Loading...
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~ ?. Issued by: Bakersfield Fire Department Bakersfield, C~.93301 Voice (661) 326-3979 ' .... "~" ' FAX {661) 326-0576 :, · /...?.iE~P~tionDate: · .' BLOMQUIS1~400 ¢900 BELLE BIANCHI WY NORDIC LN MS "~ PARKWOOD CT MARIE FJORD TALISmaNDR $ORR~O PARKER VALLgY TREE .~ ~ __~WY OAYTON AV ~ ~vl= ' JULIAN ~TOR C " 3600 0 .25 + 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~