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HomeMy WebLinkAboutBUSINESS PLAN 7/25/2007~ r i ~ ~~ ~ ~~~ ~~ ~- ~ ,~ ~, ~Q ~ ; - ~~_ ~i~, ~; Q , 4 ~;~ .~ ; i i3 ~I , ' ~ ,o ~; ; N • a ~ L. I ~ ~~--! _ r ~ 4 ~'~ _ ~, VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 Manager : MARK IVERSON Location: 5651 AUBURN ST City BAKERSFIELD BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 24A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title MARK IVERSON j 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-~ Pager Phone ( ) - x Pager Phone ( ) -~~Z~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, 2 03 - 3 2 0 5 , FOR INSPECTIONS . ~Itl~~~ J U L ~ ® ~U~/ Sa:scd On my InC}I„iry Of thOSB indl Viducls res~,cnci~{4 frr ot~taining the information, I certify undrr penalty of law that I hGve per sonal{y examir, d and am familiar with the information su~,mit ~d and aelieve the inforrr,ation is true, accura` ~, and complete. ~IZ.~/7 Signature ~~ uate -1- 07/16/2007 i Zt ,~ ~ ~: P VERIZON WIRELESS - AUBURN (KERN) ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-003368 ~ By Facility Unit ~ 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 5166.00 99.12 LBS GAL Hi Hi -2- 07/16/2007 .. ~, -3- 07/16/2007 ~. ~' ~ 5.\ F VERIZON WIRELESS - AUBURN (KERN) ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteID: 015-021-003368 ~ 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 I Daily Average 215.25 LBS 5166.00 LBS 5166.00 LBS - t1AGHKLVU~ lrV1~lYV1V1;1V1J %Wt. RS CAS# 70.00 Lead No 7439921 tu~GPittL A~ J L' a J1~itSly t TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ 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 Liquid Mixture I Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 4.13 GAL 99.12 GAL 99.12 GAL nec,rLtcl~vu~ ~,vrlrvlvlJly t ~ %Wt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 _- nr-~~rilcl~ s~~al;aarilJlyl~ 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 - AUBURN (KERN) SiteID: 015-021-003368 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/09/2007 ~ PHONE 800-621-2622 AFTER NORMAL BUSINESS HOURS, LOCAL PERSON IN CHARGE WILL BE NOTIFIED AND WILL RESPOND. SITE SHOULD BE IDENTIFIED BY SITE NUMBER. DURING REGULAR HOURS, USE CONTACT NUMBERS PROVIDED IN SECTION 2: EMERGENCY NOTIFICATION. _ , ~ _.. r~iuNivycc 1VV1.11 . ~ L~VdI.:Udl.1V11 rut~llc_: 1VVl.1t . / L~VdC:UdL1Ui1 Luic.Lyciit.y 1.1CUll:d1 t'1d11 -5- 07/16/2007 r: P - ~ F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ 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. _, .RG1C0..7C 1..V111.Q 1111LLC11L Clean Up 03/09/2007 INTERNATIONAL TECHNOLOGY CO 800-262-1900 v1.11C1 iCC.7Vt1Ll.:C 1-11:1.1Vdl.lVtl -6- 07/16/2007 :~ F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Jt.JC C:ld1 I1dGdl US Utility Shut-Offs 03/09/2007 ELECTRICAL - E SIDE OF BLDG Fire Protec./Avail. Water 03/12/2007 1 HAT,ON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS. Building Occupancy Level 03/10/2006 i:fNMANNED SITE -7- 07/16/2007 a`'S.~ ~• F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/09/2007 ~ MSDS SHEETS ON FILE. rayc ~ nc.~.u iVi r ut.uic Vic nclu tVt rUI. U.LC V.7C -8- 07/16/2007 S~'~~~ i r:- VEFZIZON WIRELESS - AUBURN (KERN) °Manager MARK IVERSON Location: 5651 AUBURN ST City. BAKERSFIELD CommCode: BFD STA 08 EPA Numb: ~q3~'~ SiteID: 015-021-003368 BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 24A 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. ~N~~~ M~~ ~ ~~~7 E3ased on my inquiry of these individuals n responsible for obtaining the information, I certify ~ v under penalty of lavr that I have personally O er•.a.mined and am familiar with the information omitted and believe the information is true, ccurate, and comp) te. ~.~~~ igna ure Da -1- 02/20/2007 F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ ~ 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 4320.00 1032.00 LBS LBS Hi Hi ~5 ~,SV2 ~IQIU (2~) -2- 02/20/2007 's \r- -3- 02/20/2007 4 F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ ~ 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# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 LBS 4320.00 LBS 4320.00 LBS - ru~~~tc.uuu~ ~ulYlrulvnlvl~ sWt. RS CAS# 70.00 Lead No 7439921 riAGHKL A~5i5J51~1tS1V 1"J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE Liquid TYPE PRESSURE Mixture ~ Ambient Largest Container 43.00 LBS Daily Average 1032.00 LBS r1HGtittlluU.7 ~.ul"lrulvr,ly 1 ~ %Wt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 riEiGt1CCL 1-~.7J1;.7.71~11;1V 1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Daily Maximum 1032.00 LBS -4- 02/20/2007 ,, F VERI~ON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ Fast Format ~ ~`Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification - ,~ ~i\Nlvy~~ ivv~ii . ~ ~vcac,ua~lvii ~,- , ru~.J1i~. ivv~.ii . / P.~ VCLI.:LLQl,1V11 .Emergency Medical Plan -5- 02/20/2007 F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ xelease._rrevenzion Release Containment Clean Up v~iici nc5vui~c r~~~l.va~lvti -6- 02/20/2007 F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ r'ire Yrotec./AVa11. water Building Occupancy Level 03/10/2006 LfNMANNED SITE -7- 02/20/2007 F VERIZON WIRELESS - AUBURN (KERN) SiteID: 015-021-003368 ~ Fast Format ~ .Training_ Overall Site ~ ~ Employee Training rayc ~ .1 ~ L.__ 11G 11A 1V1 1'Ul.U1G V-7G 1ZG 1lA 1Vi t UI~LLtC V.7~C -8- 02/20/2007 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-Auburn (Kern) CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz. Sealed Batte Case ^ YES ®NO FACILITY ID # 1. MAP # 203 GRID # zoo. (Agency Use Only) ll. CHEMICAL INFORMATIO N - - CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCItA, refer to insvuctions COMMON NAME zo7. zoo. EHS* ^ Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amounts below must be in lbs. Not A licable FIRE CODE HAZARD CLASSES (Complete if required by local agency) 0 210. Acute-Chronic H=3 F=1 R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 21 t. RADIOACTIVE ^ Yes ®No 212. 213. CURIES TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 214. 216. LARGEST CONTAINER 215.25 FED HAZARD CATEGORIES 216. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUN"I' 217 MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 22°. 5166 1bs 5166 1bs 0 N/A 221. DAYS ON SITE 222. 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 ^ £ CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ a TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. 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. 60-70 226. Lead/Lead Compound zz7. ^ Yes ®No zzs. '7439-92-1 zz9. 2. z3o. z31. ^ Yes ^ NO 232. 233. 3, z34. z36. ^ Yes ^ NO 236. 237. ¢. 238. 239. ^ YeS ^ NO 240. 241. 5, zaz. 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: Batteries Douglas DSV2-1610 -Electrolyte & Lead chemical are for the same battery product IfEPCRA, Please Sign Here. UPCF hwtZ731(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. FACiLITYr''INFORMATION' BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) 3. Verizon Wireless-Auburn (Kern) CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zo2. Sealed Batte Case ^ YES ®NO FACILITY ID # ~ l MAP # 203. GRID # 2oa. (Agency Use Only) [l. CHEMICAL INFORMATIO N CHEMICAL NAME 205• TRADE SECRET ^ Yes ®No zo6. Valve-Regulated Lead/Acid Battery (V RLA) If Subject to EPCRA, refer to instructions COMMON NAME zoz. zos. EHS* ^ Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amotmts below must be in lbs. Not A licable FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. Corrosive H=3 F=1 R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No 21z. 213. CURIES TYPE (Check one item only) PHYSICAL STATE z1a. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215. LARGEST CONTAINER 41.75 Ibs or 4.13 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 22°. 1002 lbs or 99.12 als 1002 lbs or 99.12 als 0 N/A 221. DAYS ON SITE 222. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POi)NDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLICbRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ £ CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ L 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 # I. 20-30 226. Electrolyte/Sulfuric Acid 227. ^ Yes ®No z2s. 7664-93-9 229. Z, 230. 231. ^ YCS ^ NO 232. 233. 3. 234. 235. ^YCS ^ NO 236. 237. 4, z3s. z39. ^ Yes ^ No zao. 2a1. 5, 2az. 2a3. No zao. ^ Yes zas. Ir more hazardous components are present at greater than 1 % by weight if nan-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6. DOT Hazard Class: Batteries Douglas DSV2-1610 -Electrolyte & Lead chemical are for the same battery product If EPCRA, Please Sign Here. UPCF hwf1731(1/99) -1/2 http://www.unidocs.org Rev. 04/17/00 i for hiazardous Materials, Flazardous bl+aste & Underground Storage -ranks Nazai•dous Materiais Division FACILITY IDENTIFICATION /OPERATIONS OVERVIEW BU INESS NAME -- FA ILrfY ID # DATE Verizon Wireless- ~~~~~ ~~~.L'~- ~ BUSINESS ADDRESS r, Q ~ r~ G ~ t /~ •p Check elements covered by this consollda plan: ' ~ ~ ~ ~ ~~ Hazardous°Materiais®~~" ~~~= Hazardous Waste ^ ~ Underground Storage Tanks ^ .t Supplemental elements submitted: t ~ ~ ' y~ ~; UST Written Monitoring Plan ^ ~ BU e.g. pan ng contractor l f e.g. ee ma ntenance Wireless Telecommunications un-staffed facility, helter, and/or cabinets v RD B e.g. c em Ca spi s,. ire, ea qua ,etc ~ ~ _ _ OSHA -EPA Hazard Communication Standard EMffRGENGY C40RDINATOR & ON-SITE TECH ADVISORS J INTERNAL RESPONSE Identify your Emergency Coordinator &rOn-site Technical Advisors: ?~ l Name /Position: NOCC - Network O erations Control Center ........._.._..._ ................_.._._._........_......_._..._..._p__._._.....__.. __.............................._....__......................_........._._...._....._......__....._.......__._......_...._.........._._._... Emergency Coordinator: Address: 255 Parkshore Drive, Folsom, CA Must have the authority to classif the _ _ _ ""'Day:°-°NOCC-800-264-6620 or~•~•~••A~er lioiirs°'NOCC 800-264-6620•~~ • ~ • y Phone #s: 682-264-6620 or 682-264-6620 release, make management decisions, & . ._..___..___._.._ .................................._. ._._'._....__..............................._......_........._._....___.____.._ .___..._....--............__._.._...._....__...........__.._.._-- _...-.---........_.._.. determine appropriate response Responsible for: spill prevention ccr~.cting `zCllty~ respcnder; ^ °~...__-••..,......_. (check an that apply) emergency assessment / authorizing spill response work .. . .._ ..... ... . mdtta9 emeAt . ~ ^ Person Is: ^ on-site or ®on-call _............_..---.______ ._ . Initiating alarms ^ . . . -..._.. _ .. _....... ---.... ..._---. _ ._ . .. _ ._..__..~ . .._.._ .. Interfacing with public emergency responders tJ __ __..._.. . __... . . ._. .-~ -~ -- ~ ~~ . .. ..... _... ._....... . . .._. ...._ .._.____ _ agency notification ^ .._.. ...._..-._... . . . .. ••••••- -• • ~ ^ ~• Alternate # 1 (INSPECTIONS) Alternate # 2 ........................---_._.-___....................~__.__ _.._._.T_._. __....._.........(CORRESPONDENCE & BILLING~..._.._....... Name /Position: Mark Iverson, Operations Shawn Stacey .-Manager ~ Address: 255 Parkshore Drive Alternate Emergenry Coordinators: city: ....__ .............__.__.._._______...._......_...~..._........._.._...--_--.._.._. _.___........_._._..__._......_..._.._....._.._..__........_._......._._..............__...._.............. Folsom List In order of responsibility. zip: __._._._......._._.....-_.__.... _.___.._........__._......_._......_........._.._ ....... .........___.._._.._._._...._.._....-..._....__......_......_.._..__._....._._...._........._.._............... CA Day phone: 661.664.5601 866-694-2415 After hours phone: NOCC 800-264-6620 NOCC 800-264-6620 Person Is: ^ on-site or ®on-call ^ on-site r ®on-call 1c On-Site Technical Advisors Owner: Su ervlsor: p (Available to provide site-specifir. terhnira(advire to off site emer~en~y responders) Manager: other: un-staffed facili /shelter /cabinets ~' `Identi fy type of'internal response: ~ I ^ Internal facility Team Mem ers name or position : esponsi i itles: response team tattach additional pages iF' needed: Options: indicate an attachment by cnecwnq ©` ( 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. trig x ^ ~ ~ is ' (ch°` r ' t7r Name: Onyx Special Services Descri a ro a responsi i hies: Spill response, i ®Contractor _ad'd'r'ess_._.~__ _. _-....._........._.__..............._._......-_..._._. __.~.__ ................___ clean up, and hazardous material phone # ~~"'8ti1~-48i'3 7~~~'f)-°" diSpOSaI ^ Call public emergency responders / 911 -1- ~~ns©~~~~G~~ ~Q~4~~~e'~C ~Ia~. for Flazardous Materials, t•lazardous Waste & Underground Storage Tanks Hazardous Materials pivisian FACILITY IDENTIFICATION _ ~~ BUSINESS NAME ~' i Wi l ~ ~~ ~ FACILITY ID # PATE cr zon re ess - ! , ~~- l rJ EMERGENCY COMMUNICATIONS J PHONE NUMBERS /NOTIFICATIONS ~~~ Internal & External Emergency Communications 1~ ` Name Position: Individual responsible for on-site and off-site Operations Manager and/or NOCC -Network Mark Iverson emergency alarm notifications /communications: , O erations Control Center i~ c ec a t at app y: INTERNAL facility emergenry communications or verbal-warnTrigs pu3~ic address orTntercom system ~ ._ _. . ~ alarm notification will occur via: _ • _ _______•-__•_______._._._--...._.__ _._ . ®telephone ~~ ®pagers ® alarm system ~ portable radio c iec a I k at apply; / EXTERNAL note cations commumcations to ~ g ~ pu~blf-addressor Irifercom system verCial-wamin""s" neighboring facilities that may be affected by an ------ _..-....~...__.........._.._......_~-...._.-..._........_. _.__.... ___. -telep~iorie•~~ pagers 0 ® off-site release will occur by: .-.. - ... .......... ,,, ... - .._-.-.._-. _...................._-........._._. _. -. ... _._.A_-. _.-~......_.___.._. -_. _. "". `~._....._.- - " ~ ~ portaile radl ® alarm system o ~J Emergency Phone Numbers J Notification lists Il , , I ° Bakersfield Police Dept. 911 ° Bakersfield Fire Dept. 0 661.322.9253 ~ ° Kern Medical Center o fi~ '~45~ p ~i7j~~ Emergenry response phone numbers County Hazardous Materials Divlslon --poison Confrol...Cerite"r............_.._......_..------.-.._..-._._.-~-._..._._.~......_. -801=222=1222...--~~-----._........_...__. zr. Nearest medical facility /hospital Name: Kern Medical Center Phone #: 661.326.2000 Your medical facility /hospital Name: Kern Medical Center Phone #: 661.326.2000 ~+ Dept o Toxic Su stances ntro Hea quarters 1 - - 78 or 8 -72 - 4 NV Divlslon of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o Emergency erv ces or 1 - - 1 NV Department of Public Safety NV: 775-684-7500 CA Water Quality Contro Board - - or NV Water Quality Controi Board NV: 775-684-2800 nv ronmenta roe on gency 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 National Response Center 1-800-424-8802 ept o s ame - NV Dept of Wildlife NV: 775-688-1500 US Coast Guard (spill response) 1-510-437-3073 CA OSHA CA OSHA o Divlslon of Occupational & Health o 510-286-7000 o CAL -OSHA Enforcement o 714-558-4411 i orn a fate re ars a - Nevada State Fire Marshall NV: 775-684-7500 -Z- t ~IR'1~~~ R~~~R~~~4Y~ ~~~fR ~~rF~~lk ~~~'~ ror nazaroous i~arenais riazaraow V~ras2e ?> Other Important Numbers G.ti Neighbor Notification List z'r List ali businesses i structures bor dering friar a djacent to your facility at arility s Business name:, Q at acility s Business name: , Q northern southern ' borc3er: address: , , ... border: address: , phone #: phone #: contact name /position: contact name /position: z9 at acility s ~ Business name: , Q at aci itr+s Business name: , Q eastern i .._.._._....__.__...._.---.___............_._.__._.___...._._...T.._...._.__._._._._..._.__~.__. ... western border: address: , border: address: , phone #: phone #: 3a contact name /position: i contact name /position: ianKs -3- ~nsa~idat~ ~Qr~tir~genc~ Lan Hazardous Materials Rivision for Hazardous Materials, Hazardous 4va5te & Underground Storage Canks FACILITY IDENTIFICATION BUSINESS NAME ~ V i Wi l ~ ~~ ~~~~) FACILITY ID # pgTE er zon re ess - `/~, , EMERGENCY CONTAINMENT & CLEAN-UP PROCEDURES 3z Containment, Prevention & Clean''=Up Indicate your procedures for: E ..'provlde• strveturat physical••barrier-(e:g:••'portabie.... ^ -_._._~_._..~.-•---..._._..__.__._.____...._....._..._.__...___.......... .................................. spill containment walls) ®monitor for leaks, ruptures, pressure build-up, etc 1. containing spills, releases, fires I ^ provide _~afisoriie'nt piiysical_baRie"r° ~`~~____._.____"......._.. -~-cover~or°6lock floor ~o'r'sEo~m°d~ains or explosions, & ~~~~~~built=iii"Germ in work Csto"ra e~a~ea °~""'_'_._..___.__._.._. 0 9 _.__._."""aufomatic~l~e~su~~~ ~~esslon __~em"."'_..__ .............._.....:..........._._....... ^ PP sY ! 2. preventing and mitigating ;- associated harm to persons, ~ ~~ ~ - stop processes'for"o'peraf'ioris°"_""'_"-__ .............'"...""____. ® _.__.___automatlc_~led~onic equlpmerit siiut=off system _'....._.._. ^ property & the environment: •••• ®shut-off water, gas, electrical utilitles as ®call 911 for public emergency responder appropriate assistance /medical aid ® provlde 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 persone~Immediately after _ ___._~. ~~~~~• ~ ~ call evacuation n ......_.........,, ._.~._....._.....__..~__._............_. __..._. ®other (specify): Contact Verizon Wireless 24-Hour Hotline (800-488-7900) and report Incident, which will trigger Onyx Special Services. 3a ~ c ec a t at app y: Indicate your clean-up procedures: ......_.._........___._...__..___ ............._...._~_.._...._._...._...._..._......._...._.....__..._...___._.._....~_._-_-....._.._.._..__..__._...._...._...__.._....._.___......_...__._. ® hire licensed hazardous waste contractor. (ONYX Special Services) ^ use abso"rb'erit maEerlal"for~splifs wiEi'i_subsequent propi:r iaC~ia1lrig, sfi5~age~aiid_ii"a'zardous waste dis'posai_as""_ __ appropriate ~ ~ suet on us ng_sfiop vacuum witfi"suiisequerit'proper i'a~i~eling; storage_a"n'd"iiaza~d~ous waste"dfsposa~as_"""__'_ ~~~~~___""" appropriate ~ wash /decontaminate equipment w/ containment & disposal_of effluent j~rinsate as hazardous waste I ^provlde safe temporary storage of emergency-generated wastes ^ other (specify): Evacuation'Coordinator &Assembly Area ,_2~ Provide name /position of evacuation coordinator who will account for all on-site employees and / or site visitors after evacuation: ~ Name: un-staffed facility /shelter /cabinets 'r Identify / describe emergency specify: un-staffed facility /shelter /cabinets assembly area for evacuees: ~ Identify the location where your evacuation route /map is posted: specify: ( un-staffed facility /shelter /cabinets Other facility evacuation procedures: specify: ~ I i -4- Harardat~s Makerials Division ~~~s~~i~~t~~ ~n~ir~~~~c~ ~~a for Hazardous I'daterials, Hazardous Waste & Underground Storage l"anks FACILITY IDENTIFICATION BUSINESS NAME FA Verizon Wireless - ~ ~, ~ ~ ~~,~~ EMERGENCY E UIPMENT \ ss List of available emergency equipment (..neck all that apply} ~~ Egwpment Avai a e ~7 Txample: se Category Z portable flrc extinguishers a : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z c:Piemic:al prottxaive gloves `" ~,1 c emica protective suits, aprons or vests Safety & First Ald Equipment ®chemical protective gloves chemical protective 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: ns Fire Extinguishing Aorta a re extinguis ers ...-®____....._..._____.___....~.~._- ..............._..........._-.._.__ Equipment ~ fixed fire systems /sprinklers /fire hoses fire alarm boxes or stations _._..........-.-........._....__......_...._.._.._...__...__...._._..___.._. _ ..- ^ other: ~ ~ Spill Control & Clean- ®a sor ent materia Up Equipment ®container for used absorbent berming / diking equipment ® broom shovel shop vac ~ ~ exhaust hood ~ emergency sump /holding tank ® chemical neutralizers ___.__...__._ _ ...-_.__ ~~ ~.._ __ ^ gas cyl(nder leak repair kits spill overpack drums ~ other: ~s to ep ones inc u es ce u ar Communications & Alarm System ~ Intercom / PA system Equipment ~ portable radios automatic alarm chemical monltoring equipment UST monltoring system operations manual ® list of notification phone numbers DATE center of each wall in shop I _rat<^d as "C~" spill rer;pons kil: one-time use; oil A~ udw 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. for Hazardaus Materials, Hazardaus Waste & Underground Storage Tanks Hazardous Materials Division FACILITY IDENTIFICATION a~ BUSINESS NAME FACILITY ID # DATE Verizon Wireless - ~ ~~,r ~ r{~, EARTHQUAKE VULNERABILITY ~' Areas of`eartk~quake~vulnerahi,{ty 9t3 C 1ec a 1 t at app y: ~ Location (e.g. shop, outdoor shed, t~,rensic lab): Identify areas of facility vulnerable to . k l ill d t rth _._... _.. .---.__...-__..___....._._.....___._ -hazardous materials ~ ante storage area ® ...__...._._...._....._._._........____ ..............__.._..._.._...._....._-..._.._.__.........__....._.._.__...._........... re eases /sp s ue o ea qua e related motion: •••-••_•• .............._.....•••• --_••••___- _ _...__.._.__....-..___...._._...___._._....__........_. ~~~ ^ •process Imes /piping Batteries installed exceed 1997 UBC (require immediate isolatiot, and insp~cuan) --•-------------•-------------------•-------• and/or 2000-2003 IBC Seismic Zone 4 _ ^ laboratory .-.___.._.-...__.__..--.._..--.__......_..__....._.._._...._....._....-.- ............._...---.._..._...~.._..-- specifications. ^ waste treatment area ~g check a I t aC app y: A ecte at~tions: Identify mechanical systems • ---•-••••--s~ielves-caCifnets'~i°r"a'cks ~~~~~__...._..__~.._........-._._...._. ....-._.-.-.-._____. 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 stems cabinet. ^ stationery pressurized containers (e.g. tank for dispensing propane) ARRANGEMENTS FOR EMERGENCY SERVICES 5t) ~xplanatian oi'_j?.equirement Advance arrangements vartn loco, hhre zx ponce oepanmerns, nosp~«ir:s and /or contrac~,;rs'~ar emergency servrces should be made as appropriate far your facility; you may determine that advance arrangements are not necessary for your facility. 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. EMPLOYEE TRAINING CONTENT & FORMAT _ ~'~ Employee Training Content & Format 5:3 - Explanation af_(?tquiremeni Fmp ayee training is require nr all emp ogees tandling hazardous materials bazar ous 4vastes in ay to c ay or clean-up operations includ'+ng volunteers f;<Jor contractor ~. Required content for errrployee training includes all of [I,e fallowing: ;,a ° communication F~ alarm systems ° Material 5~3fety Data Sheets • personal protective equipment • hazard communication related to health & safety ~e.9, • use of emergency response equipment • methods for safe handling of hazardous substances fire extinguishers, respirators, etc) • fire hazards of materials /processes • deccnfaminakion procedures conditions likely to worsen emergencies • evacuation procedure> ° coordination of emergency response i • control & containment procedures • notification procedures • • UST rnonitoring system equipment & applicable laws & regulations rocedures (if a linable ~~~ check au that apply: Indicate how employee training .... program (with required content) is .o Video(s)•'(speclryj: ®Formal classroom 1 administered: _..__.._ ....................-......__.._..__..._....._..........................._......_....- ......._-_ ..__._......._....._...._......___..._...._.___ __._.._..-..........._._.__.._.__-................_...._ __.__........__.....__............_._.._..._ ® Safety /tall-gate meetings t ®Other (specify): Annual online training -O_. Study Gulden•~ Manuals 5 _eci_..__ _....._.---_-..........._..._...._.._._-._....._._..__..._.._.._.___.....----. ....._ .............___._...............---..._-. (P fY)~ -6- for Hazardous Materials, Hazardous Waste & Underground Storage Tanks Harardaus Materials Division FACILITY IDENTIFICATION ~E, BUSINESS NAME FA ILITY ID # pATE Verizon Wireless - ~ ~~ ~, ~~ ~ n,~ EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION si Required frequency of training 'a Ex lanation a{_ __ qurrement - -p ~ -~- -~---~ Emp ogee training must e: • provided within 6 rnonihs for new hires, ~ amended as necessary prior ko rhange in process or work assignment, ~ given upon modification to emergency response /contingency plan, and ~ updated /refreshed annually for ALL employees. 55 Certify that the facility's employee training program meets minimum ® Employee training Is provided, at a minimum, as described above. fre uen re uirements: i co Record of training 6.1. Explanation af_{?equirement WriCGen dncurrrentation of employee Graining sessions must be kept which include: ~ training outRr}e ; agenda ~ date of training session w employee names & job titles ~ brief job description for hazardous waste generator facilities Certify that the facility's training documentation meets minimum record ®Employee training documentation Is provided at a minimum as described above. kee in re uirements: , , °' Training program description or outline ^ Em~l4Y~~ traning A~o9r i~4! 1~~~~~ ant s~ ghtr2~ 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 53 Based on my inc{airy of those individuals responsible for obtaining the information, i certify under penalty o avr that I ,3vc: personally examine and am amilrar with the information submitted and believe the information is true, accurate and complete and that a copy is available on-site. gnature ate o comp a on 2/23/2007 not ame r e os on Shawn Stacey Environmental Compliance -7- O W ~ a ~ ~ M Z W Q a ~ U a S. ~ ~° V ~ ~ ~ ~ a y w ~ ~ Y D Q '~ m j OC W _5.~ ~ a - - N - - n v m ~ ~ ~ v ~ lL ~ w N W ~ ~ F ~ ~ ~® a ~ N-~ ~ ~ a ~~ ~ v w ~ a ~ •~ m ~ l1J ~ y O U ~ ~I U N ~ fn ~ 'C '~ U O C Y M ~ Q ~ ~ O r ~- N M ~ ~ N L ~ j U d C Y CC C ~ d ~ 0 h ~ m 3 ~ ~ ~ . cn ~ ~ aa f 0 ~ ~ _ c >. U c Z W ~ n = °- ~ Y m •~ 00 Y O ~ fn ~ ~ N w <n Q o W y ~ U ~ W m W ~ ~' ~ ii i a` o 'a o ..I ii LL a a ~ U v a ~ O ~" ® ~ ® ~a ~v ~~ N .~ L + VERIZON WIRELESS - AUBURIIT (KERN) ____________________ SiteID: 015-021-003368 + Manager ALAN HOLZMAN BusPhone: (661) 873-2401 Location: 5651 AUBURN ST Map 103 CommHaz High City BAKERSFIELD Grid: 24A FacUnits: 1 AOV: CommCode: BFD STA 08 SIC Code:4812 EPA Numb : DunnBrad :-0 ~ -'~- ''; 8 ~$•.~,~- Emergency Contact / Title Emergency Contact / Title ALAN HOLZMAN / NET OPER MGR. RUSS WALKER / OPERATIONS TECH Business Phone: (661) 87.3-2401x Business Phone: (661) 747-7001x 24-Hour Phone (661) 87,2-2662x 24-Hour Phone (661) 321-5214x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone: .~9 - x MailAddr: 255 PARKSHORE DR BLDG B State: CA `~(olQ ~; ;. City FOLSOM Zip 95630 ~ ^` ~` ~ . Owner VERIZON WI ~~~ Phone: (925) 2 -55x Address 2785 ELL DR `~~ State: City W T CREEK Z' 94598 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG A - HAZMAT I ®~ ~ U L ~ ~ 006 ENT D ~ Based on my inquiry of those individuals responsible for obtain(ng the information, I certify nder penal y of law tha4 I have personally xamined a d am familiar with the information ubmitted a d believe the information is true, ccurate, an complete. >ignature Da e ~ O ~5~~ -1- 03/10/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~' i - SECTION 1: Business Plan and Inventory Program • - Prevention Services H e R S F, 0 900 Truxtun Ave., Suite 210 -- - --- FRE Bakersfield, CA 93301 ARTM T Tel.: (661) 326-3979. Fax: (661) 872-2171 FACILITY NAME N n ern INSPECTIO DA E ~ o INSPECTION TIME v ADDRESS P NE O NO OF EMPLOYEES ~ D ~~Jy FACILITY CONTACT /~ uC Gtr' ~ ~,, v J r6 J 6_ ~ BUSINESS ID NUMBER 15-oz1- ,~36~ • • Section 1: Business Pfan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND I.L' ^ BUSItIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ( ~ ^ VERIFICATION OF INVENTORY MATERIALS - / Lfd ^ VERIFICATION OF QUANTITIES ~ ~D06 J Ild ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~\ [ ~ ^ VERIFICATION OF HAZ MAT TRAINING , _ ,/ Lie ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C(V ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED I~" ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SIT/E? ~^~YES ^ NO EXPLAIN: ~/~ ~O~% ~~ --f/_7~--~~ nnr-ou~a QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 • ~ / ~ ~ Inspe or (Please Print) Fire Prevention / 151 In !Shift of Site/Station # Business Site /Responsible a y (Ple a rint) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05