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HomeMy WebLinkAboutBUSINESS PLAN 8/14/2000 Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF ~PERMIT ON REVERSE SIDE This 0ermit is issued for the followin_=: · [] H=:,=~ous Materials Plan [] Underground Storage of Hazardous Permit ID #:: 0t 5-000-001937 [3 Risk Management Program CALIFORNIA'___ WATER SERV r~ ,.z. rdous W..t.O.-Site Trmm.nt LOCATION: 522 33RD ST ,. Issued by: Bakersfield Fire Department ~~p~~~ OFFICE OF ENVIRONMENTAL SER VICES' ' ' ' ~ 1715 Chester Ave., 3rd Floor ',Approvedby: Bakersfield, CA 93301 , Voice (661) 326-3979 i~ FAX (661) 326-0576 .Expir~fi0nDate: Jun~ 30.. 2003 ITE DIAGBAM ~ FACILITY DIAGRAM Bu~inm Nme: ~p~f4 ~/~f2..~e~. o ~,~' ~'~rr~J ~-- SITE DIAGRAM IrA~ DIAGRAM Business Name: Business Address: i " ' IA E-4~e6 ~. .33-02 S~ '- E-3302 .. .:" + CALIFORNIA WATER SERV STA33 SiteID: 015-021-001937 + Manager : ~-~ELVI~ DYRD-- BusPhone: (661) 396-2400 ~ocatiOn. city 522 ~3RD ST?mRa~D~ ~ BAKERSFIEL-~'- ~Map.~._ : 103 CommHaz : Moderate Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title MELVIN BYRD / ~~ ........... .......... · ,~ T~,-, ~ ......... / ASSIST 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 ~l~Certif'd: RSs: Yes ~ParcelNo: Emergency Directives: District Manager-Tim Treloar Asst. District Manager-Bill Harper Contact Person-Tamara Johnson Same Phone Numbers Mailing Address Change: 3725 South "H" Street Bakersfield, CA 93304 -1- 07/30/2003 CALIFORNIA WATER SERV CO STA33 SiteID: 015-021-001937 31757 Manager : MELVIN BYRD BusPhone: (661) 396-2400 Location: 522 33RD ST Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION '04 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: ~- Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax Unit MCP CHLORINE F P IH L 200.00 GAL Ext I, ~._~..r.. ~,~.,t.;,~ Do hereby certify that I have (Type or p~int name) reviewed the a~tached hazardous materials manage- merit plan for c,..u5 and that it along with (Name of 8usi. ess)' any corrections constitute a complete and correct man- agement plan for my facility. -- - -' Signalu - Date -1- 07/19/2000 CALIFORNIA WATER SERV CO STA33 SiteID: 015-021-001937 ~ 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 Map: Grid: FENCED ENCLOSURE NEXT TO PUMP CAS# 7882-50-5 ~ STATE ~ TYPE i PRESSURE i TEMPERATURE__ CONTAINER TYPE Liquid/Pure Above Ambient Ambient ABOVE GROUND TANK -- AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL HAZARDOUS COMPONENTS %Wt. y~ CAS# 12.50 Chlorine (EPA) 7782505 HAZARD ASSESSMENTS TSecretNo Y~ BioHazINO Radi°active/Am°unt I EPANo/ Curies F P HazardsIIH NFPA/// USDOT# ] MCPExt 2 07/19/2000 F CALIFORNIA WATER SERV CO STA33 SiteID: 015-021-001937 Fast Format = 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 SERVICE 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 HOPSITAL ON TRUXTUN AVE. -3- 07/19/2000 CALIFORNIA WATER SERV CO STA33 SiteID: 015-021-001937 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 STA33 SiteID: 015-021-001937 Fast Format F 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 - N/A Fire Protec./Avail. Water 04/06/1999 PRIVATE FIRE PROTECTION - NEAREST FIRE HYDRANT - ON SITE WELL DISCHARGE. Building Occupancy Level 5 07/19/2000 CALIFORNIA WATER SERV CO STA33 SiteID: 015-021-001937 Fast Format = Training Overall Site -- Employee Training 04/06/1999 WE HAVE NO EMPLOYEES AT THIS FACILITY - IT IS AN 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 BAKE \c\ cD OFFICE OF ENVIRONMENTAL SERVICES ~ 1715 Chester Ave., Bakersfield, CA (8051326-3979 INSTRU.CTIONS; ~ ~~ 'A~'pL. l. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief' and concise as possible. SECTION 1' BUSINESS.IDENTIFICATION DATA USINESS NamE: LOCATION: ~2~ CITY: ~'~m~W,~ STATE:C~ Z~35~ PHO~~)3~-~4oo D~ & BRADST~ET ~ER: P~Y ACTIVITY: O~R: ~ MAILING ADDRESS: '<~.~..4 ~._ SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 I-IR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3; TRAIN1N..G NUMBER OF EMPLOYEES: N o~ -' MATERIAL SAFETY DATA SHEETS ON FILE: SECTION 4: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA 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 I, ~ ~ ~ c CEKTIFY THAT THE ABOVE I~OR~V~TION IS ACCtnO, TE. I Vt, rVEaSTar,~ 'mAT ~-nS I~OaM~'nON Wn.L S~ USED TO FULFILL MY FIRM's OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFOKMATION CONSTITUTES PER.IURY. SIGNATURE TITLE DATE HAZARDOUS MATERIALS MANAGEMENT PLAN ,SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES B. EMPLOYEE NOTIFICATION AND EVACUATION: D. EMERGENCY MEDICAL PLAN: 17~oX/ID~..I') ~)'~t' ]~I.F_R.Q¥ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: ~o~,~t~.~ ~'['r~c3CH~-C~- ~ B. RELEASE CONTAINMENT AND/OR MINIMIZATION: "]"l-t~ ~'o~ ur,,~ ,,.-I '-r ~Oc ~uon r'~ C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)_ NATURAL GAS/PROPANE: ELECTRICAL: ~:~-v~c~ ~ /_.O,- ~'r~o I~o~__ Ir-',~ t ~ 'r~ WATER: ~ SPECIAL: [",-I/,t~ LOCK BOX: YES~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: 4 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCKIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME ~'~/,,t_.., ~n~, * ~./~'r~r~ FACmlTY N~ ~T~. ~3 - ~Z CITY ~~~~ STA~ ~. Z~ NAT~OFBUS~SS ~~~ ~. sic CODE ~ ~ ~ ~ D~ & B~S~ET ~ER O~OPE~TOR ~~"~~~'~ ~- PHO~(~°~) 3~&- 2~o0 .. CITY ~~%~o STATE EMERGEN~ CONTACTS BUS.SS PHO~ ~ ~-~ oO 24 HO~ PHO~ BUS~SSPHO~~O~) ~-~o~ 24HO~PHO~ 1 HA~OU$ MATERIALS INVENTOJ ~CAI, I)iNVENTORYSTATUS:Newb~Addition[ ]~[ ]~l~n[ ] ~~isaNONT~~~T~~[ ] 4) ~ ~ H~ H~~es F~( ]R~cfive[ ]S~l~of~[' ]'~H~(A~)[ ]~~(C~)~ 5) WAS~ C~CA~ON 6)P~SIC~STA~ Solid[ ] L~q~d~] ~[ ] ~] ~[ ] W~[ ] ~~[ ] 7) ~O~ ~ ~ AT FAC~ ~ OF ~~ 8) STOOGE COD~ ~ ~ ~ Site ~ G~le ~ M~: ~ Y~, $, F, ~ & ~ ~, ~, & S, O, N, D 9) ~: List CO~~ C~ ~ ~~ ~ 2) [ ] =~~== 3) .... [ ]. ~) ~O~Y ST~S: New Ch~l N~e: 4) Ph~;i~l ~ H~I~ P~SIC~ ~) WAS~ C~SS~ICA~ON (3~8it c~ ~m DHS Fo~ 8022~ USE CODE 7~ ~O~ ;~D ~ A'~ FAC~Y L~S, 8) STOOGE COD~ M~ Daily ~o~t Gal [ ] l~3 [] a) C~ Av~age Daily ~o~ Cm~ [ ] b) i: L~est S~e Con.er ~ Da~s on Site Civic ~ch Monks: .~1 Y~, J, F, M, & ~ $, J, & S, O, N, D 9) ~: List CO~~ C~ [ ] [ certify un6er penalty of la~: that I have personally examined ~ am t~ailiar with the im'ormation on this and all attadgd do~mmmts. I believ~ the submitted infommtion acta=rite /'"'"~ ~ is true, and complete. PRINT Name & Title of Authorized Comoanv Reor~entat~