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HomeMy WebLinkAboutBUSINESS PLAN 8/22/2000 HazardoUs' Materials/Hazardous Waste unified Permit '- H' BAKERSFIELD CELLULAR Si''- ~ .. :. I~u~ by[ Bakersfield Fire Depa~ment " ' ' OFFICE OF EN~R ONMENTAL SER ~CES Bakersfield, CA 93301 .... :~*~: Voice-~{661) ~26-3979 :'~.~ Hazardous-Materials/Hazardous Waste.Unified Permit , CONDITIONS OF PERMIT ON REVERSE SIDE B~ersfield Fke Depa~ment Approv~ by: ' OFFICE OF E~RO~E~L 1715 Chewer Ave., ~rd Floor ~ office of ~en~l S~i~ B~e~fiel~ CA 93301 Voice (805) ~26-3979 F~ (80s)~26-0s76 Expiration Date: dUn~ ~0~ ~OO0 ' Si"i'F_ DIAGFLAM I : FACILITY DIAGRAM " 8ustness AC0,re~: For Off`ice Use Only [nso_,ec*.ion stcdor:: NORTH ~/~' ,~. .S~E D~AGFL~M ~ ,.~ FACIL],TY DIAGRAM. ~ ~u~iness A~e~: !n~ecm:n ~tc,don: NORTH , ~/~,~ BAKERSFIELD CELLULAR SITE 12 SiteID: 015-021-001554 Manager : ./~ BusPhone: (661) 327-8700 Location: .2204 COY AVE 50~~U Map : 124 CommHaz : Moderate City : BAKERSFIELD Grid: 17A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 SIC Code:4813 EPA Numb: DunnBrad:00-698-0080 Emergency Contact / Title Emergency Contact / Title JOE SANDOVAL / FIELD ENGINEER LARRY GONZALES / FIELD OP MGR Business Phone: (661) 332-0127x Business Phone: (559) 285-2403x 24-Hour Phone : (661) 332-0127x 24-Hour Phone : (559) 285-2403x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: , Fire Press React ImmHlth 'h~ ~Ct~aO~[~ Phone: (661)327-8700x Contact : - m~ MailAddr: 4180 TRUXTUN AVE ' State: CA City : BAKERSFIELD Zip : 93309 Owner AT&T WIRELESS SERVICES Phone: (~~O--~ Address : ~ ~ /%~rJ'A ~n~ State:-GA~/~ Period : to ~E.~¥~D~ TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: .. ~UG 2 ~ ~ RSs: No Emergency Directives: ~NVI~O,%~. ~V~C~S =Hazmat Inventory One Unified List --As Designated Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm I Dai'lyMax IUnitlMCp HALON 1301 P R IH G 234.00 FT3 Min PROPANE E F P IH L ~O D~00.00 GAL Hi ELECTRIC STORAGE BATTERY F IH L 319.00 LBS Hi I, ~,-,;-, ~-~,~ ' Do hereby certify that ! have - ~ ~,.'T'ype Or-p~n_~narne) reviewed the attached hazardous materials manage- ment plan-for /~..b,33 and that it along with (Name o! Business) any corrections constitute a complete and correct man- agement plan for my facility. ~,~. /z.~~ ~-Zz~O~3. 08/15/2000 · Oa~e BAKERSFIELD CELLULAR SITE 12 SiteID: 015-021-001554 ~ ~ InVentory Item 0001 Facility Unit: Fixed Containers at Site 9 -- COMMON NAME / CHEMICAL NAME HALON 1301 Days On Site 365 Location within this F~cility Unit Map: Grid: INSIDE OF SHELTER CAS# 75638 Gas I Pure Above Ambient Ambient . FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION I Largest Container I Daily Maximum Daily Average 234.00 FT3 234.00 ,FT3 234.00 FT3 HAZARDOUS COMPONENTS 99.00 Bromotrifiuoromethane 75638 HAZARD ASSESSMENTS TSecret [ RS I BioHaz I Radioactive/Amount EPA Hazards ~'PA USDOT# MCP No No N© No/ Curies P R IH / / Min = Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ -- COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit .Map: Grid BEHIND SHELTER CAS# 74-98-6 rSTATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid-~[Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 200.00 GALI' 200.00 GAL 150.00 GAL HAZARDOUS COMPONENTS I %Wt. RS CAS# 87.5'0 Propane yes 74986 IYesl 74840 5.00 Ethane [Yes[ 115071 5.00 Propylene t HAZARD ASSESSMENTS ITsecret I RS IBiOHaz Radi°active/AmountNo No No No/ Curies FEPA HazardsIP IH NFPA/// I USDOT# IMCPHi -2- 08/15/2000 BAKERSFIELD CELLD-LAR SITE 12 SiteID: 015-021-001554 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ ~ COMMON NAME / CHEMICAL'NAME ELECTRIC STORAGE BATTERY Days On Site BATTERY ELECTROLYTE/SULFURIC ACID 365 Location within this Facility Unit Map: Grid: .INSIDE OF SHELTER CAS# ~ ~ 7664-93-9 FSTATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION. I Largest Container I Daily MaximumI Daily Average 13.28 LBS 319.00 LBS 319.00 LBS HAZARDOUS COMPONENTS 67.00 Lead N 7439921 18.00 Sulfuric Acid (EPA) ,No, 7664939 2.00 Polypropylene liN° 9003070 HAZARD ASSESSMENTS TSoorotINo NoRS I Bi°HasINo Radi°act ive/Amount I EPANo/ Curies F HazardsiH ~1 NFPA/// USDOT# I MCPHi -3- 08/15/2000 F BAKERSFIELD CELLULAR,SITE 12 SiteID: 015-021-001554 Fast Format = Overall Site ~ N°tif'/Evacuati°n/Medical i --Agency Notification 03/24/2000 IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTIFIED. -- Employee Notif./Evacuation 04/04/1995 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND · CLOSE'ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPARTMENT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. -- Public Notif./Evacuation 04/04/1995 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSEA THREAT TO THE PUBLIC. Emergency Medical Plan 05/27/1998 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE HANDLED AT CLOSEST EMERGENCY/URGENT CARE MEDICAL FACILITY. -4- 08/15/2000 F BAKERSFIELD CELLULAR SITE 12 SiteID: 015-021-001554 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention~ 04/04/1995 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. Release Containment 03/24/2000 SHUT DOWN FOR PROPANE LOCATED ON.TOP OF'TANK IN CASE OF LEAK. NO CONTAINMENT TO HALON EXCEPT FOR BLDG CONTAINMENT. -- Clean Up 03/24/2000 THERE ARE NO CLEANUP PROCEDURES FOR HALONAND PROPANE. Other ResOurce Activation -5- 08/15/2000 .F BAKERSFIELD CELL~ SITE 12 SiteID: 015-021-001554 Fast Format F Site Emergency Factors . Overall Site lSpecial Hazards --Utility Shut-Offs 03/24/2000 A) PROPANE - SHUTOFF ON TANK AND ENTRANCE TO BLDG B) ELECTRICAL - DROP BOX ON R SIDE OF BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOC - NO -- Fire Protec./Avail. Water 03/24/2000 PRIVATE FIRE PROTECTION - HALON SYSTEM WITH HEAT AND SMOKE DETECTORS. NEAREST FIRE HYDRANT - NONE. Building Occupancy Level -6- 08/15/2000 BAKERSFIELD CELLULAR SITE 12 SiteID: 015-021-001554 Fast Format = Training ~. Overall Site -- Employee Training 03/24/2000 THIS IS AN UNMANNED CELL SITE THAT IS FULLY AUTOMATED ANDALARMED. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE MSDS SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS AND TO CONTACT JOE SANDOVAL OR LARRY GONZALES FOR ANY CONCERNS THAT MIGHT ARISE. Page 2 Held for FutUre Use Held for Future Use 7 08/15/2000 CBAKERSFIE~',D CELLULAR SITE 12 ~~ SiteID: 215-000-001554 Manager C0~td¢~ BusPhone: ,. ~-~ ) Location: 2204 COY AVE Map : 124 CommHaz : Moderate City : BAKERSFIELD Grid: 17A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 SIC Code:4812 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOE SANDOVAL / FIELD ENGINEER LARRY GONZALES / FIELD OP MGR Business Phone: (661) 332-0127x Business Phone: (559) 285-2403x 24-Hour Phone : (661) 332-0127x 24-Hour Phone : (559) 285-2403x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth Contact : AT&T NT Phone: ( MailAddr:~ Barbara Walden I State: CA City : 4430 Rosewood Drive, Rm 3188 ~ Zip : Pleasanton, CA 94588 Owner AT&T WIRELESS SERVICES Phone: (925) 224-1488x Address : 4430 ROSEWOOD DR 3188 State: CA City : PLEASANTON Zip : 94588 Period : ~-~-~9 to ~%-~ TotalASTs: I = ~-00 Gal Preparer: TotalUSTs: 0 = Gal Certif'd: ~~o{~J~ ~~ Res: No Emergency Directives: RECEIVED I, ~.D~c~ ~ ~c; Ic~c'~ Do hereby certify ~hm ! have " reviewed ~he a~tached hazardous materials ma;~age- ment plan for i~T~-~ LO~,~1¢$~ ~v_cand ~ha~ i~ along wi~h any corre~ions consti~u~ a complete and correct man- agemem plan for my facility. · -- Si~a~ Oa~e 1 02/28/2000 F BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 ~ Hazmat Inventory By Facility Unit --Alphabetical Order Fixed Containers at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MC ELECTRIC STORAGE BATTERY F IH S 2400.00 LBS Hi HALON 1301 P R IH G 234.00 FT3 Min PROPANE F P IH L 200.00 GAL Hi -2- 02/28/2000 BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 = Inventory Item 0003 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME Days On Site ELECTRIC STORAGE BATTERY , , , ~ LocatiOn withi~ this Facility Unit Map: Grid: INSIDE OF SHELTER CAS# 7664-93-9 F STATE TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Solid, ~ M~re Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average t~.%~ LBS 5 I~ ~. 00 LBS I 5~ ~*~' 00 LBS ~Z~DOUS COMPONENTS %Wt. I NoS CAS# 67.00 Lead N~ 7439921 18.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene 9003070 HAZARD ASSESSMENTS TSecretINo NoRS I Bi°HaZNo Radioactive/AmountNo/ Curies FEPA HazardsiH NFPA/// I USDOT# IMCPHi ---- Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ -- COMMON NAME / CHEMICAL NAME HALON 1301 Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE OF SHELTER CAS# 75638 Gas [Pure Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 234.00 FT3I 234.00 FT3 HAZARDOUS COMPONENTS 99.00 Brom°trifluoromethane N 75638 HAZARD ASSESSMENTS TSecret oRSIBioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No N No No/ Curies P R IH / / / Min 3 02/28/2000 BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: BEHIND SHELTER CAS# 74-98-6  STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient ABOVE GROUND TANK · AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 200.00 GAL 150.00 GAL HAZARDOUS COMPONENTS 87.50 Propane 74986 5.00 Ethane Yes 74840 5.00 Propylene Yes 115071 HAZARD ASSESSMENTS TSecret, RS Bi°Hazl Radi°active/Am°unt , EPA HazardsNoI I 'NO No No/ Curies F P IH NFPA/// USDOT# MCPHi -4- 02/28/2000 F~BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 04/04/1995 IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTOFIED. -- Employee Notif./Evacuation 04/04/1995 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPARTMENT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. -- Public Notif./Evacuation 04/04/1995 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan 05/27/1998 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE HANDLED AT CLOSEST EMERGENCY/URGENT CARE MEDICAL FACILITY. -5- 02/28/2000 F~BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 04/04/1995 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. -- Release Containment 04/04/1995 SHUT DOWN FOR PROPANE LOCATED ON TOP OF TANK IN CASE OF LEAK. NO CONTAINMENT TO HALON EXCEPT FOR BUILDING CONTAINMENT. Clean Up 04/04/1995 THERE ARE NO CLEAN-UP PROCEDURES FOR HALONAND PROPANE. Other Resource Activation -6- 02/28/2000 'F~BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 I Fast Format ~ Site Emergency Factors Overall Site  Special Hazards --Utility Shut-Offs 04/04/1995 A) PROPANE - SHUT OFF ON TANK AND ENTRANCE TO BLDG B) ELECTRICAL - DROP BOX ON RIGHT SIDE OF BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOC - NO -- Fire Protec./Avail. Water 04/04/1995 PRIVATE FIRE PROTECTION - HALON SYSTEM WITH HEAT AND SMOKE DETECTORS. NEAREST FIRE HYDRANT - NONE Building Occupancy Level -7- 02/28/2000 "'F~BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 Fast Format = Training Overall Site -- Employee Training 09/07/1999 THIS IS AN UNMAAINED CELL SITE THAT IS FULLY AUTOMATED AND ALARMED. WE DO HAVE MsDs SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE MATERIAL SAFETY DATA SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS AND TO CONTACT JOE SANDOVAL OR LARRY GONZALES FOR ANY -- Page 2 --Held for Future Use Held for Future Use 8 02/28/2000 BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 Manager : / SIP l~$ho~: ~) 327-8700 ~ Location: 2204 COY AVE ~ ~ MaP : 424 CommHaz : Moderate City : BAKERSFIELD ~ Grid: ~7A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 SIC Code:4812 EPA Numb: DunnBrad: ~99rgency ~gntact / Title Emergency C°ntact',___~C Title Pager Phone : ( ) - x Pa~er Phone : ( ) - x Hazmat Hazards: Fire Press React Im~lth Con~act.~ ~~, ~%~.~%~ . Phone: (~) 327-8700x MailAddr: 4180 TR~T~ AVE State: CA City : B~ERSFIELD Zip : 93309 Address Period : bo Total~Ts: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory " one Unified List --Alphabetical Order All Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax lUnitlMcP ELECTRIC. STORAGE BATTERY F IH S 2400 LBS~ Hi HALON 1301 P R IH G 234 FT3 Min PROPANE F P IH L 200 GAL Hi -1- 08/17/1999 BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554.~ = Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ -- COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site. 365 Location within this Facility Unit Map: Grid: CAS# 'iNSIDE OF SHELTER 7664_93_9 ~ TYPE r'STATE~.lMixture PRESSURE TEMPERATURE CONTAINERTYPE Solid I Ambient I Ambient I METAL cONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily AVerage LBS 2400.00 LBS 2400.00 LBS HAZARDOUS COMPONENTS I %Wt.. N 7439921 67.00 Lead IYesl 7664939 18.00 Sulfuric Acid (EPA) IN° I 9003070 2 00 Polypropylene HAZARD ASSESSMENTS I ITSecretl RSIBioHazl Radioactive~Amount EPA Hazards NFPA [ USDOT# MCP- No No No No/ Curies F ,IH / / /. Hi Inventory Item 0001 Facility Unit: Fixed Containers at Site.~ -- COMMON NAME~/ CHEMICAL NAME HALON 1301 · Days On'Site 365, LocatiOn within this Facility Unit Map: Grid: INSIDE OF SHELTER CAs~ ~' ·75638 F STATE ~ TYPE PRESSURE i.TEMPERATURE CONTAINER TYPE ~Gas /Pure '. Above Ambient Ambient FIXED PRESS. CYLINDER' ~ AMOUNTS AT THISLOCATION Largest Container I Daily Maximum ~ Daily Average FT3I 234.00 FT3 234.00 FT3 HAZARDOUS COMPONENTS 99.00 Br°motrifluoromethane N . 75638 HAZARD ASSESSMENTS [TSecretI RSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No No No No/ Curies P R IH / / / Min BAKERSFIELD CELLULAR SITE 12 .SiteID: 215-000-001554 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site 9 -- COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit · Map: Grid: BEHIND SHELTER 'cAs# 74-98-6 F STATE ~ TYPEAmbient PRESSURE ITEMPERATUREAmbient CONTAINER.TYPE Pure iLiquid ABOVE GROUND TANK- ~AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum · Daily Average GAL I 200.00 GAL 150.00 GAL HAZARDOUS COMPONENTS %Wt. RSI CAS# 87 50 Propane No 74986 5.00 Ethane No 74840 5.00 Propylene No 115071 HAZARD ASSESSMENTS TSecret NoRS I Bi°HazNo No Radioactive/AmountNo/ Curies EPA HazardsF P IH NFPA/// I USDOT# I'MCpHi -3- 08/17/1999 F BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 04/0.4/1995 IN CAsE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE. AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL. AGENCIES ARE TO BE NOTOFIED. --Employee Notif./Evacuation 04/04/1995 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THESWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM AND TO ENSURE NO ONE ENTERS' THE OFFICE UNTIL FIRE DEPARTMENT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. -- Public Notif./Evacuation 04/04/1995 HAZARDOUS M.A. TERiALs USED AT OUR FACILITYDO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan 05/27/1998 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE ~LED AT CLOSEST EMERGENCY/URGENT CARE MEDI~J~L FACILITY. 4 08/·17/1999 BAKERSFIELD CELLULAR SITE 12 SiteID: 215-000-001554 Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 04/04/1995 ALL REMOTE LOCATIONS ARE~ VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS.. HuTRelease Containment 04/04/1995 DOWN FOR PROPANE LOCATED ON TOP OF .TANK IN CASE OF LEAK. NO .. NTAINMENT TO HALON EXCEPT FOR BUILDING CONTAINMENT. . Clean Up 04/04/1995 THERE ARE NO CLEAN-UP PROCEDURES FOR HALONAND PROPANE. Other Resource Activation -5- 08/17/1999 F BAKERSFIELD CELLULAR SITE.12 ~iteID: 215-000-001554 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --UtilitY Shut-Offs, 04/04/1995 A) PROPANE - SHUT OFF ON TANK AND ENTRANCE TO BLDG B) ELECTRICAL - DROP BOX ON RIGHT SIDE OF BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOC - NO -- Fire Protec'/Avail. Water 04/04/1995 PRIVATE FIRE PROTECTION - HALON SYSTEM WITH HEAT AND SMOKE DETECTORS. NEAREST FIRE HYDRANT - NONE Building Occupancy Level ~/B~AKER~FIELD CELLULAR SITE 12 site ID: 215-000-001554 , /r ~ Fast Format , _ Overall Site , -- Employee Training 05/27/1998 THIS IS AN UNMANNED CELL SITE THAT IS FULLY AUTOMATEDANDALARMED. WE DO HAVE MSDS SHEETS ON FILE. .' BRIEF SUMMARY OF TRAINING~PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE MATERIAL SAFETY DATA SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS AND TO CONTACT C~{-~-~ OR ~~ FOR ANY CONCERNS -- Page 2 -- Held for Future Use Held for Future Use 7 08/17/1999 ' MA 271998 BhsPhone (805) 327 8700 Manager : , -- : - Location: 2204 COY AVE' I~j~ M~p : 124 CommHaz : Moderate City : BAKERSFIELD ~__l~I~: G~id: 17A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 SIC Code:4812 EPA Numb: DunnBrad: Emergency~Contact / Title ~~ Emergency Contact / ~ Title ~ Business Phone: (805) 327-8700x Business Phone: (805) 327-8700x 24-Hour Phone : (805) 332~~3 24-Hour Phone : (805) 332-0123x Pager Phone : ( ) - x . Pager Phone : ( ) - x Hazmat Hazards: Fire Press React Im~lth Emergency Directives: Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site SpecHazlEPA HazardsI Frm DailyMax Unit MCP Hazmat Common Name.'. PROPANE F P IH L 200 GAL Hi HALON 1301 P R IH G 234 FT3 MiL 1 04/02/1998 BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE OF SHELTER CAS# 7664-93-9 V-- ~ TYPE I PRESSURE I TEMPERATUREAmbient CONTAINER TYPE STATE IMixture Ambient METAL CONTAINR-NONDRUM Solid AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 2400.00 LBS 2400.00 LBS HAZARDOUS COMPONENTS %Wt. ~S CAS# 67.00 Lead N 7439921 18.00 Sulfuric Acid (EPA) Yes 7664939 2.00 Polypropylene No 9003070 HAZARD ASSESSMENTS TSecretl RS'BioHaz' Radioactive/Amount ' EPA Hazards NFPA USDOT# MCP NoIlliN° No No/ Curies F IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: BEHIND SHELTER CAS# 74-98-6 r STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure I Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 200.00 GAL I 150.00 GAL HAZARDOUS COMPONENTS 87.50 Propane N 74986 5.00 Ethane INo I 74840 5.00 Propylene No 115071 HAZARD ASSESSMENTS TSecret I RS IBi°HazNo No No Radioactive/AmountNo/ Curies EPA HazardsIF P IH NFPA/// USDOT# MOPHi 2 04/02/1998 F BAKERSFIELD CELLULAR TELEPHONE CO . SiteID: 215-000~001554 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site --COMMON NAME / CHEMICAL NAME .~ HALON 1301 Days On Site 365 Location within this Facility.Unit Map:- Grid: . INSIDE OF SHELTER CAS# 75638 sTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Above Ambient Pure , Gas Ambient FIXED PRESS CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3 I 234.00 FT3 234.00 FT3 HAZARDOUS COMPONENTS · I 99.00 Bromotrifluoromethane N 75638 HAZARD ASSESSMENTS I TSecret NRoSIBioHaz .Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No No No/ Curies P R IH / / / Min · -3- 04/02/1998 F BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 04/04/1995 IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTOFIED. -- Employee Notif./Evacuation 04/04/1995 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPARTMENT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. -- Public Notif./Evacuation 04/04/1995 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan 04/04/1995 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR ~ACILITY CAN BE ! HANDLED AT -ME-RCY iiOS~iTAL LOCATED A~ 2215 TRUXTO]~ AVE. CL~65T ~4~3d~[ -4- 04/02/1998 F BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 04/04/1995 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. -- Release Containment 04/04/1995 SHUT DOWN FOR PROPANE LOCATED ON TOP OF TANK IN CASE OF LEAK. NO CONTAINMENT TO HALON EXCEPT FOR BUILDING CONTAINMENT. 04/04/1995 Clean Up RE ARE NO CLEAN-UP PROCEDURES FOR HALON AND PROPANE. Act ivat ion Other Resource -s- 04fo2/ 99s F BAKERSFIELD CELLULAR'TELEPHONE CO SiteID: 215-000-001554 I Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 04/04/1995 A) PROPANE - SHUT OFF ON TANK AND ENTRANCE TO BLDG B) ELECTRICAL - DROP BOX ON RIGHT SIDE OF BLDG C) WATER -' NONE D) SPECIAL - NONE E) LOCK BOC - NO ~ Fire Protec./Avail. Water 04/04/1995 PRIVATE FIRE PROTECTION - HALON SYSTEM WITH HEAT AND SMOKE DETECTORS. NEAREST FIRE HYDRANT - NONE Building Occupancy Level -6- 04./02/1998 BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 Fast Format = Training Overall Site -- EmplOyee Training 04/04/1995 WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE MATERIAL SAFETY DATA SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS AND TO CONTACT~OR TOM POOR FOR ANY CONCERNS THAT -- Page 2 -- Held for Future Use Held for Future Use -7- 04/02/1998 BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 Manager : BusPhone: (805) 327-8700 Location: 2204 COY AV Map : 124 CommHaz : Moderate City : BAKERSFIELD Grid: 17A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 SIC Code:4812 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ED BLACK / RBS TECHNICIAN TOM POOR / OPERATIONS MGR Business Phone: (805) 327-8700x Business Phone: (805) 327-8700x 24-Hour Phone : (805) 332-0128x 24-Hour Phone : (805) 332-0123x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnit[MCP ELECTRIC STORAGE BATTERY F IH S 2400 LBS Hi PROPANE ' F P IH L 200 GAL Hi ,HALON 1301 P R IH G 234 FT3 ~, ~--bw~'u° ~Do hereby csrtify lha~ I have (%,pe or i~'im name) reviewed tho a~ached hazardous materials rnanag,- rnent plan {hr ~h~~..l.~ ~ and that it along with ' (Nam~'~'i any corrections constitute a complete and correct man- agement plan for my facility. -1- F BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER CAS# 7664-93-9 Solid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 2400.00 2400.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS MAZA~DOU5 COMPON~NT~ %Wt. EHS CAS# 67.00 Lead No 7439921 18.00 Sulfuric Acid (EPA) Yes 7664939 2.00 Polypropylene No 9003070 BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit BEHIND SHELTER CAS# 74-98-6 FSTATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont'.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 200.00 150.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. iEHS CAS# 87.50 Propane !No,I 74986 5.00 Ethane No I 74840 5.00 Propylene NoI 115071 BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME HALON 1301 Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER CAS# 75638 FSTATE. TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas PureI~ Above Ambient~| Ambient FIXED PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 234.00 234.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 I HAZARDOUS COMPONENTS %Wt. IEHSl CAS# 99.00 Bromotrifluoromethane IN° I 75638 -4- F BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 04/04/1995 IN CASE oF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTOFIED. -- Employee Notif./Evacuation 04/04/1995 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPARTMENT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. Public Notif./Evacuation 04/04/1995 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan 04/04/1995 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE HANDLED AT MERCY HOSPITAL LOCATED AT 2215 TRUXTUN AVE. -5- BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 04/04/1995 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR.LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. -- Release Containment 04/04/1995 SHUT DOWN FOR PROPANE LOCATED ON TOP OF TANK IN CASE OF LEAK. NO CONTAINMENT TO HALON EXCEPT FOR BUILDING CONTAINMENT. -- Clean Up 04/04/1995 THERE ARE NO CLEAN-UP PROCEDURES FOR HALON AND PROPANE. Other Resource Activation -6- BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 9 Fast Format ~ F Site Emergency Factors Overall Site ~ Special Hazards I' 04/04/1995 ~ Utility Shut-Offs .~ A) PROPANE - SHUT OFF ON TANK AND ENTRANCE TO BLDG B),~ELECTRICAL - DROP BOX ON RIGHT SIDE OF BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOC - NO -- Fire Protec./Avail. Water 04/04/1995 PRIVATE FIRE PROTECTION - HALON SYSTEM WITH HEAT AND SMOKE DETECTORS. NEAREST FIRE HYDRANT - NONE Building Occupancy Level -7- BAKERSFIELD CELLULAR TELEPHONE CO SiteID: 215-000-001554 Fast Format ~ Training Overall Site -- Employee Training 04/04/1995 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE MATERIAL SAFETY DATA SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS AND TO CONTACT ED BLACK OR TOM POOR FOR ANY CONCERNS THAT -- Page 2 ' -- Held for Future Use I Held for Future Use -8- BAKERSFIELD CITY FIRE-DEPARTMENT · HAZARDOUS MATERIALS DIVISION -~=[~ ~ ~1~ I71_5 CHESTER AVE; ~ H~RDOUS MATERIALS MANAGEMENT P~N i. 7o cvoic further cct~cn, re~um~-- "/mis ecrm withi~3~ dcys o¢ receiOr.. 3. Answer me cuesficns De,ow ~cr ?,e ousJness c~ c wnc{e. ,. SECTION.I' BUSINESS IDENTIFICATION DATA -S' NAM CITY: ~~%W~ STATE: C~ Z~P: ~S~o~ PHONE: DUN & ~RA,DS~x=:~ NUMB=fi: SIC COD~' ?F!MARY ACTIVITY: ' ~F___.LL, Jua~,._. ~z...'"-'rL.O'~.e_..~ C_~t.~,IEBA..~. SECTION 2: EMERGENCY NOTIFICATION' CONTACT· TITLE BUS. PHONE 2H HR. PHONE 1 HAZARDOUS'~',AATERIALS MANAGEMENT , '~.-~,. ,- SECTION 3: TRAININ(~: NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: '~RiEF SUMMARY OF T~A NING ?RC)GRAM: A~~. ".~ ', ~~ ~m ~ SECTION 4:. EXEMPTICN REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THATMY BUSINESS lS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE :'CALIFORNIA HEALTH'& SAFz-TY CODE" FOR THE FOLLOWING REASONS: _ =,Az_.~ROQUS MATERIALS. W~ 00 NOT HANDLE .... ' ' WE OO m--,,,~u,.= hAZARDOUS MATERIALS, BUT THE QUANTITIES AT. NO TiMEEXCEE'D THE MINIMUM R=.:ORTiNG ~UANTI'T[ES ,ER r~==r"r=v REASON1 SECTION 5' CE.qTIFICATION: l, ~ I,~,/~/L/~ L ~[>~1..,~ .CERTIFY THAT THE. ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION W1LLBEUSED TO FULFILL MY F~RM'S OBLIGATIONS UNOER THE "CALIFORNIA HEALTH AND SAF:,.-~ CODE" ON HAZARDOUS ~ATERIALS (DIV. 20 CHA~TER 6.95 SEC. 255,00 ET AL.) ANO TH~,T INACCURATE INFORMATION.CONSTiTUTES PERJURY .... SIGNATURE TITLE . DATE ...... HAZARDO US. ~ATERtALS MANAGEMENT PLAN SECTION 6: NOTiFiCATiON AND EVACUATION · A. AGENC',/ NOTiFiCATiON PRCCEDURES: . . ]~ ~%;arsne!cL ]: u:e Dent. "' ' i-!s_zardous iVI~seriais Di~sion _ ,-~' -; \, + HAZARDOUS,.MATEE]ALS MANAGEMENT PLAN sECTION 7: MITiGATiON, PREVENTION AND ABATEMENT PLAN: A. REL:ASE ?RE',/ENTION STEFS: ACC IE~_:,m~'T-'~ .. SECTION $: UTILITY SHUT, OFFS (LCCATfON C.F .?.HUT-OFFS AT YOUR FACILITY): - SECTION 9: PRIVATE FiRE PROTECTION/WATER AVAILABILITY: A. F~-i~'AT'E FiRE PROTECTION: "t-~ALo'~.J <~q%":E"~P~ ~..-~'~"'~'- WATE~ AVAILABIL~ (F~RE =vnRAN~' ..... /:-'~' BAt RSFIELD 'CI-i-Y FiRE P R . ENT '' ~ ' ; HA.Z~RDOUS MATERIALS DIVISION. - .... . ...... _.. ~----~"~"~ '~11; BAKERSFIELD, CA. 93301 ~' ~-~ ' ~¢-- '(805) 326-3979 ... ;, ~~ H~ARDOUS MATERIALS IRVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] SIC CODE DUN & BRADSTREET NUMBER OWN'ER/OPERATOR '"~E,C~o,zrt-" r'~-LUC.¢",-- C~¢._f2 PHoNE(,C(0c/) MAILING ADDRESS· ~.~oo 'De~c.,,q-~' . EMERGENCY CONTACTS NAME '"T-or,rq '"¢oo~O,., TITLE BUSINESS PHONE "~D-"-?- ~") °° 24-HOUR PHONE BUSINESS PHONE ~,=~-'h- ~'q zr-o 2.4-HOUR PHONE BAKERSFIEld) CITY FIRE DEPART JlENT , ._ HAZARDOUS MATERIALS INVENTOR p. age-__ of ness N~me . ~' ¢ -" 'uL¢¢- Address ~ I~O ~~¢ ~ . CHEMICAL DESCRI~ION ~'- 'N~NTORYSTA~S: New~ddition[ ] Re,sion[ ] Oele~ion{ ] Check if c~emic~ is ~NON~D~S~CR~ ~D~S~R~ [ ] C~mmon N~e: ~A~ J~O~ 3) ~T ~ (opao~) H~L~ PHYSICAL & ~L~ PHYSICAL Pressure~ Immeai~e He~h (Acute) ~ Delayed He~h (Chronic) [ ] ~O cA~GORIES Fire [ ] Reactive~ Sudden Rele~e of '.VAS~ C~sSIFtCA%ON ~(3~igit ~de from DHS Fo~ 8022) USE COOE ~ PHYSICAL STA~ Solid [ ] U~uid [ ] G~ ~ Pure ~ M~ure . AMOUNT AND ~ME AT FAC~U~ ~ UNITS OF M~SURE 8) STOOGE CODES M~mum O~iy Amount: ~O ~ [~ ~ g~ [ ] ~3 [ ] ~) Contanec Average D~iy Amount: ~ _~/ ~. cunes[ } Annu~ Amount: '~ ~ ~ c) Tempe~ure: ~gestSize'Oont~ner: ,~'0 · Circle ~ich Months: ~F. M. A, M. J. J. A. S, O. N. O · ¢ Da~ On Site ~ COMPONE~ . . CAS ¢ ,~ ~M the three most h~dous 1) ~y AHM com~nen~ 2} [ ] . CHEMICAL DESCRI~ION ' ~ [N~NTORY STA~S: New~] AddAion [ ] Re~si0n [ ] Deletion [ ] Check · C~emic~ N~e: H~L~ ~) PHYSICAL & H~L~ PHYSICAL H~O CA~GORIES Fire , Sudden Rete~e of Pressure [ ] Immedime He~th (Acute) ~ ~lsyed He~th (Chronic) [ ] 5) WAS~ C~SS~F~CA~ON __(~ig{t code from OHS Fo~ 8022~ USE CODE $) PHYSICAL STA~ Solid [ ] U~uid G~ [ ] Pure 7) AMOUNT ANO ~ME AT FACiM~ UNITS OF M~SURE 8) STOOGE CODES cumes L ] b) Pressure: I - Average D,iy Amount: I~ c) Temper--ur,: Annu~ Amount: '~ o~ ~gest Size Cont~ne~ ~O O ~ Oa~ On Site ~ Circle ~icn Mont~s: All Ye~. J, F. M. A, M. J. J, A. :~~p~ ex~ln~ ~nr~a~on suDm;~ on mis . 5igna~re RI~ N~e &':~fle o/A~onz~' Com~yRe~resenm~ve / BAKER IELD CITY FIRE DEI RTMENT' " HAZARDOUS MATERIALS INVENTORY Page~' si~ess Name ~-~:t~_3~.~ ¢'..~__j_~,~L-~¢,_.~ Address ~ ~d ~  CHEMICAL DESCRI~ION ~N~ORY S~A~S: New ~ Add,ion [ ] Revision [ ] ~lefion [ ] Check ff chemi~ is s NON ~DE SECR~ [~ ~E SECR~ Chemi~ N~e: ' ~ ~ ~ ~ ~ AHM [ ] CAS ~ H~ ~HYSICAL & H~L~ PHYSICAL H~RD CA~GORIES Fire ~ ~eactive [ ] Sudden Reie~e of Pressure [ ] lmmedi~e He~h (Ac~e) ~ ~iayed He~ (Chronic) WAS~ C~SSiFICA~ON : (3-digit code from OHS Fo~ 8022) USE CODE ~ ~ PHYS1CALSTA~ Solid ~ Uquid [ ] G~ [ ] Pure [ ] M~ure~' W~te [ ] R~ios~Ne [ AMOUNT AND ~ME AT FACIM~ UNITS OF M~SURE 8) STOOGE CODES M~imum D~ly Amount: ~[~ 0 ~ [~ ~' g~ [ ] ~3 [ ] .) Contane~ Average Oaiy Amount: ~f ~ O~' cudes [ ] b) Pressure: , - c) Tem~r~ure: Annu~ Amount: ~gest Size'Contane~ ~ D~ys On Site ~ C~rcte~ich Months: All Ye~. J, F, M, A, M,' J, J, A. S, O, CAS ~ % ~ AHM MITRE: ~st COMPONENT ~ .~.~--~ ~-~ [ :ne three most b~dous 1) ~O ~y AHM core.hen= 2) ~ d~v~ ~ " CHEMICAL DESCRI~ION ) 'IN--TORY STA~S; New [ ] Addition ( ] Revision [ ] Deletion [ ] Check E chemi~ is ~ NON ~DE SEC~ 2) Common N~e: AHM [ ] CAS ¢ Chemic~ N~me: H~L~ 4) PHYSICAL & H~L~ PHYSICAL H~D CA~GORIE$ Fire [ ] Rea~ive [ ] Sudden Rele~e of Pressure [ ] Immedi~e. He~ (Ac~e) [ ] ~t~yed He~ (Chronic) 5) WAS~ C~SSIFiCA~ON (~ig~ code ~om OHS Fo~ 8022) USE CODE Pure [ ] Minute [ ] W~te [ ] Rsdioe~e 6) PHYSICAL STA~ Solid [ ] Liquid [ ] G~ [ ] , 7) AMOUNT AND ~ME AT FAC~M~ UNITS OF M~SURE 8) STOOGE cODES · lbs [ ] g~ [ ] ~3 [ ] a) Contmne~ M~imum O~iy Amount: b) Pressure: tunes [ l Average D~ Amount: c) Temper~ure: Annu~ Amount: ~gest Size Cont~ner: ~ Deys On Site' Circle ~ich Months: ~1Ye~, J, F, M, A, M, J, J, A, S, O, N, D CAS · % ~ 9) MITRE: ~st CCMPON~T the three most h~ous 1 ) . chemi~ com~nen~ or . ~y AHM ~m~nen~ ~) 3)~ ce~ unaer pen~ or law, mat I nave pe~onafly exam/n~ ~a ~ t~m~ w~m me inr~maDon SUDm~ on ~/s ~o ~1 a~c~ ;uCmi~ info~a~on is ~e, accumm, ~d complete. :~1~ Name & Title of Au~onzed Company ~e~resenm~ve BAKERSFIB D.CITY FIRE DEPAR ENT HAZARDOUS MATERIALS INVENTO Page'.of - siness Name Address CHEMICAL DESCRIPTION INVENTORY STATUS: New [ ] Addition [ ] Revisio~ [ ] Deletion ( ] Check ff chemicaJ is e NON TRADE SECRET [ ] TRADE SECRET [ ] Common Ne. me: 3) EX:3T # (op~ior~ ChernicaJ Name: AHM [ ] CAS # PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reacth/e ( ] Sudden Release of Pressure [ ] Imrnedi&te HeaYfl3 (Acute) [ ] Delayed HeeJ*fll Chronic) [ ] . WASTE CLASSIFICATION (3-digit coae fi.om OHS Fon'n 8022) USE CODE PHYSICAL STATE Solid [ ] Uquid [ ] G~s [ ] Pure [ ] Mi:Cure [ ] Waste [ ] RadioaC=Ve [ ] AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES MaxJrnnurn Daily Amount: lbs · [ ] ga~ [ ] ~3 [ ] a) Container. Average Daffy Amount: curies [ ] b) Pressure: · . c) Tempere. ture: AnnuaJ Amount: L-a. rgest Size ConteJne?. # Days On Site CircteW~ich Months: All Yew, J, F, M, A, M, J, J, A, S, O, N, D MIXTURE; Ust COMPONENT ' CAS # %~WT ~: AHM t~e three most hazardous 1 ) cnernicaJ corntx3nents or ' a.~y AHM components 2) [ ] 0) Location CHEMICAL DESCRIPTION )'INVENTORY STATUS: New [ ] Addition ] Revision [ ] Deletion [ ] Check if chernicaJ is Common Name: 3) DOT # (optionm') ChernicaJ Name: AHM PHYSICAL. & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire '[ ] Reactive ( ] Sudden Release of Pressure [ ] Immediate HeaJth (Ac~e) [ ] Detsyed HeaJth (Chronic) [ ] WASTE CLASSIFICATION (3-digit code fi.om DHS Form 8022) USE CODE PHYSICAL ST~TE Solid [ ] Uquid [ ] Gas [ ] Pure [ ] Mbcure AMOUNT AND TIME AT FACItJTY UNITS OF MEASURE 8) STORAGE CODES Maximum DaJiyArnount: * lbs [ ] gaJ [ ] ~3 [ ] a) Container: Average Daily Amount: cunes[ ] b) Pressure:. AnnuaJ Amount: c) Ternper~ure: L-~'gest SiZe Container: # Days On S~te Circle V~ich Months: All Yea~. J. F, M, A. M, J. J, A, S. O, N. D MIXTURE: Ust COMPONENT CAS # ' % WT AHM the thr~e most hazardous 1) ' [ ] cnemic~ componen~ or [ a~y At'tM components 2) O) L~c.~on a~ry under pen~ury or/aw, mar I nave personalty examlneo ~J'lo 8.m '[~I'T~IIIEE' Wl~ Die inroma~cn suorn/zTeo on ~/s a. no ~1 a~acneo oocurnenm. Dec,eve ~,, :mcCec/ inforrna~on is zz'ue, accurate, ancJ cempie~e. !NT N~rne & T/fie o! Au~Jlorized Comp~qy ~,e~resenmz~ve $;gn~ure Da~