HomeMy WebLinkAboutBUSINESS PLAN 7/13/2006b
~ ``'ERIZON V`%YRELESS
• ~ 5230 WOODMERE DRIVE ~ _
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+ 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
~~
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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
~
„
, .
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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.
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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.
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-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
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