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li f ~~- - _. _ i~ AT&T-#2957 - -- - _- -' -'~ ~~ 917 GALLOWAY-DRIVE ~~-- - --- ~.z ff ,_-~ ~~ 3~~'1 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION ~q BUSINESS OWNER/OPERATOR IDENTIFICATION ~d~ G 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 ~ FnctLITY NAIvfE) 3. BUSINESS PHONE 102 AT8~T Mobility -GALLOWAY (14277) (425) 580-4902 BUSINESS SITE ADDRESS to3. 917 GALLOWAY DRIVE CITY 104 ZIP CODE tos. BAKERSFIELD 93312 DUN & BRADSTREET toe. SIC CODE (4 digit #) toz 10-202-6754 4812 couNTY t°g. Kern BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE uo. AT&T Mobility 425 580-4902 ext. II. BUSINESS 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 114 STATE 115 ZIP CODE tt6. Redmond WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME t t~. CONTACT PHONE t ts. Debra Okano 562 468 - 6495 ext. CONTACT MAILING ADDRESS t tv. 12900 Park Place Drive, 3rd Floor CITY tzo. STATE tit. ZIP CODE ts2. Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME t23. NAME tzs. Debra Okano Wireless Network Control Center TITLE tza. TITLE tz9. Network Manager, Compliance Control Center BUSINESS PHONE 125 BUSINESS PHONE t3o. 562 468 - 6495 ext. 800 832-6662 ext. 24-HOUR PHONE* tz6. 24-HOUR PHONE* tat. 949 338 - 8434 ext. 800 832-6662 ext. PAGER # 127 PAGER # t3z. N/A NIA ADDITIONAL LOCALLY COLLECTED INFORMATION: t33. Billing Address: P O Box 97061, Redmond, WA 98073-9761 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. SIGNAT OF OWNER/OPERATOR OR SIGNATED REPRESENTATIVE t3a. DAT - NAME OF DOCUMENT PREPARER 135. ~r ~ ~ ~.V ~ Steven Y Jin NAME IGNER (print) 136. TITLE OF SIGNER t37. Sian Wiltshire Environmental Com liance S ecialist UN-020 - 4/17 www.unidocs.org Rev. 07/24/06 .- , , .-~ - - , F CINGULAR WIRELESS 14277 NEW Manager ELIZABETH MARTINEZ Location: 917 GALLOWAY DR City BAKERSFIELD CommCode: BFD STA 15 EPA Numb: 33G~ SiteID: 015-021-00295'7 BusPhone: (425) 580-4902 Map 102 CommHaz Extreme Grid: 31B FacUnits: 1 AOV: SIC Code:4812 DunnBrad:10-202-6754 Emergency Contact / Title Emergency Contact / Title CHRISTINA WAGER / WIRELESS NETWORK / CONTROL CENTER Business Phone: (562) 468-6164x Business Phone: (800) 832-6662x 24-Hour Phone (800) 832-6662x 24-Hour Phone (800) 832-6662x Pager Phone ( ) - x Pager Phone ( ) - x ............... Hazmat Hazards: Fire Press ImmHlth ............. Contact CHRISTINA WAGER Phone: (562) 468-6164x MailAddr: 3851 N FREEWAY BLVD State: CA City SACRAMENTO Zip 95834 ............... Owner NEW CINGULAR WIRELESS PCS LLC Phone: (425) 580-4902x Address PO BOX 97061 State: WA City REDMOND Zip 98073 -9761 Period to TotalASTs: = Coal Preparers TotalUSTs: _ dal Certif'd: RSs: No ParcelNo: ............. Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK i~ ENT'D MAR 1 ~ 2QQ7 , Based on my inquiry of those individuals responsible for obtaining the information, I oertify 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. Si ~ ~-----_ IMAR 0 A 9007 Date -1- Ol/29/~007 F CINGULAR WIRELESS 14277 NEW 5iteID: 015-021-00295`1 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit NtCP PROPANE ELECTRONIC STORAGE BATTERY E F P IH L S 250.00 576.00 GAL LBS how -2- O1/29/~007 _3_ Ol/29/~007 F CINGULAR WIRELESS 14277 NEW SiteID: 015-021-002957' ~ ~ 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# 74-9~-6 Liquid TPureE -~mbRient~E ~ A~PeRATURE ~OVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 250.00 GAS -~ lYHGHtCUVUb 1.V1~lYV1VJ;1V1b - °sWt. RS CAS# 100.00 Propane Yes 749$6 17.E~GEj.1C11 c~~ ~~~arilJly i a ___..___ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRONIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CELL SITE CAS# STATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture I Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 18.00 LBS 576.00 LBS 576.00 LBS ritil~ti2C1JVUJ I.VL~lYV1ViS1V1J °sWt. RS CAS# 7.00 Sulfuric Acid (EPA) No 7664939 59.00 Lead No 7439921 t'LiGK[Cll 1j.7.7~.7.71~1~1v l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1 No No No No/ Curies / / / Lew -4- 01/29/2007 F CINGULAR WIRELESS 14277 NEW SiteID: 015-021-00295`7 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ---- _ , r ~... ~.:~u~Nivycc ivv~.ii . ~ LiVCLI.UGLl..1V11 rUi.J11t, ivvl.li . / r,VCiC:ILdI.lCJil Emergency Medical Plan 08/08/2006 NEAREST HOSPITAL: MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5000. -5- Ol/29/~007 F CINGULAR WIRELESS 14277 NEW SiteID: 015-021-00295`7 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment 10/17/2005 UNIVERSAL SPILL KIT. l.1 CCL11 IJ~J Other Resource Activation -6- Ol/29/~007 F CINGULAR WIRELESS 14277-NEW SiteID: 015-021-002957 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, vNc~.lai nac,aiu~ V1.1111. ~/ .711UL-VLL~ C1LC CLVI.CC:. /HVd11 WdI.CL Building Occupancy Level 08/08/20076 UNMANNED SITE -7- Ol/29/Z007 ~ 1.' F CINGULAR WIRELESS 14277 NEW SiteID: 015-021-00295`7 ~ Fast Format ~ ~ Training Overall Site. ~ Employee Training 10/23/20b6 ~ BRIEF SUMMARY OF TRAINING PROGRAM: PERSONNEL ARE TRAINED ON THE FOLLOWING PROCEDURES: INTERNAL ALARM/NOTIFICATION; EVACUATION/RE-ENTRY PROCEDURES & ASSEMBLY POINT LOCATIONS; EMERGENCY INCIDENT REPORTING; EXTERNAL EMERGENCY RESPONSE ORGANIZATION NOTIFICATION; LOCATIONS AND CONTENTS OF EMERGENCY RESPONSE/CONTINGENCY PLAN; AND FACILITY EVACUATION DRILLS. rage Held for Future Use _, t_ raciu .iv.~ ru~..utc vac -8- O1/29/~007 USID: 9526 Bakersfield City Fire Department 900 Trttxtun Avenue, Suite 210, Bakersfield, CA, 93301 Phone:(661) 326-3979; Fax: (661) 852-2171 BUSINESS ACTIVITIES I. FACILITY IDENTIFICATION FACILITY ID # 1• EPA ID # (Hazardous Waste Only) z. BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3• AT&T Mobifit -GALLOWAY 14277 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification age (OES Form 2730). Does our facili .. If Yes, lease com lete these a es of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the applicable Federal threshold ®yES ^ No a. HAZARDOUS MATERIALS INVENTORY quantity for an extremely hazardous substance specified in 40 CFR Part -CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70?~ B. UNDERGROUND STORAGE TANKS (USTS) UST FACILITY (Formerly SWRCB Form A) 1. Own or operate underground storage tanks? ^yES ®NO 5. UST TANK (one page per tank) (Formerly Form 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? ^ yE$ ® NQ 7, UST TANK (closure portion -one page per ank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^ yF,S ®NO g_ 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 RECYCLABLE MATERIALS REPORT (one materials (per HSC §25143.2)? ^ YES ®NO 10. per recycler) 3. Treat hazardous waste on site? ONSTI'E HAZARDOUS WASTE ^ YES ®NO t 1. TREATMENT -FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (Formerly DTSC Forms 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for Permit by ^yES ®NO 12 CERTIFICATION OF FINANCIAL Rule and Conditional Authorization)? . ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ® NO 13. SITE ANNUAL NOTIFICATION (Formerly DISC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^ YES ®NO la HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? . CERTIFICATION (Formerly DTSC Form 12a9> E. LOCAL REQUIREMENTS ]s. (You may also be required to provide additional information by your CUPA or local agency.) Bakersfield City Fire Department BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION Page 2 of 11 FACILITY ID # BEGINNING DATE t~• ENDING DATE tot. ' ~ 3/1 /2007 3/1 /2008 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. BUSINESS PHONE toe. AT&T Mobilit -GALLOWAY 14277 425-580-4902 BUSINESS STTE ADDRESS to3. 917 GALLOWAY DRIVE CITY toa. ZIP CODE tos. BAKERSFIELD CA 93312 DUN & BRADSTREET 106. SIC CODE (4 digit f,7 t~• 10-202-6754 4812 COUNTY 1os. Kern BUSINESS OPERATOR NAME toy BUSINESS OPERATOR PHONE tto. AT&T Mobili 425-580-4902 II. BUSINESS OWNER OWNER NAME ut• OWNER PHONE nz. New Cin ular Wireless PCS LLC 425-580-4902 OWNER MAILING ADDRESS tt3. P O Box 97061 CITY ua• STATE tts. ZIP CODE u6. Redmond WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME uz CONTACT PHONE tts. Debra Okano 562 468-6495 CONTACT MAILING ADDRESS uv. 72900 Park Place Drive 3~d floor CITY tzo. STATE tzt. ZIP CODE t~• Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME tz3. NAME 128. 90703 Wireless Network Control Center TITLE tea. TITLE t29. Network Mana er Com /lance Control Cente r BUSINESS PHONE tzs. BUSINESS PHONE t3o. 562 468-6495 800-832-6662 24-HOUR PHONE* tz6. 24-HOUR PHONE* tat. 800-832-6662 800-832-6662 PAGER # tz7. PAGER # t3z. N/A N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: t33. Property Owner: AT&T Mobility Phone No.: 425-580-4902 Billing, Permitting, & Correspondence Address: PO Box 97061, Redmond, WA 98073-9761 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. SIGNATURE OF OWNER/OPERA R OR DESIGNATED REPRESENTATIVE DATE t3a. NAME OF DOCUMENT PREPARER 135. • Oe... ~ ®~ ~" '~ , Thomas Kvigne NAME OF SIGNER (riot) 136. TITLE OF SIGNER 137. Sian Wiltshire Environmental Compliance Speacialist Bakersfield City Fire Department HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one e r material r buitdin or area) ^ ADD ^ DELETE ®REVISE 200 Pa e 3 of 11 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3• AT&T Mobilit -GALLOWAY 14277 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL INSIDE CELL SITE ~t• EPCRA ^ YES ®NO z~• FACILTI'Y ID # t. MAP # zo3. GRID # 2oa. II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET ^ Yes ® No 206• Lead If Subject to EPCRA, refer to inswctions COMMON NAME z~• Lead-Acid Batteries EHS* ^ Yes ® No 2og• CAS# z~• 7439-92-1 *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by Inca[ agency) 210. HAZARDOUS MATERIAL ®a. PURE ^ b. MIXTURE ^ c. WASTE 21t. RADIOACTIVE ^ Yes ®No 2t2. CURIES N/A 213. TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS eta. o LARGEST CONTAINER 28 215. FED HAZARD CATEGORIES z16 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH . AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 896 z". 896 zts. 0 2t9. N/A 220. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS DAYS ON STI'E (Check one item only) * If EHS, amount must be in pounds. 221. 365 222 STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN Batteries ^ d. STEEL DRUM ^ h. SILO ^ 1. 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 ;<f i. 226. 227. ^ Yes ^ NO 22g. 229. 2. 230. 231. ^ YCS ® NO 232. 233. 3. 234. 235. ^ Y2S ^ NO 236. 237. 4. z3g. z39. ^ Yes ^ No 2ao. eat. 5. 2a2. 2a3. ^ Yes ^ No zaa. zas. If more Lazardous components are present at greater than 195 by weight tf 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 Sign Here. Bakersfield City Fire Department HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one e r material r buildin or area) ^ ADD ^ DELETE ®REVISE 200' Pa e 4 of 11 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3• AT&T Mobilit -GALLOWAY 14277 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL INSIDE CELL SITE ~t• EPCRA ^ YES ® NO 2o't. FACILITY 1D ~ t. MAP # zo3. GRID ~ ~• H. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET ^ Yes ® No ~• Battery Electrolyte If Subject to EI'CRA, refer to instmctions COMMON NAME 2m. Lead-Acid Batteries EHS* ^ Yes ® No 2os. CAS;Y ~~ See Mixture Below *If EHS is "Yes," all amounts below must be in ]bs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No 212. cuRlES N/A 2t3. TYPE (Check one item only) PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 21a. LARGEST CONTAINER 1 219. FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH . AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 43 217. 43 218. 0 219. N/A 220. UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS DAYS ON SITE (Check one item only) * If EHS, amount must be in pounds. 221' 365 222 STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN Batteries ^ 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 229. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I. 41 pit, 226. Sulfuric Acid (H2SO4) 227. ®Yes ^ NO 228. 7664-93-9 229. 2. 59 % 230• Water (H20) 231. ^ Y2S ® NO 232. N/A 233. 3. 234. 239. ^ YCS ^ NO 236. 237. 4. z3s. z39. ^ Yes ^ No 2ao. zat. 5. zaz. za3. ^ yes ^ No 2aa. gas. If more hazardous components are present at greater than 1°6 by weight if non<arcinogenic, or 0.196 by weight if carcinogenic, attach additional sheets of paper captw-ing the regovcd ufformation. ADDITIONAL LOCALLY COLLECTED INFORMATION za6. DOT Hazard Class (H2SO4 ): 8.0 If EPCRA, Please Sign Here. Emergency Response/Contingency Plan (Hazardous Materials Business Plan Module) Authority Cited: HSC, Section 25504(6); Title 22, Div. 4.5, Ch. 12, Art. 3 CCR All facilities that handle hazardous materials in specified quantities must have a written emergency response plan. In addition, facilities that generate 1,000 kilograms or more of hazardous waste per month, or accumulate more than 6,000 kilograms of hazardous waste on-site at any one time, must prepaze a contingency plan. Because the requirements aze similar, they have been combined in a single document, provided below, for your convenience. This plan is a required module of the Hazardous Materials Business Plan (HMBP). If you already have a plan that meets these requirements, you should not complete the blank plan, below, but you must include a copy of your existing plan as part of your HMBP. This site-specific Emergency Response/Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented immediately whenever there is a fire, explosion, or release of hazardous materials that could threaten human health and/or the environment. At least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. A copy of the plan and any revisions must be provided to any contractor, hospital, or agency with whom special (i.e. contractual) emergency services arrangements have been made (see section 3, below). 1. Evacuation Plan: a. The following alarm signal(s) will be used to begin evacuation of the facility (check all that apply): ^ Bells; ^ Horns/Sirens; ®Verbal (i. e. shouting); ®Other (specify) FACILITY IS NOT MANNED b. ^ Evacuation map is prominently displayed throughout the facility. Note: A properly completed HMBP Site Plan satisfies contingency plan map requirements. This drawing (or any other drawing that shows primary and alternate evacuation routes, emergency exits, and primary and alternate staging areas) must be prominently posted throughout the facility in locations where it will be visible to employees and visitors. 2. a. Emergency Contacts*: Fire/Police/Ambulance ......................................... Phone No. 911 State Offce of Emergency Services .............................. Phone No. (800) 852-7550 b. Post-Incident Contacts*: Bakersfield City Fire Department California EPA Department of Tozic Substances Control ........... . ...... Phone No. (661) 326-3979 Cal-OSHA Division of Occupational Safety and Health ............. . Kern Couty APCD California Water Quality Control Board .......................... . Phone No. (916) 255-3545 Phone No. (408) 452-7288 Phone No. (661) 862-5250 Phone No. (916) 341-5250 * These telephone numbers are provided as a general aid to emergency notification. Be advised that additional agencies maybe required to be notified. c. Emergency Resources: Poison Control Center ....................................... Phone No. (800) 876-4766 Nearest Hospital: MERCY MEDICAL CENTER- 661-663-6100 SOUTHWEST 400 Old River Rd 3. Arrangements With Emergency Responders: If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements below: NONE Emergency Response/Contingency Plan (HMBP Module) Page 8 of 11 4. Emergency Procedures: Emergency Coordinator Responsibilities: a. Whenever there is an imminent or actual emergency situation such as a explosion, fire, or release, the emergency coordinator (or his/her designee when the emergency coordinator is on call) shall: i. Identify the character, exact source, amount, and areal extent of any released hazardous materials. ii. Assess possible hazards to human health or the environment that may result from the explosion, fire, or release. This assessment must consider both direct and induect effects (e.g. the effects of any toxic, irritating, or asphyxiating gases that are generated, the effects of any hazardous surface water run-off from water or chemical agents used to control fire, etc.). iii. Activate internal facility alarms or communications systems, where applicable, to notify all facility personnel. iv. Notify appropriate local authorities (i. e. call 911). v. Notify the State Office of Emergency Services at 1-800-852-7550. vi. Monitor for leaks, pressure build-up, gas generation, or ruptures in valves, pipes, or other equipment shut down in response to the incident. vii. Take all reasonable measures necessary to ensure that foes, explosions, and releases do not occur, recur, or spread to other hazardous materials at the facility. b. Before facility operations are resumed in areas of the facility affected by the incident, the emergency coordinator shall: i. .Provide for proper storage and disposal of recovered waste, contaminated soil or surface water, or any other material that results from a explosion, fire, or release at the facility. ii. 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 cleanup procedures are completed. iii. Ensure that all emergency equipment is cleaned, fit for its intended use, and available for use. iv. Notify the California Environmental Protection Agency's Department of Toxic Substances Control, The County of _Kern's Hazardous Materials Compliance Division, and the local Fire Department's Hazardous Materials Program that the facility is in compliance with requirements b-i and b-ii, above. Responsibilities of Other Personnel: On a separate page, list any emergency response functions not covered in the "Emergency Coordinator Responsibilities" section, above. Next to each function, list the job title or name of each person responsible for performing the function. Number the page(s) appropriately. 5. Post-Incident Reporting/Recording: The time, date, and details of any hazardous materials incident that requires implementation of this plan shall be noted in the facility's operating record. Within 15 days of any hazardous materials emergency incident or threatened hazardous materials emergency incident that triggers implementation of this plan, a written Emergency Incident Report, including, but not limited to a description of the incident and the facility's response to the incident, must be submitted to the California Environmental Protection Agency's Department of Toxic Substances Control, The County of _Kern's Hazardous Materials Compliance Division, and the local Fire Department's Hazardous Materials Program. The report shall include: a. Name, address, and telephone number of the facility's owner/operator; b. Name, address, and telephone number of the facility; c. Date, time, and type of incident (e.g. fire, explosion, etc.); d. Name and quantity of material(s) involved; e. The extent of injuries, if any; f. An assessment of actual or potential hazards to human health or the environment, where this is applicable; g. Estimated quantity and disposition of recovered material that resulted from the incident; h. Cause(es) of the incident; i. Actions taken in response to the incident; j. Administrative or engineering controls designed to prevent such incidents in the future. 6. Earthquake Vulnerability: [19 CCR §2731(e)] Identify any areas of the facility and mechanical or other systems that require immediate inspection or isolation because of their vulnerability to earthquake-related ground motion: Battery Racks Emergency Response/Contingency Plan 7. Emergency Equipment: Page 9 of 11 22 CCR §66265.52(e) [as referenced by 22 CCR §66262.34(x)(4)] and the Hazardous Materials Storage Ordinance require that emergency equipment at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this requirement. EMERGENCY EQUIPMENT INVENTORY TABLE 1. Equipment Cate o 2. Equipment T e 3. Locations * 4. Descri tion** Personal ^ Cartrid a Res irators Protective ^ Chemical Monitoring E ui ment (describe) Equipment, ^ Chemical Protective A rons/Coats Safety ^ Chemical Protective Boots Equipment, ®Chemical Protective Gloves Tech Truck Universal S ill Kit and ^ Chemical Protective Suits describe) First Aid ®Face Shields Tech Truck Universal S ill Kit Equipment ®First Aid Kits/Stations (describe On-Site ^ Hard Hats ^ Plumbed E e Wash Stations ^ Portable E e Wash Kits (i. e. bottle ty e ^ Res irator Cartrid es (describe) ^ Safet Glasses/S lash Go Les ^ Safet Showers ^ Self-Contained Breathin A aratuses SCBA ^ Other (describe) Fire ^ Automatic Fire S rinkler S stems Extinguishing ^ Fire Alarm Boxes/Stations Systems ®Fire Extin wisher S stems describe) On-Site Common Fire Extin wisher ^ Other (describe Spill ®Absorbents (describe) Tech Truck Universal S ill Kit Control ^ Berms/Dikes (describe) Equipment ^ Decontamination E ui ment (describe) and ^ Emer enc Tanks (describe) Decontamination ^ Exhaust Hoods Equipment ^ Gas C Linder Leak Re air Kits (describe) ^ Neutralizers (describe) ^ Ove ack Drums ^ Sum s (describe) ^ Other describe) Communications ^ Chemical Alarms (describe) and ^ Intercoms/ PAS stems Alarm ^ Portable Radios Systems ®Tele hones Tech Truck Cell Phone ^ Underground Tank Leak Detection Monitors ^ Other describe Additional ^ Equipment ^ (Use Additional ^ Pages if Needed.) ^ fi Use the map and grid numbers from the Storage Map prepared earlier for your HMBP. ** Describe the equipment and its capabilities. If applicable, specify any testing/maintenance procedures/intervals. Attach additional pages, numbered appropriately, if needed. Employee Training Plan (Hazardous Materials Business Plan Module) Authority Cited: HSC, Section 25504(c); Title 22, Div. 4.5, Ch. 12, Art. 3 CCR Page 10 of 11 All facilities that handle hazardous materials must have a written employee training plan. This plan is a required module of the Hazardous Materials Business Plan (HMBP). A blank plan has been provided below for you to complete and submit if you do not already have such a plan. If.you already have a brief written description of your training program that addresses all subjects covered below, you are not required to complete the blank plan, below, but you must include a copy of your existing document as part of your HMBP. Check all boxes that apply. Note: Items marked with an asterisk (*) are required.J: 1. Personnel are trained in the following procedures: ® Internal alarm/notification ® Evacuation/re-en rocedures & assembl oint locations* ® Emer enc incident re ortin ® External emer enc res onse organization notification ® Locations and contents of Emer enc Res onse/Contin enc Plan ® Facility evacuation drills, that are conducted at least (specify) Twice Yearly (e.g. "Quarterly ", etc.) 2. Chemical Handlers are additionally trained in the following: ® Safe methods for handlin and stora a of hazardous materials ® Locations and ro er use of fire ands ill control a ui ment ® Sill rocedures/emergenc rocedures ® Pro er use of ersonal rotective a ui ment ® Specific hazard(s) of each chemical to which they may be exposed, including routes of exposure (i. e. inhalation, ingestion, abso tion) ^ Hazardous Waste Handlers/Managers are trained in all aspects of hazardous waste management specific to their job duties (e.g. container accumulation time requirements, labeling requirements, storage area inspection requirements, manifesting re uirements, etc. 3. Emergency Response Team Members are capable of and engaged in the following: ® Personnel rescue rocedures ® Shutdown of o erarions ® Liaison with responding agencies ® Use, maintenance, and re lacement of emergenc res onse a ui ment ® Refresher trainin ,which is rovided at least annuall ® Emergency response drills, which are conducted at least (specify) Twice Yearly (e.g. "Quarterly", etc.) Record Keeping (Hazardous Materials Business Plan Module) Page 11 of 11 All facilities that handle hazardous materials must maintain records associated with their management. A summary of your recordkeeping procedures is a required module of the Hazardous Materials Business Plan (HMBP). A blank summary has been provided below for you to complete and submit if you do not already have such a document. If you already have a brief written description of your hazardous materials recordkeeping systems that addresses all subjects covered below, you are not required to complete this page, but you must include a copy of your existing document as part of your HMBP. Check all boxes that apply. The following records are maintained at the facility. [Note: Items marked with an asterisk (*) are required.J: Current a to ees' trainin records (to be retained until closure o the acili Former a to ees' training records (to be retained at least three ears a ter termination o em to ment ® Trainin Pro am s (i. e. written descri tion o introducto and continuin trainin Current co of this Emer enc Res onse/Contingenc Plan ® Record of recordable/r ortable hazardous materiaUwaste releases ® Record of hazardous materiaUwaste stora a area ins ections ^ Record of hazardous waste tank dail ins ections Descri tion and documentation of facility emergency response drills Note: The above list of records does not necessarily identify every type of record required to be maintained by the facility. A copy of the Inspection Check Sheet(s) or Log(s) used in conjunction with required routine self- inspections of your facility must be submitted with your HMBP. (Exception: Available from your local agency is a Hazardous Materials/Waste Storage Area Inspection Form that you may use if you do not already have your own form. If you use the example provided, you do not need to attach a copy.) Check the appropriate box: ® We will use the Unidocs "Hazardous Materials/Waste Stora a Area Ins ection Form" to document ins ections. We will use our own documents to record inspections. (A blank copy of each document used must be attached to this HMBP.) ..r ~ GENERAL NOTES ,. ~~ ~ s1Nlc1fal DRA96ia n1E FaLLOYNC DFF1NIlICxs SNAIL APq,Y; -rR~cuae~ tcorrsrxucnw) 2 PwoR m nE 9.YY~ssD1 tF e®A txE elDONa sLlaarlmACIDR autt vL9r ii@ CELL sre ro FA1191AND; 1N1 iNE EkSi1NG Nlel1T10l9 ANO 10 COf6691 n1A7 TIE wxN CAN BE 9E wiaaaff TO M ATiF71110N OF CQtfiACi02 dUWNa4. ANY p9CREYANCY inDM 91ALL 1 Nl YAlO6N3 F1Atq.9lfp AHD NSWIFD 9441 DE N STAICT ACCpmNI~ 1e1X ALL MPUCA9IE OTq REGIMnli6, Arm CgONANCES SI9COITTRACIOR fNµl 19511E ALL APPROPPoiIIE NOTICES ANO CCYPLY eTiil ALL UYIS ONWiANLES, R1AES RE41R/I110N5, ANO UIYi/L OftODa 6 ANY PU9UC AUTTd6T1' AEGAImWa 7NE PEI6Ng1ANCE CF 111E A411K. Au walac TAmm our SNAL1 OOIDLY wn1 CAlFO1x.A avADNa oDDE. utEST mina. YEO1AµeAL YD DECdeCAI. ACT61 SW111 DE a AO1XFmANf£ wTN ALL APNCA9E YUNA'PAL ANa anon oouPANr sPECFIGtx>tls ANp LIXYL lJHSEICTIWAL coats. oR71f/AlIQ9 AIQ APfA1CAHE IFWIATKINS ALL wx s44t eE N ACCOImANLE Wnl xFPA-m 1199 runaNA1 FLECIWC LEOE AMO CAL6i]NIA ELECTRIC CODE w ouwxs PAau3m NEr+E ARE Hot ro Ee: SG/fD Alm ARE 1rtETmED ro BN)n OUNNE aNLY. 1 Ix6ES$ xoTm 9n9nwse TIE 1K66L SHAD ON11mE FT9ams9xa YATVeALS. eDlvurlir. ~ ~r ~ ua u9aN ra~war ro oouncrc Au NsuualwNS As NdGTm oN 6 YATQxAL SR01fD N 7NE TABLF 'RF ~ p° MATDOALS' wLL K SIlTUED BY nlE 1 ~ N~M~ AIDCRIIRACIgt AL1 QMER YAlO9ALi SHALL DE AIPPYfO 9Y 7. Ifa: SLleWti ODClgR SNAtt M37At1 Au eGlNifeJT AND YAIEH.V9 N ACCOImA1KE wTH uAnuFACREF>rs RtwnmmAnoNS LAilE45 srEtARCALLr STATm oTienwsE. a s THE 9FFa9D EpAFYDR tA/ON7T 9E x9G111D A9 BIaINE GN ruse DRAf.1c1 7Ne ~~~ DIAIl PROPOSE AN ALTERNATNE NSTA{LA7NN SPACE F'tlt APPRMIAL BT lIR 0. SINCON7RACIER 941L1. DEIFIYxE ACRIµ. AOUING OF CCImWT, F'O11EN AND T CAnLLS. ORpAmxa CYfE9 A5 lAIOYAI ON TIE P09FFL CROINORm AID TE1C0 RNI ORAwN0. lalecnr~ w~u m`~wNN°Txe°~'0ACn1uTgRUn+~wm~i1~A0Drnn"E"R ~T= As NDassAxr. ..ib-THE-6V 9001fIRAC70R.5NNL.PRDIECS. E7aS1Na NP~~IYNO._/.A1RlIF1/TS tlY~DS..lNiD9CAPxC...... Alp 51161CIIN$ ANY DAYAGm PART 91ALL DE REPApim AT 9AWN1nAC10R'S DO'E76F TO THE SA19ACfKN CF 01NER. 11. SU9C71IRACIm nULL LEaµ1Y a PROOERL7 pSPdg DP ALL SGRM YA7Wµ5 SISR1 AS aDEnA1 tEaES AxD oTxEn ITrvs RETeovEn FTLOY nE EID9TNa FAL6TIY. ANh7eEA5 RE9mvE0 s+A11 a[ AETU6RD ro OIYIFA'S DESIGNATED LaG11p1. 12 SAI9CONTIUCIIN SHALL LEAK PNORS[9 N GtNi WN7ITION. 11 All CONtlE7E RFPAFI wxa S9ULL E[ DEEE N ACWNOAra<E wtN AYENC:µI CONCiE'IE Nsmure (AD) 3x, 14. ANY NEN ODIWEfE N®ED Fd1 iNE C0157wY'i1011 SMNl NAK 1000 P9 SiRENCIN A7 2D DATNa wieL 5i1µ1 EE GONE x ACCORDA9ME 91TH Atl 318 CWE 16 ALL STRUCNSIL 5RII wxaL 91ALL eE DONE N ACCpmµl~ w7N AISC SPEDRG1nON. Te. wrTSTRUCncN sNNy caiPLr wTx 5PEC1xwtKx arst3-avers-Anez-0oals.'m+o+AL wmauana+ minas TER aDNSTRUCnox a AW5 3a sTTa• iT. 51l9<ONIRACl0. sNAti VFfiPY ALL txsnxe Oferwalls Aim COraTWNS PNOR ro oDIIi[NCCINSa ANY MEYIK .Y1 OIiIFN9MJ 0 E#SIEVa CWS7TNCiNN SHOYN UN 1NE ORAwNGS M19T BE VENFIED. SL9LONTPACIOH BULL NO7FY 711E C0111RACTRiT OF ANY tlSCREPAINTES PI00R TO DROFNNC YA1a0V. Op PROCFE7MNa w1H COIESRWC1Kre. In. TFE E10SiO8 ODS Bre B x F7AL COWFFt1AL Q{RAII011. ANY CON.SiR11C11O11 TKIIAt BY SUBfDN1RACIGR SHALL NOT DISRIx+T TIE E7e51NC xON1Y. aPFaAnaa ANY f10RK CN 00911Na EGIPYFNT Masi BE COORaNATED wM CMIRACTO(L AT WN1HACi0R'9 OPiIW. MORII YAT RE SpRW1ED Fat AY AFPROPNAre YAINTSTI/J1CE wNODr UAIALLr N LDR IRARIC PE19004 AFiT3T IAONO/E. lA SRlff nE CFLL 9re D ACnV£ ALL SAFETY PRECAUnONS YUST BC TARN wEx YOIxOq AtLQMD iN4TI LEVD.S OI' ELCCRAl1ApO:TTC RADUIK71. OPCN GONiRACTOR'S PWtl590)L EWPYENT 91gAD I)E SNUTTIONN Nt10R lb PFAFENW/C ANY BERN 1MAT Cp1lD EMPD6E TiE 110N(ER9 TO O.W6R. PFA5011AL NF E1~OAlRE 11019TOR9 N ADNSm TO BE 90161 ro µERT a AvY GNLEnas ElPCn1{iE LETETS ,~p,s BecMd T~rrrTArY/xSorle ~IRLU AW3 - GbrryNSx C~owth Project ('.1'~1 M V13900 PARK MATA DRIVE '~ LERAROS, CA 90703 6 CJLLLOWAY BffE NO. CLtI 917 CA110YAY DRIVE 9N(ERSEEID. G l15D: 9528 5 Red Lines _----~ AT & T ~~ ~~ AT&T WIRELESS SERVICES, INC. AS-BUtt_T SITE NUMBER: CL11 SiTE NAME: GALLOWAY DRAWING INDEX BAK-0l.1t-O1 TITLE SHEET AND GENERAL NOTES BAK-CL11-02 EQUIPMENT LAYOUT PLAN BAK~Yt-OS CABtFB TO BT'8 CA@WET UIOIO/J (IBBU 11 24VDC RF L'ABINE» aArc-eLn~o~ .._.. ._..... ANTEraaA c~NFU3uRAnoN BAK-CLit-OB Bpl OF b1ATERtALS AND CONSTRUCTION NOTES 8AK1:L11-08 CONSTRUCTION DE7AIL8 AND NOTES VtCINITi MAP DRIVING DIRECTIONS: GO wsr ON PAN( 5T. ro BEGT7A/D AVG T11N IFPT. 7UR1 !1G11T aN WCAS ST. (PAW ST) TO CM// T7 ro 1-606 N ro N6 N ro al-w N ro G-66 UaT. LSFT To G1 SFA$ lER ON wel[ N). tER GN SIOQlDAII /t6Y. NON! ON aY1DYAY 00. .r .Hlkanek qe. s: _ ~ Ga-ie~m~-w-re~D .. 5...fl &__ 1 a~ ~ C .: Q P WECi 6ITE k~~ ~1+. AT8LT AT6T w!RELESS SEETYIOE9, UIC. 4441 PAWL PU1YA D.A$ :CNROOS G 4 3 REV 0 0 0 D O i NTS acaPE w wx64 L6NW0EO Tgrmw 511E AODISS4 917 CALLOY/AT OwK 9AIaABIID. G uTmlac 3&3664• tENeT11De -Walla IIEVAlx7k ,Aw5alcnoN an a aANER5FT8D Q66RTET USE 1OECOIaaING710NS FACNTY fltOPOSm USE 7llECO1661raG793NS FAC9ITY iOc{Qv~ W R~-n~N~- c..rCc: ~a3 CJ`fC p; . GvTC E?G~"' ~T~ ~Q I `io3©C~O-~- I~ l~c-~~6 vr+z,~ ~~ ~,~ STRUCTURAL REVIEW STRYCnNN, µULY9f f'K PflifORNED Alm N0 SIRtICnxiE Y0091G1011 K REOLI9QD. ~ APPLICABLE CODES AND STANDARDS ~ e1flnNa emE: tN971iw EAµiA1a CODE 1997 Au rKiN Is ro mYPLr wTx THE lire CAtiaN6A EAAlANO CGDEfceL~ AYENONENTS Arm srANOAROS, IIRLNf/0 TIE f01LCMN0 C0DE9 N Q+DFR 6 PPEfFDENCE• TIE 109T. VNiiWI BLOB OODE STANDARD6 AND AYENDIIENiSk lR9FONA YE071AMCAL CODE SUrmARDS AND AYFNOIAEIITSt INIFp01 iRE CWE STµl0AM3 Nm AifftOl®L13 Vt9F0101 PLWLWG CODE STANDNm4 AND AIENgE)fT$ LocA1 91ALDINa CaDG am/OOIN7Y almr4wo-s lU/E]A-222-1196 F, ea7 CgWFAfJAt fAYD9N3 CaOUNDxC AND BOImNC ROOUtiEAIENT4 fOR TELCwIan9acAttaNs RISC. CONSTRUCimN YAM1N, 9!A EpTION OR UlE0. NEC (NAlN7NAL D.ECINC CWE) 1999 (MPPA 79) NOgA ULTRA9nE DRATANG BSU36O06002CSR1 OR LATER PEV6tON YM97tE 111F7E tl A CCNFlICT BLlnfliH CODEf AN FARIEA HAYED 000E TAMES PREfEOQiCE OVER A LATER HAYED CODE. N ANT SPECIFIC CASE OR CONFLICTS 9ETNFE/ SECnDY3 Of ANY CODE RECA9DINa YAlEAL4$ YEnxIDS OF CONSTRUCMx, OR OTHER REOU6iEMe115. 7NE YO9T PE51RIC71K A1µ1 GOVETd1. 1IHFRE THERE 19 CONFLICT f A GENERAL IIEOIAREiIENT Alm A SPECIFIC REOUIND411T, THE SPECIf1C REWIREISNT 5HN1 AWS COMPI~C GROWTH TRLE SHEET AND GENERAL NOTES 2 o - N Q a ~ ~ g 1 \ ~ "~~~" ~_ ~ N ~ 5 ~~ l ~ ~ _a / Q ro v ~ U ~ c ~~ w ~ ; ~ c a C~ c . , ~ .~ va, c O w ¢ c7 iazu~a L/l S . L .t ,f , ~ B ~ n O ®~ O O e 8 ~ ~ '~ p O ~ ' ~ ? ~ a 0 °C 0 ~ ,6-.t ,L/t Ol-,f t ~ .1 ~ S O rc Y ~ 9 ~ .L a ~ N 1 v~ ~ ~ 3j~ ~ [ ~ ~~ ~, ~ ~ ~~i~l~ ~ \ ~: ~- ~~~ 0 0 ,9-,01 r J ~ ~ a~~~~ Q ~ S m o ~I I I ~ ~ x I gg .<..Go~n ~~ ~ I ~ M1y, W Y I ~4 ~ ~ $ ~ i• x V ~ ~ ~ ~~~$a~ l~°~~~8~~~ ~~j ~t I ~ ~~ ~ ~~~~ ~ ~ ~ x~o J ?~ p ~~p ~ i5 i,{iJ~l- uo ~~~ m ~ i S~ Z ~ r g ya~ <""<~~ ~n ~i~~1K ~~ N j y ~ ~iy~<~~~~ ~ ( d ~~ ; ~ ~ ~ °r1Fwz ~ ~01 1 c<+ zs r ~aai~ c i ~,v yj~ S~ g CE¢~'J~ r a 8~.i ~a ~~JJ r ~ , ~~t~7' ~ff ~Li ~"~~ ~ ~~Ol~~~ ~ ° . ~8$~ ''a'"W ~g~~ ~ zi g ~m ~ -~ ~1 ~ ~~ ~ .~i~ mm~3 ~ ~~G~Y`3Y~~~C~`1~ p t ~ 3 '2~€~LS~ ty~€~'B'6' oS~3 k~s ~~§ ~ ~~~~ ~~~~~Q~~~®~®®®®®®®®®®®~®®®®®®®®®®®®®®®®®~®®®®®©®®® < < < < Z Z Z 2 < < < < < < < < < a < s c < c < < < < < < < a < < < < < < < < 2 Z 2 Z 2 2 Z 2 Z 2 z z z z z 2 Z 2 2 2 2 z z 2 2 L 2 2 < < 2 2 1. 4NW WI uYe FYI WI h u..q wxu,. wMM~ ~ V rMUU~ r MwM Iu w WMY +M Y PY~ Wn w 'MMw~ •wen 'MNa 'MMn+w. N w ~u ~ INI w~wsu eue., ~w,ww w w r W r 4vi ~Lg18 Y u4N w W~ CuMe4 W! •a~.n0 apyw rW u.M'OM MW ~ MM Y PWMtq M tl w C•MM..1 Hlti~ W W~+IU1 1NMrouw ~+MOUf 'M~+w yyM n 'taxi owle~A] ~YWM O ~Mlx]01lxOJ 9iHYl0 Y ~ S •1 y~ _ n AT&T' MOBILITY-GALLOWAY (14277) Manager DEBRA OKANO Location: 917 GALLOWAY DR City BAKERSFIELD SiteID: 015-021-002957 BusPhone: (425) 580-4902 Map 102 CommHaz Extreme Grid: 31B FacUnits: 1 AOV: CommCode: BFD STA 15 EPA Numb: 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 (800) 832-6662x 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 dba~ AT~T Phone: (425) 580-4902x Address PO BOX 97061 'MObtli~ State: WA City REDMOND Zip 98073- 9761 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENS°v ~ u ~ ~ v zoos Based on my inquiry of those individuals responsible for obtaini ng the information, I certify under penalty of law th at I have personally examined and am familiar with the inform i b su at on mitted and believe the infarmation is tr acc ue, urate, and complete. Signature ~ ~~ Z~ Dat -1- 06/29/2007 .r FAT&T MOBILITY-GALLOWAY (14277) SiteID: 015-021-002957 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 250.00 GAL Hi LEAD-PcG«tao~-tt¢ri¢s S 896.00 LBS Low T ~"" "L'T" n"^'^'y"'I~S L 43.00 GAL Low ~ 1 ec~-Y o 1 ~ ~-e -2- 06/29/2007 -3- 06/29/2007 ~ n F AT&T MOBILITY-GALLOWAY (14277) SiteID: 015-021-002957 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: L CAS# oY1 b~t2 C~mp~~G~9bUfi~~Q. 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~-G~- 1T1Pure Above Ambient Ambient ABOVE GROUND TANK ~ ;rai~~N AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 250.00 GAL 250.00 GAL 250.00 GAL t1AGKKLVU~ 1:V1~lYV1Vl;1V1~ oWt. RS CAS# 100.00 Propane Yes 74986 t1E~iGE~KL HS~J;~~1~1~1V"1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / ~~ S Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LEAD- ~ G~ ~ (3~,-~-Y~r~ Q S Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CELL SITE~Ep~$~ WQ~11 S~ ~o posrt#¢,~~ bL~~W STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient OTHER SPECIFY/~,~QY~QS T ~ __ ~ ~__ _ _ ~ - AMOUNTS AT THIS LOCATION Largest Con28i00rLBS Daily 896100m LBS I Daily 896r00e LBS I IoF' t1HGl~K1JVU.~ 1.V1~lYV1VJ~,1V 15 %Wt. RS CAS# °1 x.'9-6$ Sulfuric Acid (EPA) No 7664939 oY,-5~9-@~6~ Lead No 7439921 tiHGtiCCL H.7.7L" JJ1~1L'1V lb TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / ' `J ~' Low -4- 06/29/2007 ~_ F AT&T MOBILITY-GALLOWAY (14277) SiteID: 015-021-002957 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME Days On Site ~ ~ Q,C-hra~-~"Q, 365 Location within this Facility Unit Map: Grid: CAS# IY1 ~'d1.Q, bo~-I~ erg d S -~ ~~~ - q 3 ~ ~ Liquid TMixtur~mbient~E ~ AmbientT~E OTHERONTSPECIFY~~a,~~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 43.00 GAL 43.00 GAL •-• rir~~tittL~u~ ~uinrulvr;lv'1'~ %Wt. RS CAS# 41.00 Sulfuric Acid (EPA) No 7664939 59.00 Water No ~~. t1AGHttL A:i~~a~1~1~1V'17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -5- 06/29/2007 F AT&T MOBILITY-GALLOWAY (14277) SiteID: 015-021-002957 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/15/2007 ~ IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERIAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTIFIED. = Employee Notif./Evacuation 03/15/2007 d1SCAV~Y.Q~1( (,S~ ~ 0 L t1~.1 oY~ IN CASE OF FIRE £~P3~6~~sL ARE NOTIFIED TO EVACUATE THE SW-~-"_'-~*~aC A~^~~ AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM AND TO ENSURE NO ONE ENTERS UNTIL FIRE DEPT AND HAZARDOUS RESPONSE TEAM HAS CLEARED TO DO SO. i-h ~,m S~~~Q i S v-nrnu,rme~. Public Notif./Evacuation 03/15/2007 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan 03/15/2007 MERCY HOSPITAL SOUTHWEST, 400 OLD RIVER RD, 663-6100 -6- 06/29/2007 F AT&T MOBILITY-GALLOWAY (14277) SiteID: 015-021-002957 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/15/2007 ~ ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN BATTERY AND HALON SYSTEM ON A WEEKLY BASIS. Release Containment peYS~n ~~ Sc cru ~' a ~ Qa~ wl ~~ : -~.QQ p o-l-h.~rs aut of area , - - - t-o S ~-a p -~~-h e -Ft ow d~ v~Qo~r pro ~~ c -h v e t~ui~wl~~t9 er~te~Pt 1 QOM ~~ 7 ~t S ~C Spill K- i ~ fi o G, ~ ~ Y b 12' ot, ~. o r c ~. l 1 °l l ~ . ~.icail vN Gall E i-~ ~ S tto-f-U' n e : 1-- g'(~ ~ - ~ ~ 5 ~ x-34 "~- vt.iici iccavui~c ti~:~.1va~.1c~11 -7- 06/29/2007 F AT&T MOBILITY-GALLOWAY (14277) SiteID: 015-021-002957 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNv~ldl nd~d.LU~ Utility Shut-Offs 03/15/2007 NO UTILITY SHUT-OFFS. r1lC rLVI.CC:.~L'iVdll. WdI.CL Building Occupancy Level 08/08/2006 UNMANNED SITE -8- 06/29/2007 ~. F AT&T MOBILITY-GALLOWAY (14277) SiteID: 015-021-002957 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/15/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: PERSONNEL ARE TRAINED ON THE FOLLOWING PROCEDURES: INTERNAL ALARM/NOTIFICATION; EVACUATION/RE-ENTRY PROCEDURES & ASSEMBLY POINT LOCATIONS; EMERGENCY INCIDENT REPORTING; EXTERNAL EMERGENCY RESPONSE ORGANIZATION NOTIFICATION;,LOCATIONS AND CONTENTS OF EMERGENCY RESPONSE/CONTINGENCY PLAN; AND FACILITY EVACUATION DRILLS. rayc ~ Held for Future Use nciu iui ru~uiC u~~ -9- 06/29/2007 USID: 9526 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# ~ BEGINNING DATE iw ENDING DATE 101 2957 8/13/2007 8/13/2008 BUSINESSNAME(SameasFACILITYNAMEorDBA-Doing Business AS) 3 BUSINESS PHONE 102 AT&T Mobility-Callowa 14277 425-580-4902 BUSINESS SITE ADDRESS t°3 917 Callowa Drive CITY 104 ZIP CODE io5 CA Bakersfield 93312 DUN & BRADSTREET 108 SIC CODE (4 digit #) io7 10-202-6754 4812 COUNTY sae KERN BUSINESS OPERATOR NAME tOS BUSINESS OPERATOR PHONE 110 AT&T Mobili 425-580-4902 II. BUSINESS OWNER OWNER NAME >>> OWNER PHONE 112 New Cingular Wireless PCS, LLC; dba AT&T Mobilit 425-580-4902 OWNER MAILING ADDRESS 113 PO Box 97061 CITY 114 STATE 115 ZIP CODE >>s Redmond WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Debra Okano 562-468-6495 CONTACT MAILING ADDRESS 119 12900 Park Place Dr. 3~ Floor CITY 120 STATE 121 ZIP CODE t2z Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 Debra Okano Wireless Network Control Center TITLE 124 TITLE 129 Network Mana er, Com liance Control Center BUSINESS PHONE 125 BUSINESS PHONE 130 562-468-6495 800-832-6662 24-HOUR PHONE 126 24-HOUR PHONE 131 800-832-6662 800-832-6662 PAGER # 127 PAGER # 132 949-338-8434 N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 Property Owner: New Cingular Wireless PCS, LLC; dba AT&T Mobility Note: Please send to the ATTENTION of EH&S. Please note that all Hazmat related Billing, Permitting and Correspondences need to be mailed to the "Owner Mailing Address" listed above, 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. SIGNATURE OF 0 ER/OPERAT OR DESIGNATED REPRESENTATIVE DATE i3a NAME OF DOCUMENT PREPARER 135 8/13/2007 Jackie Schnell NAME OF SIGNER (pnn 136 TITLE OF SIGNER 137 Donald Harris Director, EH&S UPCF (1/99) UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEMicaL DESCRiPTioN one e r material r buildin or area ^ADD ^DELETE ®REVISE 200 I. FACILITY {NFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) a AT&T Mobilit - Callowa 14277 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz {nside cell site ^ YES ®NO FACILITY ID # 1 MAP# (optional) 209 GRID# (optional) eat 2957 II. CHEMICAL INFORMATION CHEMICAL NAME 2os TRADE SECRET ^Yes ®No 2os Lead Pb If Subject to EPCRA, refer to instructions COMMON NAME zoo zoa EHS' ^Yes ®No Lead-Acid Batteries CAS# 209 'If EHS is "Yes", all amounts below must be in lbs. 7439-92-1 FIRE CODE HAZARD CLASSES (Complete if required by CuPA) 210 Health: 3 Fire: 0 Reactive:2 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^Yes ®No 21z CURIES: WA 213 PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIOUID ^ c. GAS 214 LARGEST CONTAINER: 28 215 FED HAZARD CATEGORIES 21s (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT z1e ANNUAL WASTE AMOUNT z1s STATE WASTE CODE 220 896 896 N/A N/A 221 DAYS ON SITE: zzz UNITS' ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl ' If EHS, amount must be in unds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ i. CANS ^ 1• BAG ^ n. PLASTIC BOTTLE ®r. OTHER -Batteries ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ .TANK WAGON 229 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 65-70% 22s Lead (Pb) 22~ ^Yes ®No zza 7439-92-1 zzs 2 7.9% 23o Sulfuric Acid (H2SOa) za1 ®Yes ^ No 232 7664-93-9 2~ 3 21-28% 2~1 Water (H20) 23s ^Yes ®No z36 None 297 4 zsa zas ^Yes ^ No zao za1 5 zaz 2aa ^Yes ^ No zaa zas If more hazardous components are present at greater than 1% by weight if non~carcinogenic, or 0.1%by weight If carcinogenic, attach ad ditional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION: zas If EPCRA Please Si n Here UPCF (1/99) ' ~ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEMicAI. DESCRIPTioN one e r material r buildin or area ^ADD ^DELETE ®REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 AT&T Mobilit - Callowa 14277 CHEMICAL LOCATION zo1 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz Inside Lead-Acid Batteries ^ YES ® No FACILITY ID # i MAP# (optional) 203 GRID# (optionaq 204 2957 ?r ~~ II. CHEMICAL INFORMATION CHEMICAL NAME zos TRADE SECRET ^Yes ®No zos Electrol a lr sub;ect.° epcnA, referto instructions COMMON NAME zoz Zoe EHS' ^Yes ®No Lead-Acid Batte cas# 2os 'If EHS is "Yes", all amounts below must be in lbs. 7664-93-9 FIRE CODE HAZARD CLASSES (Complete ii required by CuPA) 210 N/A HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^Yes ®No 212 CURIES: N/A 2t3 PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS z1a LARGEST CONTAINER: 1 215 FED HAZARD CATEGORIES 218 (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21e ANNUAL WASTE AMOUNT 21s STATE WASTE CODE 220 43 43 N/A N/A zz1 DAYS ON SITE: zz2 UNITS' ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl ' li EHS, amount must be in unds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ i. CANS ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER - Lead•Acid Battery ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ .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 # 1 40-50% zzs Sulfuric Acid 227 ®Yes ^ No zze 7664-D3-9 2zs 2 50-60% 23o Water 231 ^Yes ®No 232 None 233 3 234 235 ^Yes ^ NO 236 237 q z3e z3s ^Yes ^ No 2ao 2a1 g zaz za3 ^Yes ^ No z4a za5 If more hazardous components are present at greater than 1%by weight If nontarclnogenlc, or 0.1% by weight if carcinogenic, attach ad ditional sheets of paper capturing the required Informatlan. ADDITIONAL LOCALLY COLLECTED INFORMATION: gas DOT Hazard Class (HZsoa): 8.0 If EPCRA Please Si n Here UPCF (1/99) ' UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEMicaL DESCRiPTioN one e r material r buildin or area ^ADD ^DELETE ®REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 AT&T Mobilit - Callowa 14277 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 On Site Com ound, OUtSlde ^ YES ®NO FACILITY ID # 1 MAP# (optional) 203 GRID# (optionaq 204 2957 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zas Pro ane C3H8 If Subject to EPCRA, refer to Instructions COMMON NAME 207 2os EHS' ^ Yes ®No Pro ane CAS# 2os 'If EHS is "Yes", all amounts below must be in lbs. 74986 FIRE CODE HAZARD CLASSES (Complete it required by CuPA) 210 Health: 1 Fire: 4 Reactivi : 0 HAZARDOUS MATERIAL TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No 212 CURIES: N/A 213 PHYSICAL STATE 21a (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER: 25O 215 FED HAZARD CATEGORIES 2t5 (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 220 250 250 N/A N/A 2z1 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 unds. STORAGE CONTAINER ®a. ABOVE GROUND TANK ^ e. PLASTICINONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ i. CANS ^ 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 ^ .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 226 227 ^ Yes ^ NO 228 229 2 230 231 ^ Yes ^ NO 232 233 $ 234 235 ^ Yes ^ NO 236 237 q 23s z3s ^ Yes ^ No 2ao 2a1 5 za2 2a3 ^ Yes ^ No 2aa 2a5 If more hazardous components are present at greater than 1% by weight If non~carcinogenic, or 0.1%by weight If carelnogenic, attach ad ditional sheets of paper captur(ng the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION gas If EPCRA Please Si n Here ~=~ U_PC_F (1199) ~y` Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ~~ _E R S.F t _ 900Truxtun Ave., Suite 210 s PIKE D Bakersfield, CA 93301 SECTION 1~: Business~Plan and Inventory Program !! "'~'"' r Tel.: f661) 3zs-3979 ~ ~ Fax: (661) 872-2171 FACILI /~ L ~/ I G I~ /~i, / ~l// ~C (C 'J / I~ ~ ~~ ~ INSPECTION DATE ~~ r L'7~ ~~ INSPECTI N TIME ~'L ADDRESS / //ll PHONE N0. NO Of~F~/LOYEES FACILITY CONTACT ~ ~ BUSINESS ID NUMBER 15-021- Z c~•~ -7 Section 1: Business Flan ~Inld Inventory Praglracn ~~~ 1 ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSIYI2SS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES \ ^ ^ VERIFICATION OF LOCATION `` ~1 ^ ^ 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 ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES J~ N~ EXPLAIN: /A// ~,G f~' QUESTION~lE ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ;: ~_~~ + CINGULAR WIRELESS 14277 NEW ________________________= SiteID: 015-021-002957 + Manager T ~~f~A,htx'h rnu~h~-- BusPhone: (425) 580-7515 Location: 917 GALLOWAY DR Map 102 CommHaz High City BAKERSFIELD Grid: 31B FacUnits: 1 AOV: CommCode: BFD STA 15 SIC Code:4822 EPA Numb~:_ DunnBrad:l2-251-4268. Emergency Contact / Title Emergency Contact / Title WIRELESS NETWORK / CONTROL CENTER MIKE GARRETT / OMC OSS Business Phone: (800) 83,2-6662x Business Phone: (562) 468-6344x 24-Hour Phone ( ) - x 24-Hour Phone (800) 832-6662x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (425) 580-7515x MailAddr: PO BOX 97061 State: WA City REDMOND Zip 98073 Owner NEW CINGULAR WIRELESS PCS LLC Phone: (425) 580-7515x Address PO BOX 97061 State: WA City REDMOND Zip 98073 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENT'p AUG ® ~ 2006 Based an m Y inquiry of those individuals re$pnnslble for obtaining the information, I certify under penalty of law that I have examined and am familiar with the nfo mation submitted and believe the information is true, accurate, and complete, Signa r - m--. e '7` Q Da ~k 5~ S -1- 03/14/2006 ~~ 1~- - ~~~ .;r, Facility.Site Plan/Storage Map jf e (Hazardous Materials Business Plan Module) Site Address: ~~~ ~ <<~ W~l~ Date Map Drawn: ~~ ~ ~t 1 2 3 4 s 6 7 s 9 10 11 12 13 14 1J 16 17 18 14 20 21 22 23 24 25 26 27 2E D ~ ° .., ~-_ .. ~ ,,,>.. Map Scale: ~. ~~~~ - ~ -- ---- ~ `7 ~~ Page 4 of 9 ~~~~ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z ~~ ~ ( 1 ~ I ( ( ~ ~ --•- - ----1- - -- - - ( f ~ j i I ; ~ -~--~- -1 ! i ~ ~ l ; -~ - ! ~ ~ _ ~-~~ E i ' i I I ~""~ ~ ~ ~ ~ ~ ! ~ . ~ ~ E ,-- ~- I jj i E ~ -I- --~- ~ -.~~ r- ~-- ~ I ~ ~ : i ! _ ---, f ' - - -- --- ` j ' ( ~ ' ----r ~ ~` s i {_ { i 1 i ( i ~ i ~ ! i t ~ ~ ~- . ._ ~ - - J E ~ ; -- r -___- ' ' ri. -_- _ -.___ ~ i ~ i l ~ j ~ ; 4 I _ - ~__ l __--_--.__-1_-._.--___~- --~~~ ~ ~ -'~~`r --- - ~ 1 I i ~ 4 ~ ! ~ 1 1 j I j (1(j j I j -4}- - --~---~- ---~- --~----- ---_; ~ i _ - i i i ( ~ ' ~ ~ ~ ~_ ' ~ t E I i _ , ...._ _... ..i - - _ ~ S ' ~ I . , < ~ i ' , ~ 1 i I i ~ { i :.. . .. ..a .__.._.I ~_._-.-.~-._._-_... _.-.__~-__- ~.._. -... .. _ _._ -_-__-._-.__ -__ i L.-.~ .j.-.__-_ ~._.-- :_-_- ~ ~_-_ ~ -_~ 1 1 .. -_- _. _• - ....._-~ - - -___ -.- i { ~ ~ ~ i Instructions are printed on the following page. UN-020 - it/17 K-tivw.unidocs.org Rev. 01/16/02