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HomeMy WebLinkAboutBUSINESS PLAN 9/30/2003 Hazardous MaterialS/Hazardous Waste Unified Permit - CONDITIONS OF .PERMIT ON REVERSE SIDE This permit is Issued for the following: ;21 Hazardous Materials Plan I-I Underground Storage of Hazardous Materials Permit ID #:: 015-000-001938 ri Risk Management Program CALIFORNIA WATER SERV n,.=rdous w.st. O.-S~toTr. ar~t LOCATION: 710 14TH ST IELD OFFICE OF ENVIRONMENTAL SER VICES' " " ' ~ ' 1715 Chester Ave., 3rd Floor Appr°vedby: Bakersfield, CA 93301 OfficeofEvitonm~Services Voice (661) 326-3979 .. ~ FAX (661) 326-0576 ~'EXpi?ation Date: '~.l'll~'~_ .~'}! ~ON.~ CALIFORNIA WATER STA42 SiteID: 015-021-001938 anager : MELVIN BYRD BusPhone (661) 396-2400 ocation 710 14TH ST ~ ~ : Map : 103 CommHaz : Moderate w City BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 += Emergency Contact / Title Emergency Contact / Title MELVIN BYRD / DISTRICT MCR TIM TRELOAR / ASSIST DIST MGR Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x ....................................... + ...................................... Hazmat Hazards: RSs Fire Press ImmHlth Contact : Phone: (661) 396-2400x MailAddr: 3725 S H ST State: CA City : BAKERSFIELD Zip : 93304 Owner CALIFORNIA WATER SERVICE COMPANY Phone: (661) 396-2400x Address : 3725 S H ST State: CA City : BAKERSFIELD Zip : 93304 ..............................................................................  Period : to TotalASTs: = Gal Preparer TotalUSTs: = Gal ertif'd RSs: Yes arcelNo: Emergency Directives: f . Dis~ict M~ag~-Tim Trelo~ As~. Di~ict M~ag~-Bill Ha~er Contact Person-Tampa Jonson Same hone Numb~s -1- 07/30/2003 CALIFORNIA WATER SERV CO eTA42 SiteID: 015-021-001938 Manager : MELVIN BYRD BusPhone: (661) 396-2400 Location: 710 14TH ST Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title MELVIN BYRD / DISTRICT MGR TIM TRELOAR / ASSIST DIST MGR Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth Contact : Phone: (661) 396-2400x MailAddr: 3725 S H ST State: CA City : BAKERSFIELD Zip : 93304 Owner CALIFORNIA WATER SERVICE COMPANY Phone: (661) 396-2400x Address : 3725 S H ST State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: F Hazmat Inventory One Unified List ~---- As Designated Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax Iunit MCP CHLORINE F P IH L 200.00 Ext reviewed ~he 8~ched h~$~ou~ m~fials mai~ag~- ment plan for ~ 5 and that it alo~ with (~me ol ~s~e~) any corre~ions constitut~ a complsts and co.act man- agement plan for my facili~. ~g~e Date 1 07/19/2000 CALIFORNIA WATER SERV CO STA42 SiteID: 015-021-001938 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site COMMON NAME / CHEMICAL NAME CHLORINE Days On Site SODIUM HYPOCHLORITE 12.5% 365 Location within this Facility Unit Mapi Grid: FENCED ENCLOSURE NEXT TO PUMP CAS# 7882-50-5 FSTATE ~ TYPE I PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure Above Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 200.00 200.00 HAZARDOUS COMPONENTS %Wt. RS CAS# 12.50 Chlorine (EPA) Yes 7782505 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Ext 2 07/19/2000 CALIFORNIA WATER SERV CO STA42 SiteID: 015-021-001938 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification 04/06/1999 CALL 911 AND (800) 852-7550 OR (916) 427-4341. Employee Notif./Evacuation 04/06/1999 N/A - UNMANNED SITE. Public Notif./Evacuation 04/06/1999 WE WOULD PREFER TO RELY ON EMERGENCY SERVICES PERSONNEL TO DETERMINE IF AN EVACUATION IS NECESSARY. HOWEVER, WE WILL EVACUATE THE AFFECTED LOCAL POPULATION AS NECESSARY, IF EMERGENCY SERVICES PERSONNEL ARE NOT AVAILABLE. Emergency Medical Plan 04/06/1999 = MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE. -3- 07/19/2000 CALIFORNIA WATER SERV CO STA42 SiteID: 015-021-001938 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Release Prevention 04/06/1999 SODIUM HYPOCHLORITE IS STORED IN AN ABOVE GROUND SECURE AREA. Release Containment 04/06/1999 THE SODIUM HYPOCHLORITE HAS SECONDARY CONTAINMENT. Clean Up Other Resource Activation -4- 07/19/2000 CALIFORNIA WATER SERV CO STA42 SiteID: 015-021-001938 Fast Format Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs 04/06/1999 = A) GAS - N/A' B) ELECTRICAL - SERVICE BOX LOCATED INSIDE FACILITY. C) WATER - N/A D) SPECIAL - N/A E) LOCK BOX- NO Fire Protec./Avail. Water 04/06/1999 = PRIVATE FIRE PROTECTION - NEAREST FIRE HYDRANT - FIRE HYDRANT ON SITE WELL DISCHARGE. Building Occupancy Level -5- 07/19/2000 CALIFORNIA WATER SERV CO STA42 SiteID: 015-021-001938 Fast Format ~ Training Overall Site Employee Training 04/06/1999 WE HAVE NO EMPLOYEES AT THIS FACILITY - UNMANNED SITE. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: CALIFORNIA WATER SERVICE COMPANY PROVIDES THE FOLLOWING TRAINING: 1. SAFETY PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIALS RELEASE OR THREATENED RELEASE. 2. HAZARD COMMUNICATION STANDARD. 3. EVACUATION PROCEDURES. 4. PROPER HANDLING OF HAZARDOUS MATERIALS. 5. HMMP IMPLEMENTATION. Page 2 Held for Future Use Held for Future Use 6 07/19/2000 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (8f" INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. i x'/4~ ~].._\ ~r~L, 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA LOCATION: '-7 I C_~ CITY: ~A~m~W,~ STATE:C~ Z~$~A PHO~(~)5~-14oo D~ & BRADST~ET ~ER: P~Y ACTIVITY: OWNER: ~, wa~ MAILING ADDRESS: '~e.q e:= SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: N o~m - MATERIAL SAFETY DATA SHEETS ON FILE: SECTION 4: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PEI~jRY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF ~ "CALIFOt~IIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION 1, ~l~a ~'~E~l~r'~cl~ CERTIFY THAT TI-IE ABOVE INFORMATION IS ACCURATE, I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER TIlE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV, 20 CHAPTER 6,95 SEC, 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY., SIGNATURE TITLE DATE 2 HAZARDOUS MATERIALs MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: ~//,& - J..J~i,.~,~,~,~,,~:o~'v,-'~ D. EMERGENCY MEDICAL PLAN: HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: ~ot>,~ ~'-['r~'OCHt._c~rr~_ B. RELEASE CONTAINMENT AND/OR MINIMIZATION: '-T"14g. ~o~ ~-,~ H~,~oc ~.on c~ C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: ~w~c~ ~e::~ t...Oa,~"r~o ~e,~ I=",~ ~ ~--~ 'r~ WATER: l',,t SPECIAL: {,,-1 LOCK BOX: YES~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): ~r-~ ~-~rlz>~.,'r' -d~)~ ~ r-~ \~r~c,- 4 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] FACILITY NAME ~"t-'~ ,~ r2.- ~ 2. SITE ADDRESS -/ t c_~ I 4 T._..~ ~.~, ,6,,-4 r~ J:~ S-r'. CITY ~~'~-5~..,~ STATE ~'~. ZIP NATURE OF BUSINESS ~__a~;zxJ~;Xet~c~ c:~. ~.,~-~-t-~c_ \A.,/~.-r-~ SICCODE z~A ~ DUN&BRADSTREETNUMBEROO-~,~/-~5'7~ MAILING ADDRESS L'.'~'7 'Z ~ ~o~n-~" I-.] ' CITY I~/~ta~._-S~:~z~-r9 STATE ~'~,ta,. ZIP EMERGENCY CONTACTS NAME {k~'[,~t.._,,4 ~ ~., ~'-/~:i"D TITLE BUSINESS PHONE ('i~c~) ~'~Co-Q.,~I ,..o c-~ 24 HOUR PHONE '::~,~,~'.4~ NAME 'T'l~--n q'"~_~_..t.~ ~x~ TITLE ~6,57'~a'r' BUSINESS PHONE (~;:50~) ~96::,-.c2-4OO 24 HOUR PHONE 1 ous MATZiUALS ~~ D~ON I)~ORYSTA~S:N~A~fi~[ ]~[ ]~1~[ ] C~ff~isaNONT~~~T~~[ ] 2) C~ N~ ~[ ~ ~ ~ ~ ~) WAS~ C~SS~CA~ON (3~i~t ~ ~m DHS Fo~ 8022) USE CODE 6) P~SlC~STA~ So~d[ ] Liq~d~] ~[ ] ~] ~[ ] W~[ ] ~ve[ ] 7) ~O~ ~ ~ AT FAC~ ~S OF ~~ ~) STOOGE COD~ ~D~ly~o~t ~ Lbs[ ]~]~[ ] a)C~ A~e Daily ~o~t 2 ~ ~ ~ ~ Site ~ C~le ~ M~: ~ Y~, J, F, ~ ~ ~ J, J, ~ S, O, N, D 9) ~: List CO~~ C~ · e ~ mo~ ~m I) .[ ] ch~ ~m~ ~ 2) [ ] ~y ~ ~~ 3) [ ] · IO)L~A~ON ~~C~ ~1~~~ I ~ ~ORY STA~S: New ~ ] Additi~ [ ] Re. sion [ ] ~le~on 2) Co--on N~e: 3) ~T ~ (option) Chef.iN.e: ' ' .~[ ] C~~ ~) ~ysi~l & H~l~ P~51C~ ~) WAS~ C~SSWICA~ON (3~git c~ ~m DHS Fo~ 802~ USE CODE 6)P~SIC~STA~ Solid[ 1 Liquid[ ] O~[ ] ~[ ] ~[ ] W~[ ] 7) ~O~ :LN~ ~ A'~ FAC~Y "' L~S~~~ 8) STOOGE COD~ M~ Daily ~o~t Lb~ Average Daily ~o~ ~ C~es [ ~1 ~o~t ~ c) L~est Size ~on~er ~ Da)'s on Sit; ~ Civic ~ch Mon~s: .MI Ye~, J, F, M, A, M, J, J, ~ S, O, N, D 9) ~: List CO~~ C~ % ~Y~~ ~) [, ] · ~~ON . 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