HomeMy WebLinkAboutBUSINESS PLAN~ CAL WATER SERVICE CO. - a>~~ l
501 BRIDGEPAS5 DRIVE J
_ / ~~ _
~~~~ ~ BAKERSFIELD FIRE DEPT
Prevention Services
UNIFIED PROGRAM INSPECTION CMECKLISTY ~~t~ 9ooTruxtunAve.,sufte2lo
~, ~~,..t~~~~~ :~-N~ - .;~,.~,. - _. ~. ; _<...~,. ~.M.:_.:F, .:x ,Y~ :.,,.r - wwrr r Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ~ Tel.: (661) 326-3979
I • Fax: (661) 872-2171
•
FACILITY N ME INSPECTION DATE INSPECTION TIME
AI c c2,v i 0''~ A~i . (~ 3~os
ADDRESS IJ r ~ d 9.~ ~(~` ~ S HONE NO. O OF EMPLOYQ[;~r^
UC(
~~ ~. ~ z d Z ~~ ~ ? 3
FACILITY CONTACT USINESS ID NUMBER
~
Y.4rn 15-021- ~ f J~(,
Section 1: Business Plan and Inventory Program ~ ~ ~~
1., b
UTINE ^ COMBINED ^ JOINT AGENCY ^ MULTf-AGENCY ^ COMPLAINT ^ RE-INSPECTI
z~n5.
C V (C=compliance` OPERATION
V=Violation l COMMENTS
^ APPROPRIATE PERMIT ON HAND
. ^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
/
~ ^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
~' ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
C~_ ^ HOUSEKEEPING
~/
'
~
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO
EXPLAIN:
•OU STIONS REGARDING THIS INSj~PECTION? PLEASE CALL US AT (661) 326-3978
`.
Inspector (Please Print) ire Preventio 1" In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)
CALIFORNIA WATER SVC 1 SiteID: 015-021-002446
Manager : BusPhone: (661) 396-2400
ocation 501 BRIDGEPASS DR Map : 102 CommHaz :
wCity BAKERSFIELD Grid: 3lA FacUnits: 1 AOV:
CommCode: COUNTY STATION 65 ~ ~ %~ SIC Code:4941
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DISTRIST MGR BILL HARPER / ASST 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 React ImmHlth
.....
Contact : TIM TRELOAR Phone: (661) 396-2400x
MailAddr: 3725 S H ST State: CA
City : BAKERSFIELD Zip : 93304
Owner CITY OF BAKERSFIELD Phone: (661) ) 3-9639x62400
Address : 3725 S H DR State: CA
City : BAKERSFIELD Zip : 93304
cPeriod : to TotalASTs: = Gal
Preparer TotalUSTs: = Gal
ertif'd RSs: No
arcelNo
Emergency Directives:
07/30/2003
~ ~)y · Ba~ezst'leld l~re Dept.
HAZARDOUS MATERIALS FAC INFORMATION .~ En~lronmental 8ezvlces
BUSINESS OWNER / OPE~TOR FORM ~ Ft~ *~ 1715 Chester Ave
Page 1 of .]~ ~ '~/~ ~ Tel: (661)326-39~
I. FAClL~IDEN~FIcA~ON :' ~ ~ ' '
BmlNEm ~ME (Sa~ ~ FACIL~ ~ME ~ ~- ~ng Bu~ ~1 ~ ,- O,~ ~ I 3 BmlmSS PINE
S~ ~DRE~
5o I ~oaE p~ss o~.
OPE~TOR ~E ~m ~TOR ~ONE
: II. OWNER INFORMA~ON :
OWN~ ~E ~ ~ ~ PHONE ~12
~ ~IUNG ADD~
GI~ IN STATE t~ ZIP 116
" III. ENVIRONMENTAL coNTAcT ~ - '
GO~ACT ~E l~J ~ P~NE
G~AGT ~ILI~ ~ESS 119
ll~ 1~ STATE t211 ZIP
. -PRIORY, IV. EMERGENCY CONTACTS '.]: -SE~.NDARY-
~ME 123 N~E 129
TITLE ~25 TITLE 130
B~I~SS P~NE 126 B~INESS P~NE 131
G (or- 3q~ - Z%oo ~ m ~
2~R ~ONE 1~ 2~ ~NE 132
PAG~ ~ 128 P~ ~ 133
, ~ ' V, CE~TIFlCATIO~ ~ ' '~ '~
~a~: ~ad ~ ~ i~ui~ ~ t~ ~ditua ~bl Ir ~i~i~ ~ i~, I ~ un~ ~ ~ I~ ~ I ~ ~n~ ~i~d ~
SI6~TU~ OF ~N~OPE~TOE ~ OATE 134 ~E E ~UMEM ~EPAE~
~S ~ O~EWOP~TOR (~nt) 136 ~T~ OF ~E~TOR 137
~20~
~ Bakersfield Fire Dept.
HAZARDOUS MATERIALS MANAGEMENT PLAN-FORMS~/'~J-'~ En~r~ronmental Sez~ices
(~ ~ ~ 1715 Chester Ave
Section Discovery and Notification ~~~l~r Bakersfield, CA 93301
Page1 of 2 ~ Tel: (661)326-3979
INSTRUCTIONS
1. To avoid further action, return this form within 30 days of receipt.
2. TYPE/PRINTANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION h FACILITY IDENTIFICATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
ADDRESS (For local use only)
FACILITY ID No. ' 1
SECTION !1.1: DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
FLLGL_ l:~ ~TO~,ED t~ At~c,~J% C~,cL~.t~ DOti.6LEC~LL ~UaU-L-I-
B. EMPLOYEE AND A~£1',I~Y NOTIFICATION:
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
D. EMERG~CY MEDA ~:
SECTION 11.2: REL~SE RESPONSE P~N
A. ~D ~SM~ ~D PR~E~I~ M~URES:
B. RELEASE CONTAINMENT AND/OR MITIGATION:
"~IE$~L - '~O~._i~LC-:L.,,.~ALL...
C. CLEAN-UP AND RECOVERY PROCEDURES:
fd2085
-Page 2 of 2
SECTION 11.2: RELEASE RESPONSE PLAN--CON'T.
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITy)
NATURAL GAS/PROPANE: ~ [ ~
SPECIAL:
LOCKBOX: OYES I~1~O IF YES, LOCATION:
PRIVATE F1RE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT):
SECTION II1: TRAINING
NUMBER OF EMPLOYEES:
LLkJ IXA A 1~4 1~ E C)
MATERIAl. SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING; PROGRAM:
CERTIFICATION
Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personnaly
examined and am familiar with the information submitted and believe the information is true, accurate, and complete.
SIGNATURE OF OWNER / OPERATOR OR DESIGNATED REPRESENTATIVE DATE 477
NAME OF SIGNER (p~fnt) 478 TITLE OF SIGNER 479
~ ~ Bakersfield Fire Dept.
~HAZARDOUS MATERIA INVENTORY ~ Environmental Services
CHEMICAL DESCRIPTION ~~ 1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
(one form per material per building or area)
I~NEW ~ ADD {~ DELETE ~ REVISE 200 Page1 of
FACILITY INFORMATION'~ · ~' ' ": ~ :
BUSINESS NAME (Same as FACIUTY NAME or DBA- Doing Business As) 3
C.EM,C~.OcA~. 204 CHEM,C~.OCATIO.
50 [ ~)R [ {~6 PA~)$ ~')(~ , CONFIDENTIAL(EPCRA) 0 Yes
,. f :: 'ii:CHEMICAL INFORMATION :- ,,.'. ~.:'..~ ,~ .
CHEMICAL NAME 205 TRADE SECRET ~:~ Yes ~ 206
~OC>Lt.t,VV~ ~y {0(.~ (1/¥.[ L.~ I.,T ~" If Subject to EPCRA, refer to instmctioas
COMMON NAME 207
EHS' [] Yes ~/No
OAS No. 20g
'1I EHS is'Yes,' all ~nlounls below must be
FIRE CODE HAZARD CLASSES (Coml~ete if requested by local fire chief) 210
211 2121 CURIES 213
~PE [] p PURE {~/m M~TURE [] w WASTE RAD~O^CT~VE [] Yes [] No
PHYSICALSTA~ [] S SOLID [~1 LIQUID [] g GAS
5 216
FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH CHRONIC HEALTH
(Check =~ mat ap~y) ~ O ¢~ ~O~ t ~/ 4~
217 MAXIMUM 218 AVERAGE 219 STATEWASTE 220
UNIIS' ~a C.¢d. [] ~ CUFr [] Ih kBS [] tn TO~8 224 D^¥S ON SITE 222
~(~Uy 223
STORAGE CONTAINER ~ra ABOVEGROUND TANK [] f CAN [] k BOX [] p TANK WAGON
(Check all Ihat apply)
[] b UNDERGROUND TANK [] g CARBOY [] I CYLINDER [] q RAIL CAR
~/c TANK INSIDE BUILDING [] h SILO [] m GLASS BOTrLE []r OTHER
[] d STEEL DRUM [] i FIBER DRUM [] n PLASTIC BOTTLE
[] e PLASTIC/NONMET/~J. LIC DRUM [] j BAG [] o TOTE BIN
224
STORAGE PRESSURE ~a AMBIENT [] aa ABOVE AMBIENT [~ ba BE,OW AMBIENT
225
STORAGE TEMPERATURE ~a AMBIENT [] aa ABOVE AMBIENT [~ ba BELOWAMBIENT [] c CRYOGENIC
%WT HAZARDoUs COMPONENT '.'ERs ":' ' · CAS#
2 230 231 ~ Yes ~] No 232 233
3 234 235 ~ Yes ~ No 236 237
4 238 239 ~ Yes ~ No 240 241
5 242 243 ~ Yes ~ No 244 245
· ,, ilI SIGNATURE ,: :,";: ,~ .~-'::'"-.. ,i '"
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246
~ . ~ ~ Bakersfield Fire Dept.
HAZARDOUS MATERIA INVENTORY ,~ Environmental 8ezvlces
'CHEMICAL DESCRIPTIONe~rm,~r(~ ~t~! 5~ 1715 Chester Ave
Bakersfield, CA 93301
~x' Tel: {661)326-397'9
(one form per matedal per building or area)
~NEW I~ ADD I~ DELETE I~! REVISE 200 Page1 of
...... ~-~,. ' I. FACILITY INFORMATION':,~I ' ',,~ .... ·= '
BUSINESS NAME (Same as FACILITY NAME o~ DBA- Doing Business As) 3
CHEMIC, N- LOCATION 201 CHEMICAL LOCATION 202
SOl i!SP. lOc-~cc Pnss DR. CO"F,DE.~E~ [] Yes ~".o
"I1.' CHEMICAL INFORMATION: , ~' ',
CHEM,;AL NAME 205 TRADE SECRET [~] Yes ~ 206
· hq I~-nt~c? OF iPETl~OLGc~.nq HY~('c~ eJq~::~{h~4~-~ If Subject to EPCRA, refertoinstru~ons
COMMON NAME ~07 EHS' ~ Yes ~"No
CAS No. 209
*If EHS is'Yes," all amounts below must be
FIRE CODE HAZARD CLASSES (Complete if requested by local tim chief) 210
211 2121 CURIES 213
WPE []. PURE ~ M~XmRE [] w WAS'rE .~o~o~cnw [] Yes [] .o
2~4U~ESr CONT~.~R
..YSlC~STATE Cl s SCUD [BY-UauiD [] ~ mS
216
FED HAZARD CATEGORIES ~ FIRE [~' RF-.ACTIVE ~ PRESSURE RELEASE [~'ACUTE HEALTH [] 5 CHRONIC HEALTH
(Check all that apply)
217 MAXIMUM 218 DAILY AMOUNT 21g STATEWASTE
ANNUAL WASTE A'~E RAGE 220
ANouNT t,3 i ~ ID~YAM°~ ff~o ~r4t_ 5oo c:~q ~. OOZE
22'1 DAY8 ON ~rTE
UNITS' I~, c~ [] ~ cu ~r [] ~ u~s [] ~ To~s
STORAGE CONTAINER ~a ABOVEGROUND TANK [] f CAN [] k BOX [] p TANK WAGON
(Check all ~het apply)
~ b UNDERGROUND TANK ~ g CARBOY [~ I CYLINDER {~ q RAIL CAR
~ c TANK INSIDE BUILDING [~ h SILO [] m CC.ASS BOT'fl..E ~ r OTHER
[~ d STEEL DRUM [] i FIBER DRUM [] n PLASTIC BOTTLE
I~i e.LASrlCt.ONMErALLIC DRUM [] i i~m ~ o TOTE BIN
224
STORAGE PRESSURE ~a AMBIENT ~] aa ABOVE AMBIENT ~1 ba BELOW AMBIENT
225
STORAGE TEMPERATURE ~aaAMBIENT ~ aa ABOVE AMBIENT [] ba BELOWAMBIENT ~ c CRYOGENIC
r ' EHsi :,
%WT HAZARDOus COMPONENT,,, "' V"':'' CAS#
2 230 M~f'Old~C)~.C-~t_~l~o 231 ~Yes [~No 232 233
3 234 235 ~ Yes ~ No 236 237
4 238 239 [~ Yes [~ No 240 241
5 242 243 ~ Yes t'l No 244 245
PRINT NAME & TITLE OF AUTHORIZED COMPAN~ REPRESENTATIVE SIGNATURE DATE 246 '
..... CITY OF B,A_,KE FIE LD
OF-FICE OF ENVIR. ONM NTAL. . . SERVICES
r . 1715 Chester Ave., CA 93301 (661) 32&3979','
II. ACTIVITIES DEC~TION
Do~. Y0pr Facili~,.. If Yes, Please Core,leto...
1. Have on Site (~r'any. put'se) h~ous, materials at or ¢' CON~QLIDA~ COMP~CE P~N
above 55 gallo~ ~.lifluids; 500.gOun~ fOr ~lids. 'or 200 : · . Minimum ~uir~' pla~ninq
cuff ~r ~mp~s~'gas~ (include liquids in ASTs and · Eme~en~ Respo~e P~n
USTs)?' · Maps
Z Have any amoun~ o~ an ~plosive mat~ (o~er ~an OYES ~O 5 · Tmi~ing
ammunition) on site? ~ · Prevention
~. REGU~D SUBSTANCES (RS)' · OYES ~O s. ¢ · OES FORM 2731' (Ch~ D~U~ F~ ....
Have onsite RS a[gr~ter ~an ~e ~hold planning ¢ RISK MANAGEMENT P~N (RMP ~mit a US~A)
quanfifi~ ~btish~ by ~e Call, mia Ac~den~l ¢ ' ~NSOUDA~D COMPLIANCE
.' ~etease Pmv~om~mgmm (Ca~RP:)? ., · In~omOng Ca~RP Pm~m E~en~
C. UNDERGROUND STOOGE TAN~ (USTs) . ~ OYES' '~ 7 ¢ UST.F~ID~ FORM '
~. . 'Own or operate Unde~m~d;S~mge Tanks? ~ ¢ UST TA~KFOEM:
( In~end to upgrade. ~isfing or ins~l.n~ USTs? } OYES ~0 a' ¢ U~ FACI~. FORM.
; ' ~ UST TANK FORM
{ .' ~ ¢ UST INSTA~ON FORM (me ~m~)
] D, TANK CLOSURE / REMOVAL ~ OYES ~O 9 ~ USTTANK'FORM (a~m~m~ep~)
1. Ne~ to reP0~ ~0~!ng,a UST ~at held
mat~a!s or ~ste?
2.' Ne~ to mpO~ ~e ctOSa~ rmoval of a ~nk ~at.was OYES ~O. to. ¢- TANK. CLARE F~RMt .
ctassffi~ aS h~ous ~ste and ~ean~ onsite?
E: ABOVE'GROUND P~OLEUM STO~GETANKS (ASTs) ~YES ~O ~ ¢ CONSO~D~D-C~MP~ANCE
Q~ or opemm ASTs. above ~e ~r~holds: any ~nk ~' Ink,orating F~eml Spill Pmv~fion
.~ad~ is greater ~ 660 gallons 0r ~e to~l ~pa~ Con~ and Count~easure (SPCC)
for ~e ~cJlt~ is ~ter ~an'" 1.320'gallon~ ~ents pmuant to ~ C~ Pa~. ~ 12
F. HA~RDOUS WAS~: . ¢' EPA ID nmb~mvide on ~is page
1. Generate h~ffious'~ste? OYES ~NO ~2 To ob~in EPA 1~. please phone(916) 32~1781
Z Re,de more ~an' 100 k~mo of'r~clable materials at ~YES ~O ~3 ~ RECYC~NG FORM
~e s~e lo~fion it ~s general? '
3. ~ecy~e more ~an 100 k~mo 0fr~able mat~als at ~O ~ ~ RECYC~NG FORM.
an o~ite lo~on d~emnt ~m ~e point of g~em~on? ·.
4. Treat H~ous Waste on site.'?' ~YES ~O' 15 {.~ TP FACILI~ FORM (DTSC Fo~ 1~)
~ ~'UNIT FORM (one per unit)
5. Su~ to ~nandal Assumn~.r~uirem~m? ~Y~S ~NO ~s ~ CER~FtCA~ON OF Ft~NClAL ASSU~NCE
8. Consolidate H~o~ Waste g~mt~ at a remote ~YES ~O ~7 ~ ../ REMO~ WAS~ i'CONSQ~D~ON
site? N~Ft~ON FORM
G. PERMIT CONSOLIDA~ON ZONE: ' ~YES ~O 18 ~ CONSOLIDATED COMPL~NCE
Intend'~ consolidate o~ Ca,EPA ag~ p~i~? ~ ~ Inco~omang. all o~er envimnmen~
~ (If yes, pJ~se ~mplem S~on III and a~ch) , p~it ~uiremenm p~ 27 CCR 1~10
~ / If you ~eck~ YES ~ any pa~ of SeO0ns IIA-tlG above. ~e~ in addition to ~e ~s r~u~t~-above, please Submit OES Fo~ 2730.
,~CtJPAFORMSlA~ITY.v~
OFFICE' OF E1NVIROtqrVEENTAI, SERVICES
--~--.,~-- 1715':Chester Ave., Bakersfield, CA 933(}1 ('661) 326-3979 "' .
FACILITY INFORMATION
Business Activities Addendum
L FACILITY IDENTIFICATION
OBA/FACIMTY NAME 3
· . III. CONSOLIDATED PERMIT ACTIVITIES
Is. your F~ciliht Compliance. Plan subiect to review by... ' for sat~sf'ging the conditions or,eSe Permit~?
H. DEPARTMEN~FOF. TO,XIC. SUBSTANGES'GONTROL OYES (~No v' 'STANDARDI~>~ERI~II~. ;:.
' ' (~)YES (~O ~' ' Non-RCRA HAZARDOUS, WAS,-FE FACILITY
.. OYES (~0 ~' RCRA HA7_~RDOUS WASTE FACILITY
I. SAN JOAQU.IN:~ALLEY UNIFIED-AIR' POLLUTION dYES ONe' v~ .: AUTHORIT,Y'TQCoNsTRUc;T .-
CON'mO,.D~Sm~CT ~Es ONO ,,' P~RMn'TOO,'*J,,.*.m ·
J.. sTATE WATER RESOURCES. CONTROL BOARD OYES (~NO. v' WASTE DIscHARGE REQUIREMENT 0NOR)
:NTRAL VALLEY. REGIONAL WATER QUALITY CONTROL OYES (~NO ~' G~NERAL PERMITS - "
· -,~OARD ' '
:. OyEs (~'NO ' v' SPECIFIC PERMITS
OYES (~0 ',~ V. NATIONAL P.QELLrTION'DtSCHARGE
EEiMINAT1ON SYSTEM (NPOES)'
K. CAliFORNIA INTEGRATED WASTE MANAGEMENT BOARD OYES (~O
~ REGISTPJkTIQN PERMIT ·
ENVIRONME~'AL HEALTH SERVICES PERMITS,
L. KERN COUNT~ RESOURCE. MANAGEMEN3' AGENCY (~ES C)NO v' .'Domestic· wat~ Welt P. em~it-
. OYES (~'NO v' Haz Mat.'Monffodng, Well Permit
OYES (~0 ~ Septic System Permit
OYES (~qO ~ Public Swimming Pool P~,'mit
"OYES ~1~10 v' Food Facility Construction Permit
OYES (~O ~ Solid Waste Local"Enforcement Agency
'7 (LEA) Related PermitS
OYES (~O v' Medical Waste R~lated Permits
/
M. CiTY OF BAKERSFIELD WASTE-WATER DIVISION' OYES ~'NO v' , ILqp ..U..'STRIAL W~STE WATER DISCHARGE
PERMIT
J NOTE: ' " ' : ' · · · .
If you check~ YES t°'~iny part of S~:tions IlI-H'to III-M above, then please addr~.~ ail appliC~dble permit requimmont~ in the Fa~iit~ Compliance Plan.
.~ ~ Bakersfield Fire Dept.
HAZARDOUS MATERIALS M GEMENT PLAN Ennrizonmental Se~rices
Bakersfield, CA 93301
Pg ~ o~'~ Tel: (661)326-3979
I
SITE DIAGRAM FACILITY DIAGRAM1
Business Name:
Business Address:
'T:o~ i~¢-,~06~- P,~ bR.
~ .C_~ %~ ~ ~>~Jl/~ - Please indicate dimction of Noah ~
ENGINEERING
'SANTA FE RR
A
DEPARTMENT
BRIMHALI RD
REVISIONS:
RI- CHANGE INJECTION
QUILL NOTE ON SITE
PLAN I).W, 1/26/00
R2- CHANGE DRIVEWAY
>-. ORIENTATION 8, MOVE
WEST P/L T, HE 10/;~3/00
SITE
PIONEER
VICINITY MAP mT'
~3TATION
~0~