Loading...
HomeMy WebLinkAboutBUSINESS PLAN/- - ~ - -~ ~~ ~~ - ~C -JL- Verizon Wireless -Buena Vista __ - - t '~ 6101 Bueno Vista Rd ~°`, ,J j' + VERIZON WIRELESS - BUENA.VISTA ______________________ SiteID: 015-021-003361 + Manager ALAN HOLZMAN BusPhone: (661) 873-2401 Location: 6101 BUENA VISTA RD Map 122 CommHaz High City BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: KCFD STA 53 SIC Code:4812 EPA Numb : DunnBrad :,(2.i - ~ ~ - ~ n ~ Q 88-~b3 -83 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) 87.2-2662x 24-Hour Phone (661) 321-5214x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ,Fire ImmHlth Contact SHAWN STACEY Phone : { 9i6'~"~35"1Ox Mai lAddr : 2 5 5 PARKSHORE DR State : CA g(~ V4 ~ 2~(l s" City FOLSOM Zip 95630 Owner VERIZON LESS Phone: (925) 279-64 .a~x Address 2785 CHELL DR Sa ~,e State: C City W T CREEK Z' 94598 Period to Preparers Certif ' d: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: ~~ PROG A - HAZMAT ~~~ ~~ ~~ EN ~ ~~~ 18 ono ~~ ~ 5~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under penal y of law that I have personally examined an am familiar with the information . ubmitted an believe the infor do is true, ccurate, a d mplete. i~ a Signature Dat -1- 03/28/2006 -~ ' ~~1 ~. rt ~ _~ S VERIZON WIRELESS - BUENA VISTA Manager MARK IVERSON Location: 6101 BUENA VISTA RD City BAKERSFIELD SiteID: 015-021-003361 BusPhone: (661) 664-5601 Map 122 CommHaz High Grid: 24D FacUnits: 1 AOV: CommCode: KCFD STA 53 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title MARK IVERSON / OPS MANAGER NETWORK OPERATIONS / CONTROL CENTER Business Phone: (661) 664-5601x Business Phone: (682) 831-3523x 24-Hour Phone (661) 203-3205x 24-Hour Phone (800) 264-6~~ Pager Phone ( ) - x Pager Phone ( ) ~ ~ 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 ~N I a~ J u L~ d ~~~1~ - CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. used on my <rguiry of those individuais resgensik~ia for obtaining the information, I certify under ~° alty of law that I have personally " Qxamirec and a ~;-=k~miliar with the information submitte~ and believe the i~forrnation is true, acc •--'.., ~~d complete. -7 ~~Z.~~ / Signature ®ate -1- 07/16/2007 F VERIZON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ ~ 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 F IH S 5166.00 LBS Hi ELECTRIC STORAGE BATTERY F IH L 99.12 LBS Hi -2- 07/16/2007 ;~ -3- 07/16/2007 F VERIZON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ ~ 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 215.25 LBS 5166.00 LBS 5166.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 70.00 Lead No 7439921 riHGt1KL Li~7.7~.7.71~1~1v-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# Liquid TMixtur~ Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 4.13 LBS 99.12 LBS 99.12 LBS rit'autu~.uvV.7 ~.V1•lrV1VALV1a %Wt• RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 ru-~c~ru~L r~a ar,.7~1•lr,1v 1 a 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 - BUENA VISTA SiteID: 015-021-003361 ~ 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. ,_ Ldll~J1VYCC 1VV 1.11. ~ L' VdUl.ld L1V11 ruuiiU ivVl.tt / P~VdC:UdL1Ui1 L'ulclycliuy 1•iC U1Ud1 r1d11 -5- 07/16/2007 ,rt F VERIZON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ 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. Release Containment Clean Up 03/09/2007 INTERNATIONAL TECHNOLOGY CO 800-262-1900 ~,_ v~.aici nc~vui~.c c~~.~.iva~.ivti -6- 07/16/2007 F VERIZON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7Nc~:1ca.L nac~aiu~ Utility Shut-Offs ELECTRICAL - E SIDE OF BLDG 03/09/2007 Fire Protec./Avail. Water 03/12/2007 1 HAT,ON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS. Building Occupancy Level 03/28/2006 UNMANNED SITE -7- 07/16/2007 F VERIZON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/09/2007 ~ MSDS SHEETS ON FILE. rc~y~ L Held for Future Use Held for Future Use -s- 07/16/2007 LEGEND Batteries Eye Wash . Fire Extinguisher 0 Fire Suppression First Aid/Survival Kit ® Personal Protective Equipment e Power Breaker ® Spill Containment Kit ~ nnsos MSDS & & cP Contingency Plans A i B i C i D i E i F I 20 ft I 1 --_ - - ~ ~ 2ft __ - - - 2ft I I 2 Batteries aft Rectifier Equip. Equip. Rack Rack Rack 3 ~=` ~ `~' 11ft ~~ ~~ ~ it r r ~~ 4 Transfer SwltCh Equip. Rack 5 nnsns 2ft O ~ ~ ~ ~~ ~ ~~ SITE BUE-;na ~/iSta Address 6101 Buena Vista Blvd City, State, Zip Bakersfield CA 93311 REV. DESCRIPTION DATE BY Drawing 2 ;~~, 5 ~ ~- ~a~ VERI~ON WIRELESS - BUENA.VISTA SiteID: 015-021-003361 Manager MARK IVERSON BusPhone: (661) 664-5601 Location: 6101 BUENA VISTA RD .Map 122 CommHaz High City BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: KCFD STA 53 EPA Numb: 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. ENra ~~,~ ~ ~~~~ Based on my inquiry of those individuals responsible for obta=.ning the information, I certify under pQnaity of iaw that I have personally era.mined and am familia i h r w t the information submitted and believe the information is true, acc t ura e, and mplete. ~- I .~' •^ ~~ ~~'J) Signature Date -1- 02/20/2007 ;~, F VERILON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ ~=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 2160.00 516.00 LBS LBS Hi Hi SV21 ~~0 C2~~ -2- 02/20/2007 -3- 02/20/2007 F VERILON WIRELESS - BUENA VISTA ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE PRESSURE Solid TMixture ~mbient SiteID: 015-021-003361 ~ 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 180.00 LBS 2160.00 LBS 2160.00 LBS ru~~titc~vua ~urirvlv~lvt~ owt. Rs cAS# 70.00 Lead No 7439921 tiHGXKL 1~ 55r;JJ1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0.001 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE Facility Unit: Fixed Containers at Site ~ Days On Site -365 Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E OTHER NTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 43.00 LBS 516.00 LBS 516.00 LBS ril-~GYalClJUU.7 ~ul~lrvlvt',ly 1.~ %Wt. RS CAS# 30.00 SULFURIC ACID ELECTROLYTE No 7664939 ru-~c~tircL r~aa~~~i~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 02/20/2007 s~ F VERIZON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ :Agency Notification __ -_, - ,~ rJlllNivyvv 1VV1.11. / rJVdl:Udl.1V11 r lLU11l: 1VV 1.11. / L~VdU Udl.l Vil LilllCll~. C11C:y 1"iCU1c:d1..r.1an -5- 02/20/2007 F VERI'ZON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention xelease containment 1..1Cd11 V~J l v~.llcl 1cccVULtrC 1iC:l.lVdl.lUi1 -6- 02/20/2007 F VERI~ON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~J~lC l:1Q1 nct ~. ctl.u~ V 1.1111.y J11LL 1.-V11~7- t'11C rlVl..CI:.~L-1VCC11-.--Wdl::Cl Building Occupancy Level 03/28/2006 UNMANNED SITE -7- 02/20/2007 F VERI~ON WIRELESS - BUENA VISTA SiteID: 015-021-003361 ~ Fast Format ~ ~ Training_ _ _ __. Overall Site ~ ~ Employee Training_ rays ~ nC 1lA LVL rul..u1C u:iC nciu ivi ru~uie use -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-Buena Vista CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202. Sealed Batte Case ^ YES ®NO FACILITY ID # t MAP # 203. GRID # zoa. (Agency Use Only) II.: CHEMICAL'INFORIVIATIO __ N ' _. CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME 207. EHS* ^ Yes ®No zos. 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) 210. Acute-Chronic H=3 F=1 R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2n. RADIOACTIVE ^ Yes ®No z12. CURIES 213. TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS eta. LARGEST CONTAINER 215.25 215. 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 zls. ANNUAL WASTE AMOUNT zt9. STATE WASTE CODE 220. 5166 lbs 5166 lbs 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 ^ o. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON Yzg, STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c, BELOW AMBIENT ^ d. CRYOGENIC 2z5. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I. 60-70 zz6. Lead/Lead Compound 227. ^ Yes ®No zzs. 7439-92-1 229. 2. 230. 231. ^ YCS ^ NO 232. 233. 3, 234. 235. ^ YCS ^ NO 236. 237. 4. gas. 239. ^ Yes ^ No zao. zat. 5, 2a2. za3. No 2aa. ^ Yes gas. 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 If EPCRA, Please Sign Here. UPCF hwf2731(1/99) - 1/2 http://www.unidocs.org Rev. 04/17/00 - UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one page per material per building or area) ^ ADD ^ DELETE ®REVISE 200 Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless-Buena Vista CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®No FACILITY ID # 1 MAP # zo3. GRID # zoa. (Agency Use Only) Il. CHEMICAL INFORMATIO N" CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zob. Valve-Regulated Lead/Acid Battery (VRLA) If Subjec[ to EPCRA, refer to instructions COMMON NAME zoo. zos. EHS* ^ Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amotn3ts 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 z1 t. RADIOACTIVE ^ Yes ®No 2t2. 213' CURIES TYPE (Check one item only) PHYSICAL STATE z14. (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. MAXIM[JM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22° 1002 ]bs 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. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in otmds. 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 ^ 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 # 1. 20-30 226. Electrolyte/Sulfuric Acid zzz ^ Yes ®No ns. 7664-93-9 z29. 2. 230. 231. ^ YeS ^ NO 232. 233. 3, 23a. z3s. ^ Yes ^ No 236. 237. 4, z3s. z39. ^ Yes ^ No zao. 241. 5. zaz. za3. ^ Yes ^ No zaa. gas. 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 zab. DOT Hazard Class: Batteries Douglas DSV2-1610 -Electrolyte & Lead chemical 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 - for hlazardous Materials, Flazardous Waste & Underground Storage Tanks I FACILITY IDENTIFICATION / ~PERATIONS_OVERVIEW I BU INESS NAME /,~ ~~ ~~ ~ ~ ' ~ FA IL.ITY ID # DATE , G Verizon Wireless - ,C/Y wt, VUV ~ ,- BUSINESS ADDRESS i-, . ~ ~' ~~ Check elements covered by this consolidated plan: ~ ~ ~ ` Hazardous.Materlals^ ~ ' ~ ~'' Haza'Cdous Waste ^ Underground Storage Tanks ^ ~~ Supplemental elements submitted: UST Written Monitoring Plan ^ P B e.g. pan ng con actor < e.g. eet ma ntenance Wireless Telecommunications un-staffed'facility; shelter,~and/or,~abariets v D EVE V R B e.g. c em ca spt s, ire, eart qua e, etc OSHA -EPA Hazard Communication Standard EMERGENCY COORDINAT012 & ON-SITE TECH ADVISORS I INTERNAL RESPONSE Identify your Emergency Coordinator & On-site Technca{ Advisors: ~' ' Naive / Positio": j NOCC -Network Operations Control Center Emergency Coordinator: ! Address: ..255 ••Parkshore .Drive, Folsom•-Cq...._.____........_-_-.-_.__. _. ______. __. I Day` NOCC 800-264-6620 Or• After°hours:--NOGG 800-264-6620 Must have the authority to classify the Phone #s: 682-264-6620 Or 682-264-6620 release, make management decisions, & Responsible for: spill prevention ^ c~, -ting f Iffy re r„n~~r; determine appropriate response ..._.........._..-__.._._.-._.... (check all that appry) emergency assessment / authorizing spill res once work P 0 ~ i i ll ^ ® .._........._....... .....r.IlanaDement_._-_..._......_._...-...._- --.......--..._. -......._...---__.._.-...-___.~..._.__.......__ ............._ c res I f ith bli em ond t i Person on-s s: te or on-ca ff n er ng w pu er }e~cy p ers ac c Initiating alarms ^ . ..._._ . _ __-.-._..-.--L-...J---___......._._............_._._. ........---...._ _ ~• I _~.._-...._.....__..~___.._..._.._........ ......9_.. ._ .. .. _.-_.._ ....... .-----_ a en notification ^ ~ ^ Alternate # 1 (INSPECTIONS) Alternate # 2 .__-- _.-.--._-. _.-.__._ . __ _. _._.____.__.__._...._ --•--._~CORRESPONDENCE_&-BILLING)..._ . "ame / PoslUOn. Mark Iverson, Operations Shawn Stacey ..._Mana~er_.__.-.._.._......-......._.......-_.._---..._ __ _-__-_._......._..........._.......-.__._....._.......---....._...._..........-. ~ Address: 255 Parkshore Drive Alternate Emergency Coordinators: city: ._____...--.-.-.--._.__.._.-_..._..._-.---._.__.-__._.._.-._--_._ _._.........._._._..__._._.._._.-......_....._._._..__.._..........-. ...................._._.-........_.... Folsom List. Irt order of respan:>ibiliky. 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: Supervisor: (AVeflable tO I)rOVldl: SttP.°SIIP.CIfIC tP.CI1nICal adViCe t0 Off°SItP, P.tYtP.rgenCy IY'SpOndP.IS} Manager: other: un-staffed facili /shelter /cabinets 11 Identify type of"internal response: is I ^ Internal facility Team Mem ers name or poslUon : Responsl 1 itles: f i response team i (,alG~ch additianak pages iF Deeded: Options: ~ indicate an attachment by checking © } 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. this x ~ ~ 1•> ,: ~,~e ~ Name: Onyx Special Services Descri a ro a responsi i ities: Spill response, ~rf,) ®Contractor --•ad'dress.....__-.-..__........._.........._...__.._......._.._.-........--~--._.._...-__ ...............-.___- clean up, and hazardous material _.P ._.... _ . ________ _._ .___.-.__._. Gone-#._~0>5=488=y5.tltl_ .............__....._. -_.__ dIS OS81 p ~ ^ Call public emergency responders / 911 -1- ~~r~s~da~~~ ~~n~~~genG~ Phan ~ w~~~~~~~w~o for Hazardous Materials, hlazardous Waste & Underground Storage Tanks FACILITY IDENTIFICATION 15F_,' BUSINESS NAME FACILITY 1D # PATE Vcrizon Wireless - ~~,.~~~, V ~ ~~ EMERGENCY COMiMUNICATIONSjPHONENUMBERS /;NOTIFICATIONS w 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 I ~.~ c ec a t at aon v: INTERNAL facility emergency communications or I _^ alarm notification will occur via: (- t..._.._..._. EXTERNAL notifications /communications to neighboring facilities that may be affected by an off-site release will occur by: lU zi system ® pagers ~ ~~portabl Emergency Phane Numbers /Notification Lists 1 ° Bakersfield Police Dept. 911 ° 0 661.322.9253 Bakersfield Fire Dept. o bc6~--32~45~ ° Kern Medical Center o Emergency response phone numbers --.._-_.__..._._.._ ..........................._....__._____-..__.._............____._...___..__~-_.__..__....._._. __.---.._....__...._ County Hazardous Materials Division J.2 ~3, 14 Nearest medical facility /hospital Name: Phone #: Kern Medical Center 661.326.2000 Your medicalfacility /hospital Name: Phone #: Kern Medical Center 661.326.2000 Dept o Toxic Su stances ntro Hea quarters 1 - - or 80 -72 - 942 NV Division of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o mergency rvices - - 5 or - 4 - NV Department of Public Safety NV: 775-684-7500 ', CA Water Quality Contra Boar - or NV Water Quality Control Board NV: 775-684-2800 nv ronmenta voted 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 L1st o RCRA Information o RCRA: 500-424-9346 National Response Center 1-800-424-8802 ept o is ame - NV Dept of Wildlife NV: 775-688-1500 CA OSHA o Division of Occupational & Health o CAL -OSHA Enforcement California State Fire Marsha Nevada State Fire Marshall CA OSHA 0 510-286-7000 0 714-558-4411 NV: 775-684-7500 -Z- 'tt; ~~ n °""""`y' Business name:, Q northern border: address: , , phone #: i _ _ contact name /position: z~a at aci ity s !Business name: , Q eastern border: address:, phone #: 30 _.._..~._...._.._.._._._._..._.:........._ contact name /position: ~~nsalida~ed fan for hiazardeus Materials, hlazardaus bvaste & Neighbor Notification List all businesses /structures bordering &/or adjacent to your facility: ak aciiitys Business name: , Q southern border: ---_-___...._ .................._._._._........_.._ address: , phone #: _..._......_...._....._.__._._.___._.._..._.._.___..._..._...._-.--I __..._._.---._..._.._._.__...______. contact name /position: at aci Ity s Business name: , () __.___...___....._.__._._.__........_._...__..__..._...._._ western ..____....___._.____.___.._.~_ border: address: , phone #: contact name /position: -3- Phan C~ns~lida~~~ ~~n~t~n~~n~y Sian Hazardous Materials Division for Hazardous Materials, hlazardnus LvaSte & Underground Storage'T'anks FACILITY IDENTIFICATION -3t, '~ BUSINESS NAME FA ILTTY 1D # DATE Verizon Wireless - ~. ~~%~~ EMERGENCY CONTAINMENT & CLEAN-UP PROCEDURES ar Containment, Prevention & Clean-Up; ~J Indicate your procedures for: ~- provtde°'stnrctural .physicat.banter-(e:g:-portable.-.. ._.__._..__.~..._.~.__ ....__......"_....."_.___..~.._..._.._......._............ __.._ .................. spill containment walls) ® monitor for leaks, ruptures, pressure build-up, etc I_ 1. Containing spills, releases, fires ~ _._ .............._......... ^ Provide -~a6sorbent pli'ysTcal-6amfer°'°""'°°'°- -~---~ ~ -~ .......---........... --~ ~ cover'or"61-ock t7oor ~/~~or sform-dralns -'~ °°"-"- " or explosions, & i .. I ............._....._..., .._..........._._ ^ bwlt fn bermTn work~CsForage"area ~~_.....__..._.~__.~_-._. ... -_~-~ automatic fire'suppr'essl'on system-'""- ~_...._.____.........._. .................__ 2. preventing and mitigating i associated harm to persons, i - ~ - stop-processes"ll~or operations"'~"°'-'-"°~~"-"~__......_..__.._. ® _.__.._-.automatic J electronic equipment'shut=o~sysEem°'~""""""° ^ . property & the environment: ~ .- _.......___ _.... .. ®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 ® other (specify): Contact Verizon W(reless 24-Hour Hotline (800-488-7900) and report Incident, which will trigger I Onyx Special Services. s4 ~ c ec a tat app y: Indicate your clean-up procedures: ( ..........._._..... .__._.____........_._."_...__.__......._..__-.---.__......._."...._.__.........._... ...---........._ ................_.._..........__..__.._"..............._........_....~._..__.._........_. --__....__~ ~ ~ ~ ®hire licensed hazardous waste contractor. ONYX S clal services ~-~ use absoi:6erit riiaterTal"for"splits wiiri"suCisequentp"'roper fai~eCfrig~°sforag"e"arid-hazardous waste disposal as ~ - approprlate -~ sudlon tisfrig s op vacuum wt su sequenf proper labeling, storage an azar ous waste sposa as appropriate ~~~~~wash ~ decontaminate equipment wj containment & disposal of effluent j rlnsate as hazardous waste ~ ^ ~provlde safe temporary storage of emergency-generated wastes ~ other (specify): 3' Evacuation Coordinator & Assembly Area 30 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 j' Identify / describe emergency Specify; Un-Staffed facility /Shelter / CdbinetS assembly area for evacuees: Identify the location where your evacuation route /map is posted: specify: un-staffed facili shelter cabinets ty / / Other facility evacuation procedures: specify; I f -4- ~~~~~~~~e~ c~n~ir~g~r~c flan for Hazardous Materials, Hazardous Waste & Underground Storage T"anks Nar..ardotTS Materials Division FACILITY IDENTIFICATION 3g BUSINESS NAME FA !CITY 1D # DATE Verizon Wireless- Vl,~~~ Uf~J~ EMERGENCY IE UIPMENT '~~' List of available emergency equipment {check alhthat app,) j +o Equip ai Z twrtablc fire extinguisher; ~ c:bemica pmtecaive yiove: Use Category chemical protective suits, aprons or vests Safety & First AId Equipment ®chemital protective gloves chemical protective boots ® safety glasses /goggles /shields ~ hard hats cartrld a res irator a3 Fire Extinguishing Equipment Spill Control & Clean- Up Equipment a; Communications & Alarm System Equipment • 9 P ~ self-contained breathing apparatus ® first aid kits /stations plumbed eyewash fountain /shower ............. ._ _ _-__...~.Y._.~T__..............-_.............._...._._._....----..-.~_ ® portable eyewash kits ~ other: ® ports a ire extinguls ers fixed fire systems /sprinklers /fire hoses fire alarm boxes or stations ~ other: ®a sor ent materia ® container for used absorbent berming / diking equipment ® broom shovel •shop vac exhaust hood _~....._.~...._.-.___.......~..__..Y......._~__....-...~....~._.........._....__.....-......~......-- emergency sump /holding tank ® chemical neutralizers gas cylinder leak repair kits sp(II overpack drums ~ other: ® to ep ones inc u es ce u ar intercom / PA system portable radios ~ automatic alarm chemical monitoring equipment UST monitoring system operations manual ® list of notification phone numbers center ofeach wall in shop ( rated as "C" ...................... =;p~ll resl~~nr;~' kit ) one-time use; o1 F. solvent resists 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. ~cans~~ida~~~ ~~n~in~enC~ P~~an Hararriotrs Materials [3ivision for Hazardous Materials, Hazardous Waste & Underground Starage'Tanks FACILITY IDENTIFICATION dE, BUSINESS NAME FA ILITY ID # DATE Verizon Wireless - U Qr1,/~(. ~~~~ EARTHQUAKE VULNERABILITY 47 Areas of earthquake vulnerability CIeC a I that app y: Location te.g. shop, outdoor shed, forensic lab;: Identity areas of facility vulnerable to .. .-.. --. ... hazardous"riiaterlals 1~wasfe storage area ... ... .. - ........_._........._._._........__............ releases /spills due to earthquake ® related motion: _..-_.-.....-.........._._____...._._~.~._____. ~~~~~~--~-~-----~-~- ~ process lines /piping Batteries installed exceed 1997 UBC (require irrrrnediate isplatian and inspection) _ ___. _...._...---..___---....._......._...._._._-~_._ ..............___-_...___-__--_..__-.... and/Or 2000-2003 IBC Seismic Zone 4 laboratory -...._.___...... ........-.. .... ....._____..- specifications. ~ waste treatment area 41 check a i t,at app y: A ester ovations: Identify mechanical systems __ ....... sC~elves;'ca~iriets~~i-racks""' "-"'-""--'--"'-'"""~' ~-~ --~- ......._.........-.......__.--.-.____.._.__......._..__.._.......-._..__...._......._..._............-..._..................._.................. vulnerable to releases /spills due to ~ earthquake related motion: ~ tanks (emergency shutoff) (require immediate isalatian and inspection) ~ portable gas cylinders _ ~~ Power Breaker Located on/at un- ® emergency shutoff &/or utility valves Staffed facility, shelter Or outdoor Wsprinkler systems .._...._. ......_...__ ____ .............._......-...__........-.-...-.__._. Cabinet. i stationery pressurized containers (e.g. tank for I dispensing propane) ARRANGEMENTS FOR EMERGENCY'SERVICES SD ~ explanation of_I?equirement A vance arranyements vaith local fire & police departments, nospilals and /ar contractors rar emeryency services 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. 53 ~xplanat'ron of_(?~quirement F.rnp ayee training is required 'or aU employees handling hazardous materials bazar ous wastes in day to t ay ar clean-up operations including volwhteers &/or contrackor>. Required content for employee training includes all of the fallowing: ,y __-_---__--.._....-.-....-.-. • communication E~ alarm .rystems • Material Safety Data Sheets • personal protective equipment • hazard communication related to health & safety e, , ~ 9 * • use of emergency response equiprnenC methods far safe handling of hazardous substances fire extinguisher,, respirators, etc) ° fire hazards of materials /processes • dect;ntamination procedures • conditions likely to worsen emergencies • evacuation procedures • coordination of emergency response • control & rontainment procedures • notification procedures • UST rnonitaring system equipment & • applicable laws & regulations ravedures (if a lir_able ~'~ check all that apply: Indicate how employee training ~ '-_._._. _....._...__......_.....-.......-__-.__..........___..__....___._............_..........._........ ~~~ " program (with required content) is ® Formal classroom ~ (spedfyj: Video(sj administered: ._._._.._._ ..............................._._...._..._....._....__...._........._......_...___ .._......_......_...._ _.._._....... .._......._~..~_...-~----____--..-..._-._._.___..__.....---............._..._... ® Safety /tall-gate meetings ~ ® Other (specfy): Annual~online training Study Guides /Manuals (specify): -6- a - ` Harardaus Makerials Divisian ~~~~~1~a~ec ~~n~tr~A~nc~ Can Waste & Underground Storage'1"anks FACILITY IDENTIFICATION BUSINESS NAME FA iLIIY ID # DATE Verizon Wireless - V ~~~ EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION '.i-J :'Required frequency of training ss ~xplanafion oS_(?equirement t~mpioyee training must e: ~ provided wlthfn 6 rnanfhs for new hires, ~ amended as necessary prior to rhange in process or work assignment, M given upon modification to emergency response (contingency plan, and ~ updated J refreshed annually for ALL employees. 5~1 Certify that the facility's employee training program meets minimum ®Employee training Is provided, at a minimum, as described above. fee uen re uirements: f'n Record of training << Explan~iion af_~cquircment Written documentation of employee Graining sessions must be kept which include: ~ training outline j agenda ~ date of training session ~ employee names & jab titles ~ brs,.# job description for hazartSaus waste generator fatiiities c1 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: hs Training program description or outline ^ Yralnlny . __.._ . . ......... .... Ekntal 4Y ~~ Rf49~ln~4~lj0~ jS atS@ gh~. 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 ='z 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 ~>j Based on my inquiry of those individuals respansib e for obt~3inmg the information, I certi y under penalty o lore that I have personal y examined an am amiliar 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 t e os on Shawn Stacey Environmental Compliance -7-