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HomeMy WebLinkAboutBUSINESS PLAN 8/1/20071 `" Q IV I~ i~ I .Y I,M };O la ,~ i ~d Im u ~~~ ~._ 'o ,~a _, • .~' PACIFIC BELL - SA703/BKFDCA53 Manager GRANT ARMSTRONG Location: 5650 ALDRIN CT City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: CAD981630411 SiteID: 015-021-000893 BusPhone: (661) 398-4415 Map 123 CommHaz Extreme Grid: 15D FaCUnits: 1 AOV: SIC Code:4813 DunnBrad:10-340-1618 Emergency Contact / Title Emergency Contact / Title GRANT ARM STRONG / EM SITE MANAGER EMERGENCY CONTROL / CENTER Business Phone: (661) 327-6903x Business Phone: (877) 322-4722x 24-Hour Phone.: (800) 566-9347x 24-Hour Phone (800) 566-9347x Pager Phone (661) 721-4747x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact JAMES STEHR EH&S Phone: (925) 823-8866x MailAddr: PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Owner PACIFIC BELL DBA AT&T CALIFORNIA Phone: (800) 566-9347x Address PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Period $'~~~, to `b-t-~~ TotalASTs: 4 = 25o Gal Preparer : $ VE S AiV ERSON TotalUSTs : ~ _ Gal Certif'd: ~ RSs: No ParcelNo: ~ Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN p~ ~Itl~`~ ~ ~ ~ ~ ~~' ~~~/ PROG T - ABOVEGROUND STORAGE TANK [3ased on my inquiry of those individuals respon;~ibie for obtaining the information, !certify under ~,enalty of la~~r that !have personally examined and am familiar v~r+th the information submitted and huiie~;e the information is true, omplete. accurate, andc Q Signature Date -1- 07/13/2007 A' ~ F PACIFIC BELL - SA703/BKFDCA53 ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-000893 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH L 1440.00 FT3 Hi ACETYLENE E F P IH G ~ /576.00 FT3 Hi PARTS CLEANER F IH L /50.00 GAL Mod WASTE OIL F DH L 30$~-. 00 GAL Low OXYGEN F IH DH G X219.00 FT3 Low ANTTFREEZE F DH L x141.00 GAL Low WASTE ANTIFREEZE F DH L X110.00 GAL Low TRANSMISSION FLUID F DH L x73.00 GAL Low HELIUM F P IH G 438.00 FT3 Min MOTOR OIL F DH L x240.00 GAL Min NITROGEN F P IH G x228.00 FT3 Min ARGON F P IH G /219.00 FT3 Min GREASE/GEAR LUBE F DH L ~ 48.00 GAL Min WASTE OIL FILTERS- F DH S x110.00 GAL UnR -2- 07/13/2007 ~. T -3- 07/13/2007 ,_ F PACIFIC BELL - SA703/BKFDCA53 ~ Inventory Item 0018 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit SUPPLY SHOP STATE TYPE T PRESSURE _ Liquid Pure I Above Ambient SiteID: 015-021-000893 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest C1440100rFT3 Daily1440100m FT3 I Daily1440r00e FT3 riAGKI[LV US l;111~1r~1VL' lvl a %Wt. RS CAS# 65.00 Propane Yes 74986 titjGtaxl.~ HJJJ;JJ1~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0017 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit MOTOR VEHICLE SHOP & YARD STATE TYPE PRESSURE _ Gas Pure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 288.00 FT3 576.00 FT3 576.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 I1HGtiiCL HJ JP~JJ1"1.C,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 07/13/2007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME j CHEMICAL NAME PARTS CLEANER Days On Site PETROLEUM NAPTHA 365 Location within this Facility Unit Map: Grid: MOTOR VEHICLE SHOP CAS# 8052-41-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 GAL 50.00 GAL 50.00.. GAL t1AGAttUUU~ 1:u1~lYV1V~;1V 15 cwt. Rs cAS# 100.00 Stoddard Solvent No 8052413 tiHGi-1K1J . HSJJJ551~1JJ1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site PETROLEUM HYDROCARBON 365 Location within this Facility Unit Map:l Grid:H4 NE CRNR OF BLDG CAS# 8002-05-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2 S O ~-1~ . 0 0 GAL 3o C.~ z'}$~ . 0 0 GAL 210.0 0 GAL nr~,~Kru~uu~ ~:ul~ir~ivr~ivta °sWt . RS CAS# 100.00 Waste Oil, Petroleum Based No 8002059 t11jGLihCL A5J1";J~1~iL1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/13/2007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL. NAME OXYGEN Days On Site 365 Location within this Facility Unit Map:l Grid:04 MOTOR VEHICLE SHOP CAS# 7782-44-7 ~GasATE TYPE- PRESSURE TEMPERATURE CONTAINER TYPE TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 ril-~GHKIJV U.7 1.V1~lYV1VL" 1V 1 J %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riHGl-1ICL 1-~w7 iJ L' .7.71~1L" 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANITFREEZE Days On Site 365 Location within this Facility Unit Map:l Grid:H4 STORED IN FACILITY CAS# 107-21-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 141.00 GAL 12.00 GAL rlt'~L.iriiCLVII ~J l.VllY V1V L'1V 1.7 %Wt• RS CAS# 95.00 Ethylene Glycol No 107211 5.00 Diethylene Glycol No 111466 L1tiL~tiRL 1'iJ .7 L' ~J w71~1L' 1V 1 ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ .Curies F DH / / / Low -6- 07/13/2007 F PACIFIC BELL - SA703jBKFDCA53 ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE GLYCOLS Location within this Facility Unit STORED IN FACILITY STATE TYPE PRESSURE Liquid TWaste ~ Ambient SiteID: 015-021-000893 ~ Facility Unit: Fixed. Containers on Site ~ Days On Site 365 Map:l Grid:H4 CAS# 107-21-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily 110100m G~ Daily A55r00e GAL rLr~~tjtcLUUJ ~uLnruiv~lvlJ %Wt. RS CAS# 94.00 Ethylene Glycol No 107211 rLH~t~tcL tiJJ~JJI~i~iv l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / j Low STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 73.00 GAL 73.00 GAL 73.00 GAL ru~~tjtu~vuJ ~urirutv~ly 1 oWt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 ritiGL-~KLJ H.7JL' t~JL~LL" 1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 07/13/2007 ~ ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map:l Grid:D5 YARD CAS# 7440-59-7 ~GdSATE TYPE PRESSURE ~ ATmEbMPeRATURE ~ CONTAINER TYPE TPure Above Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 438.00 FT3 438.00 FT3 - HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Helium No 7440597 riHY,KttL H~51'~5J1~11"~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME MOTOR OIL PETROLEUM HYDROCARBON Location within this Facility Unit STORED IN FACILITY STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map:1 Grid:H4 CAS# 64742-65-0 TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 120._00 GAL 240.00 GAL I 240.00 GAL tu~GlitUJVU~ 1:u1~lYUlVJ;1V 1.7 gWt. RS CAS# 85.00 BASE OIL PARAFFINIC No 1.00 Zinc No 14.00 Additives No riL'~GEiKL H~ ~1;~.71~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -8- 07/13/2007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map:l Grid:DS W SIDE OF SITE CAS# 7727-37-9 STATE T TYPE T PRESSURE ~~~ TEMPERATURE ~~ CONTAINER TYPE ~ ~GaS I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Co228100rFT3 Daily 228100m FT3 I Daily 228r00e FT3 r1H~ruu~~uJ ~ul~irviv~ly 1 %Wt. RS CAS# 100.00 Nitrogen No 7727379 ril-1GHCCL HJ JI:,JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map:l Grid:I4 MOTOR VEHICLE SHOP CAS# 7440-37-1 STATE T TYPE T PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~GaS I Pure I Above Ambient I Ambient I PORT _ PRESS _ CYT~TNI~F.R I AMOUNTS AT THIS LOCATION Largest Co219100rFT3 Daily 219100m FT3 I Daily 219r00e FT3 - 1~,ZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Argon No 7440371 I1tiL~tiRL HJ JP~J J1.11J1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -9- 07/13/2007 F PACIFIC BELL - SA703/BKFDCA53 SitelD: 015-021-000893 ~ ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GREASE/GEAR LUBE Days On Site PETROLEUM HYDROCARBON 365 Location within this Facility Unit Map:l Grid:H4 STORED IN FACILITY CAS# 64742-62-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Con16~00rGAL Daily M48100m GAL I Daily A48r00e GAL - HAZARDOUS COMPONENTS %Wt. 52.00 Solvent Dewaxed Distillate, Heavy Paraffin 50.00 Hydrotreated Distillate, Heavy Paraffin 50.00 Solvent Dewaxed Distillate, Heavy Paraffin 12.00 Additives RS CAS# No 64742627 No 64742547 No 64742650 No I1riGri[CL HJ JP~J.71~1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt• RS CAS# riAGKKL H~51a;551~11;1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -10- 07/13/2007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/01/2000 ~ CALL 911. IF FIRE DEPARTMENT MUST CALL PACIFIC BELL - DIAL 611 AND ASK FOR DUTY SUPERVISOR FOR BAKERSFIELD. Employee Notif./Evacuation 11/18/2003 NOTIFICATION OF EMERGENCY AND EVACUATION PROCEDURES ARE DIRECTED BY THE BUILDING WARDEN AS OUTLINED IN THE-5$E OPERATING PRACTICE 130. RTt T SHOUTING, HORNS, ALARMS, VOCAL, WHISTLE AND FIRE ALARMS ARE USED TO NOTIFY EMPLOYEES TO EVACUATE. THE INSTRUCTIONS FOR EMERGENCY EXITS AND ALTERNATE ROUTES TO BE USED FOR EVAUUATION ARE POSTED ON EACH FLOOR. Public Notif./Evacuation 11/18/2003 qr~T 3~~~ OPERATING PRACTICE 130 IDENTIFIES THE BUILDING WARDEN/SITE MANAGER AS THE RESPONSIBLE EMPLOYEE TO NOTIFY THE BUILDING OCCUPANTS AND THE APPROPRIATE EMERGENCY CONTACTS: LOCAL FIRE/MEDICAL PERSONNEL LOCAL ADMINISTERING AGENCY OFFICE OF EMERGENCY SERVICES PACIFIC BELL EMERGENCY CONTROL CENTER SECURITY MEDICAL FACILITY ENVIRNOMENTAL MANAGEMENT SAFETY -11- 07/13/2007 . ,< F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Emergency Medical Plan 04/05/2006 EMPLOYEES OWN DOCTOR, 911, OR MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-33781. THE IMMEDIATE SUPERVISOR OR AVAILABLE BUILDING WARDEN IS RESPONSIBLE FOR CONTACTING AN AMBULANCE OR MEDICAL FACILITY FOR AN INJURED EMPLOYEE. -12- 07/13/2007 ~,. .~ F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 04/05/2006 EMPLOYEEES ARE PROVIDED TRAINING ANNUALLY THROUGH THE TRAINING AND DEVELOPMENT CENTER TO HANDLE HAZARDOUS MATERIALS AND HOW TO READ AN MSDS AS REQUIRED BY THE HAZARDOUS COMMUNICATION STANDARD. THEY ARE ALSO TRAINED ON THE 9B 7 OPERATING PRACTICE 130. HAZARDOUS MATERIALS ARE UTILIZED AND STORED FOLLOWING MANUFACTURERS RECOMMENDATIONS AS WE ARE A CONSUMER OF PRODUCTS AND NOT A MANUFACTURER OF HAZARDOUS MATERIALS. Release Containment 04/05/2006 ELECTROLYTE IS CONTAINED IN BATTERIES AND BATTERIES ARE SECURED IN A SPECIALLY DESIGNED BATTERY RACK IN CONJUNCTION WITH EARTHQUAKE BRACING. DIESEL/GAS/OIL/ANTIFREEZE AND ABOVEGROUND TANKS ARE INSPECTED FREQUENTLY TO MAINTAIN INTEGRITY OF TANK CONTENTS. NITROGEN/ACETYLENE COMPRESSED GASES ARE STORED IN A CONTROLLED AND SEPARATE AREA. NITROGEN TANKS HAVE SAFETY CAPS. Clean Up 04/05/2006 SBC HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK REQUIRES THAT ENVIRONMENTAL MANAGEMENT IN THE EVENT OF A SPILL OR RELEASE OF A HAZARDOUS MATERIAL AT SBC FACILITIES COMPLETE A HAZARDOUS MATERIAL INCIDENT REPORT. ATT CONTRACTOR UTILIZED TO CLEAN UP SPILLS AND RELEASES FOR OUR FACILITIES IS: SHAW ENVIRONMENTAL 800-537-9540 Other Resource Activation 04/05/2006 AS OUTLINED IN SBC HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK, UNAUTHORIZED RELEASES (LEAKS AND SPILLS) OF PETROLEUM PRODUCT WILL BE REPORTED IMMEDIATELY BY THE OPERATOR TO EMERGENCY CONTROL CENTER 866-492-6836. ~IT(~ ANY UNAUTHORIZED RELEASES WILL BE RECORDED USING THE HAZARDOUS MATERIAL INCIDENT REPORT FORM NUMBER FR-0023, AS SHOWN IN APPENDIX III. FOR INCIDENTS INVOLVING SPILL, THE OPERATOR OF THE TANK WILL NOTIFY THE FIRE DEPARTMENT. -13- 07/13/2007 ,.. F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ o~c~ial nc«cxiu5 Utility Shut-Offs 01/30/2007 A) GAS - SE CRNR OUTSIDE B) ELECTRICAL - N SIDE MAINT STOCKROOM C) WATER - SE CRNR OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/30/2007 PRIVATE FIRE PROTECTION - FIRE ALARM AND FIRE EXTINGUISHERS. FIRE HYDRANT - N OF OFFICE BLDG CTR OF YARD AND S SIDE OF ALDRIN CT ACROSS ST FROM BLDG. Building Occupancy Level 03/14/2006 130 EMPLOYEES -14- 07/13/2007 :.~ -. F PACIFIC BELL - SA703/BKFDCA53 SitelD: 015-021-000893 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/08/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE OR ON COMPUTER. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE PROVIDED INITIAL SAFETY PLAN TRAINING ON THE HAZARD COMMUNICATION CERTIFICATION, AS WELL AS, FUNCTION SPECIFIC MODULES BEFORE THEY BEING WORK OPERATIONS. THIS ALSO INCLUDES TRAINING ON THE EMERGENCY OPERATING PROCEDURES. SPECIFIC EMPLOYEE ARE SELECTED TO BE BUILDING OR FLOOR WARDENS FOR WHICH THEY RECEIVE ADDITIONAL TRAINING AND ATTEND THE FOLLOWING INTERDEPARTMENTAL COURSES: NETWORK SERVICES FIRST AID/CPR EMERGENCY METHODS OF PROCEDURES HAZARDOUS COMMUNICATION CERTFICATION HAZARDOUS MATERIALS/WASTE MANAGEMENT THE ~~ EMERGENCY PLAN BINDER SERVES AS A REFERENCE GUIDE FOR THE EMERGENCY rayc ~ nciu LVt ru~.utc V~G -15- 07/13/2007 •:l F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 Fast Format ~ Training Overall Site 17C1U LVL L'UI.ULC U~S"C -16- 07/13/2007 PACIFIC BELL - SA703/BKFDCA53 Manager GRANT ARMSTRONG Location: 5650 ALDRIN CT City BAKERSFIELD SitelD: 015-021-000883 BusPhone: (661) 398-4415 Map 123 CommHaz Extreme Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: CAD981630411 SIC Code:4813 DunnBrad:10-340-1618 Emergency Contact / Title Emergency Contact / Title GRANT ARMSTRONG / EM SITE MANAGER- EMERGENCY CONTROL / CENTER Business Phone: (661) 327-6903x Business Phone: (877) 322-4722x 24-Hour Phone (800) 566-9347x 24-Hour Phone (800) 566-9347x Pager Phone (661) 721-4747x Pager Phone ( ) - x ............... Hazmat Hazards: Fire Press ImmHlth De1Hlt~i .............. Contact JAMES STEHR EH&S Phone: (925) 823-8866x MailAddr: PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583 -0995 ............... Owner PACIFIC BELL DBA AT&T CALIFORNIA Phone: (800) 566-9347x Address PO BOX 5095 3E000 State: CA City SAN RAMON -Zip 94583 -0995 .............. Period l- I-~1 to 12- 31•v~7 TotalASTs : 1 = Z SD Coal Preparer : ~,' ~ S A4VD~RSUR~ TotalUSTs : = i~al Certif'd: ~_ RSs: No ParcelNo: ................ Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK `~~ ~~~ 2 3 ~Qp~ of those individuals i ry Based on my inqu responsible for obtaining the informatioersona ly that I have p under penalty of law mined and am familiar with the intormation e t , ru exa ubmitted and believe the information is s accurate, and complete. /fi ZZdo - Date --"'-` Signature -1- O1/30/~b07 P PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000853 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION "- Business Name: PACIFIC BELL - SA703/BKFDCA53 Cross Street Business Type: Org Type: Total Tanks IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name EMERGENCY CONTROL Phone: (877) 322-4722x Address: City State: Zip: Type TANK OWNER INFORMATION Name EMERGENCY CONTROL Phone: (877) 322-4722x Address: City State: Zip: Type .............. BOE UST Fee# 031914 Financ'1 Resp: SELF INSURED Legal Notif Tank Owner Mailing Address ................ Date:06/07/2000 Phone: (800) 757-6575x Name:ARMI STRICKLAND Ttl:ENVIRONMENTAL ASSOCIATE State UST # 1998 Upg Cert#: 00788 ,~!Jy US'j` ,4T f~„g ~ac,c~Ty -2- O1/30/~b07 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000883 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~ICP .............. PROPANE E F P IH L 1440.00 FT3 H3. ACETYLENE E F P IH G 576.00 FT3 Hi PARTS CLEANER F IH L x 5 0. 0 0 GAL ~'IiOd WASTE OIL F DH L ~ 240.00 GAL Low OXYGEN F IH DH G 219.00 FT3 Low WASTE ANTIFREEZE F DH L X110.00 GAL Low ANTTFREEZE F DH L 1 ~f I --~-5-0 0 GAL Low HELIUM F P IH G ~ 438.00 FT3 fW'In MOTOR OIL F DH L ..240.00 GAL 1r+tn NITROGEN F P IH G /228.00 FT3 1~+f.n ARGON F P IH G ~ 219.00 FT3 1W'In GREASE/GEAR LUBE F DH L ,. 48.00 GAL 1W'In WASTE OIL FILTERS F DH S ~~p §x.00 GAL U1iR ironsm+SSldn ~luip f aN L ri3.ou GAL -3- O1/30/Z~07 -4- 01/30/2007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000853 ~ ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: SUPPLY SHOP CAS# 74-9~-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1440.00 FT3 1440.00 FT3 1440.0.0 FT3 - nra~.ytcLVU~ ~ulnr~iv~iv 1~5 %Wt. RS CAS# 65.00 Propane Yes 745$6 riHY,HKL H~~r;~51Y1L"~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: MOTOR VEHICLE SHOP & YARD CAS# 74-86=2 ~GaSATE TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE TPure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 288.00 FT3 576.00 FT3 576.00 FT3 ................ HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Acetylene Yes 7482 t1HGti[CL HJ JL~.7.71"1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / Hi -5- Ol/30/2d07 F PACIFIC BELL - SA703/BKFDCA53 ~ Inventory Item 0019 COMMON NAME / CHEMICAL NAME PARTS CLEANER PETROLEUM NAPTHA Location within this Facility Unit MOTOR VEHICLE SHOP SiteID: 015-021-000853 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8052-41=3 Liquid TMixture ~ AmbRent~E ~ AmbientT~E _ DRUM/BARRELEMETALLIC AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 50.00 GAL 50.00 GAL 50.00 GAL ritiGEittUVUA 1:v1~1r~lv~lvl5 °sWt . RS CAS# 100.00 Stoddard Solvent No 80524].3 riAGHKL 1~JJ1'~JS1~1i51V l 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies F IH / / / Mdd ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME WASTE OIL PETROLEUM HYDROCARBON Location within this Facility Unit NE CRNR OF BLDG STATE TYPE PRESSURE Liquid TWaste ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map:l Grid:H4 CAS# 8002-0~=9 TEMPERATURE CONTAINER TYPE Ambient .ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 210.00 GAL 240.00 GAL 210.00 GAL ru~GKKLVUJ l:V1w1YV1V.CG1Vla owt. Rs eAS# 100.00 Waste Oil, Petroleum Based No 800209 t'31-~GHt<LJ H JJ~.7J1~1L"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / Liwu -6- Ol/30/~b07 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000853 ~ ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map:l Grid:04 MOTOR VEHICLE SHOP CAS# 7782-44-7 STATE TYPE PRESSURE -~ TEMPERATURE ~~ CONTAINER TYPE ~GaS Pure Above Ambient I Ambi Pnt I PnRT _ PRF.~~ _ C''VT,TTTI~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 L1tiL~tiRL tiJ J~JJl"1A1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies F IH DH / / / Lr74v ~ Inventory Item 0012 Facility Unit: Fixed Containers on Side ~ COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site GLYCOLS 365 Location within this Facility Unit Map:l Grid:H4 STORED IN FACILITY ~ CAS# 107-21=1 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLIC I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAS HAZARDOUS COMPONENTS %Wt. 94.00 Ethylene Glycol RSI CAS# No 107211 HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M No No No No/ Curies F DH / / / Lr~~;v -7- O1/30/2b07 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-00083 ~ ~ Inventory Item 0006. Facility Unit: Fixed Containers on Side ~ COMMON NAME / CHEMICAL NAME ANITFREEZE Days On Site 365 Location within this Facility Unit Map:l Grid:H4 STORED IN FACILITY CAS# 107-21=1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1. 0 0 GAL I (,~. ~ ~--0 0 GAL 12.0 0 GAL riHGHKLJVU~ IrVL~LYV1V1;1V1b %Wt. RS CAS# 95.00 Ethylene Glycol No 10711 5.00 Diethylene Glycol No 111466 riAGHKU A7515J~1~1L'~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No / Curies F DH / / / Lr~t~ri ~ Inventory Item 0021 Facility Unit: Fixed Containers on Side ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map:l Grid:D5 YARD CAS# 7440-59-7 STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Gas I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 438.00 FT3 438.00 FT3 riHGL-~K11VU.7 1,V1~lYV1VL'1V l.7 %Wt. RS CAS# 100.00 Helium No 7440597 riHGHl[1J x~ aC~~51~1J~.1v15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Miff -8- O1/30/~~07 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Sits ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site PETROLEUM HYDROCARBON ~ 365 Location within this Facility Unit Map:l Grid:H4 STORED IN FACILITY CAS# 64742-65=0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Dail Average 120.00 GAL 240.00 GAL y 240.00 GAS t1HGKKLV U5 1:V1~lYV1VL' 1V 1 ~ °swt. Rs cAS# 85.00 BASE OIL PARAFFINIC No 1.00 Zinc No 14.00 Additives No riAGHttL E~~ 51;5J1~11';1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / Mii ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit W SIDE OF SITE STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers on Sits ~ Days On Sites 365 Map:1 Grid:D5 CAS# 7727-37=9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER,,,,,,,..... AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 228.00 FT3 228.00 FT3 228.00 FT3 t11iG1iKLVUA lLV1°lYV1V~1V1J sWt. RS CAS# 100.00 Nitrogen No 7727379 1'1.E~GHKL 1~5 JJ;.~51~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Mii -9- 01/30/2007 F PACIFIC BELL - SA703/BKFDCA53 ~ Inventory Item 0022 COMMON NAME / CHEMICAL NAME ARGON Location within this Facility Unit MOTOR VEHICLE SHOP Days On Site 365 Map:l Grid:I4 CAS# 7440-37-1 ~GasATE TPureE ~-AboveSAmbEent AmbPeRATURE PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 - riHGHt<L V U 7 l: V 1~1Y V1V 1",1V 15 %Wt. RS CAS# 100.00 Argon No 7440371 t1AGAttL A~~~~~1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ .Curies F P IH / / / Mti ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME GREASE/GEAR LUBE PETROLEUM HYDROCARBON Location within this Facility Unit STORED IN FACILITY Facility Unit: Fixed Containers on Sits ~ Days On Site 365 Map:l Grid:H4 CAS# 64742-6~-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 16.00 GAL 48.00 GAL 48.00 GAS HAZARDOUS COMPONENTS %Wt. RS CAS# 52.00 Solvent Dewaxed Distillate, Heavy Paraffin No 64742527 50.00 Hydrotreated Distillate, Heavy Paraffin No 64742547 50.00 Solvent Dewaxed Distillate, Heavy Paraffin No 64742650 12.00 Additives No HAGAKll A~5J;5~M1~;N'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / Miff SitelD: 015-021-000893 ~ Facility Unit: Fixed Containers on Site ~ -10- O1/30/2~07 F PACIFIC BELL - SA703/BKFDCA53 ~ Inventory Item 0024 COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Location within this Facility Unit STATE TYPE PRESSURE Solid TWaste ^~mbient SitelD: 015-021-000893 ~ Facility Unit: Fixed Containers on Sits ~ Days On Sits 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5 5. 0 0 GAL 1 ~ p -5~,-0 0 GAL 5 5. 0 0 GAS HAZARDOUS COMPONENTS °sWt . RS CAS# ............. HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies F DH / / / Ui.~2 -11- 01/30/2007 F PACIFIC BELL - SA703/BKFDCA53 SitelD: 015-021-000893 ~ Fast Form~€ ~ ~ Notif.jEvacuation/Medical Overall Site ~ ~ Agency Notification 05/Ol/20k~0 ~ CALL 911. IF FIRE DEPARTMENT MUST CALL PACIFIC BELL - DIAL 611 AND ASK FOR DUTY SUPERVISOR FOR BAKERSFIELD. Employee Notif./Evacuation 11/18/2003 NOTIFICATION OF EMERGENCY AND EVACUATION PROCEDURES ARE DIRECTED BY THE BUILDING WARDEN AS OUTLINED IN THE SBC OPERATING PRACTICE 130. SHOUTING, HORNS, ALARMS, VOCAL, WHISTLE AND FIRE ALARMS ARE USED TO NOTIFY EMPLOYEES TO EVACUATE. THE INSTRUCTIONS FOR EMERGENCY EXITS AND ALTERNATE ROUTES TO BE USED FOR EVAUCATION ARE POSTED ON EACH FLOOR. Public Notif./Evacuation 11/18/2003 SBCY OPERATING PRACTICE 130 IDENTIFIES THE BUILDING WARDEN/SITE MANAGER AS THE RESPONSIBLE EMPLOYEE TO NOTIFY THE BUILDING OCCUPANTS AND THE APPROPRIATE EMERGENCY CONTACTS: LOCAL FIRE/MEDICAL PERSONNEL LOCAL ADMINISTERING AGENCY OFFICE OF EMERGENCY SERVICES PACIFIC BELL EMERGENCY CONTROL CENTER SECURITY MEDICAL FACILITY ENVIRNOMENTAL MANAGEMENT SAFETY -12- O1/30/~007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 Fast Formalt ~ Notif./Evacuation/Medical Overall Sits ~ Emergency Medical Plan 04/05/20tl6 EMPLOYEES OWN DOCTOR, 911, OR MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3378]:: THE IMMEDIATE SUPERVISOR OR AVAILABLE BUILDING WARDEN IS RESPONSIBLE FOR CONTACTING AN AMBULANCE OR MEDICAL FACILITY FOR AN INJURED EMPLOYEE. 9 9 -13- Ol/30/~007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 Fast Forma ~ Mitigation/Prevent/Abatemt Overall Site Release Prevention 04/05/20C)G EMPLOYEEES ARE PROVIDED TRAINING ANNUALLY THROUGH THE TRAINING AND DEVELOPMENT CENTER TO HANDLE HAZARDOUS MATERIALS AND HOW TO READ AN MSDS AS REQUIRED BY THE HAZARDOUS COMMUNICATION STANDARD. THEY ARE ALSO TRAINED O1v THE SBC OPERATING PRACTICE 130. HAZARDOUS MATERIALS ARE UTILIZED AND STORED FOLLOWING MANUFACTURERS RECOMMENDATIONS AS WE ARE A CONSUMER OF PRODUCTS AND NOT A MANUFACTURER OF HAZARDOUS MATERIALS. 9 Release Containment 04/05/20tl6 ELECTROLYTE IS CONTAINED IN BATTERIES AND BATTERIES ARE SECURED IN A SPECIALLY DESIGNED BATTERY RACK IN CONJUNCTION WITH EARTHQUAKE BRACING. DIESEL/GAS/OIL/ANTIFREEZE AND ABOVEGROUND TANKS ARE INSPECTED FREQUENTLY TJ MAINTAIN INTEGRITY OF TANK CONTENTS. NITROGEN/ACETYLENE COMPRESSED GASES ARC STORED IN A CONTROLLED AND SEPARATE AREA. NITROGEN TANKS HAVE SAFETY CAPS: Clean Up 04/05/20175 SBC HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK REQUIRES THAT ENVIRONMENTAL MANAGEMENT IN THE EVENT OF A SPILL OR RELEASE OF A HAZARDOUS MATERIAL AT SBC FACILITIES COMPLETE A HAZARDOUS MATERIAL INCIDENT REPORT. CONTRACTOR UTILIZED TO CLEAN UP SPILLS AND RELEASES FOR OUR FACILITIES IS: SHAW ENVIRONMENTAL 800-537-9540 Other Resource Activation 04/05/20175 AS OUTLINED IN SBC HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK, UNAUTHORIZED RELEASES (LEAKS AND SPILLS) OF PETROLEUM PRODUCT WILL BE REPORTED IMMEDIATELY BY THE OPERATOR TO SBC EMERGENCY CONTROL CENTER 866-492-6836. ANY UNAUTHORIZED RELEASES WILL BE RECORDED USING THE HAZARDOUS MATERIAL INCIDENT REPORT FORM NUMBER FR-0023, AS SHOWN IN APPENDIX III. FOR INCIDENT'S INVOLVING SPILL, THE OPERATOR OF THE TANK WILL NOTIFY THE FIRE DEPARTMENT. -14- 01/30/2007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ Fast Format ~ ~ Site Emergency Factors Overall Sits ~ especial riazarus Utility Shut-Offs ~ Ol/30/20C~'7 A) GAS - SE CRNR OUTSIDE B) ELECTRICAL - N-SIDE MAINT STOCKROOM C) WATER - SE CRNR OUTSIDE D) SPECIAL - NONE E)-LOCK BOX - NO Fire Protec./Avail. Water O1/30/20b7 PRIVATE FIRE PROTECTION - FIRE ALARM AND FIRE EXTINGUISHERS. FIRE HYDRANT - N OF OFFICE BLDG CTR OF YARD AND S SIDE OF ALDRIN CT ACROSS ST FROM BLDG. Building Occupancy Level 03/14/20016 130 EMPLOYEES -15- Ol/30/~007 F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 ~ Fast Format ~ ~ Training Overall Sits ~ ~ Employee Training 12/08/20015 ~ MATERIAL SAFETY DATA SHEETS ON FILE OR ON COMPUTER. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE PROVIDED INITIAL SAFETY PLAN TRAINING ON THE HAZARD COMMUNICATION CERTIFICATION, AS WELL AS, FUNCTION SPECIFIC MODULES BEFORE THEY BEING WORK OPERATIONS. THIS ALSO INCLUDES TRAINING ON THE EMERGENCY OPERATING PROCEDURES. SPECIFIC EMPLOYEE ARE SELECTED TO BE BUILDING OR FLOOR WARDENS FOR WHICH THEY RECEIVE ADDITIONAL TRAINING AND ATTEND THE FOLLOWING INTERDEPARTMENTAL COURSES: NETWORK SERVICES FIRST AID/CPR EMERGENCY METHODS OF PROCEDURES HAZARDOUS COMMUNICATION CERTFICATION HAZARDOUS MATERIALS/WASTE MANAGEMENT THE SBC EMERGENCY PLAN BINDER SERVES AS A REFERENCE GUIDE FOR THE EMERGENCE ra~c c. raciu ivt ru~.utc vac -16- 01/30/2007 ^, ~ n !- F PACIFIC BELL - SA703/BKFDCA53 SiteID: 015-021-000893 Fast Form~i€ ~ Training Overall Sits ~ Held for Future Use -17- Ol/30/~007 5 ' ~+ ~ ~f + SBC - SA703 _________________________________________ SiteID: 015-021-000893 + Manager CINDY MADRIGAL Location: 5650 ALDRIN CT City BAKERSFIELD BusPhone: (661) 398-4415 Map 123 CommHaz High Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code:4813 EPA Numb: Cq~ qg/b 3oyl1 DunnBrad: 10-340-1618 Emergency Contact / Title Emergency Contact / Title CINDY MADRIGAL / PROPERTY MGR EMERGENCY CONTROL j CENTER Business Phone: (559) 228-7056x Business Phone: (877) 322-4722x 24-Hour Phone (866) 49.2-6836x 24-Hour Phone (866) 492=6836x Pager Phone (559) 279-0260x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact JAMES STEHR Phone: (925) 823-8866x MailAddr: 2600 CAMINO RAMON 3E000 State: CA City SAN RAMON Zip 94583-0995 Owner SBC Phone: (866) 492-6836x Address PO BOX 5095 3E000 State: CA City SAN RAMON _ Zip 94583-0995 l'2 ~31'~~ ~' ~ ~ofO 2SD - Period to Gal TotalASTs: l = Preparer : STEVE SKAWDERSO~f TotalUSTs : = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals responsible far obtaining the information, 1 certify under penalty of !aw that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and cornpiete. ~f%~ Signature Date ENr~ A ~~ 2006 -1- 03/14/2006 UNIFIED PROGRAM INSPECTION CHECI4LIST~ SECTION 1: Business Plan and Inventory Program ~ ~' Tel.: (661) 326-3979 • ~ Fax: (661) 872-2171 FACILITY NAME C, INSPECTION DATE INSPECTION TIME ~ ~ v /O+ Z ~b ~ S~'~I i ~ ADDRESS ~~~~ ^~~~/~ ~ ,dl{- HONE O.-~~(S 3 ~/ j bp O ~E~ YEES FACILITY CONTACT r ~ c ~ ~~ ~ S ID NUMBER U 1N E S 15-021- p©x873 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 ^ BUSIIIBSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY J ^ VERIFICATION OF INVENTORY MATERIALS ~' ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ PROCED VERIFICATION OF ABATEMENT SUPPLIES AND ES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~-ZI-dS ~~ K ~.fx,~ ~- ~ ~~ - ^ FIRE PROTECTION S ~ -Q ~ ~~ r/'l i('3d4 ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZAR/D~O~U~S WASTE ON SI/T E? EXPLAIN: /,tiLG>,~5~~ ~ J _/ ~iYES ^ NO ~S J .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Please rint) Fire Prevention / 1s' In /Shift of Site/Station # Business Site/School Site Responsible Party (Please Print) BAKERSFIELD FIRE DEPT zr >• r D Prevention Services wIR~ 900 Truxtun Ave., Suite 210 ARrM t Bakersfield, CA 93301 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) .;_'.- ., FILE THIS DOCUMENT IN THE SECTION HAZARDOUS MATERIALS PLANS PROGRAMS PERMITS BINDER 2 1AN 2 6 x0A5 &'' ~~ /~~~ CJ ` -~ ~.~. ~; ~~ ` ~~ 3 ~ .~: ~~~ Hazardous Materials Annual Inventory YEAR 2005 SBC - SA703 (Facility Name and ID) 5650 ALDRIN CT (Facility Address) BAKERSFIELD (Facility City) KERN (Facility County) Maintain this Hazardous Materials Inventory On Site, Until Updated. 3/1~~ l a ~ 3~ ~`°`D I~~`°~gt ~pD 5 A ~~ POST THIS DOCUMENT ON SITE SO IT WILL BE AVAILABLE IN THE EVENT OF A GOVERNMENT AGENCY INSPECTION, ENT'D F E.B 17 2006 SITE ASSESSMENT OR AUDIT. Revised by Matthew Hopwood 10/23/2003 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of i. IDENTIFICATION 1 BEGINNING DATE 100 ENDING DATE FACILITY ID# 101 ~ 01/01/2005 12/31/2005 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE 102 SBC SA703 661-398-4415 BUSINESS SITE ADDRESS 103 5650 ALDRIN CT CITY 104 CA ZIP CODE 105 BAKERSFIELD 93301 DUN BRADSTREET 106 SIC CODE (4 digit #) 107 10-340-1618 4813 COUNTY 108 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 CINDY MADRIGAL 559-228-7056 II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE 112 SBC 866-492-6836 OWNER MAILING ADDRESS 113 P.O. Box 5095, Room 3E000 CITY 114 STATE 115 ZIP CODE 116 SAN RAMON CA 94583-0995 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Environmental Management, attn: James Stehr 925-823-8866 CONTACT MAILING ADDRESS 119 2600 CAMINO RAMON, RM 3E000 CITY 120 STATE 121 ZIP CODE 122 SAN RAMON CA 94583-0995 PRIMARY IV. EMERGENCY CONTACTS SECONDARY 123 NAME NAME 1z8 CINDY MADRIGAL EMERGENCY CONTROL CENTER TITLE 124 TITLE 129 Property Manager 24 HR EMERGENCY SERVICE BUSINESS PHONE 125 BUSINESS PHONE 130 559-228-7056 877-322-4722 i 24-HOUR PHONE 126 24-HOUR PHONE 131 866-492-6836 (866-I WANT EM) 866-492-6836 (866-I Want EM) PAGER# 127 PAGER# 132 559-279-0260 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERA R DATE 134 NAME OF DOCUMENT PREPARER 135 ~ ~~/~~ 11/11/2004 RHL DESIGN GROUP, INC. -AGENT FOR SBC OF SIGNER (prittt~ Steve Skanderson 136 TITLE OF SIGNER Project Manager 137 UPCF (1/00 revised) 167 OES FORM 2730 (1/99) iJNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EPCRA ~ YES 0 No ~ 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 H4 IL CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ~ Yes ~ No 206 PETROLEUM HYDROCARBON - If Subject to EPCRA, refer to instructions COMMON NAME 207 MOTOR OIL (All Grades) Exs ~ Yes ^X No 208 CAS# 209 64742-65-0 If EHS is "Yes", all amounts below mtut be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 III-B COMBUSTIBLE HAZARD MATERIAL 211 TYPE (Check one item ~ a. PURE ~X b. MDCTURE ~ c. WASTE 212 RADIOACTNE ~ Yes ~ No CURIES 213 PHYSICAL STATE ~ a. SOLD ~ b. LIQUID ~ c. GAS 214 LARGEST CONTAINER ~ 20 215 (Check one item only) FED HAZARD CATEGORIES ^X a. FIRE ~ b. REACTNE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~X e.CHRONIC HEALTH h k 216 ec all that apply) (C AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE o. RAIL CAR CONTAINER B b. UNDERGROUND TANK f. CAN ~. BAG n. PLASTIC BOTTLE p. OTHER os X c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ~X a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT ~d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 180-85 226 LUBRICATING BASE OIL 227 ^yes ~ No 228 Various 229 2 1 230 Zinc Compound 231 Wes ^X No 232 Proprietary 233 3 15-20 234 Additives 235 Hues ~X No 236 u Proprietary 237 4 238 239 ~1'es n" 0 240 Wi 241 5 242 243 n" 0 244 Yes 245 If more hazardous components are present at greater than I % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE REVISE 200 Page of L FACILITY INFORMATION BUSINESS NAME .SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EPCRA ^ YES 0 No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 H4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ~ No 206 GLYCOLS If Subject [o EPCRA, refer to instructions COMMON NAME 207 ANTIFREEZE/COOLANT EHS ^ Yes ~ No 208 CAS# 209 107-21-1 If EHS is "Yes", all atnounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 Hazardous Sub. N.O.S HAZARD MATERIAL 211 TYPE (Check one item ^ a. PURE ^X b. MIXTURE ^ c. WASTE 212 RADIOACTNE ^ Yes ~ No CURIES 213 PHYSICAL STATE 214 ^ a. SOLID ^X b. LIQUID ^ c. GAS LARGEST CONTAINER GALLON 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ^X d. ACUTE HEALTH ^X e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK E CAN '. BAG X n. PLASTIC BOTTLE p. OTHER 14 a TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 90-95 226 ETHYLENE GLYCOL 227 ^yes ^ No 226 107-21-1 229 2 0-5 230 Diethylene Glycol 231 ^Yes ^X No 232 111-46-6 233 3 234 235 ^Yes n" 0 236 ~' ` 237 4 238 239 o 240 ^X hl ^'es u 241 i 5 242 243 ^Yes ^X No 244 245 If more hazardous components are present a[ greater than 1 % by weight ifnon-carcinogenic, or 0. I % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 iJNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL /202 STORED IN FACILITY EPCRA ^ YES x^ No /`•/~/ 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ' 1 H4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to ins[mctions COMMON NAME 207 GREASE/GEAR LUBE EHS ^ Yes ^X No 208 CAS# 209 64742-62-7 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requred by CUPA) 210 COMBUSTIBLE LIQ. 36 HAZARD MATERIAL 211 PURE ^X b MIXTURE ^ c WASTE ^ a Ch k TYPE i 212 RADIOACTIVE ^ Yes ~ No CURIES 213 . . . ( ec one tem PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER ~ 6 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ^ d. ACUTE HEALTH ^X e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN ~. BAG n. PLASTIC BOTTLE p. OTHER os c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN X d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 152% 226 SOLVENT DEWAXED RESIDUAL OIL 227 ^es ^ No 228 64742-62-7 229 2 50% 230 HYDROTREATED DIST HVY PARAFFIN 231 ^Yes ^X I~To 232 64742-54-7 233 3 50% 234 SOL. DEWAXED DIST HVY PARAFFIN 235 ^I'es ^X No 236 64742-65-0 237 4 41% 238 HYDROTREATED BOTTOMS 239 ^Yes ^X No 240 64742-57-0 2a1 5 12% 242 ADDITIVES 243 ^Yes X^.lo 244 PROPRIETARY 245 If more hazardous components are present at greater than 1%, by weight if non-carcinogenic, or 0. i % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 SUPPLY SHOP EPCRA ^ YES ^x No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 D6 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ~ No 206 Liquified Petroleum Gas If Subject to EPCRA, refer to instmctions COMMON NAME PROPANE 207 EHS ^ Yes ~ No 208 CAS# 209 74-98-6 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 Flammable Gas HAZARD MATERIAL TYPE (Check one item ^ a. PURE ~ b. MIXTURE ^ c. WASTE 211 RADIOACTNE ^ Yes 212 ~ No CURIES 213 PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 40 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ^ b. REACTNE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN '. BAG ^ n. PLASTIC BOTTLE p. OTHER I2 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X 1. ~ CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^ a• AMBIENT ^X b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I >65 226 PROPANE 227 ^es ^ No 226 74-98-6 229 2 <35 z3o Propylene 231 ^es n,,,o 23z 115-07-1 233 3 <6 234 Ethane 235 (-l<,eS n,, 0 236 'Y LJ 74.84.0 237 4 <5 238 Total Butanes 239 o 240 ^Yes ^X N 78-28-5 241 5 <0.1 242 Ethyle Mercaptan 243 ^Yes ^X No 244 75-08-1 245 if more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capt uring the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 ITNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or azea) ADD DELETE REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBCi SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 NORTHEAST CORNER OF BLDG EPCRA ^ YES 0 No FACILITY ID# 1 MAP# (optional) 203 GRID# (optional) 204 i 1 H4 _ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 USED MOTOR OIL EHS ^ Yes ^X No 208 CAS# 209 8002-05-9 If EHS is "Yes", all attaunts below must be in ]bs. FIRE CODE'HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. 38 HAZARD MATERIAL 211 TYPE (Check one item ^ a. PURE ^ b. MIXTURE ^X c. WASTE 212 RADIOACTIVE ^ Yes ~ No CURIES 213 PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 2 ~ ~ 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ^ d. ACUTE HEALTH ^X e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 221 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE X a. ABOVE GROUND TANK e. PLASTICINONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE p. OTHER 01 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 100% 226 MOTOR OIL, USED 227 ^yes ^ No 226 8002-05-9 229 2 230 231 eyes ^X No 232 ~1 233 3 234 235 r-dyes ^X No 236 I-I 237 4 238 239 ~eS nY ,,,0 240 ~ '~ 241 5 242 243 o 244 ^X I•l ^Yes 245 If more hazardous components are present at greater than I % by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EPCRA ~ YES ~ No I 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 H4 IL CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ~ Yes ~ No 206 GLYCOLS If Subject to EPCRA, refer to instructions COMMON NAME 207 USED ANTIFREEZE EHS ~ Yes ~X No 208 CAS# 209 107-21-1 [f EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIO. 3B HAZARD MATERIAL 211 TYPE (Check one item ~ a. PURE ~ b. MIXTURE ~X c. WASTE 212 RADIOACTNE ~ Yes ~ No CURIES 213 PHYSICAL STATE ~ a. SOLID ~X b. LIQUID ~ c. GAS 214 LARGEST CONTAINER cJrJ 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ~ b. REACTIVE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e.CHRONIC HEALTH h k 216 (C ec all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 343 UNITS* ^X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE 8p. OTHER os a TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN X d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT ~d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 94% 226 ETHYLENE GLYCOL 227 ^1'es ~ No 228 107-21-1 229 2 1°/m 230 DIETHYLENE GLYCOL 231 ^yes X^No 232 111-46-6 233 3 10% 234 WATER 235 ^yeS nY ,,,0 236 L^J '~ 7732-18-5 237 4 2% 238 DIPOTASSIUM PHOSPHATE 239 o 240 Wes ^X I~i 7758-11-4 241 5 242 243 ^Yes ~X No 244 245 If more hazardous components are present a[ greater than I % by weight ifnon-carcinogenic, or 0.1 % by weigh[ if carcinogenic, attach additional sheets of paper capturing the requred information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 MOTOR VEHICLE SHOP EPCRA ^ YES ~ No FACILITY ID# 1 MAP# (optional) 1 203 GRID# (optional) 14 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 PETROLEUM NAPTHA If Subject to EPCRA, refer to instructions COMMON NAME 207 PARTS CLEANER EHS ^ Yes ^X No 208 CAS# 209 8052-41-3 If EHS is "Yes", all atnounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. II HAZARD MATERIAL 211 TYPE (Check one item ^ a. PURE ^X b. MIXTURE ^ c. WASTE 212 RADIOACTNE ^ Yes ~ No CURIES 213 PHYSICAL STATE 214 ^ a. SOLID ^X b. LIQUID ^ c. GAS LARGEST CONTAINER 50 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM o. RAIL CAR m. GLASS BOTTLE CONTAINER b. UNDERGROUND TANK f. CAN '. BAG ^ n. PLASTIC BOTTLE p. OTHER os a TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN X d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 100% 226 STODDARD SOLVENT 227 ^es ^ No 228 8052-41-3 229 2 230 231 ^1'es ^X I~To 232 233 3 234 235 ^'es nY ,,,0 236 237 4 238 239 ^Yes ^X No 240 ~' 241 5 242 243 ^X No 244 ^Yes 245 If more hazardous components are present at greater than I % by weigh[ ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 iTNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 West side of the site EPCRA ^ YES ^X NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 D5 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 NITROGEN If Subject to EPCRA, refer to instructions COMMON NAME NITROGEN 207 Erg ^ Yes ^X No 206 CAS# 209 7727-37-g If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 INERT GAS HAZARD MATERIAL PURE ^ b MIXTURE ^ c WASTE a a TYPE Ch k i 211 RADIOACTNE ^ Yes 212 ~ No CURIES 213 . . . ( one ec tem PHYSICAL STATE ^ a. SOLID ^ b. LIQUID ^X c. GAS 214 LARGEST CONTAINER 22$ 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTNE ^X c.PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 216 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^ a. GALLONS ^X b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER ^ b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE p. OTHER 12 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^ a• AMBIENT ^X b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 100% 226 NITROGEN 227 ^yes ^ No 226 7727-37-9 229 2 230 231 ^es ^X No 232 233 3 234 235 ^es (~Y ,,,0 236 e 237 4 238 239 nv ,,ro 240 ^es LJ L~J`" 241 5 242 243 ^X AIo 244. ^Yes 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if car cinogenic, attach additional sheets of paper capturing the requred information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) X ADD DELETE REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 YARD EPCRA ^ YES ~ NO 1 MAP# (optional) 203 GRID# (optio l) 204 FACILITY ID# i 1 E4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ~ No 206 HELIUM If Subject to EPCRA, refer to instructions COMMON NAME 207 HELIUM sxs ^ Yes ~ No 208 CAS# 209 7440-59-7 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 INERT GAS HAZARD MATERIAL 211 a. PURE ^ b. MDCTURE ^ c. WASTE TYPE (Check one item 212 RADIOACTNE ^ Yes ~ No CURIES 213 PHYSICAL STATE 214 ^ a. SOLID ^ b. LIQUID ^X c. GAS LARGEST CONTAINER 2 ~ g 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTNE ~ c.PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^ a. GALLONS ^X b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN '. BAG ^ n. PLASTIC BOTTLE p. OTHER 12 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^ a• AMBIENT ^X b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 100 226 HELIUM 227 ^yes ^ No 228 7440-59-7 229 2 230 231 ^1'es ^X I~Io 232 233 3 234 235 -yes ^X No 236 237 4 238 239 ^I'es ^X No 240 241 5 242 243 ^Yes ^X No 244 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of L FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 MOTOR VEHICLE SHOP & YARD EPCRA ^ YES x^ No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# i 1 14-E4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 ACETYLENE ' If Subject to EPCRA, refer to instructions COMMON NAME 207 ACETYLENE EHS ^ Yes ^X No 208 CAS# 209 74-86-2 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 FLAMMABLE GAS HAZARD MATERIAL 211 TYPE (Check one item ~ a. PURE ^ b. MIXTURE ^ c. WASTE RADIOACTNE ^ Yes 212 ~ No CURIES 213 PHYSICAL STATE P14 ^ a. SOLID ^ b. LIQUID ^X c. GAS LARGEST CONTAINER 288 215 (Check one item only) FED HAZARD CATEGORIES ~ a. FIRE ^ b. REACTNE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS` ^ a. GALLONS ^X b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f CAN '. BAG ^ n. PLASTIC BOTTLE p. OTHER t2 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^ a• AMBIENT ^X b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 II STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 100% 226 ACETYLENE 227 ^1'es ^ No 228 u 74-86-2 229 Z 230 231 ~es ^X No 232 233 3 234 235 eyes ^X No 236 L~J ~ 237 4 238 239 o 240 ayes ~N LJ 241 5 242 243 ^les n,,,o 244 l '~ L~ 245 If more hazardous components are present at greater than I % byweigh[ ifnon-carcinogenic, or 0. I % by weight if carcinogenic, attach additional sheets of pape r ea pturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 MOTOR VEHICLE SHOP EPCRA ^ YES ~ No i 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 14-E4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes 0 No 206 ARGON If Subject to EPCRA, refer to instructions COMMON NAME 207 ARGON EHS ^ Yes ^X No 208 CAS# 209 7440-37-1 If EHS is "Yes", all atnounts below must be in ]bs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 NON-FLAMMABLE GAS HAZARD MATERIAL 211 PURE ^ b MD~TURE ^ c WASTE ~ a TYPE i Ch k RADIOACTNE ^ Yes 212 ~ No CURIES 213 . . . ( ec one tem PHYSICAL STATE ^ a. SOLID ^ b. LIQUID ^X c. GAS 214 LARGEST CONTAINER 2 ~ g 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTNE ~ c.PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^ a. GALLONS ^X b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN ~. BAG ^ n. PLASTIC BOTTLE p. OTHER 12 c. TANK II3SIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^ a• AMBIENT ^X b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 100 226 ARGON 227 ^yes ^ No 228 u 7440-37-1 229 2 230 231 ^Yes ^X No 232 233 3 234 235 ayes ^X I.Io 236 237 4 238 239 ^Yes ^X No 240 241 5 242 243 ^Yes ^X No 244 245 If more hazardous components aze present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required infortnation. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 r~ iJNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of L FACILITY INFORMATION BUSINESS NAME .SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 MOTOR VEHICLE SHOP EPCRA ^ YES 0 No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 13 IL CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 OXYGEN If Subject to EPCRA, refer to instructions COMMON NAME 207 OXYGEN EHS ^ Yes ^X No 208 CAS# 209 7782-44-7 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 OXIDIZER 3 HAZARD MATERIAL 211 TYPE (Check one item o a. PURE ^ b. MIXTURE ^ c. WASTE RADIOACTNE ^ Yes 212 ~ No CURIES 213 PHYSICAL STATE ^ a. SOLID ^ b. LIQUID ^X c. GAS 214 LARGEST CONTAINER 2 ~ g 215 (Check one item otily) FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTNE ~ c.PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^ a. GALLONS ^X b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER ^ b. UNDERGROUND TANK f. CAN ~. BAG n. PLASTIC BOTTLE p. OTHER 12 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^ a. AMBIENT X^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 100 226 OXYGEN 227 ^1'es ^ No 228 a 7782-44-7 229 2 230 231 ^Yes ^X I•lo 232 233 3 234 235 ^Yes ^X No 236 237 4 238 239 ^Yes ^X No 240 241 5 242 243 ^Yes nY ,,ro 244 ' ` 245 If more hazardous components aze present at greater than I % by weight if non-carcinogenic, or 0. l % by weight if carcinogenic, attach additional sheets of paper c a pt uring the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 I If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 U ' _' a ~ _.., ~ w ~ U J Q U N C/] (n ~ O ~ Z °~ a ¢ q O z 0. a a W r~~ ~ 1 O Q Q U ~ ~ L~ 0 J W W Y Q m d ¢ W Z O ~ U _ ¢ ~ N ~ W d Z ~ I U = Z C7 3 C7 Z Z_ f1r Y Y Q ~ K Q Q d d Q ~ i • • u.. 1 • • OHO w 0 Z Y K Q • a Y ~ • 1 ~ m U ~ z ~ _ Y C~ a~ z ~ Z ~ ~ Y ~ ~ • ~ • U 0 v ~n m ~ ~ ~ ~ 1 ~ rz ~ ° • I 0° n z w z rn v~ ,~ ~ ~ w w z z ~ ~ Q w w .- N C7 ~ ~ (~ n 00 ~ N r 0 Z N r NW z UN~ N W w w a p 0 9 > 0 ° a _ in ° in ~ o w I (~ ' V w a O a c~ z N W N ~ w m ° Z ~ Z 0 J J ~ O J ~ O O C ° O ~ I w d N I O a O ~ ~ Z W W\ ~ Z ~ `t Z Q Z Q O °~ W U J J W . ° J ° O O J O H I J Qw Uli = U w Z W Y Z ~ N QO ~ ~ U Z~ W K W J m w 7 m o m N m W Vl N J J m J ~oaov' Wow ° a x ° ~c~Q ¢o °r w~wa~Q °urrin z¢```^ w''-'ZawW w 0¢ J z O ~r ~lIW ~H YAW ~ N w ~ ~(7U d4 ~ w U~d p~~~ ~ w Km w~ ~~ ~ ~ J~wm O ~ OOa ¢~ra. ~ a ~ ~ W~a O~ U N ~Cw'J WO F-W T J=¢2Q W O ZQ J ~=¢Jw ~ w ~ 0 r- Z QQ ¢!-> U ~p ~ J m H Z Z w~O ¢in OVi F - OO ¢O ¢ N ¢J wO d' OQ W ~O ~J 00 H Z NQ W <-~w' ~Q ~ J Y WX ' m wN zN 3 wN ~¢ r- 4. ~ N N Nw xJ ~ w w w g~m~ O~ o~ z~ a~ ¢~ ¢ 3~ 4. ¢ ' = O ~ooo~<~~o ~~ I aw ~~ ~w0~_~ 00 00 00 4 0 00 ®3 0~ ~ ~ .. 9NI1iaF/d J w 1 ~Nl~avd ~Nl~avd ~ I ~, Y o _ W ~Nl~avd ~Nl~avd N O Z o ~ o O ~ ~ Q 0 0~ J 0 I ~ w w ~~ a x O ~ I a a 2 O (~ N ~ ~ ~ ~ C~ ~Th-. 11 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM 2007 I Pursuant to Section 25503.3(c) of California Health and Safety Code (HSC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: Pacific Bell SA703 / BKFDCA53 Facility Street Address 5650 ALDRIN CT City: BAKERSFIELD Zip: 93301 I have personally reviewed the Hazardous Materials Business Plan currently on file with the CUPA dated 12/1 /2006 and certify that: (Check one.) The Hazardous Materials Business Plan is complete and accurate and no revisions are necessary* (See below for details); or Revisions to the Hazardous Materials Business Plan are necessary. The following new or revised form(s) and/or information are enclosed to reflect the necessary changes: Business Activities form Business Owner/Operator Identification form Hazardous Materials Inventory form(s) ,` Site Map form Emergency Response Plans and Procedures Employee Training Program ~N~'D .,~ 1~ ~ ~ Q ,~(~~~` *By checking the top box on this form, you are certifying that: a) The information contained in the annual inventory forms most recently submitted to the administering agency is complete, accurate, and up-to-date; and b) There has been no change in the quantity of any hazardous material as reported in the most recently submitted annual inventory forms; and c) No hazardous materials subject to the inventory requirements are being handled that are not listed on the most recently submitted annual inventory forms; and d) There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP; and e) The most recently submitted annual inventory forms contain the information required by Section 11022 of Title 42 of the United States Code. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials which would require updating he H BP. Signature of Owner/Operator: ~__ Title: Project Manager-Agent for AT&T Name of Owner/Operator (print) Steve Skanderson Date: JAN 4 5 2007 Return all forms to: Bakersfield Fire Department 900 Truxtun Avenue, Suite 210 Bakersfield CA 93301 661-326-3979 Business Plan Certification 2007 ..; ~, 1. t SA703 ~` UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of I_ inF,NTiFi('ATinN FACILITY lD# 1 BEGINNING DATE 100 ENDING DATE 101 ' ~ 1/1/2007 12/31/2007 __ _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE 102 ~ Pacific Bell SA703 BKFDCA53 661-398-4415 __j __ BUSINESS SITE ADDRESS __ 103 5650 ALDRIN CT -- - -- CITY 104 - -- ZIP CODE 105 I BAKERSFIELD ~ CA ~ 93301 ' DUN _BRADSTREET 106 SIC CODE (4 digit #) 107 i 10-340-1618 - 4813 ---- ' COUNTY - -------------- KERN ' -- - -------~~=f--tl- r~ ~1 `'~~ i~l ~r ~-(~~ ~~ =---r__ -------- ~ 108 ------ Grant Armstrong i----- ------------ - --------- - ----- 661-327-6903 ~ --- ~--i II. BUSINESS OWNER _ 1 - - - - -------- - - - --- -------- ------- --- ------ iOWNER NAME 111 OWNER PHONE 112 ~ Pacific Bell Telephone Company d/b/a AT&T California (800) 566-9347 MAILING ADDRESS P.O. Box 5095, Room 3E000 113 CITY 114 STATE 115 'ZIP CODE 116 San Ramon CA _ _ - 94583 _ I------ -- - - _ _ _ III. ENVIRONMENTAL CONTACT _ __ _ _ __ _ ACT NAME------~-_-- ~ -_----- 117 ~CONTACTPHONE --------- _-- 118 Environment Health & Safety, attn: James Stehr (925) 823-8866 ~ (CONTACT MAILING ADDRESS 119 j P.O. Box 5095, Room 3E000 '.CITY - - - - -- 120 STATE --- 121------ZIP CODE 122 San Ramon CA 94583 ' PRIMARY IV. EMERGENCY CONTACTS SECONDARY E ---- ------ Grant Armstrong -- - EM Site Manager (NESS PHONE 661-327-6903 '.OUR PHONE 800-566-9347 (800 KNOW EHS) 800-566-9347 (800 KNOW EHS) ~I,PAGER# 127 PAGER# 132 661-721-4747 -I !ADDITIONAL LOCALLY COLLECTED INFORMATION: i Property Owner: _ Pacific Bell Telephone Company d/b/a AT&T California ___ Phone No.: _ 800-566-9347______ _ I ---- - ---- - -- ~O Billing Address: _ P.O. BOX 5095,_Room 3E000 San Ramon CA 94583 (Certification: Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty of law that 1 have personally examin and am '~ familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERAT~OR DES( ~AT~E REPRESENTATIVE DAp~TE ~ 1734 NAME OF DOCUMENT PREPARER 135 ~ ~- ____ __ __-'=,~/~G'" =~~_cy~~~'`~ _ - ~~AVV O ~O~ I ~HL DESIGN GROUP, INC. -ENVIRONMENTAL DEPT. ~INAME OF SIGNER (print} 136 TITLE OF SIGNER 137 _-___ Steve Skanderson ~ Project Manager, Agent for AT&T_ 123 NAME EMERGENCY CONTROL CENTER 1za 124 TITLE 129 ~~ 24 HR EMERGENCY SERVICE 125 BUSINESS PHONE 130 II ~ 877-322-4722 ~ 126 124-HOUR PHONE 131 ~ UN-020UPCF - 5/1 S www.unidocs.or~ Rev. O1/16/OZ 1 . - - BAKERSFIELD FIRE DEPT UNIFIED ~PROCiRAM INSPECTION CHECKLIST ~? Preventioa Services ~~t~ 900 Tru~ctun Ave., Suite 210 SECTION~1: ~BusinesSJPlan and Inventory Prz, •~ ~RrN Bakersfield, CA 93301 O91'a~Y1 ~ Tel.: (661) 326-3979 - Fax: (661) 872-2171 FACILITY NAME ..• ~ ~ v ~ rj,y~ /2 NSi ~ il~ DAT~~ NISP TI TIME ADDRESS ~ ~ ~~ ~ / ~ ~ l ~ 1 ~ LI G ~~~ ~ 1 ~ / - _I MV ,1` /, O OF~ OYEES 1 FACILITY ONTACT rt ~ Fes - ~ i w ID USINESS NUM B E R ,_ ~s-o2~- g ~3 , ~,~ , Section 1: Business Plan >~nd Inventory Program ~~ f ,~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI•AGENCY ^ COMPLAINT ^ RE•INSPECTION ~.i C~ I C V (c=compliance OPERATION V=Violation ~' ` ~ Q ~ ~~Q~ COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ ~ BUSIrlt3$S PLAN CONTACTINFQRMATIQNACCURATE 1 i 11^ ~~Z~~~+ ~..~h~L~~y iS h~ ~•tG~-'~' ^ VISIBLE ADDRESS 1 •~OV~e+~ hOV-~ ~qg~-~-lt/ ^ CORRECT OCCUPANCY er~' (~ VERIFICATION OF INVENTORY MATERIALS ~ ~„] _ ~ , 'T-' .~O ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~, L~ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~/I----- --- --- ~v ` ^ VERIFICATION OF HAZ MAT TRAINING O ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE _ ~1 ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING .E'~. ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOU~S`W~ASTE ON SITES J$:YES ^ NO EXPLAIN: - "-"~0~,~ W ~ S ~ ~~ ~ 1(,1`5, __ l/J C~ ~~-2 ~~t - ~UESTIO REGARDING THIS NSPECTION~ PLEASE CALL U8 AT (881) 528-3979 ,- s ~~ ~ Inspector (Please rin Fire Prevention / 1`~ In / Shift of Site/Stetion M ,~ ~R ~7 -~'T ~rv'z37 White - Prwention Services Yellow - Station Copy Pink - Buaineae Copy FD2049 (Rw. 02105)