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HomeMy WebLinkAboutBUSINESS PLAN 10/1/2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This oermit is issued for the following: [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials [] Risk Management Program PERMIT ID # 015-021-002105 D Hazardous Waste On-Site Treatment · CALIFORNIA WATER LOCATION: 6017 AKERS RO~..i.' ' .~,~,,,. ',... ,~, CA 93313 ~ ...'~ OFFICE OF ENVIRONMENTAL SER VICES' ' 1715 Chester Ave., 3rd Floor Approved by: AUG Bakersfield, CA 93301 OfficeofEvimnmen~fServices Voice (661) 326-3979 FAX(661) 326-0576 Expiration Date: June 30, 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ;ermit is isSued for the foil°Win_e: ' [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002105 . CALIFORNIA WATER LOCATION OFFICE OF ENVIRONMENTAL SER VICES'' - ~' ' NOv 1 Z000' 1715 Chester Ave., 3rd Floor Approved by: ~'(~RalpilrHuey'D/~i Issue Date Bakersfield, CA 93301 OttlceorEv~Services - Voice (661) 326-3979 2003 FAX (661) 326-0576 Expiration Date: OU.. SITE DIAGRAM __ FACILITY ~kGRAM ! ,~ ! Business Name: ~-~,'~o--~,;~ ~J~.£--.--$..-..,,..._ Business Address: ,~ o s~-~, ,~?_ -o, ~o ~-? ~,~.~_,-~ - 1 I /.' l I / x,~y DISTRICT " I J '"" ) J ~ ~0UN~^,~ I °' :HECO~ BO .~ ~uRN~C~ )DMERE I I I ItAflfllS ~ PAHK;~ ~ I 10 6LOSSO~ VALLtY LNJ : ~ ~l --- EDISON ... 1{ BAV B[RRV WY I RD CALIFORNIA WATER sERv STA18201 - SiteID: 015-021-002105 + Manager : M~L~TTN-J~YRTT BusPhone: (661) Location: 6017 AKERS RD ~% Map : 123 CommHaz : Minimal City : BAKERSFIELD ~%~ Grid: 23D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title ....... / .MELViN.BYRD / DISTRIC~ '~E TIM TRELO~ , 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 : ~ ~P~: (408) 4.5.~200x MailAddr: 90 sox ±-i-S0 ~ C~ty ......... ~ Zip : 95!0~ Owner CALIFO~IA WATER SERVICE COMPLY Phone: (408) 451-8200x Address : 1720 N FIRST ST State: CA City : S~ JOSE Zip : 95112 +- -+ Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: r - D~s~c~ ~-T~m ~]o= - - + Emergency Directives: Assr Di~i~ ~-BH] H~er Con~ac~ Person-Tam~ 3o~son CONTACT PERSON ~K 832-2141. S~e~oneN~rs Mailing Address Change: 3725 South "H" Street Bakersfield, CA 93304 I, l~-r-" m,O~_Z~ k ~/-/,tJ..~AJ_ Do hereby certify, reviewed the at~ached hazardous materials manage- ment plan for~/'~~ [d,~--~ and that it allong with (Name of SusSex) any corrections constitute a complete and correct man- agement plan for my fadlity. 1 07/30/2003 CITY OF BAKERSFIE '~ 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 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. 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 i ~'~ ~ ''~- ©'~' (:''~ o BUSINESS NAME: r__,~ i L .... .-. ,.~ ,,_ I~- <~ ,_.,-.~. ,._~ ~o. LOCATION: ~. $4-~. 11~2.-o~ t~o,---t .A-.t~-~ /-'~. MAILING ADDRESS: "5 -n 'z -5 ~o. vt ~.+. CITY: ~ v._.~- · f-,',_ ~ ~t STATE: c~, ZIP:q'~'~o'4PHONE: Ct,,to03qroz'+o~> OWNER: b,,,-~, e_ PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION ' CONTACT TITLE BUS. PHONE 24 HR. PHONE itAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C.O, (.e.~l q~l~ ~x,ntl Ot-tc~,-e-- o(- C. ENVIRONMENTAL RESPONSE MANAGEMENT: 2.'4 D. EMERGENCY MEDICAL PLAN: 2 ~ZARDOUS MATERIALS MANAOMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND ILECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: Ce.,'-~,~.~-~oo.~. ~o~.c.l-,..,l o,~' ~,:le... WATER: SPECIAL: LOCK BOX: YES/~Q) IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. I'RIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): .S.ECTION III; ..TRAINING NUMBEROF EMPLOYEES: ~o,,,.~. _ t.1,,,.~.¢..,~.~,.,.3. -,.~I~¢. MATERIAL SAFETY DATA SttEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION 1, . '~-'~ $.- f_. J~ ,.,,rJ,-~ ~, CERTIFY THAT THE ABOVE INFORMATION IS ACCUP, ATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULI:ILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA IIEALTH AND SAFETY CODE" ON ! IAZARI)OUS MATER. IALS (DIV. 20 CltAPTER 6.95 SEC. 25500 ET AL.) AND TI lAT INACCUIDVI'i} INFORMATION CONSTITUTES PEILIURY. SIGNATURE TITLE DATE 4 ~715 Chester Ave., CA 93301 (~) 326-3979 BUSINESS OWNER I OPEgTOR IDENTIFICATION FACILI~ INFORMATION Page ...... 01 , . · . ' I. FACILITY IDENTIFICATION , I.IIJ.~INESS NAME (Same as FACILI~ NAME or DBA- Ool~ Business ~) 3 BUSINESS PHONE rSITE ADDRESS ZIP E)I IN & ~o~ SIC CODE COUNTY ~ ~ ~ ~ OWNER MAILING CONTACT MAILING ADDRESS crrY ~ , STATE -- . -PRIMARY-' ' '"' .") E ERGENCYC NIAClS_:2 ........... 2_. : ~ECONDARY- 132 7n-HOUR PHONE ~ ~ ~ ~ ~2t 24-HOUR PHONE .~ l'p,lificalion: Da,od on my Inqul~ of Ihoso individuals responsible for oblalning lhe Information, I ~1~ under penally of law Ihal :md am fnmillar~ilh tho info~aflon submitted In this ~nvonlo~ and believe the information is true, accurate, and ~mplete. Ill'CF (7/99) S:XCUPAFORMS[OES2730.TV4.wpd FICE OF ENVIRONMENT SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 H RDOUS MATERIALS INVENTORY '. CHEMICAL. DESCRIPTION (one fo~ per mate~al pe~ budding or a~,,~) ~NEW ~ A~ ~ OELE~ ~ REVISE ~ Page ~ of BUSINESS NAME (~ ~ FACIU~ ~ ~ D~ - ~ng B~s ~) ' ; ~ '' ,I CIt~MI~L LO~T~N 201~ CHEMI~L LO~TION ~ 0 ~ ~: ~ ~ J ~NFIDENHAL (Ee~) D Yes 205 T~DE SECRET ~ Y~ ~ No CI IEMI~L ~ME tf Subj~ IO EPC~ ref~ lo inslmcli~s 20Z COM~N~ ' ~ EHS' ~Y~ ~No 20~ 2tO YYPE ~ p PURE ~ m ~RE ~ w WASTE 2H ~D~ACT~ ~Y~ ~ 2~2 ] CUmES~ ['~ D HA~RD ~T~RIES (CI~ ~ that s~) ~ 1 FIRE ~ 2 REA~ ~ 3 PRESSURE ~E ~4 AC~ H~LTH ~ 5 CHRONIC H~LTH 2:G I ANNUAL WASTE ~/ 217 ~I~M 218 A~ 219 STATE WASTE CODE 220 UN'S* ~ ga ~L ~ d CU~ ~ lb LBS . ~ ~ TONS 221 DAYSON SITE '~'2~'~ ~;ORAGECO~AINER ~a A~VEG~UNDT~K ~e P~STI~NM~LICDRUM OI F~ERDRUM ~m G~SSBO~LE ~q ~IL~ 223 ;; ~ b U~EROROUND TA~ ~ f ~N ~ j ~O D n P~STIC BO~LE ~ r OTHER ~ c T~K INSIDE BUILDING ~ g ~Y ~ k BOX ~ o TOTE BIN ~ d S~EL DRUM ~ h SILO ~ I ~INDER ~ p T~K WA~N S;O~GE PRESSURE ~ · A~IE~ ~ aa A~VE~IE~ ~ ba BELOWA~ENT STOOGE TE~E~TURE ~ aA~IE~ ~ ~ ~VE~IE~ ~ ba BELOW A~IE~ ~ ~ CRYOGENIC 225 I 229 2 i 230 231 ~Y~ ~232 233 ~ 2~ : 235 ~Y~ 236 ~ 238 239 ~y~ DNo 240 ~ 242 243 ~ Y~ ~ ~ 244 '~;J~I~~TLEOFAU~OR~EDC0~p~REpRESE~ATNE - ' SI~RE- ~ ..... ~ UPCF (7199) S:\CUPAFORMS\OES2731 .TV4.wpd