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Home My WebLink AboutRECORDS REQUEST - 955 MONTEREY - NEXTEL CELL SITE FILE CA6216dFIED PROGRAM CONSOLIDATED K if FACILITY INFORMATION BUSINESS ACTIVITIES � ylg V12 Page I of I. FACILITY IDENTIFICATION FACILITY ID # F A 0 0 0 8 7 0 8 $ EPA ID # (Hazardous Waste Only) 2 (Agency Use Only) BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) T N EXTEL 45 C09 -521 fi) 3 BUSINESS SITE ADDRESS 955 MONTEREYST 103 BUSINESS SITE CITY SAN LUIS OBISPO 0¢ CA ZIP CODE 93401 tos II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/O perator Identification page. Does your facility... If Yes lease com lete these pages of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) at any one time, hazardous materials at or above HAZARDOUS MATERIALS 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed ❑ YES INVENTORY — CHEMICAL gases (include liquids in ASTs and USTs); or the applicable Federal threshold DESCRIPTION quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emer,gency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. REGULATED SUBSTANCES Have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the California Accidental Release ❑ YES Coordinate with your local agency prevention Program (CalARP)? responsible for CalARP. C. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly swRCB Form A) Own or operate underground storage tanks? ❑ YES UST TANK (one page per tank) (Formerly Form B) D. ABOVE GROUND PETROLEUM STORAGE , Own or operate ASTs above these thresholds: Store greater than 1,320 gallons of petroleum products (new or used) in ❑ YES NO FORM REQUIRED TO CUPAs aboveground tanks or containers. E. HAZARDOUS WASTE Generate hazardous waste? ❑ YES EPA ID NUMBER — provide at the top of this page Recycle more than 100 kg/month of excluded or exempted recyclable ❑YES RECYCLABLE MATERIALS REPORT materials (per HSC 25143.2)? (one per recycler) Treat hazardous waste on -site? ❑ YES ON -SITE HAZARDOUS WASTE TREATMENT — FACILITY ON -SITE HAZARDOUS WASTE TREATMENT — UNIT (one page per unit) Treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)? ❑ YES CERTIFICATION OF FINANCIAL ASSURANCE Consolidate hazardous waste generated at a remote site? ❑ YES REMOTE WASTE / CONSOLIDATION SITE ANNUAL NOTIFICATION Need to report the closure/removal of a tank that was classified as ❑ YES HAZARDOUS WASTE TANK hazardous waste and cleaned on -site? CLOSURE CERTIFICATION Generate in any single calendar month 1,000 kilograms (kg) (2,200 pounds) or Obtain federal EPA ID Number, file more of federal RCRA hazardous waste, or generate in any single calendar ❑ YES Biennial Report (EPA Form 8700- month, or accumulate at any time, 1 kg (2.2 pounds) of RCRA acute hazardous 13A/B), and satisfy requirements for waste; or generate or accumulate at any time more than 100 kg (220 pounds) of RCRA Large Quantity Generator. spill cleanup materials contaminated with RCRA acute hazardous waste. Household Hazardous Waste (HHW) Collection site? ❑ YES See CUPA for required forms. F. LOCAL REQUIREMENTS 15 (You may also be required to provide additional information by your CUPA or local agency.) UPCF Rev. (12/2007) FORM S — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION BUSINESS NAME (same as FACILITY NAME or DBA— Doing Business As) BUSINESS PHONE SPRINT/NEXTEL (SN45XC091/CA-6216) �9252792300 BUSINESS SITE ADDRESS 955 MONTEREY ST CITY SAN LUIS OBISPO CA ZIP CODE 93401 COUNTY San BUSINESS OPERATOR NAME BUSINESS OPERATOR PHONE II. BUSINESS OWNER OWNER NAME OWNER PHONE SPRINT/NEXTEL COMMUNICATIONS OWNER MAILING ADDRESS PO BOX 7994 CITY STATE ZIP CODE SHAWNEE MISSION IKS 166207 III. ENVIRONMENTAL CONTACT CONTACT NAME CONTACT PHONE CONTACT MAILING ADDRESS CITY STATE ZIP CODE -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME NAME TITLE TITLE BUSINESS PHONE BUSINESS PHONE 24-HOUR PHONE 24-HOUR PHONE PAGER # / CELL PHONE # PAGER # / CELL PHONE # ADDITIONAL LOCALLY COLLECTED INFORMATION: 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 OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE Submitted via Public Portal DATE NAME OF DOCUMENT PREPARER NAME OF SIGNER (print) TITLE OF SIGNER UNIDOCS FACILITY INFORMATION BUSINESS ACTIVITIES PAGE' Page 1 of I. FACILITY IDENTIFICATION FACILITY ID # 1• EPA ID # (Hazardous Waste Only) 2 (Agency Use Only) BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) 3 Nextel Cell Site CA6216 BUSINESS SITE ADDRESS 955 Monterey Street 103. BUSINESS SITE CITY San Luis Obispo 104 CA I ZIP CODE 93401 toy II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/ O erator Identification page. Does your facility... If Yes, please complete these pages of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) at any one time, hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the applicable ®YES ❑ NO a HAZARDOUS MATERIALS INVENTORY — Federal threshold quantity for an extremely hazardous substance specified in CHEMICAL DESCRIPTION 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. REGULATED SUBSTANCES Have Regulated Substances stored onsite in quantities greater than the [I YES ®NO aa. Coordinate with your local agency responsible for threshold quantities established by the California Accidental Release CaIARP. Prevention Program (CalARP)? C. UNDERGROUND STORAGE TANKS (USTs) UST OPERATING PERMIT APPLICATION — Own or operate underground storage tanks? ❑ YES ® NO 5. FACILITY INFORMATION UST OPERATING PERMIT APPLICATION — TANK INFORMATION D. ABOVE GROUND PETROLEUM STORAGE Own or operate ASTs above these thresholds: El YES ®NO s. No form required to CUPAs Store greater than 1,320 gallons of petroleum products (new or used) in aboveground tanks or containers? E. HAZARDOUS WASTE Generate hazardous waste? ❑ YES ® NO 9. EPA ID NUMBER — provide at top of this page Recycle more than 100 kg/month of excluded or exempted recyclable ❑ YES ® NO to. RECYCLABLE MATERIALS REPORT materials (per HSC §25143.2)? (one per recycler) Treat hazardous waste onsite? ❑ YES ® NO it. ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION — FACILITY PAGE ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION — UNIT PAGE (one page per unit) Perform treatment subject to financial assurance requirements (for Permit by ❑ YES ® NO 12. CERTIFICATION OF FINANCIAL ASSURANCE Rule and Conditional Authorization)? Consolidate hazardous waste generated at a remote site? ❑ YES ® NO 13. REMOTE WASTE CONSOLIDATION SITE ANNUAL NOTIFICATION Need to report the closure/removal of a tank that was classified as hazardous ❑ YES ® NO 14. HAZARDOUS WASTE TANK CLOSURE waste and cleaned onsite? CERTIFICATION Generate in any single calendar month 1,000 kilograms (kg) (2,200 ❑ YES ® NO laa. Obtain federal EPA ID Number, file Biennial pounds) or more of federal RCRA hazardous waste, or generate in Report (EPA Form 8700-13A/B), and satisfy any single calendar month, or accumulate at any time, 1 kg (2.2 requirements for RCRA Large Quantity Generator. pounds) of RCRA acute hazardous waste; or generate or accumulate at any time more then 100 kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste? Serve as a Household Hazardous Waste (HHW) Collection site? ❑ YES ® NO 14e. See CUPA for required forms. F. LOCAL REQUIREMENTS You may also be required to provide additional information b 15. Q ( y q p y your CUPA or local agency.) FORM S — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# t BEGINNING DATE IM ENDING DATE 101 3/3/2010 I 3/3/2013 BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 BUSINESS PHONE 102 Nextel Cell Site CA6216 1 877 347- 4457 O t.4 BUSINESS SITE ADDRESS - 103 955 Monterey Street CITY 104 ZIP CODE 105 San Luis Obispo CA 93401 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 00-694-2395 4812 COUNTY 10s San Luis Obispo BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 Nextel of California 877 347- 4457 O t.4 II. BUSINESS OWNER OWNER NAME Ill OWNER PHONE 112 Nextel of California 877 347- 4457 O t.4 OWNER MAILING ADDRESS 113 PO BOX 7994 CITY 114 STATE 115 ZIP CODE 116 Shawnee Mission KS 1 66207 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 California EHS Specialist 1 877 347- 4457 O t.4 CONTACT MAILING ADDRESS 119 PO BOX 7994 CITY 120 STATE 121 ZIP CODE 122 Shawnee Mission 1 KS 66207 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 Network Mann ement Center Environmental. Health & Safety Hel line TITLE 124 TITLE 129 Network Engineer Environmental, Health & Safety Hel dine BUSINESS PHONE 125 BUSINESS PHONE 130 866 400-6040 Opt. 2,21 or 2 877 347- 4457 24-HOUR PHONE 126 24-HOUR PHONE 131 866 400-6040 00. 2 2 1 or 2 (877)347- 4457 _ PAGER # / CELL PHONE # 127 PAGER # / CELL PHONE # 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 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 OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 3-3-2010 1 Pete Wan NAME OF SIGNER (prim) 136 TITLE OF SIGNER T37 Pete Wang EHS Specialist I C:`.Documents and Settings\bj630606\My Documents\HMBP\County CUPAs`,San Luis Obispo County\HBMP March 2010\Business Activities and Owner\San Luis Obispo Business Owner Fcrn3.DOC 3-Mar-10 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one ptw per material w building or area) ❑ADD ❑DELETE ❑REVISE 200 L FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Cell Site CA6216 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 Within lead -acid batteries inside site shelter ❑ YES ® NO I MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # 1 H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET El Yes ® No 206 Lead Acid Batteries If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* ❑ Yes ® No LEAD ACID BATTERY CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 Other health hazard material Class 2 water -reactive, corrosive HAZARDOUS MATERIAL TYPE 211 ❑ a. PURE ® b. MIXTURE ❑ c. WASTE 212 RADIOACTIVE [I Yes ® No 213 CURIES (Check one item only) PHYSICAL STATE 214 (Check one item only) ® a. SOLID ❑ b. LIQUID ❑ c. GAS 215 LARGEST CONTAINER SO FED HAZARD CATEGORIES 216 (Check all that apply) ❑ a. FIRE ®b. REACTIVE Elc. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 1280 1280 N/A N/A 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 1 STORAGE a. ABOVE GROUND TANK Lj e. PLASTIC/NONMETALLIC DRUM ❑ i. FIBER DRUM m. GLASS BOTTLE 223 CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ® r. OTHER ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN ❑ q. RAIL CAR ❑ d. STEEL DRUM ❑ It. SILO ❑ 1. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE ® a. AMBIENT Elb. 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 # 226 227 228 229 I 71% Lead ❑ Yes ® No 7439-92-1 230 231 232 233 2 21% Sulfuric Acid ® Yes ❑ No 7664-93-9 234 235 236 237 3 ❑ Yes ❑ No 238 239 240 241 4 ❑ Yes ❑ No 242 243 244 245 5 ❑ Yes ❑ No It more hazardous components are present at greater than 1 % by weight it non carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Sign Here FORM E SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan (see instruction page vii) Date: 3-5-10 SECTION I -A: BUSINESS IDENTIFICATION DATA Cell Site CA6216 BUSINESS NAME 955 Monterey Street San Luis Obispo 93401 SUE ADDRESS CITY ZZIP BOLL. 877-347-4457 FACILITY UNIT TELEPHONE NUMBER PO Box 7994 Shawnee Mission 66207 BUSINESS MAILING ADDRESS CITY ZIP CODE If your business has a license or permit from any of the following agencies, please indicate the document number. 1. Hazardous Materials 3. Air Pollution Control Underground Storage # District # 2. Hazardous Waste 4. Responding Fire Dept Generator # & Permit # Please provide the following information as it pertains to your business and its location. You are not required to notify these companies in the event of an emergency. This information is provided for your reference and to assist emergency response personnel in responding to a hazardous materials emergency at your facility. List the name and phone number of the utility company. Electric Service City of San Luis Obispo Telephone # 805-781-7215 Gas Service City of San Luis ObispQ _ Telephone # 805-781-7215 Sanitation City of San Luis Obispo Telephone # 305-781=7215 City of San Luis Obispo Water District Telephone # 805-781-7215 SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either 1 or 2) 1. This is a ®NEW Plan ❑UPDATED Existing Plan. I have personally examined the information it contains and am familiar with the operation of the plan. (If you check either of the above two options, continue to complete the remained of the Emergency Response / Contingency Plan). 2. ❑ This plan requires no change and is on file with San Luis Obispo County Hazardous Materials Unified Program Agency and does not need any change. (If you check this section, please proceed directly to Form T, the Training Program.) I certify under penalty of law that the above information is true and accurate. Pete Wang 3-5710 PRINT NAME OF OWNER OR OPERATOR SIGNATURE DATE Pete Wang 3-5-10 DOCUMENTS PREPARED BY SIGNATURE DATE 5 Page Of C:yDocuments and Settingsvbj63060611My DocurnentsyHMBP�,County CUPAs\San Luis Obispo County,HBMP March 2010\Emergency Response PlanASan Luis Obispo ERP Template- City of San Luis Obispo-DOC 03%08,10 SECTION II: EMERGENCY RESPONSE PLANS AND PROCEDURES Note: Complete all sections of this Emergency Response Procedure below. Use of terms such as "N/A" (Not Applicable) will not be accepted. A. FIRE, SPELL OR RELEASE: The fire code requires immediate notification through dialing 911, by whoever first sights the incident. In the event of release or spill of hazardous materials, you must also notify: 1. San Luis Obispo County Hazardous Materials Unified Program Agency during business hours @ 805-781-5544. After business hours dial 911. 2. The State Office of Emergency Services - (800) 852-7550 or (916) 262-1621. List the individuals responsible for verifying that these calls have been made and also indicate their position in your company. FOR VERIFYING THE DIALING OF 911: Daniel J Jaimes Field Services Manager NAME POSITION Individual responsible for calling San Luis Obispo County Hazardous Materials Unified Program Agency and the State Office of Emergency Services: (Normally the Emergency Coordinator of your business.) Matt Fohlmeister EHS Specialist NAME POSITION B. List the local emergency medical facilities that will be used by your business in the event of an accident or injury caused by a release or threatened release of hazardous materials. Sierra Vista Regional Medical Center 1010 MurrayAvenue, San Luis Obispo 805-546-7600 NAME ADDRESS CITY PHONE French Hospital Medical Center 191 E Johnson Avenue, San Luis Obispo 805-543-5353 NAME ADDRESS CITY PHONE C. List the Emergency Coordinator(s) at your facility. Primary: Matt Fohlmeister EHS Specialist 913-762-6004 877-347-4457 NAME TITLE BUSINESS PHONE 24 HR PHONE PAGER # Secondary: Pete Wang EHS Specialist 650-375-2019 877-347-4457 NAME TITLE BUSINESS PHONE 24 HR PHONE PAGER # D. Does your business have an on -site emergency response team? ❑Yes ®No Describe procedures your business will follow in the event of a release or threatened release of hazardous materials. A contract has been established with Hazmat Response, Inc 877-347-4457 which can deliver teams of skilled and experienced field personnel and other technical experts to handle the mitigation and remediation of a significant release, spill, leak, etc. Employees will contact HazMat Response. Inc. when they observe chemical release, spil[s and leak on -site. 6 Page Of C:\Dccuments and Settings1bj630606tMy DOournents\F!MBP\County CUPAs\San Luis Obispo CountylHBMP March 2010\Emergency Response Plan\San Luis Obispo ERP Template- City of San Luis Obispo.DOC 03/08/10 E. If you have acutely hazardous materials above threshold planning quantities, list (by name and address) adjacent neighboring businesses and residences, schools, hospitals, etc. Include sensitive facilities (schools, hospitals and rest homes) within 1,000 feet (straight-line distance from your property line). List telephone numbers for all businesses; for apartment buildings, list manager's . phone. Do not list telephone numbers for private residences. F. Briefly describe your standard operating procedures in the event of a release or threatened release of hazardous materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures may be referenced and attached to this document. 1. Prevention -- Describe the accident potentials associated with the hazardous materials present at your facility. What actions would your business take to reduce accident potentials? Include description of safety, storage and containment procedures. The faci I i ty is eq ui 12ped with s ill res onse procedures and eq a pmeal. I the event of a leak ors ill the s ill may be contained b surrounding the spilled acid with an approved absorbent. The substance will then be neutralized into a harmless material. Under emeMency re 12on se conditions a contract has been established with Haz mat Res onse 877-347-4457 which can deliver teams of skilled and experienced field personnel and other technical experts to handle the mill ation and remediation of a si nificant release spill, leak. etc. The Corporate Environmental Health and Safety Department has developed a Spill Prevention program that provides guidelines for personnel on the prevention of accidental releases of hazardous substances into the environment and also provides spill response procedures. The site has designated_ areas marked with signs and labels for storage of hazardous materials. Personnel are kept are aware of safety issues regardingmgarding all hazardous materials through safer training meetin s. Regularly scheduled inspections of batteries and fire extinguishers are routine responsibilities of the associated_Fieid Technician. The Corporate Environmental .Health and Safety_ Department has developed a Spill Prevention Program which provides guidelines for personnel on the prevention of accidental releases of hazardous substances into the environment. All em In ees who come in contact with batteKy systems and/or diesel fuel in their daily work_ responsibilities are trained on the spill prevention program and spill response procedures. 2. Equipment -- List the emergency response equipment at your facility (e.g. fire extinguishing systems, spill control equipment, decontamination equipment). Item Use Location Maintenance Procedure Chemical PPE for spill Within field Visually inspected by field technician Protective control technicians vehicle Gloves First Aid Kits First Aid Within field Visually inspected by field technician technicians vehicle Hard Hats PPE Within field Visually inspected by field technician technicians vehicle Safety PPE for spill Within field Visually inspected by field technician Glasses/Splash control technicians vehicle Goggles Fire Fire hazard Within field Annually inspected and serviced by qualified vendor/supplier Extinguishers technicians vehicle Page Of C:1Docunnents and Settings\bj6306051.My DocumenwHMBP\County CUPAs`•.San Luis Obispo CountylHBMP March 2010\Emergency Response Plan\San Luis Obispo ERP Ternplate- City of San Luis Obispo.DOC 03/08/10 Mobile Phone Communication .Y ithin field Tested by field technician daily basis technicians vehicle 3. Evacuation -- Describe how you will immediately evacuate your facility. What communications or alarms are used? How will you operate these during power failure? This is an unmanned cell site. Verbal communication, i.e.-shouting, is used for evacuation if the associated field technician appears on -site during the event of a release or threatened release of hazardous materials. 4. Shutdown -- Describe the shutdown for each site or facility. 5a. Response -- Describe what is done to lessen or mitigate the harm or damage to person(s), property, or the environment, and prevent the event from getting worse or spreading. What is your immediate response to: Fire: Fire Department will be contacted in the event of fire. Explosion: Employees will contact 911 in the event of an explosion. Spill: Employees will contact HazMat Response, Inc. when they observe chemical release, spills and leak on -site. Earthquake: If any property damage or personnel injuries are caused by the earthquake, the following staff members will be notified: Site - Manager, Production and Maintenance Managers, Safety Manager, Emergency Response Team and Electrician. Major Power Failure: The following staff members will be notified: Site Manager, Production and Maintenance Managers, Safety Manager, Emergency Response Team, and Electrician. Flood: Notify the following staff members: Site Manager, Production and Maintenance Managers, Safety Manager, Emergency Response Team, and Electrician. b. Is this facility located on a 100-year flood plain? ❑Yes ®No c. Earthquake - Identify facility areas and list mechanical or other systems that require immediate inspection or isolation because of their vulnerability to earthquake related ground motion. Page Of C:`.Documenis and Settings'A630606!My DocurnentslHMBP`,County CUPAs\San Luis Obispo County\HBMP March 201MEmergency Response Plan\San Luis Obispo ERR Template- City of San Luis Obispo,DOC 03%08/10 6. Clean -Up (Remove the Hazard) How do you handle the complete process of cleaning up, and disposing of related materials at your facility? Note: Notify the Hazardous Materials Unified Program Agency when clean up is complete. Employees will contact HazMat Response, Inc. when they observe chemical release, spills and leak on -site. G. Location -- Your business is required to keep a copy of the Business Plan and related MSDS sheets on -site. Describe where this information is located. Inside equipment shelter: Page Of C:`Documents and Se1tings`1bj630606\.My Docurnents\HMBP',County CI.JPAs\San Luis Obispo County`,.HBMP March 20101Emergency Response Plan\San Luis Obispo ERP Template- City of San Luis Obispo.DOC 03 08i10 FORM T SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMPLOYEE TRAINING PROGRAM Date: 3-5-10 A. Describe the safety training for all employees in the event of a release or threatened release of hazardous materials. This training shall include, but not be limited to, the following: new employee training, annual training, periodic refresher courses, and familiarization with Emergency Plans and Procedures of this Business Plan / Contingency Plan. i. Summarize the training for all employees that work with or come in contact with hazardous materials/hazardous waste. Describe how these employees are trained to avoid exposure. Personnel who work with or come in contact with hazardous materials are re aired to be trained in the followin mcedures: • Internal alarm/no(ification; • Evacuation/re-en rocedures and assembly int locations: • Emergency incident report. Chemical Handlers are additional] trained in Safe methods for hand Iin and storage ❑f hazardous materials • Locations and propgr use of fire ands ill control equipment: • Spill procedures/emergency procedures; • Proper use of personal protective comment; • Specific hazards of each chemical to which they rna be exposed, including routes of exposure i.e. inhalation in estion absorption]. 2. Summarize training specific to those employees that would respond to a release or threatened release of hazardous materials or hazardous waste. Hazmat Response, Inc. 877-3474457 is res onsible for delivering teams of skilled and experienced field pgrsonriel and other technical experts to handle the mitigation and remediation of a significant release, spill, leak, etc. 3. Indicate frequency and duration of training for employees that work with or come into contact with hazardous materials/hazardous waste. Enitilpyees who work with or come into contact with hazardous materials are r aired to complete the initial uainin . Some s ecilxc training courses are re uired to be renewed annually. Page Of C^.Documents and Settings\bj630606\My Documents\HMBP\.County CUPAs\San Luis Obispo County\HBMP March 2010\Emergency Response Plan\Employee Training Form.DOC 03i16%10 4. Describe how your employeeN access training materials. (E.g., bulletin board, employee newsletter, staff meetings, etc.) Employees receive their initial and renewal training via company's online training too[. Training to contractors and vendors are l2rovided by their cvrnpanies. B. List person(s) in charge of training and indicate their qualifications to conduct the training. Enipjoyees receive their initial and renewal training via company's online training tool. Training to contractors and vendors are provided by their companies. C. Indicate where training records are kept. (Records must document the type of training, duration, completion dates, names and positions of employees receiving training and the name(s) of instructors / trainer.) The fol[owing records are maintained at the facility: ■ Current employees' training records (to be retained until closure of the facility; • Former eimV!Mes' training records (to be retained at least three years after termination of employment): ■ Training Prognun(s) (i.e., written description of introductory and continuing training); • Current copy of this Emergency Response/Contingency Plan; • Record of recordablelrmortahle ha7ardnus material/waste releases: • Record of hazardous material/waste storage area inspections 10 Page Of CADocuments and Settings\bi630606\My Documents"HMBP\County CUPAs\San Luis Obispo County\HBMP March 2010\Emergency Response PlawErnployee Training Fofm.DOC 03/16/10 Facility Site Plan/Storage Map (Hazardous Materials Business Plan Module) Site Address: Cell Site CA6216, 955 Monterey Street, San Luis Obispo Date Map Drawn: 3-1-10 Map Scale: Page of 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 A B C D E F G H I J K L M N O P Q R S T U V W X Y 2 Equipment Room k �X h M�� 4 ■* _aS'1� Instructions are printed on the following page. UN-020 -10/17 www.unidocs.org Rev. 07/24/06