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BUSINESS PLAN 7/25/2007
;.i:~_ - z VERIZON WIRELESS - BRIMHA.LL SitelD: 015-021-003367 Manager MARK IVERSEN Location: 8200 STOCKDALE HWY City BAKERSFIELD BusPhone: (661) 664-5601 Map 102 CommHaz High Grid: 32 FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title MARK IVERSEN / OPS MANAGER NETWORK OPERATIONS / CONTROL CENTER Business Phone: (661) 664-5601x Business Phone: (682) 831-3523x 24-Hour Phone (661) 203-3205x 24-Hour Phone (800) 264-6~3.6x Pager Phone ( ) - x Pager Phone ( ) -(p(,~ujx Hazmat Hazards: Fire ImmHlth Contact SHAWN STACEY Phone: (866) 694-2415x Mai.lAddr: 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: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~9~ .1 ~ ~ ~ ~ ~~~~ t~4! CALL MARK IVERSEN, 203-3205, FOR INSPECTIONS. C' ^?d on my inquiry of those individuals respot?sih'e for ohtzining ttre information, I certify under penalty o, Inter that ! have personally examined ~nd am familiar with the information ' suhmitiec and !relieve the information is true, accurate, 4nd complete. _ _ 7 z,~~~ Signature U -1- 07/16/2007 .. -, s: .. F VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY F IH S 3189.60 LBS Hi ELECTRIC STORAGE BATTERY F IH S 1118.88 LBS Hi ELECTRIC STORAGE BATTERY F IH S 835.20 LBS Hi ELECTRIC STORAGE BATTERY F IH S 354.24 LBS Hi -2- 07/16/2007 -3- 07/16/2007 i r. ,. ") J l I F VERIZON WIRELESS - BRIMHALL~ SiteID: 015-021-003367 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at 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 Solid Mixtur~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container '~ Daily Maximum Daily Average 88.60 LBS ~ 3189.60 LBS 3189.60 LBS l1tiGL-liCLVUA l..Vl~lYUlV rJ1V1J %Wt. ~ RS CAS# 79.00 Lead No 7439921 TSecret RS BioHaz ----__-__-- I1HGti.tCL 1-~iJ Radioactive/Amount .71=,.7.71"11J1V 1w7 EPA Hazards NFPA USDOT# MCP No No No No/ j Curies F IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers at 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 Solid TMixtur~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 93.24 LBS ~ 1118.88 LBS I 1118.88 LBS n.c~urucLVVJ l..Vl~lr V1V I:,LVtJ -_-- oWt. ~ RS CAS# 72.00 Lead ~ I No 7439921 TSecret RS BioHaz rlt][~ri[CL H~ Radioactive/Amount JJL` w7 ~71"lIJ1V 1 J EPA Hazards NFPA USDOT# MCP No No No No/ ! Curies F IH / / / Hi -4- 07/16/2007 _ _ ~ - F VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ ~~Inventory Item 0002 Facility Unit: Fixed Containers at 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 Container Daily Maximum Daily Average 23.20 LBS 835.20 LBS 835.20 LBS - I1HGI~KLJVUJ 1.V1~lYV1VI;1V 1.7 oWt. RS CAS# 14.00 Sulfuric Acid (EPA) No 7664939 t11.1GEitC1J E3Ja1;J~L~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 29.52 LBS 354.24 LBS 354.24 LBS nriZARDOUS COMPONENTS oWt. RS CAS# 10.00 Sulfuric Acid (EPA) No 7664939 17FiL~riRL Yi. 7.7 L~.7.7111:+1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -5- 07/16/2007 i• 4 F VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/09/2007 ~ 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 _, • t ,~ rU1J1ll. 1VV 1.11 ~ L~V0.l.U0.1..1 V11 P~lllCly Clll.y 1'1C U11.0.1 t'10.11 -6- 07/16/2007 1. ~ ~. F VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ 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. INSPECTED ONCE PER MONTH BY SITE TECH. Release Containment Clean Up 03/09/2007 INTERNATIONAL TECHNOLOGY CO 800-262-1900 V1.11C1 1ZC~VU1. l.:C Eil: l.lVdl. 1. V11 -7- 07/16/2007 :. _~ ~ - F VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:ld1 ild'GdLU~ Utility Shut-Offs 03/09/2007 ELECTRICAL - E SIDE OF BLDG Fire Protec./Avail. Water 1 HALON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS. 03/09/2007 Building Occupancy Level 03/13/2006 UNMANNED SITE -8- 07/16/2007 ds 1' ~ ~~ F VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/09/2007 ~ MSDS SHEETS ON FILE. rayc ~ nciu tvi ru~uie use nCiu iii ru~ure use -9- 07/16/2007 Y Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST'. n r R s F_, -_,_, - 900TruxtunAve., Suite-210 _ ~._~ - ~ v~_~.:_~ ~ k~~._ ..~~ _ .-~_:~~ ~~_--w,_ ~_ ~. _:~~ ~ ~.,~ ~~_-_~~ ~ ~. ~ Fine - Bakersfield, CA 93301 - SECTION 1: Business Plan and Inventory Program "R'M ~ Tel.: (661)_326-3979 ~' Fax: (661)-872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ~, 1 r_ Q z o r Z_ °~0 ~~ ~~ . ADDRESS ~,7~ ,~,.~\ u Gvv ~ ~~ /~ ~ O"CJ~-Y.J-~ PHO~pNE NO. ~ ~ ZJ 7~ ~~O NO OF E PLO EES FACILITY CONTACT - BUSINESS ID NUMBER 15-021- ~r~633~7 ~ Section 1: Business Plan and Inventory Program ~~~~ ROUTINE ^ .COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION rt C V (c=compliance OPERATION V=Violation ~, ~ ~ ~ rn C O M Mf N TS 2006 1 Cad ^ APPROPRIATE PERMIT ON HAND _ ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES i (~ 042. 1' ~~T~ !j~71'7"E2! ~ ^ VERIFICATION OF LOCATION ~OuRN~~~~d~_ /it4-G~r G~~S T~ ~X ^ PROPER SEGREGATION OF MATERIAL `~~~ j ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES i~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES (g N~ EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention ! 1s` In /Shift of Site/Station # t~ Busi Sit / Responsi rt rint) - White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ~ H E R s F , 0 900Truxtun Ave., suite 210 -___ ~~~ ..-_ ~ ~ _ __ __ ____ _ ~ ___._ ~ __ _ FiAE ~ Bakersfield, CA 93301 SECTION 1: _Business Plan and Inventory Program "R'"' r Tel.: (661) 326-3979 _. ~ Fax: (661) 872-2171 C V ~ C=Compliance OPERATION cA1~'D _, V=Violation C``~ COMMENTS ^ APPROPRIATE PERMIT ON HAND ~~er~~ ~~~ _ ~/ `~Y ~~/~~, P~iz[/[ /~i ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS o ^ VERIFICATION OF QUANTITIES \ ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSOS 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: ^ YES ~NO QUEST{ONS REG ING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~ I ~~ 13 y.~--~ Inspector lease Print) Fire Prevention / 1~' In /Shift of Site/Station # usiness Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09!05 Section 1. Business Plan and Inventory Program - l B~ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION I r. n _~ ~VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 Manager MARK IVERSON Location: 8200 STOCKDALE HWY City BAKERSFIELD BusPhone: (661) 664-5601 Map 102 CommHaz High Grid: 32 FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title MARK IVERSON / OPS MANAGER 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: Fire ImmHlth 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: No ParcelNo: Emergency Directives: PROG A - HAZMAT CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. t~N~gU ~qK] ~ ~n#ry~ 1 Erased on my inquiry of those individuals onsiLle for obtaining the information, I certi#y res t~ ~~ p under penalty of laud that I ha~~e personally e• amined and am familiar with the information s •bmitted and belie •e the information is true, a curate, and ole ~. ~,~ •~ Signature Date -1- 02/20/2007 S T, - " ~~ F~VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI ELECTRIC STORAGE BATTERY F IH S 1704.00 LBS Hi ELECTRIC STORAGE BATTERY F IH L 168.00 LBS Hi Vwri~n~v n~b~7~ft C~~~ -2- 02/20/2007 t 1 -~~ -3- 02/20/2007 ~ ti F'VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at 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 Solid Mixture Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 142.00 LBS 1704.00 LBS 1704.00 LBS t1HGHKLV V J 1:V1~lYV1Vl;1V 1 ~ sWt. RS CAS# 67.00 Lead No 7439921 18.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene No 9003070 tiHL,HKL Ha 51;J51~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards. NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site 365 L c ti ithi thi F ilit U it M G id o a on w n s ac y n ap: r : SEALED BATTERY CASE CAS# STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 14.00 LBS 168.00 LBS 168.00 LBS n1iGt1rCi1VUA L.vl~lrvlvl:,lvs~ owt. _ Rs cAS# 15.00 Sulfuric Acid (EPA} No 7664939 I1HGtitCL 1-1~ 7~1;.7~1~11J1V 15 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 - BRIMHALL SiteID: 015-021-003367 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ r l9~Glll.Y 1VV V1.L 1l:Q L1Vll employee 1voLi=.~~vacuaLion _;_, ,~ - r UiJ l l V L V V V 1 L~ L~ V Q 1. U Q L 1 V 11 1~uicLycll~.y riau.LLC~l r1a11 -5- 02/20/2007 1, • J r F'VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Releas_e Prevention '1CC1C0.w7C l..Vll 1. CL 111l11C11L 1..1Cdi1 U~J v 1.11Ci iCC~VUl(.:C 1-1C, l.1VdL1OI1 -6- 02/20/2007 ;> , . i` P°VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ Fast Format ~ ~ Site Emergency Factors ~ Overall Site ~ o~c~iai na~,aiu~ 1 ~ _ ~a___~ ..rr v l..llll~Y u711u 1.-V11.7 1'1IC t'LVI.CC:. /HVd11. WdI.CZ Building Occupancy Level 03/13/2006 UNMANNED SITE -7- 02/2.0/2007 '„ ., F3VERIZON WIRELESS - BRIMHALL SiteID: 015-021-003367 ~ Fast Format ~ ~ Training_ Overall Site ~ Employee Training ~. rcayC a Held for Future Use nciu ivi ru~uLC vac -8- 02/20/2007 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_ ;. L FACILITY`INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless - Brimhall CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202. Sealed Batte Case ^ YES ®No FACILITY ID # l MAP # 203. GRID # 2oa. (Agency Use Only) _... II: CHEMICAL:INFORMATIO N ' CHEMICAL NAME 205. TRADE SECRET ^ Yes ®No 206. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME zo7. 2os. EHS* ^ Yes ®No Electric Stora a Batte CAS# 209. *If EHS is "Yes," all amow3ts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. Acute/Chronic H=3, F=O, R=1 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2l 1. RADIOACTIVE ^ Yes ®No 212. CURIES 213. TYPE (Check one item only) PHYSICAL STATE eta. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER 88.6 Ibs 215. FED HAZARD CATEGORIES 2t6. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 215. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 3189.60 lbs 3189.60 lbs 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 ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT z2a. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I. 79 2z6. Lead/ Lead Compound zz7. ^ Yes ®No 228. 7439-92-1 229. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4, 238. 239. ^ Yes ^ No zoo. eat. 5, 2a2. 2a3. ^ Yes ^ No zaa. 245. 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. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6. DOT Hazard Class: Batteries NorthStar NSB 170FT Electrolyte and Lead Chemical sheets are for the same battery product. If EPCRA, Please Sign Here. UPCF hwt2731(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 200 Page _ of_ ` ~ ' ' `I: FACILITY'INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless-Brimhall CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®NO FACILITY ID # 1. MAP # za3. GRID # 2oa. (Agency Use Only) II. CHEMICAL INFORMATIO N CHEMICAL NAME 205 TRADE SECRET ^Yes ®No zob. V alve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME zo7. zos. EHS* ^Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amow3ts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210 Corrosive H=3, F=O, R=1 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 21 t. RADIOACTIVE ^Yes ®No 2t2. CURIES 213. TYPE (Check one item only) PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 21a. LARGEST CONTAINER 2.08 gals or 23.20 lbs 215. FED HAZARD CATEGORIES 216. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT z19. STATE WASTE CODE zzo. 74.88 als or 835.20 lbs 74.88 als or 835.201bs 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 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. 14 226. Electrolyte (Sulfuric Acid) zz7. ®Yes ^ No zzs. 7664-93-9 zzv. 2, 230. 231. ^ YeS ^ NO 232. 233. 3. z3a. 23s. ^Yes ^ NO 236. 237. 4, z38. z39. ^Yes ^ No zoo. zal. 5, zaz. za3. ^Yes ^ No zaa. 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 of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zab. DOT Hazard Class: NorthStar NSB 170FT Electrolyte and Lead Chemical sheets 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 ~QCISQ~I~r~~~~ ~QC1~lt"t(~~~1G}~ ~`~c~rl far Flazardous Materials, Hazardous YJaste & Underground Storage "tanks HdZc~rd0u5 Materials Divi5i0n FACILITY IDENTIFICATION / OPERATIONS`OVERVIEW BUSINE NAME ---- FA IL1TY ID # DATE Verizon Wireless - ~ ~ ~~ ~~~ ~ BUSINESS ADDRESS ~ 2~~ ~ ~ ~ Y ~~~~~~~:~II..cQ. Q~i I " '` ~ `_ Check elements covered by this consolidated plan: ~ ' ` ~ Hazardous Materials^C' ~' '` Haza~dous Waste ^ Underground Storage Tanks ^ Supplemental elements submitted: ~ ) UST Written Monitoring Plan ^ B e.g. pa nt ng contractor ~~ ;~ e.g. eet ma ntenance Wireless Telecommunications un-staffed facility,"`shelter~arid/or cabinets v RD EVE ER D B e.g. c em ca spr s, ire, eart qua e, etc OSHA -EPA Hazard Communication Standard - EMERGENCY COORDINATOR & UN-SITE TECH ADVISORS /INTERNAL. RESPONSE ` r Identify your Emergency Coordinator & On-site Technical Advisors: Name /position: ' NOCC -Network Operations Control Center Emergency Coordinator: Address: 255 Parkshore Drive Folsom, CA ~ _ _ _ _ -"Day: NOCC 800-264-6620 Or ! er O0m` NOCC 800-264-6620 Must have the authority to classify the phone #s: 1 682-264-6620 or 682-264-6620 release, make management decisions, & Responsible for: "__-• __.._._. _ spill prevention ^ ~~ntarting fac"f`; r end rr determine appropriate response (check all that apPIY) emergency assessment / authorizin sill res onse work ^ P 0 9 P Person is: ^ on-site or ®on-call I } .......__......_._......-._._ ..-.. _~... . ....mana9ement__._.._.-.-_....._....-........_.-~-------• .............._.._ ----~---......._ Inltlatlng alarms ^ Interfacing with public emergegcy responders ... _........_Y............_...... ._........ _...._ .....__..._. ........._...._.._..._. __L.1 } -_ I r _.-.........._.. a ......9_ ~...._.........._....-- ~-_... _-.....__~ -. r~ a en notification ^ Alternate # 1 (INSPECTIONS) Alternate # 2 _-_... _._._._.__~......_..._.._...__.____.. ..... _ .. -.,.....~..-.(CORRESPONDENCE_&_BILLING~_...__............ Name /position: Mark Iverson, Operations Shawn Stacey ._Manager Address: 255 Parkshore Drive Alternate Emergency Coordinators: city: _..-_.............._.-.-._........._...........-....._.._.__..__.-_..__...------._..... _..--.-.......___..__.-.__.._._.._.--..-..._.._.._.__......_._..........._-_.........___.._. Folsom List: In order of respon5ibility. 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 ®ontall ^ on-site or ®on-call On-Site Technical Advisors ( Owner: Supervisor: (Aval4at~le to provide site-specific techn+c~! advice --"~"" '~'-'--~ to off site emergenry responders) Manager: Other: Un-Staffed faClll /shelter /cabinets 1' Identify type of internal response: ^ Internal facility Team Mem ers name or position : esponsl i ities: response team (,attach additional pages if' needed: Options indicate an attachment by cn~rang ` © 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. 1 thi, x ~ is ~ k ~'~~ ' ~r<~i ;~ Name: Onyx Special Services ....__.._........ .. _. .._ ' Descri e ro e response i ities: Spill response, ®Contractor _ .._ __........ _ __..__ d~ess-..._. ad ~ "•~ clean up, and hazardous material .°pT~orie°# SOi)-~#8>I~=~9"lfil._.-_..~..._...__.._.._.__-_-.._...._~..__. dispOS81 ^ Call public emergency responders / 911 -l- Hazardous Materials Division FACILITY IDENTIFICATION ~ns~[i~a~e~ ~~n~irt~en~ fan for tEazardous Materials, Hazardous Vdaste & Underground Storage Tanks ~' ~ erizonSWireless - ~~~~ ~~ ~ I FACILTfY ID # ~ DATE EMERGENCY COMMUNICATIONS /PHONE NUMBERS / NOTIf`ICATIONS w Internal & External Emergency Communications Name Position: Individual responsible for on-site and off-site Mark Iverson, Operations Manager and/or NOCC -Network emergenry alarm notifications /communications: O erations Control Center 1il C eC a tat app Y: INTERNAL facility emergency communications or LJ_...._.-_-__:, _ ~Y alarm notification will occur via: ®telephone~- ® alarm system i ~a EXTERNAL notifications /communications to neighboring facilities that may be affected by an off-site release will occur by: ® pagers portable or Emergency Phone Numbers / Notification.Lists i " it ' ° Bakersfield Police Degt. 911 0 0 661.322.9253 Bakersfield Fire Dept. o ° Kern Medical Center o ~~~:~6 Emergency response phone number: _..._~__.__._...._..__..._...----.._._......._...~____._._..._._._.._..........._.._....._._....__._.__..___....._._. _._._..........__..._ ............................_.._...._.._... County Hazardous Materials Dlvision 2.r.. . 24 Nearest medical facility /hospital Name: K M di l C Phone #: I f ern e ca enter 661.326.2000 Your medicalfacility /hospital Name: Kern Medical Center Phone #: 661.326.2000 Dept o Toxic u stances ntro Hea quarters 1 - 2 - 7 or -72 94 NV Dlvision of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 lCe o Emergency ervices - - 5 or 1 - 4 - 1 NV Department of Public Safety NV: 775-684-7500 CA Water Qua ity Contr Boar - or - - NV Water Quality Control Board NV: 775-684-2800 nv ronmenta roe 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 NV Dept of Wildlife CA OSHA o Division of Occupational & Health o CAL -OSHA Enforcement California State Fire Marsha Nevada State Fire Marshall NV: 775-688-1500 1-510-437-3073 CA OSHA 0 510-286-7000 0 714-558-4411 NV: 775-684-7500 -Y- ~r~sa~~a~ed c~nn~~r~~ ~~ar~ rar Hazardous ina[enais riazaraous vvasLe ~ under round 5rarage i anres Other Important Numbers 2.f.; Neighbor Notification list z-r List a!1 businesses /structures bordering &/or adjacent to your facility: at facility s Business name:, Q at acihty s Business name: , Q northern southern border: address: , , ~ ~' ~~~~~~ border: address: , phone #: phone #: contact name /position: contact name /position: zta at aci its y Business name: , Q at aci i s ~' -...._____._.__.__..........__._...~._.._. .._........._..._._.............__.._.._.__ .............._...._................... Business name: , Q eastern ~,,_~, western border: address: , border: address: , .........._._.._...-•---_._..T........._...._.___.__...~._........-----_.. _ . _...._..__. _ __. phone #: phone #: 3o contact name /position: contact name /position: -3- ~n~a1~~a~~ec~ ~~ntin~enc~~r flan Hazardous Materials Division fnr hazardous Materials, Hazardous Lvaste & Underground FACILITY IDENTIFICATION 3r BUSINESS NAME FA ILITY I # DATE Verizon Wireless- ~~ EMERGENCY CONTAINMENT'.& CLEAN-UP PROCEDURES s_ Containment,,Prevzntion & Clean-Up _ f ! Indicate your procedures for: .....provide•°structrrrat°phystcah°banler .fie:g--.portabie.- ^ .---______._._...._._...._._.__._._.._.._......._......__...__.._...........__..........._........... I spill containment walls) ® monitor for leaks, ruptures, pressure build-up, etc I' - . 1. containing spills, releases, fires , -.._..._........._- .... _..... _......---h ..,.......1_ ._._ ..........__..._._.....-_........_. ^ provide absorbent p ysrca bar~lr er . . __.___ v .r_...~_...1.._...~.Fl..._...r . _ _. ~ .... orm'dr (ns......_._._........_..._..._..... _........ ^ co e o b oc oo >~/ o st a or explosions, & ~ bwtt=fn..lierm-fri~work. _sCo~a -e~a~ea.._..._.._..._._......__._. ------- ---~ - / 9 ___._... autorriatic fire su.. resslon . -stem _._._..._.__........._........._._..._....... ^ PP sY 2. preventing and mitigating ; associated harm to persons, ! -...._~___......._.._._..._._._ _ _.~..._..-._---_..._.....__._..._._____ stop processes or operations ® ____.__.._......_ ........................ _ ...... ~. _ _ _ . _............. automatic a ectron c equ pment s ut-o system ^ property & the environment: ~ ® shut-off water, gas, electrical utilities as ®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) ®~ ~~notify & evacuate persons ~In ~all~threatened areas ^ remove or isolate containers /area as appropriate I ~ ~ account for evacuated persons immediately after evacuation call ®other (specify): Contact Verizon Wireless 24-Hour Hotline (800-488-7900) and report Incident, which will trigger . ,; Onyx Special Services. 34 ~ c ec a t ataRPY~ Indicate your clean-up procedures: ~ ......__.........-_.._...._.~._ ............._..._.._~__._..__.._........_._____._.__.___.._._.__.__._..._.~._._...__..-.___._----._......._..._...__..__........___..._........__._ ® hrre licensed hazardous waste contractor. (ONYX Special Services) "~'~ use a5§or~erif maferlal-for spills wltl~~~su-fisequent proper Iat~eCirig~"sfo~a9e~anif'hazardous~wastie disposal as ~~"'' appropriate suction us rig stiiip vacuum witFi sri6sequerif proper la6eling;~stor"a'g"e and~azaraous'was[e disposal as' ~ ~" appropriate wash /decontaminate equipment w/ containment & disposal of effluent / rinsate as hazardous waste `....__.._.._..___._......_......._......._...__._.._..._..._......_.......__........._~.......__...._._.____........._....-._ ................__._. ~ -.. .. - rovlde safe tem ora stora e of emer en ^ p p ry g g cy-generated wastes ^ other (specfy): -- Evacuation Coordinator & Assembly Area ~t, 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 3' Identi fy / describe emergency specify: un-staffed facility /shelter /cabinets assembly area for evacuees: 4 4 Identify the location where your evacuation route /map is posted: sReC1~'' un-Staffed facility /Shelter /Cabinets Other facility evacuation procedures: specify: I -4- ~~sa~~~~~e ~~~i~ ~~~ ~1~n far Hazardaus Materials, Hazardous Waste & Underground Storage Tanks HarardatTS Materials Division FACILITY IDENTIFICATION BUSINESS NAME FA 1L1TY 1D # pgTE Verizon Wireless - ~ ~ ~~ ~,~~ EMERGENCY E UIPMENT ~~ ~ _ List of available emergency equipment {check all that apply} ~~~ ` Equipment Avar a e 41 Example: Z portable fire extingui5}iEr; `~ chemical prokec:nve gloves Use Category '~1; c emlca protective suits, aprons or vests Safety & First AId Equipment ®chemical protective gloves chemical protective boots ® safety glasses /goggles /shields hard hats cartridge respirator _ selftontalned breathing apparatus ® first aid kits /stations plumbed eyewash fountain /shower ® portable eyewash kits ~ other: 43 ports a Ire extinguls er5 Fire Extinguishing Equipment ~ fixed fire systems /sprinklers /fire hoses fire alarm boxes or stations ~ other: Spill Control & Clean- ®a sor ent materfa ~~~~~~_.._....~_..~~___~___._ ~~~ Up Equipment contalner for used absorbent ® harming / diking equipment ® broom _.._ ............._...._.~..._.~___......._........_..._....__........__...__..........._._................. ........ i . ~ shovel shop vac exhaust hood ~ emergency sump /holding tank ® chemical neutralizers gas cylinder leak repair kits spill overpack drums ~ other: 4s Communications & to ep ones inc u es ce u ar Alarm System ~ intercom / PA system Equipment ~ Portable radios automatic alarm chemical monitoring equipment UST monitoring system operations manual ® list of notification phone numbers center of each wall in shop I rated as "C" spill i~e,rxm:;e kit une-tinre use, ail F~ salvenl re,L:ta I only Because each site is an un-staffed facility, shelter or outdoor cabinet, the Operations Cell Tech./Mgr. carries a portable spill kit located in One time use & their trucks. Each Replaced/Maintained equipment item marked is when needed contained within the portable spill kit. There is also an additional 5-gallon tub spill kit located within each shelter design facility. Located with the portable spill kit with the One time use & Operations Cell Replaced/Maintained Tech./Mgr. Within the when needed portable spill kit. One time use & Same as above. Replaced/Maintained when needed Cell phone and #'s with Operations Cell Tech./Mgr. 'r~ .~ ~c~~r~~~~~ate ~~r~t~g~~~~ F~~a Hazardous Materials Division for Hazardous Materials, Hazardous Waste & Underground Storage FACILITY IDENTIFICATION .aF BUSINESS NAME ,_ V i Wi l ~y~ I ~ ~ FA IL11Y ID # pATE er zon re ess - f / , LL EARTHQUAKE VULNERABILITY ai Areas of-eai-tfiguake vulnerability 4~' c eck a I t at apply: Location (e.9. shop, outdoor sited, lcrensic lab): Identify areas of facility vulnerable to l ill th k d t ... ... ®haza~dotis materlals7 waste"storage area "-' "~"•' _.........._._.._....._._._.._..........-._._....._.._......__.._..__............_._....._..__ .................. •~~'•'~~ qua re eases /sp s ue o ear e related motion: ._._.--.____.....___._..._._._____ ..............__._...._........_._.......~..__.__._.__ ^ process Ilnes / piping Batteries installed exceed 1997 UBC (require irnn,ediate isolation and inspection) ----..._...___..._..._._.._.......___-.__.~._._...._.._..-....._______. __W - and/Or 2000-2003 IBC Seismic Zone 4 laboratory ... _._. _ _ ..... . . specifications. , .- .._. __ ._..__.-.~_- ^ waste treatment area ~9 t: tee a I t tat app y: A ecte ac:ations: Identify mechanical systems .--.--.-. _._--........_-..._._ slielv`es; caCiiriets ii 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.:: :~u ~x lanatian of quirement _._p ._._._._._._._t'~ _._._._._._ Advance arrengernents vritn iecai ore & ponce oepartments, nosprcars ana /or contractors for emergency starvk.F:s should be made as appropriate for your facility; you may determine that advance arrangements are oat necessary for your f~,ciGty. `" 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. EMPLOYEE TRAINING CONTENT & FORMAT _ S? Employee Training Content & Format 53 ~xplas~ation a~ ~aquiremtni i=mp ayes training is required 'or aM emp ayees handling hazardous materials bazar ous wastes in t ay to c ay or clean-up operations including volunteers f;<(or contractors. Required content for employee training includes ail of the following; 54 • • COmn1UrtiCatlOn Ht alarm sySt@mS Material Safety Data Sheets • • personal protective equipment hazard communication related to healtl, tk safety e. , ~ g • use of erneryenr-,~ response equiprnenC • methods for safe handling of hazardous substances fire extinguishers, respirators, etc) • fire hazards of materials /processes • • deCCint3minatl0n proCLdUCCS conditions likely to worsen camergencies • * evacuation procedure> cocrdination of emergency response • control & containment procedures • notification procedures ~ • UST' rnonitoriny system equipment & applicable laws & regulations rocedures (if a licab!e `~`~ ` ` Indicate how employee training check all that apply: program (with required content) is ®Formal classroom -('-~~Q video(s) (speclry): administered. __......_ ................._..........._......._..._....._......_....._._._......__....__... _~_...._...........___ __....... _._._.__._._....-.---...._.•.........._..._...................._......_........ ® Safety /tall-gate meetings ~ ®Other (s'peGfy): Annual online training ~ Study Guides /Manuals (specify): -6- ~n~a~ida~ed ~~nt~n~enc~ flan. Maiardaus Materials 6ivision Hazardous Materials, Hazardous Waste & Underground Storage Tanks FACILITY IDENTIFICATION ,,, BUSINESS NAME V i Wi l ~ ~~~ ' I ~ I V f l FA ILIIY ID # DATE er re ess - zon V / - EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION '~ Required frequetticy of training 'a tax tanation of_}?e uiremgnfi -~-~ ~-~-~- - - 9 t?mp ogee training must e: ~ provlded within 6 rnonths for new hires, ~ amended as necessary prior to change in process or tivark assignment, M given upon modification to emergency response J contingency plan, and ~ updated /refreshed annually for ALL employees. 5~' Certify that the facility's employee training program meets minimum ®Employee training Is provlded, at a minlmum, as described above. fre uen re uirements: i ~° Record. of training 6]. t~.xplanation af_~Cquirement Written documentaUan of employee Graining sessions must be kept which include: ~ training outline ; agenda r date of training session ~ employee names & jab titles ~ brief jab description for hazardous waste generator facilities `2'` Certify that the facility's training documentation meets minimum record I ®Employee training documentation Is provlded, at a minlmum, as described above. kee in re uirements: `'s Trainin ro ram descri tion or outline 9 P 9 p tr~Ining ~ ..._.__~............_.._.._.~_.~._.~.,. E~4 .._ ~~ G9~m~~n~ d~ ghgS1~ Y I? r ~ 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 `~? Ust 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 G,.>, BaSed on my inquiry of those individuals responsible for obt~3ining the in orrnation, I certi y under penalty o avr that I have personal y examined anc am familiar with the Information submitted and believe the information is true, accurate and complete and that a copy is available an-site. gnature ate o comp et on 2/23/2007 not ame a oston Shawn Stacey Environmental Compliance -7- io~35'( UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION -X ~~~p ~'l Pa a of L IDENTIFICATION FACILITY ID # 1. BEGINNING DATE loo. ENDING DATE lot. (Agency Use Only) BUSINE$SNAME(SameasFACII,ITYNAMEorDBA-Doing Business As) ~ 3. BLJ$INES$PHONE 102' Verizon Wireless - Brimhall Unstaffed BUSINESS SITE ADDRESS 103. 8200 Stockdale Hwy CTI'Y toa. ZIP CODE tos. CA Bakersfield 93311 DUN & BRADSTREET lob. SIC CODE (4 digit #) 1°7. 88-463-8305 4812 COUNTY tos. Kern BUSINESS OPERATOR NAME 1°9. BUSINESS OPERATOR PHONE t to. Mark Iversen Nerizon Wireless 661-664-5601 IL BUSINESS OWNER OWNER NAME ttt OWNER PHONE 112. Verizon Wireless 866-694-2415 OWNER MAILING ADDRESS o ~j t 13. ENS D ~~ 255 Parkshore Drive CITY 114. STATE 115. ZIP CODE ltb. Folsom CA 95630 III. `ENVIRONMENTAL`.CONTACT _.. . CONTACT NAME 117. CONTACT PHONE tts. Environmental Compliance (Billing and Correspondence) 866-694-2415 CONTACT MAILING ADDRESS 119. 255 Parkshore Drive CITY 120 STATE Izl. ZIP CODE 122. Folsom CA 95630 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123. NAME tzs. Network Operations Control Center Mark Iversen (Site Inspections) TITLE Iza. TITLE tz9. Network Operations Manager BUSINESS PHONE 125. BUSINESS PHONE 130. 682 831 3523 661 664-5601 24-HOUR PHONE* 126. 24-HOUR PHONE* 131. 800 264 6620 661-203-3205 PAGER # 127 PAGER # 13z. none ADDITIONAL LOCALLY COLLECTED INFORMATION: O 133. Property Owner: See Contact Phone No.: Billing Address: Certificati :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 famili with the informatio fitted and believe the information is true, accurate, and complete. SIG RA DESIGNATED REPRESENTATIVE DATE 134. NAME OF DOCiIMENT PREPARER 135. ~~ - ~~ Debra Voth NAME OF SIGNER (print) 536. TITLE OF SIGNER 137. Shawn Stacey Environmental Compliance * See Instructions on next page. UPCF hwI2730 (1/99) - 1/2 http://www.unidocs.org Rev. 04/17/00 .r UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of L FACILITY ~IDENTIFICATIOIY FACILITY ID # 1. EPA ID # (Hazazdous Waste Only) s. F A BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3. Verizon Wireless - Brimhall _ _ _. _ II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility... If Yes, lease com lete these a es of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases ®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 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTS) UST FACILITY (Formerly swxcB Form n) 1. Own or operate underground storage tanks? ^ YES ®NO 5. UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTS? ^ YES ®NO 6. UST FACILITY UST TANK (one per tank) UST INSTALLATION -CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? ^ YES ®NO 7. UST TANK (closure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTsI 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 (one materials (per H&SC §25143.2)? ^ YES ®NO ]0. per recycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE ^ YES ®NO l 1. 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 1z CERTIFICATION OF FINANCIAL Rule and Conditional Authorization)? . ASSURANCE (Formerly DTSC Form 1232> 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ®NO 13. SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^ YES ®NO 1a HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? . CERTIFICATION (Formerly DTSC Form 1za9) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by vour CUPA or local agency l s. UPCF Hwfac6v (1/99) -1/2 www.unidocs.org Rev. 02/16/00 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one page per material per building or azea) ® ADD ^ DELETE ^ REVISE 200 Page _ of °I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless - Brimhall CHEMICAL LOCATION z°l. CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz. Sealed Battery Case ^ YES ®NO FACILITY ID # I MAP # 2°3. GRID # zoa. (Agency Use Only) " 11. CHEMICAL' INFORMATIO .................. N CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME 207. 208. EHS* ^ Yes ®No Electric Stora a Batte CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210 Corrosive H=3, F=O, R=2 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2l t. RADIOACTIVE ^ Yes ®No 212. 213. CURIES TYPE (Check one item only) PHYSICAL STATE zla. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215. LARGEST CONTAINER 29.52 Ibs or 2.92 gals 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 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22°. 354.24 lbs or 35.04 als 354.24 lbs or 35.04 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 ^ 1. CYLINDER ^ p. TANK WAGON 243. STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT z2a. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 10 zz6. Electrolyte/ Sulfuric Acid zz7. ^ Yes ®No 22s. 7664-93-9 z29. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4, 238. 239. ^YCS ^ NO 240. 241. 5, 2az. za3. ^ Yes ^ No zaa. 2a5. 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. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6. DOT Hazard Class: 12 Batteries Fiamm 12UMTX170 Electrolyte and Lead Chemical sheets are for the same battery product. If EPCRA, Please Sign Here. UPCF hwr2731(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 200 Page _ of_ I: FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless - Brimhall CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zo2. Sealed Battery Case ^ YES ®NO FACILITY ID # I MAP # 203. GRID # 2oa. (Agency Use Only) FI. CHEMICAL INFORMATIO N CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 206. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME 207. EHS* ^ Yes ®No zos. Electric Stora a Batte CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. H=3, F=O, R=2 213. HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211. RADIOACTIVE ^ Yes ®No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE z1a. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER 93.24 Ibs 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 218. ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 22°. 1118.881bs 1118.881bs 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 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. 72 z26. Lead/Lead Compound zz7. ^ Yes ®No zzs. 7439-92-1 229. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4, z3a. 239. ^ Yes ^ No zao. za1. 5, 242. 243. ^YCS ^ NO 244. 245. 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. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6. DOT Hazard Class: 12 Batteries Fiamm 12UMTX170 Electrolyte and Lead Chemical sheets are for the same battery product. If EPCRA, Please Sign Here. UPCF hwf2731(1/99) -1/Z 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 200 Page _ of I. FACILITY INFORMATION. BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless - Brimhall CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®NO FACILITY ID # t MAP # zo3. GRID # zoa. (Agency Use Only) II. CHEMICAL'INFORMATIO ................. . ......... . . N CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zob. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCRA, refer to instructions COMMON NAME 207. 2os. EHS* ^ Yes ®No Electric Stora a Batte CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) 21°. Acute/Chronic H=3, F=O, R=1 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE ztt. RADIOACTIVE ^ Yes ®No 2t2. 213. CURIES TYPE (Check one item only) PHYSICAL STATE 214. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 215. LARGEST CONTAINER 88.6 IbS FED HAZARD CATEGORIES 2t6. (Check all that apply) ^ a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7 MAXIMUM DAILY AMOUNT 2t8. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 3189.61 s 3189.61bs 0 N/A 22t. 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 ands. 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 223. STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 79 226. Lead/ Lead Compound 227. ^ Yes ®No zzs. 7439-92-1 229. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4, z3s. 239. ^ Yes ^ No zao. eat. 5, zaz. za3. ^ Yes ^ No zaa. gas. 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. ADDITIONAL LOCALLY COLLECTED INFORMATION zab. DOT Hazard Class: 36 Batteries NorthStar NSB 170FT Electrolyte and Lead Chemical sheets are for the same battery product. If EPCRA, Please Sign Here. UPCF hwCL731(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 azea) ^ ADD ^ DELETE ^ REVISE 200 Page of_ L ,:FACILITX INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Verizon Wireless - Brimhall CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Batte Case ^ YES ®No FACILITY ID # 1. MAP # 203 GRID # zoa. (Agency Use Only) _. . "II: "::CHEMICAL'INFORMATIO N CHEMICAL NAME 205 TRADE SECRET ^Yes ®No zob. Valve-Regulated Lead/Acid Battery (VRLA) If Subject to EPCR/ty refer to ins[mctions COMMON NAME zo7. zos. EHS* ^Yes ®No Electric Stora a Batte CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by locatagency) zl°. Corrosive H=3, F=O, R=1 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 21 t. RADIOACTIVE ^Yes ®No 212. 213. CURIES PHYSICAL STATE (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS 214. 215' LARGEST CONTAINER 2.08 gals or 23.20 lbs 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 zls. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 74.88 als or 835.2 lbs 74.88 als or 835.21bs 0 NIA 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 ^ a 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. 14 226. Electrolyte (Sulfuric Acid) 227. ®Yes ^ No 22s. 7664-93-9 229. 2, 230. 231. ^YCS ^ NO 232. 233. 3, 234. 235. ^YCS ^ NO 236. 237. 4, 238. 239. ^YCS ^ NO 240. 241. g, zaz. 2a3. ^Yes ^ No zaa. 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 of paper capturing [he required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zab. DOT Hazard Class: 36 NorthStar NSB 170FT Electrolyte and Lead Chemical sheets 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 C&D TECHNtJLOGIES, l~l~: MATERIAL SAFETY DATA SHEET -- L84 SEGTiON. i:: CHEMICAL PRODUCT AND GCQMPANY INDENTIFICATION . PRODL)C7IDENTITY: "battery, Electric Storage, Wet, Noespillable, No# Regulated": N©NSPIL_t.ABLE Absorbed .Electrolyte Battery =.Electrical Storage Valve Regulated _. , lead-Acid {l!FtIA) Battery -Absorbed Glass Mat (AGM) 'Date issued: Sept. 28, 1986 Date revised: December 1:2002 Manufacturer Name: CB~D Technologies; Inc.. Address: Dynasty Division Telephone numbers: 90Q East Keefe Avenue- ©ay time: 414-967-6500 .Milwaukee, Wl 53212 Toll Eree: $40-365-?777 Web site www.cdsfandbypower.com North. America 24 Hour Emergency Telephone: (CHEM TEL) 'I=800-255-3924 International 24 Hour Eme enc `fete hone: . CFiEttill TEL 1-813-248-0585 _. SEGTlON II: COMPOSI TION /INFO RMATION C?N INGREDIENTS HA7ARDGtJS OSHA COMPONENT CAS# OSHA PEL ACGIH TLV _ % BY WEIGHT * Sulfuric Acid /Battery _. Electrolyte 1.30fl sg 40 Wt% 7664 93-9 1mg/m3 . 1mglm3 STEL' 22 *beadtGrid 7439=92=1 50 ug/m 150 ug/m3 _ 50 *Lead Qzide/Dioxide !1309=60-0 _. , 50 ug/m 150ug/nrt 21 'bead Siitfatel Anglesite 7~t46='f4-2; 50ugfm 150ug/m <1 Section 313 {40 CFR 372 ) Listed-Toxic Chemicals are Preceded by an* .SECTION- tll: HAZARDf~US .IDENTI FtCATIt1N Appearance and Odor: Acid is a clear 'H.ealfh Hazards (Acute 8~ Chronic) to cloudy iiiquid. Lead is metallic gray iri Acute: Sulfuric acid exposure may cause color. Formed lead dioxide is a dark _. irritation of the skin, cgmeal damage of the brown in color with a slight acidic odor. eyes, irritation of the mucous membranes and Routes of cry#ry: upper respiratory system, including the lungs. Sulfuric Acid: Inhalation; skin, Acute lead exposure may cause, GI upset, lass ingestion... of appetite, diarrhea, constipation, fatigue, Lead: Inhala#iori and Ingestion. joint pain, aria! difficul#y sleeping. Ingestion of lead occurs, t7y hand to Chronic; Exposure fo lead may cause mouth contamination, After handling . anemia, kidney damage and damage to the lead or its. compounds, hands must be central nervous and reproductive systems. washed prior to eating or drinking. Lead exposure may also affect developing .Metallic lead cannot be absoi-t~ed fetuses in pregnant women. Chronic exposure thrbu h the skin: _..., to sulfuric acid may cause scarring of skin and HM18 label rating for sulfuric acid: mucous membranes, bronchitis, contact 3 Q 2 X X =acid dermatitis, and erosion of tooth enamel. Hazardous Material Information System 184 SECTION 1l1 Continued _ _. NFPA label rating for siilfu~ic acid: Rating Codes:....... 2 t? 1 °X X =acid tl= Insignificant. 1=Slight, Na6onat Fire Protection A n 2= Moderate, 3= Nigh, 4= Extreme. HMtS and NFPA Hazarii labels are used to iientify the battery(s} dilute 1:300sg sulfuric. acid. The fist number represents the Health hazard, second nuriiber represents Fire tiazarci, and the third number represents the Reactivity hazard. The fourth space identifies the hazardous material., vrtiich is acid andfor typical recommended personal - rotective ui ment, i.e., safe fosses, rubber or neo retie Ioves etc: Catifomia Rropositio» 55 Warning -Battery posts;. termi»als, a»d related accessories confai» ,. lead and lead compounds, chemicals known;o the State of Catiforrria to cause cancer and reproductive harm. Batteries also contain other cheniicats known to the State of California to cause.cancer, Wash hands atierhandtin . , . `SECTION'lV: FIRST AID PROCEDURES =Sulfuric Acid ,....- 'Skin/Eyes lndestionflnhalatiori _. -. Flush the affected area with water for - Do not induce vomiting 15 minutes Drink 8 oz. of water or milk Remove contaminated clothing - if difficulty in breathing occurs, remove - If irritation continues, seek medical to fresh air, give CPR if necessary attention....:.. - Seek medical attention immediatef SEC710N V: FIREFiGNTtNG MEASURES ,. FIRE AND EXPLOSIVE PROPERTIES: Hydrogen Flash point: X259°G . Hydrogen Autoignition point: 580°C 'Hydrogen .Flammable-Limits in Air (°lo tly Volume}: LEL; 4.1 UEL: 74.2 t_owerExplosion Limit (LEL), Upper Explosion t_imit (UEL} Unusual Fire and Explosion Hazards.; Hydrogen and Oxygen gases are produced in cells during normal battery operation. Ventila#e Area. :Extinguishing Media: Dry Chemical, Foam or G©~ Special Firefighter Procedures;-Use Positive.Pressure, self-contained breathing. a ara#us. , SECTION Vll: HANDLING AND STORAGE Store in a cool; dry area away from combustibles. Do-not store in sealed, unventilated areas. Avoid overheating and overcharging. Do not use organic solvents or other than .manufactures recommended cleaners on the batteries. _ _, . , . SECTION Vt: ACCIflENTAL RELEASE MEASURES -STEPS TO'BE-TAKEN IF BATTERY IS BROKEN: Neutralize exposed battery parts with soda ash or sodium bicarbonate until fizzing stops, pH should beat neutral 6-t3. Provide adequate ventilation. Heat, carbon dioxide and hydrogen gas may be-given off dui trig neutralization. Collect residue in a suitable container. Place the broken battery in aheavy-duty plastic bag or other non-metallic container. l?m eri rec cle all bane residue grid arts. ,n _. SECTION VN{: EXPOSURE CONTROLSIPERSONAL PROTECTION Engineering Gonfrots; General room ventilation is sufficient during norri}al use and handling: Db not install these batteries in a sealed, unventilated area. . PERSONAL..PROTECTIVE EQUIPMENT {QURING iNSTAL.lAT1G1N OR IN THE EVENT OI= BATTERY BREAKAGE} Eye Protection= Chemical goggles, safety glasses with sideshields and or a full-face shield. Protective gloves = Rubber or neoprene Respiratory Protection = NIQSN approved acid mist/organic vapor respirator; if OSHA PEL is exceeded. ©ther Protective Equipment =Acid resistant apron, or clothes.. Wt)RK PRACTICES: Use standard lead-acid battery practices. Do not wear'metall'ic jewelry when working vrith batteries.: Use rion-conductive #ools only. Discharge static electricity prior to working on a battery, Maintain eyewash, f re extinguisher and tinier en communication device in the work area. .SECTION IX: PHYSICAL AND CHEMICAL PROPERTIES ACID :Boiling Point: 110°C to 112°C Vapor Pressure: 1.3.8 mm Hg @ 25'C Vapa~ [?ensity: (Air='t) 3.4 Melting point: tylA Solubility. in water: NIA Specific Gravity 1..300 +/- fJ.030 Appearancel0dor: clear to cloud with sli ht acidic odor .. SECTION X STABtI_{TY-AND REACT{Y{TY STABILITY: This battery anti contents are stable. Conditions to avoid; t3verheating, overcharging which results in acid mistlHydrogen generation:.. Incompatibility (materials to avoid}: Strong alkaline materials, conductive metals, organic solvents; sparks or open flame. Hazardous Byproducts: Hydrogen gas may be generated in an overcharged condition, in fire or a# very high temperatures: !n fore, may emit CO, GCJZ and Sulfur Oxides. Hazardous 1 merization vrill not occur... SECTION Xt: T4X1G(7LOGICAL INFORMATION _ SULFURIC ACID The E7ynasty VRLA batteries are asealed;-recombinant design that require:no v~rater repfacerr~nt throughout their service life, thus no contact is made with the flattery`s internal components or chemical hazards.; Under normal use and handling, these batteries do not emit re Mated or hazardous substances. : Adrrtinistratian Route Qose.. _ Test Animal LQ 5p Drat 214Q fk ,..... Rat L©Lo 'Unre orted 135 m !k Man iC5t) Inhalation 510m /m3 Rat Garcrtogenicity: The International'Agency on Cancer (IARCC) has classified "strong inorganic acid mists; containing sulfuric acd° as a caiegnry 1 carcinogen {inhalation}, a substance that.is carcinogenic to huFnans. This classification does not apply to the liquid forms of sulfuric acid :contained within the battery. Misuse of the product, such as overchar in ; ma result in the eneration of sulfuric acid mist at hi h.levels. SECTION X11: ECQL4GICAL INFORMATION Lead anii its com unds can sera threat if released into the environment. SECTION XIII: DISPOSAL CONSIDERATIONS Waste Disposa# Method: Send to lead.smelter for reclamation follgwing applicable Federal, State-and Local regulations. Product cars be recycled along with automotive St~l teal-acid batteries. 'SECTION XIVi_TRANSPORTATIt3N AND INTERNATIONAL. REGULATIONS AIi Dynasty AGM batteries: when transported by air, surface ar by vessel are'identified as "Battery,-Electric Storage, Wet, Nanspiltabte, Not Regulated", The batter~i{S} mustbe identified as above on the Bill of Lading arrd.ptoperfy packaged with-their terminals protected from short circui{. NA or UN numbers tia not apply. Dynasty AGM battery(s} warning label identifes each'battery asNONSPILLABLE Dynasty AGM battery(s} preprinted cartons identifies each battery as NONSPILLABLE, Dynasty AGM battery{s} shipped without Dynasty cartons {bulk packed} need to be Identified as. NONSPfLLABI.~ or NC?NSPI~LAB~E BATTERY on the outer packaging. Air: Qynasty AGM batteries meet the conditions in IATAl1GA0 Special Provision A67, Surface: Dynasty AGM batteries meet the conditions for DOT Haz Mat Regulations CFR-Tittle 49 parts 171=189. Vessel: Dynasty batteries meet the conditions of IMDG exception 28$. SECTION XV REGULATORY INFORMATION .See 29 CFR 191t).268 b 2 SECTION XVI: OTHER INFORMATION The information herein is given i.s good faith; but no warranty, expressed or implied, is made. MATERIAL SAFETY DATA SHEET ~~"~ IV DRTH~TAR LEAD ACID BATTERY a~.TT~nY °""~"NY Sprin~eld, Missouri I. PRODUCT IDENTIFICATION: A. Chemical/Trade Name (per on label): B. Chemical Family/Classification: C. Manufacturer's Name & Address: D. Contact: Lead Acid Battery Electrical Storage Battery NorthStar Battery Co. LLC 4000 Continental Way Springfield, MO 65803 U.S. - NSB Safety and Health Department Phone: (417) 575-8219 Fax: (417) 575-8250 Aust. Power-One Energy Solutions Pty Ltd. Phone: +612 9889 3111 E. Emergency Information: Chemtrec (US, Canada & Mexico) Phone: (800) 424-9300 Chemtrec (Outside US, Canada & Mexico) Phone: +1 (703) 527-3887 (call collect) F. Non-Hazardous Classification Per US DOT, Northstar Battery Company products, submitted and tested by Wyle Labs, have been deemed to meet all requirements as specified in 49CFR§ 173.159 (d) for exception as hazardous material classification. II. HAZARDOUS INGREDIENTS/IDENTITY INFORMATION: NORTH AMERICAN INFORMATION Air Ex osure Limits u /m Materials % by Wt. CAS Number OSHA AGGIH (TLV) NIOSH Lead 57 7439-92-1 50 150 100 Lead Oxide 22 1309-60-0 50 150 100 Electrolyte (Sulfuric Acid) 1.400 sg 14 7664-93-9 1 1 1 AUSTRALIAN INFORMATION Chemical or Material Australian Dangerous Goods Hazardous Substance Australian Poison Schedule Classification Classification as per NOHSC Classification Australia Non-Spillable Exempt under A67 (NATA R34/R41 Schedule 6 Lead Acid Battery Identification Guide) and Clause 238 Agricultural, Domestic and Industrial of the Australian Dangerous Goods Substances Code, A endix 3 Note: Product contains toxic chemicals that are subject to the reporting requirements of Section 302 and 313 of the Emergency Planning and Community Right-to-Know Act of 1986. III. PHYSICAL DATA: Material is solid at normal temperatures. A. Electrolyte: 1. Specific Gravity: 1.250 - 1.350 kg/dm3 Date: 04/06/2005 DCR: 621-S05 ISO Clause: 4.3.1 DOC Code: MSD-430-01-05 Page: 1 of 6 MATERIAL SAFETY DATA SHEET LEAD ACID BATTERY N~R7HSTQR }3 A'S"T` C It Y C C."~ ~+1 r A !i Y Sprin~eld, Missouri 2. Boiling Point: 110°C (230°F) 3. % Volatiles By Weight: Not Applicable 4. Solubility in Water: 100% 5. Melting Point Lead: 327°C (621°F) 6. Vapor Density Not Determined B. Appearance and Odor Electrolyte is a clear liquid with an acidic odor. IV HEALTH HAZARD INFORMATION: Under normal operating conditions, because the battery is "non-spillable", the internal material will not be hazardous to your health. Only internally exposed material during production or case breakage or extreme heat (fire) may be hazardous to your health. A. Routes of Entry: 1. Inhalation: Acid mist from formation process may cause respiratory irritation. 2. Skin Contact: Acid may cause irritation, burns and/or ulceration. 3. Skin Absorption Not a significant route of entry. 4. Eye Contact: Acid may cause sever irritation, burns, cornea damage and/or blindness. 5. Ingestion: Acid may cause irritation of mouth, throat, esophagus and stomach. B. Signs and Symptoms of Over Exposure: 1. Acute Effects: Over exposure to lead may lead to loss of appetite, constipation, sleeplessness and fatigue. Over exposure to acid may lead to skin irritation, corneal damage of the eyes and upper respiratory system. 2. Chronic Effects: Lead and its components may cause damage to kidneys and nervous system. Acid and its components may cause lung damage and pulmonary conditions. 3. Potential to Cause Cancer: The International Agency for Research on Cancer has classified "strong inorganic acid mist containing sulfuric acid" as a Category 1 carcinogen, a substance that is carcinogenic to humans. This classification does not apply to liquid forms of sulfuric acid or sulfuric acid solutions contained within a battery. Inorganic acid mist is not generated under normal use of this product. Misuse of the product, such as overcharging, may however result in the generation of sulfuric acid mist. C. Emergency and First Aid Procedures: 1. Inhalation: Remove from exposure, move to fresh air, and apply oxygen if breathing is difficult. Consult physician immediately. 2. Skin: Wash with plenty of soap and water for at least 15 minutes. Remove any contaminated clothing. Consult physician if skin irritation appears. 3. Eyes: Flush with plenty of water immediately for at least 15 minutes, lifting lower Date: 04/06/2005 DCR: 621-S05 ISO Clause: 4.3.1 DOC Code: MSD-430-01-05 Page: 2 of 6 r MATERIAL SAFETY DATA SHEET ~"'~~ NC)RTHSTA,~ LEAD ACID BATTERY a`'Tr~nY °~,'" ~"N'" Sprin~eld, Missouri and upper eyelids occasionally. Consult a physician immediately. 4. Ingestion: Do not induce vomiting. Give large quantities of water. Never give anything by mouth to an unconscious person. Consult a physician immediately. D. HANDLING AND STORAGE 1. Safe Storage: Store in a cool, dry place in closed containers. Keep away from ignition sources and high temperatures. 1. Contact NorthStar Battery Company (417-575-8200) for shelf life information. 2. Handling: Avoid skin or eye contact. Avoid breathing vapors. Do not use near sources of ignition V. VI CARCINOGENICITY: See section IV, Part B "Signs and Symptoms of Over Exposure" MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: See section IV, Part B "Signs and Symptoms of Over Exposure" FIRE AND EXPLOSION HAZARD DATA: A. Flash Point: Hydrogen = 259°C B. Auto ignition Temperature: Hydrogen = 580°C C. Extinguishing Media: Dry chemical, foam, COz D. Unusual Fire and Explosion Hazards: Hydrogen and oxygen gases are produced in the cells during normal battery operation (hydrogen is flammable and oxygen supports combustion). These gases enter the air through the vent caps. To avoid the chance of a fire or explosion, keep sparks and other sources of ignition away from the battery. E. Firefighting PPE: Full protective clothing and NIOSH-approved self-contained breathing apparatus with full facepiece VII. REACTIVITY DATA: A. Stability: Stable B. Conditions to Avoid: Sparks and other sources of ignition, C. Incompatibility: (materials to avoid) 1. Lead/lead compounds: Potassium, carbides, sulfides, peroxides, phosphorus, sulfur. 2. Battery electrolyte (acid): Combustible materials, strong reducing agents, most metals, carbides, organic materials, chlorates, nitrates, picrates, and fulminates. D. Hazardous Decomposition Products: 1. Lead/lead compounds: Oxides of lead and sulfur. Date: 04/06/2005 DCR: 621-S05 ISO Clause: 4.3.1 DOC Code: MSD-430-01-05 Page: 3 of 6 MATERIAL SAFETY DATA SHEET LEAD ACID BATTERY <._ ' ,,a..,_.._...^.._..~ ... .__. ~ ,_ ~RTHSTAR IIATTL' Z! Y CO ~.f 1`n N Y Sprin~eld, Missouri 2. Battery electrolyte (acid): Hydrogen, sulfur dioxide, and sulfur trioxide. E. Conditions to Avoid: High temperature. Battery electrolyte (acid) will react with water to produce heat. Can react with oxidizing or reducing agents. VIII CONTROL MEASURES: A. Engineering Controls: Store lead/acid batteries with adequate ventilation. Room ventilation is required for batteries utilized for standby power generation. Never recharge batteries in an unventilated, enclosed space. B. Work Practices: Do not remove vent covers. Follow shipping and handling instructions which are applicable to the battery type. To avoid damage to terminals and seals, do not double- stack industrial batteries. C. Personal Protective Equipment: 1. Respiratory Protection: None required under normal handling conditions. During battery formation (high-rate charge condition), acid mist can be generated which may cause respiratory irritation. Also, if acid spillage occurs in a confined space, exposure may occur. If irritation occurs, wear a respirator suitable for protection against acid mist. 2. Eyes and Face: Chemical splash goggles are preferred. Also acceptable are "visor-gogs" or a chemical face shield worn over safety glasses. 3. Hands, Arms, Body: Vinyl coated, VC, gauntlet type gloves with rough finish are preferred. 4. Other Special Clothing and Equipment: Safety shoes are recommended when handling batteries. All footwear must meet requirements of ANSI 241.1 -Rev. 1972. IX X. ACCIDENTAL RELEASE MEASURES: A. Not applicable under normal conditions. B. Incase of damage resulting in breakage of the battery container, see VIII, Sec. C Personal Protective Equipment. PRECAUTIONS FOR SAFE HANDLING AND USE: A. Hygiene Practices: Following contact with internal battery components, wash hands thoroughly before eating, drinking, or smoking. B. Respiratory Protection: Wear safety glasses. Do not permit flames or sparks in the vicinity of battery(s). If battery electrolyte (acid) comes in contact with clothing, discard clothing. Date: 04/06/2005 DCR: 621-S05 ISO Clause: 4.3.1 DOC Code: MSD-430-01-05 Page: 4 of 6 MATERIAL SAFETY DATA SHEET LEAD ACID BATTERY NDRTHSTQ R t3A TT' C ZL Y CCa ti.47 1` h N Y Sprin~eld, Missouri C. Protective Measures: 1. Remove combustible materials and all sources of ignition. Cover spills with soda ash (sodium carbonate) or quicklime (calcium oxide). Mix well. Make certain mixture is neutral, then collect residue and place in a drum or other suitable container. Dispose of as hazardous waste. 2. Wear acid-resistant boots, chemical face shield, chemical splash goggles, and acid-resistant gloves. Do not release unneutralized acid. D. Waste Disposal Method (*): 1. Battery electrolyte (acid): Neutralize as above for a spill, collect residue, and place in a drum or suitable container. Dispose of as hazardous waste. 2. Do not flush lead contaminated acid to sewer. 3. In case of accidental spill, utilize personal protective equipment, i.e., face shield, rubber apron, rubber safety shoes. 4. Batteries: Send to lead smelter for reclamation following applicable Federal, State and local regulations. Product can be recycled along with automotive (SLI) lead acid batteries. 5. Battery may be returned, shipping pre-paid, to the manufacturer or any distributor for recycling. See 1.C for manufacturer's address or visit our web site www. northstarbattery. com. "In accordance to Local, State and Federal regulations and laws. XI. E. Other Handling and Storage Precautions: None Required. ECOLOGICAL INFORMATION: Lead and its compounds can pose a threat if released to the environment. See Waste Disposal Method in Section X, Part D. X11 NFPA HAZARD RATING: SULFURIC ACID: Flammability (Red) = 0 Health (Blue) = 3 Reactivity (Yellow) = 1 Date: 04/06/2005 DCR: 621-S05 ISO Clause: 4.3.1 DOC Code: MSD-430-01-05 Page: 5 of 6 MATERIAL SAFETY DATA SHEET LEAD ACID BATTER Y ='l~ _~. TM~TAR IIATT C I! Y CCt :vl 1`A N Y Sprin~eld, Missouri XIII. DEPARTMENT OF TRANSPORTATION AND INTERNATIONAL SHIPPING REGULATIONS: Proper Shipping UN2800 -Battery, wet, non-spillable (electric storage) Name Batteries must be packed to protect against short circuits and firmly secured to skids or pallets. IATA Packaging instruction 806 Not restricted per special provision A67. Northstar Battery Company products, submitted and tested by Wyle Labs, have been deemed to US DOT meet all requirements as specified in 49CFR§ 173.159 (d) for exception as hazardous material classification. Northstar Battery Company products, submitted and tested by Wyle Labs, have been deemed to IMDG meet all requirements as specified in special provision 238 for determination of "Non-Spillable" and are not subject to the provision of this Code. XiV. SPECIAL REQUIREMENTS: TLV ^ Sulfuric Acid -Occupation Exposure Limit -AUSTRALIA TWA 1 mg/m3,JAN1993 ^ Lead -Occupation Exposure Limit -AUSTRALIA TWA 0.15 mg/m3, 2002 Date: 04/06/2005 DCR: 621-S05 ISO Clause: 4.3.1 DOC Code: MSD-430-01-05 Page: 6 of 6 • Verizon Wireless Brimhall oLS'-.hut: ~tls~°fC ~ ,~, 4 ~-' ='z, 'j jai i .->>I 2 0 N 3 4 5 6 7 A B ~ C I D I E I F 30 Ft r4~~~ ~ G I H I I z • Brimhall 8200 Stockdale Hwy ~~•~•=m Bakersfield CA 93311 ~Y. ~.~,~ o.~E s. Drawing 1 LEGEND Batteries Q Eye Wash . Fire Extinguisher Q Fire Suppression First Aid/Survival Kit ~ Personal Protective Equipment e Power Breaker ® Spill Containment Kit MSDS MSDS & ~ cP Contingency Plans 1 2 3 4 5 A 10ft B i C i D i E ~ -- 14ft I - -- q 'P. Batteries Rectifier ® E ui Rack Rack 1' Equip. Equip. Equip. '" '"~ Rack Rack Rack Transfer Switch ~~_~ "F _ - scP 2ft F s SITE Brimhall Address 8200 Stockdale Hwy City, State, Zip Bakersfield CA 93311 REV. DESCRIPTION DATE BY Drawing 2 Hararclous Materials Division for Hazardous Materials, Hazardous Waste & Underground Storage "ranks FACILITY' IDENTIFICATION /OPERATIONS OVERVIEW BU INE S NAME - - PA -ILITY ID # ATE Verizon Wireless - ~~ ~'~~ `~ ` ~ BUSINESS ADDRESS ~ ~, ., Check elements wvered by this consolidated plan: = ',~' Hdzardous.Materials® ~" ~~ Hazardous Waste ^ Underground Storage Tanks ^ "~ Supplemental elements submitted: 1 UST Written Monitoring Plan ^ B e.g. pan ng contractor ? '. ~~ '~. ~s" . .~ e.g. eet ma ntenance Wireless Telecommunications un-staffed facility, shelter, and/or cabinets ~ RD ENT VER e.g. c em ca spl s Ire, east qua e, etc - OSHA -EPA Hazard Communication Standard - EMERGENGY COORDINATOR &-ON-SITE TECH ADVISORS J INTERNAL. RESPONSE ~ Identify your Emergency Coordinator & On-site Technical Advisors: Name /Position: NOCC - Network O er p ations Control Center Emergency Coordinator: Address: 255 Parkshore Drive, Folsom, CA Day' NOCC 800-264-6620 Or After Hours: NOCC 800-264-6620 ~ Must have the authority to classify the k i i Phone #s: 682-264-6620 Or 682-264-6620 release, ma e management dec s ons, & ______. ~.__...-.----..... Responsible for: ~ _.__..__...._~._._.....______..--..---..-_..m -. _.~_._.. spill prevention ^ .. _. _____ ______ ~on~cting faclllty~ ~~ prnda7s determine appropriate response _.-......._. ~._.. _.-. _. __-......._._~..__._._.__.__.-....._._._ ... (check all that apply) emergency assessment / a authorizing spill res once work p 0 I ^ i ® l ."flldRa9.2f1.1.eftk..........._.._.~......... -_......._. _ _.....__._....._......_._-... _.......-~__. ___..........._ . s nd ith bli I t f d Person s: on-s te or on-cal inltlatJng alarms ^ _..._.._.._..__.._......._......._......_..._.....___.... ..____-_._---._.._....._ po ng w pu c emergency re ers n er a _._._~._....._...__.._...._..._. __. _. ~f .. _._.__._......._ ......_..__. _ agency notification ^ ^ • Altemate # 1 (INSPECTIONS) Alternate # 2 CORRESPONDENCE & BILLINGS _ Name /Position: Mark Iverson, Operations Shawn Stacey Manager Address: 255 Parkshore Drive Alternate Emergency Coordinators: aty: ........................-•---._....-........._.._..___...____-___---.-.-•---•--- --....._........_......._......_.._.__._.._......_.__._..-__..._.....___........_.__.-..........---._.... Folsom List In nrder of respansibility. zip: .._._.-_.......__..._---..._..._.._._____...__..._.......-.-.---_.__._-...__. _..._.--.._....._..._..__.._---..._..-_............__...__ ..............._..........__......_........._... CA Day phone: 661.664.5601 866-694-2415 After hours phone: ...-...._......_.-._......_.........._.._......._..__..u_.....-......__.._..____.._._....... NOCC 800-264-6620 _......._._..._:...----.._..__..__._.._..__.._......__...._.....__..__ ......................... NOCC 800-264-6620 Person Is: ^ on-site or ®on-call ^ on-site or ®on-call 1r, On-Site Technical Advisors owner: Supervisor: {Available to provide site-specific technical advice to off site emeryenry resper,der~s) Manager: other: un-staffed facili /shelter /cabinets ' Ident± 1y type of internal responses ' I ^ Internal faClhty Team Mem rs name or position : I Responsi i hies: response team tattach additions! pages if needed: Options: indicate an attachment by checking I ~ i 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. t rig' x ' ' 1 % . « Name: Onyx Special Services Desc a ro a responsi i ides: Spill response ®Contractor ___ address:°'° , clean up, and hazardous material ,~ _-piiorie #: ..-~'i)0-48~~=~5f16__..__.. ...._._._..._.__~~.._. d'ISpOS81 ^ Call public emergency responders / 911 -1- • ~ 4k~! 1~~~[~~~~ s~~~ .~~4[~ .~~~ ~1~ ~ ~ for Ffazardous Materials, Hazardous Waste & Underground Storage Tanks Hazardous MaCeriafs Divis(on FACILITY IDENTIFICATION BUSINESS NAME FACILITY ID # PATE Vcrizon Wireless - EMERGENCY COMMUNICATIONS J PHONE NUMBERS /NOTIFICATIONS if Internal & External' Emergency Communications ame 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 tit c ec a t at app y: ... __- _ _..° verbal"warnin-.s__._._._~....._._.._.__..._..._._._._._.._. ._. .. Pu tc a ress or ntercom system g INTERNAL facility emergency communications or ~ ~ alarm notification will occur via: _ _^-~ _ ®telephone ~ ®pagers ~ ® alarm system ~ portable radio c iec. a t at apply: EXTERNAL notifications /communications to ---~ ve~6al warriin`gs ""'-`~`-~----"~"""`-T- ~~ piii~lic add~~ess or"intercorri system-~~~~~ ~"""' neighboring facilities that may be affected by an -- _..._____._.--.-..._-.____...._._._....._........ te p one pagers off-site release will occur by: ~ ® ___~......______--_---__.. _... "__......._ .-- ~ ._. " ~ ~ portaiiie rad fo ® a7arm system za Emergency Phone Numbers /Notification fists «- ir, i ° Bakersfield Police Deat. 911 0 Bakersfield Fire Dept. 0 661.322.9253 ° Kern Medical Center o o Emergency response phone numbers -_....._......____...----- ...........................__.._..._._..._.............._~...........__.._....__-._.........__....._. _.__..._..._.._..__......._.~..-..___......_....._._....._._..... County Hazardous Materials Dlvislon ~~Po-lson Corifrol Cenfer__.._......_.........__...._......_._ _._..__---___.._.._........._. _...$~.~-I~I-IIII.---.........__ .__. __. _...-. zz Nearest medical facility /hospital Name: Phone #: Kern Medical Center 661.326.2000 2 j Your medical facility /hospital Name` Phone #: Kern Medical Center 661.326.2000 z4 Dept o Toxic Su stances ntro Hea quarters : 91 - - 78 or -728- 94 NV Division of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o mergency rv ces - 5 - or 1 - 4 - NV Department of Public Safety NV: 775-684-7500 CA Water Qua ity Contro Boar - or NV Water Quality Control Board NV: 775-684-2800 nv ronmenta ro on gency o Environmental Information Center o Toll Free: 866-372-9378 0 24-HR Envirorimental 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 ep o s ame - NV Dept of Wildlife NV: 775-688-1500 US Coast Guard (spill response) 1-510-437-3073 CA OSHA CA OSHA o Dlvislon of Occupational & Health o 510-286-7000 o CAL -OSHA Enforcement o 714-558-4411 om a fate re ars a - Nevada State Fire Marshall NV: 775-684-7500 -Z- Gonsolidate~antingen Klan ror r~azamous Ma>:enais r~azaraous vvasce Other Important Numbers lh Neighbor Notification List zi List all businesses /structures bordering &ior adjacent to your facility at; tarisity s Business name:, Q ~~ _ at acuity s Business name: , Q northern southern border: address:,, border: address:, phone #: phone #: ........-..,-____._._.._.._..__._._.,..__.._._..---~--~-~---.....-------.....--~--....._..._...._.__._ contact name /position: ....-.......-._._.._-._-..---._...__T contact name /position: z~a at acuity s Business name: , Q at aci ity s Business name: , Q eastern __............-...--...-......._.......-__-. -_.__-._-_.__-___-._._.. western border: address: , border: address: , phone #: phone #: 3o I contact name /position: contact name /position: -3- ~~r~~~~ida~~~ ~e~r~ti~~e~c~~ Play Hazardous Materiais Division fnr Hazardous Materials, Hazardous Waste & FACILITY IDENTIFICATION 3t BUSINESS NAME FA ILITY ID # DATE Verizon Wireless- EMERGENCY CONTAINMENT & CLEAN-UP PROCEDURES ~l Containment, Prevention & Clean-Up _.. Indicate our rocedures for: y p .. ....... P ys t ~.~ -~ provtde~~strvcturat-~ h icaF°barrier-""e. ortable-. ................._._.._._...._----..._....._._..._....._...._.............._.-..................... ._.__._.__._._._....._._.......~......-..... ~ spill containment walls) ® monitor for leaks, ruptures, pressure build-up, etc 1. Containing spills, releases, fires ~ ^ provide alisorbent physical•barrfer~~"°°°"-"~"--°°°-- O cover o~ blocTc t1•oor-$~7-0~ storm ~"rai`ns `•-`~~~~~~- "- • `` or explosions, & r-----~ ° - - ^ built Tn berm in wor1c /-storage area - ^ automatic fire suppressl'on system 2. preventing and mitigating ~ d h ----- mop processes ~or~~operaE`ioris -••••••--~~~~~`-T•~ - l~ -•--automaticTlectron`ic equipment slut=off system-••~ ~ ~~ ~- ^ associate arm to persons, ; property & the environment: _ _ ®shut-off water, gas, ~ electrical utilities as ®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. __....-....._..__..___......-.._.____.__._....---....------....---• _____ ® notify & evacuate persons in all threatened areas - - ...___-_.._...__-.._.....-...._._.__....___ .................._......... ~ remove or Isolate containers /area as appropriate I ^ account for evacuated persons Immediately after evacuation call ® other (specify): Contact Verizon Wireless 24-Hour Hotline (800-488-7900) and report Incident, which will trigger { Onyx Special Services. 34 I Indicate your clean-up procedures: I c ec a tat app y: ............_.....-,_......_.......__.._..---__..__._.-_.-..._......__..~.~........_...._._...._.._.__._._............_.--___._.___._..---...__...._.___._-....._.-_.__.__..__.........._...._._............-... ® hire licensed hazardous waste contractor. (ONYX Special Services) a ~ iise aosorT~erit rtiaEe~i~al`for spills`w"'(tli`sufisequent-proper"Ca~elfng, s~o'rage ario`hazardous waste disposafas -~~~°"• "°`` appropriate 0 `suiEfori usfng shop vacuum wltfi siii[isequerif proper latielliig~`storage-anii•fiazari9ous waste disposal-as ••~ ~ ~~~ ~-- ••••• appropriate ^ wash /decontaminate equipment w/ containment & disposal of effluent / rinsate as hazardous waste ^ provide safe temporary storage of emergency-generated wastes other (specify): 3S , Evacuation Coordinator & Assembly Area >., Provide name /position of evacuation r coordinator who will account for all on-site employees and / or site visitors after evacuation: Name: Un-Staffed faClll ty /shelter /cabinets s' Identify / 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 -4- • as~~~t~ Qnl~ingen~ PZa~n for Hazardous Materials, Hazardous Waste & Underground Storage Tanks Hazardous Materials Division FACILITYIDENTIFICATION 3f~ BUSINESS NAME FA LITY ID # PATE ~'erizon Wireless - EM~F2GENCY f UIPMENT :?s List of available emergencGyy equipment {C'hci.k a111.hdtapply} ,r ai Z ~x~rtable fire extinguishers . . . a : . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ c:heinicul prok~xaive gloves Use Category :}. c emica protective suits, aprons or vests Safety & First AId Equipment ®chemical protective gloves chemical protective boots ® safety glasses /goggles /shields hard hats cartridge respirator self-contained breathing apparatus ®flrst aid kits /stations plumbed eyewash fountain /shower ® portable eyewash kits ~ other: ~+s Aorta a re extinguls ers ® Fire Extinguishing -.-_._..M__ _._....~___._._............__..._._..._. Equipment ~ fixed fire systems /sprinklers /fire hoses ~ flre alarm boxes or stations ~ other: ~~~ ~~ Spill Control & Clean- ® a sor ent materla ~ T-~~~~~~~~~ Up Equipment container for used absorbent ® berming / diking equipment ® broom shovel shop vac exhaust hood emergency sump /holding tank ® chemical neutralizers gas cylinder leak repair kits spill overpack drums ~ other: as to ep ones inc u es ce u ar Communications & Alarm System ~ Intercom / PA system ._..~.---. m.._.__..-----........-_....___....._.____.._._.........._.._ ................._........._...._...._............ Equipment ~ portable radios automatic alarm chemical monitoring equipment UST monitoring system operations manual ® Ilst of notification phone numbers center of each wall in shop I rated as "C" spill respcrose kik one-time use; ad tkt solvenk resistai ~ only Because each site is an un-staffed facility, shelter or outdoor cabinet, the Operations Cell Tech./Mgr, carries a portable spill kit located in One time use & their trucks. Each Replaced/Maintained equipment item marked is when needed contained within the portable spill kit. There is also an additional 5-gallon tub spill kit located within each shelter design facility. Located with the portable spill kit with the One time use & Operations Cell Replaced/Maintained Tech./Mgr. Within the when needed portable spill kit. One time use & Same as above. Replaced/Maintained when needed Cell phone and #'s with Operations Cell Tech./Mgr. • hazardous Materials Division lazardous Materials, hazardous waste & Underground Storage FACILITY IDENTIFICATION ~,.; BUSINESS NAME FAQL.ITY ID # DATE Verizon Wireless - EARTHQUAKE VULNERABILITY 41 ..Areas of earthquake vulnerability q~? t 1eC ail t at apply; Location (e.g. shop outdoor shed Forensic lab}: Identify areas of facility vulnerable t0 - l ill rth k d t --~~--hazardousmaterlafs/waste stor=age area -~~----~~-' , , -'-~-'°-°~~'°~-~~~~-~~~~~----"~"-~""°"""-~""'-'-"--~~~~~~-~~~---~~~~-'---~~-~~~~~~~ re eases /sp qua s ue o ea e ® . related motion: _ _._...__._~___-_-_._.._....-...._......~__._...._.._...._-._....._...._..____._.-.. ^ process lines/ piping Batteries installed exceed 1997 UBC (require immediate isplation and inspection) _. _.._~._..._.__..~...__~__~._..._..~.-_._ ...............~._..~.___..-_._____~_. and/or 2000-2003 IBC Seismic Zone 4 laboratory ^ specifications. _ _ ^ waste treatment area ~s check a i C,at apply: A ecle ocatirxs: Identify mechanical systems _....~.....~.stieCve"s; cabl'ne"ts'll'i'~acks.....~....._...._. .._........____.-....__ _.~..____.._.~...~ ............................~_..~....~~._~~..~.~.~..-.-..._...._._.........---................................. vulnerable to releases /spills due to ^ earthquake related motion: ^ tanks (emergency shutoff) ---....-._......._..._... ._..._...._...._...---._._............-.....~....~...__-_..~__~_____. _.~ ) (require immediate isplatior, and inspection 9 ~ ^ portable as tinders _ 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 i dispensing propane) ARRANGEMENTS FOR EMERGENCY SERVICES si, explanation of_~?equirement Advance arrangements vritn local fire & police departments, nospit<31s and /or contractors for emergency sr:rvic.€~s should be made as appropriate far your facility; you may determine that advance arrangements are eat necessary for 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. EMPLOYEE TRAINING CONTENT & FORMAT '? Employee Training Content & Format ~3 E.xplanation of ~acluirem~nt _. _ _._..._._ _._.-._ _. - -----~- Ernp oyee training is required 'or all amp oyees handling hazardous rnateriais bazar pus wastes in day Co c ay or clean-up operations including volunteers !ir(or contractor ,. Required coner.nt for employee training includes all of the fagowinn: sq ..........,....- ....................~.-_......_.....-_.-~.~. ... _ • • CommWllCation Ek alarn, SyStCmS Material Safety Data Sheets • personal protective equipment I • hazard communication related to health & safety e. . ~ 9 • use of erneryenc~ response equipment • methods for safe handling of hazardous substances fire extinguishers, respirators, etc) i • fire hazards of materials /processes • decrnt:3mination pracedures • conditions likely to worsen emergencies • evacuation procedures • coordination of emergency response • control & containment procedures • notification procedures • UST rnonitoring system equipmerrC & • applicable laws & recfulations rocr_dures if a licab!e Indicate how employee training ... ___....,...,.._. -_, check ail that apply: _ - -~~~~ - program (with required content) is ®Formal classroom ^ Video(s) (specify): '""""~""'-~ administered: - ------..._._....__..._....._ ................_..........-....._.-._.. ~...~_..__........------.. _-...._.........,....-----.~....__.....__....................._........ safe /tall- ate meetln s Other s eci ~ ~- ~ ~~~- - ® ty g g ® (p fy): Annual online Veining ^ Study Guides /Manuals (specify): -6- ~ans~~~a~~~ ~r~ng~nc~ ~~ _~~.~ for Iiazardaus Materials, Hazardous Waste & Underground Storage Tanks Hazardous Materials Division FACILITY'IDENTI FICATION c, BUSINESS NAME FA LITY ID # DATE Verizon Wireless - EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION s~ _ Required frequency of training; sa explanation of_{?equirement Employee training must e: ~ provided within 6 months for new hires, ~ amended as necessary prior to change in process or work assignment, ~ given upon modification to emergency response /contingency plan, and ~ updated /refreshed annually far ALl employees. 5~i Certify that the facility's employee training program meets minimum ® Employee training Is provided, at a minlmum, as described above. fre uen re uirements: EiQ Record,of trar,,nng Via. ~xplagation af_i?equircment Written documentation of employee training sessions must be kept which include: s training outline; agenda ~ date of training session ~ employee names & job titles ~ brief jab description for hazardous waste generator facilities `~ Certify that the facility's training documentation meets minimum record (gl Employee training documentatlon Is provided at a minlmum, as described above. kee in re uirements: , 6~ Training program description or outline ~ Em~I4Yrr~ rir~ining prQgr ~rp ptt~n~ I ~ ~~ghQd ~ attached: _ .. , ._ .. .. . ._.~.....___~ .._.._........_..___....._.__...__...._..._._______..__....___..........__...._....._._.._........ . I ®Employee training program Is described here: i The Verizon Wireless Operations Managers make sure that their Field Operation i 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 I Personal Protective Equipment. Attached is the following: LIS T OF ATTACHMENTS ii1 '' Llst all attachments to th(s 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 those individuals respansi e for obtaining the information, I certi y under penalty o aw that I have personal y examined and am ~3miliar with the information submitted and believe the information is true, accurate and complete and that a cop,% is available on-site. gnature ate o comp a on ~ 2/23/2007 rrnt ame a osr on Shawn Stacey Environmental Compliance -7- To Whom It May Concern: The Verizon Wireless Operations Managers make sure that their Field Operation Staff, at the date of hire depending on their position, are trained in the applicable topics located in the Environmental Health Safety Awareness Training Overview. There is also annual online training with TargetSafety.com performed in Hazardous Communications, Combustible & Flammable Liquids, Eye Safety, and Personal Protective Equipment. Attached are the following and are placed with the Hazardous Materials Business Plan located at the site. 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 training. o California's Proposition 65 Letter Individual test verification is available from the Technician upon request. Contact information Owner/Operator Identification page, and under emergency contacts. Thank you, Operations Manager or Cell is located on the Business the primary and secondary VZW Environmental Compliance • . requency o Training Topic Regulation Training Application Hazard 29CFR1910.1200 Annual - Prior to working with or Communication TargetSafety.com around hazardous materials such as battery acid or diesel fuel. Emergency Action 29CFR1910.38 Annual Drills and All employees. Orientation Personal Protective 29CFR1910.132 to Annual - Prior to use, in job Equipment 139 TargetSafety.com functions that require the use of PPE such as, gloves, safety glasses or Lockout Tagout 29CFR1910.147 Initial w/ updates Prior to performing maintenance on covered equipment with the potential to release stored energy such as generators, air handling equipment or electrical equipment greater than Electrical Safety 29CFR1910.332 Initial w/ updates Prior to working on Related Work electrical facilities or Practices equipment were Lockout/Tagout is not Power Industrial 29CFR1910.178 every 3 years Prior to operating power Trucks (Forklift & industrial truck and Powered Pallet Jack) material handling Ladder Safe 29CFR1910.25 to 27 initial w u dates Prior to use ladders. Confined Space Entry 29CFR1910.146 initial w/ updates Prior to entry into confined spaces such as generator pits, under equipment vaults or Fall Protection 29CFR1910.21 to 30 initial w/ updates Prior to working in areas which present fall hazards such as rooftops, scaffolding or ladders or construction sites. Asbestos Awareness 29CFR1910.1001 Every 2 years Prior to performing maintenance, repair or installation work in areas with known or potentially asbestos containing materials(ACM) such as but not limited to floor tiles, roofing materials or insulation. Lead Awareness 29CFR1910.1025 initial w/ updates Prior to working in areas with lead based paint such as buildings, water Respiratory Protection 29CFR1910.134 initial w/ updates Prior to working in area which require the use of respiratory protection beyond a loose fitting ~. Hearing Conservation 29CFR1910.95 initial w/ updates Prior to working in area were noise exposure is in excess 85 dB over an 8 hour period such as generator or boiler First Aid & CPR 29CFR1910.151 every 1-2 years ~ _ e ~ opera on employees. Spill Response, First 29CFR1910.120 initial w/ annual Prior to working in Responder Operational updates facilities which contain Level hazardous materials above threshold quantities triggering SPCC requirements, such as MTSO, Hub and Data RF Exposure 29CFR1910.97 initial w/ annual Prior to enter into area updates that excess the FCC's General Population/Uncontrolled Maximum Permissible Bloodbourne 29CFR1910.1030 initial w/ updates All employees trained in Patho ens First Aid. Powered Hand Tools 29CFR1910.241 to initial w/ updates Prior to using powered 244 hand tools such as drills or ch in saws. ~~_ ^- ^ ~ ~~f~ ~q~ ~~~~ ~ L ..~.. ; ,,, : : 2007 Verizon Wireless Hazardous Communincation Training Training Objectives 8~ Table Of Contents Attached Last_Name First_Name Title Region Covered ue ~ a Scheduled / Completed Allen Darryl Operations Northern CA/NV Februa -07 Alo Lehi K. Operations Northern CA/NV Februa -07 Anderson Mike Operations Northern CA/NV Februa -07 Arzate Danny O erations Northern CA/NV Februa -07 Ayala Tony O erations Northern CA/NV Februa -07 Barbano Larry Operations Northern CA/NV Februa -07 Bona Alfredo B O erations Northern CAINV Februa -07 Carl E Bowling Jr Operations Northern CA/NV Februa -07 Bagaybagayan Catherine D Operations Northern CA/NV Februa -07 Baloto Glenda T Operations Northern CA/NV Februa -07 Bradley Wayne Operations Northern CA/NV Februa -07 Brown Bridgett Operations Northern CA/NV Februa -07 Bullock Craig A Operations Northern CA/NV Februa -07 Burkhart James O erations Northern CA/NV Februa -07 Castillo Jorge Operations Northern CA/NV Februa -07 Catoe Chuck O erations Northern CA/NV Februa -07 Chau Philip Operations Northern CA/NV Februa -07 Cinquini Jim O erations Northern CA/NV Februa -07 Cocanour Richard Operations Northern CA/NV Februa -07 Cross Coy Operations Northern CA/NV Februa -07 Cruz Stella Operations Northern CA/NV Februa -07 Cunningham David O erations Northern CA/NV Februa -07 Danielsen Michael Operations Northern CA/NV Februa -07 Danville Rolf Operations Northern CA/NV Februa -07 David John Net-O s Invento /Distrib Northern CA/NV Februa -07 Day Peter O erations Northern CA/NV Februa -07 Desmond Matthew O erations Northern CA/NV Februa -07 Dickeson Francine J. O erations Northern CA/NV Februa -07 Dietz John Operations Northern CA/NV Februa -07 Dobbs Larry Network Construction Northern CA/NV Februa -07 Faia Dean Operations Northern CA/NV Februa -07 Ferguson Jim Network Construction Northern CA/NV Februa -07 Francis Georgia Operations Northern CA/NV Februa -07 Fraties David W O erations Northern CA/NV ~` Februa -07 Frederick Armando Operations Northern CA/NV Februa -07 Galicia Ed O erations Northern CA/NV Februa -07 Gamiao Gerty Operations Northern CA/NV Februa -07 Garcia Eric O erations Northern CA/NV Februa -07 Gose Dennis Operations Northern CA/NV Februa -07 Graham James Network Construction Northern CA/NV Februa -07 Griffin Gene Operations Northern CA/NV Februa -07 Groves Walidah O erations Northern CA/NV Februa -07 <. .~_ W r. { . ~ Q~.~ ~~~ ~~ ~ ~~ ~~..._i.. _ ~ ...r ~,e.:,.. . ~oo~ Verizon Wireless Hazardous Communincation Training Training Objectives & Table Of Contents Attached Last_Name First_Name Title Region Covered =ue a Scheduled / Completed Harry Matt Operations Northern CA/NV Februa -07 Hatchett Larry O erations Northern CA/NV Februa -07 Hefner Robyn G. Operations Northern CA/NV Februa -07 Heimer Dave O erations M r Northern CA/NV Februa -07 Herrera Steve M O erations Northern CA/NV Februa -07 Hockman Kirk Operations Northern CA/NV Februa -07 Iversen Mark O erations M r Northern CA/NV Februa -07 Jerucha Shawn O erations Northern CA/NV Februa -07 Johnson Don Operations Northern CA/NV Februa -07 Johnson Jim O erations Northern CA/NV Februa -07 Johnson Scott Operations Mgr Northern CA/NV Februa -07 Jones Claude Operations Northern CA/NV Februa -07 Kneisley Robert Operations Northern CA/NV Februa -07 Kohls Walt Operations Northern CA/NV Februa -07 Krohn Tom Operations Northern CA/NV Februa -07 Kuka Tim Operations M r Northern CA/NV Februa -07 LaFon Alan O erations Northern CA/NV Februa -07 Lawrence Dale Operations Northern CA/NV Februa -07 Lee Kwan O erations Northern CA/NV Februa -07 Lee Steve Network Construction Northern CA/NV Februa -07 Lorenzo Joseph O erations Northern CA/NV Februa -07 Lusch Tim O erations Northern CA/NV Februa -07 Lusch Timothy Operations Northern CA/NV Februa -07 Marks Pamela O erations Northern CA/NV Februa -07 Marks Gene Operations Northern CA/NV Februa -07 Maurer Rich Operations Northern CA/NV Februa -07 McGrath Phillip O erations Northern CA/NV Februa -07 Means Trent A O erations Northern CA/NV Februa -07 Merino Fernando Operations Northern CA/NV Februa -07 Metcalf Mike Operations Northern CA/NV Februa -07 Miller Bret Operations Northern CA/NV Februa -07 Miller Craig Operations M r Northern CA/NV Februa -07 Montes Adrian M Operations Northern CA/NV Februa -07 Morgan Harold D Operations Northern CA/NV Februa -07 Nasers Charles Operations Northern CA/NV Februa -07 Nasers Chuck Operations Northern CA/NV Februa -07 Ngu en John O erations Northern CA/NV Februa -07 O'Bannon Vincent C Operations Northern CA/NV Februa -07 Olsen Scott O erations Northern CA/NV Februa -07 Ormsbee Todd G Operations Northern CA/NV Februa -07 Reilly Shawn O erations Northern CA/NV Februa -07 Reneau Loni O erations Northern CA/NV Februa -07 '- f s ~~ '~•~; ~ C~ ~ ~\ ~ ~~ pl ~ ~._._ ,.I,~ ~ I~oo Verizon Wireless Hazardous Communincation Training Training Objectives & Table Of Contents Attached Last_Name First_Name Title Region Covered ue a Scheduled / Completed Richardson Charles O erations Northern CA/NV Februa -07 Richter David Operations Northern CA/NV Februa -07 Robertson Dave Operations Mgr Northern CA/NV Februa -07 Rodrigues Carlos O erations Northern CA/NV Februa -07 Sager Ron O erations Northern CA/NV Februa -07 Schneider Russ Operations Northern CA/NV Februa -07 Schoneman Eric O erations Northern CA/NV Februa -07 Severance Skip O erations Mgr Northern CA/NV Februa -07 Severns_ Mike Operations Northern CA/NV Februa -07 Sewell Ernest Operations Northern CA/NV Februa -07 Sharp Ron Network Con. M r Northern CA/NV Februa -07 Shields James A O erations Northern CA/NV Februa -07 Shoopman Betsy Operations Northern CA/NV Februa -07 Simpson Keith A. Operations Northern CA/NV Februa -07 Small Dan O erations Northern CA/NV Februa -07 Smith Richard O erations Northern CA/NV Februa -07 Solga John O erations Northern CA/NV Februa -07 Stacey Shawn Environmental Compliance Northern CA/NV Februa -07 Strand Robert M. O erations Northern CA/NV Februa -07 Sua Peter Operations Northern CA/NV Februa -07 Sullivan Elena O erations Northern CA/NV Februa -07 Swearingen David A Operations Northern CAlNV Februa -07 Temme Steve O erations Northern CA/NV Februa -07 Thiffault Paul Operations Northern CA/NV Februa -07 Thomson Tom Operations Northern CA/NV Februa -07 Thornburg Allen O erations Northern CA/NV Februa -07 Torres Oscar O erations M r Northern CA/NV Februa -07 Vasgaard Dennis Operations Northern CA/NV Februa -07 Velasquez Mark Operations Northern CA/NV Februa -07 Walker Brent Operations Northern CA/NV Februa -07 Walker Russ O erations Northern CA/NV Februa -07 Welty Rick O erations Northern CA/NV Februa -07 White Kevin O erations Northern CA/NV Februa -07 Wlc Bernard Operations Northern CA/NV February-07 Indvidual Test Verification Is Available From Operations Managers Upon Request At the en~# cif #his course, yc-u will be able #o: t_icplain the need fair tsazarst cammunicat'ien in the workplace. tJn~ter~tands responsibifities under the hezard communication standard . Identi€}i the fundamental elernen#s of ~ hazard communication prograrra, Qescritae the criteria fair determining wheti`t$r ~ substance is a hazard. . ~Ctescntje the usa czt an M~CSS andl~r Iabei tri +~b'~in t-razar~l intcrrmatian -for a particular chemic~it. ~. "~ .rr'~x~~rr~i~ ~ ~: m ~'~t;l~ ~~ ~` ~rtt~r~k..~ . ,. Table of c~n~+~n~~ ~~~a~rs 1 'The QSh1A t-Canard ~crmtriunic~tiah Staildar~l Lesson ~ . As~ess6ng the Haz~arcfs ~.eseon ~ I~A~2terial Safety C3ata Shests (t~iSD~) L.esscrt 4 Warrrinr~ Lab~l~ Lesson 5 Written Plan Le.'~ort 6 Whet are Hazar~lc~4ts aGhernicals? Less4n,7 I~i~utes of entry Lesscin 8 Container La~lin~ ~essgn ~ Information and Training L~SSOn 1t7 fiflxiool~gi+cal and ~cvlogical He2arii~ ,, . Lesson 11 Reguli~tvey Inform~tian -. Lesson 12 Chemical La#Sisl Haza~~ Information Summa-airy Summary ~~~~~Y~~ C:al~f~rni~?s Pr~i~dn ~5, ~ Saf4 !)rin~:ri~ W~R~r ar~tl T~',~ic ~nf~rcctrient ltct, requires that pco~ic t~;. ~~rned }a~fctr~ t~t~y ~ e~c~as~d to any c~ieini~~! ~i~cl by the s~t~ ~f ~alif~rrria ~s a c:irein~eri ~c reprt~dtctivc toxin. 'J+er~+ ~J~rel~ss r~~~s u~an the +~+ottip:trues th.rt `~~~3° pr~daiets shit to pXt-vicTc rnut~erial ~a~`~ty ci;tta ~iu~ts ('~MSIJSs"~ ticribin~ ~h~~ct~rsticscr€th~~e~rr~~l,u~#~,incEt~,itt~~2rh~~ltlx~effe~ts: ~nf~rm.~tir+nc~zrc~mi~,th~e carcittiut;enicity zn~i rc~r~ueCii~~ tr-~icity ~f chtmicrtts call ~;cn:raily lx; fn~m~l %n t~tc Ma~~ i» tie secli~ns ~niiti~:~i ficlfth Haz~re~ Ir=f~t~mation ar.~~~~th i;:ff'r ~f~rn~ of the ~rr~ctuct.~ u i~ V~'rixfriti ~Viccless o~x;rstion~ th=at ~avsc cxp~rsure to ~arcirb~s~t;rts ~ricll+br rc~roi~zeti~~c t~-xins r2sltStfC s~lv~ rats usc~t in eleanin~, ~iisinf~ctc~nls,,~lcatr;;, gaint_~; ~u-cr batt~ri~.s azzd diesel Su~i ,~e.;~haust enaissic~tts) used in etner~cr:cy ~c~c;rat4r5» ~'!e~ x~:vi«v the ~~1Sf3~s fc~ tic s~ecifie ~-r€xitr~ts used in }'c~ttr vt~Ck area for further inE'or~nrstiQn a'btryui ti~~:ir hc.,~ltkr cft'ccis: lnstnaeti~ans fcrr s`e ~i;~r~ti{i~3 of the prrxlts~.ts t~ e u~.~::?re sct fc~rih in the IviF~Ss. r'~itiv:ty,~ rid ~tt~1 fiallcs~a sa~fcttscns~rLa~t6~s~-~ ` f~crr aclciiticirta[ jnfor»>atirsn.akut ~'ct~p X65, ytiu may want to c~ tc htt~~~~~~ivw aciah:~ca..I*vr nn~r~ in~°prnt~iiort ~b~iit ih~ ~ro~4ue~ d+esc~ibe in itt~ A,~t~~~, +~t Ver;rt lWircl's tC~ty prtirit, c~ritt $Q~6-48~-'7~~.