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~