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HomeMy WebLinkAboutBUSINESS PLAN 7/13/2006b ~ ``'ERIZON V`%YRELESS • ~ 5230 WOODMERE DRIVE ~ _ - ~''OODIb~~g~ ti~ + VERIZON WIRELESS - WOODMERE ________________________= SiteID: 015-021-001983 + Manager ALAN HOLZMAN Location: 5230 WOODMERE DR City BAKERSFIELD BusPhone: (661) 873-2401 Map 123 CommHaz High Grid: 22B FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:4812 DunnBrad:01-216-7078 ------------------------------------- Emergency Contact / Title Emergency Contac Title ALAN HOLZMAN / NET OPER MGR RUSS WAL / OPERATIONS TECH Business Phone: (661) 873-2401x enhone: (661) 747-7001x , 24-Hour Phone (661) 872-2662x 24-Hour Phone (661) 321-5214x Pager Phone ( ) x Pager Phone ( ) - x Hazm ards: RSs ~ ® I Fire mHlth ' +-=----------------------- ---------- -------------- d-- ------------------- ~ Contact SHAWN STACEY ~~ Phone: (916) 357-2520x MailAddr: 255 PARKSHORE BLVD BLDG B Q~, ~°-- State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (925) 279-6455x Address 2785 MITCHELL DR State: CA City WALNUT CREEK Zip 94598 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK rased on my inquiry Af those indivit~uals responsible for obtaining the Information, I certify under penalty flaw that I have personally examined and s ~bmitted and familiar with the infarmat' n lieve the infor ti a curate, an c ma is 4r e, lete. ~~ a~ Signature Date ~NT'p ~ U ~ ~ y 2006 ~~~ ~S t~~\ 5 ~ _ -1- 03/15/2006 ~~ z`` ~~ VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 Manager MARK IVERSON Location: 5230 WOODMERE DR City BAKERSFIELD BusPhone: (661) 664-5601 Map 123 CommHaz High Grid: 22B FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title NETWORK OPERATIONS / CONTROL CENTER SHAWN STACEY / REGULATORY SPECI Business Phone: (682) 831-3523x Business Phone: (916) 357-2520x 24-Hour Phone (800) 264 -@~ 24-Hour Phone (800) 488-7900x Pager Phone ( ) ~~~x Pager Phone ( ) - x Hazmat Hazards: RSs Fire ImmHlth DelHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENS°B J U ~ ®~ 4~~~ ~tl c7 CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. n reSC`i.:i'?~~}~',IE• f:?r~ ~"r~r'',n~l of those individuals 0.r.° i ., hry the infOriratipn, ~ v~r.~ Under ~,~='nalt r~~ ~~, J GaXanllne' n ~ ~!- iil$t ~ hC ve c., li,~ t perranaliy `i .. d ?nl frrnl(18r ~ „ , . i , s~:.mi.ted and be!~u, ^ ~, ti'•h the in*ormation '~ t~~e i ac f n curate, , orn;a±ion is true, nd cornpiete Signature ___~ - ~/Z.j1D7 Date -1- 07/16/2007 11 t. F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ ~ 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 4607.20 LBS Hi ELECTRIC STORAGE BATTERY F IH L 1198.08 LBS Hi ELECTRIC STORAGE BATTERY F IH L 108.16 GAL Hi DIESEL #2 F IH DH L 275.00 GAL Low -2- 07/16/2007 -3- 07/16/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site VALVE-REGULATED LEAD/ACID BATTERY (VRLA) 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con88i60rLB5 Daily4607120m LBS I Daily4607r20e LBS - I1HG1i1CLVUA l.Vl•!t'VLVI:,IV1J oWt. RS CAS# 79.00 Lead No 7439921 riHGHCCL 1-1JJtSJJ1~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY VALVE-REGULATED LEAD/ACID BATTERY Location within this Facility Unit SEALED BATTERY CASE STATE TYPE PRESSURE Liquid TMixture~Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 23.04 LBS 1198.08 LBS 1198.08 LBS nr~~E-uu~VUJ ~.v1~irVlv~iV 1 J sWt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene No 9003070 I1EiGHKL HJ.71;J.71~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/16/2007 ~. F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site VALVE-REGULATED LEAD/ACID BATTERY (VRLA) 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# ~ Liquid TMixture ~ Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2.08 GAL 108.16 GAL 108.16 GAL tlr~~r~lcl~vua wlnrvlv~ly l a %Wt. RS CAS# 14.00 Sulfuric Acid (EPA) No 7664939 riAGHtCL H551;SS1~11;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME DIESEL #2 Location within this Facility Unit AST Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 STATE TYPE PRESSURE Liquid TMixture ~ Ambient TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 275.00 GAL 275.00 GAL 275.00 GAL tiHGHttLVU~ lLV1~lYV1VL'1V7J %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476346 riHGH.K.U AS~I;~~l~lt!i1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 07/16/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ 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 ECP-5 4. DURING REGULAR HOURS USE CONTACT NUMBERS PROVIDE IN SECTION 2: EMERGENCY NOTIFICATION. Employee Notif./Evacuation tUJ.J111.. 1VV 1.11. / LSVQU UGLL1V11 Emergency Medical Plan -6- 07/16/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/12/2007 ~ BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED 24-HOURS PER DAY BY THE LOCAL SWITCHING STATION. DIESEL FUEL HAS DOUBLE-WALL CONTAINMENT AND IS ALSO MONITORED BY LOCAL SWITCHING STATION. BOTH ARE INSPECTED ONCE PER MONTH BY SITE TECH. Release Containment 08/29/2006 FUEL TANK IS DOUBLE-WALL AND CONTAINMENT OF ANY SPILL IS MADE BY A POLYETHLENE-LINER UNDER 3-6 INCHES OF CRUSHED ROCK WHICH SURROUNDS THE BUILDING AND GENERATOR LOCATIONS. Clean Up 08/29/2006 INTERNATIONAL TECHNOLOGY CO 800-262-1900. V1.11CL ICCSV UI.LC LiC: l.lVdl.1 V11 -7- 07/16/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ut/c~.iai nac.atu7 Utility Shut-Offs 03/09/2007 ELECTRICAL - E SIDE OF BLDG Fire Protec./Avail. Water 1 HAT,ON 1211 FIRE EXT (9 LBS) L SIDE OF ENTR DOORS. 03/12/2007 Building Occupancy Level UNMANNED SITE 03/15/2006 -8- 07/16/2007 ~o 'ti F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/12/2007 ~ MSDS SHEETS ON FILE. rayc ~ nciu tVt ru~.utc v5c L1C1u 1VL rul.. U.LC U.7'C -9- 07/16/2007 Page 1 of 1 pages Forrn Approved OMB No. 2050-0072 Facility Identification Owner/Operator Name Name Woodmere Name Verizon Wireless Phone 908-559-7260 Tier Two Street 5230 Woodmere Drive Mail Address One Verizon Way / VC51 N069, Basking Ridge, NJ 07920 EMERGENCY Bakersfield Cit County Kem State CA Zip 93301 AND y Emergency Contact HAZARDOUS SIC Code 4812 Dun & Brad Number Shawn Stacey Title Regulatory Specialist N CHEMICAL ame INVENTORY Phone 916-357-2520 24 Hr. Phone 800-264-6620 Specific 4,FOR OFFICIAL ID # - ' Name Richard A. Craig Title Director Information USE Date Received Phone 908-559-7260 24 Hr. Phone 800-488-7900 by Chemical ONLY Important: Read all instructions before completing form Reporting Period From January 1 to December 31, 20 06 [ ] Check it infom,ation below is idenucai to the mforma6on submitted last year. Physical ~ ~ ~ Storage Codes and Locations Chemical Description and Health Inventory '~ i; ~ E (Non-Confidential) o Hazards ENT'D MAY 2 4 2007 . ~ ~ a . check all that a I Stora a Locations Trade CAS 7664-93-9 seorat [x] Fire Max. Daily R 1 4 In batteries in Battery Room Chem. Name Sulfuric acid [ ]Sudden Release 0 2 Amount (code) of Pressure Check all [ J [x] [ ] [x] [ ] [x] [x] Reactivity 0 2 Avg. Daily Amount that apply Pure Mix sous ugwd gas arts [x] Immediate (acute) ode EHS Name [x] Delayed (chronic) No. of Days ~ ~ On-site (days) Trade CAS secret [ ]Fire Max. Daily Chem. Name [ ]Sudden Release ~ Amount (code) of Pressure - Check an (] ] [ ] [ ] ] [ ] [ ]Reactivity ~ Avg. Daily Amount ~ that apply Pure Mix Solid Liquid Gas EHS [ ]Immediate (acute) Code ~ EHS Name [ ]Delayed (chronic) ~ No. of Days [ On-site (days) Trade CAS saorat [ ]Fire Max. Daily Chem. Name [ ]Sudden Release ~ Amount (code) of Pressure check au (] [ ] [ ] [ ] [ ] [ ] [ ]Reactivity Q~ Avg. Daily Amount that apply Pure Mix Solid Liquid Gas eHS [ ]Immediate (acute) code EHS Name [ ]Delayed (chronic) No. of Days ~ ~ On-site (days) Certification (Read and sign after completing a!/ sections) Optional Attachments I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one through 1 , and that ba ed [ ] I have attached a site plan . on my inquiry of those individuals responsible for obtaining the information, I beli t the sub n i e urate, and co pl [ ] I have attached a list of Site Coordinate abbreviations Richard A. Craig Director [ ] I have attached a description of dikes and other Name and official title of owner/operator OR owner/operators Sign Date gned Safeguards measures authorized representative ~~ _. ~.~ ~ ~~ VE~'tIZON WIRELESS - WOODMERE SiteID: 015-021-001983 Manager MARK IVERSON Location: 5230 WOODMERE DR City BAKERSFIELD BusPhone: (661) 664-5601 Map 123 CommHaz High Grid: 22B FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:4812 DunnBrad:88-463-8305 Emergency Contact / Title Emergency Contact / Title NETWORK OPERATIONS / CONTROL CENTER MARK IVERSON / OPS MANAGER Business Phone: (682) 831-3523x Business Phone: (661) 664-5601x 24-Hour Phone (800) 264-6630x 24-Hour Phone (661) 203-3205x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire ImmHlth DelHlth Contact SHAWN STACEY Phone: (866) 694-2415x MailAddr: 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Owner VERIZON WIRELESS Phone: (866) 694-2415x Address 255 PARKSHORE DR BLDG B State: CA City FOLSOM Zip 95630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK CALL MARK IVERSON, 203-3205, FOR INSPECTIONS. ~N~t~ ~~~ ~ ~QO~ Based on my inquiry of thi~~e indi~~i~i~;^Is cnsihle for ob'aining the informutl~rt, I ~v~rtify s re p under penalty of laud that I have ~;~rsonaily examined and am familiar with the information O submitted and believe the information is true, accurate, and co Clete. - , ate Signature -1- 02/20/2007 P VERIZON WIRELESS - WOODMERE ~~Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001983 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ELECTRIC STORAGE BATTERY F IH S 4945.20 LBS Hi ELECTRIC STORAGE BATTERY F IH L 1198.08 LBS Hi ELECTRIC STORAGE BATTERY F IH L 118.56 GAL Hi DIESEL #2 F IH DH L 210.00 GAL Low ~~~~~~ ~~o-~ (~~z~ -2- 02/20/2007 i. ' ~ -3- 02/20/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ ~°Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site VALVE-REGULATED LEAD/ACID BATTERY (VRLA) 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con95110rLBS Daily4945120m LBS I Daily4945r20e LBS ru~~tixl~vua ~vl~irvlvl;iv 15 oWt. RS CAS# 79.00 Lead No 7439921 tlE~GLiKL AJJL' Jal~ll"~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site VALVE-REGULATED LEAD/ACID BATTERY 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con23104rLBS Daily1198108m LBS I Daily1198r08e LBS r1H~HtcL~u~ ~vlnrvlvl;ivl~ %Wt. RS CAS# 30.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene No 9003070 t1HGHKIJ I~i55~~~1~11;1V 1 J 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 - WOODMERE SiteID: 015-021-001983 ~ ~~Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY Days On Site VALVE-REGULATED LEAD/ACID BATTERY (VRLA) 365 Location within this Facility Unit Map: Grid: SEALED BATTERY CASE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 2.28 GAL 118.56 GAL °sWt . Daily Average 118.56 GAL RSA CAS# tlE~GE1KL E~~51;JJ1~1J~;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit .Map: Grid: AST CAS# 68476-34-6 Liquid TMixtur~ Ambient~E ~ AmbientT~E ABOVEOGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 210.00 GAL 210.00 GAL 210.00 GAL t1EiGl-1LtLUUS 1.V1~lYV1V1:,1V 1.7 owt. Rs cAS# 100.00 Diesel Fuel No. 2 No 68476346 ri1~GL-lt[L L-~b.71;JJ1~11:,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARDOUS COMPONENTS -5- 02/20/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/29/2006 ~ 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 ECP-5 4. DURING REGULAR HOURS USE CONTACT NUMBERS PROVIDED. ,_ L~lll~/1VyGG 1VV 1.11. ~ P~VQI. UCiL1V11 Public Notif./Evacuation Lulciycii~.y a~icuil..ai riall -6- 02/20/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ ~ Mitigation/Prevent/Abatemt OveralloSite ~ ~ Release Prevention 08/29/2006 ~ BATTERIES ARE LOCATED INSIDE LOCKED COMMUNICATIONS SHELTER AND ARE MONITORED 24-HOURS PER DAY BY THE LOCAL SWITCHING STATION. DIESEL FUEL HAS DOUBLE-WALL CONTAINMENT AND IS ALSO MONITORED BY LOCAL SWITCHING STATION. BOTH ARE INSPECTED ONCE PER MONTH BY SITE TECHNICIAN. Release.Containment 08/29/2006 FUEL TANK IS DOUBLE-WALL AND CONTAINMENT OF ANY SPILL IS MADE BY A POLYETHLENE-LINER UNDER 3-6 INCHES OF CRUSHED ROCK WHICH SURROUNDS THE BUILDING AND GENERATOR LOCATIONS. Clean Up 08/29/2006 INTERNATIONAL TECHNOLOGY CO 800-262-1900. V1.11C1_ iCC~VUI.C:C LiC:l.lVdlrlVil -7- 02/20/2007 F VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~c~:iai na~,ciLU~ Utility Shut-Offs 08/29/2006 A) GAS - NONE B) ELECTRICAL - E SIDE OF BLDG C) WATER - NONE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/27/2006 PRIVATE FIRE PROTECTION - HALON FIRE EXTINGUISHER LEFT SIDE OF ENT DOOR Building Occupancy Level 03/15/2006 UNMANNED SITE -8- 02/20/2007 P VERIZON WIRELESS - WOODMERE SiteID: 015-021-001983 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/27/2006 ~ MSDS SHEETS ON FILE IN THE MAIN OFFICE. rayc c nciu tVi rul..uLC U.7"C I1C1u 1Vi t ul.uLC USC -9- 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_ I. FACILITY INFORMATION BUSINESS NAME-(Same as FACILITY NAME or DBA-Doing Business As) 3. ', Verizon Wireless -Woodmere CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Battery Case ^ YES ®No FACILITY ID # ~ l MAP # z°3. GRID # zoa. (Agency Use Only) II. CHEMICAL INFORMATIO N CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo5. Valve-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 amounts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by local agency) zl°. Acute/Chronic H=3, F=O, R=1 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 211- RADIOACTIVE ^ Yes ®No 2t2- CURIES 213. TYPE (Check one item only) PHYSICAL STATE zla. (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER 88.6 Ibs 215. FED HAZARD CATEGORIES 215. (Check all that apply) ^ a. FIItE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT z17. MAXIMUM DAILY AMOUNT zls. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 4607.20 lbs 4607.20 lbs 0 N/A zzt. DAYS ON SITE 222. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item only * 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 ^ I. CYLINDER ^ p. TANK WAGON 223. STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT z24. STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # t. 79 225. Lead/ Lead Compound r_7. ^ Yes ®No zzs. 7439-92-1 z29 2. 230. 231. ^YCS ^ NO 232. 233. 3. 234. 235. ^YCS ^ NO 236. 237. 4. z3a. 239. ^ Yes ^ No zao. zal. j, zaz. za3- ^ Yes ^ No zaa. gas. if more hazardous components are present at greater than 1 % by weigh[ if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za5. DOT Hazard Class: Batteries 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 _ - ~ 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-Woodmere CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. Sealed Battery Case ^ YES ®NO FACILITY ID # 1 l MAP # zo3. GRID # 2oa_ (Agency Use Only) ' ` II. CHEMICAL INFORMATIO N ' CHEMICALNAME 205 TRADE SECRET ^Yes ®No zob. Valve-Regulated Lead/Acid Battery (VRLA) If Subject [o EPCRA, refer to inswctions COMMON NAME 207. zas. EHS* ^Yes ®No Electric Stora a Batte CAS# zo9. *If EHS is "Yes," all amotmts below must be in lbs. See Below FIRE CODE HAZARD CLASSES (Complete if required by last agency) 2t°. Corrosive H=3, F=O, R=1 HAZARDOUS MATERIAL ^ a. PURE ®b. MIXTURE ^ c. WASTE 2t 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 2.08 gals or 23.20 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 2t7. MAXIMUM DAILY AMOUNT 2Ig ANNUAL WASTE AMOUNT 2l9 STATE WASTE CODE 22° 108.16 als or 1206.40 lbs 108.16 als or 1206.40 lbs 0 N/A 2zt. DAYS ON SITE 222. UNITS* ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl • If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTIC/NONMETALLICbRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ 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 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 22g. 7664-93-9 229. 2,. 230. 231. ^Yes ^ NO 232. 233. 3 234. 235- ^Yes ^ NO 236. 237. 4, 238. 239. ^Yes ^ NO 240. 241. 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 hwT1731(1/99) -1/2 http://www.unidocs.org Rev. 04/17/00 ~onsQlidated ~on~i~~enc}~ Phan fcr Hazardous Materials, Hazardous waste & Underground 5tcrage -ranks Fiararclons Materials Division FACILITY:IDENTIFICATION /OPERATIONS OVERVIEW BU INE NAME _ FA iLII'Y ID # DATE . Verizon Wireless - ~~UC~ ~~~ - 2 BUSINESS ADDRESS/~j~ '' ll ..11 ~ ' 1 `~ ` ( ~Y7yy, ~ ~~ Check elements wvered by this consolidated plan: '~ ,~ HdzardousMaterials® '` Hdiardous Waste ^ Underground Storage Tanks ^ ~~ r ; Supplemental elements submitted: ~`~~ ~ ~_ c ~~ 1 UST Written MOnltOrlnC) Plan ^ BU N e.g. painting contractor e.g. eet maintenance Wireless Telecommunications un-staffed facility,'shelter,~arid/or Sabi ets o RD E V R B e.g. c emica spi s, ire, eart aua e, etc j3 OSHA -EPA Hazard Communication Standard fMERGENGY COORDINATOR &`ON-SITE TECH ADVISORS J INTERNAL RESPONSE ` Identify,your Emergency Coordinator & On-site Technical Advisors: z 1 Name / Position: j NOCC - Network O orations Control Center I. ~...._._....._.._...._._...----._._..._......_._.__. p.._.._-----.._......_..._....__.._._......_.....,.-._..--~--.._..--~-- -~--- ............._............__.._.._ Emergency Coordinator: Address: j 255 Parkshore Drive, Folsom, CA I (_ _.__.._......--- ------------~---...__._.._......._.. _ ___.._..---~-~~-~----.._....._.._- ---_...._._..._......_._.........._.... ~ay~ NOCC 800-264-6620 Or ;After flours: NOCC 800-264-6620 ' i Must have the authority to classify the Phone #s: 1682-264 6620 ~ or 682-264-6620 - i t ..........._.___-..._-______.___..._..__.._..~ ....___- .__.._- _..-...-_ _._....___....._.._.._._ .._.._______._.. ~~---~_....._...._._-....._.._. release, make management decisions, & I Responsible for: ;spill prevention ;contacting faality responders.: ~ ` ~ determine appropriate response ~ -_Y .. -_ ..:.......-_.........-- ......._.._._.._..._._..._....-----------...- (check all that apply) ~ emergency assessment / ^ I authorizing spill response work ^ mi3naoement....._....____-~.... _.......__.....--.--,-...._._...----.._..~.____._._._...-.-----......_._._........_.._........._..._._. Person is: ^ on-site or ®on-call ~ j initiating alarms ^ ~ Interfacing with public emergency responders lJ .. . _ c__. _._ :. - _____. _-~ ___.__o ~ agency notification - ---t-..._.._..........---..._.._-._....-....---........._._._......____ .............._._. (Alternate # 1 (INSPECTIONS) Alternate # 2 ,(CORRESPONDENCE & BILLING) I Name /Position: ;Mark Iverson, Operations Shawn Stacey Manager_..-...-----......_._ Address: 255 Parkshore Drive Alternate Emergenry Coordinators: ~---" ~---- --~ --~-~--~-----~_._ . _. city: ` __.__....._._....______...-_..__.___....._....__..__........_._.___.....__.._..__.. Folsom . ........ . _.__.. List. Irt order of responsibility. zip: ~~----~---__._. _. ___._._. _._ ---..__.... __.._...._-_......_......_._.._._ .............._.__........_....._.-.... CA ~ Day phone: 661;664.5601 866-694-2415 . After hours phone: NOCC 800-264-6620 l NOCC 800-264-6620 :_._._......---_. ....-----_._._.~-~---._~_.-_ Person Is: ~ ^ on-site or ®on-call .. ._.._............_. _ __.___.__........------......---._.._...----.._.......... ^ on-site or ®on-call 1i I Owner: ;Supervisor: On-Site Technical Advisors ~AVi)Ilable to iJi"OVlde SItP""4pP.CIfIC tP„hnlCal adVICP_ ~-.__..._.._.__.........__._-._.....__..._.._...~-_.._.__..._-__._~-____._._-.-__.__-._......._.._.._.-..._......__._...._...._.....__....._..__.-........._.._...._. i to off-site emergE~nry respendei~s) I Manager: Other: un-staffed facili /shelter /cabinets ll Identi fy`type of internal response: i. ^ Internal facility Team Mem ors name or position : Responsi i ities: response team ~ tatG~ch additional page. it needed: ,Options: indicate an attachment by ~ checking ^ i 1. Refer to the enclosed Haz-Mat Business Plan Additional Information. itll'' tu}Y ~ 1 ; {chi ck one , ~ Name: Descri a ro a responsi i ities: Onyx Special Services Spill response, Ur i,~~~r~> ; ®Contractor ; L_address: ~'--"'"''"--~~'~~~~--~~~~~~~'~-~-----------~~-~-~--~-~~-- clean up, and hazardous material , _phone # ........8bti-49$'7~~bi~_.......------~- ~-~--._._..._.- ~ disposal ^ Catl public emergenry responders / 911 ~~~s®lidat~d ~Qn~i for hazardous h7aterials, Hazardous LVaste & i ey flan 5torag FACILITY IDENTIFICATION i_; BUSINESS NAME FACILITY ID # DATE Verizon Wireless- ~N~~i~~~i~ EMERGENCY COMMUNICATIONS J PHONE NUMBERS / ;NOTIFICATIONS is Internal & External Eme en Communications r9 cif r :Name Position: Individual responsible for on-site and off-site i Mark Iverson, Operations Manager and/or NOCC -Network emergency alarm notifications /communications: O erations Control Center ?u I c eck ai t at appry: INTERNAL facility emergency communications or ; ^ ~c~"°~ ~°~~~~~~y' i ^ """"` °"""" "' """`""' ~'°•~~ alarm notification will occur via: (®telephone ®pagers r_._._-...._._....--- --~---~-~-~-~--~.__.._._.._;...-~----__... -._..--- --..~__...__._.._......-- - - ®alarm system i ^ portable radio 'i e check all that apply: EXTERNAL notifications / commumcations to (-~ ~-" verbal-warnings ~ public a~d"ress or intercom syster neighboring facilities that may be affected by an 1-~ -.._.. _..__~__...__._-_.._-~ L^ _ .............._.___._..._....._-_._.........__......._._............_.-_.. telephone I ~ -pagers off-site release will occur by: ® _._ . -_...__ ._..__~.-. ~ ~__._...-... _- -_..____...___.-_... ~~® a arm system ~ ^ portable~radio `~ Emergency-Phone Numbers /Notification Lists ~ Bakersfield Police Dept. 911 I, ° 0 661.322.9253 Bakersfield Fire Dept. 0 66i~ ° Kern Medical Center o ~_...... ~.. Emergency response phone numbers ~_..-....----.--........._.._..._..__._.._-.-.----....._...._..._~.....--.--.--...-_..--..-.--.-.-._-.. -_----. County Hazardous Materials Division I (~'Poison~ontrol tenter' BbG~-2~2=i~:2f~-------"_..__.._. __. ?~ Nearest medical facility /hospital ' Name: Phone #: Kern Medical Center 661.326.2000 2s Your medical facility /hospital Name: Kern Medical Center Phone #: 661.326.2000 z4 Dept o Toxic Su stances ntro Hea quarters : 91 -323- 78 or 0-728- 942 i NV Division of Environmental Protection NV: 775-687-4670 NV State Haz-Mat Office NV: 775-684-7524 ice o mergency ervices - - 5 or 1 - 4 - 1 NV Department of Public Safety NV: 775-684-7500 CA Water Quality Contro Board - - or - NV Water Quality Control Board NV: 775-684-2800 nv ronmenta rote on gency o Environmental Information Center o Toll Free: 866-372-9378 0 24-HR Environmental Emergencies o 24-HR: 800-300-2193 Agency Notification Phone List o RCRA Information o RCRA: 800-424-9346 National Response Center 1-800-424-8802 ept o is ame . NV Dept of Wildlife NV: 775-688-1500 CA OSHA CA OSHA o Division of Occupational & Health o 510-286-7000 o CAL -OSHA Enforcement o 714-558-4411 i orn a fate re ars a 5- Nevada State Fire Marshall NV: 775-684-7500 -z- ~Qnsolidatec ~ac~~ for Hazardous h1aterials, Hazardous Waste & I '~ . : Other Important Numbers . . its Neighbor.Notification List -'~ List alh businesses /structures bordering 8c/or adjacent to your facility: at fariiitys I Business name:, at acilitys 0 Business name: , Q northern I southern i border: h.._.__.....__..........._....------~------._.._._...__.---._.-............-.._.....-._.-._.- border: address: , , ~ I ! ! j ~..-----..._____------ address: , hone #: j P ! ~ ___ -.---_--._. phone #: I contact name /position: ~ ! contact name / position: 29 at acity s j at racilit s . Business name: , () ~' ~ Business name: O eastern __._......._...._.__...._.....~.~...--~-----------.__._.__---~--._.._..._.._--- ~ western ! -3 .._ _ I border: ': address:, i border: ; -------._..~~~.._._.. _ _ address:, (.......-~-~-~---_ _ ---_-__...-....... __..._...._._.._----__-_._---....__......~..._..__..._._ ~ I j j phone #: i ._..__-----~~-~---._.._._...~_.._._...---- phone #: f ._....---.-...__.._............~..------ ---~---------...-----._...__.....-----....._....._..._.._...._J 1 3c :contact name / position: I .----~----~-~---.._.___..._----..._-.._. contact name /position: P[an -3- ~Qn~o[icate~ ~onting~nc~ Phan H818i'd0U5 Materials Divi510n fnr tiazardais Materials, hlazardous waste & Underground Storage tanks FACILITY IDENTIFICATION is BUSINESS NAME / FACILITY ID # pgTE Verizon Wireless - ~ ~ ~ ,~ ~ EMERGENCY CONTAINMENT &.CLEAN-UP PROCEDURES 3r Containment, Prevention & Clean-Up Indicate your procedures for: ~ -provfAe-strvcturai-~ h ~cah barrier-- e: --~--~--~~~~_.....__..._.._._ .................._._._._..._...._._... spill containment walls) ®monitor for leaks, ruptures, pressure build-up, etc i -~--- ...._..._- ......__........... 1. containing spills, releases, fires ~ provlde'a6soruieiit phys'ical~l~arrie~ ~" - "'-- -~ covey or 61'ock-floor i~r storm tl~raris~~-~~~---- ~ ~~- or explosions, & ~--- - I ~ built=iri ~6erm lnwork-]storage ~a~ea ~"" _"-- -`~_ automatic fire suppression system-__.._....._-_..._ ................ 2. preventing and mitigating ;~-~~~~~~--si:op processes ~r~~o~~e~aEioris ~ --~~-~~--~-------`--~- --~----~ ~- associated harm to persons, ' ® p ~ ~ automatic /~elecfronc equipments ut-off system roe & the environment: ~ -- shut-off -~water_.._.._....._...-----.....---.----..._--. _ .... _. _____.._~_____.._...---..-----......__._ ..............-_-_- p p rty I ® gas, electrical utilities as ~ ®~call 911 for public emergency responder appropriate ~ assistance /medical aid i_.._._...._.__.._.__....--------...._....__...-_ _-.......~..._.__-...._....__--.~_.___.__._.._...._...._.__.....-......-- - - --..._....._ ____ ................_.:._....._.........._............ ®provide protective equipment for on-site response I ~ eliminate sources of ignition for flammable hazards ~ team (e.g. fuel, propane) I ®notify & evacuate persons in all threatened areas ~ ~ remove or isolate containers /area as appropriate account for evacuated persons immediately after j evacuation call I 1........---........._...-._.....__.........._._..._._.._..........--~--._...._...._._._..-.._....._...__.~._.__-._----_.----..._-_._.-._..._..----~~----...._...._.---............_. _.__ . _. ®other (specify): Contact Verizon Wireless 24-Hour Hotline (800-488-7900) and report incident, which will trigger ._ Onyx special services. 3a c ecic a that apply: Indicate your clean-up procedures: ___........._.._.........---._.........._....__._ ...............----._._...._.._~.........._..-------~~--~-~---....-----~---...____....--~-~------.._......_____._........------................. ®hire licensed hazardous waste contractor. (ONYX special Services) O use aC~sor-berif materiaTfoT spiifs with su6sequenY proper labeling;~sfo~age~arid-hazardous waste dsposaras ~~~~~~~~~ ~~~~ I appropriate a sucflori usingsfiop vacuum-with sufisequent proper labei'iriq;-storage and-Hazardous waste disposal as appropriate wash /decontaminate equipment w/ containment & disposal of effluent / rinsate as hazardous waste ~ provide safe temporary storage of emergency-generated wastes i----......~_____......._..- -----._....._.__ -~----~-~----._..._.__.._._...._.__.._....--~---.._..-.__.__......_._...._._.__. _ ............._.__... other (specify): ! ~~ .Evacuation Coordinator & Assembly Area 36 ,,, ~ 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' Identify / describe emergency I specify: un-staffed facility /shelter /cabinets assembly area for evacuees: Identify the location where your I specify: un-staffed facili shelter cabinets ~ ty / / evacuation route /map is posted: Other facility evacuation procedures: !specify: -4- ~Qnsa~lida~ed ~~n~ingene~ flan for Hazardous Materials, Hazardous Waste & Underground Storage'Tanks Narardous Materials Division FACILITY IDENTIFICATION 3s; BUSINESS NAME ~ FA ILITY iD # DATE Verizon Wireless - ~~ ~ (~ (~'~ EMERGENCY E. UIPMENT 39 List of available emergen equipment {check all ttrat ap~y) ~,~ Egwpment Avat a e Location Capa ~ ity as app tw e 41 Gc1471GIE: I Use Category Z rwrtab:e fire extinr_,uishers C.tIP(T1N.iIl I)rOiE4:tIVP ({IDV~S ` +1 Safety & First Aid c emica protective suits, aprons or vests Equipment ®chemical protedlve gloves chemical protective boots ® safety glasses /goggles /shields hard hats --^ -cartridge respirator-_- .._._.__.~._. __. ........ self-contained breathing apparatus ® first aid kits /stations plumbed eyewash fountain /shower ® portable eyewash kits ~ other: ~+s Fire Extinguishing ®porta a ire extinguis ers Equipment ~ fixed fire stems /sprinklers /fire hoses fire alarm boxes or stations ................._..._.__.~.__...-- ---....._._._...-- _ ~ other : ~ . Spill Control & Clean- ®a sor ent materia 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: a; to ep ones inc u es ce u ar ® Communications & _ __ _ _ _....._....... ~_.._--------._....__....---- 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 ...........................L...._._.................._............rateci 35 "C° .. ... ....... ... .5..._-. sr:dl respcm~ kit one-time u,e, oil & _crlvi 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. CansQ[idated ~ontingenc~ ~~an Nararrinirc MaFarialc rSivicinn Hazardous waste & Underground Storage Tanks FACILITY IDENTIFICATION ~~, BUSINESS NAME / FA LITY ID # DATE Verizon Wireless- n, ~(~ j EARTHQUAKE VULNERABILITY ar Areas of earthquake yulnerabiiity 4~~ ~ Cieck a i that apply: t..OCatlon (e.q. shop, outdoor shed. ;crensic lab;: Identify areas of facility vulnerable to ~..__......--.--...........__-... ~_.._,__...._._..__......._.___-- _._..--.-----._ ~ ®hazardous materials /waste storage area k ill t rth l d _.___.__.._-.._..-.-.....__._._.._...__. ___....---...---..........__.-_......._...__-- o ea qua e re eases /sp s ue _._ ___.-......_......_...._._._.._.__.__-_.._-..___...._...._.__._._._.._..-....,-_ related motion: i ^ process lines /piping Batteries installed exceed 1997 UBC (require irnrneciiate is~latiprt attd inspection) -----~-~--~-~~~------ -~~~-~~~--~--~--~---~------~---~ and/or 2000-2003 IBC Seismic Zone 4 laboratory ^ ._...._i.._..__. specifications. i ^ waste treatment area 4g ~ c seek a I C tai apPry h i l stems tif Id _Af-ecte oC~aUons...__..._....__........-_ .......................--- .. ;._.........._.... __.. _.._ _ _ ........._._ .__.._. .... ........._---- ---~--._ - an sy en y mec ca vulnerable to releases /spills due to ^ shelves, cabinets ~i...~acics......_ -- -___~-_........ __ earthquake related motion: j ^ tanks (emergency shutoff) r_-....- ---._...- ..............-.__....._......._....._._...- ----..._.......________-...._. (require immediate isofaticrt and inspection) portable gas cylinders ~_ ~ ____.__.._.__.._..____..._......__.._._.___..._..-...........__.____.._..__..__.__ Power Breaker Located on/at un- ®emergency shutoff &/or utility valves staffed facility, shelter Or outdoor i ^ sprinkler systems cabinet. r ~ stationery pressurized containers (e.g. tank for i dispensing propane) ARRANGEMENTS FOR EMERGENCY SERVICES so i Advance arrangements v+ith local fire & police departments, hospitals ano ; rr contractors far emergency sc:rvlCeS r re m e ni Ex tanatian oi' I?e u I p q _ _ _ _ __ _ ~ ~ ~ ~ should he made as appropriate for year faciliy; you may determine that advance arrangements are not necessary for ~ ~ your F<7tiiity. ,t ~ ^ Determine not necessary Describe any advance arrangements made for local emergency services: ~ _.. .. _ .._...-_-._.._--_-_...__..._..-.________._--_...-.____-._...._.__......._._....-._.__...__-.....__....._._.__.......-._._ ............... I ®Speclfy: ONYX Is available 24 hours per day to assist In spill clean up, and/or telephone support regarding spills or venting of batteries. i EMPLOYEE TRAINING CONTENT & FQRMAT '? Employee Training Content & Format ~.3 { Fmpoyee training is required .or ail empoyees handling azardous materials ~ bazar ous wades in day to day cr Explanation of_~quiremt:nt dean-up operations including volunteers fk/or contractors. Required content for employee training includes all of [he fellowinc: 54 , ComnlUnlCatiOn & alarm >ystcros • Material Safety Data Sheets • personal protective equipment hazard communication related to health & safety e.g. i • use of emergency response equipment • methods for safe handling of hazardous substances fire extinguisher,, respirator,, etc: • fire hazards or materials (processes • r decrntamination procedures • cendii.ions likely to Gvorsen emergencies • evacuation procedures r • coerdinaticn of emergency response • contra' & containment procedures i • notification procedures • UST monitoring system equipmerrt & i • appiieable laws & regulations recedures iif a Iicab':e _~;~; check all that apply: Indicate how employee training i..-------...._............__ .............___..__._ ........--~--...---~------......._....__-__--~----..._.._._......................_..........._... r ----......._.........~ _....-~---.;~..... _. _----...._.__..___-. program (with required content) Is ; ® Formal classroom ^ video(s) (specify): ' ' ~ ----- _ _- - ---~--...-~------_....-----...- ------._.......- ---~-~--.....__.......--- -- ------.._..__... _ -- administered: (®Safety /tail-gate meetings I ®Other (specify): Annual online training i ^ Study Guides /Manuals (specify): -6- Gan~o~date~ ~~nting~nc~ ~[an for Hazardous Materials, Hazardous Waste & Underground Storage Tanks Hazardous Materials Division FACILITY IDENTIFICATION ~, BUSINESS NAME V i Wi l ~I m FA LILY ID # pA~ er zon re ess - V V V vV ~ (~ f C./ EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION ~7 Required frequency of training `'~ ~xptanation of_i?equirement j tmployee training must e: ~ provided within 6 months for new hires, ~ amended as necessary prior to ch,:noe in process er work assignment, ~ given upon modification to emergency re ~ponse J contingency plan, and o updated ,•' refreshed annually for ALL employees. ~' Certify that the facility's employee I training program meets minimum ! ® Employee training is provided, at a minimum, as described above. fro uen re uirements: (5Q Record of training ~! Ex lanation of ~ uirement _._p ._._._._._-_-- -. q_._._._._._ i V`Jritten documentation of employee training sessions must be kept which include: i ~ trainin cutline; a ends date of trainir, ~ g g ~ 9:~ession ~ employee names & job tales ~ brief job description for hazardous ~iaste oenerat.or facilities G~ Certify that the facility's training documentation meets minimum record ~ ®Employee training documentation Is provided, at a minimum, as described above. kee in re uirements: i 5j Trainin ro ram descri tion or outline 9 p 9 P ^ EmlZ.4.Y_~~_tralning_programQutlln~..!.S ~~hed~.------..-....-....---.-...-_....-....-.-....~.--.--....-...._.-..-..-.- ............... ----- attached: t ® Employee training 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 I Hazardous Communications, Combustible & Flammable Liquids, Eye Safety, and Personal Protective Equipment. Attached is the following: ' LIST OF ATTACHMEWTS List all attachments to this document here: o Verizon Wireless Additional Information for SPILL PREVENTION, EMERGENCY RESPONSE, TRAINING and CLOSURE PLAN o VZW Environmental Health Safety Awareness Training Overview o VZW Network Training Matrix that gives the training topic and frequency of training. o TargetSafety.com training objectives, table of contents, and a list of staff that have completed the online annual trainin . SIGNATURE /CERTIFICATION t~ s Based on my inquiry of those individuals rsponsiule ror obtaining the intonnation, I certify under penalty of law that I have persona! y examined and am familiar with the information submitted and believe the information is true, accurate and complete and that a copy is available on-site. ignature ate o comp eUon 2/23/2007 not ame ! e osi on Shawn Stacey Environmental Compliance -7-