50-8 241
5 .2-.3 242 CADMIUM 243 ~Yes ~qo 244 7440-93-9 245
If more hazardous components are preSent at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenlc, attach additional sheets of paper 9apturing thc required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPCRA, Please Sign Here
UPCF (1/99) 169 OES Form 2731
PACIFIC J~ BELL MAP// 1S ITF:, MAP
BUSINESS NAME PACIFIC BELL BKFDCA15 SAl14 DATE 11/07//2000 DRAWING SCALE
BUSINESS ADDRESS 5501 COLUMBUS AVE. BAKERSFIELD ZIP CODE 93301 NOT TO SCALE
SYMBOL LEGEND
1
SHUT-OFF
Q NATURAL GAS
SHUT-OFF
(~ WATER SHUT-OFF
~ EMERGENCY PUMP
SHUT-OFF
2 __
A TANK MONITORING
TMA ALARM
~ TELEPHONE
/
~ FIRST AID KIT
/
~ FIRE EXTINGUISHER
3 / ~ STORM DRAIN
/
~ SANITARY SEWER
'/ ~ STAGING AREA
EVACUATION/
4 / ~ HMMP, AND MSDS
LOCATION
- x x FENCE
~ EMERGENCY RESPONSE
/
EQUIPMENT/ABSORBENTS
I -- ABOVEGROUND
5 / ~ ~1 ~ ( ) STORAGE TANK
COLOCATION
~ AREA I I~-~t UNDERGROUND
I ~ ~-~ ~ORAO~ ~AN~
~ (COMBUSTIBLE LIQUIDS)
/
BATTERY
ELECTRO~
6
(oo.~os~vE
/
]M A~
~-~ ~ I ~GASOLINE
(FLA~ABLE UQUIDS)
~ (COMBUSTIBLE LIQUIDS)
I
7 ~ I ' / ~ PROPANE
(FLAMMABLE -LIQUID)
OOLu~ ~
(COMPRESSED GAS)
WASTE OIL
· (FLAMMABLE LIQUID)
~ FIRE PULL BOX
9
I B C D E F G H I
A
d
K
L
I
FiLE THIS ~[JMENT 1N THE SECTION
HAZARDOUS MATERIALS PLANS
PROGRAMS PERMITS BINDER
Hazardous Materials Annual Inventory
YEAR 2001
Pacific Bell - SAll4
(Facility Name and ID)
3501 COLUMBUS (~ AUBURN
(Facility Address)
BAKERSFIELD
(Facility City)
KERN
(Facility County)
POST THIS DOCUMENT ON SITE
SO IT WILL BE AVAILABLE IN
THE EVENT OF A GOVERNMENT AGENCY INSPECTION,
SITE ASSESSMENT OR AUDIT.
UNIFI~PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
Page I of ~
I. IDENTIFICATION
FACILITY ID# ~ ~ 1 BEGINNING DATE 100 END1NG DATE 101
~ 1/1/2001 12/31/2001
BUSINESS NAME (SamepacificaS FACILITYBell N~V~EsA1 14Dr DBA - Doing Business As) 3 BUSINESS PHONE805_871_0011 102
BUSINESS SITE ADDRESS 103
3501 COLUMBUS @ AUBURN
104 CA ZIP CODE 105
:ITY BAKERSFIELD 93301
DUN BRADSTREET 106 SIC CODE (4 digit #) 107
10-340-1618 4811
COUNTY 108
KERN
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
HARRY DYCK 559-454-3003
II. BUSINESS OWNER
111 OWNER PHONE 112
OWNER NAME SBC Communications, Inc. 877-823-9833
~WNER MAILING ADDRESS 113
2600 CAMINO RAMON, RM 3E000
114 STATE 115 ZIP CODE 116
CITY SAN RAMON CA 94583-0995
III. ENVIRONMENTAL CONTACT
CONTACT NAME 117 CONTACT PHONE 118
STAN BRODECKI 925-823-6161
CONTACT MAILING ADDRESS 119
2600 CAMINO RAMON, RM 3E000
CITY 120 STATE 121 ZIP CODE 122
SAN RAMON CA 94583-0995
PRIMARY IV. EMERGENCY CONTACTS SECONDARY
NAME 123 NAME 128
HARRY DYCK EMERGENCY CONTROL CENTER
TITLE 124 TITLE 129
Facility Contact 24 HR EMERGENCY SERVICE
BUSINESS PHONE 125 BUSINESS PHONE 130
559-454-3003 877-322-4722
24-HOUR PHONE 126 24-HOUR PHONE 131
877-322-4722 877-322-4722
PAGER# 127 PAGER# 132
559-263-2433
ADDITIONAL LOCALLY COLLECTED INFORMATION:
Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am
familiar with the information submitted and believe the information is true, accurate, and complete.
SIGNATURE OF OWNER/OPER.8~OR~ ~__7/./__ ~_~ ~ Z./~//'~ DATE 134 NAME OF DOCUMENT PREPARER 135
NAME OF SIGNER (print) 136 TITLE OF SIGNER 137
Steve Skanderson Project Manager
UPCF (1/99 revised) 167 DES FORM 2730 (1/99)
)GRAM CONSOLIDATED
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
One page per material per building or area)
I I*°o I IDELETE I IREvISE 200 I Page sZe of'~
I. FACILITY INFORMATION
BUS1NESS NAME 3
Pacific Bell 8Al14
C HE MI CALLO CATION ECPRACHEIVI CALLO CATIO~ yEsNCONF~IDENTIALNo 202
NORTHEAST SIDE OF LOT I I
MAPFL (optional) 203 GRID# (optional) 204
FACILITY ID# 1 D6
II. CHEMICAL INFORMATION
205 TRADE SECRET 206
:HEMICALNAME PETROLEUM HYDROCARBON I~ Yes ~] No
If Subject to EPCRA, refer to instractions
COMMON NAME ' 207 EHS ~ ~ 208
DIESEL FUEL#2 I lYes
No
CAS# 209
68476-34-6 IfEHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
COMBUSTIBLE LIQ. II
211 __ __ 212 213
HAZARD MATERIAL ~ PURE ~ b. MIXTURE [~ WASTE RADIOACTIVE [~ Yes [~ No CURIES
TYPE (Check one item I I a. ~ ~ c.
PHYSICAL, check one itemSTATEonly) 214 215
[] a. SOLID [] b. LIQUID [] c. GAS LARGEST CONTAINER 1000
216
FED HAZARD CATEGORIES
'Check all that apply) [X~a. FIRE [~b. REACTIVE [~c. PRESSURE RELEASE [~d. ACUTE HEALTH ~]e. CHRONIC HEALTH
AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE' WASTE CODE 220
1000 1250
'Check one item only) ifEHS, amount must be in pounds. 365
STORAGE ~~~ ABOVE GROUND TANK ~ii PLASTiC/NONMETALLiC DRUM i~! FIBER DRUM ~m. GLASS BOTTLE RAIL CAR
CONTAINER UNDERGROUND TANK CAN BAG ~n. PLASTIC BOTTLE ~;i OTHER
TANK INSIDE BUILDING CARBOY . BOX ~o. TOTE BIN '
STEEL DRUM SILO CYLINDER [~p. TANK WAGON
223
[~ a. AMBIENT [~b. ABOVE AMBIENT []c. BELOW AMBIENT 224
STORAGE
PRESSURE
STORAGE TEMPERATURE ~ a. AMBIENT []b. ABOVE AMBIENT []c. BELOW AMBIENT [~d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CASt/
99.5% 226 DIESEL FUEL NO. 2 227 [~Yes
228
229
68476-34-6
0.5% 230 NAPHTHALENE ,231 [~Yes [~lq o 232 91-20-3 233
234 PETROLEUM DISTILLATES 235. [~Yes [~No 236 NONE 237
238 239 [~[es [~No 240 241
242 243 [~Yes [~o 244 245
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 246
IfEPCRA, please Sign Here
UPCF (1/99) 169 DES Form 2731
UNI
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CI-IEMICAL DESCRIPTION
One page per material per building or area)
[ IADD I IDELETE IXI REVISE 200 I Page ~ of ~}
I. FACILITY INFORMATION
BUSINESS NAME 3
Pacific Bell SA114
CHEMICAL LOCATION CHEMICAL LbCATION CONFIDENTIAL 202,
EPCRA
STORED ON 1ST FLOOR ~l YES X~
NO
1 MAP# (optional) 203 GRID# (optional) 204
FACILITY D# -~7': ,', ' 1 E6
"- II. CHEMICAL INFORMATION
205 TRADE SECRET [~Yes [~No 206
CHEM]CALNAME LEAD/ACID BATTERY W/SULFURIC ACID
If Subject to EPCRA, refer to instructions
COMMON NAME 207 EHS ~ r~ 208
BATTERY ELECTROLYTE-WET CELL [~ Yes X~
No
209
CAS# 7664-93-9 IfEHS is "Yes", all mounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
CORROSIVE
HAZARD MATERIAL 211 212 213
TYPE (Check one item [~ a. PURE [~ b. MIXTURE[] C. WASTE RADIOACTIVE [~ Yes [~No CURIES
215
PHYSICAL STATE [~] a. SOLID [~] b. LIQUID [] c. GAS 214 LARGEST CONTAINER 8.3
~Check one item only)
216
FED HAZARD CATEGORIES
Check all that apply) [~ a. FIRE [~ b. REACTIVE [~ c.PRESSURERELEASE [~ d. ACUTE HEALTH [~ e.CHRONIC HEALTH
AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220
796.8 796.8
221
DAYS ON SITE:
222
UN[TS*~ ~ a. GALLONS~ ~ b. CUBIC FEET I [ c. POUNDS ~]
d.
TONS
365
(Check one item only) if EHS, amount must be in pounds.
STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM__ i. FIBER DRUM __ :m. GLASS BOTTLE o. RAIL CAR
CONTAINER -- b. UNDERGROUND TANK -- f. CAN j. BAG a. PLASTIC BOTTLE X~p. OTHER
c. TANK INSIDE BUILDING g. CARBOY k. BOX 3. TOTE BIN
d. STEEL DRUM h. SILO 1. CYLINDER . p. TANK WAGON
.... 223
[~ a. AMBIENT []b. ABOVE AMBIENT [~c. BELOW AMBIENT 224
STORAGE
PRESSURE
STORAGE TEMPERATURE [~a. AIVIBIENT [~b. ABOVE AMBIENT [~c. BELOW AIdBIENT ~]d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS#
1 18-37 226 SULFURIC ACID 227 [~Yes ~,lo 228 7664-93-9 229
2 12-15 230 WATER 231 [~es [~No 232 7732-18-5 233
3 67-77 234 LEAD 235 [~es ~[No 236 7439-92-1 237
238 COPPER 239 [~Yes ~qo 240 7440-50-8 241 I
4
5 .2-.3 242 CADMIUM 243 [~Ycs [~'qo 244 7440-93-9 245
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 246
IfEPCRA, Please Sign Here
UPCF (1/99) 169 OES Form 2731