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Home My WebLink About5508 YOUNG Street _BP 12.1.09UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of FACILITY ID # 117. CONTACT PHONE XM Environmental Compliance (Billing & Correspondence) (866) 694-2415 xxxx�� %WN CONTACT MAILING ADDRESS 119. CONTACT EMAIL 1198. 255 Parkshore Drive '- BEGINNING DATE 100- ENDING DATE 101. (Agency Use Only) ZIP CODE 122. Folsom CA 95630 ........... .... . ... ....... ... . 4P RIMARY V. EMERGENCY G. ..E.....NC.Y. .....C... ..O N... .T. . AC 8 - SECONDARY NAME 123. NAME 128. I Michael DeCock BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) 3. BUSINESS PHONE 102. Verizon Wireless - Bakersfield MTSO Network Operations Manager )UNSTAFFED BUSINESS PHONE BUSINESS SITE ADDRESS BUSINESS PHONE 103. BUSINESS FAX 1028. 5508 Young Street 24-HOUR PHONE (916) 357 -2508 24-HOUR PHONE BUSINESS SITE CITY 104. ZIP CODE 105. COUNTY 108. Bakersfield 132. CA 93314 none Kern ADDITIONAL LOCALLY COLLECTED INFORMATION: DUN & BRADSTREET 106. PRIMARY SIC 107. PRIMARY NAICS 1078. 88-463-8305 4812 517212 BUSINESS MAILING ADDRESS 1088. Environmental Compliance BUSINESS MAILING CITY 108b. STATE 108. ZIP CODE 108d. 255 Parkshore Drive, Folsom CA 195630 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110. Michael DeCock (661) 664-5601 ........... ........ ................................ II BUSINESS OWNER ............ OWNER NAME 111. OWNER PHONE 112, Verizon Wireless (866) 694-2415 OWNER MAILING ADDRESS 113. 255 Parkshore Drive OWNER MAILING CITY 114. STATE 115. ZIP CODE 116. Folsom CA 95630 . .. ............. . ........ t�i.CONTACT ............ ..... . . ..... ..... ENVIRONMENTX ::�Ii -XX ........... ................... .................... ...... . . ..... .......... .... ..... .. ..... . . .... CONTACT NAME 117. CONTACT PHONE 118. Environmental Compliance (Billing & Correspondence) (866) 694-2415 CONTACT MAILING ADDRESS 119. CONTACT EMAIL 1198. 255 Parkshore Drive CONTACT MAILING CITY 120. STATE 121. ZIP CODE 122. Folsom CA 95630 ........... .... . ... ....... ... . 4P RIMARY V. EMERGENCY G. ..E.....NC.Y. .....C... ..O N... .T. . AC 8 - SECONDARY NAME 123. NAME 128. Network Operations Control Center Michael DeCock TITLE 124. TITLE 129. N.O.C.C. 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 925 )708-8909 PAGER# 127. PAGER# 132. ) none none ADDITIONAL LOCALLY COLLECTED INFORMATION: 133. Billing Address: Property Owner: Phone No.: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE_QF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DAT 134. NAME OF DOCUMENT PREPARER 135. 1121107 1 Debra Voth NAME OF SIGNER (print) 136. TITLE OF SIGNER 137. Armand Delgado Environmental Compliance UPCF Rev. (12/2007) - 1/2 www.unidocs.org H =3, F =O, R =2 HAZARDOUS MATERIAL 211. RADIOACTIVE 212. CURIES 213. TYPE (Check one item only) ❑ a. PURE ® b. MIXTURE ❑ c. WASTE ❑ Yes ® No NA PHYSICAL STATE 214. . LARGEST CONTAINER 215. (Check one item only) ® a. SOLID ❑ b. LIQUID ❑ c. GAS 152.1 Ibs or 15.06 ga IS FED HAZARD CATEGORIES 2115. (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 220. 36504lbs/3614.4 gals 36504lb/3614.4 al NA 0 UNITS* ❑ a. GALLONS ❑ b. CUBIC FEET ® c. POUNDS ❑ d. TONS 221. DAYS ON SITE 222. (Check one item only) * If EHS, amount must be in pounds. 3655 STORAGE ❑ a. ABOVEGROUND TANK ❑ f CAN ❑ k. BOX ❑ p. TANK WAGON 223. CONTAINER ❑ b. UNDERGROUND TANK ❑ g. CARBOY ❑ 1. CYLINDER ❑ q. RAILCAR ❑ c. TANK INSIDE BUILDING ❑ h. SILO ❑ m. GLASS BOTTLE ®r. OTHER ❑ d. STEEL DRUM ❑ i. FIBER DRUM ❑ n. PLASTIC BOTTLE ❑ e. PLASTIC/NONMETALLIC DRUM ❑ j. BAG ❑ o. TOTE BIN 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 # l 22 226. Electrolyte /Sulfuric Acid 227 C1 Yes ® No 228 7664 -93 -9 229 230. 231. 232. 233. 2. ❑ Yes ® No 234. 235. 236. 237. 3. ❑ Yes ❑ No 238. 239. 240. 241. 4. ❑ Yes ❑ No 242. 243. 244, 245. 5. ❑ Yes ❑ No If more hazardous components are present of 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 246. DOT Hazard Class: UN2796 240 C &D MCT -4000 If EPCRA, Please Sign Here. UPCF Rev. (12/2007) - 1/2 www.unidocs.org 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 BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3. Verizon Wireless - Bakersfield MTSO CHEMICAL LOCATION 201. 1 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202. Sealed Battery Case ❑YES NO MAP # (Optional) 203. GRID # (Optional) 204. FACILITY ID # (Agency Use Only) H =3, F =O, R =2 HAZARDOUS MATERIAL 211. RADIOACTIVE 212. CURIES 213. TYPE (Check one item only) ❑ a. PURE ® b. MIXTURE ❑ c. WASTE ❑ Yes ® No NA PHYSICAL STATE 214. LARGEST CONTAINER 215. (Check one item only) ® a. SOLID ❑ b. LIQUID ❑ c. GAS 170 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 220. 40800 1 40800 NA 0 UNITS* ❑ a. GALLONS ❑ b. CUBIC FEET S c. POUNDS ❑ d. TONS 221. DAYS ON SITE 222. (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE ❑ a. ABOVEGROUND TANK ❑ f. CAN ❑ k. BOX ❑ p. TANK WAGON 223. CONTAINER ❑ b. UNDERGROUND TANK ❑ g. CARBOY ❑ 1. CYLINDER ❑ q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ h. SILO ❑ m. GLASS BOTTLE ® r. OTHER ❑ d. STEEL DRUM ❑ i. FIBER DRUM ❑ n. PLASTIC BOTTLE ❑ e. PLASTICINONMETALLIC DRUM ❑ j. BAG ❑ o. TOTE BIN 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. 71 226. Lead /Lead Compounds 227 ❑ Yes ® No 228. 7439 -92 -1 229. 230. 2. 231. 232. ❑ Yes ® No 233. 234. 3, 235. 236. ❑ Yes ❑ No 237. 238. 4, 239. 240. ❑ Yes ❑ No 241. 242. $, 243. 244. ❑Yes [_1 No 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 246. DOT Hazard Class: UN2291 240 C &D MCT -4000 If EPCRA, Please Sign Here. UPCF Rev. (12/2007) -1/2 www.unidoes.org UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (One page per material per building or area) ❑ ADD ❑ DELETE ❑ REVISE zoo. Page Of (Complete ijrequired by CUPA) F =O, H =3, R =1 HAZARDOUS MATERIAL 211. RADIOACTIVE 212, CURIES 213. TYPE (Check one item only) ® a. PURE ❑ b. MIXTURE ❑ c. WASTE ❑ Yes ® No 1 NA PHYSICAL STATE 214. LARGEST CONTAINER 215. (Check one item only) ® a. SOLID ❑ b. LIQUID ❑ c. GAS 23.2 Ibs or 2.08 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 220. 92.8 Ibs / 8.32 gals 92.8 Ibs / 8.32 gal s NA 0 UNITS' ❑ a. GALLONS ❑ b. CUBIC FEET ® c. POUNDS ❑ d. TONS 221. DAYS ON SITE 222. (Check one item only) ' If EHS, amount must be in pounds. 3655 STORAGE ❑ a. ABOVEGROUND TANK ❑ f. CAN ❑ k. BOX ❑ p. TANK WAGON 223. CONTAINER ❑ b. UNDERGROUND TANK ❑ g. CARBOY ❑ I. CYLINDER ❑ q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ It. SILO ❑ m. GLASS BOTTLE ® r. OTHER ❑ d. STEEL DRUM ❑ i. FIBER DRUM ❑ n. PLASTIC BOTTLE ❑ e. PLASTICINONMETALLIC DRUM ❑ j. BAG [10. TOTE BIN 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 # 226. 1. 14 Electrolyte /Sulfuric Acid 227 ❑ Yes ® No 228. 7664 -93 -9 zz9. 230. 2. 231. 232. ❑ Yes ® No 233. 234. 3. 235. 236. ❑ Yes ❑ No 237. 238. 4. 239. 240. ❑ Yes ❑ No 241. 242. 5. 243. 244. ❑ Yes ❑ No 245. tf 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 246. DOT Hazard Class: 4 Northstar NSB170FT If EPCRA, Please Sign Here. UPCF Rev. (12/2007) - 112 www.unidoes.org See Below FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210. F =O, H =3, R =1 HAZARDOUS MATERIAL 211. RADIOACTIVE 212. CURIES 213. TYPE (Check one item only) ❑ a. PURE ® b. MIXTURE ❑ c. WASTE ❑ Yes ON, NA PHYSICAL STATE 214. LARGEST CONTAINER 215. (Check one item only) ® a. SOLID ❑ b. LIQUID ❑ c. GAS 88.6 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 219. STATE WASTE CODE 220. 354.4 Ibs 354.4 Ibs NA 0 UNITS ❑ a. GALLONS ❑ b. CUBIC FEET ® c. POUNDS ❑ d. TONS . 221. DAYS ON SITE 222. (Check one item only) ' If EHS, amount must be in pounds. 365 STORAGE ❑ a. ABOVEGROUND TANK ❑ f CAN ❑ k. BOX ❑ p. TANK WAGON 223. CONTAINER ❑ b. UNDERGROUND TANK ❑ g. CARBOY [:11. CYLINDER ❑ q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ b. SILO ❑ m. GLASS BOTTLE ®r. OTHER ❑ d. STEEL DRUM ❑ i. FIBER DRUM ❑ n. PLASTIC BOTTLE ❑ e. PLASTIC/NONMETALLIC DRUM ❑ j. BAG ❑ o. TOTE BIN 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 # 226. 1. 57 227. Lead 228. [I Yes ® No 7439 -92 -1 229. 230. 2. 22 231. Lead Oxide 232. El Yes ® No 1309 -60 -0 233. 234. 3, 235. 236. ❑ Yes ❑ No 237. 238. 4. 239. 240. ❑ Yes ❑ No 241. 242. 5, 243. 244. ❑ Yes ❑ No 245. 1r 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 246. DOT Hazard Class: 4 Northstar NSB170FT If EPCRA, Please Sign Here. UPCF Rev. (12/2007) - 1/2 www.unidoes.org 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 XXX M .:: BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) 3. Verizon Wireless - Bakersfield. MTSO CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL EPCRA 202. Above Ground Storage Tank ❑ YES ® No FACILITY ID # cg °_ 1. MAP # (Optional) 203. GRID # (Optional) 204. (Agency Use Only) nzi3d? I RUM v II. CHEMICAL ;INFORMATION .: CHEMICAL NAME 205. TRADE SECRET 206. ❑Yes ®No Ultra-Low Sulfur Diesel Fuel If subject to EPCRA, refer to instructions COMMON NAME 207. EHS* 20s. ❑Yes ONO Diesel Fuel #2 *If EHS is "Yes," all amounts below must be in lbs. CAS# 209• See Below FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210. H =O, F =2, R =0 HAZARDOUS MATERIAL 211. RADIOACTIVE 212 CURIES 213. TYPE (Check one item only) ❑ a. PURE ® b. MIXTURE ❑ c. WASTE ❑ Yes ONO 1 NA PHYSICAL STATE 214. LARGEST CONTAINER 215. (Check one item only) ❑ a. SOLID ® b. LIQUID ❑ c. GAS 8000 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 220. 6400 gals/46400 lb s 8000 gals/ 58000 lb NA 0 UNITS* ® a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS 221. DAYS ON SITE 221 (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE ® a. ABOVEGROUND TANK Elf CAN ❑ k. BOX ❑ p. TANK WAGON 223. CONTAINER ❑ b. UNDERGROUND TANK ❑ g. CARBOY ❑ 1. CYLINDER ❑ q. RAILCAR ❑ c. TANK INSIDE BUILDING ❑ h. SILO ❑ m. GLASS BOTTLE ❑ r. OTHER ❑ d. STEEL DRUM ❑ i. FIBER DRUM ❑ n. PLASTIC BOTTLE ❑ e. PLASTIC/NONMETALLIC DRUM ❑ j. BAG ❑ o. TOTE BIN 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. 99.5 226. Diesel Fuel 227 ❑ Yes ® No 22s. 68476 -34 -6 229. 230. 2. 0.5 231. Napthalene 232. ❑ Yes ® No 233. 91 -20 -3 234, 3. <0.05 235. Sulfur 236. ❑ Yes ❑ No 237. 7704 -34 -9 238. 4, 239. 240. ❑ Yes ❑ No 241. 242. $, 243. 244. ❑ Yes ❑ No 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 246. DOT Hazard Class: UN1993 If EPCRA, Please Sign Here. UPCF Rev. (12/2007) - 1/2 www.unidocs.org UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (One page per material per building or area) inn Non - Flammable Gas HAZARDOUS MATERIAL 1 6865 1 211. RADIOACTIVE 212. CURIES 213. TYPE (Check one item only) ® a. PURE ❑ b. MIXTURE ❑ c. WASTE ❑ Yes ® No 1 NA PHYSICAL STATE 214. LARGEST CONTAINER 215. (Check one item only) ❑ a. SOLID ❑ b. LIQUID ® c. GAS 1017 FED HAZARD CATEGORIES ❑ q. RAILCAR 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 220. 6865 1 6865 1 NA 0 UNITS* ❑ a. GALLONS ❑ b. CUBIC FEET ® c. POUNDS ❑ d. TONS 221. DAYS ON SITE 222. (Check one item only) ` If EHS, amount must be in pounds. 365 STORAGE ® a. ABOVEGROUND TANK ❑ f. CAN ❑ k. BOX ❑ p. TANK WAGON 223. CONTAINER ❑ b. UNDERGROUND TANK ❑ g. CARBOY ❑ 1. CYLINDER ❑ q. RAILCAR ❑ c. TANK INSIDE BUILDING ❑ h. SILO ❑ m. GLASS BOTTLE ❑ r. OTHER ❑ d. STEEL DRUM ❑ i. FIBER DRUM ❑ n. PLASTIC BOTTLE ❑ e. PLASTIC/NONMETALLIC DRUM ❑ j. BAG ❑ o. TOTE BIN 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. 100 226. Heptafluoropropane 227. ❑ Yes ® No 228. 431 -89 -0 229. 230. 2. 231. 232. ❑ Yes ® No 233. 234. 3. 235. 236. ❑ Yes ❑ No 237. 238. 4, 239. 240. ❑ Yes ❑ No 241. 242. 5. 243. 244. ❑ Yes ❑ No 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 246. DOT Hazard Class: UN3296 If EPCRA, Please Sign Here, UPCF Rev. (12/2007) -1/2 www.unidoes.org 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 Hexafluoronroaane COMMON NAME 207. HFC- 236fa, CC0610 CAS# 209. See Below FIRE CODE HAZARD CLASSES (Complete ifrequired by CUPA) Non Flammable Gas TRADE SECRET ❑ Yes 0 N If subject to EPCRA, refer to instructions ❑ Yes Z No *If EHS is "Yes," all amounts below must be in lbs. 206. 1 HAZARDOUS MATERIAL 211. RADIOACTIVE 212. CURIES 213. TYPE (Check one item only) Z a. PURE ❑ b. MIXTURE ❑ c. WASTE ❑ Yes Z No NA PHYSICAL STATE 214. LARGEST CONTAINER 215. (Check one item only) ❑ a. SOLID ❑ b. LIQUID Z c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) ❑ a. FIRE ❑ b. REACTIVE Z e. PRESSURE RELEASE Z d. ACUTE HEALTH ❑ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT z1s. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 305 305 NA 0 UNITS* ❑ a. GALLONS ❑ b. CUBIC FEET ® c. POUNDS ❑ d. TONS 221. DAYS ON SITE 222. (Check one item only) ' If EHS, amount must be in pounds. 365 STORAGE Z a. ABOVEGROUND TANK ❑ f CAN ❑ k. BOX ❑ p. TANK WAGON 223. CONTAINER ❑ b. UNDERGROUND TANK ❑ g. CARBOY ❑ 1. CYLINDER ❑ q. RAIL CAR ❑ c. TANK INSIDE BUILDING ❑ h. SILO ❑ m. GLASS BOTTLE ® r. OTHER ❑ d. STEEL DRUM ❑ i. FIBER DRUM ❑ n. PLASTIC BOTTLE ❑ e. PLASTIC/NONMETALLIC DRUM ❑ i. BAG ❑ o. TOTE BIN STORAGE PRESSURE Z a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224. STORAGE TEMPERATURE Z a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 100 226. Hexafluoropropane 227 []Yes Z No 228. 690 -39 -1 229. 230. 2. 231. 232. ❑ Yes Z No 233. 234. 3. 235. 236. ❑ Yes ❑ No 237. 238. 4. 239. 240. ❑ Yes ❑ No 241. 242. 5. 243. 244. ❑ Yes ❑ No 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 246. DOT Hazard Class: If EPCRA, Please Sign Here. UPCF Rev. (12/2007) -1/2 www.unidoes.org C &D TECHNOLOGIES, INC. MATERIAL SAFETYDATAASREET, - L84 'SECTION I ; L84 'FIRE AN :,EXPL05!yEPROP.ERTIES";�""��--%.,:�:: Extinguishing Media Dry 66, -- e -Cai g M. mi ba or Special 6� :p Pres t6lf,-.coritaih6d,bt6bt ing Til t l'`,'. �� G MATERIAL SAFETY DATA SHEET NORTHSTA R LEAD ACID BATTERY DATTGtIY M ^NY Springfield, Missouri PRODUCT IDENTIFICATION: A. Chemical/Trade Name (per on label): Lead Acid Battery B. Chemical Family /Classification: Electrical Storage Battery C. Manufacturer's Name & Address: NorthStar Battery Co. LLC Lead 57 4000 Continental Way 50 150 Springfield, MO 65803 D. Contact: U.S. - NSB Safety and Health Department 50 150 Phone: (417) 575 -8219 Electrolyte (Sulfuric Acid) 1.400 sg 14 Fax: (417) 575 -8250 1 1 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. HAZARDOUS INGREDIENTS /IDENTITY INFORMATION: NORTH AMERICAN INFORMATION Chemical or Material Air Exposure Limits u lm 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 1 7664 -93 -9 1 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, Appendix 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. PHYSICAL DATA: Material is solid at normal temperatures. A. Electrolyte: 1. Specific Gravity: 1.250 —1.350 kg /dm3 Date: 04/0612005 DCR: 621 -S05 ISO Clause: 4.3.1 DOC Code: MSD- 430 -01 -05 Page: 1 of 6 MATERIAL SAFETY DATA SHEET NORTHSTAR LEAD ACID BATTERY nA =Tony bANY Springfield, 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 of 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 MATERIAL SAFETY DATA SHEET -` NORTHSTAR LEADACID BATTERY CATTDIiY I`ANY Springfield, 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. 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" VI. FIRE AND EXPLOSION HAZARD DATA: A. Flash Point: Hydrogen = 259 °C B. Auto ignition Temperature: Hydrogen = 580 °C C. Extinguishing Media: Dry chemical, foam, CO2 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 NORTHSTAR LEAD ACID BATTERY WATT °"" Springfield, 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 Z41.1 -Rev. 1972. IX. ACCIDENTAL RELEASE MEASURES: A. Not applicable under normal conditions. B. In case of damage resulting in breakage of the battery container, see VIII, Sec. C Personal Protective Equipment. X. 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 r'"' -" , Nosms-T,AR LEAD ACID BATTERY DATTOZIY MDANY Springfield, Missouri C. Protective Measures: 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 ( *): 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 1.0 for manufacturer's address or visit our web site @ www.northstarbaftery.com. *In accordance to Local, State and Federal regulations and laws. E. Other Handling and Storage Precautions: None Required. XI. ECOLOGICAL INFORMATION: Lead and its compounds can pose a threat if released to the environment. See Waste Disposal Method in Section X, Part D. XII. 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 BATTERY NORTHSTAR D AT T.Ofi Y C'O'M I!.A N Y Springfield, 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