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HomeMy WebLinkAboutBUSINESS PLAN 7/25/2007,, ____ I Verizon Wireless-17 St ~ 1300 17~" St ~~, ~~ ~` ..-ter +. w Ff_° F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 Manager MARK TVERSON Location: 1300 17TH ST City BAKERSFIELD BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 30C FacUnits: 1 AOV: CommCode: BFD STA 01 EPA Numb: SIC Code:4812 DunnBrad:01-216-7078 Emergency Contact / Title Emergency Contact / Title MARK IVERSON / OPS MANAGER NETWORK OPERATIONS / CONTROL CENTER Business Phone: (661) 664-5601x Business Phone: (682) 831-3523x 2 4 -Hour Phone ( 6 61) 2 0 3- 3 2 0 5 x 2 4 -Hour Phone ( 8 0 0) 2 6 4- ~3.Oa~- Pager Phone ( ) - x Pager Phone ( ) - x.~n uJ Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone:' (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City : FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT CALL MARK IVERSON, 2 03 - 3 2 05 , FOR pp~~c~ INSPECTIONS . ~I~ 1 R~ J U L ~ 4 ~~~~ E::'_:,!?d on my EnC(ulry ~f thOSe IndltildLtBiS r~~~~pr~,~ih'e fcr r~trtainin,~j tha information, i certify ursr,nr ;~2na(t,r o'i la;rr that I hay/e personally e~:amin ~ and am farniiiar with the information su~mii ed anc beiieve fhp information is true, accura ~, and complete. 7~ZS~~ Signature Date -1- 07/16/2007 } r~ 'S F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY ELECTRIC STORAGE BATTERY F F IH IH S L 744.00 252.00 LBS LBS Hi Hi -2- 07/16/2007 -3- 07/16/2007 F VERIZON WIRELESS - 17TH ST ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE SitelD: 015-021-003362 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7439-92-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 62.00 LBS 744.00 LBS 744.00 LBS t1AZ,f~tCLVUa 1:V1~lYV1VL'lY1J oWt. RS CAS# 65.00 Lead No 7439921 rlt~~t~tcl,~ r~~a.Ga5l~i~iv_1_J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: - CAS# 7664-93-9 Liquid TMixtur~ Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Con21100rLBS Daily 252100m LBS I Daily 252r00e LBS riL-~GFitCLVUb 1..V1~lYV1VL'1V7.7 %Wt. RS CAS# 7.00 Sulfuric Acid (EPA) No 7664939 riL-~GL-1KL H55~551~1J;1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/16/2007 ~: -. P VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notification 03/09/2007 PHONE 800-621-2622 AFTER NORMAL BUSINESS HOURS, LOCAL PERSON IN CHARGE WILL BE NOTIFIED AND WILL RESPOND. SITE SHOULD BE IDENTIFIED BY SITE NUMBER. DURING REGULAR HOURS, USE CONTACT NUMBERS PROVIDED IN SECTION 2: EMERGENCY NOTIFICATION. Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -5- 07/16/2007. ~5 V aft. ~: F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/09/2007 ~ BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED 24-HRS PER DAY BY THE LOCAL SWITCHING STATION. DIESEL FUEL IS DOUBLE-WALLED CONTAINMENT AND IS ALSO MONITORED BY LOCAL SWITCHING STATION. BOTH ARE INSPECTED ONCE PER MONTH BY SITE TECHNICIAN. Release Containment 03/09/2007 DOUBLE-WALLED FUEL TANK. CONTAINMENT OF ANY SPILL IS MADE BY A POLYETHLENE LINER UNDER 3 TO 6" OF CRUSHED STONE WHICH SURROUNDS THE BLDG AND GENERATOR LOCATIONS. Clean Up 03/09/2007 INTERNATIONAL TECHNOLOGY CO 800-262-1900 v~.itci itcAVU1l:C L'iC:l.lVdl.lVil -6- 07/16/2007 =~~ w P VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JC C:1d1 IldGdL U~ Utility Shut-Offs 03/09/2007 ELECTRICAL - E SIDE OF BLDG Fire Protec./Avail. Water 03/12/2007 1 HALON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS. Building Occupancy Level 07/18/2006 UNMANNED SITE -7- 07/16/2007 -r r F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/09/2007 ~ MSDS SHEETS ON FILE. rc{yc ~. Held for Future Use nciu ivi ru~.uic vac -8- 07/16/2007 • r Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST'` e - F R s r , . „ 900Truxtun Aver, Suite 210 -FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program 33 i°RT"' Tel.: (661) s26-3979 Fax: (661)-872-2171 FACILITY NAME ` ~ ~ ~~ ~ INSPECTION DATE INSPECTION TIME ~ I~ ~ ~ Z~ -G c~ ~ O ~.t_ti ADDRESS 1 ~~ ~ ~ ~ ~ ~ ~ , PHONE_ N~ ^ G ~ ~ NO OF EMPLOYEES 1 FACILITY CONTACT ~ ~ BUSINESS ID NUMBER 15-021- () U -3 3 ~ z ~ S S ~ k° `erC ~1 J Section 1 Business Plan and Inventory Program ' - ~~ ~ - ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^' BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES r l ^ VERIFICATION OF LOCATION \ ^ PROPER SEGREGATION OF MATERIAL ~ ^ VERIFICATION OF MSDS AVAILABILITY ~ ^ VERIFICATION OF HAZ MAT TRAINING r (j\ I ~ 2 11 ~d ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES "' ^ EMERGENCY PROCEDURES ADEQUATE • ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING 7' ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 .Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Business Site /Responsible Party (Please Print) ^ YES ^ NO White -Prevention Services Yellow -Station Copy - Pink - Business~Copy~ FD 2155 (Rev. 09/05 ~`.k -mot' + VERIZON WIRELESS - 17TH S~T'___________ _______________ SiteID: 015-021-003362 + Manager ALAN HOLZMAN BusPhone: (661) 873-2401 Location: 1300 17TH ST Map 103 CommHaz High City BAKERSFIELD Grid: 30C FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:4812 EPA Numb : DunnBrad : ~--~-~1-®'98'~- ~~ "83 Emergency Contact / Title Emergency Contact / Title ALAN HOLZMAN / NE7C'OPER MGR RUSS WALKER / OPERATIONS TECH Business Phone: (661) 873-2401x Business Phone: (661) 747-7001x 24-Hour Phone (661) 872.-2662x 24-Hour Phone (661) 321-5214x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone : ; `_"°~~ MailAddr: 255 PARKSHORE DFt BLDG B State: CA Syt+4lo~i~12-~1)S City FOLSOM Zip 95630 Owner VERIZON WIR~~- Phone: (925) 27 - x Address 2785 ~I~C ELL DR ~~ State: p City W T CREEK ~ 94598 Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT ~'~'~' ja Based en my inquiry of those individuals responsible for obtaining the information, I certify under.penalt of law that I have personally examined and am familiar with the information s milted and believe the infor ation is true, ac urate, and c mplete. ~ I Signature ENT ~JUL 1 g 2006 W` ~5~~ -1- 02/27/2006 7- ~ ~~ VERIZON WIRELESS - 17TH ST Manager MARK IVERSON Location: 1300 17TH ST City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: ~~~5~ SiteID: 015-021-003362 BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 30C FacUnits: 1 AOV: SIC Code:4812 DunnBrad:01-216-7078 Emergency Contact / Title Emergency Contact / Title MARK IVERSON / OPS MANAGER NETWORK OPERATIONS / CONTROL CENTER Business Phone: (661) 664-5601x Business Phone: (682) 831-3523x 24-Hour Phone (661) 203-3205x 24-Hour Phone (800) 264-6630x Pager Phone ( ) ~ - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. Eiased on my inquir~.l of those individuals responsible for obtaining the "sn#ormatien, ! certi#y under penalty of law that I have per5anally examined and am familiar with the information submitted anc believe the information is true, O accurate ~, c mplete. ~ ~ 2_ ~. Signature Date -1- 02/20/2007 f' .~~ i. F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ ~,Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY ELECTRIC STORAGE BATTERY F F IH IH S L 744.00 252.00 LBS LBS Hi Hi -2- 02/20/2007 -3- 02/20/2007 ~' i F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site VALVE-REGULATED LEAD/ACID BATTERY 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# 7439-92-1 ~SolidE TMixPur~mbRentURE ~ A~PeRATURE OTHERONTSPECRFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 62.00 LBS 744.00 LBS 744.00 LBS nt~~tixl~VUa ~.V1nrVlvl,ivl~ - %Wt. RS CAS# 65.00 Lead No 7439921 ti1~GHKL1 1~5.5L' .7.71~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7664-93-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~_Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 21.00 LBS 252.00 LBS 252.00 LBS ri!-~GHtCLVU.7 lrV1~lYV1VL"i1V 15 %Wt. RS CAS# 7.00 Sulfuric Acid (EPA) No 7664939 tit~G[-11[L xaal;aal~lL'1v1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 02/20/2007 /~. } F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ \Agency -Notification ,~ Employee Notif./Evacuation ruull~: lv~~lt . / avca~:ua~lvll - P~LLLGlyGlll:y 1'1C U11..Q1 r1Q11~ -5- 02/20/2007 F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ ~ Fast Format ~ ~ Mitigation/.Prevent/Abatemt Overall Site ~ LCC1CdCC t'I.CVC111,1U11 = lCC1 Cd.~C 1..U111.d111111C11L l.1 Cdi1 U~J V 1.11C1 .RC.7-VUl.LC HLl,1 Vdl.1U11 -6- 02/20/2007 !,', - F VERIZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7iJCC:ld1 Ild'G di 1.i5 Utility .Shut.-Offs _~-„ . ,_ 1'116 t1Vl..G\...~tlV Glll. YYQ~I.Gl___ _ _ _ Building Occupancy Level 07/18/2006 T:fNMANNED SITE -7- 02/20/2007 r~ ~ t ~b F VERiZON WIRELESS - 17TH ST SiteID: 015-021-003362 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training, - - - - ~. rays a Held for Future Use nclct Lui r uLUiC u5c -8- 02/20/2007 F ; ~QCtSQ~IC~a~~' ~C1lt1~eC1C~ flan Hxrarrlrn(5 MatPrial~ C?ivi~i~n far Hazardous Materials, Hazardous Was7e & Underground Sta•age -ranks FACILITY IDENTIFICATION /OPERATIONS OVERVIEW BU INES AME FA LILY ID # DA Verizon Wireless - BUSINESS ADDRESS ' -~~_~ ~ ~(~?~~~I ,fib ,-~ ~ - ~~ ~ ~~ j _ Check elements covered by this consolidated plan: i "' ~~ Hazardous;Materials ©~ ~ ~~ Hazardous Waste ^ Underground Storage Tanks ^ `t Supplemental elements submitted:~~ ~ 1 UST Written Monitoring Plan ^ B e.g. pan ng contractor ~ e.g. ee ma ntenance `and/or cabinets Wireless Telecommunications un-staffed fiacility;~~shelter; tr D EVENT R e.g. c em ca spl s, ire, eart qua,. eretc - OSHA -EPA Hazard Communication Standard - EMERGENCY COORDINATOR & ON-SITE TECH ADVISORS /INTERNAL RESPONSE t Identify your Emergency Coordinator & On-site Technical Advisors: `~{ ~ Name /Position: NOCC - Network O erations Control Center ...._........_._ .............._._.._...................- ---.........__p...._........._._._-........_.----. __..._...._._.._...._...._._.........._....._._.._......._............_...................__....... Emergency Coordinator: Address: 255 Parkshore Drive, Folsom, CA _ ..........y....._.._......._ ................_.__._.._~...._._.....__._-__...._. ............ ......... , .... .........---- Da ' NOCC 800 264-6620 or Aber hO°`~` ~NOCC 800-264-6620 Must have the authority to classify the l k i i t d & Phone #s: - 682-264-6620 or 682-264-6620 ease, ma e managemen re ec s ons, Responsible for: spill prevention ^ ion`acting fac'!lt; re •rcnder; determine appropriate response (check all that apply) emergency assessment J ^ authorizin sill res once work P P 9 ^ ® l ^ ....mana9.ement ..............__.~........_~__._.......__..-..._.__. ..... ..... _.._ ._._._......__... _. _. ......_..._.......___......._..._....... _ . f i ith bli d I Person Is: on-site or on-cal Initiating alarms ^ _. .. __ _.. .... ._. __...._ c emergency respon ers nter ac ng w pu _..__._._..__j__.~..___._....._....._._._...........___. __..._ ... .. __._..... a _...___._ _.-. . ._ __.._......._ _..__- gency notification ^ ___. .......... _ .... ~ ~~~~ Alternate # 1 (INSPECTIONS) Altemate # 2 __ _-._.~~ -__._(CORRESPONDENCE_&_BILLING) _ _. Name / PoslUon: IVlark Iverson, Operations Shawn Stacey Mana er Address: 255 Parkshore Drive Alternate Emergency Coordinators: acy: ..__._...---.._ ..............._._.._..__._-.__....___..._.__._.._----_-.... _._.........__....----.._.__._.~._._..___....._..__............__....._...._..................... Folsom List. Irt ardrr of responsibility. zip: ..._._..._........__.....-._................___~._..._...__ _...._.~ ___...._..._....._......._...__...___..-.__..__.._~.......__._......_...._._.........._..._ .................. CA Day phone: 661.664.5601 866-694-2415 After hours phone: NOCC 800-264-6620 NOCC 800-264-6620 Person Is: ^ on-site or ®on-call ^ on-si a or ®on-call On-Site Technical Advisors Owner: Supervisor: (AVeIIeble t6 pl"6VIdP. Site.°5(}P,CIfIC teCllniCal adVlre to Otf-SItP. P.rrrP.t'genCy rE?Sp01tdP.IS) Manager: Other: un-staffed faCili /shelter /cabinets ~t Identify type otinternal response: 1" ~ ^ Internal facility Team Mem ers name or position : ( Responsl 1(ties: response team fattarh additional Page, if' needed: Options: indicate an attachment by checking © 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. t d~~ txx t ~ ~•~ 'k c,~a Name: Onyx Special Services Descri a ro a responsi i ities: Spill response ,,trr,~ ... ..... _-_____ _ ._~~~~~- _._ . ~~-~- -~~~-~-~ , ® Contractor _ _. ~ address: ~~- -~ ~ clean up, and hazardous material _._p ._. ... _ __.__.._._-_._._.___..-_-_ hone'#: -'-i~00=4!}~=~5~tli~' `~'- diS OS21 p ^ Call public emergency responders / 911 -1- ' ~?C1S~~lt~a~~'f ~QCIil~~E'C1~~ I~tC~C1 for Hazardous haterials, hlazardous Waste & Underground Storage Tanks Hazardous Materia{s Qivision FACILITY IDENTIfICATIQN `'"'; BUSINESS NAME FACILITY 1D # DATE ii Verizon Wireless- 1~ ~~, ~~ EMERGENCY COMMUNICATIONS /PHONE NUMBERS / NOTIfICATLONS It7 Internal & External Emergency Communications Name Position: Individual responsible for on-site and off-site Operations Manager and/or NOCC -Network Mark Iverson emergency alarm notifications /communications: , O erations Control Center to I c eck a t at app y: ( """"""""'ve"rlial warfiings~-~_""~-""`^_~~~ `~~~'~'-' pubTi"c' address or i-ntercom system'_-'~~""'" ~"" INTERNAL facility emergency communications or ~ ~ alarm notification will occur via: -„ _._... _._. -.__........_.......-....__~.-.....__._.____._.--._.__-._.. ®telephone ®pagers ® alarm system ~ portable radio `~~' `' elec. a I that apply: EXTERNAL notifications /communications to ~ verbal warnings ~ publ'ic'add~~ess or intercom system neighboring facilities that may be affected by an ............... -.........telepFi~one ~'__...._._._._-.___._.._...__._.....__.__._......._ Page~._...._-..._.._......___.__......__............_.__.........._.-. -. off-site release will occur by: ® ........ . _ . .. ,0........._._„ . ._ . . _._.~_. -~ . . .~`._.. ~ , , , .. _ ___. _. _ ._._ _ -® alarrn_~em ~ portaiiie rad lo Z° Emergency. Phone Numbers J Notification Lists r' n ° Bakersfield Police Degt. 911 ° Bakersfield Fire Dept. 0 661.322.9253 fib`T ~2~45d~ ° Kern Medical Center . o o Emergency response phone numbers ____..-_......._.._.-...._.__....._ ......................._.........._...._.._...._..._~........._-__.-.__._.-..._....-............ -._.-...____.____.. -..............._.._............_...__...... County Hazardous Materials DIvlslon ._.i~oisori °Cont~oi..~enfer _ ..............._......_.._______-.....-..-_..~-._._..._._-.~.-...__ -_~.~.~=Z~~-i~~.~.._~....._..__._._. _._. __._. `` Nearest medical facility /hospital Name' Kern Medical Center Phone #: 661.326.2000 2s Your medical facility /hospital Name: Kern Medical Center Phone #: 661.326.2000 z~, Dept o Toxic Su stances ntro Hea quarters 1 - - 7 or -72 - 4 NV Division of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o mergency ervices - 5 - or - 4 - NV Department of Public Safety NV: 775-684-7500 CA Water Quality Contro Boar or - NV Water Quality Control Board NV: 775-684-2800 nv ronmen ro on gency o Environmental Information Center o Toll Free: 866-372-9378 0 24-HR Environmental Emergencies o 24-NR: 800-300-2193 Agency Notification Phone List o RCRA Information o RCRA: 800-424-9346 National Response Center 1-800-424-8802 ept o is ame - NV Dept of Wildlife NV: 775-688-1500 US Coast Guard (spill response) 1-510-437-3073 CA OSHA CA OSHA o DIvlslon of Occupational & Health o 510-286-7000 o CAL -OSHA Enforcement o 714-558=4411 om a fate re ars a - Nevada State Flre Marshall NV: 775-684-7500 -Z- ~~n~el%dat~e ~~~inen~ flan ror r~azaraeus r~atenais riazaraous waste ~ unaer round atara e iaaKs ~~ Other Important Numbers 2.d Neighbor Notification List ?~ List all businesses /structures bordering &(or adjacent to your facility: .......... at arility s _._._...........__..__. ._._ Business name:, Q at acility s ..-. _._ _ __._._T_.. Business name: , Q northern southern harder: address: , , harder' address: , phone #: phone #: contact name /position: I contact name /position: 2Si at aci ity s Business name: , Q at aci ity s ....__......_._...........__._...... Business name: , () eastern ..__ ..................__•_-_-___.____._........_. ....----__.___.._..__._.__..._._._.___......_.__...________. western ___.____..________._...__._..~.._.__.__..._..._.__._.__. border: address: , harder: address: , phone #: phone #: 3o i contact name /position: contact name /position: -3- Hazardous Materials Division for Hazardous Materials, Hazardous 4vast2 & Underground Storage FACILITY IDENTIFICATION BUSINESS NAME FAULITV ID # DATE ~Terizon Wireless - ! ~ ~ ~. EMERGENCY CONTAINMENT & CLEAN-,UP PROCEDURES 3z Containment, Prevention & Ctean-Up ~~ %<~ r Indicate your procedures for: f i _provrae•-strvct^rat-phystcaFbarrher-(e:g:-portaMe_.. ll ~ ill t i .-..__-__._..~_......._....._........_..._....._..._ ............._................_.._... .__._.______ ressure build-u etc monitor for leaks ru tures wa sp conta nmen s) , p p, , p ® l. 1. containing spills, releases, fires ' or explosions, & _._.._........._..rovfi1e••"absor'~~erit _fi sTcal°Iiarr"ier ......_ ~ P P Y - •° built-ln 6erm In work rstora e area ___..._._cover or`6fock floor~ffiJ`or storm d~ains.._.__............_._........_...._..... ~ ~ ~ ~~ automatic fire supp~essfon system g ~ 2. preventing and mitigating ;~ associated harm to persons, i - --~~~-stop pros"asses 8~i/or~~operafioris•••"• ~•~ ~~~~"° '° •~ ® _ . -- •• ~ automatic ~/electronic equipment sFiut=off system-~-~ - - ~ ......._..----......... ._.-.~..__.___.._...__..___...____._..........._-_._. _ roe & the environment: p p rty •_ . -- ......_. ___........_...._..._..._. . _......._._..._-.__..__ shut-off water --•- ® gas, electrical utilities as _._._...__....___ ®call 911 for public emergency responder appropriate assistance /medical aid ® provide protective equipment for on-site response ~ eliminate sources of ignition for Flammable hazards ~ r team n tify & vacuat n In all threat n r d ~ (e.g. fuel, propane) riate • r Isolate containers /area es ap ro rem v • e perso ® o e s e e a eas p p ~ o e o account for evacuated persons immediately after evacuation call f . -___......__.....__.........- ..............__...._.._..__......................._.._._-........_._.~..__. ®other (specify): Contact Verizon Wireless 24-Hour __._.__._._.__---__.._........._..-_....._.__..........._....___~.._............_. Hotline (800-488-7900) and report Incident, which will trigger 1 Onyx Special Services. 3a c ec a that app y: Indicate your clean-up procedures: ......_._.........._._._:_..___......._.._.._--.---.---._._.__..._...._.___.._.........._._.___...._._.__.___....._...............___._.__._.._.__..._....._...____......._......_...__._._._....__._...........-.-- ® hire licensed hazardous waste contractor. (ONYX Special Services) 'Q use ~al~sort;erit'maferfal~fo~ splits witli su5sequenY~~proper•falieifng; storage and fiaiardous waste disposal"as --~-~~ ~ ~~~~~~ appropriate •-~ ~suitfori using-shop vacuum wltli~suCisequentp~oper labeflrig;••storage and•Tiazardous •waste~dTSposal°as • " ~~~ appropriate wash /decontaminate equipment w/ containment & disposal of effluent / rlnsate as hazardous waste i__........---.___ _._-................._...._.._ .._.___.__..._._._._ ............._........~._.__..........._. _.. _____....__..._.. __. __._._....._..._....._........_._._......___._......_._........_...._..___............_.........._............... provide safe temporary storage of emergency-generated wastes other (specify): Evacuation"Coordinator & Assembly Area 3,; ~ _ Provide name /position of evacuation coordinator who will account for all on-site employees and / or site visitors after evacuation: Name: un-staffed facility /shelter /cabinets " Identify / describe emergency 511eCtty~ un-staffed facility /shelter /cabinets assembly area for evacuees: i Identify the location where your evacuation route /map is posted: ~ Specify: , un-staffed facility /shelter /cabinets Other facility evacuation procedures: specify: I -4- ~~r~~aid~t~d ~c~r~ti~genc ~~~ for liazardaus Materials, Hazardous Waste & Underground Storage'T"auks FACILITY- IDENTIFICATION BUSINESS NAME V i Wi l ~~ ~~ ~ FA IL1TY ID # DATE er zon re ess - .:EMERGENCY E UIPMENT '~ List of available emergency equipment h lP ly h oc k a } (c t ar app quipment Avai a e Location pa i ity as app ica e 4i [xample: Z portable fire extinguistrEr~ tenter of each wall in shop rat~^d as "C"' Z cPiemtc.al prokecaire gloves ,pill re,pon;e kil one-time use; +>il fie :xdvenl resl;tant Use Category I I only ~+~ Safety & First AId .®_c emica protectve suits, aprons or vests Because each site is an Equipment ®chemical protective gloves un-staffed facility, shelter ____ ___......._...._..-~----._...........__._._...._..........._ ....................._.._..............................._ ^ chemical protective boots or outdoor cabinet, the _......._....__........._....____..__..._.._...----.........._.~.-_._--....._..--_._._._......._._....... Operations Cell ® safety. glasses./.goggles/ snields _ _ ~~~~~~~--- Tech./M r. carries a 9 ^ Ward Wars portable spill kit located in One time use & ___._.__....._._...-.__._~.-.-.__....___-_._......_._..___..__._._._..__ ................. ^ cartridge respirator their trucks. Each Replaced/Maintained ..........................._______.__...__....--.---._-..........---..___-___-.__.__..._........~.__ ^ self-contained breathing apparatus equipment item marked is Contained within the when needed ® first aid kits /stations portable spill kit. There is --..---__...._....._.~.....__._._ ...................__.---._...__._..__....._....___-- plumbed eyewash fountain /shower also an additional 5- allon g _0 . -----..---._...__..._...__._..._.__._-...._.__-...........-_...._......................_............... tub spill kit located within ® portable eyewasn kits each shelter design ^ other: facility. a3 Fire Extinguishing Aorta a re extinguls ers ® Located with the ortable p Equipment ^ fixed fire systems /sprinklers /fire hoses spill kit with the One time use & _.__..........___ ..............._......_..---....---......----._..........-........................_...---._.__._...._..__-- ^ fire alarm boxes or stations O erations Cell p Re laced/Maintained p -~ _.... ........... Tech./Mgr. Within the when needed ^ oti,er: portable spill kit. ~ ~ Spill Control & Clean- ®a sot ent materia Up Equipment ®container for used absorbent ^ berming / diking equipment ® broom ^ shovel ^ shop vac One time use & _.~..~exnaust Hood ~-~--.--. .."..-_..._......._........__T..__._.........................._ Same as above. Replaced/Maintained __...._........._-..._._ ...................-__............__......_..-. ___.____.__............._.. when needed ^ emergency sump /holding tank ® chemical neutralizers ^ gas cylinder leak repair kits ^ spill overpack drums ^ other: hs Communications & to ep ones inc u es ce u ar Alarm System ^ Intercom / PA system Equipment ^ portable radios Cell phone and #'s with __..-_.........._........_....._._.._ ..................._...................... --._.._._............_......~....__..__...._ ..................._..........._____....._.._...._..-------._......................_. ^ automatic alarm chemical monitoring equipment Operations Cell _ Tech./Mgr. _........_.......-...__...._._.._..---..._....._.._........._ ._. . ^ UST monitoring system operations manual ® list of notification phone numbers ~Q~s~~~da~e~ ~onin~~nc~ f~[a Narardatjs Materials Divisirm for Fazardous Materials, Hazardous Waste & Underground Storage Tanks FACILITY IDENTIFICATION ,t; BUSINESS NAME ~ FA ILTTY ID # DATE Verizon Wireless - ~ ~ ~ ( EARTHQUAKE VULNERABILITY a1 Areas of earthquake vulnerability 4~t Identify areas of facility vulnerable to ( C1eC a tat app y: -- '-'°-'---'_ ~ "" ~ ~~'~ LtlCation (e.g. shop, outdoor shed, forensic lab): ..__...-.__..~.__._._..___._.._..-.-~._.__._..__.._......_.._....._......._ ................_._........___.._..... releases /spills due to earthquake aterl als / hazardousm waste storage a~ea ® ~ .. related motion: _ .~,-„__,,,,,...,~„_-.-.__..._,_--,_„-,,,-_,- ____....._-.~•,_- ^ process lines /piping Batteries installed exceed 1997 UBC i l ti i i di t d i ti - -----~-------- - ---~ ~----- and/or 2000-2003 IBC Seismic Zone 4 re on an (requ mme a e so a nspec on) - -- ------ - laboratory -~....._._._....._...--- ................_.._-..._._.. .----._..._..___._...__ specifications. ^ waste treatment area 49 v,ec a I t,at app y: A ecte ovations: Identify mechanical systems _._........_..siieCGes; caC~irirts .~_racks . _........_....-........_.________....---...._.._ .____......_..._.._.._.._...-.---._..._.__........_.._.......---.._...._..........._._..........__........._.._ ......................... vulnerable to releases /spills due to ^ earthquake related motion: ^ tanks (emergency shutofq {require immediate isolation and insperticn) ^ portable gas cylinders Power Breaker Located on/at un- ® emergency shutoff &/or utility valves Staffed faClilt)/, shelter or outdoor • ^ sprinkler systems ~ ~• cabinet. ^ stationery pressurized wntainers (e.g. tank for dispensing propane) ARRANGEMENTS FOR EMERGENCY SERVICES so Explanation of_j?~equirement Advance arrangements vaith local fire & police department.5, hospita~, ann /er contracr,rs ror emergency services should be made as appropriate far your facility; you may determine that advance arrangements are not necessary for your f~3tility. `~'' Describe any advance arrangements ~ Determine not necessary made for local emergency services: ._..._..._._._..._............_r._......_ ...................__..._.._._...................._.._....__._.__....._._.____._..._.____.-..__...._...._.....,........_..._.....____......_._.........__...__...._.__.............____._......._..._._... ® Specify: ONYX Is available 24 hours per day to assist In spill clean up, and/or telephone support regarding spills or venting of batteries. EMPLOYEE TRAINING CONTENT & FORMAT 'l Employee Training Content & Format 5:3 - explanation af_(zcqu~rem~nt F..mp ogee training is required for all emp ogees handlirry hazardous materials bazar ous wastes in ay to day or clean-up operations including volunteers t3</or contractor,. Required content for e.Rrployee training includes all of the following: 54 _ ... • Material Safety Data Sheets communication £~ alarm ..rystems • personal protective equipment I • hazard communication related to heaith & safety (e,q, • • use of erneryenrr+ response egUlpRtelrt methods for safe handling of hazardous substances fire extinguisher,, respirators, etc) j • fire hazards of materials /processes • decont~3minatran procedures " itions likely to worsen emergencies • vond evacuation procedures • coordination of emergency response • vontro! & containment procedures • notification procedures • UST rnanitoring system equipment & • applicable laws & regulations rocedures of a lir_able ~'~~> Indicate how employee trainin9 check all that apply: .__- ................._..._._._..........._.---.-------....................._ program (with required content) is ® Formal classroom ~ Video(s) (specify): administered: Safety-/ tail-gate meetings ---~~~~ ~~~~® Other (Specify): Annual~oriline trairiirig -~_..._.__..___._...._._..._...--......_.- ........................ a i _..__ ...........................................-............_...._.....~__................._... ...-..^..._._..--__..__...._...-_...__----- --..._---._............-~--~---._....___._..__..~._...._......._....... ~ Study Guides % Manuals (specify): -6- ~Cla~~l~~~~ ~n~1n~E~_~ ~~ for hazardous Materials, Hazardous Waste & Underground Storage Tanks Hazardous Materials Division FACILITY IDENTIFICATION SE, BUSINESS NAME V i Wi l ~ ~ FACILITY ID # DATE er zon re ess - , j . EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION '~ -:Required frequency of training 5H ~xptanatian of_i?equirement employee training must e: ~ provided within 6 months for new hires, ~ amended as necessary prior to change in process or work assignment, ~ given upon modification to emergency response J contingency plan, and » updated /refreshed annually for ALl employees. 5~' Certify that the facility's employee training program meets minimum ® Employee training Is provided, at a minimum, as described above. fre uen re uirements: c° Record+of training -- ~' ~x tanation af_P~c uiramant _._p ._._ q_._._-_-_-- Written documentation of employee Graining sessions must be kept which include: ~ training outline; agenda ~ date of training session ~ employee names & jab tittles * brief job description for hazardous waste generator facilities `l Certify that the facility's training documentation meets minimum record ®Employee training documentation Is provided, at a minimum, as described above. kee in re uirements: ~' Training program description Or outline ^ EmpI QyQQ training prQgram o4x~n~ i~ d~Ld~h~S1: attached: . _ .. _ .. _ ._.~___....__._._....~~__......_._._.._.._...__.....__.......__._~._. _. _. _. ® Employee training program Is described here: The Verizon Wireless Operations Managers make sure that their Field Operation Staff, depending on their position, are trained in the applicable topics located in the Environmental Health Safety Awareness Training Overview at the date of hire. There is also annual online training with TargetSafety.com performed in Hazardous Communications, Combustible & Flammable Liquids, Eye Safety, and Personal Protective Equipment. Attached is the following: LIS T OF ATTACHMENTS ~~~ List all attachments to this document here: o Verizon Wireless Additional Information for SPILL PREVENTION, EMERGENCY RESPONSE, TRAINING and CLOSURE PLAN o VZW Environmental Health Safety Awareness Training Overview o VZW Network Training Matrix that gives the training topic and frequency of training. o TargetSafety.com training objectives, table of contents, and a list of staff that have completed the online annual trainin . SIGNATURE / .CERTIFICATION 0 3 Based an my inquiry of those individuals responsible for obtaining the information, I certify under peha ty o lour that I have personal y examined and am amiliar with the Information submitted and believe the information is true, accurate and complete and that a copy is available on-site. gnature ate o comp a on ~ 2/23/2007 ~ not ame a os on Shawn Stacey Environmental Compliance -7-