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Home My WebLink AboutBUSINESS PLAN (2),/ ~.-~. ~~ ,~./ 1~ ,~i ~ SBC ~~SAP70 ~.~ ; ~; + 5101 OFFICE PARK DRIVE ~.. ~ . ~U 6'Y~J R ~~~90+ ~ ~ D0~ ~ ' ' ~ ~ ~ I ~~ ~,~~ 1 ~ a4~ ~ ~ c. ~, ~~ ' ~ 1 f ~" (~ ~ ~ Q ``,~ < ~ ~ (l k ~ _, ~! • • • • • • ~ \ / ~ ~ UNIFIED PROGRAIIA INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program • FACILITY NAME ADDRESS _s/o ~ FACILITYCONTACT Bakersfield Fire Dept. Enironmentai Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 :CTION DATE INSPECTION TIME E No. No. of Employees Gds Z a7~ ass ID Number 15-021- 40bo38 Section 1: Buseness Plan and Inventory Program ~'~ Routine ^ Combined ®Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection r ~% V \V=Vioatolnnce~ OPERATION COIIAMENTS t~l ^ PIPPROPRIATE PERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE 13 ^ VISIBLE ADDRESS ~~ ~~-® t! _.~.. _~ -~~~~ _.. _.._._ ... __ .----.. __ ._.. l~^ CORRECT OCCUPANCY < L~J ^ VERIFICATION OF INVENTORY MATERIALS L~J ^ VERIFICATION OF QUANTITIES GY^ VERIFICATION OF LOCATION ll - -------------------------------------- _ ----------------'f._. ,U,~d/^ PROPER SEGREGATION OF MATERIAL I.~ VERIFICATION OF MSD~J AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L~J ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED i~ ^ HOUSEKEEPING U ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE S~ ON HAND i ANY HAZARDOUS WASTE ON SITE?: ^ YES I~ 1~0 EXPLAIN: QUESTIONS REG G THIS INSPECTION? PLEASE CALL US AT (,66~~ 326-3979 InsQector ~`~/~} p(~ ~~~ ea a No., Business esponsible Party '4 -~"_ " White -Environmental Services Yellow -Stefan Copy Pink • Business Copy ~.. _~ - -~- - UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM 2007 I 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: Pacific Bell SAP70 / BKFDCA70 Facility Street Address 5101 OFFICE PARK DRNE City: BAKERSFIELD Zip: 93301 I have personally reviewed the Hazardous Materials Business Plan currently on file with the CUPA dated 12/1 /2006 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 X Business Owner/Operator Identification form Hazardous Materials Inventory form(s) X Site Map form Emergency Response Plans and Procedures EN`P~ J~ N 3 ®~~0~ 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 a HM P. Signature of Owner/Operator: Title: Project Manager-Agent for AT&T Name of Owner/Operator (print) Steve Skanderson Date: JQN 0 5 ~~07 Return all forms to: Bakersfield Fire Department 900 Truxtun Avenue, Suite 210 Bakersfield CA 93301 661-326-3979 Business Plan Certification 2007 - ,. ; SAP70 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of I. IDENTIFICATION ~ACILITY ID# ~ 1 BEGINNWG DATE 100 ENDING DATE 101 I .,; 1/1/2007 ____ , _ 12/31/2007 ___ ___ I _`-_ _ IiBUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~ $USINESS PHONE 102 I Pacific Bell SAP70 BKFDCA70 _ _ _ ____ 661-327-6030 ___ _ BUSINESS SITE ADDRESS 103 I 5]01 OFFICE PARK DRIVE ~CITY -- -- 104 - CA - - ZIP CODE ------ 105 I BAKERSFIELD ~ 93301 jDUN _BRADSTREET 106 SIC CODE (4 digit #) 107 ~ 10-340-1618 j 4813 -- 1 'couNTY 108 I KERN BUSINESS OPERATOR NAME 109 USINESS OPERATOR PHONE --- ! 110 Grant Armstrong ~_ ___ - 661-327-6903 - - _ _ __ II. BUSINESS OWNER _ ______ __ __ _ _ _ (OWNER NAME 111 OWNER PHONE 112 Pacific Bell Telephone Company d/b/a AT&T California _ ~ _ - (800) 566-9347 I~' OWNER MAILING ADDRESS ~Ir~~ ~~ ~ 113 ~ P.O. Box 5095, Room 3E000 ~~~~~ f CITY 114 STATE 11b'~Vt,l~ ~Z1P CODE 116 San Ramon ~ CA 94583 ~ 111. ENVIRONMENTAL CONTACT (CONTACT NAME 117 CONTACT PHONE 118 I Environment Health & Safety, attn: James Stehr (925) 823-8866 CONTACT MAILING ADDRESS 119 I P.O. Box 5095, Room 3E000 I i jCITY I San Ramon I PRIMARY 120 IV. EMERGENCY CONTACTS iNAME 123 NAME-- - 128 Grant Armstrong EMERGENCY CONTROL CENTER i ;TITLE 124 TITLE 129 EM Site Manager 24 HR EMERGENCY SERVICE (BUSINESS PHONE 125 BUSINESS PHONE 130 661-327-6903 i-------- - - - --- 877-322-4722 j24-HOUR PHONE 126 24-HOUR PHONE 131 800-566-9347 (800 KNOW EHS) g00-566-9347 (800 KNOW EHS) IPAGER# 661-721-4747 127 PAGER# 1~~ 132 (ADDITIONAL LOCALLY COLLECTED INFORMATION: ,r ~,~ Property Owner: Pacific Bell Telephone Com~any_ d/b/a AT&T California Phone No.: 800-566-9347 j - - - - - Billing Address: __ P.O. BOX 5095,_Room 3E000, San Ramon, CA 94583 ________________,_.__. _.________________ __________ , . (Certification: Based on my inquiry of those individuals responsible for obtaining the information, 1 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. I ----------------------- -- ---- SIGNATURE OF OWNER/OPERATOR OR (GNAT RE~~ ESENTATIVE ~~A~EO ~ ~~oj4 I RHLIDEOSIGNOGROUP, NC E ENRVIRONMENTAL DEPT___~i NAME OF SIGNER (print) 136 TITLE OF SIGNER' ~ 137 !, Steve Skanderson _ ~ _ Project Manager, Agent for AT&T '. ZIP CODE 122 ; 94583 SECONDARY _ -_ UN-020UPCF - 5/15 www.unidocs.org Rev. 01/16/02 ~ ~ 1 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-- - - -- I. FACILITY INFORMATION BUSINESS NAME (Same as FACLITY NAME or DBA -Doing Business As) ~ 3 , Pacific Bell SAP70 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 j SOUTHWEST SIDE OF LOT YES ~ No ';~ ~ 1 MAP# 203 GRID# 204 FACIL[TY ID# ((Agency Uce Only)---- - --- --- - - - , ~ D7 ------- ----I NAME NAME DIESEL FUEL NO. 2 II. CHEM_ IC_AL INFORMATION _ _ _ 205 TRADE SECRET Yes X o 206 ~ -~-~-~ If Subject [o EPCRA, refer to instructions CODE HAZARD CLASSES (Complete if required by CUPA) CL2/IRR 207 208 ' EHS f J Yes 1X1 No 209 If EHS is "Yes", all amounts below must be in lbs. - -- - - 210 1 (HAZARD MATERIAL r 211 212 213 I_~ a. PURE ~~ b. MIXTURE ~ c. WASTE RADIOACTIVE L~ Yes ~X~No ~ CURIES ,TYPE (Check one item ~__ (PHYSICAL STATE 214 215 a. SOLID X^ b. LIQUID ~ c. GAS LARGEST CONTAINER 250 (Check one item only) 'FED HAZARD CATEGORIES I~ 216 j I L^ I a. FIRE n b. REACTIVE ~ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e.CHRONIC HEALTH (Check all that apply) -J i 'AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 ~--- --250 -~ 25Q - - ---------------- -- UNITS* ~ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 365 (Check one item only) if_>H~ amQtLnLrn~ISLbe_in ppundsL ___ - _______ ____ ___ .._-_; i - -- - ISTORAGE na. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM ~~~m.GLASS BOTTLE o. RAIL CAR CONTAINER ~ b. UNDERGROUND TANK f CAN BAG n. PLAS"f1C BOTTLE ~lp. OTHER ~I ' 01 ~c. TANK MSIDE BUILDING _ g. CARBOY k. BOX ~ o. TOTE BIN ~d. STEEL DRUM ~Jh. SILO LJI. CYLINDER ~~p. TANK WAGON 223 ', j - --- --- - -', STORAGE PRESSURE Cj a AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 r - ----- --- - STORAGE TEMPERATURE r~ a. AMBIENT ~_Ib. ABOVE AMBIENT ~c. BELOW AMBIENT ~_Jd. CRYOGENIC 225 i %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# ~l 100 226 DIESEL FUEL NO. 2 227 Wes ~ No '228 68476-34-6 229 2 <1 I 230 NAPHTHALENE 231 uYes ~No 232 91-20-3 233 li3 234 235 ~j~,es ~I . ~'~*,0 nJI" 236 ~ ~ 237 F- ---- -------- ----- -- -- -- - - - -------------------- - I 4 238 239 eyes J- C,No 240 241 'f5 242 243 ~~Yes ~ ~ X INo 244 ~ 245 j 1(more hazardous components are present at greater than I % by weight i(non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. 1 - ------- ---------- ------------------------ ADDITIONAL LOCALLY COLLECTED INFORMATION I DOT Hazard Class: cL 246 i If EPCRA, Please Sign Here j UN-020UPCF - 7/15 www/unidocs.org Rev. 01/16/02 •+ 1 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMICAL DESCRIPTION One page per material per building or area) ~X ADD __ ~ DELETE REVISE 200 __ Page of !~ I. FACILITY INFORMATION USINESS NAME (Same as FACLITY NAME or DBA -Doing Business As) _ Pacific Bell SAP70 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EPCRA !st Floor equipment room YES ~ No ~CILITY ID# 1 MAP# 203 GR[D# gency Ure Only) 1 F5 II. CHEMICAL INFORMATION NAME SULFURIC ACID, BATTERY ELECTROLYTE NAME BATTERY ELECTROLYTE CAS# 7664-93-9 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) CORROSIVE 205 TRADE SECRET ~~Yes X o __ _ If Subject to EPCRA, refer to instructt^s 207 - -- EHS ~ Yes [X~ NO 209 If EHS is "Yes", all amounts below must be in lbs. 3 -_~ 202 zoo ~ 2os 208 --zio HAZARD MATERIAL ^~ a PURE X^ 211 WASTE b MIXTURE ~ c 212 RADIOACTIVE ^ Yes ~No CURIES 213 . TYPE (Check one item I . . ----- - - - PHYSICAL STATE ~ a. SOLID X^ - 214 b. LIQUID ~ c. GAS LARGEST CONTAINER ---- ------- 4.3 - - 215 ~ Check one item only) FED HAZARD CATEGORIES ~~ a. FIRE ^X - - - --- - b. REACTIVE ~ c.PRESSURE RELEASE X^ d. ACUTE HEALTH C e.CHRONIC HEALTH ~ 218 ! (Check all that aPPIY) ~ AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 rSTATE WASTE CODE 220 -210 -- 21Q -- - - ---------- - ' - --..- . ~ ~ UNITS* n a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE: 222 ;(Check one item only) - _ - - _ -_ - if EH~_arnount_musLbe_in_Pounds. --- - - 365 -_ -_ - - ! ! 'STORAGE ~ ~ ~- ,CONTAINER , ____ a. ABOVE GROUND TANK b. UNDERGROUND TANK ! e. PLASTIC/NONMETALLIC DRUM f CAN l i. FIBER DRUM ~. BAG ( ~~ ___ - m.GLASS BOTTLE o. RAIL CAR ~ n. PLASTIC BOTTLE ~p. OTHER I c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN ~ ~ d. STEEL DRUM h. SILO 1. CYLINDER ~ p. TANK WAGON j 223 STORAGE PRESSURE ~ a• AMBIENT ~b. ABOVE AMBIENT ~c. BELOW AMBIENT STORAGE TEMPERATURE ~ a. AMBIENT ~b. ABOVE AMBIENT ~Jc. BELOW AMBIENT ~~d. CRYOGENIC 224 I 225 i I CAS# %WT ---- --- ! - HAZARDOUS COMPONENT (For mixture or waste only) - - - EHS I 28-52 j 228 ~I SULFURIC ACID - 227 i - - ~iYes -- i , No --- --- 228 -------- 7664-93-9 2 48-72 230 WATER 231 - ~ ,Yes ~X~No 232 7732-18-5 _ ....- ----- . I 3 67-71 -- - - 234 - --- - ------- - ---- -- -- - - --- --------- Lead - -----1 235 -== ~ LJYes -__ --- IX~No - ----I 236 _ - --- - -- 7439-92-1 I--- ---- --- 4 ------ 238 -------------------- -------- - 239 i --f-',Yes I~JJ LjNo 240 ___, I is - - 242 ^ ~ 243 - - yes ----- X No -- 244 ------ - If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information j ADDITIONAL LOCALLY COLLECTED INFORMATION I DOT Hazard Class: CORR 229 ~, 233 I 237 ', i 241 ' ---------245 ~~ 246 If EPCRA, Please Sign Here UN-020UPCF - 7/15 www/unidocs.org Rev. 01/16/02 ;; e, ~: 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 (Same as FACLITY NAME or DBA -Doing Business As) Pacific Bell SAP70 3 i i - - - CHEMICAL LOCATION - -- CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 2ND & 3RD FLR SW CORNER YES a No i ~ (FACILITY ID# 1 MAP# 203 GRID# 204 ~ (Agency U.ee Only) _~~ ~ I --------- E5 -- --- ------ ' II. CHEMICAL INFORMATION '~ 1 ~ __ _ --- -- CHEMICAL NAME ~ 205 _ _ TRADE SECRET ~ `Yes X o U~ ---_-- _ 206 I j HELIUM _ i If Subject to EPCRA, refer to instructions _ _ _- _ _ jCOMMON NAME ~ HELIUM 207 EHS ~ Yes ^X No 208 ~ CAS# 7440-59-7 209 If EHS is "Yes", all amounts below must be in lbs. ~! FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 ', ~ INERT GAS I ~ HAZARD MATERIAL PURE ~1 b MIXTURE ~ c WASTE TYPE Ch k i C~ a 211 r--, 212 i-- _ --- -- - - _- - --- - RADIOACTIVE ~__~ Yes I XJNo CURIES _ 213 i . . . ( one ec tem - _ j ~ '-- - - --. .. - PHYSICAL STATE - ^ a. SOLID ~] b. LIQUID ~ c. GAS - 214- - -_-- -------- --_ - - - -- -- LARGEST CONTAINER 2I9 215 (Check one item only) (FED HAZARD CATEGORIES ~ a. FIRE ~J b. REACTIVE ~ c.PRESSUR E RELEASE ~ d. ACUTE HEALTH ~ e.CHRONIC HEALTH 216 (Check all that apply) iAVF.RAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21 8 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 j ' i - 438 -- -----_----- ---219 -- --- --- ~ -- --- -- - - --- ---- _ _ !UNITS* r ~ a GALLONS I X b. CUBIC FEET c. POUNDS d. TONS 221 i DAYS ON SIT ~ ~ ~ ^ i ~ 222 _ - - --- (Check one item only) __ _ ^_ if_E~-1~., amourtLmusL 65 ~e_in_pounds~ _ STORAGE [ la. ABOVE GROUND TANK e. PLASTIC/NONMETALL jo. RAIL CAR IC DRUM ~li. FIBER DRUM ~m.GLASS BOTTLE ~ - ^ CONTAINER i- b. UNDERGROUND TANK f CAN ': 12 1 _ ~ . BAG j In. PLASTIC BOTTLE ~L ~p. OTHER ~ - c. TANK INSIDE BUILDING j g. CARBOY ' i k. BOX o. TOTE BIN - d. STEEL DRUM j h. SILO ~ I. CYLINDER I`~p. TANK WAGON j ---------- ---- -- -- ------ ---t I STORAGE PRESSURE h a. AMBIENT [~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 225 i ~ S IUttACrE I EMPEItAIVRE ~ a• AMBIENT ~b. ABOVE AMBIENT i ~c. BELOW AMBIENT ~ ld. CRYOGENIC I i %WT HAZARDOUS COMPONENT (For mixture or waste only) ~ _ EHS _ ~ _ CAS# I 100 226 HELIUM 227 []1(es ~ JNo 228 7440-59-7 ------_- 22~ 2 230 - -- 231 ^Yes ~No 232 23° 3 ' 234 - ------- - 235 --- h~,es - L --nX No I ^ J~ V - 236 --I 23 i - - -- - il4 238 ----- 239 Yes ~~No 240 241 .5 242 243 --- Yes - X o - 244 ~ ----- -----.. 24E ' If more hazardous components are present at greater than I % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ~I ADDITIONAL LOCALLY COLLECTED INFORMATION i DOT Hazard Class: NFCG 246 I If EPCRA, Please Sign Here ' UN-020UPCF - 7/15 www/unidocs.org Rev. 01/16/02 ,~/~) MAP# 1 BUSINESS NAME SBC BKFDCA70 SAPESS NAME SBC BKFDCA70 SAP70 BUSINESS ADDRESS 5101 OFFICE PARK DRIVE E 5 2 BAKERSFIELD O DATE 11 /20/2006 ZIP CODE 93301 O O H 2ND & O 3RD FLOORS O O 250 GAL PACIFIC BELL NORTH 9 q g C D E F G H I J K L M SITE lV1AP ~. PREPARED BY: ~ ;^' ~ESIGId 1nROUP ONC. DRAWING SCALE NOT TO SCALE SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF O WATER SHUT-OFF EMERGENCY PUMP SHUT-OFF TMA TANK MONITORING L~ ALARM O TELEPHONE FIRST AID KIT FIRE EXTINGUISHER ~ STORM DRAIN D 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 '- - J STORAGE TANK O MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) O BATTERY ELECTROLYTE (CORROSIVE LIQUID) O GASOLWE (FLAMMABLE LIQUIDS) O DIESEL FUEL (COMBUSTIBLE LIQUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) OA ANTIFREEZE/COOLANTS WASTE OIL O (FLAMMABLE LIQUID) ^F FIRE PULL BOX ~- \ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory`Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 ~r..~. ~cc ~ i~nc ~n-~n FACILITY NAME INSPECTION DATE INSPECTION TIME - 2006 ~.-a p-ds- - ~ --------~~~ --~~~Q_------------------------- ----- ----- -- --------------- -~ - - ----~ ---------- ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number ~- -~ ~ Q_ 15-021- Section 1: Business Plan and Inventory Program j~f Routine ^ Combined ~ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V \ V=Vio atonnce l OPERATION ^ APPROPRIATE JPERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ,® ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~' ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL .~I ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING b°' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C,~ ^ EMERGENCY PROCEDURES ADEQUATE Id ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING FIRE PROTECTION I~ ^ SITE DIAGRAM ADEQUATE 8t ON HAND COMMENTS ANY HAZARDOUS WASTE ON SiTE~: ^ YES (~ Pl IVO EXPLAIN: _ L l_~ y/'~~O{~ 1 ~ ~' ~ G~ I I}t tJr Kl~hrf ~a05( L ~I~F ~- ~ i R c iJe 1" i C O Nom' c~CT lO/~ QUESTIONS REGARDINGrTHIS INSPECTION? PLEASE CALL US AT ~G6'I ~ 328-3979 Inspector Badge No., While -Environmental Services Yellow -Station Copy Business Site Responsible Party Pink -Business Copy ;~_ ,- FILE THIS DOCUMENT IN THE SECTION HAZARDOUS MATERIALS PLANS PROGRAMS PERMITS BINDER 2 ,~~~ Q, 1AN 16 _. ;~ ~, ~~ ---- - _~ 0 Hazardous Materials Annual Inventory YEAR 2005 (Facility Name and ID) 5101 OFFICE PARK DRIVE (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. ~~ ~~ ~ ~ l '~ ~po~ 550 ~~ EN~''D F E g i ~ zoos Revised by Matthew Hopwood 10/23/2003 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of i. IDENTIFICATION FACILITY ID# C 1 BEGINNING DATE 100 ENDING DATE 101 ~ 01 /01 /2005 12/31 /2005 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE 102 SBC SAP70 661-327-6030 BUSINESS SITE ADDRESS 103 5101 OFFICE PARK DRIVE CITY BAKERSFIELD 104 CA zIP coDE 105 93301 DUN BRADSTREET 106 SIC CODE (4 digit #) 107 10-340-1618 4813 COUNTY 106 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 CINDY MADRIGAL 559-228-7056 II. BUSINESS OWNER OWNER NAME 111 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 CINDY MADRIGAL EMERGENCY CONTROL CENTER TITLE 124 TITLE 129 Property Manager 24 HR EMERGENCY SERVICE BUSINESS PHONE 125 BUSINESS PHONE 130 559-228-7056 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# 132 559-279-0260 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/OPE DATE 134 NAME OF DOCUMENT PREPARER 135 11/11/2004 RHL DESIGN GROUP, INC. -AGENT FOR SBC OF SIGNER (print) Steve Skanderson 136 TITLE OF SIGNER Project Manager 137 UPCF (1/00 revised) 167 OES FORM 2730 (1/99) UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CFIEMICAL DESCRIPTION One page per material per building or azea) ADD DELETE REVISE 240 Page of I. FACILITY INFORMATION BUSINESS NAME SgC SAP70 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 SOUTHWEST SIDE OF LOT EPCRA ^ YES ~ No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 1 D7 __ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes 0 No 206 PETROLEUM HYDROCARBON if Subject to EPCRA, refer to instructions COMMON NAME 207 DIESEL FUEL NO. 2 EHS ^ Yes 0 No 206 CAS# 209 68476-34-6 If EHS is "Yes", all arnounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 II-COMBUSTIBLE LIO HAZARD MATERIAL 211 TYPE (Check one item ^ a. PURE ~ b. MDCTURE ^ c. WASTE 212 RADIOACTNE ^ Yes ~ No CURIES 213 PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 2rJD 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 DA[LY 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 X a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN '. BAG n. PLASTIC BOTTLE p. OTHER 01 c. 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 °/nWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 100 226 DIESEL FUEL NO. 2 227 ^yes ^ No 228 68476-34-6 229 2 <1 230 NAPHTHALENE 231 ^Yes ^X I~Io 232 91-20-3 233 3 234 235 eyes ^X Llo 236 237 4 238 239 ~h'es ^X No 240 I -J ~ 241 5 242 243 ^ es ^X No 244 Y 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0. t % 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 area) ADD DELETE REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME .SBC SAP70 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 2ND & 3RD FLR SW CORNER EPCRA ~ YES ~ NO 1 MAP# (optional) 203 GRID# (optional) 204 ~ FACILITY ID# 1 _ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ~ Yes ~ No 206 HELIUM If Subject to EPC1tA, refer to instructions COMMON NAME 207 HELIUM EHS ~ Yes ^X No 208 cAS# zos 7440-59-7 If EHS is "Yes", all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 INERT GAS HAZARD MATERIAL 211 PURE ~ b MIXTURE ~ c WASTE ~ a TYPE Ch it k 212 RADIOACTNE ~ Yes ~ No CURIES 213 . . . ( one em ec PHYSICAL STATE ~ a. SOLID ~ b. LIQUID ^X c. GAS 214 LARGEST CONTAINER 219 215 (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* ~ a. GALLONS ^X 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 o. RAIL CAR m.GLASS BOTTLE CONTAINER b. UNDERGROUND TANK f. CAN '. BAG B n. PLASTIC BOTTLE p. OTHER t2 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ~ a• AMBIENT ~X 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# 1 100 226 HELIUM 227 ^1'es ~No 228 u 7440-59-7 229 2 230 231 ~es ^X No 232 233 3 234 235 eyes ^X No 236 ~J 237 4 238 239 Iwes ~qo 240 u ' 241 5 242 243 ^ Yes X^Llo 244 245 If more hazardous components are present at greater than i % 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 OES Form 2731 ,~/~) MAPS 1 BBUSINESS NAME SBC BKFDCAESS NAME SBC 70 SAP70 BUSINESS ADDRESS 5101 OFFICE PARK DRIVE E S 2 SITE ~IAP BAKERSFIELD O DATE 11 /01 /2004 ZIP CODE 93301 O H 2ND & O 3RD FLOORS O O O 250 GAL PACIFIC BELL NORTH 9 A B C D E F G H I J K L M PREPARED BY: ? 9 fig ~DESIG2d GROUP INe. '~ DR AWING 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 O TELEPHONE FIRST AID KIT FIRE EXTINGUISHER STORM DRAIN ~~ O SANITARY SEWER I E S STAGING AREA EVACUATION/ MSDS HMMP, AND MSDS LOCATION FIRE HYDRANT ~~ 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 lIOUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) qO ANTIFREEZE/COOLANTS O WASTE OIL (FLAMMABLE LIQUID) F^ FIRE PULL BOX UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program 1 ~ ~.. ~~ ~~ l ~z~.~~ , FACILITY NAME ^1 ~ _ ADDRESS old ~ _O~'~ is ~---f~/~K__d~~l ------------------ FACILITYCONTACT Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 INSPECTION DAT INSPECTION TIME ~ PHO No. No. of Employees ~~o -_~- -------- Business ID Number 15-02 I - DOG} , j f~' Section 1: Business Plan and Inventory Program ^ Routine Combined O Joint Agency ^Mnlti-Agency ^ Complaint D Re-inspection C V nce~ OPERATION ' t l COMMENTS IV=V oa o n ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE 'LO~~ ^ VISIBLE ADDRESS (~~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~ ~ ~- ~ /~~,<'' 1~-y ^ - VERIFICATION OF QUANTITIES - ~ ti ;W,r ~; ~ ~: ~. , ' - ^ VERIFICATION OF LOCATION J f~ ^ PROPER SEGREGATION OF MATERIAL _ ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEOUATE _ - ^ CONTAINERS PROPERLY LABELED ' ~ ^ HOUSEKEEPING y ,( t]~ ^ ` FIRE PROTECTION ---_-_---- - -------- -------~-------------___. ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES EXPLAIN: ~No ~ ~,~ ~ .S ~ ~,~~~ >>ff:,r,~ r :, ,Y4 ,~_ ..~ .~ f QUESTIONS CARDING THI INSPECTION? PLEASE CALL US AT ~F)C)'I ~ 3Z6-3979 Inspector B dge No. siness Site Responsible Party White -Environmental Services Yellow -Station Copy Pink -Business Copy !,. . ~`. ~': *, ., ~`J ~~'~. ,l~- t ~~ ; ~. C, + 5BC - SAP70 _________________________________________ SiteID: 015-021-000038 + Manager CINDY MADRIGAL Location: 5101 OFFICE PARK DR City BAKERSFIELD BusPhone: (661) 327-6030 Map 102 CommHaz Low Grid: 34B FacUnits: 1 AOV: CommCode: BFD STA it EPA Numb: SIC Code:4813 DunnBrad:10-340-1618 Emergency Contact / 'title Emergency Contact / Title CINDY MADRIGAL / PROPERTY MGR EMERGENCY CONTROL / CENTER Business Phone: (559) 228-7056x Business Phone: (877) 322-4722x 24-Hour Phone (866) 492-6836x 24-Hour Phone (866) 492-6836x Pager Phone (559) 279-0260x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth 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 Period ~/r l o ~ to I Z~ 3~/o b TotalASTs : ~ = Z- 5o Gal Preparer : s~~vE S~uFNpElLcdAJ TotalUSTs : ~ _ ~ Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those =~'::~~'~~u~:~,~~ responsible for obtaining the information, 1 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. 20~ d Signature ~ Date ENS BAR 2 1 2046 -1- 03/02/2006