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Page 1 of 1 pages <br /> Form Approved OMB No.2050-0072 <br /> Facility Identification Owner/Operator Name <br /> Name Lodi Name Verizon Wireless Phone 908-559-7260 <br /> Tier Two Street 50 West Turner Road Mail Address One Verizon Way/VC51 NO69, Basking Ridge, NJ 07920 <br /> EMERGENCY City Lodi County San Joaquin State CA Zip 95242 <br /> Emergency Contact <br /> AND <br /> HAZARDOUS NAICS Code 517212 Dun&Brad Number <br /> CHEMICAL Name Armand A. Delgado Title Specialist-Regulatory <br /> INVENTORY Phone 925-407-7714 24 Hr. Phone 800-264-6620 <br /> FOR ID# <br /> Specific OFFICIAL Name Richard A.Craig Title Director, Compliance <br /> Information USE Date Received Phone 908-559-7260 24 Hr. Phone 800-488-7900 <br /> by Chemical ONLY <br /> Important: Read all instructions before completing form Reporting Period From January 1 to December 31,20 09 F <br /> i Check if information below is identical to the information submitted last year. <br /> m <br /> Physical Storage Codes and Locations <br /> Chemical Description and Health Inventory .c a E (Non-Confidential) Q <br /> Hazards u p a FT O <br /> check all that apply) Stora a Locations <br /> Trade <br /> CAS 7664-93-9 Secret [x] Fire Max. Daily R 1 1 4 In batteries in Battery Room <br /> Chem.Name Sulfuric acid [ ] Sudden Release 0 2 Amount(code) <br /> of Pressure <br /> Check all [] [x] [] [x] [] [x] [x] Reactivity 0 2 Avg. Daily Amount <br /> that apply Pure Mix Solid Liquid Gas EHS [x] Immediate(acute) code) <br /> EHS Name [x] Delayed(chronic) F3_T6_ 5 No.of Days I <br /> On-site(days) <br /> Trade <br /> CAS Secret [ ] Fire Max.Daily <br /> Chem. Name [ ] Sudden Release Amount(code) <br /> of Pressure <br /> Check all [] [] [] [] [] [] [ J Reactivity m Avg. Daily Amount <br /> that apply Pure Mix Solid Liquid Gas EHS [ ] Immediate(acute) code) <br /> EHS Name [ ] Delayed(chronic) I No.of Days [ <br /> On-site(days) <br /> Trade <br /> CAS Secret [ ] Fire Max.Daily <br /> Chem. Name [ ] Sudden Release m Amount(code) <br /> of Pressure <br /> Check all [] [] [) [J [] [J [ ] Reactivity Avg. Daily Amount <br /> that apply Pure Mix Solid Liquid Gas EHS [ ] Immediate(acute) (code) <br /> EHS Name [ ] Delayed(chronic) No.of Days I <br /> On-site(days) <br /> Certification (Read and sign after completing all sections) Optional Attachments <br /> I certify under penally of law that I have personally examined and am familiar with the ormat' t in pages one through 1 OKO <br /> that based [] I have attached a site plan <br /> on my inquiry of those individuals responsible for obtaining the information,I belie e ub itt of ation is true,accurate,and c [] I have attached a list of site coordinate abbreviations <br /> Richard A.Craig, Director Compliance [] I have attached a description of dikes and other <br /> Name and official title of owner/operator OR owner/operator's Si a ur D to gigned safeguards measures <br /> authorized representative ( I I <br />