HomeMy WebLinkAboutBUSINESS PLAN ,aZcaraous Materi(als/Hazar uS Waste Unified Permit
13 Underground storage of Hazardous Materials
Permit ID #i: 015-000-001949 ,: D RiskManagem~ntProgmm
[] I.l~ardou~ Wa~t~ On-~it® Tr~an~t
CALIFORNIAINAT£R $£R~
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Issued by: Bakersfield Fire Department
Bakersfield, C~.93301
Voice (661) 326-3979 ' .... "~" '
FAX {661) 326-0576 :, · /...?.iE~P~tionDate:
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BLOMQUIS1~400
¢900
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+ CALIFORNIA WATER SERV ~5~==~ SiteID: 1949 +
anager : ~ · BusPhone: (661) 396-2400
ocation ALU MD S REAL RD Map : 124 Com~az : Moderate
ity BA~RSFIELD ~ ~%%~ Grid: 14A FacUnits: 1 AOV:
CommCode: BA~RSFIELD STATION 07 SIC Code:4941
EPA Nu~: DunnBrad:00-691-3578
Emergency Contact / Title Emergency Contact / Title
~BYRD /--~T~~---...~ ~ MG~ TIM ....~~.~ /~°~I-M~F--DT~'I' 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: Fire Press ImmHlth
Contact : ~E~-%~i~-B~P.D. 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: No·
arcelNo
Emergency Directives:
District Manager-Tim Treloar
Asst. District Manager-Bill Harper
Contact Person-Tamara Johnson
Same Phone Numbers
-1- 07/30/2003
CALIFORNIA WATER SERV CO STA156 SiteID': 015-021-004949
Manager : MEL BYRD BusPhone: (661) 396-240~
Location: ALUM AND S REAL RD Map : 124 CommHaz : Moderate
City : BAKERSFIELD Grid: 14A FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 07 SIC Code:4~941
EPA Numb: DunnBrad:00-691-3578
Emergency Contact ~ / Title Emergency Contact /o 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: Fire Press ImmHlth
Contact : MELVIN BYRD 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: No
Emergency Directives:
~ Hazmat InventOry One Unified List
~ As Designa, ted Order All Materials
Hazmat Common Name... ISpooHaz]EPA Hazards, Frm I DailyMax )UnitlMCP
CHLORINE F P IH L 200.00 GAL Ext
I, __'.'.~,._L& .~4,,,,~-.'..,, Do hereby certify that I have
(Ty~3e or'p/~nt name)
reviewed the attached hazardous materials rnaf~age
ment plan for c,.-,J5 and that it along with
(Name of
any corrections constitute a cornplets and correct man-
agernen~ plan for my facility.
~ ~'t- ;Signature ' Date
1 07/19/2000
CALIFORNIA WATER SERV CO STA156 SiteID: 015-021-001949
= Inventory Item 0001 Facility Unit: Fixed Containers at Site
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
Liquid Pure Above Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
200'.00 GALI 200.00 GAL 200.00 GAL
HAZARDOUS.COMPONENTS
12.50 Sodium Hypochlorite -, N 7681529
HAZARD ASSESSMENTS
TSecretl ~SIBioHazNo N No Radioactive/Amount No/ Curies FEPA Hazardsp IH NFPA/// USDOT# } MCP. Ext
2 07/19/2000
CALIFORNIA WATER SERV CO STA156 SiteID: 015~021-001949
Fast Format
~Notif./Evacuation/Medical Overall Si~e
ALAgency Notification 04/30/1999
L 911 AND (800) 852-7550 OR (9t6) 427~-4341.
-- Employee Notif./Evacuation 04/30/1999
N/A - UNMANNED SITE.
-- Public Notif./Evacuation 04/30/1999
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 04/30/1999
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL.
-3- 07/19/2000
CALIFORNIA WATER SERV CO STA156 SiteID: 015-021-001949
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 04/30/1999
SODIUM HYPOCHLORITE IS STORED IN AN ABOVE GROUND SECURE AREA.
--Release Containment 04/30/'1999
THE SODIUM HYPOCHLORITE IS SECONDARILY CONTAINED.
Clean Up
Other ResoUrce Activation
4 07/19/2000
F.CALIFORNIA WATER SERV CO STA156 SiteID: 015-021-001949
Fast Format
F Site Emergency Factors Overall Site
. Special Hazards
--Utility Shut-Offs 04/30/1999
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 04/30/1999
PRIVATE FIRE PROTECTION - ???????????
NEAREST FIRE HYDRANT - ON SITE WELL DISCHARGE.
Building Occupancy LeveI I
-5- .07/19/2000
cALIFORNIA WATER SERV CO STA156 ~ SiteID: 015-021-001949
Fast Format
= Training Overall Site
-- Employee Training 04/30/1999
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 BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
INSTRUCTIONS:
1. To avoid further action,, r~tum 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
MAILING ADDRESS' '~-7 2~._~' ~o ~a~ ~-~
OWNER: ~, ~.a~ ·
MAILING ADDRESS: <~.a~,4 ~_. '
SECTION 2: EMERGENCY NOTIFICATION "
CONIACI TITLE BUS. PHONE 24 HR. PHONE
HAZARDOUS MATERIALs MANAGEMENT PLAN
SECTION 3: TRAINING ..
NUMBER OF EMPLOYEES: {'q o.~ -. U~t,,,~r=0~ rr~
'MATERIAL SAFETY DATA SHEETS ON FILE:
Su ,A .Y P OG M:
SECTION 4: E~TION ~Q~ST
I CERT~Y ~ER PEN~TY OF PE~Y ~T ~ BUS.SS IS E~T ~OM
T~ ~PORT~O ~Q~~S OF C~R 6.95 OF
& S~ETY CODE" FOR T~ FOLLO~O ~ASONS:
~ DO NOT ~LE ~'~OUS
~ DO H~LE ~~OUS ~~S, B~ ~ QU~~S AT
NO 'T~ EXCEED T~ ~ ~PORT~O QU~IT~S.
,, OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION ..
I, ~ r-,~ [-[ . c CERTIFY -THAT THE ABOVE
INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS' INFORMATION WILL BE
USED TO' FULFILL MY FIRM'S OBLIGATIONS UNDER .THE "CALIFORNIA HEALTH
AND SAFETY CQDE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500
ET AL.) AND THAT INACCURATE INFORMATION ..CONSTITUTES PERJURY.
SIGNATURE TITLE · DATE
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 6: NOTIFICATION AND EVACUATION pROCEDURES \,
A. AGENCY NOTIFICATION PROCEDURES:
B. EMPLOYEE NOTIFICATION AND EVACUATION:.
D. EMERGENCY MEDICAL PLAN:
~")~ O~l ~ D~_. J) ~k~/
HAZARDOUS MATERIALS MANAGEMENT'pLAN.
SECTION 7: MITIGATION, PREVENTION AND'ABATEMENT PLAN
A. RELEASE PREVENTION STEPS:' ~ot>~u~ ~"r'[:>c.3aHu-c:~rr~: ~ ~riD~tr,~"
,.. , B. KELEASE CONTAINMENT AND/OR MINIMIZATION: '-f"l-t~', ~oD~ u~,~ ' ~h, woc ~.o~ ~'~ '
C. CLEAN-UP PKOCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)_
NATURAL GAS/PROPANE:
ELECTRICAL: ~/, c,~ {~:~=:,~,.
WATER: ~/,/~ '
SPECIAL: ~1/~
LOCK BOX: YES~ IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY
'A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT):
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 [ ]
CITY ~,~~~.a~ STATE ~'~. ZIP ~'?>~-.~
SIC CODE Z~c~A ~ DUN & BKADSTREET NUMBER C)C)- ~-~ t'- 55'7'~
OWNER/OPERATOR ~,~r.o~%~J~..n~~,~.~ ~.oo pHONE~OS)'~(,z,o 2,4 oO
EMERGENCY CONTACTS
BUS.SS PHO~ ~ ~-~ ~ 0 24 HO~ PHO~ -~~
'. BUS.SS PHO~ (~0~) ~9~- ~4 O0 24 HO~ PHO~ ~a~
',. CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~ Additiou [ ] Revisiou { ] Deletiou [ ] Check ff chemi ~C~! is a NON Trade Secret ~ Trad~ ,~ [.]
2) Conuuou Name: O4--I L-~O~, {,.r~. 3) D°T # (optional)
4) Physical & H~aRh PHYSIC~~ ~ a~f::~ ~
HazardCaesones F~[ ]Reacti~[ lSua_d,~__R¢l~as~ofPr~s~-~[ l-Imm~iia~. Heilth(Acu~)[ ]D~la]~dHealth(Chrom¢)[5/.~
.~) WASTE CLASS~CAT~ON (3-disi~ code ~'om DHS Form S022)
6)PHYSiC^LSIATE Solid[ I ~LiquidD(1 C~[ I Pun~t~,l Mixt~ [ I 'W~.~[ I a~io~ti~[ 1
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Dafly Amount 200 Lbs[ lCrallXlea[ ] " a)Coataia~..
Average DailyAmoum 2Oi.~ cuncs[ ] · b)~:
Annual Amount '2. C:~ ~,~ It) Temperature
Lars~st Size Con~amcr - ~.-O (D ! "
# Days on Site. ~ Circle Which Months: AIl Year, .l, F, M, A, M, J, $, A, S, O, N, D.: :
9) MIXTURE: List COMPONENT CAS# % WI' AHM
th~ ~r~ mos~ ha~rdous . '1) ; [ ]
ch~nnical components or 2) [ [ ]
any AHlVl components 3) { [ ]
1'~ [N~NTORY STATUS: New { } Addition [ ] Revision [ ] DeleUon { { Check if chemical!is NON Trade Secret [ ]
{
· 2) common Name: 3) IX~T # (optional)
Chemical Name: .Mi]Vi I ] CAS #
4) Physical & Health PHYSICAL
Hai~rd Catesones Fire I 1 aeacUve I 1 Sudd~ Rei".~'~ oz' Pr~ss~'e t l.tmm~ate Z-t~iiff~i?~. ~:ut~) [ 1 I~a~ Hmm (¢hro~i~) [ l
5) W^SIE CL~S$1F1C^IION ..... (3-digit code ~'om DHS Form SE CODE ~ ~ .
6) PI-Pt'SI¢.q, SI^'l~ ~olid [ I Liquid [ ] Oas [ ~ ~ [ I Mix't~. [ ] W~-t~ [ I Radio~iv¢ [ ]
7') AMOUNT A.\-D TL-ME A': FACILITY L,'NTI'$ OF .'ME, ASURE 8) STORAGE CODES
Maximum Daily Amoum . __ LbM-~, Gal [ ! it3 [ , a~) Container:. ,
Average Daily Amount ' ,,/" ' ' Curies [ ] i I~) Pressure: .
· Lar~,¢st Size,Conuimer - , ~
· # Days on Site // Circle Which Months: .MI Year~ J~, F, IV[, A, M, J, J, A, S, O, N, D
9) MIXTURE: List COMPONENT CAS# % WT AHM
th~ thr~.mos~ hazard~ 1~ _ . , [ ]
· chenu~l c, omponfl~t{ or 2) _ . { ' [ ]
. any ~ co~ents 3) ' [ ]'
I certify trade' penalty of laW. that I have personally exm-nmed ~n~i am thmiliar with thc inlbrmation" on
believ~ the submitted inlbrmauonis lrue, accurate and complete. -~--------~ ~
PRINT Name ak 'FlOe 0fAuthonzed Company RepresentaUve. Sisnature Dat~