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HomeMy WebLinkAboutBUSINESS PLAN 4/17/2008CINGULAR WIRELESS 8201 CAMINO MEDIA ~w ~..K _ ~~~gR~0 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION ~ 33~ BUSINESS OWNER/OPERATOR IDENTIFICATION d I Pa e 2 of 2 I. IDENTIFICATION FACILITY ID # t BEGINNING DATE tw. ENDING DATE IoI. (Agency Use Only) 02101 /2007 02/01 /2008 BUSINESS NAME (Same as FACrLITVNAME) 3. BUSINESS PHONE 1°2. AT&T Mobility - MING AND GOSFORD (25962) {425) 580-4902 BUSINESS SITE ADDRESS 103. 8201 CAMINO MEDIA CITY 104 ZIP CODE tos. BAKERSFIELD 93311 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 10-202-6754 4812 couNTY 108. Kern BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE ] to. AT8t:T Mobility 425 580-4902 ext. II. BUSINESS OWNER OWNER NAME t u. OWNER PHONE 112. New Cingular Wireless PCS, LLC 425 580-4902 ext. OWNER MAILING ADDRESS tt3. Q~ P O Box 97061 ~,Q CITY [ tt4. STATE ns. ZIP CODE I16. Redmond 1~ WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME t lz CONTACT PHONE t ts. Debra Okano 562 468 - 6495 ext. CONTACT MAILING ADDRESS t 19. 12900 Park Place Drive, 3rd Floor CITY 120 STATE tzt. ZIP CODE 122. Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME tz3. NAME 128. Debra Okano Wireless Network Control Center TITLE tza. TITLE 129. Network Manager, Compliance Control Center BUSINESS PHONE 125 BUSINESS PHONE 130. 562 468 - 6495 ext. 800 832-6662 ext. 24-HOUR PHONE* 126 24-HOUR PHONE" 131. 949 338 - 8434 ext. 800 832-6662 ext. PAGER # 127 PAGER # 132. N/A N/A 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/OPERAT R ESIGNATED REPRESENTATIVE D A TEr 134. NAME OF DOCUMENT PREPARER 135. , , ~- t, ~~ Steven Y Jin NAM F SIGNER (print) t36. TITLE OF SIGNER 137. Sian Wiltshire Environmental Com liance S ecialist UN-020 - 4/17 www.unidocs.org Rev. 07/24/06 .t~ CINGULAR WIRELESS 25962 NEW Manager ELIZABETH MARTINEZ Location: 8201 CAMINO MEDIA City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: ~~ SiteID: 015-021-003341 BusPhone: (425) 580-4902 Map 123 CommHaz Low Grid: 05D 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: 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: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT nlfl ~ ~ l ~NT'p ~~~ ~. ~ ~QQ~ Based on my inquiry of thai~d ifi~I~iduals responsible far otatainlf'i~ tM~~ iAfarr~atien, I certify under penalty Of law tf~~t I haue personally examined and am familiar with the information submitted and believe the information is true, accurate, an complete. ot,.. ~ ~IDAR 0 9 2007 Signature Date -1- O1/29/~007 4:-- i, h F CINGULAR WIRELESS 25962 NEW SiteID: 015-021-00331 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~~P ELECTRONIC STORAGE BATTERY S 2721.60 LBS Lnw -2- O1/29/~b07 LOgZ/6Z/TO -E- ,~ i' 4. 4 F CINGULAR WIRELESS 25962 NEW SiteID: 015-021-003341 ~ ~ 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~Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Co113140rLBS Daily2M21160m LBS I Daily2A21r60e LBS ntic~tiRLVVJ lrVl"lYV1V81V1J %Wt. RS CAS# 7.00 Sulfuric Acid (EPA) No 7664839 59.00 Lead No 7439921 rlt'1L~ti1CL tiJ JL'JJ1.1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies / / / Levu -4- 01/29/2007 F CINGULAR WIRELESS 25962 NEW SiteID: 015-021-00334]. ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification P~LLl~J1 Vy CC 1VV 1.11. / L~VdU Udl.1U11 r U1J 1. .LL ivv l.ll / L' VdG Ud1,1UA L' ulCll~. Ci1Gy 1°1CU1Cd1 rlan { -5- Ol/29/~007 r, F CINGULAR WIRELESS 25962 NEW SiteID: 015-021-003341 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention xelease ~onLainmenL ~ieail up v~.tict 1tc~vul.~c 1"11:1..1VCLl~1V11 -6- O1/29/~007 r. e a F CINGULAR WIRELESS 25962 NEW SiteID: 015-021-00331 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ar~~:ldl nd~.dlua Vl..llll,.y J11U lr-V11S i 1'11c r1Vl.Cl.:.~tiV d11 YYd I.Cl a Ul lllllly VC:L U~JdilC: ~/ LC'VC.''1 -7- O1/29/~b07 F CINGULAR WIRELESS 25962 NEW SiteID: 015-021-003341 ~ Fast Format ~ ~ Training Overall Site ~ ,G tu~J.LVyCC 11_d1111i1C~. rayC ~ nciu tVt L'UI.LLl_C VSC nC1u lUl_ r uLUi'C USe -8- 01/29/2007 .a USID: 13762 Bakersfield City Fire Department 900 Truxtun Avenue, Suite 210, Bakersfield, CA, 93301 Phone:(661) 326-3979; Fax: (661) 852-2171 BUSINESS ACTIVITIES I. FACILITY IDENTIFICATION FACILITY ID k 1• EPA ID t{ (Hazardous Waste Only) 2. BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3 AT&T Mobilit - MINE AND GOSFORD 25962 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does our facilit ... If Yes, lease com lete these a es of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) 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 swxCB 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? ^ YES ®NO 7. UST TANK (closure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^yES ®NO 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 q. 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? ONSITE HAZARDOUS WASTE ^ YES ® NO 11. TREATMENT -FACILITY (Formerly DTSC Fortes 1772) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (Formerly DTSC Fonns 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 DTSC 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 1249) E. LOCAL REQUIREMENTS ls. (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 FACILTTY ID f{ BEGINNING DATE too• ENDING DATE tot. '~ 3/1/2007 3/1/2008 BUSINESS NAME (Same as FACILITY NAME or DBA - IMing Business As) 3. BUSINESS PHONE 1oz. AT&T Mobilit - MING AND GOSFORD 25962 425-580-4902 BUSINESS SITE ADDRESS to3. 8201 CAMINO MEDIA CITY 1oa. ZIP CODE tos. BAKERSFIELD CA 93311 DUN & BRADSTREET 106• SIC CODE (4 digit //) 107. 10-202-6754 4812 COUNTY 1os. Kern BUSINESS OPERATOR NAME tog. BUSINESS OPERATOR PHONE 110. AT&T Mobili 425-580-4902 II. BUSINESS OWNER OWNER NAME tu. OWNER PHONE uz. New Cin ular Wireless PCS LLC 425-580-4902 OWNER MAILING ADDRESS t13. P O Box 97061 CITY 1ta. STATE ns. ZIP CODE t16. Redmond WA 98073-9761 III. ENVIItONMENTAL CONTACT CONTACT NAME u7. CONTACT PHONE 11R. Debra Okano 562 468-6495 CONTACT MAILING ADDRESS tts. 72900 Park Place Drive 3rd floor CITY 1zo. STATE 121. ZIP CODE 122. Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME tz3. NAME 1zs. 90703 Wireless Network Control Center TTTLE 1za. TITLE 1z9. Network Mana er Com liance Control Cente r 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 k tz7. PAGER !t t32. 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/OPERAT OR DESIGNATED REPRESENTATIVE DATE 134. NAME OF DOCUMENT PREPARER 135. ' 1iIlAR 0 9 2007' Nicholas Oswood NAME OF SIGNER (riot) 136. TITLE OF SIGNER 137. Sian Wiltshire Environmental Compliance Specialist Bakersfield City Fire Department HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one e r material r buildin or area) ^ ADD ^ DELETE ®REVISE 200 Page 3 of 11 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3• AT&T Mobilit - MING AND GOSFORD 25962 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL ~~ INSIDE CELL SITE 201 EPCRA zoz. ^ YES ®NO FACILITY ID # I. MAP # zo3. GRID # zaa. -- II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET ^ Yes ® No zo6. Lead If Subject to EPCRA, refer to instructions COMMON NAME zm. Lead-Acid Batteries EHS* ^ Yes ® No 2os. CASH 209. 7439-92-1 *If EHS is "Yes," all amo unts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 2to. HAZARDOUS MATERIAL ®a. PURE ^ b. MIXTURE ^ c. WA5TE 211. RADIOACTIVE ^ Yes ®No 212. 213. CURIES N/A TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 21a. LARGEST CONTAINER 48 215. FED HAZARD CATEGORIES 216 . (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 1140 2". 1140 2tg. 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. 3Ej~j zzz. 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 Batt@I'I@S ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 2z3. STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. 227. ^ Yes ^ NO 228. 229. 2. 230. 231. ^YCS ® NO 232. 233. 3. 234. 235. ^YCS ^ NO 236. 237. 4. z3g. z39. ^ Yes ^ No 2ao. zat. 5. za2. za3. ^ Yes ^ No zaa. zas. If more hazardous components are present at greater than 196 by weight if non-carcinogenic, or 0.196 by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6. 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 prepare a contingency plan. Because the requirements are 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 (sped) 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 Office of Emergency Services .............................. Phone No. (800) 852-7550 b. Post-Incident Contacts*: Bakersfield City Fire Department California EPA Department of Toxic 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 may be required to be notified. c. Emergency Resources: Poison Control Center ....................................... Phone No. (800) 876-4766 Nearest Hospital: MERCY HOSPITAL 2215 TRUXTUN (661) 632-5000 AVE 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) 4. Emergency Procedures: Emergency Coordinator Responsibilities: Page 8 of 11 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 indirect 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. ca11911). 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 fires, 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 a ny a reas o f t he facility a nd mechanical o r o ther systems that r equire i mmediate i nspection o n solation b ecause o f 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 or 2. Equipment T e 3. Locations * 4. Descri tion** Personal ^ Cartrid e Res irators Protective ^ Chemical Monitoring E ui ment (describe) Equipment, ^ Chemical Protective Aprons/Coats Safety ^ Chemical Protective Boots Equipment, ®Chemical Protective Gloves Tech Truck Universal S ill Klt 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 Eye Wash Stations ^ Portable Eye Wash Kits (i. e. bottle e) ^ Res irator Cartridges (describe) ^ Safet Glasses/S lash Go Ies ^ Safety Showers ^ Self-Contained Breathin A aratuses (SCBA) ^ Other (describe) Fire ^ Automatic Fire Sprinkler Systems Extinguishing ^ Fire Alarm Boxes/Stations Systems ®Fire Extinguisher Systems (describe) On-Site Common Fire Extinguisher ^ Other (describe) Spill ®Absorbents (describe) Tech Truck Universal S ill Kit Control ^ Berms/Dikes (describe) Equipment ^ Decontamination Equipment (describe) and ^ Emergency Tanks (describe) Decontamination ^ Exhaust Hoods Equipment ^ Gas C under Leak Re air Kits (describe) ^ Neutralizers (describe) ^ Ove ack Drums ^ Sum s (describe) ^ Other (describe) Communications ^ Chemical Alarms (describe) and ^ Intercoms/ PA Systems Alarm ^ Portable Radios Systems ®Tele hones Tech Truck Cell Phone ^ Under round Tank Leak Detection Monitors ^ Other (describe) Additional ^ Equipment ^ (Use Additional ^ Pages if Needed.) ^ * 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 ifyou 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 alarminotification ® Evacuation/re-entr rocedures & assembl oint locations* ® E mer enc incident re ortin ® External emergency res onse or anization notification ® Locations and contents of Emer enc Res onse/Contin enc Plan ® Facility evacuation drills, that are conducted at least (specify) TW I Ce Yearly (e.g. "Quarterly ", etc.) 2. Chemical Handlers are additionally trained in the following: ® Safe methods for handling and storage of hazardous materials ® Location(s) and ro er use of fire ands ill control a ui ment ®S ill rocedures/emergenc rocedures ® Pro er use of personal protective a ui ment ® Specific hazard(s) of each chemical to which they may be exposed, including routes of exposure (i.e. inhalation, ingestion, absor 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 erations ® Liaison with responding agencies ® Use, maintenance, and re lacement of emergency res onse a ui ment ® Refresher training, which is rovided at least annually ® Emergency response drills, which are conducted at least (sped) 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 o f your recordkeeping p rocedures i s a r equired m odule o f t he H azardous M aterials Business P lan (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.]: ® Current em to ees' training records (to be retained until closure of the acility) ® Former em loyees' training records (to be retained at least three years after termination o em loyment) ® Training Program(s) i. e. written descri tion of introductory and continuing trainin) ® Current co y of this Emergency Res onse/Contingency Plan * ® Record of recordable/re ortable hazardous materiaUwaste releases ® Record of hazardous materiaUwaste storage area ins ections ^ Record of hazardous waste tank daily ins ections ® Description and documentation of facility emergency res onse 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 Storage Area Inspection Form" to document inspections. ^ We will use our own documents to record inspections. (A blank copy of each document used must be attached to this HMBP.) ~' ,~1 s7 GENERAL NOTES i. FOR THE PURPoSE OF CONSTRUCAON DRAWING. THE fOLLOWNC DEFlNInONS SHALL APPLY: LDNMAQTOq _ BEOnEI SUBCONTRACTOR -GENERAL DONTRACTOR (CONSTRUCAdi) ONNER - AihT WRElE55 SEANCES 2 PRIOR TO ME SVBM1590N OF BIpS. ME BIDDING SUBCONTRACTOR SHALL NS1T THE CE11 SITE TO FAMIUAAIZE WITH TIE E%ISnNC CONDInONS µ0 TO CONFIRM THAT ME WURK Cµ BE ACCOMPU91E0 AS 910WN ON ME CONSiRUCnON DRAWNGS. MY dSCREPMCY FWND SHALL BE BRWGNi TO 1HE AT1ENnON aF CONTRACTOR. 3. ALL MAIEAIALS NRPoSHEp µ0 INSTALLID SHALL BE IN STRICT ACCORDANCE WITH ALL MPUCABLE COpFS, RECUUnONS, µ0 ORONµCES. SUBCONTRACTOR SHALL ISSUE ALL APPROPRIATE NOnCES AND COMPLY WITH ALL UWS. OROINµCE$ pUfES. RECUUACNS, µD UNiUL ORDERS O µY PUBLIC AUMORIIY REGARDING ME PERFORMMCE OF ME NORK. ALL WORK CARPoED WT STALL COMPLY WM CALIFORNIA BUILDING CODE UIEST EDInON. MELHANICAL µ0 DFCTRICAL MtMK SNAU. BE N1 ACCORDANCE WITH ALL APPLICABLE NUNIpPAL ANO Unlltt COMPANY SPE4FlCAAONS µ0 LOCAL JJRI64CAONAL CODES. ORDINµCES AND MFM1JCMLE REGVUnONS. ALL WORK SHALL BE N ACCORDµCE WM NFPA-]0. 1899 NAnLNAL ELECTRIC C(X)E µ0 CALIFORNIA ELECTRIC CODE 4. ORAWNGS PpON0E0 MERE ME NOT TO BE SCALED µ0 ARE INTENDED 10 SHOW OUTLINE ONLY. 3. UNLESS N017Ep OIHERWSE ME WORK SHALL INCLUDE NRNISNING MATERIALS, EUPIPMENT, MPURTENµ CE$ NIO UBdR NECESSARY 10 COMPLETE ALL WSTALUnONS AS INDICATED OFI ME DRAWNL3. fi. MATERIAL SPEOFlm W THE TABLE 'RF BILL OF MATERIALS' WLL DE SUPPLIED BY THE CONTRACTOR TO ME SlI8CONIRACTOR. ALL OTHER MATEPoAlS SHALL BE SUPPLIED BY ME SUBCONTpACTpI. 7. ME SUBCONTpACAfR SHALL WSTALL ALL EWB'MENT AND MATERIALS IN ACCORDANCE WITH MMUFAC7URER'S pECWMENpAT10N5 UNlE55 SPEOFlCALLT STALED OMERWSE. B. IF ME SPE4FlED EQUIPMENT CANNOT BE INSTALLED AS SHOWI ON MESE ORAWNC$ ME SUBCONTRACTOR SHALL PROPOSE AN ALTEANAnVE INSTALLAAON SPACE ipR APPROVAL BY ME CONTRACTOR. 9. SUBCONTRACTOR STALL OETEitMWE ACTUAL RWAHG aF CONDUIT, POWER AND T1 CABLES, GROUNDWC CABLES AS SHOWN ON ME POWrF, GRWNDINC µ0 TELCO PLAN DRAWNG. SUBCONTRACTOR SHALL UAUZF EXISnNG 1RAT5 µD/OR SHALL ADO NEW TRAYS AS NECESSARY. SUBCONTRACTOR 54U1 CONF7RY THE ACUAL ROlnNC WM THE CONTRALTOt. 10. ME SU8CCNIRACTQ4 SHALL PROTECT E%ISANG IMPROVEMENTS, PAVEMENTS, CURBS, lANOSCMWG µD STRUCTURES µY DAMAQED PMT SHALL BE REPNRED AT SUBCONTRACTOR'S EXPENSE ro ME SAnSFACnON M ONNEA. 11. SUBCONTRACTGR STALL LEGALLY t PRO+ERLY DISPOSE OF All SCRAP NAlII8AL5 SUpR AS COAXIAL CMlES IND OTHER ITEMS REMOVED FROM THE IXISnNC FApUTY, µIENNAS REMOVED SHALL BE RENRNm i0 ONNER'S DE9GNATEO LOCAnON. 12 SUBCONTRACTOR 91ALL LEAVE PREMISES IN CLEAN CONDInON. 13. ALL CONCRETE REPAW NORK SHALL BE DONE IN ACCORDµCE WIN AVERICµ CONCRETE INSANTE (Ap) 301. 14. ANY NEW CONCRETE NEEpEO fOR THE CONSDiUCnON SHAH HAVE 1000 P9 STRENGTH AT 28 GAYS. ALL CONLPFnNC WORT( SHALL BE DONE IN ACCORDANCE WM Ap J18 CODE REOUlREMEN7S. 15. ALL STRUCTURAL STEEL WORK SHALL BE DWE IN ACCORDµCE WM NSC SPEpFlCAnON. 18. CONSIAUCAON SHALL COMPLY WM SPECIFlCAnCN 24623-033-3P5-AOOZ-00002, 'GENERAL. CONSTRUCRON SEANCES FOR CONSTRUCAON aF AWS 3G SITES' 17. SUBCONTRACTOR 91NL VERIFY ALL E%ISANC DIMEN90N5 µD CONOInONS PRIOR TO COMNEN4NG µY WORK ALL DWENSONS OF EXISANC CONSiRUCnON SHOWN ON ME DRAWHGS MUST BE VERIFlED. SUBCONWACTOR SHALL NOnFY ME CONIAACT09 OF µY OSCREPANGES PRIOR i0 ORDERING MATERIAL OR PROCEEDING WM CONSTRUCTION. 18. ME EXISANC CELL ATE IS IN NLL CCNMER4AL OPERATION. ANY CONSTRUCnON NVRK BY SUBCONTRACTOR SHALL NOT DISRUPT ME D0511NG NORMAL OPERAnON. ANY HONK OFI EXISRNC EUPPMENT MUST BE COORONATEO WM CONTRACTOR. AT CONTRACTpR'S OPnON, HYMN MAY BE SCHEDULED FIXt AN MPROPRIATE MNNTFNµCE WNDOW USUALLY IN LOW MAFTiC PERI005 AFTER MIDNIGHT. 19. SNCE ME CELL 91E IS ACRVE, ALL SAFEtt PREGVn415 MUST BE TAKEN NHEN WORKING MOINO HIGH LEVELS DF EU'CTRONACNEAC RADIAnON. UPON CONTRACTOR'S PEAMISSON, EQUIPMENT SHCULO BE SHUTDOYM PRIOR TO PERFORMING µY WORK MAT COULD EXPOSE ME WORKERS TO pµGER. PERSONAL RF EXPOSURE MONITORS IS AONSFA TO BE HORN TO ALERT OF ANY DANGEROUS EXPOSURE LEVELS ,~+~~ Bechtel releconmuvcatione AItLU - Comlolex trowth Project 12900 PARK PUZA DRIVE CERRITOB. LA 90703 6 ~~~ --~~~~ ~----~ AT&T AT&T WIRELESS SERVICES, It SITE NUMBER: CL40 SITE NAME: M1NG & GOSFORD DRAWING INDEX BAK-CL40-01 TITLE SHEET AND GENERAL NOTES BAK-CL40-02 EQUIPMENT LAYOUT PLAN BAK-CL40-03 CABLES TO BTS CABINET (NOKIA) (IBBU H 24VDC RF CABINET) BAK-CL40-04 ANTENNA CONFIGURATION BAK-CL40-05 BILL OF MATERIALS AND CONSTRUCTION NOTES BAK-CL40-OB CONSTRUCTION DETAILS AND NOTES VICINITY MAP DRIV_IN__G DIRECTIONS: GO NEST ON PARK ST. TO BECHMO AVE NRN TER, TURN RIGHT W LOCUS ST, (PALM STJ TO CA-B1 W TO I-605 N TO I-5 N TO CA-B9 N TO MING µ71!0E E1QT. RIGHT OF/ NINC AVE. RIGHT ON COSFORD RD. IFST OFI CANWO ME010. MQJG AND Cb9FORD e(rE No. CL40 8201 CAMINO MEDIA BPXERSFlELD, CA 0510: 13762 5 ~. - M~ 0 aY 0"~9ODM1 Abp T I. K 'v.. I '1 G1_i WY Ros WdY --m ~~~ ~ _Calia_ESpapa ~.r U " - 8!.~` v 1N !96 51yA. ~C 1 8 .. u I -~~y,ca ,`i:.. ° "PROJECTSITE C II C -I--_~ w.CP~ - ; . -8 ~ Alre D.q xna- . o ~ p ~~~~~V~y '~.q~ '. I~', Y~'OOr SulNerhnU Oe:....~ ~' `,: ~'V AT&T ATAT WIRELESS SERVICES, INC. Ia000 ?A1RN PUU DRNE CEPGYT08,U 1 3 rty p P a Signature Date /~ . ~ {, ~. ~ Wr Itra~iiM Construction Aj 2 +,~ Engineering REV PROJECT INFORMATION D SLOPE Di MORI(: UNMANNED TELECOMMUNICAnONS FApUTY NGOFK:APONS 9TE ADDRESS: 8201 CANNO MEDIA D BµERSFlEU). CA D UANDE 35.3105' LONdMDE -119.0962' O EIEVAAON: __ 0 JURISDICnON pTY DF BMERSFIEID CURRENT USE TELEC4IMUNICAnONS FApUTY 0 PROPOSED USE IIJ.ECOMMUNICAAQN9 FA4lltt STRUCTURAL REVIEW STRUCNRAI MALY95 IS NOT REWIRED i0R MIB SIZE. g APPLICABLE CODES AND STANDARDS Z NTS BUILDING CODE: UNIFONN BUILDING CODE 1997 ALL WORN IS TO LpMPLY WM THE 1899 CALIFORNIA BUILDING CCOE{C8C) AMENDMENTS AND STANDARDS, INQUDINC THE fOLLOYANC CODES IN MOER OF PRECEDENCE: ME 199]: UNIFORM BIDC. CODE STANDARDS AND AMENONEN75; UNIFORM MECHANICAL CODE STANDARDS µD AMENpMENTS; UNIFORM FlRE CppE STANDMDS µ0 AMENDMENTS: UNIFORM PLUMBING CODE STMDARDS AND AMENDNFNiS; LOCAL BUILDING CODE: ptt/COUNTY ORDINMCES. ilA/E7A-222-1998 i, 607 CCNMERpAL BUILDING CPWNONG AND BONDING REWIREMENiS FOR i11ECOMMUNICAnONS MSC, CONSTRUCRON MANUAL 9lh EDInON OR LATER. NEC (NAnONAL ELECTRIC CODE) 1999 (NFPA ]O) NOKIA ULiRAS1E DRAWNC 85U36548002CST11 OR LITER RENSON WRERE MERE IS A CONNCT BETWEEN CODES µ EARLIER NAKED CWE TAXES PRECEDENCE OVER A LATER NAMED CODE. ' IN µT SPEQFlC CASE OR CONNCIS BETWEEN SECRONS OF µY CODE REGARDING MATERIALS. METHODS Oi CONSTRUCnON, OR OMER REWIREMENIS, ME MOST RES1AIGnYE SHALL GOVERN. WIERE MERE IS CONNCT BETWEEN A GENERAL REQUIREMENT µD A SPE4FlC REQUIREMENT. ME SPECiFlC REQUIREMENT SHALL GOVERN. AWS COMPLEX GRONffH TiT1E SHEET AND _ GENERAL NOTES la7v/RU mvm mx ¢.mmNmrl (mo as aonA*1 v w arz Acw9ra B. o« gyn. oa+mNC nuuern scNF: a SHMm 91YKVRm; A cPAWN: PoRC 21897 DNC-CUO-01 2 t 0.1R LEGEND QQ FlRE EXTINGUISHER N/A Q FlRE BUPRESSION/HALON N/A Q FlRE SUPRESSION/FM Z00 N/A © EMERGENCY UGHTS Qs FIRST AID KIT N/A © EMERGENCY EYE AND SKIN WASH STATION Q BATI ERIES/GEL CELL AMP/HR Q BATTERY DISCONNECT AMP N/A Q 24VDC POWER BOARD ~QQ- AMP. N/A ® 48VDC PONER BOARD AMP, N/A tt DC TO OC CONVENTER N/A © INVERTER 1 AMP N/A I© INVERTER 2 AMP N/A © COMMERCIAL AC METER N/A © ELECTRICAL SERVICE ENTRANCE PANEL N/A ~ COMMERGAL AC SERVICE DISCONNECT N/A Q AC TRANSFORMER KVA N/A ® COMMERGAL AC LOAD CENTER ~ AMP 1® AC MAIN BREAKER PANEL 200A N/A ® AC SURGE SUPRESSOR PRI SEC © TRANSFER SNITCH/MANUAL N/A ® TRANSFER SNITCH/AUTOMATIC N/A ® PORTABLE GENERATOR PLUG N/A ® 57ANORY GENERATOR KW N/A ® AC LEC BOOSTER (S) N/A ® E%7ERNAL SECURITY LIGHTING N/A ® TOWER OBSTRUCTION LIGHTING CONTROL BOX N/A ® GFO OUTLET ® HVAC UNIT ® THERMOSTAT/HVAC CONTROLS N/A Q HUMIDIHER N/A ® DE HUMIDIFIER (ROOM) N/A ® DE HUMIDIFIER (COAX/WAVEGUIDE) N/A ® SUMP PUMP ® CABLE ENTRANCE PANEL/ POftT N/A ® QUARTER WAVE STUB (OWS) ® TELCO BOARD: _$_ % 4._ N/A ® TELCO GROUND BAR: X ® MASTER GROUND BAR (MGR): 1~" % 1' N/A ® POWER PLANT RETURN BAR: _,_ X _ © NIU (S) N/A ® CSU (B) N/A ® PHONE (POTS) N/A ® 66 BLOCK N/A ® DSX PANEL _ POS. N/A ® MDF © ALAftM DEMARCA710N ® ARCUS RECTIFlER N/A ® VENT INTAKE LOUVER N/A ® CONTROL UNIT LEGEND --- EXISTING ~~• NEW EQUIPMENT FLOOR PLAN (GROUND) I /4' a 1'-0" ~a ~~ C ~V~~~~~~ Resp. Party Signature Date Gen. Contractor ~ Construction I Engineering ~~ /W~ - AWS COMPLEX GROWTH BecnIdTCJECORYTILlilCabO!)8 MWCiANDC303FOF~ ~ AT8LT YOUT PLAN EQUIPMEN a ws - c«Rp+e,L c~-owrn Prof srrE No. cLno T A R V 9201 CN.IINO MEDIA ATBT WIRELESS 9ERVK:EB INC. o ~o/n m swm rox cwmwinv~ sso m omu ~c ~, D I E 12900 PARK PLAZ BN(ERSFlELO, CA , ~smo vMe vuu oAnE MR Pfl410115 ev CKK r CERRITOS, CA 90703 c USID: 13T 61 5 G[AFlnDB. CA a ] vxt u D2wX 24897 8^l(-CLM-02 0 t Ili°. , s ~. UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~~~~ 9001Yuxtun Ave., Suite 210 ARtrir T Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 F CILITY NAME eel C: j,u ~.x.~-,e ~ ~-~~ s ~ a ~~Co ~- NSPECTION DATE ~o ~ ~ NSPECTION TIME ADDRESS HONE NO. O OF EMPLOYEES ~ ~'~ ~~ O ~Z "' ~ L FACILITY CONTACT USINESS ID NUMBER ~~~~ 15-021- ` Section 1: Business Plan and Inventory Program ~ d ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (c=Compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSInt?SS PLAN CONTACT INFORMATION ACCURATE O ~ ~ ~ ~ ~ ~oo~ ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY O ^ ^ VERIFICATION OF INVENTORY MATERIALS 1 ^ ^ VERIFICATION OF QUANTITIES l ^ ^ VERIFICATION OF LOCATION ~(/ • V ^ ^ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY I e ~ ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Q ^ ^ EMERGENCY PROCEDURES ADEQUATE ~~ ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ^ NO ~•OUESTI`ONS REGARDING THIS~I[NSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Preventi / t°' In / Shift of Site/Station ff Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) =~, . =_' , F AT&T MOBILITY-MING&GOSFORD ~_Z 5°Iio2~ SiteID: 015-021-003341 Manager DEBRA OKANO Location: 8201 CAMINO MEDIA City BAKERSFIELD BusPhone: (425) 580-4902 Map 123 CommHaz High Grid: 05D FacUnits: 1 AOV: CommCode: BFD STA 09 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: 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 A~~T phone: (425) 580-4902x Address PO BOX 97061 Mob~t-ty State: WA City REDMOND Zip 98073-9761 Period to TotalASTs: = Gal Preparers Tot alUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N`~~ ~U ~ ® ~~07 Qased on my inquir under sibie for chfaining t dividu - fe m a s he ir r atio pena4ty of taw chat I ~ I certify oxamined and am f have s amiii ubmittE~i ar dvith the information accurate, a d cc e the informati i omQ on let is true, Si gnature ---..... Da~ ~~ _~~ -1- 06/29/2007 F AT&T MOBILITY-MING&GOSFORD SiteID: 015-021-003341 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP S 1140.00 LBS Low ~Qo-d- i~~ic1 ~3m~2Yi Q~ -2- 06/29/2007 -3- 06/29/2007 F AT&T MOBILITY-MING&GOSFORD ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ~ea~d- Acid QaN~~.rj2s Location within this Facility Unit Nor-~-hwesl- Sidle bf 51~,¢,lt`Q,~'. STATE TYPE PRESSURE Solid TMixture ~mbient SiteID: 015-021-003341 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: SQ2 ~ompon#a,n-r5 be low• TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY/gA•~}~rj ~, S AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 48.00 LBS 1140.00 LBS 1140.00 LBS I ~_ ~5 riHGHK1JVU~ 1:V1~lYV1V1;1V 15 oWt. RS CAS# -9--6fl Sulfuric Acid (EPA) No 7664939 ~e~~9--6'6 Lead No 7439921 tYHGHtCL H5~L' ~~1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / ~ cJ .C~. Low -4- 06/29/2007 F AT&T MOBILITY-MING&GOSFORD SiteID: 015-021-003341 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/15/2007 ~ IN CASE OF 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' G011~ -l-~1'1,Q E H~, S ~}p~j ~~ , = Employee Notif./Evacuation 03/15/2007 discov¢r¢r(s) ~cca+iov, IN CASE OF FIRE ARE NOTIFIED TO EVACUATE THE ,;~:":: ~-:-HT"~o~~-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 ~M~L-6~E'S' TO DO SO. dam S i {-Q i S v~ nm ctn r~ Q c( Public Notif./Evacuation 03/15/2007 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5000 03/15/2007 -5- 06/29/2007 F AT&T MOBILITY-MING&GOSFORD SiteID: 015-021-003341 ~ 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. 1CCICQSC l.Vll l..d 111U1C11L P~r~n r~i s G~~~. ~J ~ ~ i l ~ w i t~ : ~=e-Q.~ o ~- r S ~t~- ~ -F ~r,~t ~ w~e.~,r pry fi~~t~ v~ ~ ttt.` pr~~fi, a~-~;~~ofi tU ~ I° -}-~t~. -F law o~ ~~ ' ~. s.~ ~p ~`! ~ ~ t- fio ate-v~~ r b ~.e.et~1~ or ca,~ l ~ ~ ~ t.l Cdll VL.J v~.iict .[<CaVUttrC til: l.lVdl.l Vll -6- 06/29/2007 F AT&T MOBILITY-MING&GOSFORD SiteID: 015-021-003341 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC l:ld1 Ild GCLI U.y' Utility Shut-Offs 03/15/2007 NO UTILITY SHUT-OFFS. _ __ r11C rl Vl.C l:. /tiVd11 Wdl.-Ci Building Occupancy Level 03/15/2007 UNMANNED SITE -7- 06/29/2007 F AT&T MOBILITY-MING&GOSFORD SiteID: 015-021-003341 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/15/2007 ~ MSDS SHEETS ON FILE. BRIEF SUNIl~IARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HALON-PROTECTED FACILITIES ARE FAMILIAR WITH THE MSDS FOR THESE HAZARDOUS MATERIALS. NEW EMPLOYEES ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS, AND TO CONTACT JOE SANDOVAL OR LARRY GONZALES FOR ANY CONCERNS THAT MIGHT ARISE. rctyC L nc.iu ivi ru~..uic vac nc.~u iui r u~ui~ u5~ r~ -8- 06/29/2007 USID:13762 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# t BEGINNING DATE too ENDING DATE tot 3341 8/13/2007 8/13/2008 BUSINESSNAME(SanreasFACILITYNAMEorDBA-Doing Business As) 3 BUSINESS PHONE toz AT&T Mobility- Min And Gosford 25962) 425-580-4902 BUSINESS SITE ADDRESS 103 8201 Camino Media CITY toa ZIP CODE tos CA Bakersfield 93311 DUN & BRADSTREET 106 SIC CODE (4 digit #) to7 10-202-6754 4812 COUNTY t°6 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE tto AT&T Mobili 425-580-4902 II. BUSINESS OWNER OWNER NAME ttt OWNER PHONE tt2 New Cin ular Wireless PCS, LLC; dba AT&T Mobility 425-580-4902 OWNER MAILING ADDRESS 113 PO Box 97061 CITY tta STATE us ZIP CODE ns Redmond WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE tte Debra Okano 562-468-6495 CONTACT MAILING ADDRESS tts 12900 Park Place Dr. 3ro Floor CITY t2o STATE tzt ZIP CODE t2z Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME tee Debra Okano Wireless Network Control Center TITLE tza TITLE t2s Network Mana er, Com liance Control Center BUSINESS PHONE tzs BUSINESS PHONE t3o 562-468-6495 800-832-6662 24-HOUR PHONE t2s 24-HOUR PHONE tat 800-832-6662 800-832-6662 PAGER # 127 PAGER # t3z 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 OPERAT R R DESIGNATED REPRESENTATIVE DATE t34 NAME OF DOCUMENT PREPARER t35 8/13/2007 Jackie Schnell NAME OF SIGNER (print) 138 TITLE OF SIGNER 137 Donald Harris Director, EH&S UPCF (1199) - UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEMicAL DESCRiPTioN one e r matedal r buildin or area ^ADD ^DELETE ®REUISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 AT&T Mobilit -Min And Gosford 25962 CHEMICAL LOCATION zo1 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 Inside cell site ^ YES ®NO FACILITY ID # 1 MAP# (optional) 203 GRID# (optional) 204 3341 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^Yes ®No ~ Lead Pb It Subject to EPCRA, refer to instructions COMMON NAME 20~ 206 EHS' ^Yes ®No Lead-Acid Batteries CAS# 2os "If EHS is "Yes", all amounts below must be in lbs. 7439-92-1 FIRE CODE HAZARD CLASSES (Complete rf 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 212 CURIES: WA 213 PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 214 LARGEST CONTAINER: 48 215 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 216 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 1140 1140 N/A N/A 221 DAYS ON SITE: 222 UNITS" ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS ' 365 Check one item onl If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTICMONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CANS ^ j. 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 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT z24 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 65-70% zzs Lead (Pb) 22~ ^Yes ®No 226 7439-92-1 22s 2 7-9% 23o Sulfuric Acid (H2SOa) z31 ®Yes ^ No 23z 7664-93-9 233 3 21-28% 234 Water (H20) 235 ^Yes ®No 23s None 237 4 236 239 ^ YeS ^ NO 240 241 5 242 243 ^Yes ^ NO 244 245 If more hazardous components are present at greater than 1% by weight Ifnon-carcinogenic, or 0.1%by weight If carcinogenic, attach ad ditional sheets o1 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 - cHEMicAL DESCRIPTioN one e r material r buildin or area ^ADD ^DELETE ®REVISE z00 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 AT&T Mobili -Min And Gosford 25962 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz Inside Lead-Acid Batteries ^ YES ® No FACILITY ID # _ 1 MAP# (optional) 203 GRID# (optional) Z~ 3341 ''. ~..~. II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^Yes ®No 206 Electrol a If Subjeq to EPCRA, rater to instmdions COMMON NAME 20~ 2os EHS* ^Yes ®No Lead-Acid Bette CAS# 209 'If EHS is "Yes", all amounts below must be in lbs. 7664-93-9 FIRE CODE HAZARD CLASSES (Complete it required by CuPA) 210 NIA HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^Yes ®No 212 CURIES: NIA 213 PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 21a LARGEST CONTAINER:1 215 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT z1s STATE WASTE CODE 2zo 30 30 N/A N/A zz1 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 ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ 1. 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 2za STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %VJT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # t 40.50% 226 Sulfuric Acid zzi ®Yes ^ No zze 7664-93-9 2zs z 50-60% 230 Water z3, ^Yes ®No z3z None z33 g z34 235 ^Yes ^ No z3s 23~ 4 236 z3s ^Yes ^ No zao 2a1 5 zaz za3 ^Yes ^ No zaa zas If more hazardous components are present al greater than 1%by weight If non~carclnogenlc, or 0.1% by weight If carclnogenlc, attach ad ditional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION: zas DOT Hazard Class (WSsoa): 8.0 If EPCRA Please Si n Here UPCF (1/99) M` •S + CINGULAR WIRELESS 25962 NEW _________________________ SiteID: 015-021-003341 + Manager CG~~~Ah.csYh InC~ BusPhone: (425) 580-7515 Location: 8201 CAMINO MEDIA Map 123 CommHaz Low City BAKERSFIELD Grid: 05D FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title / ~LI~ ~t~.)MQv-(~l,.e~ WIRELESS NETWORK / CONTROL CENTER Business Phone: ( - (5t:2) Business Phone: ( ) - x 24-Hour Phone (800) 83,,2-6662x wi9~6~~2 24-Hour Phone (800) 832-6662x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: 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 ENTro AUK 0 ~ X006 ~~ Based on ~ ` my inquiry of thas~ I-+dlvic~uals responsible far obtsinin~, the infcrr~tatian, I certify ~~ under penalty of law that I hive personally examined and art familiar with th® Infiprmation submitted and believ© the information is true, accurate, and complete, a ~~ Sig tuts ~~ '- ~~'~'`~'~~"' -1- 03/10/2006