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Home My WebLink AboutBUSINESS PLAN 9/30/2003 (COPY)HazardoUs Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID # 015-021-002094 CALIFORNIA WATER LOCATION 5-05 Issued by: Bakersfield Fire Department i ": OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: · ' This _~ermit is issued for the following: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program' [] Hazardous Waste On-Site Treatment 933O1 June 30. 2003 NOV 1 2000 Issue Date SITE DIAGRAM FA~GRAM [ ~ I Bus|nessAd~ess: ~.~ a+~. '5 z~,~ zo~''~ ~,+. ~L~ ' ~ ........ · //:~ ',/ZT.'~..~l..,/':?'5~;f7'~~-~"~,:, ~,~ ~ , -, oJ, ~ /~" //'. ' ~ '".:"k"'~..~ . h i 's¥ ~ - ' '~ '-'-- ...... · " " '~ ~':::-:.L[/ _ I .,t,~ f - - I ~.,,", F:, 5"r~'" , "- ':' ', ~ - s'r " ............... 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' j · . .' .,,'. · ) _1 ~ :¢ ...... , ~1 o~.~nJ.,~ .... ~ ._J'-'";.q N CALIFORNIA WATER S BK5-05 SiteID: 015-021-002094 Manager : MELVIN BYRD .~ BusPhone: (661)-325-712B 'Location: 2409 20TH ST ~/~· Map : 102 Comr0Haz : Minimal City : BAKERSFIELD ~ Grid: 25A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 ~= Emergency Contact / Title Emergency Contact / Title MELVIN ~Y~D / DISTRICT MANAGE TIM T~LOAR / ~N SUPER Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x 24-Hour Phone : (661) 396-2400x 24-Hour Phone : (661) 396-2400x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: RSs _// Fire Press ImmHlth Contact : ~ ·Phone: (408) l~l-8.2~0x MailAddr: ~O BOX 1150 // .State: CA City : ~AN JOSE ~ Zip : 95108 Owner CALIFORNIA WATER SERVICE COMPANY Phone: (408) 451-8200x Address : 1720 N FIRST ST State: CA City : SAN JOSE Zip : 95112 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: CONTACT PERSON~IM IIEDRICK 832-2141. fDistrict Manager Tim Treloar Asst. District Manager-Bill Harper Contact Person-Tamara Johnson [ Mailing Address Change: 3725 South "H" Street Same Phone Numbers Bakersfield, CA 93304 -1- 07/28/2003 CITY OF BAKERSFIEL~ . i'.'.i, ...... ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979.. HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form~' in 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISIq. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~t:C..~.~'.~ ~j~..l-~.--<ot,-,~,,-.~ ~-o. LOCATION: ~e-a~-. ~-o~ 'z.-eoq 2-o-r** ~4-. MAILING ADDRESS: 3~?...~ $o. 0~ ~+. . CITY: .~-o-- ~.~,-~ [-, ~., d STATE: e. tx. ZIP:q~3Zoq' PHONE: PRIMARY ACTIVITY: '~,.~,-w~,,/'oc or- do,,,.,~¥,e.._ ,..~-~,-- OWNER: ~e~, ._ PHONE: MAILING ADDRESS: ~,,-,~ ~ .' EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE -HAZARDOUs MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS 'A. LEAK DETEcTIoN AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: ~ Boo- C. ENVIRONMENTAL RESPONSE MANAGEMENT: 2 /~ARDouS MATERIALs. MANAG~NT PLAN SECTION II.2: RELEASE RESPONSE pLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ~/~,- WATER: SPECIAL: ~/~, LOCK BOX: YES/~ IF YES, LOCATION: "-'---- PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: _ 3 SECTION III: TRAINING MATERIAL SAFETY DATA SHEETS ON FILE: BKIEF SUGARY OF T~~G PROG~: CERTIFICATION I, 2Z-', t~-g_ .,~. ~ ~- ~- ~ ,~ CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HE,ALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. , , SIGNATURE ~ TITLE '" ['' DATE I ~ ~ OF ENVIRONMENTA ;RVICES :' '-~-~'l~l[~A~..~.~ll~tFIR~' I 15 Chester Ave., CA 93301 (. -. ;26-3979 ; "'-~"~~'~"' ~'""" BUSINESS OWNER/OPERATOR IDENTIFICATION " FACILITY' INFORMATION ' Page . Of " ' ' ' I. FACILITY IDENTIFICATION' ·.. · ' iI , BUSINESS NAME (Samoas FACILIIY NAME ;; DBAT'I~;i~;i'n~-~;~) ..... -': .................. . .......................... ~ .... BUSINESS PHONE .... I' :. : ......... L.__C~J; [~_~_~',_~__~_~_~ ~ ~ -~s~__~.~L ....... : ................ [. (~ ~).~ .~.~ ~ ~..9 .................. I SiTE ADDRESS : ... .......... _~ ~-O~ ~o~t ~O~ ~, DUN & m6 SIC CODE B~DSIREET OO- ~q I.- ~53 ~ (4Digitg) ~q ~ [ I COUN~ I~ ~ r ~ ,0a,I , '~-- .:'..:.:':;""(;' '; :';:~;;";."'}"~':'::~';:':;;'?. ':::.~'.'};.:,'.:'. ::"~::':'.'::'?:~".II)OWNERiNFORMATIoN"/:'}'.'" ':":"." '::'::(~"~';~'"';?'.'""'..;':' ' .' '.' .' ' .... · ' I OWNERNAME ~1~ ~,~ ~~ ~w~ ~o ~ IOWNERPHONE(~Bq~~' ,,2 OWNER ~ILING ADDRESS ~l~S ~ ~. ~ ~ ~. CITY ~*-~ (.,at~ ~4 ~ STATE a~s- ZIP q3~o~ · ' :' ".'.-<',',,.i '.'.,'.2. ~ ;,"?,';'"'. ,';'.' :;.--:'.:'Y'-'"..~};.'.;'..?" ,',' " .... ' ':.t;';:' .",'{ ' ::"" '.:.'. ' ...' · ' . ' .... · . · .'~.;J';.'...'.~;.'~'.~?;i';,~L'.,.~.h.;'~..;. ;'.~.~'~".)'.,~.,'?':..(.,'. ~[~:,.,.... .... ........ . .....,, ,- .',.. ...... ;~,. ?,, '.;.< ~.~:......'.~. ~' ' :. · ,..''.'. · '.X. · CONTACT NAME 5 e.~' '~ ~t ~ ~ CONIACT ~ILING ADDRESS CIIY ~ ~2o SIAIE ~ ~2~/ ZIP ~ 122 ~,M~ ~.~.. ~W~J. ,~ NAME ~ ~t,~- ............... '~'~_. Dus~N~.~HONE (~ ~ ~ ~ ~ Z ~ O O 126 BUSINESS PHONE ~.__~_~_~_~_[~. L ...................... 131 - 132 24-HOUR PHONE .5 ~ ~2~ 24-HOUR PHONE ~ ~ ~ ..................... PA~ ;ER ~ ~ 128 PAGER ~ ~ . · .....,.....: ..; :, .' . . .......-.;.;. ... .... . ..... , ;~ ..,...:.: - ' ;:';. : ..:'..'..'. ':.. .... :..'.' '.:':~; :..". :..::..:. :'?:..~V~ CERTIFICATION...:..-'.:.' '.~::~": '".~ '} . .- . .: ..~...)~:',~'.;....?.': .~. :... .~.: · =:..=...., ~ ............ ..~.............. ......... :..~ ..:......~.. ..... Cedificalion: Based on my Inqul~ of those Individuals responsible for obtaining tho information, I ~fli~ under penalty of law that I have personally oxamine(I and am familiar with tho info~atlo~ submilted In this Invonto~ and believe the Information is tree, accurate, and ~mplete. SIGNATURE OF OWN[~OPE~-OR ~AIE ~34 NAME OF DOCUM[~I PREPARER NA'~ES OF O ~h~ ,~ T~TL~ OF OWNEmOPEmTOR ,~ uPcF (7/99) '. S:\CUPAFORMS\0ES2730.TV4.wpd CITY OF BAKERSFIF~ OF ENVIRONMENTAII~ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ""-"~ ~'~'" ~' ~"'" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fosTn per material per budding or ama) ~NEW ~ ADD ~ DELETE ~ REVISE ~ Page ~,' BUS~ESS NAME (Same as FACILI~ ~ME ~ D~ - ~ing Busin~ ~) ....... 3 CHEMICAL LOCATION 201 CHEMICAL LOCATION O ~ ~ ~ ~ ~ 'CONFIDENTIAL (EPC~) ~ Y~ ~ No 202 205 I T~DE SECRET CHEMI~L ~ME ' ~ '~', If Subj~ lo EPC~. ref~ to inslm~ions .. 207 COM~N NAME ' ~ EHS' FIRE CODE H~RD C~SSES (~pleto if r~u~t~ by I~1 fire ~i~ 210 ~PE ~ p PURE ~ m MITRE ~ w WASTE' 211 ~DIOACTIVE ~ Y~ ~ No 212 ~ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g ~S 214 ~RGESTCO~AINER 215 FED H~RD ~TEGORIES ~ 1 FIRE ~ 2 REACTIVE ~ a PRESSURE RELEASE ~4 ACU~ H~LTH ~ 5 CHRONIC H~LTH 216 (Ch~ all that apply) ANNUAL WASTE NV~/ 2~J} ~t~ 2~a AVE~E 2~S' STATE WASTE COOE 220 A~UNT DAILYA~U~ ~OO ~a[. DAILYA~U~ ~O ~ a[ . _ UNITS' ~ ga ~L ~ d CU ~ ~ lb LBS ~ tn TONS 221 DAYS ON SITE 222 * ~ EHS, am~nt must ~ in lbs. STOOGE CONTAINER ~ a A~VEGROUND T~K ~ · P~STI~ONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~ 223 (Check all that apply) ~ b UNDERGROUND TANK ~ f ~N ~ j ~G ~ n P~STIC BO~LE ~ r OTHER ~ c T~K INSIDE BUILDING ~ g ~RBOY ~ k BOX ~ o TOTE BiN ~ d S~EL DRUM D h SILO ~ I CYLINDER ~ p TANK WAGON STOOGE PRESSURE ~ a A~IE~ ~ aa ABOVE AMBIENT ~ ba BELOWAMBIENT 224 STOOGE TEMPE~TURE ~ a AMBIENT ~ aa A~VE A~IENT ~ ba BELOWA~IENT ~ c CRYOGENIC 225 2 ~ 230 231 ~ Y~ ~ No 232 233 3 234 235 ~ Y~ ~ No 236 237 4 ~8 ~9 ~ Y~ ~ No 240 241 5 242 243 ~ Y~ ~ No 244 245 t UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd