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HomeMy WebLinkAboutRECORDS REQUEST - 955 MONTEREY - SPRINT CELL SITE FILE SN45XC086Printed on 4/18/2016 12:03 PM [odl,1,jtV/S1te T/NEXTEL (SN45XCO86/CA-6216) CERS ID ONTEREY ST 10436836 NL U IS OMPOr CA 93401 bmittal Status ubmitted on 2/22/2016 by Pete Wang of Sprint United Management Co. (Overland Park, KS) omments by submitter: This facility does not store any hazardous materials above the agency's reporting threshold, and therefore, should be excluded from the UPA program. ubmittal was Not Applicable; Processed on 4/18/2016 by Kerry Boyle for San Luis Obispo County Environmental Health dentificatlan print Beginning Date Ending Date perator Phone Business Phone Business Fax 7734744570.pt4 87734744570PT4 (913) 523-2040 Dun & Bradstreet SIC Code Primary NAILS 006942395 4812 517210 Facility/Site Mailing Address Primary Emergency Contact P.O. Box 7994 EHS Help Line Shawnee Mission, KS 66207 ritle �EHS Help Line 3usiness Phone 24-Hour Phone Pager Number 37734744570pt4 87734744570pt4 Owner secondary Emergency Contact :sprint IVETWORK MANAGEMENT CENTER 87734744570pt4 ritle PO BOX 7994 VETWORK ENGINEER iHAWNEE MISSION, KS 66207 3usiness Phone 24-Hour Phone Pager Number 3664006040OPT8 86640060400pt8 F ontactvironmental, Health and Safety 4570pt4 ehscompliance@sprint.com )O BOX 7994 [:� NEE MISSION, KS 66207 Name of Signer Pete Wang 4 d d i tio n a l Information Environmental Contact EHS Territory Manager 37734744570pt4 3. O. Box 7994 Shawnee Mission, KS 66207 Signer Title Sprint West EHS Territory Manager L_ (Locally -collected Fields `Tome or all of the following fields may be required by your local regulator(s). (Property Owner )hone Mailing Address Printed on 4/18/2016 12:03 PM ehscompliance@sprint.com Assessor Parcel Number (APN) Number of Employees Facility ID 42008701 Document Preparer Pete Wang SPRINT/NEXTEL (SN45XC086/CA-6216) (CERSID: 10436836) Facility Information Accepted Nov 24, 2014 Submitted on 11/4/2014 3:59:30 PM by Pete Wang of Sprint United Management Co. (Overland Park, KS) Submittal was Accepted on 11/24/2014 8:56:03 AM by Kerry Boyle • Business Activities • Business Owner/Operator Identification Printed on 11/24/2014 8:56 AM IINT/NEXTEL (SN4SXCO86/CA-6216) MONTEREY ST LUIS 063SPO, CA 93401 bmittal Status bmitted on 11/4/2014 by Pete Wang of Sprint United Management Co. (Overland Park, KS) bmittal was Accepted; Processed on 11/24/2014 by Kerry Boyle for San Luis Obispo County Environmental Health Identification CERSID 10436836 Sprint Beginning Date Ending Date )perator Phone Business Phone Business Fax 1/1/2014 1/1/201S 37734744570pt4 8773474457OPT4 (913) 523-2040 Dun & Bradstreet SIC Code Primary NAILS 006942395 4812 517210 Facility/Site Mailing Address )rimary Emergency Contact 11.0. Box 7994 -HS Help Line "Shawnee Mission, KS 66207 'itle --H5 Help Line iusiness Phone 24-Hour Phone Pager Number 37734744570 t4 87734744570 t4 Owner Secondary Emergency Contact Sprint NETWORK MANAGEMENT CENTER B7734744570pt4 ritle PO BOX 7994 NETWORK ENGINEER SHAWNEE MISSION, KS 66207 3usiness Phone 24-Hour Phone Pager Number 3664006040OPT8 86640060400pt8 Billing Contact °nvironmental Contact Sprint Environmental, Health and Safety -HS Territory Manager 37734744570pt4 ehscompliance@sprint.com 37734744570pt4 ehscompliance@sprint.com 30 BOX 7994 1. 0. Box 7994 SHAWNEE MISSION, KS 66207 Shawnee Mission, KS 66207 of Signer Signer Title Document Preparer Wang Sprint West EHS Territory Manager Pete Wang ional Information Locally -collected Fields Some or all of the following fields may be required by your local regulator(s). Property Owner phone Vlailing Address Assessor Parcel Number (APN) Number of Employees I Facility ID 42008701 i Printed on 11/24/2014 8:56 AM SPRINT/NEXTEL (SN45XC086/CA-6216) (CERSID: 10436836) Facility Information Accepted Oct 22, 2014 Submitted on 10/16/2014 2:47:56 PM by Pete Wang of Sprint United Management Co. (Overland Park, KS) Submittal was Accepted on 10/22/2014 8:15:48 AM by Kerry Boyle • Business Activities • Business Owner/Operator Identification Emergency Response and Training Plans Submitted Oct 16, 2014 Submitted on 10/16/2014 2:47:56 PM by Pete Wang of Sprint United Management Co. (Overland Park, KS) • Emergency Response/Contingency Plan Full HMBP (Adobe PDF, 161 KB) • Employee Training Plan Full HMBP (Adobe PDF, 161 KB) Printed on 11/2/2014 12:35 PM California Environmental Reporting System (CERS) Business Activities �5ite Identification - - - -- - - — — --- - - — -- --- - - - — - - —_ II PRINT/NEXTEL (SN45XC086/CA-6216) CERS ID 55 MONTEREY ST 10436836 AN LUIS OBISPO, CA 93401 EPA ID Number ounty an Luis Obispo submittal Status submitted on 10/16/2014 by Pete Wang of Sprint United Management Co. (Overland Park, KS) submittal was Accepted; Processed on 10/22/2014 by Kerry Boyle for San Luis Obispo County Environmental Health r ' azardous Materials des your facility 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 is regulated under more restrictive inventory local reporting requirements shown below if present); or the applicable Federal threshold quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix -or B;_ or handle radiological materials in -quantities for which an emergencIan is required pursuant to 10 CFR Parts 30, 40 or 70? nderground Storage Tank(s) (UST) oes your facility own or operate underground storage tanks? Yes m Hazardous Waste s your facility a Hazardous Waste Generator? No Does your facility treat hazardous waste on -site? No s your facility's treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)? No Does your facility consolidate hazardous waste generated at a remote site? No Does your facility need to report the closure/removal of a tank that was classified as hazardous waste and cleaned on -site? No Does your facility generate in any single calendar month 1,000 kilograms (kg) (2,200 pounds) or more of federal RCRA hazardous waste, or generate n any single calendar month, or accumulate at any time, 1 kg (2,2 pounds) of RCRA acute hazardous waste; or generate or accumulate at any time pore than 100 kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste. No s your facility a Household Hazardous Waste (HHW) Collection site? No xcluded and/or Exempted Materials )oes your facility recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)? No )oes your facility own or operate ASTs above these thresholds? Store greater than 1,320 gallons of petroleum products (new or used) in No aboveground tanks or containers. Does your facility have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the California Accidental No teleasee revention Program CaIARP ? Mditionai Information No additional comments p Printed on 11/2/2014 12:35 PM adlity/5 i to PRINT/NEXTEL(SN45XCO86/CA-6216) 55 MONTEREY ST AN LUIS OBISPO, CA 93401 bmittal Status bmitted on 10/16/2014 by Pete Wang of Sprint United Management Co. (Overland Park, KS) bmittal was Accepted; Processed on 10/22/2014 by Kerry Boyle for San Luis Obispo County Environmental Health dentification ,print )perator Phone :7734744570 pt4 Business Phone Business Fax 87734744570PT4 (913)523-2040 Beginning Date Ending Date Dun & Bradstreet SIC Code 006942395 4812 CERS ID 10436836 Primary NAICS 517210 Facility/Site Mailing Address Primary Emergency Contact P.O. Box 7994 -HS Help Line Shawnee Mission, KS 66207 ritle _HS Help Line 3u5iness Phone 24-Hour Phone Pager Number 7734744570pt4 87734744570pt4 Owner ecandary Emergency Contact Sprint JETWORK MANAGEMENT CENTER 37734744570 pt4 I d e 30 BOX 7994 IlErWORK ENGINEER SHAWNEE MISSION, KS 66207 uslaess Phone 24-Hour Phone Pa 664006040O.PT8 86640060400�it8 __ 3illing Contact Environmental Contact ;print Environmental, Health and Safety -HS Territory Manager 7734744570pt4 ehscompliance@sprint.com 37734744570pt4 ehscompliance@sprint.com )0 BOX 7994 1. 0. Box 7994 ;HAWNEE MISSION, KS 66207 Shawnee Mission, KS 66207 Vame of Signer Signer Title Document Preparer 'ete Wang Sprint West EHS Territory Manager Pete Wang 4dditional Information )Locally -collected Fields Some or all of the following fields may be required by your local regulator(s). Property Owner Phone Vlailing Address Assessor Parcel Number (APN) Number of Employees Facility ID 42008701 ger Number Printed on 11/2/2014 12:35 PM UNIDOCS FACILITY INFORMATION BUSINESS ACTIVITIES PAGE Pay 1 of I. FACILITY IDENTIFICATION FACILITY ID # - L EPA ID # (Hazardous Waste Only) 2. (Agency Use Only) I 1 17 1 1 1-1 1 1 1 TT-T I BUSINESS NAME (Sarre as Facility Name or DBA - Doing Business As) 3• Sprint Cell Site SN45XCO86 BUSINESS srrE ADDRESS 955 MONTEREY ST. 103. BUSINESS SITE CITY San Luis Obispo 104,CA IZIP CODE 93401 105 IL ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/Operator Identification page. Does your facility... If Yes, lease 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 El 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 El YES ®NO 4a. Coordinate with your local agency responsible for threshold quantities established by the California Accidental Release CalARP. Prevention Program CalARP ? C. UNDERGROUND STORAGE TANKS (USTs) UST OPERATING PERMIT APPLICATION — Own or operate underground storage tanks? ❑ YES ® NO s. FACILITY INFORMATION UST OPERATING PERMIT APPLICATION — TANK INFORMATION D. ABOVE GROUND PETROLEUM STORAGE Own or operate ASTs above these thresholds: ❑ YES ®NO x No form required to CUPAs Store greater than 1,320 gallons of petroleum products (new or used) in above round 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 nr. RECYCLABLE MATERIALS REPORT materials (per HSC §25143.2)? (one pci fecyelef) Treat hazardous waste onsite? ❑ YES ® NO 1 i. ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION — FACILITY PAGE ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION —UNIT PAGE (one page per unio 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 14a 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 requirements for RCRA Large Quantity Generator. any single calendar month, or accumulate at any time, 1 kg (2.2 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 14h See CUPA for required forms. F. LOCAL REQUIREMENTS (You may also be required to provide additional information by your CUPA or local agency.) 13, FORM S — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# BEGINNING DATE t[Kl ENDING DATE $01 10/14/2014 0/14/2017 BUSINESS NAME (Sanne as FACIt.iTY NAMe of Dr3A - Doing Business As) 3 BUSINESS PHONE 102 Sprint Cell Site SN45XCO86 1 877 347- 4457 0 t.4 BUSINESS SITE ADDRESS 15 955 MONTEREY ST. CITY 104 ZIP CODE 105 CA San Luis Obispo 93401 DUN & BRADSTREET nG SIC CODE (4 digit #) 107 00-694-2395 4812 COUNTY 109 San Luis Obispo BUSINESS OPERATOR NAME 10/ BUSINESS OPERATOR PHONE 110 Sprint United Management Co. 877 347- 4457 O t.4 II. BUSINESS OWNER OWNER NAME OWNER PHONE 112 Sprint United Management Co. 877 347- 4457 Oi2t.4 OWNER MAILING ADDRESS PO BOX 7994 CITY 114 STATE 11S ZIP CODE 6 Shawnee Mission 1 KS 66207 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 8 California EHS Specialist 1 877 347- 4457 O t.4 CONTACT MAILING ADDRESS PO BOX 7994 CITY 120 STATE 121 ZIP CODE 122 Shawnee Mission 1 KS 66207 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 12"1 NAME 128 Network Management Center Environmental Health & Safety Hel line TITLE 174 TITLE 129 Network En-aineer Environmental Health & Safety H l line BUSINESS PHONE 125 BUSINESS PHONE 130 866 400-6040 877 347-4457 24-HOUR PHONE 126 24-HOUR PHONE 131 866 400-6040 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 "I NAME OF DOCUMENT PREPARER 135 C- - 3-3-2010 I Pete Wan NAME OF SIGNER (prim) 136 TITLE OF SIGNER 37 Pete Wang EHS Specialist 0:%,Docurnents and Sett1ngslbj630606\My Doat3ments\I-IMBP\C0unty CIJPAsvSan Luis Obispo Cot,mty`.HBMP March 2010\Easiness Activities and Owner`,,San Luis Obispo BDS1ness Owner Forrn.DOG 3-Mar-10 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one gage per material per buildingor area) ❑ADD [-]DELETE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Cell Site SN45XCO86 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 211'' Within lead -acid batteries inside site shelter ❑ YES ® NO I MAP# (optinnap 211i GRID# (opt innap 2t14 FACILITY ID # I T7L.1_1 LH I I I I II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ❑ Yes ® No 206 Lead Acid Batteries If Subject to EPCRA, refer to instructions COMMON NAME 207 )m EHS* ❑Yes ❑ No LEAD ACID BATTERY CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complcle if requited by C 311A) 210 Other health hazard material, Class 2 water -reactive corrosive HAZARDOUS MATERIAL TYPE El. MEl a, PURE ®bIXTURE c. WASTE ❑212 RADIOACTIVE Yes ®No 213 CURIES (Check one item only) 214 PHYSICAL STATE ®a. SOLID [Ib. LIQUID El c. GAS 215 LARGEST CONTAINER 100 (Check one item only) 216 FED HAZARD CATEGORIES ❑ a FIRE ® b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH ® e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 600 1 600 1 N/A I N/A UNITS* ❑ a. GALLONS ❑ h, CUBIC FEET ® c. POUNDS ❑ d. TONS 221 DAYS ON SITE: 222 (Check one itein only) *If EHS, amount must be in pounds. 1 365 STORAGE ❑ a. ABOVE GROUND TANK ❑ 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 ❑ h, SILO ❑ I, CYLINDER ❑ p. TANK WAGON 224 STORAGE PRESSURE ® a. AMBIENT ❑ b, ABOVE AMBIENT ❑ c. BELOW AMBIENT 225 STORAGE TEMPERATURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 227 228 229 1 75% Lead ❑ Yes ® No 7439-92-1 230 231 232 233 2 24% Sulfuric Acid ® Yes ❑ No 7664-93-9 234 23s 216 237 3 ❑ Yes ❑ No 238 239 2411 241 4 ❑ Yes ❑ No 242 243 244 245 5 ❑ Yes ❑ No If more IwArdous components are present al greater than 1 % by weight if non•carcinogenie, or 0.1% by weight if carcinogenic, attach additional sheets or paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Sin 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: 10/14/2014 SECTION I -A: BUSINESS IDENTIFICATION DATA Cell Site SN45XCO86 BUSINESS NAME, 955 MONTEREY ST. San Luis Obispo 93401 SITE ADDRESS CITY ZIP CODE 877-347-4457 FACILITY UNIT "TELEPHONE NUMBER PO Box 7994 Shawnee Mission 66207 BUSINESS MAILING ADDRESS CITY ZIP CODE !f 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 Obispu Telephone # 805-781-7215 Gas Service City of San Luis Obispo Telephone # 805-781-7215 _ Sanitation City of San Luis Obis ❑ Telephone # -7-115 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 3-5-10 PRINT NAME OF OWNER OR OPERATOR SIGNATURE DATE Pete Wang 3-5-10 DOCUMENTS PREPARED BY SIGNATURE DATE 5 Page Of IC `Documt nla and Settingsrbj630606+My DoctiinonlslHM[313".County CUEAs:San Luis Obispo Counly`•.HBW March 201t1�.Einergenry Response f lanlSan Luis Obispo ERP Ternplale-City of San Luis Oblspo.DOC 03/08/10 SECTION II: EMERGENCY RESPONSE PLANS AND PROCEDURES Note: Complete all seclions of this Emergency Response Procedure below. Use of lerms such as "N/A" (Not Applicable) will not be accepted. A. FIRE, SPILL 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 Murray Avenue, San Luis Obispo 805-546-7600 NAME ADDRESS CITY PHONE French Hospital Medical Center 1911 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 Y Secondary: Pete Wang EHS Specialist 650-375-2019 877-347-4457 NAME TITLE BUSINESS PHONE 24 1IR PI ]ONE PAGER N 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 Resltonse,Inc_(877-347-4457) which can deliver teams of skilled and -experienced fie Id person n 1 and other technic p 1 ex perts to handle the ntiti ation and remediation of a significant releases ill leak etc. Employees will contact 1jazMat Response. Inc. when they observe chemical release, spills and leak on -site. 6 Page Of C:ADoct,nnenls and lMBP1C0u11y CUfAs\San Luis Obispo Counly%+lBMP March 2010\Cmorgency Response Plan\San Luis Obispo CRP 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 facility is eguipped with sl2ill response procedures and a ui ment. In the event of a leak ors ill the spill may be contained b surrounding the spilled acid with an approved absorbent. The substance will then be neutralized into a harmless material. Under emergency res once conditions a contract has been established with Hazmat Response 877-147-4457 which can deliver teams of skilled and ex erienced field personnel and other technical ex errs to handle the mitigation and remediadon of a significant release sl2ifl, leak etc. The Corporate Environmental Health and Safety Department has developed a S ill Prevention RiWairt that provides guidelines for l2ersonnei on the vrevention of accidental releases of hazardous substances into the environment and also provides spi I response procedures. The site has desi nalcd areas marked with signs and labels for storage of hazardous materials. Personnel are kept are aware of safer issues regarding all hazardous materials lhrou h safety training meetings. Regularly scheduled ins eetions of batteries and fire exIiit guishers are routine res ponsibilities of rite associated Field Technician. The Corporate Environmental Health and Safer IDe amiie l has developed a 5 ]ill Prevention Program which provides guidelines -for aersonnel on the prevention of accidental release's of hazardous substances into the environment. All ernl2loyees who come in contact with battery s stems and/or diesc] fuel in theirdaily work res ponsibiliLies are trained on [lie sp iIl prevention iro g ram anti s )ill res xins£ 11rocedures. 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 7 Page Of CADocumenls and Se1tinc3s\bj6306C6\My Docufrienls\HMBP\County COPM\San Luis Obispo Couniy�HBMP March 2010\Emergency Response Plan\St-are Luis Obispo ERP Template- My of San LiS Obispo.DOC 03,108.10 Nlobile I'hone. Communication Within field 'tested by field technician on a 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 eel sile Verbal cominunicalion i.e. S110 Ll I i 11R, is used for evacuation i f the associated f field technician a aeais 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:'.Docomcnls anti Settings"'W>30606\My Docturienls'.HMBP\Couniy CUPAs'San Luis Obispo CounM.HBMP March 2010\Emergency Response f lan\S an Luis Obispo EhP 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 CADocwnents and Settings;bj630606\My Documen1s\HM6P\C0unty CUPAs\San Luis Obispo County\HEMP March 201MEmergency Response Plan\San Luis Obispo ERP Template- City of San Luis Obispo.DOC 03i08 10 FORM T SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMPLOYEE TRAINING PROGRAM Date: 10/14/2014 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. 1. 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 required to be trained in the following recedures: • Internal alarnttnotiftcation; • Evacmion/re-enuy procedures and aSSCTnl)ly 00int Incations• • Emery incident report. Chemiu I Handlers are additional) [rained in Safc methods for hand lin and stona a or hazardous materials • Locations and proper use of [ire ands ill control a ui ment• • mill proceduredemergencyprocedures; • Proper use oi' oersonal_prot_ective ouipmeent: • Specific hazards of each chemical to which they may be ex rnsed including routes of cx osume i.e, inhalation in eslion absorption]. 2. Summarize training specific to those employees that would respond to a release or threatened release of hazardous materials or hazardous waste. Harmat Response, Inc. 877-347A457 is responsible for delivering teams of skilled and experienced field personnel and other technical experts to handle the mitittatioa and remediation of a significant release, spi11,_1mk, etc. Indicate frequency and duration of training for employees that work with or come into contact with hazardous materials/hazardous waste. Employees who work with or come into contact with hazardous materials are required to complete the initial training. Some specific training courses are required to be renewed annually. Page Of Caf)ocumcn's and Seltlnyskbj630606\My DocumoWs\HMBP\County CUPAs\Sar l ors Obispo Cowity\HBMP March 2010\Frrergency Response Plarr,E:mployeo Training Form.()OC 03/16/10 4. Describe how your employees access training materials. (E,g., bulletin board, employee newsletter, staff meetings, etc.) kiln In ees receive: their initial and renewal training via company's online training too]. Training to contractors and vendors are provided by their companies. B. List person(s) in charge of training and indicate their qualifications to conduct the training. Sm to ces receive their initial and renewal " i n i ne via cam -rn 's online trainijig .tool. Trainin g 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 following records are maintained at the l'acilit : ■ Cun•ent employees' trasining_record s 6o be retained Lint iI closure of the facility; • Former cm ]c> ces' training records to be retained :rt ]cast three years after icnnination of cm ila ment • Training Pro *rains i.e. written description of inn•oductot and cont inuing trainin' ■ Current copy ol'this Emergency Response/Contingency Plan: • Record of record.tole/relxntah le_ltaua_rdous materiallwastC_releases: • Record of hazardous maierial/waste storage area inspections 10 Page Of C:'IDocumcnls and 1'3el1ings%bj630606\My CWPAs\San tiuis Obispo Co�,rnty\HBMP March 2111101E'.rnorgency Response; PlawErnployee Training Forrn.DOC 03i16i 10 UNIDOCS FACILITY INFORMATION BUSINESS ACTIVITIES PAGE Page 1 of I. FACILITY IDENTIFICATION FACILITY ID # t- EPA ID It (Hazardous Waste Only) 2 (Agency Use Only) I I ITFT I BUSINESS NAME (Same as facility Name or DBA - Doing Business As) 3 Sprint Cell Site SN45XCO86 BUSINESS SITE ADDRESS 103 955 MONTEREY ST. BuslNEss SITE CITY San Luis Obispo loa CA ZIP CODE 93401 ws- II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/Operator Identification page. Does your facility... If Yes, please complete these pages of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any put -pose) 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 specil'ied 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 El 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 s, FACILITY INFORMATION UST OPERATING PERMIT APPLICATION — TANK INFORMATION D. ABOVE GROUND PETROLEUM STORAGE Own or operate ASTs above these thresholds: ❑ YES NO a. 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 io. RECYCLABLE MATERIALS REPORT materials (per HSC §25143.2)? (one pCf 1CLyel01) Treat hazardous waste onsite? [:]YES ® NO n- 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 i3. REMOTE WASTE CONSOLIDATION SITE ANNUAL NOTIFICATION Need to report the closure/removal of a tank that was classified as hazardous ❑ YES ® NO la. HAZARDOUS WASTE TANK CLOSURE waste and cleaned onsite? CERTIFICATION Generate in any single calendar month 1,000 kilograms (kg) (2,200 ❑ YES ® NO 14a. 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 requirements for RCRA Large Quantity Generator. any single calendar month, or accumulate at any lime, 1 kg (2.2 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 iab, See CUPA for required forms. F. LOCAL REQUIREMENTS (You niay also be required to provide additional information by your CUPA or local agency,) 15 FORM S — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# I BEGINNING DATE 100 ENDING DATE 101 10/14/2014 1 10/14/2017 BUSINESS NAME (sanleasFAC11.1TYNAMern-DnA— Doing Business As) 3 BUSINESS PHONE 102 Sprint Cell Site SN45XCO86 877 -347- 4457 01AA BUSINESS SITE ADDRESS 103 955 MONTEREY ST. CITY 104 ZIP CODE los CA San Luis Obispo 93401 DUN & BRADSTREET 106 SIC CODE (4 digit#) tU% 00-694-2395 4812 COUNTY 1UX San Luis Obispo BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 11U Sprint United Management Co. 877 347- 4457 O t.4 II. BUSINESS OWNER OWNER NAME III OWNER PHONE 112 Sprint United Management Co. 877 347- 4457 O t.4 OWNER MAILING ADDRESS 13 PO BOX 7994 CITY 114 STATE 115 ZIP CODE 116 Shawnee Mission 1 KS 1 66207 III. ENVIRONMENTAL CONTACT CONTACTNAME 7 CONTACT PHONE ns California EHS Specialist 877 347- 4457 O t.4 CONTACT MAILING ADDRESS 119 PO BOX 7994 CITY 120 STATE }2t ZIP CODE 122 Shawnee Mission 1 KS 66207 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME Network Manawment Center Environmental Health & Safety Hel line TITLE 124 TITLE 129 Network En ineer Environmental, Health & Safety Hel line BUSINESS PHONE 125 BUSINESS PHONE 311 866 400-6040 877 347-4457 24-HOUR PHONE 12(1 24-HOUR PHONE 131 866 400-6040 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 (print) 136 TITLE OF SIGNER 137 Pete Wang EHS Specialist II C:\Documonts and Settingslbj630606\My Documents\HMBP\C%01-1i3[y GUPAs\San Luis Obispo Get10ty`1-]BMP March 2010\[3usine9s Activities and Owner\San Luis Obispo Business Owner Form.DOC; 3-Mar 10 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one gage per material per building or area) ❑ADD ❑DELETE ❑REVISE 2ii0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Cell Site SN45XCO86 CHEMICAL LOCATION 20l CHEMICAL LOCATION CONFIDENTIAL EPCRA 70' Within lead -acid batteries inside site shelter ❑ YES ® NO I MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET El Yes ® No 206 Lead Acid Batteries If Subject to EPCRA, refer to instructions COMMON NAME 207 1U8 EHS* ❑Yes ❑ No LEAD ACID BATTERY CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete it required by CUPA) 21) Other health hazard material Class 2 water -reactive, corrosive 2tI 212 213 HAZARDOUS MATERIAL TYPE El a. PURL ®b. MIXTURE ❑ c. WASTE RADIOACTIVE. El ® No CURIES (C heck one item only) 214 215 PHYSICAL STATE ® a. SOLID ❑ b. LIQUID ❑ c, GAS LARGEST CONTAINER 100 (Check one item only) 216 FED HAZARD CATEGORIES ❑ o FIRE ® It. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH E e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 219 ANNUAL WASTE AMOUNT 219 STATE WASTE CODG 220 600 1 600 1 N/A 1 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 STORAGE ❑ a. ABOVE GROUND TANK ❑ 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 ❑ I. CYLINDER ❑ p. TANK WAGON 224 STORAGE PRESSURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 225 STORAGE TEMPERATURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 227 221t 229 1 75% Lead ❑ Yes ® No 7439-92-1 2:7o 231 232 233 2 24% 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 ff 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 If EPCRA Please Sin Here Facility Site Plan/Storage Map (Hazardous Materials Business Plan Module) Site Address: Cell Site SN45XC086, 955 MONTEREY ST.,San Luis Obispo Date Map Drawn: 3-1-10 Map Scale: 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 Page` of 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 Z VICINITY MAP Equipment Room "'. 1 } 1 FORM E SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan (see instruction page vii) Date: 10/14/2014 SECTION I -A: BUSINESS IDENTIFICATION DATA Cell Site SN45XCO86 BUSINESS NAME 955 MONTEREY ST. San Luis Obispo 93401 SITE ADDRESS CITY ZIP CODE 877-347-4457 FACILITY UNIT TELEPHONE NUMBER PO Box 7994 Shawnee Mission 66207 BUSINESS MAILING ADDRESS CITY ZIP CODE Ifyour business has a license or permit from any of the fallowing 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 Obispo Telephone # 805-781-7215 Sanitation City of San Luis Obispo Telephone # 34W 7st l -72 t 5_ 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 cam_ �a 3-5-10 PRINT NAME. OF OWNER OR OPERATOR SIGNATURE DATE Pete Wang 3-5-10 DOCUMENTS PREPARED BY SIGNATURE DATE 5 Page Of C:\Oocurnonts and Settings'4630606\My Docurnents\HMBP\County CUPAsiSan LUIS Obispo Corlr,iy HBMP March 2010\Ernergency Response Plen\San LOS 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, SPILL 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) 852-7551) 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 Murray Avenue, San Luis Obispo 805-546-7600 NAME ADDRESS CITY PHONE French Hospital Medical Center 1911 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 TI"rLE BUSINESS PHONE 24 FIR PHONE PAGER # Secondary: Pete Wang EHS Specialist 650-375-2019 877-347-4457 NAME TITLE BUSINESS PI [ONE 24 1IR PI IONE PAGER JI 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 COII act has bs en established with Hazmat Res }onse Inc 877-347-4457 which can deliver teams of skilled and ex Verianced field personnel and other technical experts to handle the mitigation and remediation of a significant releases ill leak etc. Employees will contact Hw/Mat Response, Inc. when they observe chemical release, spills and leak on -site. 6 Page Of O:Tocu merits and ;ett!ngs\hj630606vMy DoC,uments\HMP\County C.;UPAs'.San Luis Obispo Cow7tylHBMP March 20 UEmergency Response Plan'v.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 raciray iscLquipApLd with s ill response onse roceduregs and a ui ment. In the event of a leak or spill, the spill may be eontained b surrounding the spilled acid with an a. roved ab: orbent.'rhe substance will then be neutralized into a harmless material. Under p mergency res ponce cond i i io ns. a contract has been established with Ilit zinat Res ponse 877-347-4457) which can deliver te.uns of skiiled and ex perianced ftelci Versonnel and other technical ex ertr to handle lire miti &ation and reniediation of a si gnillcant release spill, leak. etc. The Corporate Environmental I-ie.alth and Safety De"rtnlent_has developed a Spill Prevention program that provides guidelines for personnel on [lie prevention of accidental releases of hazardous substances into the environment and also provides spill response procedures. The site has designated rheas marked with signs and labels for storage ol'hazardous materials. Pcrsonncl are kept are aware of sales issues regard i n g ail hazardous materials throw ah safes y I rai n i ng meetin s. ReptuIarl y scheduled ins ections of batteries and Eire extinguishers are routine res onsibilities of the associated Field Technician. The Cot orate Environmental Health gild Safes Department has developed a Spill Prevention Program which provides guidelines for ersonnel on the grevendon of accidental releases of hazardous substances into the environnle_nt. All employees whocotne in contact with battery systems and/or diesel fuel in their d 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 7 Page Of C:ADocumenfs and 9ettings\46306061My Documents\HMBP\County CUF'As"San Luis Obispo County'JIBMP March 2010`.E[norgency Response Plan"San Luis Obispo CRP Template- City of San Luis Obispo.DOC 03/08/10 Mobile Phone C'mulnunication Within field Tested by field technician on a 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 psod for evacuation if the associated field technician apagars 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 ADocumenls and Sellings\bj630606',My Documents\HMBP\County CUPAsySan Luis Obispo County'HBMP March 2010\Emerggency Response Plan\San Luis Obispo CRP Template- City of San LUIS Obispo.DOC MOWN 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 Settings\bj630606\My Documents\HMBP\County CUPAsSan Luis Obispo CountylHBMP March 2010\Emergency Response Plan\San Luis Obispo ERP Template- City of San Luis Obispo.DOC 03,108/10 FORM T SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMPLOYEE TRAINING PROGRAM Date: 10/14/2014 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 matatals are re uired to be trained in the foil owin rocedures: • Internal alarni/notiCication; • Rvac uat i on/t-L-ent a V rocedures and assemhI y i mint locations• ■ Emergency incident report. Chemical Handlc:ls are additiopally trained in Safe methods for handling and storage of hazardous materials • Locations zuid p=cr use of Fine ands ill control equipment, • Spilt procedumslem_ergenc�+ procedures; • Proper use of ygrsonal rotevtivv c ui inern, ■ S eciftc hazards of each chemical to which they may be exposed, including routes of ex osure i.e. inhalation in lion. absotpt ion). 2. Summarize training specific to those employees that would respond to a release or threatened release of hazardous materials or hazardous waste. Hazunat Res once Inc. 877-347-4457 is res onsible for delivering teatns of skilled and ex etienced field personnel and other technical eeVerts to handle the mitigation and rcmedia(ion 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. Em Io ees who work with or come into contact with hazardous materials are required to complete the initial trainin . Some s ecifie training courses are required to he renewed annually; Page Of C:\Docurnar)ls and Seltingslbj630606\My Documents\HMBP\County CtJPAs\San t_uis Obispo County\HEMP March 2010\Emergency Response Plan\Empleyee Training Form.DOC 03/16/10 0 t r 4. Describe how your employees access training materials. (E.g., bulletin board, employee newsletter, staff meetings, etc,) Em to ces receive their initial and renewal Iraininje via company's online training tool. T:ainin g to contractors and vendors are Provided by their companies. B. List person(s) in charge of training and indicate their qualifications to conduct the training. Em la s receive their initial and renewal training via company's online training tool. Training to contractor and vendors we 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 following rtAxwds aremainttingd at_thc Iiuility: • Current employees' training records (to _he_retained _ until closure of the facility; • Former employees' G'aininf* rccards (to he retained at leas[ three years after teriniriation of enrployinent ' • Training Programs) (i.e., written description of introd uctory_and cont inu'sng trainin • Current copy of this Emergency Response/Contingency Plan; ■ Record of recordable/reportable hazardous matedid/waste releases; • Rccord of hazardous material/waste storage area inspections 10 Page Of C:`,Docornents and Setlings\bi630606\My Docun,entS\HP,4[3P\County CUPAs\San Luis Obispo County\HBMP March 201MEmergeney Response PIawFrnpIoyee?raining torrn.DOC 0316/10 Facility Site Plan/Storage Map (Hazardous Materials Business Plan Module) Site Address: Cell Site SN45XC086, 955 MONTEREY ST.,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 Z VICINITY MAP f I ' r� r r� Equipment Room k tX 1 wc�c \ W� UNIDOCS FACILITY INFORMATION BUSINESS ACTIVITIES PAGE Page 1 of I. FACILITY IDENTIFICATION FACILITY ID # 1 EPA ID # (Hazardous Waste Only) 2 (Agenct, Use Only) I BUSINESS NAME (Sante as Facility Name or DBA - Doing Business As) 1• Sprint Cell Site SN45XCO86 BUSINESSSITE ADDRBS 955 MONTEREY ST. 1U3. BUSINESS SITE CITY San Luis Obispo oa CA ZIP CODE 93401 o5. II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/Operator Identification page. Does your facility... If Yes, lease 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 ❑ YES ® NO aa. Coordinate with your local agency responsible for threshold quantities established by the California Accidental Release CalARP. 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: ❑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 ta, HAZARDOUS WASTE TANK CLOSURE waste and cleaned onsite? CERTIFICATION Generate in any single calendar month 1,000 kilograms (kg) (2,200 [:]YES ® NO taa 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 iab. See CUPA for required forms. F. LOCAL REQUIREMENTS (You may also be required to provide additional information by your Ct1PA or local agency.) 15. FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY lane u c er material per building or area) ❑ADD [—]DELETE ❑REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Cell Site SN45XCO86 CHEMICAL LOCATION eat CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 Within lead -acid batteries inside site shelter ❑ YES M NO I MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET LJ Yes Z 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 M b. MIXTURE ❑ c, WASTE 212 RADIOACTIVE ❑ Yet M No 213 CURIES (Check one item only) PHYSICAL STATE 214 (Check one item only) ® a. SOLID ❑ b. LIQUID ❑ c. GAS 215 LARGEST CONTAINER 100 216 FED HAZARD CATEGORIES ❑ a. FIRE b. REACTIVE Elc. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH ® (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 600 600 1 N/A 1 N/A UNITS* ❑ a. GALLONS ❑ b. CUBIC FEET M c. POUNDS ❑ d. TONS 221 DAYS ON SITE: 222 (Check one item only) *If EHS, amount must be in pounds. 1 365 STORAGE ❑ a. ABOVE GROUND TANK LI e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM Ll m. GLASS BOTTLE 223 CONTAINER ❑ b. UNDERGROUND TANK ❑ f CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE M r, OTHER ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX Cl o. TOTE BIN ❑ q. RAIL CAR ❑ d. STEEL DRUM ❑ h. SILO ❑ I. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE M a. AMBIENT ❑ b. ABOVE AMBIENT Elc. BELOW AMBIENT 224 STORAGE TEMPERATURE M a. AMBIENT Elb. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 227 228 229 1 75% Lead ❑ Yes M No 7439-92-1 230 231 232 233 2 24% Sulfuric Acid M 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 If more hazardous components are present at grealer Than 1 % by weight if non -carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheels of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here 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, SPILL 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 Murray Avenue, San Luis Obispo 805-546-7600 NAME ADDRESS CITY PHONE French Hospital Medical Center 1911 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 Nazmat Response, Inc (877-347-4457) which can deliver teams of skilled and experienced field personnel and other technical experts to handle (lie mitigation and remediation of a significant release, spill, leak, etc. Employees will contact HazMat Response. Inc. when they observe chemical release, spills and leak on -she, 6 Page Of C:`.Documenls and Settingsibj630606',My Docurnenls`.HMBP\County CUPAs1San Luis Obispo County'.HBMP March 201 O\Emergency Response PIanlSan Luis Obispo ERP Template- City of San Luis Obispo,DOC 03/08/l0 Mobile Phone Communication v, ithin field Tested by field technician t 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. shotuin * is used for evacuation if the associated field technician appears on -site dude 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:\Documents and Settings\bj630606\My Documents\HMBP\County Cl1PAs\San Luis Obispo County\HBMP March 20101Emergency Response Plan\San Luis Obispo FRP Template- City of San Luis Obispo.DOC 03/08/10 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. 1. 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 required to be trained in the Following procedures: ■ Internal alarm/notification; • Evacuationlre:gntryyrocedures. and assembly point locations, • Emergency incident report. Chemical Handlers are additionally trained in Safe methods for handling; and storage of hazardous materials: • Location[s] and.proner use of fire and spill control eyuipment: • Sill rocedureslemer encprocedures-, • Pix1 per use of personal proLective et ui menu ■ S chic hazards of each chemical to which they may be exposed, including routes of ex sure 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. H 7-347-4457 is responsible for delivering teams of skilled and exiNrienced field personnel and other technical exWrts to handle the mitieation 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. Employees who work with or come into contact with hazardous materials are re wired to complete the initial training. Some specific training courses are required to be renewed annually. Page Of C:\Docurnents and Settings,bj630606`,My Documents\HMBP\County CUPAs\San Luis Obispo CounlyiHBMP March 201MEmergency Response Plan\Employee Training Fornl,DOG 03/16./10 Facility Site Plan/Storage Map (Hazardous Materials Business Plan Module) Site Address: Cell Site SN45XC086, 955 MONTEREY ST.,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 Z Equipment Room V f, i -�--`- - - Instructions are printed on the following page.