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Home My WebLink AboutBUSINESS PLAN 7/25/2007~/ ~~ ~~~ ~~~ ~~~; . /~ i ~~ ~~ U i; VERIZON WIRELESS PANORAMA i --- -- - ~ ~'~ 2603 PANORAMA DR VERIZON WIRELESS - PANORAMA HUB SiteID: 015-021-001187 Manager MARK IVERSON Location: 2603 PANORAMA DR City BAKERSFIELD BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 15A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title NETWORK OPERATIONS / CONTROL CENTER MARK IVERSON / OPS MANAGER Business Phone: (682) 831-3523x Business Phone: (661) 203-3205x 24-Hour Phone (800) 264-6~3-8~c 24-Hour Phone (661) 664-5601x Pager Phone ( ) (~~Zpx Pager Phone ( ) - x Hazmat Hazards: RSs Fire ImmHlth DelHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : Yes ParcelNo: Emergency Directives: PROG A - HAZMAT `-' "~"D .~ ~ L ~ o ~~~' PROG T - ABOVEGROUND STORAGE TANK CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. Eased on n~y~ irtgs;iry ofi these individuals ~'a fur ot~~'^ining tY+e irl#ormation, I certify ~ ~ res~,n,nv under pFna!ty ^~ I~:~r. that ! have personally examine and am fiarniliar with the .n#ormation d ~c!ieve the in#ormation is true, suomiite :i an accurate ,and complete. 7/Z,~~7 Signature ~ ~ ~ - -1- 07/16/2007 ~,~, a. F VERIZON WIRELESS - PANORAMA HUB SiteID: 015-021-001187 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... ~ SpecHazIEPA Hazards ~ Frm I DailyMax IUnitIMCPI ELECTRIC STORAGE BATTERY F IH S 3998.40 LBS Hi ELECTRIC STORAGE BATTERY F IH L 91.44 GAL Hi DIESEL FUEL F IH DH L 750.00 GAL Low -2- 07/16/2007 ,. c ~ ~, -3- 07/16/2007 ~, -;. 1 F VERIZON WIRELESS - PANORAMA HUB ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteID: 015-021-001187 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 166.60 LBS 3998.40 LBS 3998.40 LBS nt~~titcL~u~ ~vi~irviv~LV1a oWt. RS CAS# 70.00 Lead No 7439921 riHGHKL I~~JL" aw71~1L' 1V 1 ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3.81 GAL _ 91.44 GAL 91.44 GAL riL~GH.[CLVU~J 1.V1~lYV1V~1V1~7 %Wt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 IIHGKKL 1-~5 7~J~1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/16/2007 w! '~~' F VERIZON WIRELESS - PANORAMA HUB SiteID: 015-021-001187 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: AST S OF SITE CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 750.00 GAL 750.00 GAL 50.00 GAL rlr~~rjtcl~vu~ ~uinrulvliiv~t~~ °sWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riAGH1CL A551'~551~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 07/16/2007 .. F VERIZON WIRELESS - PANORAMA HUB SiteID: 015-021-001187 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/12/2007 ~ PHONE 800-621-2622 AFTER NORMAL BUSINESS HOURS, LOCAL PERSON IN CHARGE WILL BE NOTIFIED AND WILL RESPOND. SITE SHOULD BE IDENTIFIED BY SITE NUMBER. DURING REGULAR HOURS, USE CONTACT NUMBERS PROVIDED IN SECTION 2: EMERGENCY NOTIFICATION. Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan 04/05/2007 KERN MEDICAL CENTER, 326-2000 -6- 07/16/2007 ;~ F VERIZON WIRELESS - PANORAMA HUB SiteID: 015-021-001187 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/12/2007 ~ BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED 24-HRS PER DAY BY THE LOCAL SWITCHING STATION. DIESEL FUEL IS DOUBLE-WALLED CONTAINMENT AND IS ALSO MONITORED BY LOCAL SWITCHING STATION. BOTH ARE INSPECTED ONCE PER MONTH BY SITE TECH. Release Containment 03/12/2007 DOUBLE-WALLED FUEL TANK. CONTAINMENT OF ANY SPILL IS MADE BY A POLYETHLENE LINER UNDER 3 TO 6" CRUSHED STONE WHICH SURROUNDS THE BLDG AND GENERATOR LOCATIONS. Clean Up INTERNATIONAL TECHNOLOGY CO 800-262-1900 03/12/2007 Other Resource Activation -7- 07/16/2007 a .. .i e.. F VERIZON WIRELESS - PANORAMA HUB SiteID: 015-021-001187 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aL/c~.ia.~. nac~aiuo Utility Shut-Offs ELECTRICAL - E SIDE OF BLDG 03/12/2007 Fire Protec./Avail. Water 03/12/2007 1 HALON 1211 FIRE EXT (90 LBS) L SIDE OF ENTR DOORS. Building Occupancy Level 03/10/2006 UNMANNED SITE -8- 07/16/2007 ~: F VERIZON WIRELESS - PANORAMA HUB SiteID: 015-021-001187 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/05/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEE TRAINING IS REQUIRED FOR ALL EMPLOYEES HANDLING HAZARDOUS MATERIALS/HAZARDOUS WASTES IN DAY-TO-DAY OR CLEAN-UP OPERATIONS INCLUDING VOLUNTEERS AND/OR CONTRACTORS. rayc ~ nc.i.u Lvi ru~utc vac azciu ivi r u~uic u~c -9- 07/16/2007 r p~0 F VERIZON WIRELESS - PANORAMA ~~ ~ SiteID: 015-021-001187 Manager.: MARK IVERSON Location: 2603 PANORAMA DR City BAKERSFIELD BusPhone: (661) 664-5601 Map 103 CommHaz High Grid: 15A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title MARK IVERSON / SITE INSPECTION NETWORK OPERATION S / CONTROL CENTER Business Phone: (661) 664-5601x Business Phone: (682) 831-3523x 24-Hour Phone (661) 203-3205x 24-Hour Phone (800) 264-6630x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire ImmHlth DelHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives : ~N~o~ ~~~ ~ ~(~(~~ PROG A - HAZMAT ~ '` PROG T - ABOVEGROUND STORAGE TANK _ ~~ CALL MARK IVERSON, 203-3205,.I~JR INSPE CTIONS. Based on my inquiry/ of those ind'+viduais responsible for obtaining the information, I certify under penalty of favr that I ha~~e personally e .amined and am familiar with the information ,..~bmitted and beiif~~e the infiormation is true, .curate, and ce . +e. .~ ~' Signature qa e -1- 02/20/2007 /~ F VERIZON WIRELESS - PANORAMA ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001187 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY F IH S 34800.00 LBS Hi ELECTRIC STORAGE BATTERY F IH L 516.00 LBS Hi DIESEL FUEL F IH DH L 750.00 GAL Low ~,ou~2q~ dsv 1485 ~2~~ c ~ 3hd.1~06 ~~)4- 1n5~~~- C~,c,lvfi~, ~ ~ ~v~~ ~I ~P,rw.l~akc.ln~ (~ (~w~ q : 55 ~ y~,e ~t. ~1~. ~5 -2- 02/20/2007 -3- 02/20/2007 F VERIZON WIRELESS - PANORAMA SiteID: 015-021-001187 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# ~SolidE TMixture ~Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Co290100rLBS Dai134800100m LBS I Dai144304r00e LBS riHGEitCLVU~J lrV1~lYV1V1;1V1~ %Wt. RS CAS# 70.00 Lead No 7439921 til'~GHKL 1~7.7L",.751~1J;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on 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 LB5 I1HGK[CLV U.7 1..V1~lYV1V~1V l A %Wt. RS CAS# 30.00 Sulfuric Acid (EPA} No 7664939 I1HGHiCL EiJ .71~J.7.71~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 02/20/2007 ,, ~ F VERIZON WIRELESS - PANORAMA ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME DIESEL FUEL Location within this Facility Unit AST S OF FAC STATE TYPE ~~ PRESSURE Liquid TMixture I Ambient SitelD: 015-021-001187 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 750.00 GAL 750.00 GAL 50.00 GAL t1AGF1KLVU~ l:vlYlrvlv~lv~1~5 °sWt. RS CAS# 100.00 Diesel Fuel No. 2 ~ No 68476302 riAGa'~KL .'~~5i5551~1151V~1'J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 02/20/2007 F VERIZON WIRELESS - PANORAMA SiteID: 015-021-001187 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~yclll..y 1VV1.111.1.0.1..1V11 IJLLL~JIVY CG 1VV 1.11, fLiVdl: lAdLlUll ~r l.11J11V 1V Vl.ll ~ ~VQ.I..UQ. I.l Vll lJuicl_yclluy 1.1CU1(.:d1 Y1d11 -6- 02/20/2007 F VERIZON WIRELESS - PANORAMA SiteID: 015-021-001187 Fast Format ~ Mitigation/Prevent./Abatemt Overall Site Re-1--ease Prevention , Release Containment clean up V1.11C1 1CC d7V ULl.;C til.:L1VCLL1V11 -7- 02/20/2007 ~~ F VERIZON WIRELESS - PANORAMA SiteID: 015-021-001187 ~ Fast Format ~ ~~Site Emergency Factors Overall Site ~ Special riazaras Utility Shut--Offs-= r i..LC rrv~cti . ~ r~vaii , vva~ci Building Occupancy Level 03/10/2006 CINMANNED SITE - -8- 02/20/2007 :~, J~ F VER,IZON WIRELESS - PANORAMA ~ - ~/ T-raining-- Employee Training ~~I SiteID: 015-021-001187 ~ Fast Format ~ Overall Site ~ rcty c ~ Held for Future Use _, r_ nci.u ivi rui..utc ~~c -9- 02/20/2007 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of L dFACILITY __ IDENTIFICATION FACILITY ID # I EPA ID # (Hazazdous Waste Only) z. BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3. Verizon Wireless -Panorama Hub 11. ACTIVITIES DECLARATION - NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does our facili If Yes, lease com lete these ages 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 ®YES ^ NO a HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold . _ CHEMICAL DESCRIPTION (OES 2731) quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emer enc lan is re uired ursuant to 10 CFR Parts 3Q 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly swxcs Form A) 1. Own or operate underground storage tanks? ^ YES ®NO 5. UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? ^ YES ®NO 6. UST FACILITY UST TANK (one per tank) UST INSTALLATION -CERTIFICATE OF COMPLIANCE (one page per tank) (Fornedy Form C) 3. Need to report closing a UST? ^ YES ®NO 7. UST TANK (closure portion- one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^ YES ®NO 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? ^ YES ®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 (ome materials (per H&SC §25143.2)? ^ YES ®NO lo. per recycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE ^ YES ®NO 1 I. 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 ^ YES ®NO 12 CERTIFICATION OF FINANCIAL Rule and Conditional Authorization)? . ASSURANCE (Fortnedy DTSC Fore 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ®NO 13. SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^ YES ®NO la HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? . CERTIFICATION (Formerly DTSC Fore ]za9) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by vour CUPA or local a eg_nCy~ I5. UPCF Hwfactiv (1/99) -1/2 www.unidocs.org Rev. 02/16/00 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Pacer of I. IDENTIFICATION FACILITY ID # t• BEGINNING DATE too. ENDING DATE tot. (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. BUSINESS PHONE Ioz. Verizon Wireless-Panorama Hub Unstaffed BUSINESS SITE ADDRESS to3. 2603 Panorama Drive ' CITY 104 ZIP CODE pos. CA Bakersfield 93306 DUN & BRADSTREET to6. SIC CODE (4 digit #) to7. 88-463-8305 4812 COUNTY tos. Kern BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE Ito. Mark Iverson/Verizon Wireless 661.203.3205 ._ IL' BUSINESS-OWNER° OWNER NAME t t t. OWNER PHONE nz. Verizon Wireless 866-694-2415 OWNER MAILING ADDRESS tt3. 255 Parkshore Drive CITY tta. STATE tts. ZIP CODE ttb. Folsom CA 95630 "III. ENVIRONMENTAL CONTACT CONTACT NAME t tz CONTACT PHONE t t s. Environmental Compliance (Billing and Correspondence) 866-694-2415 CONTACT MAILING ADDRESS t t9. 255 Parkshore Drive CITY tzo. STATE t2t. ZIP CODE tzz. Folsom CA 95630 -PRIMARY- IV. EMERGENCY CONTACTS =SECONDARY- NAME tz3. NAME t2s. Network Operations Control Center Mark Iverson (Site Inspections) TITLE tza. TITLE tz9. Operations Manager BUSINESS PHONE tzs. BUSINESS PHONE t3o. 682-831-3523 661.203.3205 24-HOUR PHONE* tz6. 24-HOUR PHONE* tat. 800-264-6630 661.664.5601 PAGER # t27. PAGER # t3z. ADDITIONAL LOCALLY COLLECTED INFORMATION: t33 Property Owner: Phone No.: Billing Address: Certification: B ed on my inquiry of those individuals responsible for obtaining the information I certify under penalty of law that I have ersonall examined and , p y am familiar with a information submitt and believe the information is true, accurate, and complete. SIGNA R SIGNATED REPRESENTATIVE D TE t3a. ~ 2~ ~ NAME OF DOCUMENT PREPARER 135. ~ ~ Tarah French NAME OF SIGNER (print) 136. TITLE OF SIGNER 137. Shawn Stacey Supervisor Environmental Compliance ,....... ~ t,as.. UPCF hwt2730 (1/99) - 1/2 http://www.unidocs.org Rev. 04/17/00 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one page per material per btdlding or area) ^ ADD ^ DELETE ^ REVISE 200 Page _of_ °, I. FACILITY INEORIVIATION BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) 3. Verizon Wireless-Panorama Hub CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®NO FACILITY ID # ~ 1 MAP # zo3. GRID # 2oa. (Agency Use Only) i 'II CHEMICAL'INFORMATIO _... N CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCItA, refer to insuuctions COMMON NAME 2oz 2os. EHS* ^ Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amotmts below must be in lbs. Not A licable FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210 Acute-Chronic H=3 F=1 R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 21t. RADIOACTIVE ^ Yes ®No 212. 213. CURIES TYPE (Check one item only) PHYSICAL STATE 2t4. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215. LARGEST CONTAINER 166.61bs FED HAZARD CATEGORIES 216. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21~. MAXIMUM DAILY AMOUNT 21s. ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 220. 3998.401bs 3998.401bs 0 N/A 221. DAYS ON SITE 222. UNITS' ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLICbRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ £ CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ L 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. 70 226. Lead/Lead Compound zzz ^ Yes ®No zzs. 7439-92-1 229. 2, 230. 231. ^ YeS ^ NO 232. 233. 3, z3a. z3s. ^ Yes ^ No 236. 237. 4, z3s. 239. ^ Yes ^ No 2ao. za 1. 5, zaz. 2a3. ^ Yes ^ No 2aa. 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 za6. DOT Hazard Class: Batteries Douglas DSV 1485 -Electrolyte & Lead chemical are for the same battery product IfEPCRA, Please Sign Here. UPCF hwtZ731(1/99) -1/2 http://www.unidocs.org Rev. 04/17/00 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one page per material per building or area) ^ ADD ^ DELETE ^ REVISE 2°u. Page ~ of _ I. FACILITY INFORMATION : BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless-Panorama Hub CHEMICAL LOCATION tot. CHEMICAL LOCATION CONFIDENTIAL EPCRA 202. Sealed Batte Case ^ YES ®No FACILITY ID # i t. MAP # 203 GRID # 204. (Agency Use Only) II: CHEMICAL INFORMATIO N CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to inswctions COMMON NAME 207. EHS* ^ Yes ®No 2os. Electric Stora a Batte CAS# 209 *If EHS is "Yes," all amounts below must be in lbs. Not A licable FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CORROSIVE H=3 F=1 R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No z12. CURIES 213. TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 214. LARGEST CONTAINER 38.61 Ibs or 3.81 gals zts. 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 219. STATE WASTE CODE zzo. 926.64 1bs or 91.44 als 926.641bs or 91.44 als 0 N/A 221. DAYS ON SITE 222. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. 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 ^ d. STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON 2Yg 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. 20-30 226. Electrolyte/Sulfuric Acid 227. ^ Yes ®No 22g. 7664-93-9 229. 2_ 230. 231. ^YCS ^ NO 232. 233. 3, 234. 23s. ^YCS ^ NO 236. 237. t1, 238. 239. ^YCS ^ NO 240. 241. 5. 2az. 2a3. ^ Yes ^ No za4. zas. 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 or paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6. DOT Hazard Class: Batteries Douglas DSV2-1485 -Electrolyte & Lead chemical are for the same battery product If EPCRA, Please Sign Here. UPCF hwf2731(1/99) - 1/2 http://www.unidocs.org Rev. 04/17/00 _..; ~Qns~~a~~ ~r~~ing~en~ Phan for Hazardous Materials, hiazardous bVaste & Underground Storage'ranks Hazardous Materials Division FACILITY IDENTIFICATION /OPERATIONS OVERVIEW BU INES NAME ~ ~ I~~~ ~~ ~ ,- A ILIiY ID # DATE Verizon Wireless - ~ BUSINESS ADDRESS /\ ~' Check elements covered by this consolidated plan: ` _ ~~, rd Haz s t i l 'M ~ ~ '„- Ha dou st W ^ round Stora e Tanks ^ Under er ou { a a a s zar s a e g g .t Supplemental elements submitted: ` ' UST Written Monitoring Plan ^ ~ E B e.g. pan ng contractor , , e.g. eet ma ntenance Wireless Telecommunications un-staffed facility, shelteC;°and/or cabinets v RD EVEN ER e.g. c emica spi s, ire, ea qua, g, a F.4 e, OSHA -EPA Hazard Communication Standard <EMERGENCY COORDINATOR &-ON-SITE TECH ADVISORS J INTERNAL RESPONSE Identify your Emergency Coordinator.& On-site Technical Advisors: Name j Position: ~ NOCC -Network Operations Control Center Emergency Coordinator: Address: 255 Parkshore Drive, Folsom, CA _ _ _ _ 264-6620 Or S Alter'fioiiis -NOGG 800-264-6620 Oay' NOCC 800 Must have the authority to classify the Phone #s: - 682-264-6620 Or 682264-6620 l release, make management decisions, & .... _._~-..._. ........ .... _..,.. ~~. ,.. ____.._..____ .. _.....__......_._.._.__...._._........_.._....... .._ Responsible for: spill prevention co ~.actng f 'iiy responders 0 determine appropriate response ...______. ..._...._..........___._._..__-...._._ __..._._._.._ .... .__._..........._ (check all that apply) emergency assessment / ^ authorizing spill response work ^ ^ ® P i ll ~ ..._mana9.ement_ .............__............~...____._._.__..__~_. __....._......_.---._.._..___..__.____._.._...._..._........__._......__............... f ith bli i d erson Is: on-s te or on-ca pu c emergegcy respon ers ac ng w initiating alarms ^ Inter _........_........._. .._ _._. .____...... ...._...._.._.._. ._ ....._....---....._..._...._.j_.~.._.__ _ __._.._..---._........__...._. ...-'-- - ... ---. __..._._ . . .. ....... _ _ .___ agency notification ^ ^ Alternate # 1 (INSPECTIONS) Alternate # 2 .(CORRESPONDENCE & BILLING) . __ , Mark Iverson Operations 1 Name ~ Position. , ._.Manager_..-_-......_---..__._......._....._.___-__._....-'--- Shawrl Stacey -.~...._.........__..__...._......._.....__._..........._.. __.__... _. _ ._._:...._._ ............................. Address: 255 Parkshore Drive Alternate Emergency Coordinators: city: ....._........_...___.._._........._......._....._...__..._____..__.___.___.___.._._. _...__._..____..____._.........._.__.__...._...__......._.........__.._....._....._ .............. Folsom Lisle It7 order of respan::ibility. ___._._ ................__._...._..._..._..___._.._............._._...~..._...~. _........._....._.._.._...._.........___._.._..._---__.....__......__.........._......__............._........ zip: CA Day phone: 661.664.5601 866-694-2415 After hours phone: NOCC 800-264-6620 NOCC 800-264-6620 Person Is: ^ on-site or ®on-call ^ on-site or ®on-call On-Site Technical Advisors Owner: SupeMsor: (AV8118bIP, fO {)t'OVlde Site-SpP.CIfIC tP.OtInlOal adVlCe -'""_...___.._..___.._.......___.._........_.._.._._..____._.___......._...___.__._.__..._ ..__.__....____.__....._....___._.._.___~.,.__............____......._.__ ...............____......_..._._..........._._._.... ~ ~ t0 Off-SICP, P.(nP.t'genCy t'P.SpQndP.l'S~ Manager: Other: un-staffed facili /shelter /cabinets 17 Identify type ofinternal,response: ^ Internal facility ~ Team Mem ers name or position : Responsi i itles: response team tattach additional pages iP herded: `Options: ~ indicate en attachment by checking ~ 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. tii~»cx ~ i:> i "`'"`' Name: OnyX SpeCld) S@rVICBS Descri a roe responsi iities: Spill response, ~t)YE~) ®Contractor _ _ _ _ _ _ _ ___ address:' _ W ~ `~ Clean up, and hazardous material phone #: "'°8dti=4N8=~'SaO~___.~._._.. _._~__ ._._._._._._. dISpOS81 ^ Call public emergency responders / 911 QC1S®El(~at~ ~QCi~1~t G~1C ~~d~t fnr Hazardous Materials, HazaMous Waste & Underground Storage Tanks Hazardous Materials Division FACILITY IDENTIFICATION k'a BUSINESS NAME ~' i Wi l r ~ ~ C FACILITY ID # DATE er zon re ess - , yr Vl~ EMERGENCY COMMUNICATIONS /PHONE NUMBERS /NOTIFICATIONS is Internal & Externs{ Emergency Communications ', % Name Position: Individual responsible for on-site and off-site Operations Manager and/or NOCC -Network Mark Iverson emergency alarm notifications /communications: , O erations Control Center ~.U c ec a t at apply: ..... . -'° ""-' Je~bafwa'riiTrigs"._~~. "~ -~-~~•~~-~~pu6lic'address orTnfercom system-~-'°°""°" INTERNAL facility emergenry communications or '' ^ ~ alarm notification will occur via: _ _ _ _•_ . ..____ •••• _____ ____ i ®teleptiorie•~~ ~ ~• _ ~ ~~~ ®pagers ® alarm system ^ portable radio t9 elec. alt atapply: EXTERNAL notifications / Communications to --~Q vefbaf wamirigs "`-~~~~~--""-------~-~~"'~`~ public eddress'o~Tntercom~sysCern """"'°"°°-°- neighboring facilities that may be affected by an _`_.__feCepfi'orie._._..._..._-------~,._..-.-_.._..--- --~ --pagers - - --• - ° - - -~---~--~-~-••--°•••••----------•--•-•••-•• 0 ® off-site release will occur by: .-..~. . .,,,,,,,,,••.••__._.._.._._....._.___.~..._..~...-_._.~_____.... ~"~'~~~ ` ' porta'ble radio ® alarm system ~ ~ zo Emergency Phone Numbers J Notification Lists ,, n ° Bakersfield Police Degt. 911 ° Bakersfield Fire Dept 0 661.322.9253 . ° Kern MedlCal Center o ~8~d~ O E~> Emergency response phone numbers • - - ~~_~.~_.~._.-_- County Hazardous Materials Divlslon _...tsoisori"~onfrol_~en'fer~__.._ _._..~.__-.....-..__...~-.__..._..___._._ ..~~'0'0-222-1~~.~-~....~~ .-___............ _._. Nearest medical facility /hospital Name` Kern Medical Center Phone #: 661.326.2000 Your medical facility /hospital Name: Kern Medical Center Phone #: 661.326.2000 z~ CA Dept o Toxic u stances ontro Hea quarters : 91 -3 - or 8 -72 - 942 NV Divlslon of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o mergency erv ces - or 1 - NV Department of Publ(c Safety NV: 775-684-7500 CA Water Quality Contro Boar - or - NV Water Quality Control Board NV: 775-684-2800 nv ronmenta rotect on gency o Environmental Information Center o Toll Free: 866-372-9378 0 24-HR Environmental Emergencies o 24-HR: 800-300-2193 Agency Notification Phone List o ~ RCRA Information o RCRA: 800-424-9346 National Response Center 1-800-424-8802 ept o s ame - NV Dept of WIIdIIfe NV: 775-688-1500 US Coast Guard (spill response) 1-510-437-3073 CA OSHA CA OSHA o Divlslon of Occupational & Health ° 510-286-7000 o CAL -OSHA Enforcement o 714-558-4411 i orn a tae re ar a - Nevada State Fire Marshall NV: 775-684-7500 -Z- ~~ . ~r~se~[da~kec~ ~n~i~g~r~~~ ~lar~ Ufa zr °""""`y' northern Business name:, Q .-.._..~' border: ( address: ~ , phone #: ~ contact name / position: zta at aci iry s ( Business name: , () eastern (......_. border: address: , phone #: 30 _-._....___.._ -...---- contact name /position: I Neighbor Notification List I businesses J structures bordering &/or adjacent to your facility at aciliky s Business name: , Q southern border: address: , ______..__----....._._._.__._.....__._.__ r..-___..._.._...._._.._.._.____........._ i phone #: ..-----.._._._._._...------.._.._..._.._._ l_....---._...._..__.___.._.__~.. contact name /position: 7t aci ity s Business name: , Q __.._._...__._._.__...._..._.__...____..___ western .._...._._..._._._.__._.._._..__.__.....~..... border: address: , phone #: contact name /position: -3- ~ansc~rida~k~d ~ontinQ~r~cv f~[an. Hazardous Materials Division 1,Vaste & Underground Storage °Canks FACILITY IDENTIFICATION 3: ' BUSINESS NAME ~ V i Wi l ~~ ~ ~~~ /m ~ FA ILITY Ip # pq~ er zon re ess - , , , , EMERGENCY CONTAINMENT & CLEAN-UP PROCEDURES 31 Conta-nment, Prevenxion & Clean-Up r Indicate your procedures for: ((({ O provide -strvctvrat-phystcaf tranter-te:g:-portabte- ill i t t ll _...._.._._..._._._..___..._........._..._ .............._._..-.------...._.....---.._..-._.._...........__..........._........... ru ressure build-u etc monitor for leaks tures nmen wa sp con a s) p, , p , p ® I_ 1. containing spills, releases, fires i -._...........-._..,... ^ Prowde~~absorl~ent°physTcal~~~ariser"-`~~---"°°""-`•~'- _..._..._ ............. -~`coveror-block-floor~~7~~orstormd~alns-~~----~•~-• or explosions, & I. 2 re entin and miti atin • -.-..._.._._...._._ _ . ..... ..._ - --..........__._.~_.......-..._-._ built fri--berm~lri work-rsto~age area -- -~----••---•---- - ••••• ' ---~-~--._..._..__._ _..~._._..---......_..._-..~_..._.__...._...._ ...........:.--_.................. ^ automatic fire suppression system . p g g g v associated harm to persons, ~ stop processes ~/or operaGOns ® automatic Tlect~onic equlpmenf shut-off system ^ ._.._ _._.......__-..._........__.._._..._._-_.._-.._..-.----........ . ...---....__...---.._ property & the environment: _ -® shut-off---water, •••gas, ~~ electrical -utilities as ~i _ ..- . .....-.__..._ -® call 911 for public emergency responder appropriate assistance /medical aid ® provide protective equipment for on-site response ^ eliminate sources of Ignition for flammable hazards team (e.g. fuel, propane) f I ~ notify & evacuate persons In all threatened••areas-~~ ® ._. _._. ...~ ...............- . . __..._..... _.-.....---. ~ remove or isolate containers /-area as appropriate - -•• ^ -....._..._...._..._.__....---.._...-...._...........__-.._.._._....._.__.._...._.....-.-............._..-_...._...._......... ----~- -.-..._._.......- i _ ..~.-.-..._._. _._._ . .._._. - account for evacuated persons Immediately after - ~ 1 evacuation call ~ ` .....__._.._.-...........~._-_-...........-_..._._._ ....................._..........___..._..._......._._...__..=- ®other (specify): Contact Verizon Wireless 24-Hour _._.-_.-.___......____....._...__-........._........._.......---- --_.....__.._............___._....._...--.._..........._. Hotline (800-488-7900) and report Incident, which will trigger Onyx Special Services. ~a Indicate your clean-up procedures: c ec a t at app y: ~.-..._......._........._ .................._.._~_.._.._._......_._..._...__--.--_..........___............-_.-_........_._._._.-.._..._...---..._._..---.....~_.-__._......._.__-._..._-..._.._.......-._...._--........._...... ® hire licensed hazardous waste contractor. (ONYX Special Services) --~ use a~sorlierit maferfal-for`sp1lCs-with subsequent proper fa~el'ing~ storage arid~hazardous-waste dTsposa7 as ~ • appropriate ........ _. ^ su on us ng s op vacuum w t su sequent proper a e ng, storage an azar ous waste sposa as appropriate wash /decontaminate equipment w/ containment & disposal of effluent / rinsate as hazardous waste E_._. ___..___... _.--._._._.-.-.. _.~_..-... ........._..........-_...._-...--......._._.......__._._-..-.._- ............._.....-.-.........-___....-.-............ provide safe temporary storage of emergency-generated wastes other (specify): " Evacuation Coordinator & Assembly Area 3fi Provide name /position of evacuation coordinator who will account for all on-site employees and / or site visitors after evacuation: Name: un-staffed facility /shelter /cabinets s-r Identi fy / describe emergency Specify: un-staffed facility /shelter /cabinets assembly area for evacuees: ~ Identify the location where your evacuation route /map is posted: (Specify. , un-staffed facility /shelter /cabinets Other facility evacuation procedures: specify: I i -4- J ~ ~~r~~a~~~afied ~~antn~er~e ~~~ for hazardous Materials, hiazardous Waste & Underground Storage'T'anks FACILITY` IDENTIFICATION 3H BUSINESS NAME ~ FA ILITY ID # pgTE Verizon Wireless - UVl' VU ~U~- ~ 1~~. ~ i """ EMERGENCYEOUIPMENT List of available emergenCY.equipment (check all that apply} %~~ at Use Category 1,... Safety & First AId Equipment 43 Fire Extinguishing Equipment ., Spill Control & Clean- ` Up Equipment a, Communications & Alarm System Equipment 2 Twrtable fire extinguishers center of each wall in shop r•~G.,cl as C _.. . cheirxcal hmtec:h:re yluves I ,prll resix~n,d kit ~ une-tittle i„.f., cid ~ salv~.r~l. re:,i~amt only ® chemlcal protective suits, aprons or vests Because each site is an ® chemical protective gloves un-staffed facility, shelter _.._.-_....._._....-.._..__........._._.__....__..__.._....._........___ ...........................___....___.__........._.... chemlcal protedlve boots or outdoor cabinet, the _.._. _.__...._..----_--.~_..._.___.._.._.......-... _.._ ..............__....~._ Operations Cell safety glasses /goggles /shields ® ~ Tech./Mgr. carries a ~ Hard Hats portable spill kit located in One time use & __.~._......_-__.........---.-.--._._..._..--.--_.---_._____.........._....-.__ ~ cartridge respirator their trucks. Each Replaced/Maintained _-----......_...__.....__.._._..___.._........---..._.._._...._...--..-.----._.-..._......_. ~ self-contained breathing apparatus ~~~~ equipment item marked is contained within the when needed ® first aid kits /stations portable spill kit. There is _.._-._.._---._.._.--.--..__..._...._..__--- ..................._.._.___.~__.__.._.._..._.. ~ plumbed eyewash fountain /shower also an additional 5- allon g _....-.--..---..-__........._. _......__.__.__.........__ ..............................._....__..__ portable eyewasn Idts tub spill kit located within ® T _. each shelter design other: facility. ® ports a Ire exdnguls ers Located with the portable _ __ ~~flxed fire systems % sprinklers ~ fire hoses -~-~~~~~~ spill kit Wlth the One time Use & ...__._.........___._.____.____.._..._-__._..........._~._____.........._....._....._..._._._._.........__.____. fire alarm boxes or stations O erations Cell p Re laced/Maintained p ___.._~.......__._......___...__._..._..___._.._._.__._.._.._...._....__.__.._._.....__.__........._...... Tech./Mgr. Within the when needed ~ other: portable spill kit. ® contalnerfor used absorbent berming / diking equipment ® broom shovel shop vac One time use & .~-..exna~st Hood ~~ _...___-_......._._.._......_ .......................__...__.._....__.___..... Same as above. Replaced/Maintained --.._.....__......._'~.__ _._...._.._...___ .............___..._._..................__...__..__._._ when needed emergency sump /holding tank ® chemical neutralizers gas cylinder leak repair kits spill overpack drums other: ® to ep ones Inc u es ce u ar intercom / PA system .._...__..__.__ __.._......_...__......._....._......... ~ portable radios ............~... _........._..._............_...__.___.... Cell phone and #'s with ___.._._.._..........._....__....._.._....._......_..._...._.__.. ..........__.._...__-._....._._.._-_._..._ .............._........................._......._..__...._._..._............_. automatic alarm chemlcal monitoring equipment Operations Cell _...._...._........._.__....__.._..........._.__.._---~---............_.._._.._......_.._----- _.__._. ... Tech./Mgr. ..........._....._........-......._............._._._...__..._....._..__._ UST monltorln g system operations manual ® list of notification phone numbers ~.Q~~~~I~C~t~~~ QI~~~C~~~~C~ F~ ~~ Hazardous Materials Division for Hazardous Materials, Hazardous Waste & Underground Storage Tanks FACILITY IDENTIFICATION qr, BUSINESS NAME FA ILITY ID # DATE Verizon Wireless - ~~ ~~j,,~~ { \! VV ~ EARTHQUAKEVULNERABILITY 4` Areas of earthquake vrJlnerabiiity c eck a I t at app y: Location te,q, shop, outdoor sled, forensic lab): Identify areas of facility vulnerable to .. l ill th k d ._....._..._ .._......._._............ _ .._...-.-.-.-___-.- ®hazard'ousiriate'~ials 7 waste storage area --.--__.._...__.._..._........_.._._ ..............__.._......_-.._........._....-..__._._._...._.....__........_..___.....-.........._ re ue to ear qua e eases /sp s related motion: ~~~-~~------~-~-~--•-----~-~"-•---"-~••••-~-~~-~ ~ process Imes /piping Batteries installed exceed 1997 UBC (require immediate isplatlan and irspection) . .. ...-_.~...----.._.._-._._ .....................--.--.--._...._....--.-_--.....-. ----.-.--. and/or 2000-2003 IBC Seismic Zone 4 laboratory ~__... .• _ specifications. i waste treatment area ^ ~ts~ c,ec a I t at app y: A ecte ar..atians: Identity mechanical systems -..-.....-slSelves, caCiTriets &racks ................._._................___--......____._.._ ....._._......._........_.--•--._._._._..-._-........_.__. _.__._._. vulnerable to releases /spills due to ^ earthquake related motion: ^ tanks (emergency shutoff) (require immediate isolation and inspection) ^ portable gas cylinders Power Breaker Located on/at un- ® emergency shutoff &/or utility valves staffed facility, shelter or outdoor ^ sprinkler systems cabinet. ^ stationery pressurized containers (e.g. tank for dispensing propane) ARRANGEMENTS FOR EMERGENCY SERVICES so Cx lanatian of quirement - -p -----•- --- -~ -~-~- ---~- A vance arrangements with local fire & police departments, hospitals and /ar contractors tar emergency services should be made as appropriate far your facility; you may determine that advance arrangements are not necessary far your facility. `'' Describe any advance arrangements ~ Determine not necessary made for local emergency services: __.--.--____.._..___~......_ .............._..__......__._._....................__.._._._.._..._.. _._...._...__.._._.____.._.....-_......-.._._........._-__.___.._......-.._._...........---..._........__....._........ ® Specify: ONYX Is available 24 hours per day to assist in spill clean up, and/or telephone support regarding spills or venting of batteries. I EMPLOYEE TRAINING CONTENT & FORMAT SZ Employee Training Content & Format s.3 Crxptanation o4 ~quirtmtnfi F..mplayee training is required ar a4i emp ogees handling azattio,rs materials bazar aus wastes in day to c ay ar clean-up operations including volunteers f;</or contractors. Required canlent for employee training includes all of the fallowing; 54 • communication ~ alarm systems • Material Safety Data Sheets • • personal protective equipment hazard communication related to health & safety (e.g. • • use of emergency response equiprnenC methods for safe handling of hazardous substances rice extingui>i,er,, respiretois, etc) • fire hazards or materials /processes • decant:3mination procedures • ronditians likely to worsen e:~rnergenries • evacuation procedures • coordination of emergency response • control & containment procedures • notification procedures • • UST rnonita•Iny system equipment & applicable laws & regulations racedures if a linable Indicate how employee training ,check all that apply: ._ ~. _ ._ ..................................._._....._.........._._........_......._.._..........._.-__........._.....-__.._...._ ..._......~......._ ~ program (with required Content) is (speGfy)-~_...__._ ...............__._.__.....-.......__...._................-_.__..._...........__........_.......__.._......_._....... ® Formal classroom ~ Video(sj administered: ..-.__...__ ......................................__......---.__...._.....___......_..___ ..._._._........_ -- --.__-. -----._.___.___..-_____....__..-_........___.-... Safe /tall- ate meetln s Other s eci ~- ~~~ ~~~~ ' • - ® ty g g ® (p fy): Annual online training ^ Study Guides /Manuals (specify): ~"`--" --°"____.__._._.___. _.__.__._. _.-_. -6- y ~ ~. ~onsQ~'rda~~ G~n~king~ne ~f~n Harardaus Materials Division for Hazardous Materials, Hazardous Waste & Underground Storage FACILITY IDENTIFICATION BUSINESS NAME '/ V i Wi l ~a ~ ~ " ~ ~~ FA L~1' jD ~ DATE er zon re ess - / /- EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION ~r Required freguency~of training '~ Explanation of gequirement Employee training must e: _ ~ provided within 6 months for new hires, ~ amended as necessary prior to rhange in process or work assignment, ~ given upon modification to emergency response 1 contingency plan, and ~ updated !refreshed annually for ALL employees. ~~' Certify that the facility's employee training program meets minimum ~ ® Employee tralning Is provided, at a minimum, as described above. fee uen re uirements: i c~ Record of training 6] ~xptan~tion of ~quirement V~Jritten documerrtalion of employee Graining sesrsions must be kept which include: ~ training outline; agenda ~ date of training session ~ employee names Rz job titles 4 brief job description far hazardous waste generator facilities Certify that the facility's training documentation meets minimum record IgI Employee training documentation Is provided, at a minimum, as described above. kee in re uirements: 63 Training program description or outline ^ Empl Qyg~train>ng program Qutlln~l ~~~ gh~~ , attached: , ., ._ . , , ~,,,,~,_____,,,_„~_,,,,,,,,,,..~,~, ® Employee tralning program Is described here: The Verizon Wireless Operations Managers make sure that their Field Operation Staff, depending on their position, are trained in the applicable topics located in the Environmental Health Safety Awareness Training Overview at the date of hire. There is also annual online training with TargetSafety.com performed in Hazardous Communications, Combustible & Flammable Liquids, Eye Safety, and Personal Protective Equipment. Attached is the following: LIS T OF ATTACHMENTS '~? List all attachments to this document here: o Verizon Wireless Additional Information for SPILL PREVENTION, EMERGENCY RESPONSE, TRAINING and CLOSURE PLAN o VZW Environmental Health Safety Awareness Training Overview o VZW Network Training Matrix that gives the training topic and frequency of training. o TargetSafety.com training objectives, table of contents, and a list of staff that have completed the online annual trainin . SIGNATURE /.CERTIFICATION ~: ` Based on my inquiry of these individua s respansi e or obtaining the information, I certify under penalty o avr that I ave personal y examined and am tamiliar with the information submitted and believe the information is true, accurate and complete and that a copy is available on-site. gnature ateo comp et on 2/23/2007 not ame a os on Shawn Stacey Environmental Compliance -T- ,_,t_ F= :~s •~ + VERIZON WIRELESS - PANORAI#'iA _________________________ SiteID: 015-021-001187 + Manager ALAN HOLZMAN Location: 2603 PANORAMA TDR City BAKERSFIELD BusPhone: (661) 873-2401 Map 103 CommHaz High Grid: 15A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 mergency Contact / Title ergency Contact / Title S STACEY / SPECIALIST-REG COL SEY / ASSOC DIRECTOR Business ,.~ ( 16) 357-2520x Business P 908) 607-8133x 24-Hour Phone (800 Ox 24-Hour Phone (9 8-7900x Pager Phone ( ) - Pager Phone ( ) - ~ Hazmat Hazards: RSs Fire ImmHlth DelHlth Contact SHAWN STACEY Phone: (916) 357-2520x MailAddr: 255 PARKSHORE Bl[.--VD State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS ~~~~,~p (925) 279-6455x Address 2 ITCHELL IDR ~~'~'"~ State City WALNUT Zip 94598 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certii:'d: RSs_ : Yes ParcelNo: Emergency Directives: ~~ ~2 at~,~~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~i~ ~ ~N~ ~~ '~ /~i . l ~~. 8 ~Op ~~ ~ Based on my inquiry of those IndlViduals (`~\ res onsible for obtaining the information, I certify ~~J" under pe alt e~f law that I have personally xamined nd am familiar with the Information ubmitted nd believe the infor do is true, ccurate, a complete. ~ ~ ~e ~ ~ Signature Dat -1- 03/10/2006 - Bakersfield Fire Dept. tJNI~IED PROGRAM INSPECTION CHECKLIST ~ Enironmental Services _ ,~ - _ _ __ - . . _ 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 • Tel: (661)326-3979 J FACILITY NAME , INSPECTION DATE INSPECTION TIME i ------- --- ADDRESS PHO E No. No. of Employees __ ~~ jf~ -- ------ -------- -- --- - -------- _ ~ --- --~ - --- cl --------- - --~ --,3-----~~----- ~~ -fir- ~~"~~ - FACILITYCONTACT ~j Business ID Number / 15-021- U~ j ~~ ` Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V lV=VioaPotnnCe/ OPERATION COMMENTS ~^ APPROPRIATE PERMIT ON HAND L11 ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE J _...__..-..---- - -_..._.__. L7 ^ VISIBLE ADDRESS -1---, --------- -------- -- ---- -- ----- --_- _ ___.._.. . - --.. .- - -- _ _._.-.-- . __ - _.... __ _ - - -- ---- LJ ^ CORRECT OCCUPANCY Ll ---- ---- ___--- ---- ------- - ---- ------- ---- - --- --------_ - - _ -- .......---- - - - - - -- ._.. -- -- ----. _.._ -- ----- ^ ~ VERIFICATION OF INVENTORY MATERIALS ~I' ^ VERIFICATION OF QUANTITIES L3~ ^ VERIFICATION OF LOCATION _ W ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE LY ^ VERIFICATION OF HAT MAT TRAINING [d ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L'Y ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING C~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO EXPLAIN: i QUESTIONS REGA G THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979 ------ - ~1~~ . ~ Ins ct~ ase Print) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow -Station Copy Busln Site espon ible art I ase rint) rn S Pink -Business Copy UNIFIED PROGRAM I~ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ------------- --- ADDRESS PHONE No. No. of Employees Z 6 ~.3 v 72-2 -,~Li FACILITYCONTACT Business ID Number GEv~~/f~ ~ C:r 15-021- 0~/l~7 Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection ncel OPERATION C V ti l COMMENTS J n o lV=Voa ` iLl ^ APPROPRIATE PERMIT ON HAND - L~J ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE - ^ VISIBLE ADDRESS ~ j fJ ^ CORRECT OCCUPANCY 6d ^ VERIFICATION OF INVENTORY MATERIALS d ^ VERIFICATION OF QUANTITIES ^^ VERIFICATION OF LOCATION tU Ll PROPER SEGREGATION OF MATERIAL ` ^ VERIFICATION OF MSOS AVAILABILITYE '~ ^ VERIFICATION OF HAT MAT TRAINING L9 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ---- - - ^ CONTAINERS PROPERLY LABELED -- ------_---- --- -------------- --- ^ HOUSEKEEPING ---- ---- I Q --- -- - ---- ------------ - ------------- ~ / ISM ^ FIRE PROTECTION --- - - -J-- ---- ---'------ ^ SITE DIAGRAM ADEQUATE 8t ON HAND ANY HAZARDOUS WASTE ON SITE: EXPLAIN: ~~ ~~ ^ YES 1~ No ~~ ~~~ ~ ~o CrJ~S 1/ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (881 ~ 328-3979 Inspector Badge No. White • Environmental Services Yellow -Station Copy -- - ~1 l.(.L, ~~ Bu es tte Responsible Party Pink • Busin Cop ~ ~ ~~ Y