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
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