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Home My WebLink AboutBUSINESS PLAN 4/6/2001' - -- - ~~ ~ AT&T-- Mobility.-Myr#le-& .Brundage G_ ~~ - - -- - - ---- 2821 Brundn a Ln -- f ~ ~~~ - i' UNIFIED PROGRAM CONSOLIDATED FORM ,' p, FACILITY INFORMATION ~ I~(~\ BUSINESS OWNER/OPERATOR IDENTIFICATION ~~ Pa e 2 of 2 I. IDENTIFICATION FACILITY ID # t BEGINNING DATE too. ENDING DATE tot. (Agency Use Only) 02101 /2007 02/01/2008 BUSINESS NAME (Same asFACILlTYNAME) s. BUSINESS PHONE 102 AT~T Mobility -MYRTLE AND BRUNDAGE (33537) (425) 580-4902 BUSINESS SITE ADDRESS to3. 2821 BRUNDAGE LANE CITY toa ZIP CODE tos. BAKERSFIELD 93304 DUN & BRADSTREET 106 SIC CODE (4 digit #) t07 10-202-6754 4812 COUNTY tos. Kern BUSINESS OPERATOR NAME tog. BUSINESS OPERATOR PHONE t to. AT&T Mobility 425 580-4902 ext. NESS OWNER OWNER NAME t t t. OWNER PHONE t tz. New Cingular Wireless PCS, LLC 425 580-4902 ext. OWNER MAILING ADDRESS t t3. P O Box 97061 CITY tta. STATE tts. ZIP CODE tt6. Redmond WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE tts. Debra Okano 562 468 - 6495 ext. CONTACT MAILING ADDRESS tt9. 12900 Park Place Drive, 3`d Floor CITY tzo. STATE tit. ZIP CODE tzz. Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME t23. NAME tzs. Debra Okano Wireless Network Control Center TITLE 124 TITLE tzv. Network Manager, Compliance Control Center BUSINESS PHONE tzs. BUSINESS PHONE ~ t3o. 562 468 - 6495 ext. 800 832-6662 ext. 24-HOUR PHONE* 126 ~ t3t. 24-HOUR PHONE* 949 338 - 8434 ext. I 800 832-6662 ext. PAGER # 127 t32. PAGER # NIA ~ N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: t33. L ~ Billing Address: P O Box 97061, Redmond, WA 98073-9761 J Property Owner: New Cingular Wireless PCS, LLC - DBA: AT&T Mobility Phone No.: (425) 580-4902 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNA 'OF OWNER/OPERAT R DESIGNATED REPRESENTATIVE DATE t3a. ~-Lgl~ a NAME OF DOCUMENT PREPARER 135. Steven Y Jin NAM SI NER (print) 136. TITLE OF SIGNER 137. Sian Wiltshire Environmental Com liance S ecialist UN-020 - 4/17 www.unidocs.org Rev. 07/24/06 ~- J ~,. - ---,' AT&T MOBILITY-MYRTLE&BRUNDAGE Manager DEBRA OKANO Location: 2821 BRUNDAGE LN City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: ~~ ~~ SiteID: 015-021-003344 .BusPhone: (425) 580-4902 Map 123 CommHaz Extreme Grid: 01A FacUnits: 1 AOV: SIC Code:4812 DunnBrad:10-202-6754 Emergency Contact / Title Emergency Contact / Title DEBRA OKANO / NETWORK MANAGER WIRELESS NETWORK / CONTROL CENTER Business Phone: (562) 468-6495x Business Phone: (800) 832-6662x 24-Hour Phone (949) 338-8434x 24-Hour Phone (800) 832-6662x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact DEBRA OKANO Phone: (562) 468-6495x MailAddr: 12900 PARK PLACE DR 3RD FLR State: CA City CERRITOS Zip 90703 Owner- NEW CINGULAR WIRELESS PCS LLC Phone: (425) 580-4902x Address PO BOX 97061 State: WA City REDMOND Zip 98073-9761 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT V `~~ ~' ~ d ~~ d ~c~ >c1~~ ~=d on my inquiry of those individuals ,~NTD responsible far obtaining the information I certif ~ ~ , y ~ ~ g under penalty of law that I h i ave personally examined d e7 ,~~~~ an am familiar with the information sui:~mitted and believe the information is true accurate, and complete. , ~ ~ ('/'~~~ Signature D t ~~ a e -1- 02/21/2007 =~~ F AT&T MOBILITY-MYRTLE&BRUNDAGE SiteID: 015-021-003344 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE ELECTRONIC STORAGE BATTERY E F P F IH IH L S 250.00 576.00 GAL LBS Hi Low -2- 02/21/2007 -3- 02/21/2007 t, 7~ F,AT&T MOBILITY-MYRTLE&BRUNDAGE SiteID: 015-021-003344 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CELL SITE CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture T Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 250.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Propane Yes 74986 nt~~tuu~ r~~~~a~i~i~ly 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ELECTRONIC STORAGE BATTERY Location within this Facility Unit INSIDE CELL SITE STATE TYPE ~- PRESSURE Solid Mixture I Ambient 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 18.00 LBS 576.00 LBS 576.00 LBS n1.Gt1tt1JV U J ~.vl~irviv ~lv t ~ °sWt. RS CAS# 7.00 Sulfuric Acid (EPA) No 7664939 59.00 Lead No 7439921 riHGtitCL l~w7J~~~71~1~1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low -4- 02/21/2007 F AT&T MOBILITY-MYRTLE&BRUNDAGE SiteID: 015-021-003344 ~ Fast Format ~ ~ Not'if./Evacuation/Medical Overall Site ~ Agency Notification Employee Notif./Evacuation P,~ ""' ` ru.l~iic: Ivc~Li= . ~ rvacuazion P~ ~"" "~~```'` r,tltCLyC11C:y 1~1CU1Cd1 Y1dI1 -5- 02/21/2007 r ~' FAT&T MOBILITY-MYRTLE&BRiJNDAGE SiteID: 015-021-003344 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ lc~l~ds~ -rtev~ll~.LC~11 _. -- ~~~ Release Containment ~,~,~` .l.l Cdll lJ~l - • ~~/~~c~ V 1.11C1 1CC.7-VUL C:C LiC:~l.1 Vdl.1 V11 -6- 02/21/2007 .~ r ' F AT&T MOBILITY-MYRTLE&BRUNDAGE SiteID: 015-021-003344 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special Hazards Utility Shut-Offs -- - : ~ ~ , ril.c rtva.c ~.. ~ ravarl rva~Ct D4L11lAllly Vl. l: u~JGilll~y LCVC1 -7- 02/21/2007 .i ~ ~ :r 1 F,AT&T MOBILITY-MYRTLE&BRUNDAGE SiteID: 015-021-003344 ~ Fast Format ~ ~ Training_ Overall Site ~ ~. L'LLI~J1VycC 11Q111111y :, rayc ~ nclu 1.U1 rul_.ulc U5C nclu 1V1 1'Ul.U1C UDC -8- 02/21/2007 USID: UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Pa elof_ I. FACILITY IDENTIFICATION FACILITY ID # 1 EPA ID # (Hazardous Waste Only) 2 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 AT&T Mobilit -MYRTLE AND BRUNDAGE (33537) II. 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 lete these a es of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazazdous 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 lan is re uired ursuant to 10 CFR Pazts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly swacs Forn A) 1. Own or operate underground storage tanks? ^ YES ®NO 5 UST TANK (one page per tank) (Formerly Forn B) 2. Intend to upgrade existing or install new USTs? ^ YES ®NO 6 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 (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^ YES ®NO 8 NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ^ YES ®NO 9 EPA ID NUMBER -provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? ^ YES ®NO 10 per recycler) 3. Treat hazazdous waste on site? ONSITE HAZARDOUS WASTE ^ YES ®NO 11 TREATMENT -FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (Formerly DTSC Forns 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for ^yES ®NO 12 CERTIFICATION OF FINANCIAL ~ Permit by Rule and Conditional Authorization). A$$I7RANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ®NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^yES ®NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 12x9) E. LOCAL REQUIREMENTS is (You tray also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page _ of _ I. IDENTIFICATION FACILITY ID# t BEGINNING DATE too ENDING DATE tot BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE toe AT&T Mobility- MYRTLE AND BRUNDAGE (33537) 425-580-4902 BUSINESS SITE ADDRESS to3 2821 BRUNDAGE LANE CITY too ZIP CODE tos CA BAKERSFIELD 93304 DUN & BRADSTREET 10G SIC CODE (4 digit #) toy 10-202-6754 4812 COUNTY tos Monterey BUSINESS OPERATOR NAME tog BUSINESS OPERATOR PHONE t to AT&T Mobility 425-580-4902 II. BUSINESS OWNER OWNER NAME t t t OWNER PHONE t 1z New Cingular Wireless PCS, LLC 425-580-4902 OWNER MAILING ADDRESS t t3 PO Box 97061 CITY tta STATE tts ZIP CODE u6 Redmond WA 98073 III. ENVIRONMENTAL CONTACT CONTACT NAME t t~ CONTACT PHONE t is Debra Okano 562-468-6495 CONTACT MAILING ADDRESS t tv 12900 Park Place Dr. 3rd Floor CITY tzo STATE tzt ZIP CODE tz2 Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME tz3 NAME tzs Debra Okano Wireless Network Control Center TITLE tza TITLE tee Network Manager, Compliance BUSINESS PHONE tzs BUSINESS PHONE t3o 562-468-6495 800-832-6662 24-HOUR PHONE tz6 24-HOUR PHONE tat 949-338-8434 800-832-6662 PAGER # 127 PAGER # t3z ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNAT F OWNER/OPERATOR R D IGNATED REPRESENTATIVE t3a DATE NAME OF DOCUMENT PREPARER t35 / "(O ~ Nicholas Oswood NAME OF SIGN R (pnn 136 TI LE OF SIGNER 137 Sian Wiltshire Environmental Compliance Specialist UPCF (1/99) ' UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEM><cAL nESCRiPT><oN (one a e er material r buildin or area) ^ADD ^DELETE ®REVISE 200 Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 AT&T Mobilit -MYRTLE AND BRUNDAGE (33537) CHEMICAL LOCATION zol CHEMICAL LOCATION CONFIDENTIAL EPCRA zo2 In cell site ^ YES ® NO 1 MAP# (optional) 203 GRID# (optional) 20`1 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6 Lead (lead-acid batteries) If Subject to EPCRA, refer [o instructions COMMON NAME 207 zos EHS* ^ Yes ®No Lead Pb CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. 7439-92-1 FIRE CODE HAZARD CLASSES (complete ie regaired by Cl7PA) 210 HAZARDOUS MATERIAL 2tl TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 2Ia LARGEST CONTAINER 63 2I5 FED HAZARD CATEGORIES 2t6 (Check all [ha[ apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOiJNT 219 STATE WASTE CODE 220 380 380 N/A zzl 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. ABOVE GROUND 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 -Batteries ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 zz7 ^ Yes ^ No z2s zz9 2 .230 231 ^ Yes ^ NO 232 233 3 234 235 ^ 1'CS ^ NO 236 237 Q 238 239 ^ Yes ^ NO 240 241 g zaz za3 ^ Yes ^ No zaa 2a5 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight it carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 If EPCRA Please Si n Here UPCF (1/99) ' `~ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMicAL nESCR>IPTioN (one a e r material r buildin or area) ^ADD ^DELETE ®REVISE 20o Page _ of _ I. FACILITY INFORMATION ~ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 AT&T Mobilit -MYRTLE AND BRUNDAGE (33537) CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 In Cell Slte ^ YES ® NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^Yes ®No 206 Electrol to (lead-acid batteries) If Subject to EPCRA, refer to instructions COMMON NAME zo7 zo8 EHS* ^Yes ®No Electrol to sulfuric acid CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. 7664-93-9 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^Yes ®No 212 CURIES 213 PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 2 2t5 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 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 13 13 N1A 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. ABOVE GROUND 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 -Batteries ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 40-50 226 Sulfuric acid 227 ®Yes ^ No zz8 7664-93-9 229 2 50-60 230 Water 23l ^Yes ® NO 232 233 3 234 235 ^Yes ^ NO 236 237 Q 238 239 ^Yes ^ NO 240 241 5 za2 za3 ^Yes ^ No 244 gas If more hazardous components are present et 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 2a6 If EPCRA Please Si n Here UPCF (1/99) ' ~' + NEXTEL CA-0651 ______________________________________ SiteID: 015-021-002393 + JovtgFhah Plede-~2Y 916 x-16 --2~g~ Manager ~B-ii~i~L BusPhone : ( ""'' ; " : _ -.. 3 3 Location: 2821 BRUNDAGE LN Map 102 CommHaz Low City BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BFD STA 03 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / TitleElaSSp2~ LOCAL OPERATION CTR / NORTHERN CA B~ PQ6IIPQX~o„ / Business Phone: (800) 251-6769x Business Phone: (~z?_ ~60- 24-Hour Phone ( ) - x 24-Hour Phone (53 ~~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: g~'~'"3~~-q'4'S~ Contact ------------------------------'-----------Phone: (9..~`-~~ `~~~----+ +--------- s'v'vx Qau,l 1'axbv~ ca~yAddr . Ex b1i~X~ G~iVIOt PgAr• It r~ ~~ 1~~ z ipte ~ ~~ G fo 2 S 1 Owner NEXTEL ~`°"""M"ITT'""°~^'s~,.Tr-p~.CGll~borniQ, lie. Phone: (925) 279-2300x D T [ Tl"Y, O !1 A Address ~~55 ~~~~ 6ggo Spin} Pkwy ~5B822state : ~ KS City bl~t,¢x'la~ Po~X'k Zip n wit ~~o•LS f +------------------------------------------------------"---------------7---------+ Period to TotalASTs: = Gal Preparer : Sara C~a- x13-315 " ~6 Zg' TotalUSTs : = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT pout R~-x ~-ok ur SourQ Cr a~t~V~ CONTACT $`H--~i'~L FOR HAZMAT'INVOICES, BILLS, OR INSPECTIONS. Based on my inquiry of those individuals E~T-D responsibie for obtaining the information, 1 certify ~~ /1 under penalty of law that 1 have personally - ~ ~~ examined and am familiar with the information submitted and believe the information is true, D06 accurate, and complete. Signature Date -1- 03/02/2006 UNIFIED- PROGRAM INSPECTION CHECKLIST! SECTION 1: Business Plan ~~ ~~ m~== ~m-~~Tmm " and Inventory Program Prevention Services B E R S F, D 900 Truxtun Ave., Suite 210 --- F/RE Bakersfield, CA 93301 ARTM r .Tel.: (661) 326-979 Fax: (661) 872-2171 FACILITY NAME r /~~~ ~~~ U INSPECT ON DA E t ~ Z~ o ~ INSPECTIO/N~TIME ~ `., ADDRESS Z~ ,2un/D N~ PHONE NO. ~1i6 - ~!/~- 2~a NO OF EMPLOYEES - - FACILITY CONTACT - ~ /(O~~"f ' '"- ~I J USINESS ID NUMBER 15-021- ~ b 23 Section 1: Business Plan-.and Inventory Program ~"7 (/J OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENT S ~^ APPROPRIATE PERMIT ON HAND ~ ~^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS t 1 ^ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ' ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING J IG ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS W-'A(STE ON SITE? 2 C ^YES ^,,NO/ ~i rn ~~ ~~/Q('~ n~rVVIJ EXPLAIN: ' `!`~~n>!i1M 1 , ~ Q_i~~id~/t/ 'l~~"K/ ~ ~~ f (J 1 Z 1~ C,'Yz (e co QUESTIONS REGARDING T INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~ ~~ ~ ~ ~~ Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Business Site I Responsibl Party (Please Print) en (~ v White -Prevention-Services - Yellow -Station Copy ~ Pink -Business Copy FD 2155 (Rev. 09/05 C] UNIFIED PROGRAiVI INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ~AKERSFIELD FIRE DEPT s P D Prevention Services rilt~ 900 TYuxtun Ave., Suite 210 ~~rM r Bakersfield, CA 93301 ~' Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTI N DA E INSPECTION TIME ~.d'Y ADDRESS HONE NO OF EMPLOYEES 1 z _~ ~ sa FACILITY CONTACT INESS ID UMBER 15-021- (j'~ 23~ 3 Section 1: Business Plan and Inventory Program OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C C V (c=compliance OPERATION V=Violation COMMENTS ~ ^ APPROPRIATE PERMIT ON HAND .(~. ^ BUSInt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS I~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY Ia' ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: AYES ^ NO •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ (e ~ ~. Inspector (Plea a Print) Ire Prevention / 1sl In / Shift of Site/Station # Business SI chool Site Responsible Party (Please Print) ~~ ( I White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) Y, ~~ ~- NEXTEL CA-0651 SitelD: 015-021-002393 Manager JONATHAN BIEDERER Location: 2821 BRUNDAGE LN City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (916) 859-4252 Map 102 CommHaz Low Grid: 36C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title LOCAL OPERATION CTR / NORTHERN CA PAUL PAXTON / E H&S SPECIALIST Business Phone: (800) 251-6769x Business Phone: (760) 476-4449x 24-Hour Phone (800) 251-6769x 24-Hour Phone (800) 251-6769x Pager Phone ( ) - x Pager Phone (949) 278-9582x Hazmat Hazards: Contact PAUL PAXTON Phone: (760) 476-4449x MailAddr: 12657 ALCOSTA BLVD 300 State: CA City SAN RAMON Zip 94583 Owner NEXTEL OF CALIFORNIA INC Phone: (800) 251-6769x Address 6480 SPRINT PKWY 5B822 State: KS City OVERLAND PARK Zip 66251 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT CONTACT PAUL PAXTON OR SARA CRAFTON FOR HAZMAT INVOICES, BILLS, OR INSPECTIONS. ENT°~ ~ ~ f~ ~ 7 ~Q07 Based on my inquiry of those individuals respor:siliie for obtaining the information, f cr rtify under penalty of iabr that i have persona.ily examined and am familiar v~rith the information submitted and believe the information is true, accurate, and complete. Signature Date -1- 07/12/2007 ,: ~, ~ NEXTEL CA-0651 SiteID: 015-021-002393 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP LEAD ACID LEAD ACID BATTERIES BATTERIES S L 1003.00 152.00 LBS GAL Low Low -2- 07/12/2007 ~, -3- 07/12/2007 ,r F NEXTEL CA-0651 SiteID: 015-021-002393 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ ...........~ .__ ..~ ...~_~....~ r_ - _t„ ..~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 100.00 LBS 1003.00 LBS 1003.00 LBS ru~~r-~rcL~u~ 1..V1~lYV1V~1V1~ oWt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 60.00 Lead No 7439921 t1L-1GHtCL E1~~~~ai~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 GAL 152.00 GAL 152.00 GAL ritiGl~tCLVUw7 1,V1~lYV1VL"1V 1.7 oWt. RS CAS# 34.00 Sulphuric Acid No 7664939 34.00 Lead No 7439921 31.00 Lead (II) Oxide No 1317368 1.00 Lead (II) Sulfate and Mixtures thereof No 7446142 nt~at~tc.u t~~ar.~~l~ir~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 07/12/2007 STATE T TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Solid V Mixture I Ambient ~ Ambient OTHER - SPECIFY STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid MixtureAmbient ~ Ambient OTHER - SPECIFY F NEXTEL CA-0651 SiteID: 015-021-002393 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/20/2006 ~ ALL FIELD TECHNICIANS AND NEXTEL COMMUNICATIONS CONTRACTORS ARE TRAINED IN THE FOLLOWING PROCEDURES: TAKE THE EMERGENCY PLAN, EXIT AND SECURE THE FACILITY. FIRST RESPONDER AWARENESS LEVEL TRAINING. EXTERNAL EMERENCY RESPONSE ORGANIZATION NOTIFICATION. REFER TO THE HAZARDOUS MATERIALS DISCLOSURE INFORMATION AND BUSINESS EMERGENCY PLAN FOR ASSISTANCE. REPORT ANY PROBLEMS THAT THEY MAY OBSERVE. REPORT ANY RELEASE OF CHEMICALS TO THE NC IMMEDIATELY. Employee Notif./Evacuation 04/20/2006 ALL FIELD TECHNICIANS AND NEXTEL COMMUNICATION CONTRACTORS ARE TRAINED IN THE FOLLOWING PROCEDURES: THERE ARE FEW PERSONS WHO HAVE REASON TO VISIT THIS FACILITY. IT IS NOT ACCESSIBLE TO THE GENERAL PUBLIC AND ONLY PERSONNEL WHO HAVE BEEN ISSUED KEYS HAVE ACCESS TO THE AREAS WITH ANY POTENTIAL CHEMICAL HAZARDS. ALL PERSONNEL THAT HAVE ACCESS TO THIS FACILITY ARE TRAINED IN ALL OF THE HAZARD COMMUNICATION AND FIRST RESPONDER REQUIREMENTS AND THEY ARE INSTRUCTED AS FOLLOWS: EVACUATION/RE-ENTRY PROCEDURES & ASSEMBLY POINT LOCATIONS. FIRST RESPONDER AWARENESS LEVEL TRAINING. TAKE THE EMERGENCY PLAN, EXIT AND SECURE THE FACILITY. FACILITY SITE CONTROL AND EVACUATION DRILLS, WHICH ARE CONDUCTED ANNUALLY OR WHEN A FACILITY EVACUATION OPERATION, POLICY, OR PROCEDURE IS MODIFIED IN THE t'UiJl ll: 1VV 1.11. ~ P~Vd1:Udl. 11)11 -5- 07/12/2007 F NEXTEL CA-0651 SiteID: 015-021-002393 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Emergency Medical Plan -6- 0~/12/200~ F NEXTEL CA-0651 SiteID: 015-021-002393 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ 2Ce1Cd~5'C YZCVC11l.1Ui1 Release Containment Clean Up 04/20/2006 BEFORE FACILITY OPERATIONS ARE RESUMED IN AREAS OF THE FACILITY AFFECTED BY THE INCIDENT, THE FACILITY TECHNICIAN SHALL: PROVIDE FOR PROPER STORAGE AND DISPOSAL OF RECOVERED WASTE, CONTAMINATED SOIL OR SURFACE WATER, OR ANY OTHER MATERIAL THAT RESULTS FROM AN EXPLOSION, FIRE, OR RELEASE AT THE FACILITY. ENSURE THAT NO MATERIAL THAT IS INCOMPATIBLE WITH THE RELEASED MATERIAL IS TRANSFERRED, STORED, OR DISPOSED OF IN AREAS OF THE FACILITY AFFECTED BY THE INCIDENT UNTIL CLEAN-UP PROCEDURES ARE COMPLETED. ENSURE THAT ALL EMERGENCY EQUIPMENT IS CLEANED, FIT FOR ITS INTENDED USE, AND AVAILABLE FOR USE. NOTIFY THE CALIFORNIA ENVIRONMENTAL PROTECTION AGENCY DEPARTMENT OF TOXIC SUBSTANCES CONTROL, THE HAZARDOUS MATERIALS COMPLIANCE DIVISION, AND THE LOCAL FIRE DEPARTMENT HAZARDOUS MATERIALS PROGRAM THAT THE FACILITY IS IN COMPLIANCE WITH REQUIREMENTS ABOVE. DECRIBE PROCEDURES FOR IMMEDIATE INSPECTION, ISOLATION, AND SHUT-DOWN OF EQUIPMENT OR SYSTEMS THAT MAY BE INVOLVED IN A HAZARDOUS MATERIALS RELEASE OR THREATENED RELEASE. -7- 07/12/2007 F NEXTEL CA-0651 SiteID: 015-021-002393 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Other Resource Activation -8- 07/12/2007 r.. F NEXTEL CA-0651 SiteID: 015-021-002393 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JjJC 1.10.1 nac.al ua Utility Shut-Offs .. L'1LC ttVLC1..~t'~V Gill. V~IQ I.CL Building Occupancy Level 04/20/2006 UNMANNED SITE -9- 07/12/2007 ±' - : rte. F NEXTEL CA-0651 SiteID: 015-021-002393 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/07/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES MUST PARTICIPATE IN AN ONGOING TRAINING PROGRAM THAT ADDRESSES PROPER HAZARDOUS MATERIALS HANDLING AND EMERGENCY RESPONSE PROCEDURES. NEW HIRES MUST RECEIVE INITIAL TRAINING AND EXISTING EMPLOYEES MUST RECEIVE ANNUAL REFRESHER TRAINING. rctyC a nciu ivi ru~..uic vac Held for Future Use -10- 07/12/2007 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Pa e 2 of 10 I. IDENTIFICATION FACILITY ID # 1. BEGINNING DATE 100. ENDING DATE io1. (Agency Use only) - 9/18/2007 9/18/2010 BUSINESS NAME (Same asFwCn.TTi NAME) 3. BUSINESS PHONE t°2. Sprint Nextel Cell Site CA0651 (877) 347 4457 opt 6 BUSINESS SITE ADDRESS 103. 2821 Brundage Ln CITY 104 CA ZIP CODE tos. Bakersfield 93304 DUN & BRADSTREET , 106 SIC CODE (4 digit #) 10~. 00-694-2395 4$12 COUNTY ios. Kern BUSINESS OPERATOR NAME io9. BUSINESS OPERATOR PHONE uo. Sprint Nextel Corporation 877 347-4457 ext. 6 II. BUSINESS OWNER OWNER NAME t 11. OWNER PHONE 11z. Sprint Nextel Corporation (913) 315-8616 ext. OWNER MAILING ADDRESS ~ 113. 6480 Sprint Parkway, KSOPHM0516-56872 CITY 11a. STATE 115 ZIP CODE i16. Overland Park KS 66251 III. ENVIRONMENTAL CONTACT CONTACT NAME 11z CONTACT PHONE 118 California EHS Specialist 877 347-4457 ext. 6 CONTACT MAILING ADDRESS 6480 Sprint Parkway, KSOPHM0516-56872 CITY 120 STATE 121. ZIP CODE 1z2. Overland Park KS 66251 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123. NAME lzs. Environmental Surveillance Team Environmental, Health & Safety Help Line TITLE 124 TITLE 129. Network Engineer Environmental, Health & Safety Help Line BUSINESS PHONE 125. BUSINESS PHONE 130. (866) 400-6040 (877) 347-4457 24-HOUR PHONE* 1z6. 24-HOUR PHONE* 131. (866) 400-6040 (877) 347-4457 PAGER # 127 PAGER # 132. n/a n/a ADDITIONAL LOCALLY COLLECTED INFORMATION: 133. Billing Address: 6480 Sprint Parkway, Overland Park, KS 66251, KSOPHM0516-56872 Email: EHScompliance@sprint.com Phone No.: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiaz with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OPE R OR SIGNA D REPRE TATIVE DATE t3a. NAME OF DOCUMENT PREPARER i35. 9/18/07 Chad LaMacchia NAME OF SIGNER (print) 136. TITLE OF SIGNER 139. Chad LaMacchia Staff Scientist * See Instructions on next page.