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
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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~
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Questions regarding this inspection? Please call us at (661) 326-3979
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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.)
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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
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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
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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.)
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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 3BUSINESS 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
115ZIP 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
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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
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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