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Home My WebLink AboutBUSINESS PLANCINGULAR WIRE (~a2ss) 3250 CHESTER LANE ---- 1 ~`. '_ ~~j~~R~~ UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION n n ~ ~ ~ BUSINESS OWNER/OPERATOR IDENTIFICATION !~ J Pa e 2 of 2 I. IDENTIFICATION FACILITY ID # 1. BEGINNING DATE 1oa. ENDING DATE 101. (Agency Use Only) - 02/01 /2007 02/01 /2008 BUSINESS NAME (sue ~ FACILITY xAME> 3. BUSINESS PHONE toz. AT&T Mobility -CROSSROADS (14239) (425) 580-4902 BUSINESS SITE ADDRESS to3. 3250 CHESTER LANE CITY 1oa. ZIP CODE 1os. O~ BAKERSFIELD ~Q 93304 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 10-202-6754 4812 COUNTY 108. Kern BUSINESS OPERATORNAME 109 BUSINESS OPERATOR PHONE 110. AT&T Mobility 425 580-4902 ext. II. BUSINESS OWNER OWNER NAME 11t OWNER PHONE 112 New Cingular Wireless PCS, LLC 425 580-4902 ext. OWNER MAILING ADDRESS 1 t3. P O Box 97061 CITY 114. STATE tts ZIP CODE 116 Redmond WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE t1s. Debra Okano 562 468 - 6495 ext. CONTACT MAILING ADDRESS u9. 12900 Park Place Drive, 3'd Floor CITY 120 STATE tz1. ZIP CODE 122. Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME tz3. NAME tza. Debra Okano Wireless Network Control Center TITLE 124 TITLE tz9. 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* tat. 949 338 - 8434 ext. 800 832-6662 ext. PAGER # tzz PAGER # t3z. N/A N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: 133. Billing Address: P O Box 97061, Re dmond, 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 indi viduals 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. SIGNATU F OWNER/OPERATOR OR DESIG TED REPRESENTATIVE 3a. DAT>; ` - - ~ '1 l NAME OF DOCUMENT PREPARER 135. ~ t~ ~ ~r~ ~ L Steven Y Jin NAME IGNE (print) 136. TITLE OF SIGNER 137. Sian Wiltshire Environmental Com liance S ecialist UN-020 - 4/l7 www.unidocs.org Rev. 07/24/06 F CINGULAR WIRELESS 14239 NEW SiteID: 015-021-003337 Manager ELIZABETH MARTINEZ Location: 3250 CHESTER LN City BAKERSFIELD BusPhone: (425) 580-4902 Map 102 CommHaz High Grid: 35B FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: 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 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: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT /~ ® ` V ~~ ~N~t~ ~~ ~ ~ ~ ~~~ based an my inquiry of those individuals ~espot55ible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and comple ~~ ~ ~ ~ LIAR 0 9 2007 i~nature Date -1- 01/29/2007 ~F CINGULAR WIRELESS 14239 NEW SiteID: 015-021-003337 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY ELECTRONIC STORAGE BATTERY F IH L S 516.00 2596.80 LBS LBS Hi Low -2- 01/29/2007 -3- 01/29/2007 ~F CINGULAR WIRELESS 14239 NEW ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-003337 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7664-93-9 TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con43100rLBS Daily 516100m LBS I Daily 516r00e LBS tit~Gl'~tCUVUJ ~ul~lrvlvL' lv 1.7 %Wt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 riAGE~KL ASaL~al~11!;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME 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 TMixtur~mbient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Co108100rLBS - Daily2596180m LBS I Daily2596r80e LBS nt~~s-jtcLVU~ 1.V1~lYV1V~1V1J ~Wt. RS CAS# 7.00 Sulfuric Acid (EPA) No 7664939 59.00 Lead No 7439921 riL-~G1jtCL E~5.7L" J.71~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 01/29/2007 F CINGULAR WIRELESS 14239 NEW SiteID: 015-021-003337 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation _,_ , rUAJ11V 1VV l..ll ~ Pr V0.l. lAGiVlVll nuiciycll~:y rivul~a.l r.i.all -5- 01/29/2007 `F CINGULA.R WIRELESS 14239 NEW SiteID: 015-021-003337 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention -- _, ltcicaac l.Vll l.R 1111I1C111. l..l CCLll V~J Vl.i1CL rcC~UUtC:e 1-~C:L1VdLlOn -6_ 01/29/2007 ~F CINGULAR WIRELESS 14239 NEW SiteID: 015-021-003337 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, .~~c~.iai nac~aiua V 1.1111.y iJ lluL-V115 i i'1tC r1Vl~GV./t'1VQ11 VY CL I.Cl 17u111A111y VI. I. U~J GYlll.y LCVC1 -7- 01/29/2007 ~\ h f F CINGULAR WIRELESS 14239 NEW SiteID: 015-021-003337 ~ Fast Format ~ ~ Training Overall Site ~ P~lll~J1V1lCC 1LG1111111y rayc ~ Held for Future Use Held for Future Use -8- 01/29/2007 *, • L USID: 9555 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 N 1. EPA ID 1{ (Hazardous Waste Only) 2. BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3. AT&T Mobilit -CROSSROADS 14239 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/O erator Identification age (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 ®y~ ^ NO 4. 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 Forth 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 Fomt 3. Need t0 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 ^ yF,S ®Np s. NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ^ yF,S ®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? ONSITE HAZARDOUS WASTE ^ YES ®NO I1. TREATMENT -FACILITY (Formerly DISC 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 ^ Z'ES ®NO 12 CERTIFICATION OF FINANCIAL Rule and Conditional Authorization)? . ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated a[ a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ®NO 13. SITE ANNUAL NOTIFICATION (Fomterly 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 12x9) E. LOCAL REQUIREMENTS Is. (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 lao• ENDING DATE tot. '~ 3/1/2007 3/1/2008 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3~ BUSINESS PHONE 102. AT&T Mobilit -CROSSROADS 14239 425-580-4902 BUSINESS SITE ADDRESS to3. 3250 CHESTER LANE CITY toa. ZIP CODE tos. BAKERSFIELD CA 93304 DUN & BRADSTREET 106. SIC CODE (4 digit #) l07• 10-202-6754 4812 COUNTY 108• Kern BUSINESS OPERATOR NAME tog. BUSINESS OPERATOR PHONE 110. AT~T Mobili 425-580-4902 II. BUSINESS OWNER OWNER NAME ttt. OWNER PHONE 112• New Cin ular Wireless PCS LLC 425-580-4902 OWNER MAILING ADDRESS tt3. P O Box 97061 CITY tta. STATE tts. ZIP CODE 116• Redmond WA 98073-9761 III. ENVIItONMENTAL CONTACT CONTACT NAME tn. CONTACT PHONE tts. Debra Okano 562 468-6495 CONTACT MAILING ADDRESS ttv. 72900 Park Place Drive 3~d floor CITY tzo. STATE 12t. ZIP CODE tz2. Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME tz3. NAME t2s. 90703 Wireless Network Control Center TITLE tea. TITLE tzv. Network Mana er Com liance Control Cente r BUSINESS PHONE t25. BUSINESS PHONE I3o. 562 468-6495 800-832-6662 24-HOUR PHONE* t26. 24-HOUR PHONE* tat. 800-832-6662 800-832-6662 PAGER # t27. PAGER # 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/OPERATO R DESIGNATED REPRESENTATIVE DATE 134. NAME OF DOCUMENT PREPARER 135. ~ AR 0 9 2007 Thomas Kvigne NAME OF SI ER (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 buildin 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 -CROSSROADS 14239 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL INSIDE CELL SITE ~t• EPCRA ^ YES ®NO 2oz. FACILITY ID # t. MAP # 203. GRID # 2~• II. CIIEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET ^ Yes ® No 206• Lead If Subject to EPCRA, refer to instructions COMMON NAME 207• Lead-Acid Batteries EHS* ^ Yes ® No tog. CAS# ~~ 7439-92-1 *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agettcy) 2t0. HAZARDOUS MATERIAL ®a. PURE ^ b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No 212. CURIES N/A 213. TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 21a. LARGEST CONTAINER 1 ~~ 2t5. FED HAZARD CATEGORIES 2t6 (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 2388 21• 2388 2I6. U 2t9. N/A 22°• UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS DAYS ON SITE (Check one item only) * If EHS, amount must be in pounds. 22t. 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 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. z3a. 235. ^ Yes ^ NO 236. 237. 4. 238. 239. ^YCS ^ No 240. 241. 5. 2a2. 2a3. ^ Yes ^ No zaa. gas. If more hazardous components are present at greater than 196 by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the requved information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. 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 FACILTI'Y NAME or DBA -Doing Business As) 3. AT&T Mobilit -CROSSROADS 14239 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL INSIDE CELL SITE 201• EPCRA ^ YES ®NO 2~• FACILTTY ID i{ 1. MAP 1{ 203. GRID iY ~• II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET ^Yes ® No zoe. Battery Electrolyte 1f Subect ~ E~>~, refer to instructions COMMON NAME 207 Lead-Acid Batteries EHS* ^Yes ® No 2os. CAS>Y ~~ See Mixture Below *If EHS is "Yes," atl amo unrs below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2I1. RADIOACTIVE ^Yes ®No 212. CURIES N/A 213. TYPE (Check one item only) PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 214' LARGEST CONTAINER 3 215. 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 65 217. 65 216. V 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. zzt. 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 ~{ I. 41 % 226. Sulfuric ACId (HySO4) z27. ®Yes p No 226. 7664-93-9 zz9. 2. 59 % 230 Water (Hy0) 231. ^YCS ® NO 232. N/A 233. 3. 234. 235. ^Yes ^ NO 236. 237. 4. 238. 239. ^YCS ^ NO 240. 241. 5. 242. 2a3. ^Yes ^ No z4a. za5. If more hazardous components are present at greater than 146 by weight if non~arcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zat,. 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 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 maybe 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) Page 8 of 11 4. Emergency Procedures: Emergency Coordinator Responsibilities: 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. 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(a)(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 a Res irators Protective ^ Chemical Monitorin 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 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 i!I Kit Control ^ Berms/Dikes (describe ' Equipment ^ Decontamination E ui ment (describe) and ^ Emer enc Tanks (describe Decontamination ^ Exhaust Hoods Equipment ^ Gas Cylinder 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 ound 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, sped 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 emergenc res once or anization 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 handling and stora a of hazardous materials ® Locations and ro er use of fue 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, 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 r lacement of emergency 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' training 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 ® Training Programs (i. e. written descri tion o introducto and continuin trainin ® Current co of this Emergency Res once/Contin enc Plan ® Record of recordable/re 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 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.) - '--~ ~~~ NOTE: 7NE PP Y 6 INSTAL LECENO L NOKIA SHALL SU L AfICF~t At11 REUTEO NAROYARE FOR TFE CABINET. 1 FIRE EXTINGUISHER -- 2FIRE SLPRESSIONnulw EXISTING 3 FIRE SLPRESSION/FM 200 fEM EOIIIPMENi 4 EMERGENCY LIGHTS NIA Ca91 5 FIRST A10 KIT ~ ~ ~ ~ ~ W1URE EUIIPMENT INpOQt BASE STATION 6 EMERGENCY EYE AND SKIN MASH $TATIw 7 BATTERlESiGEI CELL AMPM2 8 BATTER OlSCON+ECT AMP 9 24 VOC POYER BOARD 300 aN~ n 10 d8 YOC POYER BOARD AMP U II OC TO IX CONVERTER o~ I2 INVERTER I AMP R .3 INNERT'cR 2 ANP la COMMERCIAL AC METER 15 ELECTRICAL SERVICE ENTRANCE PANEL 240V ANP I6 COw1ERCIAL AC SERVICE OISCCMECT 17 AC TRANSFORMER KYA O O aB 42 N .6' 22,a• IB COMt¢RC1AL AC LOAD CENTER 200 AMP O NaC1A f~IA 19 AC MAIN BREAKER PANEL POSITION 20 Ac suaGE SIIPRES.SOR PRI sEC EDUIPMENT DETAIL 21 TRANSFER SYITCWMaNl1AL 12 TRANSFER SYITCWAUTOMATIC 23 PORTABLE CFNERATI$2 PLW 2a STANVWr GENERATOR KY 25 aC LEG BOOSTER (S) 26 EXTERNAL SECwITY LIGHTING AflNTa ~~ Na Nra ~~ Q~QFES$/Q~ ~~/ C T 27 10VER CfISTRUTIw LIGHTING CwTROL 80% 20 GFCI OUTLET 19 O ~' q`r~~~2 y ~~~~N ~~~ ~ /%~~~~ ? Z 29 NvA[ wIT 30 THERMO$TATMVAC CwTRa$ O ~ 41 zl . w o. 35542 m 31 HUMIDIFIER 32 CE HLPOIFIER f RmH) ~ t7 0 a Ex Tres / 0/2005 ~ * D ~ ~ Q C'j 33 OE HUMIDIFIER (COA7/YAYEGIIIOEI 34 S191P P !T? 3s O AZ~IMUTHAO' ~ ` fr~r /C G\N~QC~\P U (E OF CAL\F~ 35 CABLE ENTRANCE PANEL MW[p0.E TRUE 36 DuaRTER ravE sTLe NOYSI NORTH 37 7ELCw BOARD: B' X 4' 3B TELECD C47UND BAR: % 39 MASTER GROIINII &AR NMGB 1: 12' X 4' 40 MlCROIAVE MULTIPLEXER dt NIU lS) a2 CSU f U SECTOR 8 43 PHONE IPoTS) SECTOR C AZIMUTH 120' 44 66 BLINK AZ1NRrtH 2ap• 45 OXS PANEL POS. a6 HOF a7 ALARM DENARCATIw a8 RECTIFIER A!W 49 VENT INTAKE LUIVER 50 CONTRA wIT sl NEY NDKIa ERIIPMENt FLOOR PLAN s[aLE va• , I•-0• G~eral D namies a~o o• ~ ANTENNA ADDIitONS ~ ,l ATB~T ASHJIAN TOWERS CORPORATION Wireless ervices eITEMO.BAKa.H ROORR~IIiDETNL A lif 93057 S C 2377 Goltl Meatlo• roy o - ~~ - - ve.. ager, a . 7183 S. Mi gnlAnO Roncho Co~tlo•o. CA 95670 3250 CHESTER LANE AT6T MIRELE SS SERVICES. INC. aAt! !lYtsfaec n cry a na. ae.+~o we~~ RI (559f ws-o3o7, EAe N5591195-11557 Na251 B95-a35A BAKERSFIELO. CA rrA ~~s~ !•K'o ~••~ <• ~~ K!: ~S TOw QESI4l0 6Y: pl~W BY: BAK-~L41 p5 ~~~ ~a '~ y a 6 I 5 ` 4 T d ' [ =,~1 1-- e A ~i GENERAL NOTES 1. F02 THE P<>BpiE LL CRAIRCTIW 02AY1NG. ThE FDLLDYING DEFINITIONS SHALL APPLY: CWIRACT02 -GENERAL OYNAXICS SLRDTTRACIOR - i0 BE ffiERNI/E0 ' ~l q ® /(~~ / ~~ /moo( DY7Li2 - AI{T Y[RELESS SERVICES 2. PR10Y i0 INE 5113M12SIW ff BIOS. THE BImING Sl1BCRlTRACIQt SWLL VISIT TIE CELL SITE 10 FAMILIARIlE PITH THE E%ISTING CRt11TI0KS ANO 70 CtlFIRM TNAT THE IRa: CAN ff ACCCYYK19ff0 ~o OCCCC/O 7~ VfICNJJ ^~ vO AS SFOYn W TIE CONSTRLLTIDN fRAYINGS. ANY DISCREPANCY FRM1 SHALL ff Bta[iIT TO THE ~ rq AS ~ ATTENTION tF THE CRVTRACIOt. ~ ® ~ ~Q 3. ALL MATERIALS FIRNISHED AND INSTALLED 91ALL ff !N STRIC7 ACCCRpMLE YITH ALL APPLICABLE CQES f• ~ ® C9 Z Z , FOLATIWS, AnD OZDIAACES. SIHCD2TRACTOR SHALL 1SSIE ALL APPROPRIATE NOTICES ANO COFLY PITH ALL LAYS. DROfANCES. RLLES. REl3LATIWS AND UYFLL UgR ff ANT PIELIC « o.355e,~ r ' f wihp27ir REGARDING DE Pff6:MAKE ff ifE YQd:. `~ r #, Wn2Ei 005 ~ ALL Y02K CAfdTIED OIT SHALL LD7FtY YITH CALIFRMIIA BIIItD]+L CCU. LATEST EOITIW. MECHANICAL A70 ELECTRICAL YOM SHALL BE 1N ACCWOAKE YITN ALL APPLICALLE MNICIPAI AND !7IL!TY F,,~~ T -~ RE L E SS SERVICES 1 N C ~ `~`~~ ~- CWPANY SPECIFICATIOIS AM L7_Ai tS:i^ICTIu^wL w7Ei. DROIANCES A7O APPIICABLE L gE IX ACCOtDANCE YITH NFPA•70. 1999 NATId/AL ELECTRIC [CAE K F I . ~ 9J1.(}~• ~N ~~P c OP AIO CALI WNIA ELECTRIC CmE -• eAI~F 4. WAYIIGS +YAYIDE SERE ARE 7oT TD ff IcAIEO AND ARE INTENDEp TD IHOI RITLI7E OILY. SITE N O.: CL41 5. IYLESi +OTEO DTIERYISE. IhE YOM SHALL INCLILE F{f21ifINI71G MATERIALS. ERIIPIENT, APPWIENAACES, ANp IABOi'7E(ESSARY TD CDrP1.ETE ALL INSTALLATIONS AS IAOICAIEO DN TAE . CROSSROADS SITE NAME ORAYIMiS. . 6. NATERIAL SPECIFIED IN TIE 'RF BILL OF NATERTALS' Y[Ll ff SLPPI.[ED BY 1HE CWTRACT02 10 THE S16CWiRACTDR. ALL DTFER MATERIAIS SHALL ff SIPPLlEO BY TIE $IECWiRACTW . 7. THE SIECWIRACT[22 SHALL INSTALL ALL ERIIPNEM Aix NATHlIAL3 1N A[WAANCE YITH MANIFACTlY2ER'S RECDMEtOATIWS OLESS SPECIFICALLY STATED pTIERYISE DRAWING INDEX REV. PROJECT INFORMATION . SCOPE ff YOM: RMAMfO TELECRMN[UTIWS FICILITT Y1TX MmIFIGTIONS REIGNING E%ISIING B. [F TIE SPECIFIED EWIPIENI CAN 10T BE INSTALLED AS slmN RI THESE 02AYIwS. TIE SIeCDNTauTtIR 6AK~A1-01 mLE axeera QBI~IAL Nana O AALP-E9011 PANEL ANTEWAS AT nE 69' 19EYATIRA Af0 INSTALL (6> KATIREIN-SCALA SHALL PROPOSE AN ALTERNATIVE INSTALLATIW SPACE FW APAROVAL FW TIE CWTRAC102. RAPII-9807O9m%P PANELS (2 P62 SEC1021 AT ilE 69' ELFVATIW YITH fi IEY BARZ'LM~ SiN{IC7YAAL NOTL=a EL8VA1fIOU~ 0 RUA CF 7i8• CABLE FOR A TOTAL pF Ig RWS. ULLES RIM IdE INIIff PTLE. 9. SlBCONTRACTIR SHALL ff7ERMINE ACTWLL RW71AG [i COAl1lT. WYER A70 TI CABLES, OUHIING CABLES AS SHOYN W THE POYFR, DRpO0I74 A70 iELCO PLAN pRAYINi. SII3CWTRACTRt SWlL BN.C-0LM-0~ NM7611NA PLAN 0 SITE AOpiESS: 3250 CIES7E¢ LANE CRFIRM 1HE ACTDAL RO1111E Y[TM THE CWTRACICR. BAKERSf1El0. CA BAKiIN-04 AN7ENNACOIIFlOUMiIION 0 A.P.N. - 10. TFE S(BCWTRACT02 SHALL PROTECT EKISTING INPROVEYB112, PAVEMENTS. CWBS, LANDSCAPING AMJ STRICiIRE3. ANY DANAGEO PART SHALL 8E PREPAlRFD AT 5113CR+TRACTOt'S EI~ENSE TO TIE BAK.CLN-0S FLOOR~WIN!IDOETNL 0 LATITIfE: 35.36808• N vnsarllY+ ~ OM2ER. lIKlLN~! CABLELAYOYT NIY OCTNL p LINGITLL)E: -119.x011• r ~ Il. SLBCR.TRA(IOi SHAT! LEGALLY A70 PRO'H2LY plSP6¢ DF ALL SCRAP MATERIALS SI&T2 AS COA%IAL EIFVATIW: - CABLES AID OTTER ITEMS REIGNED FRW TIE EY[STING FACILITY. ANTENNAS REMOVED SHALL ff ,ARI$OICi1R1: CITY IF BAKERSFIELD RE T{fbEO 10 i2f DINER'S OE31C~2.ATE0 LlX.t)1W. CU&E7+T TAE: iELE[MlN[CAi[DVS FK[Liir 12. SIIECINTRACTW SHALL LEAVE PREMISES IN CLEAN CLHI1TiW. VICINITY MAP PRO'pSED TAE: TELECUe9NIUi[R2S FACILITY 13. ALL CONCRETE REPAIR YQtK SHALL ff pOAE IN ACCOAA7(E YITH AMERICAN C(NCIETE INSTITDTE lAC(I 301. I4. A71Y NEY CONCRETE rffDEO FIR TIE CONSIAItTIRI SHALL RAVE 2500 PSI STRENG/X AT 2B pAYS. 02iV1NG OIRELTIQA: Heodin south an 1sS trop Socronenta ost B~wers+ield ~Yhtn you (tore gRir W into ene o APPLICABLE CODE QI STANDARDS ALL CR[RETIW YOM SHALL ff ORE In ACCCR(IAALE YITH ACI 318 [~ RERIIREMENTS. 9 g g p . nountorn Igragerine) Take uit A7 Ltaec. Stay left arKl of the slap sign Eake o lelt onto 15. ALL STRNCIIRAL STEEL 1102% SHALL ff OOE !X A[[O2GAN[E YITH RISC SPEC[FIUTIW, Lebec Rd. then go appros .7 ni les and rake o right onlo Ridge Route a. There vi 116e BUAOING CIFOE: WIFQN RIILDING CppE 1997 ' 0 4in Wilding of the inlersKtian o1 Lebec Rd. and Ri Route Rd. Fol lo. khot min rood k it ti S M l f G ~ 16. CRATRILTIW SHALL CRPIY YITN SPECIFICAilOIN 24623-033-3AP3-AOOZ-00002. GENERAL CRdiRIKTIIX SERVICES F07 COVSTRLCi[W ff AYS 3 R SITES.' up o s eco o ce to.er on le t. ore Conbo e. I. pt,.~[<.: ~ ALL YOM IS TD COPLY YITH tXE 1999 CALIFQd2IA 91ILO1N6 CCr1E tCBC) uEIUENIS At0 SJA/DAROS. II{11DIAfi THE iaLDYlNG CAS IN Q!(ER ~ PRECE~ACE. 17. Sl6CWTRACi02 SHALL VERIFr ALL E%ISi1NG DIMEXSIRA A/O CROITIWS PRIOR TO CCkPENCING ANY A+_ THE 1997: WIFOMI R.W. C~ STANDARDS ANO NE701ENT2: WIFWi IECXAN![AL COTE YOM. ALL OIMENSIWS fF E%ISTING CWSTRL[TIW SHOYN W 7HE pRAYING21UST ff VERIFIED. Sl6CWTRACIW SHALL WTIFY TIE CWTRACTpR ff AXY O13CREPA7A:IES PRIO2 1D Q7~RItii MATERIAL tR PRpCEFD]W Y[TH CR2STRIICTI(N. + +~ ~ "' '- .~ilbitin~ ~ "~ ~ -• STANDAAOS AM] AMENOENTS: WIFObI FIRE C~ SIA7QARp3 ANO NENOENTS: W[FOM PLI)81NG CtIE STANpAROS AND AM9AENIS: L[[AL BIIILpING CmE: CITY /CR321Y OROINwCES. -y ~s ~ TIC ` ~ ~ ~ ~~ ilA/EIA-2R-1996 F, STRILTWAL STAXpAROS FpR STEEL AN7ENW TOYERS At0 ANTETelA SIPPWTIW 18. TIE E%iSTING CELL STTES 1S 1N FLLL CpMERCIAL WERATIW. ANY CTMTRUCTIW YOM BY S26CR2TRAC102 SHALL MJT OISRIFT TIE E%ISTING 7/Q2NAL O'ERAi1W. ANY YOM ON EKISf ING ERITP+ENi MAi 9E 000201NATE0 YITH CR2TRAC1IIR. Ai CR(TRACT02' S p?TION. fTIX N1Y ff SCIERLED FRt AN APPRORIATE MAINTENANCE YI200Y, UAIALLT IN LOY TRAFFIC PERIOS AFTER MIONICHT. ~C q ~ ~b ~~- s1~J/c°.,c ~ I~ =i ~ -~J_ ~C= N ~`s A ~ ~ r~ C `j ,t.. .~!~]D~ ~ ~ ~~ STRI[i1REi. A]SC. CCMTRICi[W NANWL. 5TH EOITIW CF LITER. 4 ~e ~ . 1~a r L f L ~ NEC tNATICWL ELKTRIC ~7 19991KPA 7p. 19. SINCE THE CELL SITE IS ACTIVE. ALL SAFETY PRECAUTIWS MAT ff TAKEN YHEN YOMING AR017O HITH LEVELS ff ELECTRCVOfiET1C RAO]ATIRI. IPW (R2TRACIQYS PERNISSIW Ef{1IPMENT SHOLO ff SHRmM+PRIOt TO PEFOMING ANY YOM THAT COLLO EIE(fiE THE Y[RKLRS TD OA+(fR. PERSR RF EYP04NE I~IITDRS [S ADVISED TD ff YOtI Tp A ERT LL AM2 OAILERRA KT `r~iiLl ' Y~~~~/ ~_' I'~1 ~ 1 ~I I Y I ~„~~V~I f 1 ~~~~~r~- u ooLlL_ ~-~ ~ ~~ „ n MEERE TVERE IS A CpFLICT BEIYEEN CAS. AN EAitLIFR NYEO COE TAKES PRECEDENCE OVER A LATER w9Ep Cam. 2AL E L 951RE LEVELS. ~~~ b ' =~ S •F 1 ~~ / ~ - ' • ~ ~ ]N ANT 481FIC CASE ff CWFLICTS BETYEEN SC{T104 ff ANY CIIE REGARDING MATERIALS, T R RE T ~S Oc STR IIRE 1 TR u ~ ` ~~t ( ~ ///,~~{{{ t 7 ~T~ ~y y{ t` ` ~ ~ n/ ~ ME F CDN TE R IENTS. TIE Ip$ i[TIW. lR O ICi1YE SHALL GOVERN. {ES MERE IIEIE IS [RELICT ffTYEEN A ff1ER11 REOIIREIENT AIO A SPECIFIC REWIREMENT, 1VE ,~ jFSpt~d' L.' ~-^ ). ~ n~~~ ~ .-SiWY u-i SPECIFIC REDUIREIEX7 SHALL GOVERN. G~leral D amles a{os ao~w ANTENNA ADDIitONS l r i ~ Wl e AT~T A$HJIAN T~WER$ CORPpRATION re v e55 e ces g~RQeN1~ ~ >ITpY EY 1fON Hf land Ave.. S4 CoI H. 93637 2183 S h ng°' 2377 Wltl Meoao. voy L ~ o - un . _ C7UpALNOiEIaEL A 8 . 9 FA% (5591 195-0557 PH f 5591 195'0307 Roncho Cordovo. CA 95670 c 425 l 695-4354 6AKERSFIELO. A C A7bT VIRELESS SERVICES. INC. yre naslara w o~ a .a wrsrA :rn b. w y . e~ ®i~. 4 v!a •i 9 Urr pESi4Ea T, Rya ev, 6AK-CL41 01 6 I 5 I 4 I 3 +, ' Yj ., a , ~L 2 '- ii j B i A J /f I^ ;~ . AT&T MOBILITY-CROSSROADS (14239) SiteID: 015-021-003337 Manager DEBRA OKANO Location: 3250 CHESTER LN City BAKERSFIELD BusPhone: (425) 580-4902 Map 102 CommHaz High Grid: 35B FacUnits: 1 AOV: CommCode: BFD STA 03 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 ( IJ/A ) - x Hazmat Hazards: Fire 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 LLCdba-/~--CST Phone: (425) 580-4902x Address PO BOX 97061 MUloi(,~~ State: WA City REDMOND Zip 98073 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~°D A~1~ ~ 4 Zg07 F3ased on my inc;uiry of those individuals respcnsible far obtaining the information, l certify under penalty of !aw tha4 I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~"113~2,~~ Signa re Date bF. ~, ay -1- 06/29/2007 ~~. F AT&T MOBILITY-CROSSROADS (14239) SiteID: 015-021-003337 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI ~~~~~~~ ~^^ l~~- E 1 ¢ Gtr 01 ~ ~-~ F zL~ ~~ 5~~~~Zi - L Q aal - f~~i of '~~-}-r2r i r1, ~ IH L S 65.00 GAL Hi 2388.00 LBS Low -2- 06/29/2007 -3- 06/29/2007 ~; ' - F AT&T MOBILITY-CROSSROADS (14239) ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ~I~cctro 1u~~'2 Location within this Facility Unit ~1'1sIC~~G pJdl.~2~(~CLs Liquid TMixtur~mbRent~E SiteID: 015-021-003337 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# ~b~4-~3 ~ TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY/~a..~.{~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3.00 GAL 65.00 GAL 65.00 GAL tiHGFlttLVUJ ~~i~lrvtvl;tvl~ %Wt. RS CAS# 41.00 Sulfuric Acid (EPA) No 7664939 59.00 Water No ~j~~ t1HGHKL L'laJ1;J~1~1J;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0001 ~ COMMON NAME / CHEMICAL NAME L2o-d-Hrcid ~ot-tt'2r'i-es Location within this Facility Unit INSIDE Shy ~~Q ~ STATE T TYPE ~ PRESSURE Solid I Mixture I Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# S~2k. Cbmpo~.nt"S TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY/~~.~.Qr; AMOUNTS AT THIS LOCATION Largest Co100100rLBS Daily2388100m LBS I Daily2388r00e LBS l~5- I ~ IIHGHICLVU~J l,Vl"lYV1V~1V 1.7 %Wt. RS CAS# %. ~-6~6~ Sulfuric Acid (EPA) No 7664939 p~j3~-'6~" Lead No 7439921 riHGLjtCL L-~~7 .71;.7J1~11;1V-1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / ~rjLF. Low -4- 06/29/2007 F AT&T MOBILITY-CROSSROADS (14239) SiteID: 015-021-003337 ~ 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 disc.cv2Y~vCs) -o~d+ti a,n IN CASE OF FIRE -$PgPPrA3~E`ES` ARE NOTIFIED TO EVACUATE THE ~'T"*~?--~~=-TT ~ AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM AND TO ENSURE NO ONE ENTERS "'TT" ^"~== UNTIL FIRE DEPT AND HAZARDOUS RESPONSE TEAM HAS CLEARED TO DO SO. ~nQrn ~ ii-Q i 5 Unmo~nn Q,d 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-CROSSROADS (14239) SiteID: 015-021-003337 ~ 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 SYSTEM AND HALON SYSTEM ON A WEEKLY BASIS. Release Containment ~~ r Soy di S c~v~,r i r>c~ o~ t Qa,1C w i ~1:1~. ¢ e }~ e~a.rs ~~t.~i.' o~ o1.rQo1 g 1n1~OIY ~roteC"ilV Q er-~1 ~rYl~r1,"~-, ~+~'QYY1~~ ~D S~ +l'1Q -~ 1bW 4~ 1 ~ a~ K, U s ~ s p - ~ ~ ~c ~ + -t-o ~ boo rcrl l e ~ ~ o Y ~a l 1 ~ 11 . .., ~.l.call ~~/ C of 11 ~ ~ ~ S ~+U~ t'~,.Q ~ 1- ~' ~ to ~ 4 35 - ~ ~ ~ ~} V1.11C 1. 1CCAVlLL I:C til: l.lVdl.1 V11 -6- 06/29/2007 F AT&T MOBILITY-CROSSROADS (14239) SiteID: 015-021-003337 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ AiJCC:1d1 17dGdI U.S' Utility Shut-Offs 03/15/2007 NO UTILITY SHUT-OFFS. 1'1J..C t'LVI.CC:./EiVd11 Wdl.Cl Building Occupancy Level 03/15/2007 UNMANNED SITE -7- 06/29/2007 F AT&T MOBILITY-CROSSROADS (14239) SiteID: 015-021-003337 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/15/2007 ~ MSDS SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HA.LON-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. rayv ~ Held for Future Use Held for Future Use -8- 06/29/2007 USID: 9555 UNIFIED PROGRAM CONSOLIDATED FORM F FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# t BEGINNING DATE too ENDING DATE tot 3337 8/13/2007 8/13/2008 BUSINESSNAME(SameasFACILnYNAMEorDBA-DOingausinessAs) 3 BUSINESS PHONE tot AT&T Mobilit -Crossroads 14239 425-580-4902 BUSINESS SITE ADDRESS to3 3250 Chester Lane CITY toa ZIP CODE toy CA Bakersfield 93304 DUN & BRADSTREET 106 SIC CODE (4 digit #) toy 10.202-6754 4812 COUNTY 108 KERN BUSINESS OPERATOR NAME t09 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 Mobilit 425-580-4902 OWNER MAILING ADDRESS tt3 PO Box 97061 CITY tta STATE tt5 ZIP CODE tts Redmond WA 98073-9761 III. ENVIRONMENTAL CONTACT CONTACT NAME to CONTACT PHONE ne Debra Okano 562-468-6495 CONTACT MAILING ADDRESS tts 12900 Park Place Dr. 3ro Floor CITY t2o STATE t2t ZIP CODE tzz Cerritos CA 90703 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME t23 NAME tea Debra Okano Wireless Network Control Center TITLE tza TITLE t2s Network Mana er, Com liance Control Center BUSINESS PHONE t25 BUSINESS PHONE 130 562-468-6495 800-832-6662 24-HOUR PHONE tzs 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 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/OPERATO OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 8/13/2007 Jackie Schnell NAME OF SIGNER (pn t36 TITLE OF SIGNER t37 Donald Harris Director, EH&S UPCF (1/99) UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEMicA~ DESCRiPTfioN 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 -Crossroads 14239 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 Inside cell site ^ YES ® NO FACILITY ID # t MAP# (optionaq 203 GRID# (optional) zoo 3337 II. CHEMICAL INFORMATION CHEMICAL NAME zos TRADE SECRET ^Yes ®No 2os Lead Pb Ii Subject to EPCRA, rarer to instructions COMMON NAME zoo EHS• ^Yes ®No zos Lead-Acid Batteries CAS# 2os 'If EHS is "Yes", all amounts below must be in lbs. 7439-92-1 FIRE CODE HAZARD CLASSES (Complete it required by CuPA) 2to Health: 3 Fire: 0 Reactive:2 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 2tf RADIOACTIVE ^Yes ®No 2f2 CURIES: WA 2t3 PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 214 LARGEST CONTAINER: 100 2t5 FED HAZARD CATEGORIES 2t6 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7 MAXIMUM DAILY AMOUNT 2te ANNUAL WASTE AMOUNT 21s STATE WASTE CODE 220 2388 2388 N/A N/A z2f DAYS ON SITE: zz2 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. PLASTICMONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CANS ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER • Barieries ^ 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 2z5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # t 65-70% 22s Lead (Pb) ~~ ^Yes ®No 22s 7439-92-1 2zs 2 7-9% 23o Sulfuric Acid (H2SOa) 23, ®Yes ^ No 232 7664-93-9 233 3 21.28% 234 Water (H20) 23s ^Yes ®No 23s None z3~ q z3e 23s ^Yes ^ No 2ao 2af 5 2a2 2a3 ^Yes ^ No 2aa gas If more hazardous components are present at greater than 1%by weight If non-carcinogenic, or 0.1% by weight If earelnogenle, attach ad ditional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION: gas If EPCRA Please Si n Here UPCF (1/99) :. UNIFIED PROGRAM CONSOLIDATED FORM " ~ ~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEMicaL DESCRrIPTioN 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 -Crossroads 14239 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 Inside Lead-Acid Batteries ^ YES ® No FACILITY ID # 1 MAP# (optionaq 203 GRID# (optionaq zoo 3337 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^Yes ®No 2os Electrol to II Subject to EPCRA, refer to instructions COMMON NAME 207 EHS• ^Yes ®No Zoe Lead-Acid Batte CAS# 2os 'It EHS is "Yes", all amounts below must be in lbs. 7664-93-9 FIRE CODE HAZARD CLASSES (Complete it required by CuPA) 2to N/A HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^Yes ®No 212 CURIES: N/A 213 PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIOUID ^ c. GAS 21a LARGEST CONTAINER: 3 215 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 21s ANNUAL WASTE AMOUNT z1s STATE WASTE CODE 220 65 65 N/A N/A 221 DAYS ON SITE: 222 UNITS' ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl ' It 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 ^ f. 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% zee Sulfuric Acid 227 ®Yes ^ No zze 7664-93-9 z2s 2 50.60% 230 Water 231 ^Yes ®No 232 None 233 3 234 235 ^Yes ^ NO 236 237 4 23s z3s ^Yes ^ No zao za1 5 za2 2a3 ^Yes ^ No zaa za5 If more haurdous components are present at greater than 1% by weight If noncarcinogenic, ar 0.1% by weight If carctnogentc, attach ed dltianal sheets of paper capturing the required Iniormatlon. ADDITIONAL LOCALLY COLLECTED INFORMATION: zas DOT Hazard Class (HZsoa): 8.0 If EPCRA Please Si n Here UPCF (1/99) UNIFIED PROGRAM INSPECTION CHECKLIST r------- ~ _. _ _.... ._ _ _. ...._ .._ - _ _ _ SECTION 1: Business Plan and Inventory Program _. i Prevention Services H e a s F r n 900 Truxtun Ave., Suite 210 --- FIRE--- Bakersfield, CA 93301 ~RrM r Tel.: (661) 326-3979 Fax: (661) 872-2171 F ILITY NAM - ~ ~ ~~a 3~ INSPECTION DATE 23-~JG INSPECTION TIME ~o ADDRESS PH NE NO. NO OF EMPLOYEES FACILITY CONTACT / , - (~U/I -e ~CiGI (M~ ~ BUSINESS ID NUMBER 15-021- Q~ 3 3 ~S7 Section 1: B~~iness Pian~a~nd Inven#ory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~~ C V ~ C=Compliance OPERATION V=Violation COMMENTS /' L8" ^ APPROPRIATE PERMIT ON HAND L~J ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ ~ 8 2® LJ . ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS (~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING • ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES / Q' ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING I~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES LtifVV EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # usiness Site / esponsible Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy- - FD 2155 (Rev. 09/05 + CINGULAR WIRELESS 14239 NEW _________________________ SiteID: 015=021-003337 + Manager ~ ~ I ~Ol ~• IM.cit,-rtht~ Bus Phone : ( 4 2 5 ) 5 8 0 - 7 515 Location: 3250 CHESTER LN Map 102 CommHaz Low City BAKERSFIELD Grid: 35B FacUnits: 1 AOV: CommCode: BFD STA 03 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title / ~I i~a6tl~ (Mt1~1ne~ WIRELESS NETWORK / CONTROL CENTER Business Phone : ( ~~~-5~~43-2.3x 542) Business Phone : ( ) - x 24-Hour Phone (800) 832'-6662x [~~_61~ 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 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 4rue, accurate, and complete. Sig ture to 5 ~~a ~ ~ ~~ ENT AEG o 8 2006 -1- 03/02/2006