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BUSINESS PLAN 7/25/2007
VERIZON WIRELESS - EAST HILLS Manager MARK IVERSON Location: 3601 AUBURN ST City BAKERSFIELD SiteID: 015-021-003371 BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 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) 264-6~3~ Pager Phone ( ) - x Pager Phone ( ) ~y(~ ~ 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 + «y INSPECTIONS. ~NI V JUL e~ O G,OO/ Itias:~d on my ir;quiry of those individuals resoensillle for oh?:;ining the information, I certify under penalty of law that I have personally exGmine f and am familiar with the information suhmitte d and believe the information is true, acc~ ~r^°~ and complete ~~2s/~ Signature Date -1- 07/16/2007 ~-• - , , , F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ ~ 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 2610.72 81.76 LBS GAL Hi Hi -2- 07/16/2007 7, , -3- 07/16/2007 F VERIZON WIRELESS - EAST HILLS ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE SiteID: 015-021-003371 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture I Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 93.24 LBS 2610.72 LBS 2610.72 LBS • ti1~GL~1[LVUJ 1:V1~lYV1VL"1V15 ~Wt. RS CAS# 72.00 Lead No 7439921 nt~~tu~cL xaa~~~ri~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE PRESSURE Liquid Mixture~A-mbient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2.92 GAL 81.76 GAL 81.76 GAL ru-~c,rucLVU~ ~vrirVlv.c,lvl~ ~Wt. RS CAS# 10.00 Sulfuric Acid (EPA) No 7664939 n1~GtittL r-~~aG~~i~inlyl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/16/2007 F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/12/2007 ~ 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. ,~ talll~J1V~/CC 1VV 1.11. f P~VGll: ll0.V1V11 i ~-. t U3,J1 l1,. 1VV 1.11. f r+V QI. UCLL1Vll P~lllCly Clll.y 1.1C 1.111:Q1 t.l Qll -5- 07/16/2007 r F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/12/2007 ~ BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED 24-HRS PER DAY BY THE LOCAL SWITCHING STATION. INSPECTED ONCE PER MONTH BY SITE TECH. _, Ac1c0..7c t.Vll l.Q 111111C11L Clean Up 03/12/2007 INTERNATIONAL TECHNOLOGY CO 800-262-1900 v~.llcl. 1~c~tJl11.C:C HC:l.1Vdt~lCJil -6- 07/16/2007 ~, .. , F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oNc~.~.a.L. riac~ai~.a~ Utility Shut-Offs ELECTRICAL - E SIDE OF BLDG 03/12/2007 Fire Protec./Avail. Water 03/12/2007 1 HALON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS Building Occupancy Level 03/10/2006 UNMANNED SITE -7- 07/16/2007 d; ~~.,~ :.e: F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/12/2007 ~ MSDS SHEETS ON FILE. rciyC a nciu ivi rut.uic U~c 17C1U 1VI ruI.ULC USC -8- 07/16/2007 _ _{ _ _ ~,.r _ . _ 4' ~.. ~!f i;~ ' ~ VERIZON' WIRELESS - EAST HILLS Manager MARK IVERSON Location: 3601 AUBURN ST ~ City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: ~R~(~ ~' SiteID: 015-021-003371 BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 15D FacUnits: 1 AOV: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title MARK IVERSON / SITE INSPECTION 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. l ~f"`~ ~ ~~d~+ s Based on my inctuiry of those individua responsible for obtaining the inicrmafion, I certify under penalty of lava that I have personally xamined and am familiar with the information bmitted and believe the information is true, su accurate, and c m lete: O ~,~~~~ n Signature )ate -1- 02/20/2007 l F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ 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 S 2040.00 564.00 LBS LBS Hi Hi -2- 02/20/2007 ,1 ~ !' 1 . -3- 02/20/2007 li F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixtur~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 170.00 LBS 2040.00 LBS 2040.00 LBS I11-~GHRLUU.7 1.U1~lY UlV ~1V 1.7 %Wt. RS CAS# 71.00 Lead No 7439921 I1HGHICL H. 7.7~.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 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# ~SolidE TMixtur~ Ambient~E ~ AEmbMPeRATURE OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 47.00 LBS 564.00 LBS 564.00 LBS HAZARDOUS COMPONENTS °sWt. RS CAS# 22.00 Sulfuric Acid (EPA) No 7664939 ritiG~ti[CL 11. 7.7 P~.7 ~J1"11J1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 02/20/2007 r ~, F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ _ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ - r_ rly~ll~,y 1VV1.1L11.a1.1.V11 employee 1VOL1=./~vacuazion Public Notif./Evacuation l~~uciycll~.y a-icu.i~.ai ,riall -5- 02/20/2007 F VERIZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ Fast Format ~ ~ Miti_gation/Prevent/Abatemt Overall Site ~ Release Prevention '1CC1Cd5C l.Vll l,d 111LILC 111. Clean Up = utner xesource activation -6- 02/20/2007 ~, ~~~ 5 T F VERiZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC C.:1u1 nci L. cti u~~" Utility Shut-Offs Fire -Protec .. /Avail .~ "Water Building Occupancy Level 03/10/2006 UNMANNED SITE -7- 02/20/2007 ~' : - F VER3ZON WIRELESS - EAST HILLS SiteID: 015-021-003371 ~ Fast Format ~ ~ Training_ ___ Overall Site ~ .G llltJlVyCC 11CL lllllly rcLyc ~ aiclu 1Vl rul.ulC V.7C nClu 1V1. r ul.UiC UDC -8- 02/20/2007 - _~ for t•lazardous Materials, Flazardou5 Waste & Underground Storage °ranks Hazardous Materials Division FACILITY IDENTIFICATION /OPERATIONS OVERVIEW BU INES NAME ~ -~ ~~~ A ~ LITY ID # DATE Verizon Wireless- ~l ~~~_ ~ ' BUSINESS ADDRESS ~ ///~~AJ ~y/y/~~ ~ •~ `f~.+J~ ~ I ~ ~ ( ~~~ ~~~~ ~~1~~ ~ ~ ~~~ ~ ,' 1 r 1. `-~l/~ r lY V L V ~ , . Check elements covered by this consolidated plan: ~ ~'~ ~ ~ ~ 1, ? Hazardous; Materials^ Hazardous Waste ^ Underground Storage Tanks ^ .r Supplemental elements submitted: e` ,~ UST Written Monitoring Plan ^ P B e.g. pan ng contractor ~~ ~ e.g. eet ma ntenance ~~ Wireless Telecommunications un-staffed facility,~~shelter, grid/or cabinets RD EVE RE B e.g. c em cs spi s, ire, eart qua, e, etc - ?- OSHA =EPA Hazard Communication Standard EMERGENCY COORDINATOR & ON-SITE TECH ADVISORS /INTERNAL RESPONSi= Identify your Emergency Coordinator & On-site Technical Advisors: '~; I Name /Position: NOCC - Network O erations Control Center .__._._............___...._..... ................._.._...._--p-_._._._......_..._.........._...._........-.___..._........_..._...._........_._.............._._........._....__..........__.............._...._......... Emergency Coordinator: Address: 255 Parkshore Drive, Folsom, CA h h h i l h i Day' NOCC 800-264-6620 or ~ After fioui~s: NOCC 800-264-6620 Must ave t e aut or ty to c ass fy t e Phone #s: 264-6620 or 682-264-6620 : 6 8 release, make management decisions, s~ . .........._......____.p......_._..-.....r Res onsible for: , 2 . ..__....._....___.......__......._._...-.._- ............. _._. _ _......_..__......_._.._~._.._....._.. _ ~ sill reventlon cc 7 ~~ing facNity r~5pundzrs ~- ~ ~ determine appropriate response ._...__.__ .....__.. ._......__.......__........___._.._ _ ...._.._. (check all that apply) emergency assessment / authorizing spill response work 0 0 Person Is: ^ on-site or ®on-call ....r.[aana9.emeok ..............__._.........__............_ _...._-__ _.......__............._..._..____...__._...._._.._.._._._......._._.... _..._...._._._....... tnltlating alarms ^ Interfacing with public emergency responders agency notification ^ ^ Alternate # 1 (INSPECTIONS) Alternate # 2 ....................._. _ .__...~. -. --_-_... ___ .~._.._._. ..._ .. _ -.......___...._~CORRESPONDENCE_& BILLING~_ ..... Name /Position: Mark Iverson, Operations Shawn Stacey Manager Address: 255 Parkshore Drive Alternate Emergency Coordinators: city: ...................._._._..-...........__~..__...........__._..__................._....._........ _.._....._.._._........__._..........___......___............_............_._..._......_._._ Folsom List: In order of respan>ibility. 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-caN ^ on-site or ®on-call jr On-Site Technical Advisors i Owner: supervisor: (AValldble t0 prpvide SttP.°SpP,CIfrC tP.Ct1nICElI adVlCe to nff-site emergency responders} Manager: Other: un-Staffed faClll /shelter /cabinets '~ Identify type of internal response: '. ^ Internal facility Team Mem ens name or position : Respond i ities: response team latG~ch additipn8l pages iP needed: Options: IMi1CatC 8r1 att"dCt11TIP.nt t3y - checking ~ 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. 1 td,htx t 1: i Name: On S ecial Services YX P Descri a ro a responsi i ities: S ill res onse, P P ®Contractor ___ .............__.__....._.-......_._.__._..._._._.___._.._____ ..-aild'ress_....._......_............ clean u and hazardous material P, _..pTiorie-#:......ebb=48~=7S.itit- ..............___....._....__...___...._._..._._.._.__...-._.._.__._. dISPOSaI ^ Call public emergency responders / 911 -1- Division ON ~n~~~da~e~ Qnfiing~nc fan ~..._ for Hazardous Materials, HazaMous Waste & Underground Storage Tanks BUSINESS NAME rr-- FACILITY ID # DATE Verizon Wireless - ~S~ l 1 l/l/~J EMERGENCY COMMUNICATIONS /'.PHONE NUN"IBERS j NOTIFICATIONS u: Internal & External Emergency Cammunicatians ~~ ~ Name Position: Individual responsible for on-site and off-site Mark Iverson, Operations Manager and/or NOCC -Network emergency alarm notifications /communications: O erations Control Center ~.a I c ec a t at app y: verbal-`wamlrigs ~`-~~~~~~~~" ~ ~ ~~~ ' "~"' 'public address or7n'tercom sysfe'r INTERNAL facility emergency communications or _. ~ -_•~. ,_~,~..._...._........_..__...._..__...___ .-._._-_. _._._. ~ - ... alarm notification will occur via: I ®telephone ®pagers ~ alarm system i--~ portable radio EXTERNAL notifications /communications to ~ verbafw'amings ~ pudic address or neighboring facilities that may be affected by an ~~°~- ~~~-•-•-teieplione~-"'"'° `~___.___..._......_ -_._..~.__._. _....___pa9e~._.__..._.._........ off-site release will occur bY: ~®._ _._. _.._. ........._._....._..._.._._.....__..___._..., 0_... _. ® alarm system ~W 0 poitaCile'ra'di"o ~~~-~~ zo Emergency,Pnone Numbers /Notification Lists u ~ ° Bakersfield Police Dept. 911 ° Bakersfield Fire Dept. 0 66~~ ° Kern Medical Center Emergency response phone numbers ___...-_..._._...._..__ ...................._.~....___.._....__..................._-........._-_....__.__..._.....___... __._...._..._...-~........._.~ County Hazardous Materials Division `` Nearest medical facility /hospital Name: Phone #: Kern Medical Center 661.326.2000 ' Your medical facility /hospital Name: Kern Medical Center Phone #: 661.326.2000 ~4 Dept o Toxic Su stances ntro ea quarters 1 - - 78 or -728- 42 NV Divlslon of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o mergency rvices - or 1 - 4 - NV Department of Public Safety NV: 775-684-7500 CA Water Quality Control Board - or NV Water Quality Control Board NV: 775-684-2800 nv ronmenta rotect on genty o Environmental Information Center o Toll Free: 866-372-9378 0 24-HR Environmental Emergencies o 24-HR: 800-300-2193 Agency Notification Phone List o RCRA Information o RCRA: 800-424-9346 NatfonalResponse Center 1-800-424-8802 ept o is ame NV Dept of Wildlife NV: 775-688-1500 CA OSHA CA OSHA o Divlslon of Occupational & Health o 510-286-7000 o CAL -OSHA Enforcement o 714-558-4411 om a to re ars a - Nevada State Flre Marshall NV: 775-684-7500 -1- ~ansai~~~~~ ~~~ far hlazardaus Materials, Flazardaus 4Vaste & i %` Other Important Numbers lfi Neighbor Notification List zt List alt businesses /structures bor dering ~/or a djacent to your facility: at tarility s Business name:, Q at acihkY s Business name: , Q northern southern border: address:,, border: ..._..._.__..._.._._._...._._-._._....._....__.___ address:, phone #: phone #: I contact name /position: ff I ~.__------...- ---- contact name /position: z~a at acility s Business name: , Q at aci ity s Business name: , Q eastern ` .. .. ........__._.____..___._.___.......~_.____..._..._....__.....__...__...___.... ~ western .._.._._._......._._...____......__._....._.....__._. border: address:, border: address:, phone #: phone #: 3a ~ contact name /position: Tcontact name /position: ~~~ -3- Hazardous Materials Division for Hazardous Materials, Hazardous Waste & Underground Storage FACILITY IDENTIFICATION BUSINESS NAME V i Wi l ~~ 5~ _ FACILITY ID # ~~ DATE cr zon re ess- . EMERGENCY CONTAINMENT & CLEAN-UP PROCEDURES 3' Containment, Prevention & Clean-Up .. ~ Indicate our rocedures for: Y p ^ provhte-strocturat-pfiysicah•trarrler-fie..g.....Portabie.-. --•°-°-- spill conta(nment walls) I _... ....-._.._-....._........-......_..._..._...........__......_.......-.._......_............_........_........._......_. • • •• •• •••••°•• •• ••••-- •• ® monitor for leaks, ruptures, pressure build-up, etc 1. Containing spills, releases, fires ~ ^ -Provide-afisorfierit pliysTcal°~~arr~e"r°°°"-• ------~--~~~~~~~-~ --a-cover or 6loccl-floor ~J or~sfo~m-ara(ris -~~~~~~~~- or explosions, & " 2. preventing and mitigating a~~~~built=iii °C~e~m In work/••sEorage~area--~~~-~"-'••-~- - ~-- '• -~~~ ~~~~'~••-•"•--'' •••- •• -_` ~ '"~-'autorriaticfire suppresslori-system -~"'~ "-•'--'• •• --•~•~ = -° ~ °~~~ ~-•-~-~--~ - associated harm to persons, stop prixesses ~o~ operations ® off sysEern automatic J electronic equlpirierit sFiuE ^ p p rty roe & the environment: _.....,..~ •• ~_____._. shut-oft 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 team (e.g. fuel, propane) notify ~& evacuate persons In all threatened areas ^ remove or isolate containers /area as appropriate ( -~-~-account for evacuated persons immediately after evacuation call s ` ...................._._...._......_................._.............__.__...-_............................-.-___...__..__..._..._..___-__ ®other (specify): Contact Verizon Wireless 24-Hour ._._._....-._...._....._...._..._....._...._.............._.._._.............._._...._-__......_..._......................-_...._........_....---.... Hotline (800-468-7900) and report Incident, which will trigger Onyx Special Services. 3a ~ Indicate your clean-up procedures: ~ ... c ec a tatapPY~ ................................... ~__..........__..._.........._---...-............-•---____.._........._.. __..___.....-.-____.__......._._._..._._...__._._...._.__.._......---........-.--.----._....______.._..-.-..._..........._..__.... . ® hire licensed hazardous waste contractor. (ONYX Special Services) ^ use a sorberit material-tor splils'witli su6sequeriE proper faoeiing, s[o~age-•anii"fiaiar~ous waste disposal as -• -° ~ ~~°° appropriate ^ suct on us ng s op vacuum with subsequenE proper iabeilrig;~~storage aiid•hazardous-waste~disposa as ~ ~~ appropriate wash % decontaminate equipment w~-containment & disposal of effluent ~ rinsate as hazardous waste i r..........._- .............-......._.__........._....._......._................._....._.----.._......-..............-~-~-------.._._...._._..__............._........__....._...._.._.._.-._........._......................._....._........___...._...----._._........._._._....... ~ provide safe temporary storage of emergency-generated wastes other (specify): Evacuation .Coordinator & Assembly Area 'c 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 / Cabin2tS " Identify / describe emergency Spec'fy: Un-Staffed facility /Shelter / Cablll2tS assembly area for evacuees: i Identify the location where your evacuation route /map is posted: Specify: un-staffed facili shelter cabinets ~ tY / / I Other facility evacuation procedures: speafy: I -4- ~Qt~~Ql~~~~~i ~QC1~111E~E'.Clf: ~~~ for lazardous Materials, Hazardous Waste & Underground Storage Tanks Harardnus Materials 1~svisian FACILITY IDENTIFICATION BUSINESS NAME FA ILTTY ID # pgTE Verizon Wireless - EMERGENCY E UIPMENT ~~ List'of available emergency equipment {check all that apply} ?~ Equipment Ava~ a e 41 [xample: 2 rxrrtablc fire extinauisher/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ c:hemic:af prokecalve gloves Use Category •i- c emlca protective suits, aprons or vests Safety & First AId Equipment ®chemlcal protective gloves chemical protedlve boots ® safety glasses /goggles /shields hard hats ~. cartridge respirator _....._........_. _ _._ self-contained breathing apparatus .°__......__..._..._._..__.__.___......__............_. _ .. ~ flrst aid kits ( stations ® plumbed eyewash fountain /shower ® portable eyewash kits ~ other: ~~ a3 ®porta a re extinguls ers Fire Extinguishing Equipment ~ fixed fire systems /sprinklers /fire hoses fire alarm boxes or stations other: ~? Spill Control & Clean- a sor ent materla ® ......_......_...__......._. Up Equipment ®container for used absorbent berming / diking equipment ® broom shovel shop vac ~ exhaust hood ~ emergency sump /holding tank ® chemlcal neutralizers gas cylinder leak repair kits ~ spill overpack drums other: as to ep ones lnc u es ce u ar Communications & Alarm System ~ Intercom / PA system Equipment ~ portable radios automatic alarm chemlcal monitoring equipment UST monitoring system operations manual ® list of notification phone numbers center of each wall in shop ( rated as "C" ,piU resixm;a kit ~ one-time use lit tti .;ct yr only Because each site is an un-staffed facility, shelter or outdoor cabinet, the Operations Cell Tech./Mgr. carries a portable spill kit located in One time use & their trucks. Each Replaced/Maintained equipment item marked is when needed contained within the portable spill kit. There is also an additional 5-gallon tub spill kit located within each shelter design facility. Located with the portable spill kit with the One time use & Operations Cell Replaced/Maintained Tech./Mgr. Within the when needed portable spill kit. One time use & Same as above. Replaced/Maintained when needed Cell phone and #'s with Operations Cell Tech./Mgr. Hazardous Materials Division ~t?t1S4~1~~~~~ Q11~tC1~~G}~ ~~~~t for lazardous Materials, Hazardous Waste & Underground Storage'lanks FACILITY IDENTIFICATION 4E; BUSINESS NAME ~~, FA ILITY ID # DATE ~ Verizon Wireless - IL~(V~,~. ~ ~ EARTHQUAKE VULNERABILITY aT Areas of earthquake vulnerabil,,ty ~+~? c~eC a I t at app y: Location (o,g. shop, outdoor shed, forensic, lab;: Identify areas of facility vulnerable to ~_ l k ill d th t ..._........_...... .. ® hazar~ou"s' materials /waste storage area-"'~~ °"~~"' ... _......._.__.__.~__............_............_.._......_....__.._......__ ........................_._._.......... re eases /sp s ue o ear qua e r. . _.__. _.. .... . . related motion: __ _... _.__..__ _.. _...-._-..__-.__._._._...___._ .....__.._._....__. ^ process Ilnes /piping Batteries installed exceed 1997 UBC (require irnmediale isolation and inspection) - -~--~-~-~-------~---____ ..............___....._____._._..............._.-........._..._-_....._. _. ... laboratory and/or 2000-2003 IBC Seismic Zone 4 ^ ---......._....__-._.._.......__._.__.._.._......._ ............._...._..........._...-.----.._.____.._.. specifications. ^ waste treatment area ns c jerk a l t ia[ apply: A ecte acations: Identify mechanical systems . .._.........._... _._.._._._.......... _...._ ..............................................._...._......_..._..__......._....___..._....- shelves, cabinets & racks __._......-.......-...._.........._..._._..._.............__........._...._.._......_......._._..........._.........__.............._.._...... vulnerable to releases /spills due to ^ earthquake related motion: ^ tanks (emergency shutoff) (require immediate isolation and inspection) ^ portable gas cylinders Power Breaker Located on/at un- ® emergency shutoff &/or utility valves Staffed facility, shelter or outdoor ^ sprinkler systems cabinet. ^ stationery pressurized containers (e.g. tank for I dispensing propane) ARRANGEMENTS FOR EMERGEN CY SERVICES so y ~xplanatian af_[~equirement Advance. arrange:mt:nts wren local nre xx po ice departments, hospitals ann Frr contraccnrs tar emergency s:~rvices should be made as appropriate for your facility; you may determine that advance arrangements are not necessary for your facitity. Describe any advance arrangements ^ Determine not necessary made for local emergency services: ._-.__ . ................. ......................_........___.._._......_.........__.__..._._.._...__..._-._.-...........................-_...-._-...._._._._........_....._......_._......................._._.............__._... ® Specify: ONYX is available 24 hours per day to assist In spill clean up, and/or telephone support regarding spills or venting of batteries. i EMPLOYEE TRAINING CONTENT & FORMAT ~'~ `Employee Training Content & Format 5:3 explanation of_E?.equiremcnt Erne ogee training is required or all erne ogees handling hazarciaus rnateriais bazar ous wades in day to day or clean-up operations including volwrteers t;</or contractor<.~. Required content for employee training includes all of the fallowing: 54 • CommUnlCatlOn tit aldrnl Systems Material Safety Data Sheets • hazard communication related to health & safety • personal protective equipment e t g • use of erneryenc~ response equiprnenC • methods for safe handling of hazardous substances fii~C extinguishers, respiratar5, etc) • fire hazards of materials (processes ° i • decont~3minatlon procedures conditions likely to worsen canergencies • evacuation procedures rdi • ti f coo na on o emergency response ~ control & containment procedures • notification procedures ' UST rnonitoring system equipmerd & • applicable laws & regulations racedures of a linable '3 Indicate how employee training ~ check all that apply: _ ' -" '~- '- ~ ~~~~~~~~~~~~~ - ~ program (with required content) is ®Formal classroom ~ ~ V'ideo(sj"(specifyjc ' " ~`~"~"' `~~ administered: _~...__...._.__........._..........._.._...---...._..........._......._..____..........---_....___-.._........._......_.....__....--~--._....__............_._.._.-...- .............-_..__._.-........_..._..._--~---...._............__............_......___.... - ® Safety / tall gate meetings ~ ®Other (specify): Annual online training _.._._~_........._____..........._ .............._._.-......-_._...._..-__..__..._..._.__-............._..._...__.-.__..___ _ ^ Study Guides /Manuals s eci -6- c~r~~a~~da~~ ~~ntinc~~~c ~~a Harardaus Materials Division for hiazardaus Materials, Hazardous Waste & Underground Storage FACILITY IDENTIFICATION BUSINESS NAME ~~ ~ V i Wi l ~~ FA LIiY ID # pgTE er zon re ess - EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION '' Required frequency of training st? ~ Ex tanation ofi quiremenfi p ~ Employee training must e: ~ - -~-~- - - - - ~ provided within 6 months far new hires, ~ amended as necessary prior to change in process or ~vark assignment, a given upon modification to emergenty response (contingency plan, and o 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. fee uen re uirements: f'0 Record. of trairSirtg 61. ~.xplapaiion af_P~quiremerit VJritCen documentation of employee training sessions must be kept which include: a training outline (agenda ~ date of training session ~ employee names & job titles o brief job description for hazardous waste generator facilities `1 Certify that the facility's training documentation meets minimum record ~ ®Employee training documentation Is provided, at a minimum, as descrlbed above. , kee in re uirements: 63 Training program description or outline . ~ training. ~m..4..u1<Iing !~~~,ghgd: .._....._.._..._......._...___....___....._.._..._ .............._...._.............._........ . _.._.___._...._...._..... .._ EmRl4Y~~ PtSx1f 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 Based on my inquiry of those individuals responsible t'ar obtaining the information, 1 certi y under penalty of lave that I have personally examined and am amiliar with the information submitted and 17elieve the information is true, accurate and complete and that a copy Is available an-site. gnature ate o comp et on 2/23/2007 not ame to oston Shawn Stacey Environmental Compliance -7- UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of _ I FACILITY IDENTIFICATION FACILITY ID # 1. EPA ID # (Hazazdous Waste Only) 2. BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3. Verizon Wireless -East Hills Il. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does our facilit .. If Yes, lease com fete these a es of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases ®YES ^ NO 4 HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold . _ CHEMICAL DESCRIPTION (OES 2731) quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emer enc fan is re uired ursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (LISTS) UST FACILITY (Formery swltcB Form A) 1. Own or operate underground storage tanks? ^YES ®NO s. UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? ^YES ®NO b. UST FACILITY UST TANK (one per tank) UST INSTALLATION -CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? ^YES ®NO 7. UST TANK (closure portion-one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTsI Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^YES ®NO a. NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ^ yES ®NO 9. EPA ID NUMBER -provide at the top of this page 2. Recycle more than I00 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT (one materials (per H&SC §25143.2)? ^YES ®NO lo. perrecycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE ^ YES ®NO 1 t. TREATMENT -FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (Formerly - DTSC Fortes 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for Permit by ^YES ® NO 12 CERTIFICATION OF FMANCIAL Rule and Conditional Authorization)? . ASSURANCE (Formery DTSC Form 1232) 5. Consolidate hazazdous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ®NO 13. SITE ANNUAL NOTIFICATION (Formerly DTSC Form 119b) 6. Need to report the closure/removal of a tank that was classified as ^YES ®NO 1a HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? . CERTIFICATION (Formerly DTSC Fomt 1249) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by vour CUPA or local ag_encv 1 I5. UPCF Hwfactiv (1/99) -1/2 www.unidocs.org Rev. 02/16/00 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Pa a of L "ID ENTIFICATION FACILITY ID # 1. BEGINNING DATE 100 ENDING DATE 101. (Agency Use Only) BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3. BUSINESS PHONE 1oz. Verizon Wireless -East Hills Unstaffed BUSINESS SITE ADDRESS 103. 3601 Auburn Street CITY 104 ZIP CODE 1os. CA Bakersfield 93306 DUN & BRADSTREET 1°6. SIC CODE (4 digit #) 107. 88-463-8305 4812 COUNTY 1os. Kern BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 11°. Mark Iverson /Verizon Wireless 661-664-5601 IL BUSINESSOWNER OWNER NAME 111. OWNER PHONE 112. Verizon Wireless 866-694-2415 OWNER MAILING ADDRESS 113. 255 Parkshore Drive CITY 114. STATE 115. ZIP CODE 116. Folsom CA 95630 III.' ENVIRONMENTAL CONTACT.. ' CONTACT NAME 117. CONTACT PHONE 118. Shawn Stacey (Billing and Correspondence) 866-694-2415 CONTACT MAILING ADDRESS 119. 255 Parkshore Drive CITY 120 STATE 121. ZIP CODE 1zz. Folsom CA 95630 -PRIMARY- - IV. EMERGENCY CONTACTS =SECONDARY- _ NAME 123. NAME tzs. Network Operations Control Center Mark Iverson (Site Inspections) TITLE 124. TITLE tz9. Operations Manager BUSINESS PHONE 1zs. BUSINESS PHONE 130. 682 8313523 661-664-5601 24-HOUR PHONE* 1z6. 24-HOUR PHONE* 131. 800 264 6630 661-203-3205 PAGER # 127. PAGER # 13z. ADDITIONAL LOCALLY COLLECTED INFORMATION: 133, Property Owner: See Contact Phone No.: Billing Address: Certificatio 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 famili with the information submitted and believe the informafion is true, accurate, and complete. SIGNA OF OWNER/OPE R DESIGNATED REPRESENTATIVE DATE 134. NAME OF DOCUMENT PREPARER t35. 5 ' U Debra Voth NAME 136. TITLE OF SIGNER 137. Shawn Stacey ~ Spvsr Environmental Compliance • See tnstructtons on next page. UPCF hwf2730 (1/99) -1/2 http://www.unidocs.org Rev. 04/17/00 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 (Same as FACILITY NAME or DBA-Doing Business As) 3. Verizon Wireless- East Hills CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®NO FACILITY ID # 1 MAP # zo3. GRID # zoa. (Agency Use Only) iI. -.CHEMICAL:INFORMATIO _.. N CHEMICAL NAME zos. TRADE SECRET ^ Yes ®No 206. Valve-Regulated Lead/Acid Battery (VRLA) If Subject toEPCRA,refertoinsWC[ions COMMON NAME zo7. zos. EHS* ^ Yes ®No Electric Stora a Batte CAS# 209. *If EHS is "Yes," all amotmts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210 Corrosive H=3, F=O, R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No 212. 213. CURIES TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 214. 215. LARGEST CONTAINER 29.52 lbs or 2.92 gals FED HAZARD CATEGORIES 216. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 21g. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE z2o. 826.56 lbs or 81.76 als 826.56 lbs or 81.76 als 0 N/A 221. DAYS ON SITE z22. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 2z3. STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMI3IENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # t. 10 226. Electrolyte/ Sulfuric Acid 2z7. ^ Yes ®No zzs. 7664-93-9 229. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4, z3s. z39. ^ Yes ^ No zao. zal. 5. za2. za3. ^ Yes ^ No zaa. zas. 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 za6. DOT Hazard Class: 28 Batteries Fiamm 12UMTX 170 Electrolyte and Lead Chemical sheets are for the same battery product. IfEPCRA, Please Sign Here. UPCF hwfL731(1/99) -1/2 http://www.unidocs.org Rev. 04/17/00 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 'INFORIVIATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless -East Hills CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz. Sealed Batte Case ^ YES ®NO FACILITY ID # t MAP # 203. GRID # zoa. (Agency Use Only) II. CHEMICAL INFORMATIO N CHEMICAL NAME 205. TRADE SECRET ^ Yes ®No 206. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME 207. zos. EHS* ^ Yes ®No Electric Stora a Batte CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210 H=3, F=O, R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2t t. RADIOACTIVE ^ Yes ®No 212. 2t3. CURIES TYPE (Check one item only) PHYSICAL STATE z1a. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS zt5. LARGEST CONTAINER 93.24 lbs FED HAZARD CATEGORIES 216. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7 MAXIMUM DAILY AMOUNT zts. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 2610.72 Ibs 2610.72 lbs 0 N/A 221. DAYS ON SITE 222. UNITS" ^ a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl " L EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLICbRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAII, CAR ^ b. UNDERGROUND TANK ^ f CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 42g. 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. 72 226. Lead/Lead Compound 227. ^ Yes ®No z2a. 7439-92-1 229. 2, 230. 231. ^ Yes ^ NO 232. 233. 3, 234. 235. ^ YeS ^ NO 236. 237. 4, 23s. z39. ^ Yes ^ No zao. zat. 5, zaz. za3. ^ Yes ^ No 2aa. zas. If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weigh[ if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6. DOT Hazard Class: 28 Batteries Flamm 12UMTX170 Electrolyte and Lead Chemical sheets are for the same battery product. If EPCRA, Please Sign Here. UPCF hwI2731(1/99) - 1/2 http://www.unidocs.org Rev. 04/17/00 Te~~nr;•loi~s~ n~.- ~ ~ ~ ~ : ~ i~1~i~I~S~f~ ~1~~~-1:,3CF _- _ ~'[ATET~iA>i.~.~hE1YD:~"I'.~~11E~;1~ _, ~I~73EIv I~l"I'`~': i.Ax utcd C'Y laf.~,3 ;u~8 trs~'? ~ ~~ MONOUTf= butte ,~wet,.nons iilabke, [Vatue-re ~'ulatedlead acid-b~i~tte" ~~;}~~lirtn l -- ?~~1~rtiif~trtri;~-er's-9nfilriZiafittxi ~ ~ _ `"`~. dutanufdCtt3rin~ td~,tt1~ ~ ~ ~ ~, Eiiierg~rtc~.T~te~r,arie F~11~'r _ FtAiviM Techncila ie~S, !_r~c. -"~ W' '.. .~;t10~,424~930~CNMTR~C Aciciress - Tel~±Phane Niimber.ForknF4ematiors ©ne. FIAMM Way ~" (7t36) X37-320 -".""."'....""....""'""._ Date revised Wa ne5bora, GA. 30880 August 2~t32 'section II - }t_azar•claus ~n~=reciientslTcle~it~ti= Iiiforma#it~n ;zir~~tcru~ 1k~~xi{ronufti (lpccific C'6€mr~t t~frilit~~, t;nb,rrch dtiiatic~s) i ~ ~ Uthtrtxtnr[F t~stt.~ riF~.L_.___-~._~ac<.:r~i ~i.v ~~,~,me~afa •~. SulfurtcAc:d_H~SC)~;battery~fluiii acid -electrolyte. ~::~ .. ~~~ 1:0 mg7rrt3_~ ~ _10 .Lead, Lead Clxide, tend' alto X4.15 m ' lrn3 ~ 7'i Sect`tot>~ III _ P~~°sicsiU+~~xennieal ~Car~ctcristics Soiliinq f'oir~t _.~;. NIPi ~ ecific ~,ravi ;. NZQ = '1' NIA V_apar Pressure {nlm H ~ NIA i~lelti€t -Roint dtitdA porQensi .{Air~_t 'V~ NtA ` fvva oration Rate Bu l Acetate ~ 9' N1A f Vdilll~stjt`+~ irV i.N~i4Y ~ - iYtt4 _ ~i~ar~nca arrcf tss#~ ~acfi battery celiis;rectarigul'ar.~plastlc cantainer~erticlasing_lead iectrode5~arid ~tlfuric:acid e[ectrol te. ~ ~~ , Sectii>t~ Ii~~- dire atici E~ptosittri ~Calarcl Data ~7~•hNui'at {~1ciYaat~ L!s~-,1~ ff~b~m2Die Lir~nC4 ~ ~ `L><a: ~ ~aI~L _ Ntr~ :;NIA Water, dry cherrticai. t3o not use carbon dioxide {CC}2) extinguishers directly on.plastic cantairters due to the. oss`rbi;il o~ f #herinal.shc>ck causin erac#dr~ anti ;elecfrol a leakin xfpfc'ts! Fief Fi~hra~ PtGCfdi11'ESY Fuil protective clothing; NIflSMINI SNA-apptpved positive pressure self-contained bteathing apparatus. Neutralize: runt~ff:uritl~ ll_rn_e,_sc}tla asttetc, try prevent corrt~sicn of metals er~d fcrrnatlor~ cif t•I ~i en as, ..w .~ .. ~ausual Firf sncl E:zPbsiua Et~eardx Sulfuric-acid can react with:oxidizing.or reducing mgt@rials. l-ten:heated, it emits highly toxic fumes. tend cart react with oxidizin rrxaterials. V'Jtten heated it emit_,Ws tt'sghty toxic fumes. ._. _.~.__ eet'tc-n V -.Reactivity Date tabilit ,_ Unstable Co~,di}i~ }p:~.®;~ Stable ~£ rnfumpa(ibt~iYy (P4iaffri~k io ~vuid} Sulfuric acid. reacts vigorously. with: alkaline solutions, metals, metal powders, s#rong oxidizers, reducers and combustibles. ~ liaxardausTs,~cronzpositiari~rEtY-peuducts~ ~ ~ . Taxis fumes mad be r~l~ased if incinerated, ~'l~mmable H~dC en. a5 roduced d!uriny. battery chariainci• -- ~.J .... .. Ha~ardous m l~t~ t:~ccur CuadiTia~s3u.4r°aid l~olymet7Z~tloCl ~ Y-V2~~ n{31 ~.J{i~i~F~ ~1. _._... ---- e~tic~rt'~[-~~~~er~ltti ~iaxard~~:Dt~ Ctoatrts7 or Entry. `[a6olatiap7 " ~I.3ri7 ~ Itt~r~tioa2 Yes Yes Yes F-1c+al4he 1-tm~arrtc fAe^~~ta anti r':hrrinlr'1 Stialfuric acad burros tissuB contacted inCludin~'Bye:and corneal ulceration t_ead -- Short-term exposure due to inhalation t5f-dust rraay Cause seizure. ~hranic exposure can 4ead to damn e~ia ~toodforrnin s nervc~us,~urina or~ re rotluctive systems. Ceranogsnicity NTP7 IAP.~ P,AC~ta~yraphs? aSHA Regirlaied~ Signs Grad ~tyrmptosns of Exposcsre. See Ab~avB licdirml!tb%XditidriB.C;entr`atA~r/A~'ated by Ezpus'iart individuals with pre-existing disease of the lungs rraay have increased susceptibility to tDe toxicity of exce 5 s ire ex~_sures. F.n~cnXesxcy ~~rt# EtY'S2: rti~t~Nroertl~rra It StllfUrlC.aCtCl elBctrglyte is spilled, imra°aediateiy flush skin or Byes far at least 1'a minutes while removing contaminated clothing and shoes. Contact a physician. !f swallowed, do no#'iraduce vomiting; drink large uantities afwater or milk; Contact-a~ ~ sician.~ fiection "VII - l~rec~utinns i'r~r Safe Hancll`rnr? and Xlse Ste~p!t to bt Takru €tt t;~.te ~i~ter€aa is Reieux~3 ar ~tsiticsi Not usually applicable. However, in cast; sulfuric acid electrolyte is spilled,_campiy with federal, state and 1caCal regulations on reportirsg releases} containing spills antl remcdiation. Crantain spill to srrtallest passible area and absorb as~~ropriate. Comply with. federal, state. and local regulations. If approved, neutralize with soda ash or lirYae and transfer to waste treatment system. Prccant~drrns to be Takc~.ittTi~~rdaiRg~~ud 3nrfu~ ~ ~. .-..-..~.-..._.•-..~. Avoid-rough Dandling. Do`not store above 140 degrees F. Always have water safety showers and eyewash fountains available, Otatiar' Preesutzunv Nt7 smalcln; re ulatians must be etifflrced duB:to H dr Bra. eerat'ton durifl batfB ahar in . Section Viii - Co:t#ral lY~easures Ra~piratar~ r'ratertion,(SpecCQc T}t?e) If incinerated, 1d1C?~t-i11VlSHA-a ro+red sftive ressure sel#-contained l~reatt-in a aratas. Ventilation Laval Exhaust Special Yes - discharge out of v~~ork area _.._.....-. Ntechanicai ~GBrte>al) ~ €~ther i"r~stertir~^e C~I~t ~t Eyt i"rotttiion Rubber ~Cit'1-prc~o~,auntletglo±~es~._ Chemi~cai s#rlasoggles; fufil-len~1 face shield. ~Yther Yralectn a }:q~ij~mti~c Rubber or plastic a ton and boats; ion sleeve wool acrylic ar polyester clathinc,~acid roof suit and hand. Always use extreme-Care; wash thoroughly after handling. ~ectioit i:~ -'i'ransnc~rt~itipn Baktery shipments frarri iLLIAMM Technologies, Waynesboro location, will be properly labeler! in acCOrdance with appfiiCatale t7C3T regulations. Because the battBries are classified as "Nonspillable" and meet the three cand'rtions-per sec. 173.159 {d") they da not have an assigned UN numbBr nor da they require additional DOT hazard labeling. To Whom It May Concern: The Verizon Wireless Operations Managers make sure that their Field Operation Staff, at the date of hire depending on their position, are trained in the applicable topics located in the Environmental Health Safety Awareness Training Overview. There is also annual online training with TargetSafety.com performed in Hazardous Communications, Combustible & Flammable Liquids, Eye Safety, and Personal Protective Equipment. Attached are the following and are placed with the Hazardous Materials Business Plan located at the site. 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 training. o California's Proposition 65 Letter Individual test verification is available from the Operations Manager or Cell Technician upon request. Contact information is located on the Business Owner/Operator Identification page, and under the primary and secondary emergency contacts. Thank you, VZW Environmental Compliance •' requency o Training Topic Regulation Training Application Hazard 29CFR1910.1200 Annual - Prior to working with or Communication TargetSafety.com around hazardous materials such as battery acid or diesel fuel. Emergency Action 29CFR1910.38 Annual Drills and All employees. Orientation Personal Protective 29CFR1910.132 to Annual - Prior to use, in job Equipment 139 TargetSafety.com functions that require the use of PPE such as, gloves, safety glasses or Lockout Tagout 29CFR1910.147 Initial w/ updates Prior to performing maintenance on covered equipment with the potential to release stored energy such as generators, air handling equipment or electrical equipment greater than Electrical Safety 29CFR1910.332 Initial w/ updates Prior to working on Related Work electrical facilities or Practices equipment were Lockout/Tagout is not Power Industrial 29CFR1910.178 every 3 years Prior to operating power Trucks (Forklift & industrial truck and Powered Pallet Jack) material handling Ladder Safet 29CFR1910.25 to 27 initial w u dates Prior to use ladders. Confined Space Entry 29CFR1910.146 initial w/ updates Prior to entry into confined spaces such as generator pits, under equipment vaults or Fall Protection 29CFR1910.21 to 30 initial w/ updates Prior to working in areas which present fall hazards such as rooftops, scaffolding or ladders or construction sites. Asbestos Awareness 29CFR1910.1001 Every 2 years Prior to performing maintenance, repair or installation work in areas with known or potentially asbestos containing materials(ACM) such as but not limited to floor tiles, roofing materials or insulation. Lead Awareness 29CFR1910.1025 initial w/ updates Prior to working in areas with lead based paint such as buildings, water Respiratory Protection 29CFR1910.134 initial w/ updates Prior to working in area which require the use of respiratory protection beyond a loose fitting Hearing Conservation 29CFR1910.95 initial w/ updates Prior to working in area were noise exposure is in excess 85 d6 over an 8 hour period such as generator or boiler First Aid & CPR 29CFR1910.151 every 1-2 years Hu iiCiu o~erauun employees. Spill Response, First 29CFR1910.120 initial w/ annual Prior to working in Responder Operational updates facilities which contain Level hazardous materials above threshold quantities triggering SPCC requirements, such as MTSO, Hub and Data RF Exposure 29CFR1910.97 initial w/ annual Prior to enter into area updates that excess the FCC's General Population/Uncontrolled Maximum Permissible Bloodbourne 29CFR1910.1030 initial w/ updates All employees trained in Patho ens First Aid. Powered Hand Tools 29CFR1910.241 to initial w/ updates Prior to using powered 244 hand tools such as drills ...~. rSw..w.:, Verizon Wireless Hazardous Communincation Training Training Objectives 8~ Table Of Contents Attached Last Name First_Name Title Region Covered ue a e Scheduled / Completed Allen Darryl O erations Northern CA/NV Februa -07 Alo Lehi K. O erations Northern CA/NV Februa -07 Anderson Mike O erations Northern CA/NV Februa -07 Arzate Dann O erations Northern CA/NV Februa -07 A ala Tony O erations Northern CA/NV Februa -07 Barbano Larry Operations Northern CA/NV Februa -07 Bona Alfredo B Operations Northern CA/NV Februa -07 Carl E Bowling Jr O erations Northern CA/NV Februa -07 Bagaybaga an Catherine D O erations Northern CA/NV Februa -07 Baloto Glenda T O erations Northern CA/NV Februa -07 Bradley Wayne O erations Northern CA/NV Februa -07 Brown Bridgett O erations Northern CA/NV Februa -07 Bullock Craig A Operations Northern CA/NV Februa -07 Burkhart James Operations Northern CA/NV Februa -07 Castillo Jorge O erations Northern CA/NV Februa -07 Catoe Chuck O erations Northern CA/NV Februa -07 Chau Philip Operations Northern CA/NV Februa -07 Cinquini Jim Operations Northern CA/NV Februa -07 Cocanour Richard O erations Northern CA/NV Februa -07 Cross Coy O erations Northern CA/NV Februa -07 Cruz Stella O erations Northern CA/NV Februa -07 Cunningham David O erations Northern CA/NV Februa -07 Danielsen Michael O erations Northern CA/NV Februa -07 Danville Rolf O erations Northern CA/NV Februa -07 David - John Net-Ops Invento /Distrib Northern CA/NV Februa -07 Day Peter O erations Northern CA/NV Februa -07 Desmond Matthew O erations Northern CA/NV Februa -07 Dickeson Francine J. O erations Northern CA/NV Februa -07 Dietz John 0 erations Northern CA/NV Februa -07 Dobbs Larry Network Construction Northern CA/NV Februa -07 Faia Dean Operations Northern CA/NV Februa -07 Ferguson Jim Network Construction Northern CA/NV Februa -07 Francis Georgia O erations Northern CA/NV Februa -07 Fraties David W O erations Northern CA/NV Februa -07 Frederick Armando O erations Northern CA/NV Februa -07 Galicia Ed O erations Northern CA/NV Februa -07 Gamiao Gert O erations Northern CA/NV Februa -07 Garcia Eric Operations Northern CA/NV Februa -07 Gose Dennis Operations Northern CA/NV Februa -07 Graham James Network Construction Northern CA/NV Februa -07 Griffin Gene O erations Northern CA/NV Februa -07 Groves Walidah O erations Northern CA/NV Februa -07 _..h.>~ ~~1~ b ~ ~ f~Y F' jt'.i~ ~~ ~Oi/ ~~ Verizon Wireless Hazardous Communincation Training Training Objectives 8~ Table Of Contents Attached Last_Name First Name Title Region Covered ue a e Scheduled / Completed Harry Matt O erations Northern CA/NV Februa -07 Hatchett Lar O erations Northern CA/NV Februa -07 Hefner Robyn G. O erations Northern CA/NV Februa -07 Heimer Dave O erations M r Northern CA/NV Februa -07 Herrera Steve M O erations Northern CA/NV Februa -07 Hockman Kirk O erations Northern CA/NV Februa -07 Iversen Mark O erations M r Northern CA/NV Februa -07 Jerucha Shawn O erations Northern CA/NV Februa -07 Johnson Don Operations Northern CA/NV Februa -07 Johnson Jim O erations Northern CA/NV Februa -07 Johnson Scott O erations M r Northern CA/NV Februa -07 Jones Claude O erations Northern CA/NV Februa -07 Kneisley Robert O erations Northern CA/NV Februa -07 Kohls Walt O erations Northern CA/NV Februa -07 Krohn Tom O erations Northern CA/NV Februa -07 Kuka Tim Operations M r Northern CA/NV Februa -07 LaFon Alan O erations Northern CA/NV Februa -07 Lawrence Dale O erations Northern CA/NV Februa -07 Lee Kwan O erations Northern CA/NV Februa -07 Lee Steve Network Construction Northern CA/NV Februa -07 Lorenzo Joseph O erations Northern CA/NV Februa -07 Lusch Tim O erations Northern CA/NV Februa -Q7 Lusch Timothy O erations Northern CA/NV Februa -07 Marks Pamela O erations Northern CA/NV Februa -07 Marks Gene O erations Northern CA/NV Februa -07 Maurer Rich O erations Northern CA/NV Februa -07 McGrath Phillip O erations Northern CA/NV Februa -07 Means Trent A O erations Northern CA/NV Februa -07 Merino Fernando O erations Northern CA/NV Februa -07 Metcalf Mike Operations Northern CA/NV Februa -07 Miller Bret Operations Northern CA/NV Februa -07 Miller Craig O erations M r Northern CAlNV Februa -07 Montes Adrian M O erations Northern CA/NV Februa -07 Morgan Harold D O erations Northern CA/NV Februa -07 Nasers Charles O erations Northern CA/NV Februa -07 Nasers Chuck O erations Northern CA/NV Februa -07 Nguyen John Operations Northern CA/NV Februa -07 O'Bannon Vincent C O erations Northern CA/NV Februa -07 Olsen Scott O erations Northern CA/NV Februa -07 Ormsbee Todd G O erations Northern CA/NV Februa -07 Reilly Shawn O erations Northern CA/NV Februa -07 Reneau Loni O erations Northern CA/NV Februa -07 a.,, _.~._~ , • ~ Verizon Wireless Hazardous Communincation Training Training Objectives 8~ Table Of Contents Attached Last_Name First Name Title Region Covered ue a e Scheduled / Completed Richardson Charles O erations Northern CA/NV Februa -07 Richter David Operations Northern CA/NV Februa -07 Robertson Dave Operations M r Northern CA/NV Februa -07 Rodrigues Carlos O erations Northern CA/NV Februa -07 Sager Ron O erations Northern CA/NV Februa -07 Schneider Russ O erations Northern CA/NV Februa -07 Schoneman Eric O erations Northern CA/NV Februa -07 Severance Skip O erations M r Northern CA/NV Februa -07 Severns Mike Operations Northern CA/NV Februa -07 Sewell Ernest Operations Northern CA/NV Februa -07 Sharp Ron Network Con. M r Northern CA/NV Februa -07 Shields James A O erations Northern CA/NV Februa -07 Shoopman Betsy O erations Northern CA/NV Februa -07 Simpson Keith A. O erations Northern CA/NV Februa -07 Small Dan O erations Northern CA/NV Februa -07 Smith Richard Operations Northern CA/NV Februa -07 Solga John Operations Northern CA/NV Februa -07 Stacey Shawn Environmental Com liance Northern CA/NV Februa -07 Strand Robert M. O erations Northern CA/NV Februa -07 Sua Peter O erations Northern CA/NV Februa -07 Sullivan Elena O erations Northern CA/NV Februa -07 Swearingen David A O erations Northern CA/NV Februa -07 Temme Steve Operations Northern CA/NV Februa -07 Thiffault Paul O erations Northern CA/NV Februa -07 Thomson Tom O erations Northern CA/NV Februa -07 Thornburg Allen O erations Northern CA/NV Februa -07 Torres Oscar O erations M r Northern CA/NV Februa -07 Vasgaard Dennis O erations Northern CA/NV Februa -07 Velasquez Mark O erations Northern CA/NV Februa -07 Walker Brent Operations Northern CA/NV Februa -07 Walker Russ Operations Northern CA/NV Februa -07 Welty Rick O erations Northern CA/NV Februa -07 White Kevin O erations Northern CA/NV Februa -07 Wic Bernard Operations Northern CA/NV February-07 Indvidual Test Verification Is Available From Operations Managers Upon Request {3b,ectives At then end of'this:~c-urs~e, you will ba ~abie to: .-~~xpl~ir~ tht~ nacsdfor hazard camrr~un~~hcan'in iMewrorkplarat~. . tJrEdYrst~ndg n-sa;pdnsib~llties undsrth~ hazard comrrtuet*catro~vstanc~ar~! . 1ci~nti(y the tundamentat dements of ti hazard comes~tanJcation ¢rg~t~~» • CJescrstx; thv c ~rt~.ria tar c~etaem~nrr+g M,'~t~7tY~~r ~ :~w!?st.~rrce +s a haz~rci . I7escrsbe the rrs~~+s{ acs t~i5t}5 and'or I:~krel.tc~+3krta~rr#~azard ~:ztorrrration'tc~'a particular cha~tlical; ~~l~ Table Qf Contents ..~, .r,; ~ Thc~C~~t°~A Hazard ~ommuni~~fir~n ~tand~rd. _. L~tsson 2; i~5~essirry the Ha~~an9s t.~~s~n3-Pti9a2~riaV Satety-Data. S~tieets (AASU~'}=- ,tiv,~sson4 '1IV~rnin~ ~,ak~l~. Lc~~son 5 l+~drittenfi'la¢ L+rsson 6 4~ltt~t ara~ N~zardt~us:Cl~:micals? t_dsson ? F2outas ref entry Lg:~50r1 $ ~Vritc"ilnf;r ~i11)fSJ11TC~_. `. Lesson 3' Irtfr~rm~iion and Trainin{~ Lesson 1f1 ~'o~ict~IC~~ic~i and~c©k~ica~Ha~~rds ,.Lesson 9'1 Rs=:cdulatnry Jnforrrralic~h ~ ~ ~ - 'Lesson 92 Ch~micai'L~bal Haz~rtl I~nCarmi~Eion Sr~rtiimar}r " Summary W~~tNIT~C -C':i1if~?rt~t;: ; I'rt;~::itiran f~~, thr~ S~fc i.arini:irt~>, .~'atec tira~i "fu:~ic Tirtfic?rscrrrt t'~~t; TCCi{sits that ixoi~ie t>c ~w:arned i~s;fare lhcy sr~ cxi~~~cci to any chettaicai iiStcci txy the f1tC"L5~ t'ali#"<~tr~i:t:ss :s,~ar::itac?};c:n c~r't~eprttciia~titi~c tn~in, b!~rixtsrt lVirele~ r~lie~ tr~~n the t~ut3tp~~inis th;st =.tai~i~ly i:rsxitsrt~ tca it tc~, frrcrvi<le raa;sitri~! :3afi:ty ci:tta ~hs;iis {"".~SSt.3~s") tic..ccii?irs}; tic cti,ir:s+:t ri~,tie~ gfi ~a~~c ~?r~ilucts, itacte-ciira;, tiaciz hcaltit cfiiccts. 1nt`c>rmatic>n conccr<ain~; tie e:rrcira~?~ecri~itx ~rt;~.3 rct~r<>:iucti~:c t~~icity t?f ciacnaic:,is iaja i;csacrally ice, ft~zsn~! in ttic ~f~1}S~ in the scc.tiora:~ c iptitti{! f{cattis 1-t:irtrci i-afnrtn:ttit+rt ut t~cttlih f Cfccts.:S<arrse caf the prt~tiuct.~ us~:ci itii' ~'+wri~t~n \VirciG:-.y c~g~r:stiCrrss tta:st c~ssa~~ cxtw~;urc tta carcirtc~~;<:ns csn<llcsr reprcxtucti~,~c ti>Yiit,~ incir+.{ic: r;c~lL~crits u;;e:l in clc:snitsty, rli infiectarst~, rlc:snsers, paint, }~ts'wcr hrsttt:ri~:s :ins! ~1is~~:el !`ttcl (t:~h;rrrst enli:~,~it~tas) ttseci in emergency }~cncratt,r~. Plea:>c rcvicw tlac h~1ST~~s fnr the aTr cific i~rtxlus;ts u;~cd in yt'~trr ti~°~r~: ,~re.i fr~r''firrthcr inf`ort>tsti~n ai~caut their ht:is~th ~ffccta~. Tsa~tructitiits for :~sf~: h.usxiiirs~ pi'the ptoeiasctS ~~°c. ti_:c are ~t f<srtta in the i~iSf7.~. Ah4ays re~s~ 7ud foliawv~ S.;~ft~ 19;:~ 9taitri~l~tri~nS: t°t?r ~z4liti~.aa i:aficarrxaati~ra nt~aut f roi-, ~i S, ti att rzaa}~ bv~rat io ~o ~tci „ t~tt~;lt~w~vtiv,cfw~ati~_r~~z~, l~or srscxc irs:'r.,rili:atat~rs :shut the pzc~ciucts cicscribc~l irt< ttac t~1~T~`.~"s, ur ~~ rir.~~n l'~iretc~..'sti<ticiy pro~;ratta, t;r tttat# 8~-~~~5-7~ F=;p.~~ r -... __ ' ~~~~ -~> + VERIZON WIRELESS - EAST DILLS _______________________ SiteID: 015-021-003371 + Manager SKIP SEVERANCE BusPhone: (559) 268-7878 Location: 3601 AUBURN ST Map 103 CommHaz High City BAKERSFIELD Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 08 SIC Code:4812 EPA Numb: DunnBrad:01-216-7078 :Emergency Contact / 'b"itle Emergency Contact / Title SKIP SEVERANCE / / Business Phone: (559) 261"3-7878x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone: (916) 357-2520x MailAddr: 255 PARKSHORE DR. State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (925) 279-6455x Address 2785 MITCHELL DR State: CA City WALNUT CREEK Zip 94598 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~"~ ~~ ~~ 4 PROG A - HAZMAT O~~ ~~ ~ Based on my inquiry of those individuals responsible for o falawgthat ~I thave ipersonally under penalty famltiar with th information e mined and a su mitted and b l~lete, the inform tion i true, ac rate, and c ~~ O~ -- - Dat Cinnature EN~~ ~~C ~ ~ X006 1k~~j° s5~0~ -1- 03/10/2006 _~ + NEXTEL CA-0727 ______________________________________ SiteID: 015-021-002394 + Manager ED HALL. BusPhone: (925) 279-2300 Location: 3601 AUBURN ST Map 103 CommHaz Low City BAKERSFIELD Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 08 ~ SIC Code: EPA Numb: DunnBrad: Emergency Contact / "t"itle Emer ency Contact / Title LOCAL OPERATION CTR / NOR'7L"HERN CA Paul Paxton Business Phone • (8 0 0) 2 5 ~. - 6 7 6 9x Environmental, Health 8~ Safety Specialist 2 4 -Hour Phone (8 0 0) 2 5 ~. - 6 7 6 9x Business Phone: 760-476449 Pager Phone : ( ) _ x 24 Hour Phone: 87747-4457 Hazmat Hazards: ~ Paul Paxton ---------------------------------- ~ Contact ; 6480 Sprint Parkway, 58822 Phone : - ( Mai lAddr : Overland Park, KS 66251 / ''1~7~_ State : 'l:IT~ City Phone: 760-476449 Z lp 9~ 5 Q'L_ +----------T -------- ~~------- ~ ------------- + Owner Nextel of California, Inc. Phone : (~~ 5~-~-r9 ''~~~. Address 6480 Sprint Parkway, 58822 State : E~-r 900-ZS I -G ~ 69 City Overland Park, KS 66251 zip ^ =`~ "" Period to Preparer : SOI~Va Cka~~ , ~N S Pvu j ec~ TotalASTs: = Gal Special I s+ TotalUSTs : = Gal Certif' d: a~3 _31S_g.~~ RSs : No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ~uul ~x>~u K SA,Va Grv~ ~. CONTACT Lr REGARDING INVOICES, BILLS, OR INSPECTIONS. Based on my inquiry of those individuals responsible for obtaining the information, I 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 complete. 4 it 0 ignatur~~~e~~ Da e ENT'D APR 2 7 2006 -1- 03/10/2006 Bakersfield Fire Dept. I~IVIFIE® PROGRAM INSPECTION CHECKLIST Enironmentat Services -- - = 1715 Chester Ave SECTION 1 Business Plan and Inventory Program '~ Bakersfield, CA 93301 . Tel: (661)326-3979 i• FACILITY NAME INSPECTIONI DATE INSPECTION TIME ADDRESS PHONE o. No. of Employees --------------- - --~ --- ~'~ ~' a1 ~ ~ 3c~ ~~~-----~ --- ------------ ------- - - -- --- ---- Business ID Number FACILITYCONTACT --- -- -------------------- 15-021- ' Section 1: Business Plan and Inventory Program ^ Routine ^ Combined ®Joint Agency ®Multi-Agency ^ Complaint ^ Re-inspection COMMENTS ^ HOUSEKEEPING ^ FIRE PROTECTION I LU ^ SITE DIAGRAM ADEQUATE Ht ON HAND C V \ V=V o ationnce l OPERATION L~ ^ APPROPRIATE JPERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE -1-------- ---------------------- --._.._---------....------ --------- U ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES l ----_- ----- ------------ ---------- ...._ __-___ ___--- -- ----.__L.- ---_ _-.._ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES --,,-f----------_ -- ----_----- -- ------- -- --- _ ---- ---- - --- LyJ ^ EMERGENCY PROCEDURES ADEQUATE T --- --- ------------- -----...__- ---- ---- ---- -- --------- ---- ---~-- - ----- -_.. LJ ^ CONTAINERS PROPERLY LABELED ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: QUESTION,S'REGARDING THIS INSPECTION? PLEASE CALL US AT ~G6~~ 32F)-3979 l// ~ Inspe for (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy Business Site Responsible Party (Please Print) rn g N Pink -Business Copy ~ n 0 Y (Q m .~,% C/) \.~~ O Q O CO ~ M a ~ (n N w~ L ~a ~~ ~ Q LLJ 0 U m U ~ ~ N x m a0 .~ x w y L 0 0 L nn'' U A ' W W ^^`` ~ W ~ ~ ~ U ~ ~ U N a cn f n V n r- ' N ~ ~, a it L >, ~ ~ ~ w I~ n. ,~ w U a . ~ (~ u. Q y,,., L.. L_ ~ Y N ~ ~, ~(() -• ~ Y U Q ~~ ~~ ~ m l i M ' d- ' tS~ I ~' Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ~; g e R s F ,_ , 0 900 Truxtun Ave., suite 210 ____..__.._____v_____._____.___r____v ____._______ _ _~ _ FIRE. Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~~ ARTM t -Tel.: (661) 326-3979 1i ~ Fax: (661) 872-2171 • FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMP OYEES FACILITY CONTACT ~~~~hL /' ~ _ /_ ~ ~ C.6~'L.T(((Jr BUSINESS ID NUMBER 15-021- .Sec#ion 1: ~Sasiness Plan~and Inventory P~ragrarn ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r~ ~_i C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS - ~ 2~p~ (J ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ,~/~ L~J ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Lam( ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED /~ 1 ^ HOUSEKEEPING OJ 1.1L ^ FIRE PROTECTION LY ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARD~OU~S WASTE ON SITE? EXPLAIN: ( ,(l! J~Q',f.f/~~,~~ ^ YES . ^ NO QUESTIO S REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~ ~G~_ _J~./~ ~ /,//Gll)C c~~/ G In ector Please rint) Fire Prevention / 1s` In /Shift of Site/Station # Bu ess Site /Responsible Party (Ple a Print White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST~~ E_R s_F_, _0 9ooTruxtunAve., suite2lo r------ _ _ _ _ _-- ~-.~_~__~ _.--- _ _ i F/RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program~~ ARTS t Tel.: (661) 326-3979 Fax: (661) 872-2171 • FACILITY NAME - ~ ~ ~~' INSPECTI N DATE - INSPECTION T IM E ~ ~ h s ADDRESS - ~ PHONE NO. ~~` NO OF EMPLOYEES -ti C ~ FACILITY CONTACT ~ G~ ~t ~~ ~ BUSINESS ID NUMB E R 15-021- 3~7~ C ~ ~ Section 1: `Business Plan aid 1n~re~tory Pro~raml _ ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r ~ C V ~ C=Compliance O P E RAT FO N V=Violation COMMENT S ~ ^ APPROPRIATE PERMIT ON HAND , _,/ tt1' ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE C1/ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS E" ' ~ NO ^ VERIFICATION OF QUANTITIES L~ ^ VERIFICATION OF LOCATION I~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY I~ ^ VERIFICATION OF HAZ MAT TRAINING \ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE GX ^ CONTAINERS PROPERLY LABELED itu ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS W~,.STE ON S~ITE/? /' ^ YES ^ NO EXPLAIN: /ld7 ~~~~~~ ®y1~ Q QUES~ REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 / " r-d~/~ C~~ /~~% ~G! vti ~ g~ ~ , - Inspe or (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site / Re ponsible y I e rint) White -Prevention Services Yellow -Station Copy Pink - Business.Copy FD 2155 (Rev. 09/05