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HomeMy WebLinkAboutBUSINESS PLAN 2/26/2007I _.. -- ..' VERIZON WIItELESS #33.36 ~ _ ' _` -- 2800 GALLOWAY-DRIVE ~ -.~ _ 'i` "~~- lll(((/// ~ vvv VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 Manager MARK IVERSON BusPhone: (661) 664-5601 Location: 2800 GALLOWAY DR Map 102 CommHaz High City BAKERSFIELD Grid: 20C FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title NETWORK OPERATIONS / CONTROL CENTER MARK IVERSEN / SITE INSPECTION ~ Business Phone: (682) 831-3523x Business Phone: (661) 664-5601x 24-Hour Phone (800) 264-6630x 24-Hour Phone (661) 203-3205x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: 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. ~NT`~ ~~~ ~ ~~ ~ Lased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of IaNr that 1 have personally examined and am familiar with the information ~ y submitted and believe the information is true, accurate, and rn ~ plete. 2 . ~ ~P ~ ,_ Signature c Date -1- 02/20/200 = SiteID: 015-021-003336 ~ By Facility Unit ~ Fixed Containers at Site ~ i ~. ~r F VERIZON WIRELESS - CENTENNIAL ~ Hazmat Inventory ~ MCP+DailyMax Order Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY S 4286.40 LBS Hi ELECTRIC STORAGE BATTERY L 1196.16 LBS Hi -2- 02/20/2007 4' -3- 02/20/2007 s . "~- - - F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ ~~:Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 178.60 LBS 4286.40 LBS 4286.40 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 72.00 Lead No 7439921 IStiGEiLtL H. 7.7P~A.71~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# Liquid TMixtur~ Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 49.84 LBS 1196.16 LBS 1196.16 LBS rariurucLVV~ I.VPlr V1V P~1V tw7 -- %Wt• RS CAS# 10.00 Sulfuric Acid (EPA) No 7664939 i11'1La17.CCL ti~ 7 w7 P~~7 ~71"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -4- 02/20/2007 F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ agency Notira~cation Employee Notif./Evacuation _,_ , ~ r ,~ rU.Uli~. 1VV1.11. ~ t,va~..ua~l.vit~ Emergency Medical Plan -5- 02/20/2007 F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Ke1~cLS~ Y=eV~i1L1UI1 Release Containment Clean Up vl.uCJ.. 1CCbvu1_l:C liUl..1VdL1Ui1 -6- 02/20/2007 c F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards lJ 1.1111.y J11U1~-VllwS i -. rare rrozec.~tavail. water Building Occupancy Level 03/28/2006 UNMANNED SITE -7- 02/20/2007 1 ~ .. r t ~ F VEFtIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 Fast Format ~ Training _ Overall Site ~ Employee Trairiing~ rayv ~ Held for Future Use Held for Future Use 9 9 -s- 02/20/200 ;, _. H;axardous Materials Division or~s~ldat~c~ ~r~~r~gen flan far Hazardous Materials, Flazardow Waste & Underground Storage ranks FA CILITY IDENTIFICATION /OPERATIONS OVERVIEW BUSINE NAME __..: °FA ID # D TE Verizon Wireless - ~ ~' ~ ~ BUSINESS ADDRESS ~ ~ ~~~~ Check elements covered by this consolidated plan: ~ ~. ; ' Hazardous.Materials ~ ' ~ 'i Hazardous Waste ^ Underground Storage Tanks ^ `P Supplemental elements submitted: UST Written Monitoring Plan ^ E e.g. pan ng contrador ~., ~ ,~ ,° ~ e.g. ee ma ntenance Wireless Telecommunications un-staffed facility, shelter,°andlor cabinets v R V e.g. c emica spy s, ire, ea qua ~; etc ; ~,~ = ` OSHA -EPA Hazard Communication Standard _ EMERGENCY CO©RDINATOR & 4N-SITE TECH ADVISORS J 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 ..........y: _...-..._ ..................~.....-_._......__.._...._._._.__.___.__..__ ........ ..... .... .......... a ' NOCC 800-264-6620 or ( er O0~` NOCC 800-264-6620 Must have the authority to classify the Phone #s: 682-264-6620 or 682-264-6620 I release, make management decisions, & --..._._._ ..............___..__..........-_... __ _ __ .__................-..........----.....-____._._.___ _......_ ......_ ....._.~ -.........~_._..._.......... determine appropriate res onse p Responsible for: spill prevention ^ .LonFd~ Ung fa~'Ny rzSNUnd r; ..._......_._...__..._.~...._......__.__.__........___.__..... ... ~......_..._.......... (check all that apply) emergency assessment / authorizing spill response work ~ ~ r I ® P ^ i N ...mana9ement___._.............._-.........._ .._.._ ............... ._..-..._...._ _....~_........_____.-..........___......__......._......_.___ t li I t f { ith d son e s: on-s te or on-ca ng w pu s ers n er ac c emer cY respon initiating alarms ~ .._. _. agency notification ^ ^ ~~ Alternate # 1 (INSPECTIONS) Alternate # 2 . _._..._.-_.__._...........___.-._~__.. _. _. __. _. ....... ....... ... _.-..~000RRESPONDENCE_& BILLtNG~___ ___ .. i Name / Position: Mark Iverson, Operations y Shawn Stace Manager _. _ _._ _.__ __ ~~__ ~ __.__ Address: 255 Parkshore Drive Alternate Emergency Coordinators: ` city: .....- .............__._.._....._-_ .._...._....._....__._..__..._..._.............-... _. _._._.._............_..._.._.._............-......_......_......-_............-._.__.................. Folsom list. In order of respansibility. I Z1p~ _.__......._....___._._..__.._.._.__......-_..._............._._.__._....... . ...-..____...-.-_..__._............__.-...---_.- .......................-.._......._........_.. CA Day phone: 661.664.5601 866-694-2415 After hours phone: NOCC 800-264-6620 NOCC 800-264-6620 Person Is: ^ on-si a or ®on-call ^ on-site or on-call 1c On-Site Technical Advisors Owner: Su ervisor: P (AVellable, to i)IDVIdP. SftP.-5(/P.dfIC tP.C11111C.~'ll adVlC.e to off-site emergency responders} Manager: other: un-staffed facili /shelter /cabinets 1'- Identi #y type of internal response: t~ ^ Internal facility Team Mem ers name or position : Responsi i itles: response team `l (attruh additional pages if' needed: Options: indicate an attachment by checking ~ ~ 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. ~ 3 t i~• be x 1 ~~ ~ i;, t ~°' ""` Nam : i i i iti D r~~ e Onyx Sp ec i al Services escr a ro a respons es: Spill response, ~ , ® contrador _ _ _ _ _ _ _ _ __ __ a ress: ~~ ~~~~~~~~ ~~__. ~ ~ -- ~~ ~~ ~ ~ ~ clean up, and hazardous material p one ~. 8~8=4~8-~9U0_......~...____.__. _._.....__.-.._. ISpOS81 i- ^ Call public emergency responders / 911 -1- ~~~~ _ - - -- for Hazardous Materials, Hazardous bVaste & Underground Storage Tanks Hazardous Materials Divisioli FACILITY IDENTIFICATION ~, BUSINESS NAME FACILITY ID # DATE Verizon Wireless - ~ EMERGENCY COMMONICATIONS /PHONE NUMBERS /NOTIFICATIONS ~c Internal & E:tterr-al"Emergency Communications ~~ I 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 iu c ec a t at app y: ._ .............."v'erC~al warriln s-`_..._...~..__._...........__. _._.......___.__. .. Public address orTntercorri systei INTERNAL facility emergenry communications or ^ ,,_ -,.,_ ._9 _ _ ~ alarm notification will occur via: ~~ _.~ ®telephone ~ ®pagers ® alarm system ^ portable radio elec. all t at appy: EXTERNAL notifications communications to / ~'~""" ve'itial'-wamri 's-'~""'~~~'--~`- -"-" - ~~ ^ g ^ public address or'infercorn stei neighboring facilities that may be affected by an -~~~~_...._.. _. _ .. _.~__...._._.__._.__..._.__...._._._....._.._.._ ..................._...__.........._.......__._......._..__.........___........_..____.._._. telephone pagers ® ^ off-site release will occur by: _... ~ a arm em orta era o zo .:Emergency Phone Numbers / Notification Lists . ' r' ° Bakersfield Police Dept. 911 ° Bakersfield Fire Dept. 0 661.322.9253 ° Kern Medical Center o ~~~-~ o Emergency response phone numbers -------_...._............_ ...................... _. County Hazardous Materials DIvlslon po~lsori 'Confrol..Cerite"r° ___........_........_._..__....._.____~._..~~_._..._._._..__........._ ._..820=~2~=fZ~~ ....__._._.......__..__.._...__..._..... }? Nearest medical facility /hospital I Name: K l C M di t Phone #: ern en er e ca 661.326.2000 23 Your medical facility /hospital Name: Kern Medical Center Phone #: 661.326.2000 z4 Dept o Toxic u stances ntro Hea quarters 1 -3 - 7 or -72 - 942 NV DIvlslon of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o mergency ervices - - or 1 - - 1 NV Department of Public Safety NV: 775-684-7500 CA Water Quality Contro Board - - or - - NV Water Quality Control Board NV: 775-684-2800 nwronmenta 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 ept o is ame - NV Dept of Wildlife NV: 775-688-1500 CA OSHA CA OSHA o DIvlslon of Occupational & Health o 510-286-7000 o CAL -OSHA Enforcement o 714-558-4411 orn a fate re ors a 1 - - Nevada State Flre Marshall NV: 775-684-7500 -~- ~ns~~~da~e~ ~c~nng~n~~ flan ror riazaraous materiau riazaranus waste ~ under rouna 5tora e i anKs %` Other Important Numbers Zfi Neighbor Notification List zr List all businesses /structures bor dering &/or a djacent to your facility: at tariiity's Business name:, () ak acilik s y -...~-____...._.____----.....__._.. -_.-...._..._.__._.----._....----...__-_._._......._._ Business name: , Q northern southern border: address: , , bord~.r: C----_.__. _. address: , ...... -------~~--~---_._..._ __ ___._ ___._.._..___.._._.~T.._.....-..._._..._..___.......... phone #: II 1 -..._.........._ --~- --- -~ - ~-~-~ -- ..................._.__-_....__ _. _.__ __...._._..._._...._.....___............._._ phone #: I contact name /position: contact name /position: z~; at aci ity s Business name: , Q at aci ity s Business name: , Q eastern ~.._... .. _. _.. _ .._._........_-.._..__._._ ............._.-_.__-.____....__.-_...-.._..._...-.--- western .... .__.---__.._.__ _.-..___._._.~--.--..._._._.___._._...----..._._.._ _...._.._._..__......___...... border: address: , border: address: , phone #: phone #: contact name /position: contact name /position: -3- ~n~~la~~d Qntngen~ ~I~n far tEazardaus Materials, hiazardous 4Yas~te & Underground Storage Tanks Hazardous Materials Division FACILITY IDENTIFICATION 3 ' BUSINESS NAME _ FACILITY ID # DATE ~'erizon Wireless - ~ EMERGENCY'CONTAINMENT & CLEAN-UP PROCEDURES az Containment, Prevention & Clean=Up 3:; Indicate your procedures for: ~--provtde••strvetorat- h real-Carrier- e:.- tie- P ys' -( g- ports ~ s ill cont inm nt w ll --__.__..._._..._______._..._.._.._.._._._._... ____. __._.. _._. _. _...._.__~_.. _... _..... _. •••• - - ••• ••° °• °- ru tures ressure build-u monitor for leaks etc p a e a s) p , p p, ® , .. - i. containing spills, releases, fires ._._.._.rovide' afisor6~erit fi sical~~~arri .~_.__....__...---__...-.---....-. ^ P P Y e ... --..-.--.--..._~_.~ .._~_...1_.. k floor or storm d~a(ns _.._.__...... ^ co e o b oc ~7 p . or ex losions & __. _. _.. .. ._ .. _ . -. __._....... ..._ ._.__-..____..._......~__._. ^ tuiit~ln ~~term in work•Csfo~ag`e area _._._..._.__.__..._....Y.._ ___......____._.... .._...........___.____.._..._._.:.........---........ ^ automatic fire suppressTon•'sysf:em 2. preventing and mitigating ( associated harm to persons, ~ --•---skop~~processes°l3i/or••o° eratons~-"~~~--' ~-•••••• •"`-`•"• ® p `""•`-•aufomarii~J`el'ectro"nic ••"`ui °'ment s'~uti=off` `stem "-~°~•- - ^ ~ p ~ roe & the environment: p p rly _ __ ___ _ _ _ ___ _ ® ~ gas, electrical- utilities as shut-off water __ _ ___ _ ~ • •• • • •• ~~ •• •••~••••~• ~~ ®~call 911~for'•piiblic emergency responder--•~• appropriate assistance /medical aid ~~ ®provide protedlve equipment for on-site response ^ eliminate sources of ignition for flammable hazards team (e.g. fuel, propane) riodfy &evacuate-persons In all threatened •areas ~ a ~ remove~~or Isolate containers %area as appropriate - ^ account for evacuated persons immediately after ~ r evacuation call 1 .........._........_._............__...._.........._...._......__•-•--•-- ..................._._.._.__._..............~.___ ® other (specify): Contact Yerizon Wireless 24-Hour ..._.____.._...._..___...._......__.............._._.......__..._....._...._._..----............___-._.._.............__._... Hotline (800-488-7900) and report incident, which will trigger Onyx Special Services. 3a Indicate your clean-up procedures: c ec a tat app y: ._..___....._....._...._...~._.._..._......_....._.._...._......._..-----~~.._....._.._---._.....____-_..._..____...._._.._....__.._..._.._.._~......---._.......-.---.-.._.._.___..___........._.___.... ® hire licensed hazardous waste contractor. (ONYX Special Services) -•O use ••a•C~so~6erif mate'rfa7-fo~ spliis•wi£fr suiisequent••proper faT~eifng;~storage and•••fiazard"ous~waste•disposai~as'~~'•• "• • appropriate ^ suctlori using siiop vacuurn'witfi•§ii[isequerit p~oper•ia6eiirig~"storage and-hazardous~iveste~~disposai-as `""`~ -- ~ ~~~ appropriate wash /decontaminate equipment w/ contalriment & disposal of effluent j rinsate as hazardous waste r........_._......._....._...._._._.........__.._...__............_..__....--•--...._._.....-.-- --- ---....-- -•-••-- ---....._.......__..._..._.._- -~--.......__ .............__.._......---..._._.._......._.............._......____.... ^ provide safe temporary storage of emergency-generated wastes ......__.....___....__.........._._...___-...._..___........_..........-.---._._, 4.._._._..._._-_._._._._._.....__._ .............____.....- ~._._.._._._ _.-_. _. _.-._ -._._.__. other (specify): j' Evacuation Coordinator & Assembly Area tt; Provide name /position of evacuation coordinator who will account for all on-site employees and / or site visitors after evacuation: "time: un-staffed facility /shelter /cabinets 3' Identi describe emer en rv / g w specify: un-staffed facility /shelter /cabinets assembly area for evacuees: Identify the location where your evacuation route /map is posted: Specify: , un-staffed facility /shelter /cabinets ~ Other facility evacuation procedures: specify: ~ i -4- ~can~~li~a~~d ~~ ~~~ ~I~n for Hazardous Materials, Hazardous Waste & Underground Storage T"anks HazardotTS Materials Division FACILITY IDENTIFICATION 3u ~. BUSINESS NAME FA ILIIY ID # pATE Verizon Wireless - C ~, ` EMERGENCY EQUIPMENT available emergency equipment {checkallthat~pplyj 41 Use Category ~ portable fire extumu~sher, ~ c:hemic:u{ protec:trle glove center of each wall in shop L ........................... raG"d as "C" sp31I resCmn:;e kit ~ ~ one-time u:,e, ~iil:~sUlarrt;es~stant only ~~l , Safety & First AId Equipment 93 V as ® cnemicai protective suits, aprons or•~ ® chemical protective gloves ~ chemical protective boots - ® safety glasses /goggles /shields ~ hard hats ~ cartridge respirator ~ self-contained breathing apparatus ®flrst aid kits /stations ~ plumbed eyewash fountain /shower ® portable eyewash kits other: Fire Extinguishing .11SI - Equipment ~ fixed fire stems /sprinklers /fire hoses fire alarm boxes or stations ~ other: ® a sor ent materla Spill Control & Clean- Up Equipment ® container for used absorbent berming / diking equipment ® broom shovel --~. ..shopvac ..........-___...._._~-_._-........_.-. exhaust hood emergency sump /holding tank ® chemical neutralizers gas cylinder leak repair kits ~ spill overpack drums ~ other: ® to ep ones inc u es ce u ar Commun(cations & ~.- ......... _ _ _ .... --~------~---•--- Alarm System Intercom / PA system Equipment ~ portable radios automatic alarm chemical monitoring equipment UST monitoring system operations manual ® list of notification phone numbers 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. .~ ~al"lSTE~~I~c~~~'~ ~aC1~IC1~~''~1C ~~ for hiazardaus Materials, Hazardous Waste & Underground Storage 'T'anks Hazardous Materials Division FACILITY IDENTIFICATION BUSINESS NAME ''II v i Wi l ~~ FA II.ITY IO # DATE er zon re ess - ~'V~ EARTHQUAKE~~YULNERABILITY 4i Ar.~as of earth wake vulr-erataiity 4._ .,.. ~~? c ec a I t at app y: Location {e•q, Shop, outdoor shed, tbrensic laia): Identify areas of facility vulnerable to l ills d t th k ~_.._.._ .............___........_..._._...._ .._.............._.-..............._........_...__..__..._.____.._... hazardous materials /waste storage area ® ___..__-........_..__._......._____..._........_._......._.___....._._...._........._....._....._._._.._____.-....... re ue eases /sp o ear qua e related motion: _ __.........-._..........-.-_..______...__.____.-.........._.._....___._..~. ~ process lines /piping Batteries installed exceed 1997 UBC (require irnrneciiate isplation and inspection) _....._._..__.._.__......._.___.__...__...........__._........_........__...~._._...-___.. and/or 2000-2003 IBC Seismic Zone 4 laboratory __0 __......._...__.._............_..__..._.._....._-.........._.._.._..._._.__.._....._.. specifications. I waste treatment area ^ 49 c iec a I t iaC app y: A ecl:er ovations: Identify mechanical systems ___.._._ _ ........._.._..................._._ ................._._._-_...._...__._....._ shelves; cabinets ~i packs ..__-............._..._..._.__...._.._._.._.__........_..__..._.._..--.---....._.._.........__.._.............~.._............._. vulnerable to releases /spills due to ~ ~~~~ ~~'~~~-~~-~~ ~ earthquake related motion: tanks (emergency shutoff) -" -~~~ ~ ^ ~--~ -T-~ {require immediate isolation and inspection) ~ portable gas cylinders ~ Power Breaker Located on/at un- ® emergency shutoff &/or utility valves Staffed facility, shelter or outdoor sprinkler systems cabinet. stationery pressurized containers (e.g. tank for dispensing propane) ARRANGEMENTS FOR EMERGENCY SERI/ICES s+~ ~xplanatian o{_izequirgment advance arrangements vrith Local fire & pause departments, naspit,3ls and /or contractors for emergency services should be made as appropriate far your facility; you may determine that advance arrangements are not necessary for your facility. st 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 sz Employee Training Content & Format `~3 ~ Explanation of_[zcqufremeni Enrp ayee training is requires nr all emp ogees handling hazanious materials bazar ous wastes in c ay to day or clean-up operations including volunteer; &/or contractors. Required Content for employee training includes all of the following: ;y4 • ComnlUnlCation E?< alarm SyStemS Material Safety Data Sheets • personal protective equipment • hazard communication related to health tir safety i~,,T, • • use of ernergene~+ response equipment methods for safe handling of hazardous substances fire extincTuisiier, mspirators, etc) • fire hazards of materials /processes • decont<~minatlon procedures I • conditions likely to worsen emergencies • evacuation procedure> • coordination of emergenty response • control & containment procedures • notification procedures • ' rnonitdriny system equipment & UST • applicable laws & regulations rocedures if a livable Indicate how employee training check all that apply: __._.._._._._......_ ..............._.__.-_-.._~.........._._._............__....__............_......... . _._....... program (with required content) is _ .__. ®Formal classroom ~ Video(s) (specify): administered: ~ __._ .......................................---------.~....._.....---....._......_........_...__ .._._..._._...... ....... ® Safety /tall-gate meetings ®Other (speclfyj: Annuai~oriiine training Study Guides /Manuals (specify): -6- . - - ~' ~QE1SQ~I~~~Pt ~C~n~l~1t~~~1C ~~e~t'1 for Hazardous Materials, hazardous waste & Underground Storage Tanks har..ardaus Materials Division FACILITY IDENTIFICATION BUSINESS NAME FA LII'Y ID # DATE Verizon Wireless - CX/1' V~U tt,~, EMPLOYEE TRAINING FREQUENCY'`& DOCUMENTATION s~ R+aquiced frequencyQf training 58 Ex tanatian of quirement _._P_._._._._._._._R~ _._._._._._ Emp oyee training must e: ~ provided within 6 rnonths for new hires, ~ amended as necessary prior to rhange in process or work assignment, • given upon modification to emergenty response !contingency plan, and ~ updated (refreshed annually for ALL employees. 5<j Certify that the facility's employee training program meets minimum ®Employee training is provided, at a minimum, as described above. fre uen re uirements: i co Record of training s~. Exptaiiation of_{~quircmcrlt Written documentation of employee training sessions must be kept wlrich include: ~ training outline; agenda ~ date of training session ~ employee names Z>x job titles ~ brief job description for hazardous waste generator facilities ~, Certify that the facility's training documentation meets minimum record ® Employee training documentation Is provided at a minimum as described above. kee in re uirements: , , sj Training program description or outline ^ EmplpyQg tiralning prograrn Q!~tlin~~ d~k~ 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 f Personal Protective Equipment. Attached is the following: LIST ©F 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 ~~~ Based on my inquiry of those uidividuais responstoie ror ontaining the inronnanon, 1 certiry under penalty of ravr that i have personaAy examined and am familiar with the Information submitted and believe the information is true, accurate and complete and that a cop{ is available on-site. gnature ate o comp a on 2/23/2007 rrnt ame a os on Shawn Stacey Environmental Compliance -7- / ~~~ ~ - ,~ V~.'~`~11w~reless ~a ~~~ Debra Voth Verizon Wireless ~ Network Dept. 255 Parkshore Drive Environmental Analyst Folsom, CA 95630 Phone 916 357-2501 Mobile 916 599-6842 debra.voth~ -- Fax 916 357-2502 ~ VerizonWireless.com .:. ~ ~ ~r VERIZON WIRELESS - CENTENNIAL Manager MARK IVERSON Location: 2800 GALLOWAY DR City BAKERSFIELD SiteID: 015-021-003336 BusPhone: (661) 664-5601 Map 102 CommHaz High Grid: 20C FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title NETWORK OPERATIONS / CONTROL CENTER MARK IVERSEN / OPS MANAGER Business Phone: (682) 831-3523x Business Phone: (661) 664-5601x 24-Hour Phone (800) 264- 24-Hour Phone (661) 203-3205x Pager Phone ( ) -~Z~yc Pager Phone ( ) - x Hazmat Hazards: 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 r~,~, ~ II I / CALL MARK IVERSON, 203- 3205, FOR INSPECTIONS. ` v~ c~ ~ ~~~' L=used on my inquiry of these individuals rasnensit:'e fcr ol~taini~,q thQ information, I certify urtcier pe^alty of lava that i have personally examinee and am familiar with the information submitte~ and believe the l+formation is true, accurate end complete. ~~ZS/o7 Signature Date "a n~ -1- 07/16/2007 ,~ r, F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI ELECTRIC STORAGE BATTERY S 4286.40 LBS Hi ELECTRIC STORAGE BATTERY L ~ 1196.16 LBS Hi -2- 07/16/2007 i .y, Y -3- 07/16/2007 :~ - ~, F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~mbient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 178.60 LBS 4286.40 LBS 4286.40 LBS nr~,~t~tcLVUa ~.Gi~ir~lv~ly l ~ %Wt. RS CAS# 72.00 Lead No 7439921 riAGL~KL r-~a~~~ai~i~i~l~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture 1 Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con49184rLBS Daily11I96116m LBS I Daily1196r16e LBS IlYaGt1CCLVUJ l..Vl"lYV1VP~1V1~ %Wt. RS CAS# 10.00 Sulfuric Acid (EPA) No 7664939 riEiGEiKL f~. 7.7L" .7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies f / / Hi -4- 07/16/2007 - ,=, F VERIZON WIRELESS - CENTENNIAL SiteID: 015=021-003336 ~ 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. Employee Notif./Evacuation _, ,~ tU.iJ111.. 1VV L11 . ~ L' V0.l.U0.L1V11 LPL ltCll,. Glll:y 1~1C U11r c11 r1cL11 -5- 07/16/2007 ;;, ;. F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ 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 V1.11C 1. iCC.7'U Ul C:C HC: l.1Vdl.1 V11 -6- 07/16/2007 ~- ::: F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~JC L 1 d 1 17dG d.L U.5' Utility Shut-Offs 03/09/2007 ELECTRICAL - E SIDE OF BLDG Fire Protec./Avail. Water 03/09/2007 PRIVATE FIRE PROTECTION - 1 HALON 1211 FIRE EXTINGUISHER (CONTAINS 9 LBS) L SIDE OF ENTR DOORS. Building Occupancy Level 03/28/2006 UNMANNED SITE -7- 07/16/2007 9 µ, F VERIZON WIRELESS - CENTENNIAL SiteID: 015-021-003336 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/09/2007 ~ MSDS SHEETS ON FILE. rayc ~ nclu iui L' UI.ULC U5C nclu ivt r UI.ULC lJSC -8- 07/16/2007 ---- . ;: ~S Mc_ RECEtvt;n ~+~`~~~ C .. UNIFIED PROGRAM CONSOLIDATED FORM , FACILITY INFORMATION : NOV 6 ZOO6 , , BUSINES S OWNER/OPERATOR IDENTIFICATION , ~ ~ EM/IRONMENi ,:..: L IDENTIFICATION. _ - ; . FACILITY ID # ;, I BEGINNING DATE I0° ENDING DATE ,101 (Agency Use Only) ~ /~J„ BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3. BUSINESS PHONE Q ~ Verizon Wireless -Centennial /- Unstaffed (!/ D BUSINESS SITE ADDRESS 103. 2800 Calloway Drive CITY Ioa. ZIP CODE los. CA Bakersfield 93312 , , DUN & BRADSTREET 106 SIC CODE (4 ~ / /1 ~ 4~ /z ~oz 88-463-8305 ~ j ~ _ 4812 COUNTY . , - - --- oa. - Kern _, _ _ BUSINESS OPERATOR NAME 1°9 BUSINESS OPERATOR PHONE I l°. Mark Iversen Nerizon Wireless 661-664-5601 II.' BUSINESS OWNER OWNER NAME Ill. OWNER PHONE 112. Verizon Wireless 866-694-2415 OWNER MAILING ADDRESS ~ t3. 255 Parkshore Drive CITY I Ia. STATE 115. ZIP CODE 116. Folsom CA 95630 III. ENVIRONMENTAL CONTACT_ CONTACT NAME 117. CONTACT PHONE 118. Shawn Stacey (Billing and Correspondence) 866-694-2415 CONTACT MAILING ADDRESS 119. 255 Parkshore Drive CITY 120 STATE IZI. ZIP CODE Izz. Folsom CA 95630 _ _ .. PRIMARY- ': IV. EMERGENCY CONTACTS` -SECUNDARY- ° NAME 123. NAME t2s. Network Operations Control Center Mark Iversen (Site Inspections) TITLE 124. TITLE tz9. Network Operations Manager BUSINESS PHONE -~ `- _ _ -- - - ~~° 125.-- BUSINESS P ONE 130. 682 8313523 ~ ' 661 664-5601 24-HOUR PHONE* 125. 24-HOUR PHONE* ~ t3t. 800 264 6630 661-203-3205 PAGER # 127. PAGER # i I3z. none ADDITIONAL LOCALLY COLLECTED INFORMATION: t33. Property Owner: See Contact Phone No.: Billing Address: .t . . Certification: Based o my inquiry of those in 'viduals responsible for obtaining the information, I certify under penalty of law that I_have personally examined and am familiaz with the in rmation submitted lieve the information is true, accurate, and complete. 'I SIGNATURE OF O R O ESI ATIVE DATE I3a. NAME OF DOCUMENT PREPARER I35. U . 21 • Tarah French NAME OF SIGNER (print) `' 136. TITLE OF SIGNER 137. Shawn Stacey Spvsr Environmental Compliance * See Instructions on next page. UPCF hwf2730 (1/99) - I/2 http://www.unidocs.org Rev. 04/17/00 o _ _~~ ~~ ,~ Section VI -Health hazard Data Route(s) of Envy Inhalation? Skin? Ingestion? Yes Yes Yes Health Hazards (Acute and Chronic( Sulfuric acid -burns tissue contacted, incb.~ding eye and corneal ulceration Lead -Short-term exposure due to inhalation of dust may cause seizure. Chronic exposure can lead to damage to blood-forming, nervous, urinary or re roductive systems. Carcinogenicity NTP? IARC Monographs? OSHA Regulated? NO NO NO Signs and Symptoms of Exposure: See Above Medical Conditions General Aggravated by Exposure Individuals with pre-existing disease of the lungs may have increased susceptibility to the toxicity of excessive ex osures. Emergency and First Aid Procedures _~_ Lf_suifucic_acid-electrol-y#e-is-spilled;-irnmediatefy-fltah-skin-or~eyes-for-at-feast-1`5-minutes whil"e >=emoving contaminated clothing and shoes. Contact a physician. if swallowed, do not induce vomiting; drink large uantities of water or milk; contact a h sician.. Section VII -Precautions for Safe Handling and Use Steps to be Taken in Case Material is Re)eased or Spilled Not usually applicable. However, in case sulfuric acid electrolyte is spilled, comply with federal, state and local regulations on reporting releases, containing spills and remediation. Contain spill to smallest possible area and absorb as a ro riate. `Waste Disposal A4ethod Comply with federal, state and local regulations. if approved, neutralize with soda ash or lime and transfer to waste treatments stem. Precautions to be Taken in Dandling and Storing Avoid rough handling. Do not store above 140 degrees F. Always have water safety showers and eyewash fountains available. Other Precautions. No smokin re ulations must be enforced due to H dro en eneration durin batte char in . Section VIII -Control Measures Respiratory Protection (Specific Type) If incinerated, NIOSH/MSHA-a roved ositive ressure self-contained breathin a aratus. .Ventilation Local Exhaust ~ Special Yes - dischar e out of work area Mechanical (General) Other Protective Gloves Eye Protection Rubber acid- roof auntlet loves. Chemicals lash o les; full-len th face shield. Other Protective Equipment Rubber or lastic a ron and boots; lon sleeve wool, ac lic or of ester clothin acid roof suit and hood. Work/Ilygienic Practices Always use extreme care; wash thoroughly after handling. C _ _ ~'"~_ TAT T _ ~ectlun s.~ - ~ ransporzailon Battery shipments from FIAMM Techno{ogies, Waynesboro location, will be properly labeled in accordance with applicable DOT regulations. Because the batteries are classified as "Nonspillable" and meet the three conditions per sec. 173.159 (d) they do not have an assigned UN number nor do they require additional DOT hazard labeling. Y:\DATA\DOCS\Ma n uals\MSDS.doc =, - _ ,,' ~`~,, ;., y + VERIZON WIRELESS - CENTENNIAL _______________________ SiteID: 015-021-003336 + Manager ALAN HOLZMAN Location: 2800 GALLOWAY DR City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: BusPhone: (661) 873-2401 Map 102 CommHaz High Grid: 19D FacUnits: 1 AOV: SIC Code:4812 DunnBrad:88-463-8305 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: Contact SHAWN STACEY Phone: ('i- 2 x Mai lAddr : 2 5 5 PARKSHORE BLVD BLDG B State : CA $'~„(Q -r (,~ q y 241 City FOLSOM ~ Zip 95630 Owner VERIZON WIREL Phone: (925) 27 ~"~5x Address 2785 MI L DR ^^~~ State: City WA CREEK ~p--m'e Zi 94598 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: ~ ) PROG A - HAZMAT y~~ ~~' ~ Baud on mY inquiry of those individuals responsible for obtaining the information, I certify under penalty of taw that I have examined and am familiar with the info mataion submitted and bptteVe the infor ccurata, and c ation is true, mplate. ignature ~ ~ n tp Da e Ey~~ JU (18 ?00 6 M~~O ~k y~\ -1- 03/28/2006 LEGEND Batteries Q Eye Wash . Fire Extinguisher O Fire Suppression First Aid/Survival Kit ~ Personal Protective Equipment e Power Breaker ® Spill Containment Kit Msos MSDS & ~ cP Contingency Plans A i B _1 C. ~. E i F O 20 ft I -- - - -- - 2ft __ _ ft 2 ~ Batteries aft Rectifier Equip. Rack Rack ~' 3 .`: ~ ~~ 11 ft `~5 1'` r, ~_, 4 Transfer Switch Equip. Rack 5 II e • ~ MSDS * ~ II & CP c /~ , iA SITE Centennial Address 2800 Calloway Dr City, State, Zip Bakersfield CA 93312 REV. DESCRIPTION DATE BY Drawing 2