HomeMy WebLinkAboutBUSINESS PLAN_ 7 _
C I -_________.____._ ji ___-__._ _. _ ~L
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~G= _ Verizon W-_ireless -=5tockdule_ _~
115 Buena Vistct Rd
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F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360
Manager MARK IVERSON
Location: 115 BUENA VISTA RD
City BAKERSFIELD
BusPhone: (661) 664-5601
Map 122 CommHaz High
Grid: OlA FacUnits: 1 AOV:
CommCode: BFD STA 15
EPA Numb:
SIC Code:4812
DunnBrad:88-463-8305
Emergency Contact / Title Emergency Contact / Title
MARK IVERSON / O PS 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~Cr3-~x
Pager Phone ( ) - x Pager Phone ( ) -(p~~x
Hazmat Hazards: Fire ImmHlth DelHlth
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
PROG T - ABOVEGROUND STORAGE TANK ~IY I rD J U ~, ~ Q 2001
CALL MARK IVERSON, 203- 3205, FOR INSPECTIONS.
Da"r=c~ en mY inquiry of those inrJivic;uals
rest:?;ssib!e for obtaining the info
rmation, I certify
under I~enaliy of lad^t t!~at I have
personally
Examine ,and arn. familiar with the inform
ti
b
su
a
on
m~tt; :J and believe the information is true,
accuratE and complete.
S' 7~~/
ignature 7
Date
-1- 07/16/2007
'" _;
{,
F VERIZON WIRELESS - STOCKDALE
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-003360 ~
By Facility Unit ~
Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ELECTRIC STORAGE BATTERY F IH S 4252.80 LBS Hi
ELECTRIC STORAGE BATTERY F IH L 99.84 GAL Hi
DIESEL #2 F IH DH L 200.00 GAL Low
-2- 07/16/2007
'1.
.~
-3-
07/16/2007
F VERIZON WIRELESS -• STOCKDALE SiteID: 015-021-003360 ~
~ 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 TMixture ~ Ambient ~ Ambient OTHER - SPECIFY
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
88.60 LBS 4252.80 LBS 4252.80 LBS
IIHGHICLV U.7 1.V1~lYV1V~1V 1 ~
~Wt. RS CAS#
79.00 Lead No 7439921
riHGHiCL 1j~~tS~~1~1~1V-1~
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#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.08 GAL 99.84 GAL 99.84 GAL
nnc~n~cLVUJ ~.vl•1rv1v1J1v1J
sWt. RS CAS#
14.00 Sulfuric Acid (EPA) No 7664939
L1tiL~ti1CL HJ JL' JJ1.1L' 1V 1 J
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 - STOCKDALE SiteID: 015-021-003360 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
DIESEL #2 Days On Site
365
Location within this Facility Unit Map: Grid:
AST CAS#
68476-34-6
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION -
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 50.00 GAL
I1HL~EiJ,CLVUJ l.Vl~lYUlVA1Vl~
%Wt. RS CAS#
100.00 Diesel Fuel No. 2 No 68476346
t11iG1-1[tL HJ JL~551~1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-5- 07/16/2007
r_ -1
. +
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
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.
P~lll~llCJyCC 1V CJl,1L / ~VdCUdG1OI1
Public Notif./Evacuation
~u~ciyoiiuy 1"1CU1Ud1 Y1di1
-6- 07/16/2007
_ r,
~ 1;
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/09/2007 ~
BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED
24-HRS PER DAY BY THE LOCAL SWITCHING STATION. DIESEL FUEL IS DOUBLE-WALLED
CONTAINMENT AND IS ALSO MONITORED BY LOCAL SWITCHING STATION. BOTH ARE
INSPECTED ONCE PER MONTH BY SITE TECH.
Release Containment
03/09/2007
DOUBLE-WALLED FUEL TANK. CONTAINMENT OF ANY SPILL IS MADE BY A POLYETHLENE
LINER UNDER 3 TO 6" OF CRUSHED STONE WHICH SURROUNDS THE BLDG AND GENERATOR
LOCATIONS.
Clean Up 03/09/2007
INTERNATIONAL TECHNOLOGY CO 800-262-1900
v~..iici i~covui~.c Al..l.1V0.1.1V11
-7- 07/16/2007
._~ i,
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
oNc~.iai nac~aiu5
Utility Shut-Offs 03/09/2007
ELECTRICAL - E SIDE OF BLDG
Fire Protec./Avail. Water 03/09/2007
1 HALON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS.
Building Occupancy Level 03/14/2006
UNMANNED SITE
-8- 07/16/2007
;~ .,
,,
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 03/09/2007 ~
MSDS SHEETS ON FILE.
rciyC G
Held for Future Use
Held for Future Use
-9- 07/16/2007
~, ..
VERI~ON WIRELESS - STOCKDALE
Manager MARK IVERSON
Location: 115 BUENA VISTA RD
City BAKERSFIELD
CommCode: BFD STA 15
EPA Numb:
~a 3hn
SiteID: 015-021-003360
BusPhone: (661) 664-5601
Map 122 CommHaz High
Grid: OlA FacUnits: 1 AOV:
SIC Code:4812
DunnBrad:88-463-8305
Emergency Contact / Title Emergency Contact / Title
MARK IVERSON j OPS MANAGER NETWORK OPERATION S / 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 DelHlth
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
PROD T - ABOVEGROUND STORAGE TANK
CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. ~N~t
U ~~
~~~7
Based on my ir:quiry of those individuals
the information, f certify
i
`
ng
.aEn
respensib;° for ob
enalty o•~ law that f have personally
d
er p
un
amined and am familiar wish the information
e
ex
,
submitted and believe the information is tru
• accurate, and complete.
Date
n~
~~
' nature
Srg
-1- 02/20/2007
F VERIZON WIRELESS = STOCKDALE
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-003360 ~
By Facility Unit ~
Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ELECTRIC STORAGE BATTERY F IH S 1608.00 LBS Hi
ELECTRIC STORAGE BATTERY F IH L 636.00 LBS Hi
DIESEL #2 F IH DH L 200.00 GAL Low
`'1til'I~'15~1N Y~~~ I~U~~
(~`6~
-2- 02/20/200
-3- 02/20/2007
F VERIZON WIRELESS - STOCKDALE
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
ELECTRIC STORAGE BATTERY
Location within this Facility Unit
SEALED BATTERY CASE
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid Mixture Ambient Ambient OTHER - SPECIFY
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
134.00 LBS 1608.00 LBS 1608.00 LBS
tu~Gt~ttLVU~ ~urirviv~ivla
%Wt. RS CAS#
75.00 Lead No 7439921
tir~~r~tcL r~~a~~~i~i~iv l a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / Hi
~ Inventory Item 0001
SiteID: 015-021-003360 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
Facility Unit: Fixed Containers at Site ~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
53.00 LBS 636.00 LBS 636.00 LBS
nr~~rjrcLVU~ ~vriruivr;ly 1
%Wt. RS CAS#
15.00 Sulfuric Acid (EPA) No 7664939
t1HGHtCL 1-~b.7iS.7.~1~1L' 1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / Hi
-4- 02/20/2007
Liquid TMixture~ Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
DIESEL #2 Days On Site
365
Location within this Facility Unit Map: Grid:
AST CAS#
68476-34-6
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture~Ambient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 50.00 GAL
HAZ
ARDOUS COMPONENTS
%Wt• RS CAS#
100.00 Diesel Fuel No. 2 No 68476346
rit~t~tiRL tiJ JL~J J1.1L~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-5- 02/20/2007
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
Agency Notification
Employee Notif./Evacuation
r U!/111. LYV V11 . ~ L' VQ\.. I.LQ {,.1 V11
~u-c1:yCllc:y 1"1CUlUd1 Y1di1
-6- 02/20/2007
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
Release Prevention.
_~ _ _ ---
ncica~c ~.Vll~.ailui~cil~.
t.1 CGLll V~J
v 1.11C 1. iCC~V Ul_C:C L~U l.1Vdl.1UII
t -7- 02/20/2007
F VERIZON WIRELESS
STOCKDALE
~ Site Emergency Factors
rt~. , - ~-- ^~---~
015-021-003360 ~
= Fast Format ~
= Overall Site ~
02/20/2007
,, :.,
F VERIZON WIRELESS - STOCKDALE SiteID: 015-021-003360 ~
Fast Format ~
~ Training___ _ _ Overall Site ~
~ Employee Training
rayc c.
Held for Future Use
ncl.u tvi ru~.uic vac
-9- 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:I. ' FACILITY.:INFORMATION. '
BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) 3.
Verizon Wireless - Stockdale
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202_
Sealed Bane Case ^ YES ®NO
FACILITY ID # ~ 1. MAP # 203. GRID # zoo.
(Agency Use Only)
,IL CHEMICAL INFORMATIO N
CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zob.
Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPC1tA, refer to instructions
COMMON NAME zo7. zos.
EHS* ^ Yes ®No
Electric Stora a Batte
CAS# 209.
*If EHS is "Yes," all amow3ts below must be in lbs.
See Below
FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210.
Acute/Chronic H=3, F=O, R=1
HAZARDOUS MATERIAL
^ a. PURE ®b. MIXTURE ^ c. WASTE 2t 1.
RADIOACTIVE ^ Yes ®No 212. 213'
CURIES
TYPE (Check one item only)
PHYSICAL STATE
21 a.
(Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215'
LARGEST CONTAINER 88.6 Ibs
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 21s. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220.
4252.80 lbs 4252.801bs 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 ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER
^ a 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 22a.
STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225.
WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
t. 79 226. Lead/ Lead Compound 2z7. ^ Yes ®No zzs. 7439-92-1 229.
2., 230. 231. ^ YeS ^ NO 232. 233.
3. 234. 23 s. ^ YaS ^ NO 236. 237.
4, z3s. 239. ^ Yes ^ No zoo.
za1.
5. 2az. za3. ^ Yes ^ No zaa. gas.
If more hazardous components are present at greater than I % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION zab.
DOT Hazard Class:
Batteries NorthStar NSB 170FT Electrolyte and Lead Chemical sheets are for the same battery product.
If EPCRA, Please Sign Here.
UPCF hw12731(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
` T. FACILITY;'INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) 3.
Verizon Wireless-Stockdale
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz.
Sealed Batte Case ^ YES ®NO
FACILITY ID # 1 MAP # 203 GRID # zoo.
(Agency Use Only)
II. CHEMICAL INFORMATIO N
CHEMICAL NAME 205 TRADE SECRET ^Yes ®No zo6.
Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to insWC[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=1
HAZARDOUS MATERIAL
^ a. PURE ®b. MIXTURE ^ c. WASTE 21 t.
RADIOACTIVE ^Yes ®No 212. 213.
CURIES
TYPE (Check one item only)
PHYSICAL STATE
zla.
(Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215.
LARGEST CONTAINER 2.08 gals or 23.20 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 217. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 2z°.
99.84 als or 1113.60 lbs 99.84 als or 1113.60 lbs 0 N/A
221. DAYS ON SITE 222.
UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365
Check one item onl • [f 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
^ c. 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. 14 226. Electrolyte (Sulfuric Acid) zzz ®Yes ^ No z2g. 7664-93-9 zz9.
2, 230. 231. ^YCS ^ NO 232. 233.
3, 234. 235. ^YCS ^ NO 236. 237.
4, 238. 239. ^ YCS ^ NO 240. 241.
5, zaz. 243. ^Yes ^ No zaa. zos.
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:
NorthStar NSB 170FT Electrolyte and Lead Chemical sheets are for the same battery product.
If EPCRA, Please Sign Here.
UPCF hwf2731(1/99) -1/2 http://www.unidocs.org Rev. 04/17/00
~~nso~ia~te~ ~r~~i~gencv ~[a
Maxardous Materials Division
- _
Waste & Underground Storage Tanks
FACILITY IDENTIFICATION /OPERATIONS OVERVIEW
BUSINESS NAME ~ ~ FA LITY ID # DATE
Verizon Wireless -
~ BUSINESS ADDRESS
I~I~~t ~~~, ~, ~~ ~~~`k~~~~ ~,~c~ q~~~ ~
Check elements covered try this consolidated plan: ! '
Haz
d
s`M
t
i
l
~ ` q 't
° ~~ H
z
d
u
W
t
^
nd Stora
e Tanks ^
Und
o
ar
ou
a
er
a
s o
a
ar
s
as
e ergr
u
g
`} Supplemental elements submitted:
~ ~~ ~'~ '' UST Written Monitoring Plan ^
r
U NE e.g. pa nt ng contractor ,~ ~- e.g. eet ma ntenance
Wireless Telecommunications un-staffed faciliry;~shelter,`and/or cabari'ets
~ D EVE ER D B e.g. c em ca spa s, ire, ea qua e, etc -
_ '~s
OSHA -EPA Hazard Communication Standard
EMERGENCY COORDINATOR & ON-SITE TECH ADVISORS /INTERNAL-RESPONSE
Identify your Emergency Coordinator & On-site Technical Advisors:
Name /Position: NOCC -Network Operations Control Center
Emergency Coordinator: Address: 255 Parkshore Drive, Folsom, CA
ay` NOCC 800-264-6620 Or er °Om' NOCC 800-264-6620
Must have the authority to classify the Phone #s:
682-264-6620 Or 682-264-6620
release, make management decisions, &
determine appropriate response Responsible for: spill prevention ^ c~ ~~ diny acll ty rc~ under, f.
..._....._........_..........__.....__......_.__-......_..~_............___.._._.._ _. ~....._..._............
(check all that apply) emergency assessment / authorizin sill res once work
^ 9 P P ^
^
P
n i
-
it
®
ll ana9ement---~.._._.____......._...______.._.._... ....~..............__._.............~......_......_.._......_._..._._ ............................._...
f
h
bli
I
i
i
d
erso
s:
on
s
e or
on-ca
~ pu
c emergency respon
nter
ac
ng w
t
ers
Initiating alarms ^
..
.
.
L
J
_
._
....
. _._~_.__._..._.._....._...._...~.._.............-..........._........_
...
......._..._._. ___._~
ageniy nofifcat'ion
~~ Alternate # 1 (INSPECTIONS) Alternate # 2
., (CORRESPONDENCE & BILLING
Name / Position: Mark Iverson, Operations Shawn Stacey
_.Manager
Address: 255 Parkshore Drive
Alternate Emergenry Coordinators:
ci~~ ............_......._.__.._._ ................_..__..__.-----.-----._._.-..-. _._......._..-_..__.._..._.._........._............___.........._......._....._......__.._....
Folsom
List In order of responsibiliky. ~ ..--.--.~-.__........_..__.....~_...__........-.-.---.--._._...__ ..... .........___....._.__._.._..___.......-.._.._..._......_...__._........._............._._.._..........
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 or ®on-call
"~
On-Site Technical Advisors Owner: Su ervlsor:
P
(Avai3able to ixovide site-specific technical advice
to off site emergenry responders) Manager: Other: Un-Staffed faClll /shelter /cabinets
i, Identi
fy pe of internal response:
~. ^ Internal facility Team Mem ers name or position : Responsi i itles:
response team
(,aktach additional pages if' needed:
Options:
indicate an attachment by
checking
~ 1. Refer to the enclosed Haz-Mat Business Plan Additional Information.
l
tFt~' x
h
1,, ~c
ecr "''" 3
~
~
~i I Name:
Onyx Special Services Descri a ro a responsl i ities:
Spill response
rx~rc
~~
®Contractor
..
a Tess: - ~- -~-~-----~----------_._._...._. ,
clean up, and hazardous material
p ~~~=4f)8_~~aa -~..~___._._._.-------- disposal
^ Call public emergenry responders / 911
-1-
J ~~~~~E~~~~ ~~~~~~~~~~ ~~~
for Hazardous Materials, Hazardous bVaste & Underground Storage Tanks
Hazardous Materials Division
FACILITY IDENTIFICATION
.5 BUSINESS NAME • FACILITY ID # DATE
~
Verizon Wireless - ~ Cj
EMERGENCY COMMUNICATIONS /PHONE NUMBERS /NOTIFICATIONS
is Internal & External Emergency Communications
~~ 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
}~ c ec a t at app Y:
ver a warn ngs pub is a ress or ntercom system
INTERNAL facility emergency communications or ^
_. ~
alarm notification will occur via: _~__-.-_~--•...•.•__.._••••_____._•___•_.--. -.-.
®telephone ®pagers
~•
® alarm system ~ portable radlo
19 c iec all thak apply:
EXTERNAL notifications /communications to ^ verbal warnings-
^ public ~add~ress or irifercom-system
neighboring facilities that may be affected by an _ _ ____~ ~~ .
-•-•-• - -~• ~~
~~teleprione pagers
off-site release will occur by: ® ________.
.
~_•__.____.__.__
.
_..
. ~
. .
__
•__._••-
,
,
_
_. •
® alarm system -~ Porta era io
~~ Emergency Phone Numbers /Notification Lists
u r, i
° Bakersfield Police Dept. 911
- Bakersfield Fire Dept 661.32.2
o
° Kern Medical Center ~
Emergency response phone numbers
_
_-_-_._.______ o
-_____-_.
.-... _ ___..__~
County Hazardous Materials Dlvision
~~Eolsori Control-Cerifer°.........."~........._..---____-.....____-----~......_.._. _.~.0~'=X22=1222_._..
?? Nearest medical facility /hospital
Name: Kern Medical Center
Pnone #: 661.326.2000
Your medicalfacility /hospital Name:
Kern Medical Center Phone #:
661.326.2000
t} Dept o Toxic u stances ntro Hea quarters 1 - - or -72 - 4
NV Division of Environmental Protection NV: 775-687-4670
NV State Haz-Mat Office NV: 775-684-7524
ice o mergency ervices - 5 or 1 - 4 - 1
NV Department of Public Safety NV: 775-684-7500
CA Water quality Control Boar or -
NV Water Quality Control Board NV: 775-684-2800
nv ronmenta rote 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
ep o s ame
NV Dept of Wildlife NV: 775-688-1500
US Coast Guard (spill response) i-510-437-3073
CA OSHA CA OSHA
o Dlvision of Occupational & Health o 510-286-7000
o CAL -OSHA Enforcement o 714-558-4411
om a fate re ars a -
Nevada State Fire Marshall NV: 775-684-7500
-1-
~ansalda~a e~r~tinc~ency Plan
ror riazaraeus MaLenais riazaraous waste cx unaer rouna xara e i anKs
z % Other Important Numbers
-l..fi
Neighbor Notification List
zr List all businesses /structures bordering &/or adjacent to your facility:
at taciiiky's Business name:, O at acilikys Business name: , Q
northern southern
border: address: , , border: address: ,
phone #: phone #:
contact name /position: contact name /position:
29 at aCi ity 5 Business name: ,
Q at aCi it~+S
Business name: , Q
eastern ~__.._........_..._......._....._............_._..----._..._..._-----____. western
border: address: , border: address: ,
phone #: phone #:
3a contact name /position: contact name /position:
-3-
Cc~ns~~idat~~ ~~nti~~~nc~ P~I~n
Hazardous Materials Division
for tiazardou5 Materials, Hazardous bVaste & Underground
FACILITY IDENTIFICATION
BUSINESS NAME FACILITY ID # DATE
Verizon Wireless - S ~
EMERGENCY CONTAINMENT.&CLEAN-UP PROCEDURES
3t
Containment, Prevention & Clean-Up
Indicate your procedures for: provide-strvctorat-phystcat-t,arrher__te:g:. portabie~_
~ .---.--_..----.--~._._.._._......--..----.._._._..__...........__ .............._....................._.....
' containment walls) ®monitor for leaks, ruptures, pressure build-up, etc
j_
1. containing spills, releases, fires '
~ .._.._......._._-......
^ provide-a6sori~ent physical`~aRier ""'°°"°`" --""""""' __._.........._.._.......
-~"cover or 61-occl-floor~&J`or'-storm dralris~~-~--
or explosions, &
~
..ilt-m lierm-iriwork...sEoi•.._e..a~_..-.._._.......____.__.
-----~-~ ~- -_- -- -
^ bu / ag ea
.. ...
....--•--._a_......ma~ic~ires~ ression_..__._..em_...__._...._..--.--._._ ....................
~~
~ uto t pp syst
2. preventing and mitigating ~.
i
associated harm to persons, ! ._...._-..._...._.......__..........._._. _ -....._........-...._..__......--.-.---..___-.
stop processes for operations
® -.--..---.._ .......... ....__..._.,.__........__..__...__... _ --
_.
automatics electronic equipmenfsliut=off system
^
roe & the environment:
p p rty _........._-_......_ . __
shut-off water-._. _ ._.__ ............._.._............_..___-._-....~._._._.___
® gas, electrical utilities as _..._.-_._.-........._.___..-.-.--..---...__._._..__....._..__-..___._..._._._........._._..-......-.........._..
®call 911 for public emergency responder
appropriate assistance /medical aid
®provide protective equipment for on-site response ~~ • eliminate sources of ignition for flammable ~ hazards
~ 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
f
! -~ -----._...........-___.~........._...-...-._____.__...._._._.__............_..._.. _..._......_..._~..
®other (specify): Contact Verizon Wireless 24-Hour _.__ __ _.__
Hotline (800-488-7900) and report incident, which will trigger
Onyx special services.
sa c ec a t at app y:
Indicate your clean-up procedures: ~__._ ............._........__._..._.....__.._..~._.._..-.._.-_..-..._..._.._----..............__._.._........__..._._-...........---...__._.__...__.__..._....._..--.---..__....-.---.._..__.___................_._...
® hire licensed hazardous waste contractor. (ONYX special services)
~ use a sor ent mate a or spi s w t su6sequerit proper latieifrig~ storage and-Fiaiaaous waste disposal-as°°`"°°°"°"
appropriate
_...
suet on using s op vacuum w t su Sequent proper a e ng, storage an azar ous waste isposal as
appropriate
~ wash / decontaminate ~~~equipment w/ containment & disposal of effluent % rinsate as hazardous waste
r-O provide safe temporary storage of emergency-generated wastes
1........._....__..._.....-.__........_~.__..._.._ _-----._.........._____. _..__....._..~._._._.....__......_........---._......---- ______.._...-_...._.._....___..._...__.......__.._ ...............__.......-.......
i ~ other (specify):
Evacuation`Coordinator.:.& Assembly Area
Provide name /position of evacuation
coordinator who will account for all
on-site employees and / or site visitors
after evacuation: Name: un-staffed facility /shelter /cabinets
~' Identify / describe emer en
g n st'eC1fy~
un-staffed facility /shelter /cabinets
assembly area for evacuees:
I
Identify the location where your
evacuation route /map is posted: specify:
un-staffed facility /shelter /Cabinets
~
Other facility evacuation procedures: specify:
I
I
-4-
.,
for hazardous tviaterials, Hazardous Waste & Underground Storage'T~anks
Hazardous Materials Division
FACILITY IDENTIFICATION
3= BUSINESS NAME FA ILIlIt ID # DATE
Verizon Wireless -
EMERG~NCY E UIPMENT
3~ List of available emergency equipment
(check all thatapptYl
ai Egwpment Avai a e Location Capa i ~ty as app ica e,
41 Example:
Z rwrtntNe fire extinguishers center or each wall in shop rat<xi as "C"
~ ct+emu aI protcc:tire gloves spill re;i:anse kit one-time use; qil R~ solvent resista
Use Category ~ only
~IZ
safety & First Ald c emlca protective suits, aprons or vests
.._®__..........__...._____.---...._....._...._-........._._._..._._.__...._--_______.__.....__
BecaUSe each Slte IS an
Equipment ®chemical protective gloves un-staffed facility, shelter
_._...__~.......__....---.--.----._..__.....-..._....._ ..................._.._......._.._..---......_........
chemical protective boots or outdoor cabinet the
..... _..
--__...----- ----._.. ~-- .................._....._..._._.._...._.._......_.....
safety glasses /goggles /shields Operations Cell
® ............._.___ Tech./Mgr, carries a
~ hard hats portable spill kit located in One time use &
---._.........._._..---.--.---._....__......_._...._.._.____....._..-.._..._.__.__-___._.....--.-._-.-
cartridge respirator their trucks. Each
Replaced/Maintained
_. _._.........._......._-----......._..._._...__......_..._....._.._.._...._....__.__..._._._..-__...........
self-contained breathing apparatus
..._~_-.........._-_..._~_-..._......_....._............_.__..._.._...._.___.___........__...-......._._ ................. equipment item marked is
contained within the
When needed
® first aid kits /stations portable spill kit. There is
---._...._._--...-.....-..__.._......._.------._ ................_......_..............._.-.......-....._. -
plumbed eyewash fountain /shower also an additional 5- allon
g
_..~..-......._.-__.........._. ._....._._....._.._--- ............................._......__.--..___-- tub spill kit located within
ortable a ewash kits
P Y
® ...,
each shelter design
other: facility.
4s
Fire Extinguishing Aorta a +re extinguis ers
®
,.., Located with the ortable
p
Equipment ,-,-_,_,.,
~ fixed fire stems /sprinklers /fire hoses
~v sill kit with the
P One time use &
___ .............._~_____..___....._-_.__...........__..--.-.._..._-.-_.._..._.._._._______..__.. Operations Cell Replaced/Maintained
fire alarm boxes or stations
_._........_..._..___._____...._..._.__._..........___..____.-._......._............_-_.___..._....__..-.___......._....._.
Tech./Mgr. Within the
when needed
rl otner: portable spill kit.
~ +
spill Control & Clean- ®a sor ent materia
Up Equipment ®contalner for used absorbent
harming / diking equipment
® broom
shovel
_ .............._.._.__P.__.............._...__.._.__._...................._........__.._..__._.._._.__..__.-.............._.._................._._._..
sho vac
One time use &
_.._._ ................-~__..........-__..-...__-._-_-...........-....._..._...........--._......._....._._..-~._......--.
^
exhaust hood Same as above. Replaced/Maintained
...-
_
_....._.........._. _._ . ____--_-.--
.. .............._..
when needed
emergency sump /holding tank
® chemical neutralizers
gas cylinder leak repair kits
~ spill overpack drums
~ other:
~t5
Communications & to ep ones inc u es ce u ar
® _
Alarm System ~ Intercom / PA system
Equipment ...
~ portable radios
Cell phone and #'s with
_____-_._........_._......_._-__.._ ......................_._.__... _.._..........---...---._._.__._...........
automatic alarm chemical monitoring equipment . Operations Cell
__......_.__.___._--._.........._.__.___.__.---.--.._._.._.........._......_......._._...__........_ ................ - Tech./Mgr.
UST monitoring system operations manual
® list of notification phone numbers
for lazardous Materials, Hazardous Waste & Underground Storage banks
Hazardous Materials givision
FACILITY IDENTIFICATION
,., BUSINESS NAME FA ILl1Y ID # DATE
verizon Wireless - ~ ~
EARTHQUAKE VULNERABILITY
47
Areas of earthgiaake;vulnerability
4S c eck a that appiy; LOCation (e.g. shop, outdoor shed, forensic lab):
Identify areas of facility vulnerable to
l
ill
rth
k
d
t ...
®`Tiazardous materials ] wa`sfe-"storage area---~"-~ -~-~'- ....... .........._._.__..__._..._........___........_...__...._._....__._..__..__......__........._..._....._............
' -' -'"
ue
re
eases s
s
o ea
wa
e
/ P 4
.
related motion: __.__.._..._.__..__._......_..__ ......................_.....__._...._.........._._.............._.....___._...__._
~ process Imes /piping Batteries installed exceed 1997 UBC
{require irrrrneciiate isplatlorr acrd inspection) . _.______..__._........_.___ ....................._.._............._._._.............._..............__.____~..._..
l
b
t and/or 2000-2003 IBC Seismic Zone 4
a
ora
ory
^
specifications.
^ waste treatment area
•,. c: rec. a I t raC app y; A ecte or..ations:
Identify mechanical systems . -_.__._ ... ....
s-Helves; ca61riets ~""racks"'"~""~~'~-~~'~~~'~°""~""""-°~"'-'~-~ -`~~~' - ..... _............_.._._..._....__._._...._._........_._........_._.._.__........_.._.........._........_._........._.....__.........
' -'
vulnerable to releases /spills due to ~
earthquake related motion: ~ tanks (emergency shutoff)
(require immediate isolation and inspectian) ~ portable gas cylinders Power Breaker Located On/at Un-
® emergency shutoff &/or utility valves Staffed facility, shelter or outdoor
~ sprinkler systems cabinet.
~ stationery pressur(zed containers (e.g. tank for
dispensing propane)
`ARt2AlVGEMENTS FOR EMERGENCY SERVICES
so
Explanation o{_'(?.equirement Advance arrangements with local fire & police departments, hospitals and Jar contractors for emergency services
should he made as appropriate for your facility; you may determine that advance arrangements are net 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
53
explanation of_(?.cr~uirement Frnp ayee trainin, is re wire 'or elf em '
- rJ q poyees non ling azardaus materials bazar ous wastes in day to ciay r>r
clean-up operations including volwrteers f;</or contractors.
Required content for employee tralniny includes all of the foliowing:
4 ......._.._.__..._...._..._...__.._..._.....__.._ ................__.._._..._............_..... ___._-......__._....----._._..._.__...._.._._...._..__....---.._..._...._.~..__........---...._.... __................_..:............_..........
~
COmn1UnlCatian f!< aldrnl SyStCmS
•
Material S<3fety gate Sheets
• personal protective equipment
°
(
hazard communication related to health f?< safety (e,9,
• use of erneryency response equiprnent
• methods far safe handling of hazardous substances firc^ extinguishers, respirators, etc)
I
fire hazards of materials (processes
• • decontamination procedures
conditions likely to worsen emergencies ~
• evacuation procedures
coordination of emer•genty response
•
• control & containment procedures
notification procedures
•
• UST monitorlny system equiprrrent &
applicable laws & regulations
racedures if a Ncable
=` ~
Indicate how employee training check all that apply:
.
-
ro ram q )
p 9 (with re uired content rs
__. -. _. _._........_._
_.._........_._.._........._.__._........_......__ .................._.....................
Formal classroom Video '
® ~ (sj (specify):
administered:
..
.._® Safe-__/tail- afemeetin_5 __........_.__..-.._...._._....._...._.._.___...._...._.__.._..._.._....,...._._.~....._._._.__.---..._..__._......._ ..............__..........__........
ty g g i ®Other (specify): Annual online trernrng
Study Guides / Manuals s eci ~"~" -----
(P fY)~
-s-
~~~a~dafie~ ~~~~~~~~ fan
Harardorts Materials Division
Waste & Underground Storage 'tanks
.FACILITY IDENTIFICATION
BUSINESS NAME FACILITY ID # DATE
Verizon Wireless - (~~~
EMPLOYEE TRAINING FREQUENCY &bOCUMENTATION
'~ Requireil~frequency of training
ss I
~x tanation of qurrement tmpioyee training must e:
~ provided within 6 rno€rths for new hires,
~ amended as necessary prior ko change in process or work assignment,
~ given upon modification to emergency response /contingency plan, and
~ updated /refreshed annually for ALL employees.
5' Certify that the facility's employee
training program meets minimum ®Employee tralning Is provided, at a minlmum, as described above.
fre uen re uirements:
f'o Record~of training
61.
t/xplanation of_PequirGment Written documentation of employee training sessions must be kept which include:
~ training outline ,•" agenda ~ date of training session
• employee names &job titles ` brief job description for hazardous waste generator facilities
~uL
Certify that the facility's training
documentation meets minimum record ®Employee tralning documentation Is provided, at a minlmum, as described above.
kee in re uirements:
US
Training program description or outline
^ Empl
Qy
Qg
train>
ng
progr
~m~;lin~
IS
a~
ghgsl.
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 pertormed in
Hazardous Communications, Combustible & Flammable Liquids, Eye Safety, and
Personal Protective Equipment. Attached is the following:
LIST ,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
a i Based on my inquiry o those individuals responsible for obtaining the information, I certify under penalty o law that I ave personally examined and am amiliai
with the information submitted and l7elieve the information is true, accurate and complete and that a cop, is available on-site.
gnature ate o comp a on
2/23/2007
not ame i e oston
Shawn Stacey Environmental Compliance
-7-
+ VERIZON WIRELESS - STOCKDALE ________________________ SiteID: 015-021-003360 +
Manager ALAN HOLZMAN BusPhones (661) 873-2401
Location: 115 BUENA VISTA RD Map 122 CommHaz High
City BAKERSFIELD Grid: OlA FacUnits: l AOV:
CommCode: BFD STA 15 SIC Code:4812
EPA Numb : - DunnBrad : - ~$ -413 -83e5
Emergency Contact / Title Emergency Contact / Title
ALAN HOLZMAN / NET OPER MGR RUSS WALKER / OPERATIONS TECH
Business Phone: (661) 873-2401x Business Phone: (661) 747-7001x
24-Hour Phone (661) 872-2662x 24-Hour Phone (661) 321-5214x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact SHAWN STACEY Phone: (""; ._" "~''
MailAddr: 255 PARKSHORE DR State: CA $ldn-lo9~l-Z4r5
City FOLSOM Zip 95630
Owner VERIZON WIR SS Phon (925) 279-6455x
Address 278 IT LL DR ~~.1(r,~° State:
City WALNU K Zip 9 9
+--------------,~T--------------------------------------------------------------+
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: No
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalt of law that 1 have personally
examined an am familiar with the information
ubmitted an believe the inform ion is true,
ccurate, and omplete.
S ~ ~ oc~
Signature Date
~~.~b~P EM'D JUL 1 &2006
~~
~~~~ \
5~
-1- 03/14/2006
LEGEND
Batteries
0 Eye Wash
• Fire Extinguisher
Q Fire Suppression
First Aid/Survival
Kit
~ Personal Protective
Equipment
e Power Breaker
® Spill Containment
Kit
MSDS MSDS &
~ cP Contingency Plans
A i B i C i ~ i E i F O
20 ft I
~ _ ~ --
__
__ - -
Equip.
Rack
2 ~?
~~ li
~~ Transfer
3 Equip. Equip. Equip. SWItCh
Rack Rack Rack
11ft
~;~
4 ..~ ~~ e
5 Batteries Rectifier MSDS
Rack & cP Q
~ ~ ~~~~
SITE
Stackdale
Address 115 Buena Vista Rd
~ City, State, Zips Bakersfield CA 93312 ~
REV. I DESCRIPTION I DATE I BY ~
Drawing 2