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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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1900 - Hazardous Materials Program
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PR0512991
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
7/28/2020 3:41:48 PM
Creation date
6/26/2020 9:02:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0512991
PE
1921
FACILITY_ID
FA0010703
FACILITY_NAME
Verizon Wireless Lodi
STREET_NUMBER
50
Direction
W
STREET_NAME
TURNER
STREET_TYPE
Rd
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
50 W Turner Rd
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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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 N069, Basking Ridge, NJ 07920 <br /> EMERGENCY City Lodi County San Joaquin State CA Zip 95242 <br /> AND Emergency Contact <br /> HAZARDOUS NAICS Code 517210 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 I Reporting Period From January 1 to December 31,20 08 [] Check if information below is identical to the information submitted last year. <br /> d <br /> Physical 2 Storage Codes and Locations c <br /> Chemical Description and Health Inventory N a (Non-Confidential) <br /> 0a m E O <br /> Hazards 0� ti <br /> check a//that apply) <br /> Storage Locations <br /> Trade <br /> CAS 7664-93-9 Secret [x] Fire Max.Daily R 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 /> [] <br /> EHS Name [x] Delayed(chronic) 3 6 5 No. Days <br /> On-sit (days) <br /> Trade <br /> CAS Secret [ ] Fire Max.Daily <br /> Chem.Name [ ] Sudden Release Amount(code) <br /> of Pressure <br /> Check all [] [] [] [] [] [] [ ] Reactivity Avg.Daily Amount <br /> that apply Pure Mix Solid Liquid Gas EHS [ ] Immediate(acute) (code) <br /> EHS Name [ ] Delayed(chronic) I No.of Days i <br /> On-site(days) <br /> Trade <br /> CAS secret [ ] Fire Max.Daily <br /> Chem.Name [ ] Sudden Release Q�Amount(code) <br /> of Pressure <br /> Check all [] [] [] [] [] [] [ ] Reactivity [�Avg.Daily Amount <br /> that apply Pure Mix Solid Liquid Gas EHS [ ] Immediate(acute) (code) <br /> EHS Name [ ] Delayed(chronic) No.of Days [ <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 inf motion submitted in pages one through 1 and that based [] I have attached a site plan <br /> on my inquiry of those individuals responsible for obtaining the information,I believ the submi inf lion e,a urate, [] I have attached a list of site coordinate abbreviations <br /> and pet . <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 Signature 6afe signed safeguards measures <br /> authorized representative <br /> 1 <br />
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