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HomeMy WebLinkAboutBUSINESS PLAN CITY OF BAKERSFIEl..D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 9330) /i30 '-;'él-Xt-U/l #Î B f) FACILITY NAME ßroa j',p ,,'1': C. "'''''''~SPECTlON DATE /ò Þ ")/0 ;S ADDRESS I C{ '30 ~M -:7 _0 PHONE NO. þ/3, ... /"3 r/7 fø t¡ $"" 7 FACILITY CONTACT f~"; 1~t¡Fí.i -I t,t-~ BUSINESS ID NO. 15-210- INSPECTION TIME / ~_ _ ' NUMBER OF EMPLOYEES I . . ~ ~\)\)) \)C\ ?. Section 1: Business Plan and Inventory Program o Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection , OPERA nON c v COMMENTS Appropriate permit on hand II Business plan contact information accurate V , V Visible address Correct occupancy V VerificalÍon of inventory materials V Verification of quantities tI Verification of location tI Proper segregation of material II ~ ------- Verification of MSDS availability 1/ Jd( ß ¿J , Verification of Haz Mat training ,¡ éL~ Verification of abatement supplies and procedures r/ H/1)ð// IÇJ / ~ !~..3 A .;,,_,/ 'n/--J Emergency procedures adequate ~ Containers properly labeled .j J , Housekeeping [I Fire Protection , V Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: White - Env. Svcs. Yellow· Station Copy Pink - Business Copy Bus' ess Site Responsible Party (J.J ~Á Inspector: Ld/w r~ IC-- Questions regarding this inspection? Please call us at (661) 326-3979 ~ :i'~ ~ .~ -- Cj) UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of 3 I. FACILITY IDENTIFICATION FACILITY ID# I I 1:1 I r 1':,;'1 I I I I I I II EPA ID # (Hazardous Waste Only) 2 BUSINESS NAME(Same as Facility Name of DBA-Doing Business As) 3 Broadwing Communications Services Inc. - BKFDCAOl II. ACTIVITIES DECLARATION NOTE: If you check yes to any part in this list, please submit the Business Owner/Operator Identification Pai!e (OES Form 2730) Does vour facilitv... I 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 the applicable Federal threshold ~ YES o NO 4 HAZARDOUS MATERIALS INVENTORY quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (OES 2731) 355, Appendix 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 (USTs) UST FACILITY (Fonnerly SWRCB Fonn A) 1. Own or operate underground storage tanks? DYES ~ NO 5 UST TANK (one page per tank) (Fonnerly Fonn B) 2. Intend to upgrade existing or install new USTs? DYES ~ NO 6 UST FACILITY UST TANK (one per tank) UST INST ALLA nON - CER TIFICA TE OF COMPLIANCE (one page per tank) (Fonnerly Fonn 3. Need to report closing a UST? C) DYES ~ NO 7 UST TANK (closure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: --any tank capacity is greater than 660 gallons, or DYES ~ NO 8 NO FORM REQUIRED TO CUPAs --the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? DYES ~ NO 9 EPA ID NUMBER - provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclabJe materials (per HSC 25143.2)? DYES ~ NO 10 rer tecycJer) 3. Treat hazardous waste on site? - ONSITE HAZARDOUS WASTE DYES ~ NO 11 TREATMENT - FACILITY (Fonnerly DTSC Fotm! 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per unit) 4. Treatment subject to financial assurance requirements (for (Fonnerly DTSC Fonm 1772 A,B,C,D and L) CERTIFICATION OF FINANCIAL Pennit by rule and Conditional Authorization)? DYES ~ NO 12 ASSURANCE (Fonnerly DTSC Fonn 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION DYES ~ NO 13 SITE ANNUAL NOTIFICA nON (Fonnerly 6. Need to report the closure/removal ofa tank that was classified as DTSC Fonn 1196) HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? DYES ~ NO 14 CER TIFICA nON (Fonnerly DTSC Fonn 1249) E. LOCAL REOUIREMENTS 15 (You may also be required to provide additional infonnation by your CUP A or local agency.) ,.- .. ~ ." .fÞ UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Paee 2 of 3 I. IDENTIFICATION FACILITY ID# I I Ie;] I I I!,';" I I I I I 11 BEGINNING DATE 1001 ENDING DATE 101 January 1, 2002 December 31, 2002 BUSINESS NAME(Same as Facility Name or DBA-Doing Business As 31 BUSINESS PHONE 102 Broadwing Communications Services Inc. - BKFDCA01 (513) 397-6457 BUSINESS SITE ADDRESS 103 1430 Truxton Ave. CITY 1041 ZIP CODE 105 Bakersfield CA 93301 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 - - - 10-149-6735 4813 COUNTY 108 KERN BUSINESS OPERATOR NAME J09 BUSINESS OPERA TOR PHONE 110 Robert Bemens (513) 397-6457 II. BUSINESS OWNER OWNER NAME III OWNER PHONE 112 Broadwing Communications Services Inc. (513) 397-6457 OWNER MAILING ADDRESS 113 201 E. Fourth Street (102-732) CITY 1141 STATE 1151 ZIP CODE 116 Cincinnati Ohio 45202 III. ENVmONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Robert Bemens, Risk Manager (513) 397-6457 CO NT ACT MAILING ADDRESS 119 Risk Mangement Department, 201 E. Fourth Street (102-732) CITY 1201 STATE 1211 ZIP CODE 122 Cincinnati Ohio 45202 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 John Hoffman Robert Bernens TITLE 124 TITLE 129 Director, Field Operations Western Region Risk Manager BUSINESS PHONE 125 BUSINESS PHONE 130 (512) 742-1482 (513) 397-6457 24-HR PHONE 126 24-HR PHONE 131 (800) 699-7239 (800) 699-7239 PAGER # 127 PAGER # 132 NjA N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certifY under penalty oflaw that I have personally examined and am familiar with the information sul>mjtted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPE~D.~~G~~~E~ATIVE DATE 1341 NAME OF DOCUMENT PREPARER 135 ..1",' ~~~ 02/14/2003 Christopher S. Habel NAME OF SIGNER (print) ,,- 136 TITLE OF SIGNER 137 Christopher S. Rothlis Vice President Operations ·, ." . '10 -fit ." UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION flADD r lDELETE r l REVISE 200 I Page 3 of 3 I. FACILITY INFORMATION BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) , Broadwing Communications Services Inc. - BKFDCAOl CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Indside sealed batteries in building ~CRA D " YES NO I I ê I I I"", I I I I I I I MAP # (optional) 2031 GRID # (optional) 204 FACILITY ID # .' II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET U Yes ~ No 206 Sulfuric Acid If Subject to EPCRA, refer to instructions COMMON NAME 207 ~ D 208 EHS* Yes No Sulfuric Acid CAS # 209 7664-93-9 *IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUP A) 210 HAZARDOUS MATERIAL, DYes ~No 2121 CURIES 213 ~ a. PURE Db. MIXTURE DC. WASTE 211 RADIOACTIVE TYPE (Check one item only) N/A PHYSICAL STATE 215 o a, SOLID ~b, LIQUID DC, GAS 214 LARGEST CONTAINER 3.75 gallons (Check one item only) FED HAZARD CATEGORIES 216 (Check all that apply) Da. FIRE ~b. REACTIVE DC, PRESSURE RELEASE ~d. ACUTE HEALTH ~ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 771 771 N/A N/A o a. GALLONS Db. CUBIC FEET ~ c, POUNDS D d. TONS 221 I DAYS ON SITE: 222 UNITS" (Check one item only) "IfEHS, amount must be in pounds, 365 STORAGE o a, ABOVEGROUND TANK De. PLASTIClNONMETALLIC DRUM D i. FIBER DRUM D m GLASS BOTTLE oq, RAILCAR rnNTATNPR Db. UNDERGROUND TANK DiCAN OJ. BAG On. PLASTIC BOTTLE ~ r. OTHER Dc, TANK INSIDE BUILDING D g. CARBOY ok,BOX Do. TOTE BIN od. STEEL DRUM oh. SILO OJ. CYLINDER Dp. TANK WAGON 223 STORAGE PRESSURE ~ a. AMBIENT Db. ABOVE AMBIENT Dc, BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a, AMBIENT Db, ABOVE AMBIENT Dc. BELOW AMBIENT Dd. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 D Yes D No 228 229 2 230 231 0 Yes 0 No 232 233 3 234 235 0 Yes 0 No 236 237 4 238 239 0 Yes 0 No 240 241 5 242 243 0 Yes D No 244 245 If more hazardous components are present at greater than 1 % by weJght if non-carcJnogenJc, or 0.10/. by weight jf carcJnogenJc, attach additional sheets of paper capturing the required infonnation ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here . .iI ... .. '-f3?r; -. (j/[ 02/- &ò.23r/ ~ -.30 C'.. L . /;//'YI 00 9 ss 00 I UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES FACILITY ID# BUSINESS NAME(Same as Facility Name of DBA-Doing Business As) Broadwing Communications Services Inc. - BKFDCAOl Pa e of 3 EPA ID # (Hazardous Waste Only) 2 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 applicable Federal threshold quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or handle ra4iological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or ? B. UNDERGROUND STORAGE TANKS (USTs) 1. Own or operate underground storage tanks? 2. Intend to upgrade existing or install new USTs? 3. Need to report closing a UST? C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: --any tank capacity is greater than 660 gallons, or --the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1, Generate hazardous waste? 2. Recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)7 Treat hazardous waste on site? 3. ~ YES D NO 4 D YES ~ NO 5 D YES ~ NO 6 D YES ~ NO 7 D YES ~ NO 8 DYES ~ NO 9 DYES ~ NO 10 DYES ~ NO 11 4. Treatment subject to financial assurance requirements (for DYES Permit by rule and Conditional Authorization)? ~ NO 12 5. Consolidate hazardous waste generated at a remote site? DYES ~ NO 13 6. Need to report the closure/removal of a tank that was classified as DYES hazardous waste and cleaned onsite? ~ NO 14 E. LOCAL REQUIREMENTS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (OES 2731) UST FACILITY (Formerly SWRCB Form A) UST TANK (one page per tank) (Formerly Form B) UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) UST TANK (closure portion -one page per tank) NO FORM REQUIRED TO CUPAs EP A ID NUMBER - provide at the top of this page RECYCLABLE MATERIALS REPORT (one rer tecycler) ONSITE HAZARDOUS WASTE TREATMENT - FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per unit) (Formerly DTSC Forms 1772 A,B.C.D and L) CERTIFICATION OF FINANCIAL ASSURANCE (Formerly DTSC Form 1232) REMOTE WASTE I CONSOLIDATION SITE ANNUAL NOTIFICATION (Formerly DTSC Form \196) HAZARDOUS WASTE TANK CLOSURE CERTIFICATION (Formerly DTSC Form 1249) (You may also be required to provide additional information by your CUP A or local agency.) 15 ¡- . ¡ .. -- UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Pape 2 of 3 I. IDENTIFICATION FACILITY ID# I ì lDf ì ì JI I I I I III BEGINNING DATE 1001 ENDING DATE "Wi::! I January 1, 2001 I December 31/ BUSINESS NAME(Same as Facility Name or DBA-Doing Business As 3 BUSINESS PHONE Broadwing Communications Services Inc. - BKFDCA01 (513) 397-6457 BUSINESS SITE ADDRESS 1430 Truxton Ave. CITY Bakersfield DUN & BRADSTREET 10-149-6735 COUNTY KERN BUSINESS OPERATOR NAME Robert Bernens 1041 CA ZIP CODE 93301 106 SIC CODE (4 digit #) 4813 101 2001 102 103 105 107 108 110 109 BUSINESS OPERATOR PHONE (513) 397-6457 II. BUSINESS OWNER OWNER NAME Broadwing Communications Services Inc. OWNER MAILING ADDRESS 201 E. Fourth Street (102-732) CITY Cincinnati III OWNER PHONE (513) 397-6457 112 113 1141 STATE I Ohio 115 ZIP CODE 45202 116 CONTACT NAME Robert Bernens, Risk Manager CONTACT MAILING ADDRESS Risk Mangement Department, 201 E. Fourth Street (102-732) CITY ID. ENVIRONMENTAL CONTACT 117 CONTACT PHONE (513) 397-6457 118 119 Cincinnati 1201 STATE I Ohio 1211 ZIP CODE I 45202 122 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY - NAME George Christy TITLE Director of West Region Field Operations BUSINESS PHONE (817) 293-8386 24-HR PHONE (800) 699-7239 PAGER # N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: 123 NAME Robert Sernens 124 TITLE Risk Manager 125 BUSINESS PHONE (513) 397-6457 126 24-HR PHONE (800) 699-7239 127 PAGER # N/A 128 129 130 131 132 133 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 informatio~ s Ibmitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/~;1l R ~E;jJN~þ~SENTA TIVE DA TE LJ _ U J 02/18/2002 NAME OF SIGNER (print)" 136 TITLE OF SIGNER Chris Rothlis Vice President Operations 1341 NAME OF DOCUMENT PREPARER I Christopher S. Habel 135 137 .. -i , .~ .. -. UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ilADD nDELETE n REVISE 200 I Page 3 of 4 I. FACILITY INFORMATION BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 Broadwing Communications Services Inc. - BKFDCA01 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Indside sealed batteries in building ~CRA D ~ YES NO FACILITY ID # I I I I I I I I I I I MAP # (optional) 203/ GRID # (optional) 204 ll. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET U Yes ~ No 206 Sulfuric Acid If Subject to EPCRA, refer to instructions COMMON NAME 207 ~ D 208 EHS* Yes No Sulfuric Acid CAS # 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 HAZARDOUS MATERIAL DYes ~No 2121 CURIES 213 ~ a. PURE Db, MIXTURE OC. WASTE 211 RADIOACTIVE TYPE (Check one item only) N/A PHYSICAL STATE 215 Oa, SOLID ~b. LIQUID Oc,GAS 214 LARGEST CONTAINER 3.75 gallons (Check one item only) FED HAZARD 216 CATEGORIES o a. FIRE ~b, REACTIVE o c. PRESSURE RELEASE ~d. ACUTE HEALTH ~e, CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 771 771 N/A N/A Oa.GALLONS o b. CUBIC FEET ~ c, POUNDS o d. TONS 221 I DAYS ON SITE: 222 UNITS' (Check one item only) 'If EHS, amount must be in pounds. 365 STORAGE Oa, ABOVEGROUND TANK Oe. PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM Om. GLASS BOTTLE o q. RAIL CAR CONTAINER Db, UNDERGROUND TANK Df.CAN OJ. BAG On, PLASTIC BOTTLE ~ r. OTHER o c, TANK INSIDE BUILDING o g. CARBOY Ok. BOX 00, TOTE BIN Oct. STEEL DRUM Oh, SILO 01. CYLINDER - Op. TANK WAGON 223 STORAGE PRESSURE ~ a, AMBIENT Ob. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT Od. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 227 0 Yes 0 No 228 229 2 230 231 0 Yes 0 No 232 233 3 234 235 0 Yes 0 No 236 237 4 238 239 0 Yes 0 No 240 241 5 242 243 0 Yes 0 No 244 245 If more hazardous components are present at greater than 1 % by weigbt if non"",rcinogenic, or 0.1 % by weigbt if carcinogenic, attach additional sheets of paper capturing the required information ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here .. ~ FROST BROWN TODD LLC CHRISTOPHER S. HABEL chabel@fbtlaw.com (513) 651-6993 2200 PNC Center 201 E. Fifth Street Cincinnati, Ohio 45202-4182 (513) 651-6800 Facsimile (513) 651-6981 www.frostbrowntodd.com February 28, 2002 Bakersfield Fire Department 1715 Chester Avenue, Ste 300 Bakersfield, CA 93301 Re: Broadwing Communic.ations Services Inc.. - Reporting Year 2001 Emergency Planning and Community Right-to-Know Act Reports Dear SirlMadam: On behalf of our client, Broadwing Communications Services Inc., enclosed are completed reporting forms required by the Emergency Planning and Community Right-to-Know Act ("EPCRA") and/or state laws for reporting year 2001. These reports are being submitted for one facility in your jurisdiction. Because many of these facilities are unmanned telecommunications facilities, please direct any follow-up correspondence or requests to me or Mr. Robert Bemens Risk Management Department Broadwing Inc. 201 E. 4th St. (102-800) Cincinnati, OH 45202 If you received this submittal in error or would like us to update your mailing address, please contact me at the phone number or e-mail address listed at the top of this page and include the facility codes listed in the lower left comer of this letter in your message. Sincerely, FROST B~9~ TODD LLC ~/fµ) Christopher S. Habel Enclosures BKFDCAO 1 OHIO · KENTUCKY · INDIANA · TENNESSEE