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Home My WebLink AboutBUSINESS PLAN 7/31/2007`L. ~.- , ~i X I~~`~ '~~ r I~ \ C9''~-- E IISBC (#SA004) ~~~ .~ .~~:~.~"° i ~~ 1918 M STREET `{3y 30l ~q~, ~~~~~~ /~~'~'q~ ~~~ ~,~ ~+ ~~~ ~~ •~"' Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R E a 5 e_, D 900TruxtunAve., Suite 210 - FreE - Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° aRr~ Tel.: . (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ ~ / ~~ ~~ ~~~~ IN ~ TIO~ ~ - 33 INSPECTION TIME ADDRESS t ~ (( - PHONE N 0. NO OF MPLOYEES ~~ FACILITY CONTACT ` BUSINESS ID NUMBER - 15-021- gR ~ ~ N Section 1: Business Plan and Inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUS1f1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ 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 ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIO S REG RD G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 _ „ J ' /9 Inspector (Please Print) Fire revention / 1~' In /Shift of Site/Station # Busi s - White -Prevention Services Yellow -Station Copy Pink -Business Copy ^ YES f~NO /Responsible Party (PJ~ase Print) FD 2155 (Rev. 09/05 ,.~ INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST B ~~ E R S F I L D F/RE Ali<TM T INSPECTION DATE: _~~ Page 1 of 1 FACILITY NAME: T ~ ~~ Section 2: Underground Storage Tanks Program ^ Routine ~ombined Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank -~C°. 5 Number of Tanks Type of Monitoring ~ ~ig,1_ Type of Piping ~ OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ^ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No f r i Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Aggregate Capacity Number of Tanks Busin Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) f i PACIFIC BELL - SA004/BKFDCAI2 SiteID: 015-021-000894 Manager GRANT ARMSTRONG Location: 1918 M ST City BAKERSFIELD BusPhone: (661) 327-6561 Map 103 CommHaz High Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: CAT080020415 SIC Code:4813 DunnBrad:10-340-1618 Emergency Contact / Title Emergency Contact / Title GRANT ARMSTRONG / EM SITE MANAGER EMERGENCY CONTROL / CENTER Business Phone: (661) 327-6903x Business Phone: (877) 322-4722x 24-Hour Phone (800) 566-9347x 24-Hour Phone (800) 566-9347x Pager Phone (661) 721-4747x Pager Phone ( ) - x Hazmat Hazards: RSs Fire React ImmHlth DelHlth Contact JAMES STEHR EH&S Phone: (925) 823-8866x MailAddr: PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Owner PACIFIC BELL DBA AT&T CALIFORNIA Phone: (800) 566-9347x Address PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Period `~ -I ~0'1 to ~• f'og TotalASTs : ~ = 5°O Gal Preparer : S~ E S ~D~{~S~{~ ~ ~ TotalUSTs : I = 2q o~ Gal Certif ' d: ~.~ u~, -- ~ RSs : Yes ~ ParcelNo: Emergency Directives: PROG U - usT~T ~• EIVT~~ AEG a 3 200 7 C3ased an my inquire of those individuals respansibie f,~r olrtair,ing the information, 4 cUrtify under penaity of iaL, that I have personally e~camined and am farnii iar with the information submitted anti ~lieve the information is true, accurate, and complete. Signature Date -1- 07/13/2007 5' ~ • L• F PACIFIC BELL - SA004/BKFDCAI2 SitelD: 015-021-000894 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: PACIFIC BELL - SA004/BKFDCAI2 Cross Street : 20'x` ST• Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper REX ABACON ICC Nbr: 5227108-UC PROPERTY OWNER INFORMATION Name EMERGENCY CONTROL Phone: Address : 'P o. ~o~• 5095, (2~0~+ 3Ea~a (877) 322-4722x City S~~, ~2,amu~. State : CFt- Zip : 9'~ S$ 3 Type CORPORATION TANK OWNER INFORMATION Name EMERGENCY CONTROL Phone: (877) 322-4722x Address : ~ o,~„~ So9 s Ro~-+-+ 3F-tea City Sow Ro~n~n ~ State:CR Zip:9Y5$3 Type Cottporq~dn BOE UST Fee# 031914 Financ'1 Resp: SELF INSURED Legal Notif Date:06/07/2000 Phone: (738) 075- x Name:ARMI STRICKLAND Ttl:ENVIRONMENTAL ASSOCIATE State UST # 1998 Upg Cert#: 00789 -2- 07/13/2007 r ~ n~ P PACIFIC BELL - SA004/BKFDCAI2 ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-000894 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common. Name... BATTERY ELECTROLYTE DIESEL FUEL #2 SpecHazIEPA Hazards) Frm R IH L F IH DH L DailyMax Unit MCP 4141.00 GAL Hi 20500.00 GAL Low -3- 07/13/2007 -4- 07/13/2007 ~. F PACIFIC BELL - SA004/BKFDCAI2 SiteID: 015-021-000894 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BATTERY ELECTROLYTE Days On Site SULFURIC ACID, BATTERY ELECTROLYTE 365 Location within this Facility Unit Map: Grid: STORED ON SITE CAS# 7664-93-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture r Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15.00 GAL 4141.00 GAL 4141.00 GAL HAZARDOUS COMPONENTS °sWt. RS CAS# 28.00 Sulfuric Acid (EPA) No 7664939 48.00 Water No 7732185 24.00 Lead No 7439921 -- - -- I1riGEiCCL H.7 .7L~a.7P7~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME DIESEL FUEL #2 Location within this Facility Unit SE SIDE OF SITE FENCED AREA STATE TYPE PRESSURE Liquid Mixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE ~~ CONTAINER TYPE Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 20000.00 GAL 20500.00 GAL 20000.00 GAL HAZARDOUS COMPONENTS %Wt. 100.00 Diesel Fuel No. 2 HAZ RSI CAS# No 68476346 ARD A SSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 07/13/2007 ~. F PACIFIC BELL - SA004/BKFDCAI2 SiteID: 015-021-000894 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 05/01/2000 CALL 911. Employee Notif./Evacuation 05/31/2006 NOTIFICATION OF EMERGENCY AND EVACUTATION PROCEDURES ARE DIRECTED BY THE BUILDING WARDEN AS OUTLINED IN -T~-=-;~-~ 1 -~1,e AT~r Operq+~n~ ~~'ac+KeS SHOUTING, HORNS ALARMS, VOCAL, WHISTLE, AND FIRE ALARMS ARE USED TO NOTIFY EMPLOYEES TO EVACUATE. THE INSTRUCTIONS FOR EMERGENCY EXITS AND ALTERNATE ROUTES TO BE USED FOR EVACUATION ARE POSTED ON EACH FLOOR. Public Notif./Evacuation 05/31/2006 PACIFIC BELLS EMERGENCY OPERATING PROCEDURES ~~ ~~'__'T°~0~~ IDENTIFIES THE BUILDING WARDEN/SITE MANAGER AS THE RESPONSIBLE EMPLOYEE TO NOTIFY THE BUILDING OCCUPANTS AND THE APPROPRITE EMERGENCY CONTACTS: LOCAL FIRE/MEDICAL PERSONNEL; LOCAL ADMINISTERING AGENCY; OFFICE OF EMERGENCY SERVICES; PACIFIC BELL; EMERGENCY CONTROL CENTER; SECURITY; MEDICAL FACILITY; ENVIRONMENTAL MANAGEMENT; SAFETY Emergency Medical Plan 05/31/2006 EMPLOYEES OWN DOCTOR OR 911. THE IMMEDIATE SUPERVISOR OR AVAILABLE BUILDING WARDEN IS RESPONSIBLE FOR CONTACTING AN AMBULANCE OR MEDICAL FACILITY FOR AN INJURED EMPLOYEE. THE NEAREST EMERGENCY MEDICAL FACILITY IS SAN JOAQUIN COMMUNITY HOSPITAL, 2615 EYE ST, 395-3000. -6- 07/13/2007 F PACIFIC BELL - SA004/BKFDCAI2 SiteID: 015-021-000894 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/31/2006 ~ PERIODIC TESTING DONE ON UNDERGROUND TANKS. BATTERY ELECTROLYITE IS CONTAINED IN BATTERIES AND BATTERIES ARE SECURED IN SPECIALLY DESIGNED BATTERY RACKS WHICH WORK IN CONJECTION WITH EARTHQUAKE BRACING. HAZARDOUS MATERIALS ARE UTILIZED AND STORED FOLLOWING MANUFACTURER'S RECOMMENDATIONS AS WE ARE A CONSUMER OF PRODUCTS AND NOT A MANUFACTURER OF HAZARDOUS MATERIALS. EMPLOYEES ARE PROVIDED TRAINING ANNUALLY THROUGH THE PACIFIC SAFETY PLAN MODULES ON HOW TO HANDLE HAZARDOUS MATERIALS AND HOW TO READ AN MSDS AS REQUIRED BY THE HAZARDOUS COMMUNICATION STANDARD. ADDITIONALLY, ANNUALLY THEY ARE TRAINED ON EMERGENCY OPERATING PROCEDURES AND PACIFIC SAFETY PLAN AND A'~C OPERATING PRACTICE 130. Release Containment 04/09/1996 ELECTROLYTE IS CONTAINED IN BATTERIES AND BATTERIES ARE SECURED IN A SPECIALLY DESIGNED BATTERY RACK WHICH WORKS IN CONJUNCTION WITH EARTHQUAKE BRACING. DIESEL: UNDER/ABOVEGROUND TANKS ARE TESTED FREQUENTLY TO MAINTAIN INTEGRITY OF TANK CONTENTS. Clean Up 05/31/2006 PROVIDED BY 100 LBS BICARBONATE SODA AND KITTY LITTER. THE PACIFIC BELL HAZARDOUS MATERIALS WASTE/MANAGEMENT HANDBOOK, AND THE HAZARDOUS MATERIALS BUSINESS PLAN USER GUIDE REQUIRES THAT A HAZARDOUS MATERIALS INCIDENT REPORT FORM BE COMPLETED IN THE EVENT OF A SPILL OR RELEASE OF A HAZARDOUS MATERIAL AT PACIFIC BELL FACILITIES. CONTRACTORS UTILIZED TO CLEAN UP SPILLS AND RELEASES INCLUDE: SHAW ENVIRONMENTAL 800-537-9540. -7- 07/13/2007 F PACIFIC BELL - SA004/BKFDCAI2 SiteID: 015-021-000894 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Other Resource Activation 05/31/2006 AS OUTLINED IN PACIFIC BELL HAZARDOUS MATERIALS MANAGEMENT PLAN ITEM G UNAUTHORIZED RELEASES (LEAKS AND SPILLS) OF PETROLEUM PRODUCT WILL BE REPORTED IMMEDIATELY BY THE OPERATOR OF THE UNDERGROUND TANK TO THE FOLLOWING: AT&T ~- 5~6-434'1 ANY UNAUTHORIZED RELEASES WILL BE RECORDED USING THE HAZARDOUS MATERIAL INCIDENT REPROT FORM NUMBER FR-0023, AS SHOWN IN APPENDIX III. FOR INCIDENTS INVOLVING SPILL, THE OPERATOR OF THE UNDERGROUND TANK WILL NOTIFY THE FIRE DEPARTMENT. 9 -8- 07/13/2007 P PACIFIC BELL - SA004/BKFDCAI2 SiteID: 015-021-000894 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~c~:ia~. na~aiu~ Utility Shut-Offs 01/30/2007 A) GAS - NONE B) ELECTRICAL - DIESEL ENGINE CONTROL RM 1ST FLR ROOF C) WATER - ALLEY SW CRNR D) SPECIAL - TANK MONITOR ALARM ENGINE RM 2ND FLR E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 18 FIRE EXTINGUISHERS. FIRE HYDRANT - CRNR OF ALLEY S OF STORE ON M ST. 05/31/2006 Building Occupancy Level 03/10/2006 9 EMPLOYEES -9- 07/13/2007 F PACIFIC BELL - SA004/BKFDCAI2 SiteID: 015-021-000894 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/31/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIlKARY OF TRAINING PROGRAM: EMPLOYEES ARE PROVIDED INITIAL SAFETY PLAN TRAINING ON THE HAZARD RECOGNITION/COMMUNICATION MODULE AS WELL AS THE FUNCTION SPECIFIC MODULES BEFORE THEY BEGIN THEIR WORK OPERATIONS. THIS ALSO INCLUDES TRAINING ON THE EMERGENCY OPERATING PROCEDURES 130, THE PACIFIC SAFETY PLAN, AND THE EMERGENCY OPERATING PROCEDURES REQUIRE ANNUAL REFRESHER TRAINING BE PROVIDED. rayC ~ nciu ivi L•u~,uic vac Held for Future Use -10- 07/13/2007 c ~S 2006 UST FINANCIAL RESPONSIBILITY KERN COUNTY ~~r ~- , ~_ _ _ ~ ~Aaencv ( Site Location ~ ~ ~ Situ City ~ , ~ ~ ~ Site Contact ~ ~ ~ ~~ Bakersfield Fire Department ' 3221 S. H STREET BAKERSFIELD Sharon Ramirez ,Kern County Environmental Health 925 JEFFERSON STREET DELANO Sharon Ramirez Kern County Environmental Health .1021 CALIF ST OILDALE Sharon Ramirez at&t May 19, 2006 Ray Rodriguez - - Fire- Prevention Environmertal-Off cer - Bakersfield Fire Dept 900 Truxtun Ave., Room 200 Bakersfield, CA 93301 AT&T Services, Inc. 30B S. Akard Street, Room 900 Dallas, TX T5202-5399 RE: Certification of Financial Responsibility -Underground Storage Tanks Pacific Bell Telephone Company recently revised its Certification of Financial Responsibility cover form for its Certification of Financial Responsibility packages filed earlier this year. Enclosed is the revised form(s) with a list of the applicable underground storage tanks. Please file these forms with the Certification of Financial Responsibility packages previously filed with your office. If you have-any questions regarding this matter, please call me at 214-464-1917. Thank you for your assistance. Cheryl Allen Manager AT&T Environmental Management ~USnA ~C.7' Proud Sponsor of the U.S. Olympic Team For State Use Only State of California State Water Resources Control Board Division of Clean Water Programs P.O. Box 944212 Sacramento, CA 94244-2120 CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. 1 am required to demonstrate Financial Responsibility in the required amounts as specified in Section 2807, Chapter I8, Div. 3, Tide 23, CCR: ^ 500,000 dollars per occurrence ^ 1 million dollars annual aggregate or AND or ®1 million dollars per occurrence ®2 million dollars annual aggregate B. Pacific Bell Telephone Company hereby certifies that it is in compliance with the requirements of Section 2807, (Nate; oflank Own ror Ogralor) Articie 3, Chapter l8, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate financial res onsibili as re uired b Section 2807 are as follows: C: Mechanism Name and Address of Issuer Mechanism Coverage Coverage Corrective Third Party T Number Amount Period Action Compensation Certificate of Gateway Rivers Insurance $1,000,000 Per 12/31 /2005 - Yes Yes insurance Company Occurrence & 12/31/2006 76 St. Paul Street, Suite 500, $2,000,000 Burlington VT 05401-4477 Annual Aggregate Note: If you aze using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that ou are in corn fiance with all conditions for artici ation in the Fund. D. Facility Name Facility Address Pacific Bell Tele hone Com an See Attachment Facility Nmnc Facility Address Facility Na,ne Facility Address Facility Nmnc Facility Address Facility Nmne Facility Address Facility Name Facility AAdress Facility Nmne ~ Facility Address c of Tank Owns or On is Date Narstc and Title of Tank Owner or OlxTasm ~ Daniel V. James, Assistant Treasurer $iptatme of Wimcas or lary ale ~LZ1r.UQ,a.,~ ~,.`, 5 (8 CI (~, Name of Witness or Notary Caroline Funari Submit original to local UST- regulatory agency. Keep a copy at each UST facility. UN-049 - 1/2 (Instructions on Reverse) www.unidocs.org 01/29/02 ,.Y. _. + SBC - SA004 _________________________________________ SiteID: 015-021-000894 + Manager SHARON RAMIREZ Location: 1918 M ST City BAKERSFIELD BusPhone: (661) 327-6561 Map 103 CommHaz High Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:4813 I EPA Numb: CA7p$D~ZoNIS DunnBrad:10-340-1618 Emergency Contact / Title Emergency Contact / Title SHARON RAMIREZ / SITE MANAGER EMERGENCY CONTROL / CENTER Business Phone: (661) 546-7416x Business Phone: (877) 322-4722x 24-Hour Phone (866) 49.2-6836x 24-Hour Phone (866) 492-6836x Pager Phone (661) 671-3447x Pager Phone ( ) - x Hazmat Hazards: RSs Fire React ImmHlth DelHlth Contact JAMES STEHR Phone: (925) 823-8866x MailAddr: 2600 CAMINO RAMON 3E000_ State: CA City SAN RAMON Zip 94583-0995 Owner. SBC Phone: (866) 492-6836x Address PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 I ~~3'~°b 5v ° Period ~~ ~ v ~ to TotalASTs : 1 = Gal Preparer : S EVES ANDERSON TotalUSTs : / _ ~0, ODd Gal Certif'd: RSs: Yes ParcelNo: ~ ~ Emergency Directives: ~ PROG A - HAZMAT PROG U - UST Based on my inquiry of those individuals re9ponslble 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. ~~ _~ 2~ d ignature Date ~N~"6 M A~ ~ ~. ~~8~ -1- 03/31/2006 ,. - -.Y. ~...,. .. u.... .-~. ~ ..._. ........ a'-•,.,, r,-•`r.... «-zo--.-,...:•. ~ ..r...lr--,,.`^'r: ...-r .,~ •--... r. :... ,..y l.~-~f,.. ~-e`+~.Jain.a~± 4 •/j~//\ ~j ~ Bakersfield Fire Dept. 1/ UNIFIED PROGRAM INSPECTION CHECKLIST cJ Enironmental Services, SECTION 1 Business Plan and Invento Pro ram 1715 Chester.Avef;, C) ~ ry 9 Bakersfield, CA 93301 ~ TPI~ (FiFil1R7F,-~A7q FACILITY NAME ~ INSP CTIO DATE INSPECTION TIME a ~-- ~ - --~ ~ ------------------ - ------- - --- --------- --------- -- - - 3-a~Q ~--- -- ------ --------- ADDRESS ~ ~ 1 PHO E No. No. of Employees I~ ~ 8 i11 -~ 1=-------------------------------------- 3_~1_~~~ ---_ L~ --------- F----- ' FACIIITYCONTACT Business ID Number 15-021- $~ Section 1: Business Plan and Inventory Program ^ Routine L9~Gombined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection ~C,/V \V=Vioatlonnce~ OPERATION COMMENTS 4' ^ APPROPRIATE PERMIT ON HAND --y-~--------------------------- ------ ----_---------- --- ----------------- ____-_-- ---__..... .__..-- L~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE L~' ^ VISIBLE ADDRESS Ly' ^ CORRECT OCCUPANCY ~ -L-~---- ------------------------...._._..__ _---__-°----------.._..---...---------_----------- ----------_.__ __.._..._.....__..._ L4' ^ VERIFICATION OF INVENTORY MATERIALS ' ^ VERIFICATION OF pUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~^ VERIFICATION OF MSDS AVAILABILITYE ~E~` - - --------- ----------------------- -- ------...----_ ----..-- -- _----- -------.._.--.. ----_ _ _! ~--2QQ fi __------ - -- --_- - _...._. ~^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ------- ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES LK NO EXPLAIN: ,r'r~ - " r_:. ,\ QUESTIONS~REGARDING THIS INSPECTION? PLEASE CALL US AT ~6B'I ~ 328-3979 ~~'~-`-~~1 '~ I --- -- --- -- ---- -- ----------------------- ~ ?L~ -- --- -- - Inspector Badge No., Business Site Resp nsible Pa White -Environmental Services Yellow -Station Copy Pink -Business Copy -.,-... ~ x ,f...-•-.,r....,..,r.,.,„,J.-=~.: ^~.::::. _.~.-,r yi-,,^ti., ..., „~,,~;~y~,g~./-.,_ti~+';,,.:i;../~h.~»-...+--^^-_-V-"'^~.-.......-,,,,.-~ ~~rs:_~:~Js..~oc*.: \. ~-+-mss _ ._„i- i.~..~ j1~>~ ~: ,~ J CITY OF BAKERSFIEL~U F IRE DEPARTMENT ~~~~ ~ ~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~~° ~ y` 1ST ~\ ~ , .~ . ~~ UNIFIED PROGRAM INSPECTION CNECKL ~ ~'w ~ ti,d 1715 Chester Ave., 3r`' Floor, Bakiersifield, CA 93301 . _ E r.A4,i . I `Nllltily FACILITY NAME ~ ~~ C. INSPECTION DATE 3 Q ~~ Section 2: Underground Storage Tanks Program ^ Routine (Combined ^ Joint Agency ^Minti-Agency ' ^ Complaint ^ Re-inspection Type of Tank ~JW~-C S Number of Tanks Type of Monitoring -v~ Type of Piping ~N(c~ OPERATION C V COMMENTS Proper tank data on the Proper owner/~~perator data on the Permit fees current 1 Certification of Financial Responsibility Monitoring record adequate and,current Maintenance records adequate and current Failure to correct prior UST violations , Has there been an unauthorized release? Yes No ` Section 3: Aboveground Storage Tanks Program, TANK SIZES Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available ~ SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtilUoverspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector Office of Environmental Services (661) 326-3979 Business Site espo ble Party white - f nv. Svcs. Pink -Business C~~ry ~. ~,. ~~ ~ FILE THIS DOCUMENT IN THE v ~ '3 - ~j-Dh ._ ~ HAZARDOUS MATERIALS PLANS L PROGRAMS PERMITS BINDER SECTION 2 ~~~~ .~iQC Hazardous Materials Annual Inventory YEAR 2006 SBC - SA004 (Facility Name and ID) 1918 M STREET (Facility Address) BAKERSFIELD (Facility City) KERN (Facility County) Maintain this Hazardous Materials Inventory On Site, Until Updated. POST THIS DOCUMENT ON SITE SO IT WII.L BE AVAILABLE IN THE EVENT OF A GOVERNMENT AGENCY INSPECTION, SITE ASSESSMENT OR AUDIT. ENTD MAR 10 2006 Revised 10/26/2005 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM 2006 Pursuant to Section 25503.3(c) of California Health and Safety Code (HSC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: SBC SA004 / BKFDCA12 Facility Street Address 1918 M STREET City: BAKERSFIELD Zip: 93301 I have personally reviewed the Hazardous Materials Business Plan currently on file with the CUPA dated 04/07/2003 and certify that: (Check one.) The Hazardous Materials Business Plan is complete and accurate and no revisions are necessary* (See below for details); or Revisions to the Hazardous Materials Business Plan are necessary. The following new or revised form(s) and/or information are enclosed to reflect the necessary changes: Business Activities form Business Owner/Operator Identification form Hazardous Materials Inventory form(s) Site Map form Emergency Response Plans and Procedures Employee Training Program *By checking the top box on this form, you are certifying that: a) The information contained in the annual inventory forms most recently submitted to the administering agency is complete, accurate, and up-to-date; and b) There has been no change in the quantity of any hazardous material as reported in the most recently submitted annual inventory forms; and c) No hazardous materials subject to the inventory requirements are being handled that are not listed on the most recently submitted annual inventory forms; and d) There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP; and e) The most recently submitted annual inventory forms contain the information required by Section 11022 of Title 42 of the United States Code. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials which would require updating of HMBP. Signature of Owner/Operator: ~, Title: Project Manager-Agent for SBC Name of Owner/Operator (print) Steve Skanderson Date: 3 9 0 Return all forms to: Bakersfield Fire Department 900 Truxtun Avenue, Suite 210 Bakersfield CA 93301 661-326-3979 Business Plan Certification 2005 ~~ UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of I. IDENTIFICATION FACILITY ID# ~! ~, 1 BEGINNING DATE 100 ENDING DATE 101 01 /01 /2006 12/31 /2006 BUSINESS NAME (Same as FACILITY NAM or DBA -Doing Business As) 3 BUSINESS PHONE 102 SBC ~, ~ ~O SA004 661-327-6561 BUSINESS SITE ADDRESS 103 1918 M STREET CIZ'y 104 CA ZIP CODE 105 BAKERSFIELD 93301 DUN BRADSTREET 106 SIC CODE (4 digit #) 107 10-340-1618 4813 COUNTY 108 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 Sharon Ramirez 805-546-7416 R. BUSINESS OWNER 111 OWNER NAME OWNER PHONE 112 SBC _ 866-492-6836 OWNER MAILING ADDRESS 113 P.O. Box 5095, Room 3E000 114 CITY STATE 115 ZIP CODE 116 SAN RAMON CA 94583-0995 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Environmental Management, attn: James Stehr 925-823-8866 CONTACT MAILING ADDRESS ~ 119 2600 CAMINO RAMON, RM 3E000 CITY 120 STATE 121 ZIP CODE 122 SAN RAMON CA 94583-0995 PRIMARY IV. EMERGENCY CONTACTS SECONDARY NAME 123 NAME 128 Sharon Ramirez EMERGENCY CONTROL CENTER TITLE 124 TITLE 129 Site Manager 24 HR EMERGENCY SERVICE BUSINESS PHONE 125 BUSINESS PHONE 130 805-546-7416 877-322-4722 24-HOUR PHONE 126 24-HOUR PHONE 131 866-492-6836 (866-I WANT EM) 866-492-6836 (866-I Want EM) PAGER# 127 PAGER# 132 805-671-3447 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERA R DATE 134 NAME OF DOCUMENT PREPARER 135 12/15/2005 RHL DESIGN GROUP, INC. -AGENT FOR SBC NAME OF SIGNER (print) 136 TITLE OF SIGNER 137 Project Manager -Agent for SBC Steve Skanderson UPCF (1/00 revised) 167 OES FORM 2730 (1/99) r UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE REVISE 20~ Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA004 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 SE SIDE LOT/FENCED AREA EPCRA ~ YES a NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ' J 1 J7 -- __ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET 206 ~ Yes ~ No PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 DIESEL FUEL N0.2 208 EHS ~ Yes 0 No CAS# 209 68476-34-6 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requred by CUPA) 210 CL2 / IRR HAZARD MATERIAL 211 TYPE (Check one item ~ a. PURE ~ b. MDCTURE ~ c. WASTE 212 RADIOACTNE ~ Yes ~ No 213 CURIES PHYSICAL STATE ~ a. SOLID ^X b. LIQUID ~ c. GAS 214 LARGEST CONTAINER 20 00~ 215 (Check one item only) ~ FED HAZARD CATEGORIES 216 ~ a. FIRE ~ b. REACTNE ~ c.PRESSURE RELEASE ^X d. ACUTE HEALTH a e.CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNTTS"` ^X a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON STi'E: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE o. RAIL CAR CONTAINER X b. UNDERGROUND TANK £ CAN '. BAG n. PLASTIC BOTTLE p. OTHER 02 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN ~~ d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ~X 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 mixttu•e or waste only) EHS CAS# l 100 226 DIESEL FUEL NO. 2 227 Wes ~No 228 68476-34-6 229 2 <1 230 NAPHTHALENE 231 ^S'es ^X 110 232 91-20-3 233 3 234 235 ^1'es ^X No 236 237 4 238 239 ~es (~,,r° 240 241 5 242 243 Yes L~J'"o 244 245 If more hazardous components are presrnt at greater than 1 % by weigh) ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or azea) - ADD DELETE X REVISE 266 Page of II I. FACILITY INFORMATION BUSINESS NAME AT&T/Pacific Bell SA004 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EPCRA ~ YES ~ No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# _ ~~~ 1 C5 IL CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes X No 206 SULFURIC ACID, BATTERY ELECTROLYTE _ If Subject to EPCRA, refer to instructions COMMON NAME 207 208 ~ BATTERY ELECTROLYTE EHS ~ Yes ^X No ~CAS# 209 i 7664-93-9 If EHS is " Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 CORROSIVE HAZARD MATERIAL 211 TYPE (Check one item ~ a. PURE ~ b. MIXTURE ~ c. WASTE RADIOACTIVE ~ Yes 212 ~ No CURIES 213 PHYSICAL STATE ~ a. SOLID ~X b. LIQUID ~ c. GAS 214 LARGEST CONTAINER ~ rJ 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE X^ b. REACTIVE ~ c.PRESSURE RELEASE ^X d. ACUTE HEALTH ~ e.CHRON[C HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 l______- - 41_4.1_ 41_41 ~UNITS* ~ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 (Check one nem only) i1' EHS~amounl mustlze_in~ound ------ -- 365 STORAGE a. ABOVE GROUND TANK ~ le. PLASTICMONMETALLIC DRUM I. FIBER DRUM CONTAINER ~b. UNDERGROUND TANK f. CAN ~. BAG m.GLASS BOTTLE ~o. RAIL CA n. PLASTIC BOTTLE X p. OTHER R 18 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X 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# 128-52 226 SULFURIC ACID 227 eves ~X No 228 7664-93-9 229 2 48-72 230 WATER 23t }yes L'~l'"0 u L ~ l ~ 232 7732-18-5 233 3 67-71 234 Lead 235 (~,, 0 ^1'es L~J " 236 7439-92-1 237 4 238 239 n~ ,, 0 ^1'es 240 241 5 242 243 Yes ^X No 244 245 If more hazardous components aze present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the requred information. ADDffIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 ~ BUSINESS NAME SBC MAPS 1 BKFDCAI2 SA004 SITE MAP BUSINESS ADDRESS 1918 M STREET DATE 11 /1 /2005 DRAWING SCALE ' ZIP CODE 93301 NOT TO SCALE ~ 20TH STREET 1 ~ I CABLE VAULT I 2 O~ O ~ ~ ~ D DA /`~ EXIT MDF I O T 3 I SWITCH /~ OFFICE TO STORAGE 1ST FLOOR /~ ~ ` T 4 I ~ SWITCH ~ TRANSPORT EXI I o_ ~ AREA ~ AREA ~( --------- r------------ -~ W A O I I ERE I.IJ I I 5 ~ ; ; I I F O c 1 I I L OT F ~~~- L p0 /r `~ ~' MSDS ~ ----T- ; ~ --/-~- --- I L~ EXIT ~ o f^ i CO-LOCATION CAGE EXIT EXIT NEP SITE 6 Ao ~ a O 7 8 9 A I e BAKERSFIELD ALLEY TAP o Annulor Space BOX ~~ I Fill Sump & Tank Level Goug , PARKING NORTH ~ ~ ~~ ~ II Piping Sump ~OJ PARKING C I D I E I F I G I H I I I J I K I L PREPARED HY: 1 GROUP INS SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF OW WATER SHUT-OFF EMERGENCY PUMP SHUT-OFF TMA TANK MONITORING `~ ALARM O TELEPHONE FIRST AID KIT FIRE EXTINGUISHER STORM DRAIN O SANITARY SEWER E S STAGING AREA EVACUATION/ MSDS HMMP, AND MSDS LOCATION FIRE HYDRANT ~ -x- FENCE ERE EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS O ABOVEGROUND STORAGE TANK I'- ~I UNDERGROUND STORAGE TANK O MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) O BATTERY ELECTROLYTE (CORROSIVE LIQUID) O GASOLINE (FLAMMABLE LIQUIDS) O DIESEL FUEL (COMBUSTIBLE LIQUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) O ANTIFREEZE/COOLANTS O WASTE OIL (FLAMMABLE LIQUID) F^ FIRE PULL BOX M ~~~) MAPS 2 BBUSINESS NAME SBC BKFDCA12 SA004ESSI NAME SBC BKFDCA12 SA004- BUSINESS ADDRESS 1918 M STREET I2 13 14 15 16 2ND FLOOR PLAN DATE 10/29/2005 BAKERSFtELD __ ZIP CODE 93301 AIR DRYERS I AIR EQUIPMENT A OFFICE O O ~- STORAGE TMA ROOM ~~ BREAK ROOM F EO HSP 0 PG&E FIRST FLOOR ROOF ENGINE O DAY TANK 500 GAL ALLEY 17 18 9 A I B I C D I E F G H J NORTH K I L I M PREPARED BY: ION GROUP, INC. DRAWING SCALE / N OT TO SCALE ~ SYM BOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF OW WATER SHUT-OFF EMERGENCY PUMP SHUT-OFF /~ T TANK MONITORING MA `~ ALARM OT TELEPHONE FIRST AID KIT FIRE EXTINGUISHER ~ STORM DRAIN SANITARY SEWER E S STAGING AREA EVACUATION/ MSDS HMMP, AND MSDS LOCATION ~. FIRE HYDRANT i ~c--x- FENCE i ERE EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS O ABOVEGROUND STORAGE TANK I'-- ~I UNDERGROUND `---' STORAGE TANK O MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) O BATTERY ELECTROLYTE (CORROSIVE LIQUID) O GASOLINE (FLAMMABLE LIQUIDS) O DIESEL FUEL (COMBUSTIBLE LIQUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) OA ANTIFREEZE/COOLANTS O WASTE OIL (FLAMMABLE LIQUID) ^F FIRE PULL BOX ~, ~. FILE THIS DOCUMENT IN THE HAZARDOUS MATERIALS PLANS PROGRAMS PERMITS BINDER 1AN 16 2U05 ~~ ~ ~ ~~ ~ t~ ~'~ SECTION 2 ~+T~ 3h~ y g9'~ ~~ Hazardous Materials Annual Inventory YEAR 2005 SBC - SA004 (Facility Name and ID) 1918 M STREET (Facility Address) BAKERSFIELD (Facility City) KERN (Facility County) Maintain this Hazardous Materials Inventory On Site, Until Updated. POST THIS DOCUMENT ON SITE SO IT WILL BE AVAILABLE IN THE EVENT OF A GOVERNMENT AGENCY INSPECTION, SITE ASSESSMENT OR AUDIT. Io3~ ~ ~ ~o~~ 551 `~ 5 ~~ ~~" Revised by Matthew Hopwood 10J23J2003 ~~~f ~ F E B 17 2006 _,_ UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMAT ION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of I. IDENTIFICATION 1 BEGINNING DATE 100 ENDING DATE FACILITY ID# 101 ~ 01 /01 /2005 12/31 /2005 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE 102 SBC SA004 661-327-6561 BUSINESS SITE ADDRESS 103 1918 M STREET CITY 104 CA zIP coDE 105 BAKERSFIELD 93301 DUN BRADSTREET 106 SIC CODE (4 digit #) 107 10-340-1618 4813 COUNTY 108 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 LINDA PORTER 818-908-6044 II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE 112 SBC 866-492-6836 OWNER MAILING ADDRESS 113 P.O. Box 5095, Room 3E000 CITY 114 STATE 115 ZIP CODE 116 SAN RAMON CA 94583-0995 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Environmental Management, attn: James Stehr 925-823-8866 CONTACT MAILING ADDRESS 119 2600 CAMINO RAMON, RM 3E000 CITY 120 STATE 121 ZIP CODE 122 SAN RAMON CA 94583-0995 PRIMARY IV. EMERGENCY CONTACTS SECONDARY 123 NAME NAME 12e LINDA PORTER EMERGENCY CONTROL CENTER TITLE 124 TITLE 129 Site Manager 24 HR EMERGENCY SERVICE BUSINESS PHONE 125 BUSINESS PHONE 130 818-908-6044 877-322-4722 24-HOUR PHONE 126 24-HOUR PHONE 131 866-492-6836 (866-I WANT EM) 866-492-6836 (866-I Want EM) PAGER# 127 pAGER# 132 805-671-3447 ADDITIONAL LOCALLY COLLECTED INFORMATION: 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 DATE 134 NAME OF DOCUMENT PREPARER 135 11/11!2004 RHL DESIGN GROUP, INC. -AGENT FOR SBC NAME OF SIGNER (pri 136 TITLE OF SIGNER 137 ' Project Manager Steve Skanderson UPCF (1/00 revised) 167 OES FORM 2730 (1/99) ~. ~ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA004 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 SE SIDE LOT/FENCED AREA EPCRA ^ YES 0 No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ~ 1 J7 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ^x No 206 PETROLEUM HYDROCARBON If Subject to EPCR4, refer to instructions COMMON NAME 207 DIESEL FUEL NO.2 EHS ^ Yes ^X No 208 CAS# 209 68476-34-6 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requred by CUPA) 210 II-COMBUSTIBLE LIQ HAZARD MATERIAL 211 WASTE PURE ~ b MIXTURE ^ c ^ a i TYPE Ch k 212 RADIOACTNE ^ Yes a No CURIES 213 . . . one ( ec tem PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 2000 215 (Check ane item only) FED HAZARD CATEGORIES a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ~ d. ACUTE HEALTH a e.CHRONIC HEALTH ^X ~ 216 , (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER X b. UNDERGROUND TANK £ CAN '. BAG n. PLASTIC BOTTLE p. OTHER ^ 02 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN 01 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 °/nWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 100 226 DIESEL FUEL NO. 2 227 ^es ^ No 228 68476-34-6 229 2 <1 230 NAPHTHALENE 231 ^es ^X No 232 91-20-3 233 3 234 235 n"es n" 0 236 I-Jr ~I' ` 237 4 238 239 ~eS (~,,, 0 240 241 5 242 243 ^Yes ~O 244 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 Lb~ OES Form 2731 iTNIFIED PROGRAM CONSOLIDATED FORM . HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC $A004 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EPCRA ^ YES ~ No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ~ 1 C5 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ~ No 206 SULFURIC ACID, BATTERY ELECTROLYTE If Subject to EPCRA, refer to instructions COMMON NAME 207 BATTERY ELECTROLYTE EHS ^ Yes ^X No 208 CAS# 209 7664-93-9 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 CORROSIVE HAZARD MATERIAL 211 TYPE (Check one item ^ a. PURE ~ b. MIXTURE ^ c. WASTE 212 RADIOACTNE ^ Yes ~ No CURIES 213 PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER ~ CJ 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 ~~ UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK £ CAN ~. BAG ^ n. PLASTIC BOTTLE X p. OTHER ~ e a. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN 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 28-52 226 SULFURIC ACID 227 ^1'es ^ No 228 7664-93-9 229 2 48-72 230 WATER 231 ~'es nY ,,,0 232 7732-18-5 233 3 234 235 ~'es (~,,ro 236 LL~~JJ``~ 237 4 238 239 ~eS j~,,,o 240 LJ ' 241 5 242 243 o 244 ^1,es ^X I•I 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 UPCF (1199) 169 If EPCRA, Please Sign Here OES Form 2731 ~~~ AP# 1 BUSINESS NAME SBC BKFDCA12 SA004 BUSINESS ADDRESS 1918 M STREET i 2 3 4 W I.I_I 5 ~ C~ L 6 7 a 9 A SITE ~IAP BAKERSFIELD 20TH STREET DATE 10/3/2003 ZIP CODE 93301 r -----------~ ~ i I ~ I CABLE VAULT ~ A `-' MDF I SWITCH STORAGE OFFICE 1ST FLOOR SWITCH ~~ ` TRANSPORT I a ~ AREA /~ L~ AREA - ------------- --, A L`c~ O L~ I I I I ERE I I I I I I I O I I I I z ~I MSDS I I L----T--- ----- ~ E ° I CO-LOCATION CAGE I I I EXIT i EXIT NEP SITE n - EXIT EXIT A EXIT U B ALLEY TAP o Annular Space BOX ~~~ Fill Sump & ' I Tank Level Gauge' PARKING NORTH ~ ~ ~~ ~ Q I Piping Sump ~'J PARKING .. . C ~ D ~ E ~ F ~ G ~ H ~ I ~ J ~ K ~ L PREPARED BY: ISESIGTI QaROUP I1dC. DRAWING SCALE " NOT TO SCALE SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF OW WATER SHUT-OFF - EMERGENCY PUMP SHUT-OFF TMA TANK MONITORING ~~ ALARM OT TELEPHONE FIRST AID KIT FIRE EXTINGUISHER STORM DRAIN SANITARY SEWER E S STAGING AREA EVACUATION/ MSDS HMMP, AND MSDS LOCATION FIRE HYDRANT -x->F FENCE ERE EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS O ABOVEGROUND STORAGE TANK I~ - 11 UNDERGROUND STORAGE TANK O M070R OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) O BATTERY ELECTROLYTE (CORROSIVE LIQUID) O GASOLINE (FLAMMABLE LIQUIDS) O DIESEL FUEL (COMBUSTIBLE LIQUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) Oq ANTIFREEZE/COOLANTS O WASTE OIL (FLAMMABLE LIQUID) FIRE PULL BOX M MAP# 2 2ND FLOOR PLAN BUSINESS NAME SBC BKFDCA12 SA004-2 DATE 10/29/2003 BUSINESS ADDRESS 1918 M STREET BAKERSFIELD ZIP CODE 93301 1 12 3 4 15 16 AIR EQUIPMENT OFFICE STORAGE n ROOM TMA` BREAK ROOM EO HSP PG&E FIRST FLOOR ROOF ENGINE O DAY TANK 500 GAL ALLEY 7 8 9 A ~ B I C ~ I E ~ F I G ~ H I ~ J PREPARED BY: € ,_ h, ESIGN CYROUP Itac. -~ DRAWING SCALE NOT TO SCALE SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF NORTH OW WATER SHUT-OFF EMERGENCY PUMP SHUT-OFF TMA TANK MONITORING ~~ ALARM OT TELEPHONE FIRST AID KIT FIRE EXTINGUISHER ~ STORM DRAIN D SANITARY SEWER E S STAGING AREA EVACUATION/ MSDS HMMP, AND MSDS LOCATION FIRE HYDRANT ~>F FENCE ERE EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS O ABOVEGROUND STORAGE TANK I~ - ~I UNDERGROUND - ~ STORAGE TANK O MOTOR OILS & LUBRICANTS i (COMBUSTIBLE LIQUIDS) O BATTERY ELECTROLYTE (CORROSIVE LIQUID) O GASOLINE (FLAMMABLE LIQUIDS) O DIESEL FUEL (COMBUSTIBLE LIQUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE I (COMPRESSED GAS) OA ANTIFREEZE/COOLANTS O WASTE OIL (FLAMMABLE LIQUID) FIRE PULL BOX K I L I M