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Home My WebLink AboutBUSINESS PLAN 7/16/2007~ ._ . I_ Crystal Geyser Warehouse 2351 E Brundage Ln Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF-PERMIT ON REVERSE SIDE This mit is issued for the following_: [] Hm,-~lous Materials Plan 13 Underground Storage of H .m, anlous Materials Permit ID #:: 015-000-00~1749 [] Risk Management Pmgmm GEYSER WAR [] CRYSTAL LOCATION: 2351 E BRUNDAGE LN OFFICE OF ENVIRONMENTAL SER VICES' "'~ 1715 Chester Ave., 3rd Floor ^pprovedby: . L~al~"u~Y.D~~ Iss-e mt~ Bakersfield, CA 93301 omc~of£v~,~rs~ic~ '~ Voice (661) 326-3979 FAX (661) 326-0576 'EXPiiationDate: 'June 30.. 200:! Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ,~,,~,~,¢,¢,??:,;iE~,~¢~,~ ~ This permit is issued for the following: ...... ¢??.?:!:..!:~,.!!??='::~iiii',::iiii?,~. ?iii!!!ii. ii l i!?:'i !?,}[D i~emround Storage of Hazardous Materials PERMIT ID# 015-021001749 .~¢i¢('~i~ :~ i:~;!:;ii: ~ii iiii:'" ..!?:i!'ii':'.;~::::i':~ !'-:!!~i!::!!!!!!,,~iiil;:~i:,~!?.~kM~nagement Program ..,..-..-. ,,.,, ,~ ?i?" 'ii i, !!!: ::;:~ :,~ :; !::::i :::ii: iiii:i:-i;i:,i!i? iii;'":;ii;ii=: ~:iii!ii:~ i~'~d~is Waste CRYSTAL GEYSER LOCATION 2351 E BRUNDAG :: BA~RSEJELD ca ~.,..:"..:i~ '¥'"'"':::~ [ssu~ by: 1715 Cheaer Ave., 3rd Floor t B~e~fiel~ CA 93301 Voice (805) 326-3979 F~ (805) 326~576 Expiration Date: ~un~ ~0~ ~000 JUL-08-g6 MON 09:I.._2_.._ORYST~L GEYSER ~HSE FAX NO, 805 321 0251 P, 06 " SITE DIAGRAM I'__..~ FACILITY OIAGRAM ~'cr O~iCe Ute CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001749 Manager ROBERT HOFFERD Location: 2351 E BRUNDAGE LN City BAKERSFIELD BusPhone: (661) 321-0896 Map 124 CommHaz Extreme Grid: 04B FacUnits: 1 AOV: CommCode: KCFD STA 41 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT HO FFERD / MANAGER 3~~_a~1G / Business Phone: (661) 32 6~'6x Business Phone: ( ) - x 24-Hour Phone .(661) 832-fix ~~~ 24-Hour Phone ( ) - x Pager Phone (661) 903-0049x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ROBERT HOFFERD Phone: (661) 321-0896x MailAddr: 2351 E BRUNDAGE LN State: CA City BAKERSFIELD Zip 93307 Owner CRYSTAL GEYSER Phone: (661) 321-0896x Address 2351 E BRUNDAGE LN State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~~~ ~, `~ fJ C~•aw2d on my inquiry of those individuals respe~n ;ibis for okatain'sng the inform ation, {certify urscier penalty of law that 1 hav e personally Examined ,end am familiar with th e information submitted and ~aElieve the inform ation is true, accurate, and complete. ~~ ~ _ 7~-/b '~7 ~ Signature Date -1- 07/11/2007 F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001749 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE PROPANE E E F P F P IH IH G G 10000.00 500.00 FT3 FT3 Hi Hi -2- 07/11/2007 -3- 07/11/2007 `'F CRYSTAL GEYSER WAREHOUSE ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit OUTSIDE E SIDE OF BLDG SiteID: 015-021-001749 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 FT3 10000.00 FT3 5000.00 FT3 riHGH.ttL V U 7 l: V 1~1Y V1V t'~1V 1 7 %Wt. RS CAS# 100.00 Propane Yes 74986 riF~GH.tCL A55L" 7J1~1L'~1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE BLDG N WALL CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co175100rFT3 Daily 500100m FT3 I Daily 500r00e FT3 r~~r~tcL~u~ w1~irVivl,lvl~ oWt. RS CAS# 100.00 Propane Yes 74986 IIHGHKIJ 1-~.7.7L' JA1~11",1V 1 w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 07/11/2007 ;~F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001749 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/27/2006 ~ PHONES AVAILABLE IN OFFICE TO DIAL 911. Employee Notif./Evacuation 06/13/2000 INTERCOM BETWEEN OFFICE AND WAREHOUSE. Public Notif./Evacuation EXIT BLDG TO NW CRNR OF PROPERTY. 04/14/2006 Emergency Medical Plan 04/14/2006 FIRST AID KIT IN OFFICE OR VERNON SORENSON MD INC, 3838 SAN DIMAS ST B100, 326-0088. -5- 07/11/2007 ~'F CRYSTAL GEYSER WAREHOUSE SitelD: 015-021-001749 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/14/2006 ~ PROPANE HOSE VALVE KEPT UNDER LOCK AND KEY WHEN NOT IN USE; TANK PROTECTED BY STEEL POSTS. Release Containment 08/16/1996 PROPANE LOCATED AWAY FROM POSSIBLE IGNITION SOURCES. ~.icaii vN v~.iaci ncwut~.c l-1~..1..1V0.1.1V11 -6- 07/11/2007 ~F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001749 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ~Nc~.iai raac~aiua Utility Shut-Offs 02/28/2007 GAS/PROPANE - PROPANE OUTSIDE E SIDE OF BLDG ELECTRICAL - NE CRNR OF BLDG WATER - NE CRNR OF BLDG SPECIAL - NONE LOCK BOX - NO Fire Protec./Avail. Water 04/14/2006 PRIVATE FIRE PROTECTION - SPRINKLERS (MONITORED BY ADT SECURITY SYSTEM), FIRE EXTINGUISHER INSIDE BLDG E WALL AND ON FORKLIFTS. NEAREST FIRE HYDRANT - NE CRNR OF BLDG. Building Occupancy Level 03/27/2006 4 EMPLOYEES -7- 07/11/2007 s ~. `,F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001749 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/26/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE AT THE OTHER FACILITY. BRIEF SUMMARY OF TRAINING PROGRAM: OPERATORS ARE LICENSED FORKLIFT OPERATORS AND HAVE BEEN SAFETY TRAINED AND CERTIFIED ON PROPANE USE. rayC ~ nclu Lvi rUI.UIC USC 1'1C 11A 1Vi L'UI.ULC U`.iC -8- 07/11/2007 CRYSTAL GEYSER WAREHOUSE Manager ROBERT HOFFERD Location: 2351 E BRUNDAGE LN City BAKERSFIELD BusPhone: Map 124 Grid: 04B SiteID: 015-021-00175 CommCode: KCFD STA 41 EPA Numb: SIC Code: DunnBrad: (661) 321-0896 CommHaz Extreme FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title ROBERT HOFFERD / MANAGER / Business Phone: (661) 323-62.96x. Business Phone: ( ) - x 24-Hour Phone (661) 832-3670 ~ 24=Hour Phone ( ) - x Pager Phone (661) 903-0049x~ Pager Phone ( ) - x ................ Hazmat Hazards: Fire Press ImmHlth ................ Contact .ROBERT HOFFERD Phone: (661) 321-0896x MailAddr: 2351 E BRUNDAGE LN State: CA City BAKERSFIELD Zip. 93307 Owner CRYSTAL GEYSER Phone: (661) 321-0896x Address 2351 E BRUNDAGE LN State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Coal Preparers TotalUSTs: _ dal Certif'd: RSs: No ParcelNo: ............. Emergency Directives: PROG A - HAZMAT Lased on my inquiry of those individuals responsible for obtaining the i ~~ ~ nformation, I certify under penalty of law that ! have examined C~ ~a 2 6° and am familiar with the nfo mati submitted and b li ln ~~07 e o eve the information is true accurate, and complete , . Signature°~2'{'r.~l ~ ~~ ~.~ Date -1- Ol/29/Z007 ~' =i. ' F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001745 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at~Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit I'~t~P PROPANE PROPANE E E F P F P IH IH G G 10000.00 500.00 FT3 FT3 Hi I-~ -2- Ol/29/2b07 -3- O1/29/~007 r ~~ F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001749 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE E SIDE OF BLDG CAS# 74-98-6 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas I Pure Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION - Largest 10000100rFT3 Dai110000100m FT3 I Daily5000r00e FT3 - rlti~xxLw~ ~vl~ir~ivl;iv'1'a %Wt. RS CAS# 100.00 Propane Yes 749$6 tiAGHKL F~S~L'~~S1~li~1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M~1 No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit INSIDE BLDG N WALL Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: ---- CAS# 74-9g-6 ~GasATE -7-PureE -~AboveSAmbEent AmbPeRATURE PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 175.00 FT3 500.00 FT3 500.00 FT3 YIHGHKLVU.7 trV1~lYV1Vl;1V7~ %Wt. RS CAS# 100.00 Propane Yes 749$6 ri1~GLiCCL xaa1J~~71"l~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1 No No No No/ Curies F P IH / / / Hi -4- 01/29/2007 is ~ y F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-00175 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/27/20076 ~ PHONES AVAILABLE IN OFFICE TO DIAL 911. Employee Notif./Evacuation INTERCOM BETWEEN OFFICE AND WAREHOUSE. 06/13/20070 Public Notif . /Evacuation 04/14 j20Cf6 EXIT BLDG TO NW CRNR OF PROPERTY. Emergency Medical Plan 04/14/200)6 FIRST AID KIT IN OFFICE OR VERNON SORENSON MD INC, 3838 SAN DIMAS ST B100, 326-0088. -5- O1/29/~007 r. F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-00174q ~ Fast Forma~€ ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/14/20176 ~ PROPANE HOSE VALVE KEPT UNDER LOCK AND KEY WHEN NOT IN USE; TANK PROTECTED BY STEEL POSTS. Release Containment PROPANE LOCATED AWAY FROM POSSIBLE IGNITION SOURCES. 08/16/1996 ~iea.rl up Ul.r1Cl 1CCSUUl-C:~ L~C:l.1Vdl.1Ur1 -6- 01/29/2007 ~~ ~ ,. F CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001748 ~ Fast Format ~ ~ Site Emergency Factors Overall Sites ~ especial tiazaras Utility Shut-Offs 04/14/20176 A) GAS/PROPANE - PROPANE OUTSIDE E SIDE OF BLDG B) ELECTRICAL - NE CRNR OF BLDG C) WATER - NE CRNR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 04/14/2006 PRIVATE FIRE PROTECTION - SPRINKLERS (MONITORED BY ADT SECURITY SYSTEM), FIRE EXTINGUISHER INSIDE BLDG E WALL AND ON FORKLIFTS. NEAREST FIRE HYDRANT - NE CRNR OF BLDG. Building Occupancy Level 4 EMPLOYEES 03/27/2006 -7- 01/29/2007 L ' ,~ s A F~CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-0017~~ ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/26/2076 ~ MATERIAL SAFETY DATA SHEETS ON FILE AT THE OTHER FACILITY. BRIEF SUMMARY OF TRAINING PROGRAM: OPERATORS ARE LICENSED FORKLIFT OPERATORS AND .HAVE BEEN SAFETY TRAINED AND CERTIFIED ON PROPANE USE. t'dtJ. C L Held for Future Use Held for Future Use -s- of/29/zoos ,,, _ ~; CRYSTAL GEYSER WAREHOUSE ____________________________ SiteID: 015-021-001749 + Manager Location: 2351 E BRUNDAGE LN City BAKERSFIELD BusPhone: (661) 321-0896 Map 124 CommHaz High Grid: 04A FaCUnits: 1 AOV: CommCode: KCFD STA 41 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT HOFFERD / MANAGER / Business Phone: (661) 323-6296x Business Phone: (~,)yp3 -ooy9x 24-Hour Phone (661) 832-0453x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire .Press ImmHlth Contact : ROBERT HOFFERD Phone: (661) 321-0896x MailAddr: 2351 E BRUNDAGE LN State: CA City BAKERSFIELD Zip 93307 Owner CRYSTAL GEYSER Phone: (661) 321-0896x Address 2351 E BRUNDAGE LN State: CA City BAKERSFIELD Zip 93307 Period 4/01/06 to 4/01/07 TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ENT'p ~ PR ~ ~ 2006 Based on my inquiry of those individuals resppnsilbie fpr obtaining the information, l certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the infor lion is 4rue, accurate, and complete, Signature Date -1- 03/27/2006 .- L' CRYSTAL GEYSER WAREHOUSE SiteID: 015-021-001749 Manager Location: 2351 E BRUNDAGE LN City BAKERSFIELD BusPhone: Map : 124 Grid: 04A (661) 321-0896 CommHaz : Moderate FacUnits: 1 AOV: CommCode: COUNTY STATION 41 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT HOFFERD / MANAGER JOHN DAVIS / MAINTENANCE MGR Business Phone: (661) 323-6296x Business Phone: (661) 323-6296x 24-Hour Phone : (661) 832-0453x 24-Hour Phone : (661) 588-6997x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Period : Preparer: Certif'd: Parce1No: to Phone: (661) 321-0896x State: CA Zip : 93307 Phone: (661) 321-0896x State: CA Zip : 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 2351 E BRUNDAGE LN City : BAKERSFIELD Owner Address : City CRYSTAL GEYSER 2351 E BRUNDAGE LN : BAKERSFIELD Emergency Directives: L) ¿' Or) LÐG"D~ ~, P J (,) P-< ~ ( r· Do nereby certify ~hat i have (Type or print name) reviewed the attached hazardous materials manage- ment plan for Ú"v41 fJ'P"~ and that it along with ~ of BuaÎn¡lsš) any corrections constituts a comp!~~s ~nd lCorf~d m2nø agement plan for my 1aci!i~y. 11./: ~ I()/I~¡; Ý D$ -1- 10/13/2004 " v F CRYSTAL GEYSER WAREHOUSE f= Hazmat Inventory ~ MCP+DailyMax Order SiteID: 015-021-001749 9 By Facility Unit 9 Fixed Containers at Site 9 specHazlEPA Hazards I Frm I DailyMax IUnitlMCP Hazmat Common Name... PROPANE E F P IH G 10000.00 FT3 Hi -2 - 10/13/2004 ~ 'j.' F CRYSTAL GEYSER WAREHOUSE f= Inventory Item 0001 == COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-001749 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit m~NCIJD ,AREA ;:,~ CO.KJ.\~t( Ot< BL~~ I ~h~,,-> "'B(ðlð lJðI~~' Map: Grid: CAS# 74-98-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 10000.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 FT3 Daily Average 5000.00 FT3 %Wt. RS CAS# 100.00 Propane Yes 74986 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined5: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -3- 10/13/2004 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 FACILITY NAME -\. N ~ vâg~__ INSPECTION TIME AOOREss---a-\C-f6__-~L_6:e-Y:::;j£-~c--_tPY?_---~~-..--.n- - ----......--..--- ------..-.--.-.-- PH NE No. No, of Employees FACILITYCON~~2-,--º"-~---.Br-Q-~~~\d~--·-·~~----- ---..----- --.---- ..---.- :2],1- i)rt1~ _....12_______...__. Business 10 Number 15-021- Section 1: Business Plan and Inventory Program t( Routine LI Combined LI Joint Agency LI Multi-Agency LI Complaint LI Re-inspection C V ( C=ComPlianCe) V=Violation OPERATION COMMENTS ~_~~~~~~~."'~~~2.~PER_~T O~_ HAN_~___~___________...__. .____.___. LI BUSINESS PLAN CONTACT INFORMATION ACCURATE --_._-_._-----~------~~~--_._----------_._- -~-------._------- -.-------- ------,------ ...---- _ _ ---------_. -" M LI VISIBLE ADDRESS ..-..---....-----.. _ _ ______.______________.._______u___._ .. ..__.n _._________.._.__._._.._ .__.____ -------, ----,----.--.---------.-----.----.---.---..---.---.- -----.-.- --..--------..----....-.- -. . .--..-.-.-.-----.--------- -- ..-- ._. __.__.____m.._ ____ ._ __~__._ )i LI CORRECT OCCUPANCY _. ~ I--:--~--------·----------------··..·---··----·----------_.._n_.________ :::--------·---S-.d· -.... ····6ttt3\cle ... °f-Ctct~-1ì~t\A.¡ LJ VERIFICATION OF INVENTORY MATERIALS ~+- ,~ A; U -t:.~--------------------.-----n-...---.--.--~....------..-.-.-..------..- ........-......-....---. -----.-..--~ ~-·7~-u. .-- .-.-... ...- ._n.___·____···_·____·_ --.--- ~ LI VERIFICATION OF QUANTITIES __...___~_______.______.______._____..__..._...___~__...__u___-..--m~-lo~.:t¡~· ..?('~~?'I'ii- ... .- --- _____._____n__... ~_~__V~~~~~~_~~~?~ OF~~~~I~~__u_. . _____ ________ M....E_~_~~~=~_~EG~_~~~~~~~_~~~~~IAL. _______ __~_________m.__.... LI VERIFICATION OF MSDS AVAILABILlTYE J{ _~_:-~~I~~;~~~~-·~~H~~~~~~01~~~_:-_~:-~~~~·----_----.. ---·1·'~-~~-·~-~-:--~--. _ _ _~ -::-. .:_~._.._nn._ .---~--: --:-:--=-=~~-:~-=~-~~ LI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ______ _____ - __ - ___~__ __________ ___.. - ___n _ _ __ _ _ __ __ _ __ .. __ __ ___ _ _ ___ _ _ _ _ ____.__~_____..___~._____._._.__. Jt_~___:~=~:=~CY ~~.()_~~~~_~~~~~~~ATE_______________.._.._ .t-n--_- ._______m_.. ._____._.____.._______. ..___.___ )q LI CONTAINERS PROPERLY LABELED I ~---D-~-~~~~~E~,NG--------~-m--------- ... ----. - -----t- ..- -.----. u_. ~-.---.---.--.--- --...----.-----.---.-..-.-....--.-.----..--..--------. -- ---- -- --r-......-.-.----...u.. --.-. !Jí -~ ::~:::~cn¡:_;;~~;.:&O~HAN~ .. -.~.---- -.----- ...... . .......... -- .-. -.------...---.--. --.. -- --. ------ --- ---------------~----------------- --.---.--.---.-- -...-.---..- -.-----.-..--..- --- ------- ~ ._.------_._-.~..__.- --..--.--- -. -. --.-... -.-.- ..-------- .--~_.__.------------------ .. -. -- - -_.__._------_...~----------_.----~_.- ANY HAZARDOUS WASTE ON SITE?: LI YES SiNO EXPLAIN: -~~---_··--·-F¡rep;:eventioñ1sï=in/ShiftO¡site-·---,·· ~te - Environmental Services Yellow - Station Copy Pink - Business Copy IS INSPECTION? PLEASE CALL US AT (661) 326-3979 CRYSTAL GEYSER WAREH Si : 015-02~-001749 Manager : BusPhone: (661) 321-0896 Location: 2351 E BRUNDAGE LN Map : 124 CommHaz : Moderate City : BAKERSFIELD Grid: 04A FacUnits: 1 AOV: CommCode: COUNTY STATION 41 JUl 2~ g~ SIC Code: EPA Numb: DunnBrad: / / Emergency Contact / Title E~qe~cv Contact_._ / ROBERT HOFFERD / MANAGER JoPP~ D~ Business Phone: (661) 323-6296x Business Phone: (661).~323-6296x 24-Hour Phone : (661) 832-0453x 24-Hour Phone : (661) Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 321-0896x MailAddr: 2351 E BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93307 Owner CRYSTAL GEYSER Phone: (661) 321-0896x Address : 2351 E BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMCP PROPANE E F P IH G 10000.00 FT3 Hi I, .~.,~z~/~~'~'~-~ Do hereby certify ~hat I have reviewed ~he a~ached h~ardous materials manage- ment plan for ~F~ ~c~nd ~hat ~ ~iong with any ~rre~ions constitute a complete and c~rrect man- agement plan for my facility. 07/18/2003 CRYSTAL GEYSER WAREH SiteID: 015-021-001749 Fast Format = Notif./Evacuation/Medical Overall Site ~ Agency Notification 06/13/2000 PHONES AVAILABLE IN OFFICE TO DIAL 9-1-1. -- Employee Notif./Evacuation 06/13/2000 INTERCOM BETWEEN OFFICE AND WAREHOUSE. Public Notif./Evacuation / 06/13/2000 EXIT BLDG TO NW CORNER OF PROPERTY. Emergency Medical Plan 06/13/2000 FIRST AID KIT IN OFFICE OR ~ - ~/JL&/~ ~ '~~/~/~;~'~-a/, I/,~. ~, /~C- 2 07/18/2003 ~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST ~ Enironmental Services ,,,' , ,' ,,,,,, , 1715 Chester Ave ~'SECTION I Business Plan and Inventory Program I Bakersfield, CA 93301 Tel: {661)326-3979 FACILITY NAME I INSPECTION DATE INSPECTION TIME FACILITYCONTACT - i~usiness ID Number 15-021 - Section 1' Business Plan and Inventory Program Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection ( C:Compliance '~ OPERATION COMMENTS ~, v=violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF HAT MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE ..................................................................................................................................... ANY HAZARDOUS WASTE ON SITE?: I'1 YES i'1 NO EXPLAIN: .... ................... ................... Inspector Badge No,. White - Environmental Services Yellow - S~ation Copy Pink - Business Copy CRYSTAL WAREHOUSE Manager : o (805) 321-0896 2351 E BRUNDAGE LN CommHaz : Moderate Location: _/~.- - :~Dn ' FacUnit s City : BAKERSFIELD /~' vvu / 1 AOV CommCode: COUNTY STATION 41 ' /SIC Code: EPA Numb: -- ~/DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT HOFFERD DEPT/ MANAGER GERHARD GAUGEL / Q.C. MANAGER Business Phone: (805) 323-6296x Business Phone: (805) 323-6296x 24-Hour Phone : (805) 832-0453x 24-Hour Phone : (805) 392-8747x Pager Phone : ( ) - x Pager Phone : ( ) - x ' Hazmat Hazards: Fire Press ImmHlth Contact : ROBERT E. HOFFERD Phone: (661)321 -0896x MailAddr: 2351 E BRUNDAGE LN 'State: CA City : BkKERSFIELD Zip : 93307 Owner CRYSTAL GEYSER Phone: (805) 321-0896x Address. : 2351 E BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = ~25 Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: EVACUATION PLAN = Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax IUnitlMCP PROP.~E ~,ROB~.R~ E. ~OFF~aDo0 here~/c~i~ t~at~ h~ ~ ~oooo. oo ~ ~i reviewed the a~tached h~ardoUs matsdals ~ar, age- ment plan forCRYSTAL GEYSE~nd that it along with (Na~ of ~sin~) - any corre~ions constitute a ~mplete and ~rm~ man- agement plan ;or my facili~. -1- 06'/01/2000 · ,,l % CRYST~ GEYSER W~EHOUSE SiteID: 215-000-001749 = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~VUVl~ ~vl~ / ~ £ ~ ~vl~ PROP~E Days On Site 365 Location within this Facility Unit Map: Grid: IN FENCED ~EA SOUTHEAST COMER OF BUILDING. CAS% 74-98-6 Gas Pure Move A~ient A~ient FIXED PRESS. CYLINDER ~O~TS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average FT3I 10000.00 FT3I 5000.00 FT3 I ~Z~DOUSCOMPONENTS I %Wt. RS CAS# 100.00 Propane Yes 74986 ~Z~D ASSESSMENTS ITsecret RS BioHaz Radioactive/Am°unt EPA Hazards' NFPA I USDOT# MCP INo No No No/ Curies F P IH / / / Hi 2 06/01/2000 F CRYSTAL GEYSER WAREHOUSE SiteID: 215-000-001749 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 08/16/1996 PHONES AVAILABLE INOFFICE TO DIAL 9-1-1 -- Employee Notif./Evacuation 08/16/1996 INTERCOM BETWEEN OFFICE AND WAREHOUSE -- Public Notif./Evacuation 08/16/1996 EXIT BUILDING TO NORTHWEST CORNER OF PROPERTY. Emergency Medical Plan 08/16/1996 FIRST AID KIT IN OFFICE. BAKERSFIELD OCCUPATIONAL MEDICAL - GROUP 4580 CALIFORNIA AVENUE 327-4527 3 06/01/2000 ~ CRYSTAL GEYSER WAREHOUSE SiteID: 215-000-001~49 -- Fast Format ~ Mitigation/Prevent/Abatemt Overall Site , Release Prevention 08/16/1996 CAPS KEPT ON PROPANE HOSE WHEN NOT IN USE. TANKS STORED IN FENCED AREA. -- Release Containment 08/16/1996 PROPANE LOCATED AWAY FROM POSSIBLE IGNITION SOURCES. ~ Clean Up 08/16/1996 N/A Other Resource Activation 4 06/01/2000 ~ CRYSTAL GEYSER WAREHOUSE SiteID: 215-000-001749 I Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 08/16/1996 NATURAL GAS/PROPANE: PROPANE LOCATED SOUTHEAST CORNER OF BUILDING IN FENCED AREA. ELECTRICAL: NORTHEAST CORNER OF BUILDING. WATER: NORTHEAST CORNER OF BUILDING. -- Fire Protec./Avail. Water 08/16/1996 SPRINKLERED BUILDING, PORTABLE EXTINGUISHERS THROUGHOUT WAREHOUSE AND ON FORKLIFTS. FIRE HYDRANT LOCATED ON NORTHEAST CORNER OF BUILDING. Building Occupancy L~vel 10 EMPLOYEES 46,200 SQ. FT. -5- 06/01/2000 CRYSTAL GEYSER WAREHOUSE ~~~~ SiteID: 215-000-001749 i i~ Training ~~~~~~~~ Overall Site i i/~ Employee Training ~~~~~~~ 08/16/1996 i O NUMBER OF EMPLOYEES: ~ 0 o O MATERIAL SAFETY DATA SHEETS ON FILE: AT OTHER FACILITY o o BRIEF SUMMARY OF TRAINING PROGRAM: OPERATORS ARE LICENSED FORKLIFT o OPERATORS, AND HAVE BEEN SAFETY TRAINED AND CERTIFIED ON PROPANE USE. o O o o i~6i~i~ Held for Fumre Use fi~/~/5~/5~/~/~/~/~/~/~~~~~~6i o O i~i~ Held for Fumre Use ~~i~~i~~/~6~¢~~¢¢~6i o o KBF-7171 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° 972 Location Sub Div. Blk. . Lot You are hereby required to make the following corrections at the above location: Cot. Inspector 326-3979 "AMERICA ~S NATURAL BEVERAGE COM PA N Y" August 17, 1998 City of Bakersfield P.O; Box 2057 Bakersfield, CA 93303-2057 Re: Duplicate Payment To Whom It May Concern: On July 17, 1998 I submit Check #59590 for your account #13841 and then again on check #59765 dated July 28, 1998. Would you please make the refund payment to the following: Crystal Geyser Water Company 501 Washington Street Calistoga, CA 94515 Thank you, Gail Harriss Accounts Payable .... · .. ..... .~ ~.CRYS]:AL GEYSER WAT. ER CO~4PANY ..... P.O. Box 304, 501 Washington Street, Calistoga, CA 94515-0304 (707) 942-0500 FAX (707) 942-0647 CITY OF' ~AKERSF'II~-LD OF . .~~-~;---:..~.,.:: .~ ... Invoice Number lnv-date Demcriptiol'I Invoice Am't Discoun'[' HMOiO 6-ii-~8 H~Z MAT HAHDLIN FEE[ ~.~ CIT,,~O00 C:£TY OF' BAKERSFIELD CHECK HUMBER 59,"-~c20 '?-fL'?~.?iB FOT: 2?2,00 , O0 292, G() CRYSTAL GEYSER WATER COMPANY CaJistoga, Caflfomia 94515-0~04 " 05 9 5 g 0 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD SOl TRUXT N AVE BAKERSFIELD, CA 9330: C/:~YSTA[GEYSER WATERco/ (805) 386-3979 DATE: 6/11/98 TO: CRYSTAL QEYSER 235i E BRUNDAQE LN BAKERSFIELD, CA 93307 CUSTOMER NO: 7540 CUSTOMER TYPE' ES/ 13841 CHAR<~E .DATE DESCRIPTION REF-NUMI~ER DUE, DATF- TOTAl.. AMOUNT 6/01/98 I1EQINNiNQ BAL:ANCE___ , . &8. 50 HMOIO 6/10/~8 HAZ MAf'~.HAND~iNQ'FEE '~J ,'... ~'~ ~ 292. O0 CURRENT CHARQES NOT BILL. ED ON THE 6/1/98 STATEMEN FOR ~UESTIONS ON ACCOUNT - CALL NUMBER Al' TOP. CURRENT OVER 30 OVER &O OVER 90 TOTAL DUE' $~&O. 50 CITY OF BAKERSFIELD \ ORDER P.O. BOX 2057 BAKERSFIELD CA 9350~-2057 ............................................................................. ~ ~ _ _ '. _~ _':2_ ..: = ~ L ....................................... Invoice Nambmr Inv-da'~e Demcriptio~. Invoice Ami Discount Net 9806ii 6'-ii--~8 HMOlO HAZ HAT F 292,00 .00 292,00 CITGO00 CITY OF BAKERSFIELD CHECK NLJM~EF( 59-/65 '7-28'-'.98 TOT: 292, O0 .00 ~.-,...'~c)~. O0 CRYSTAL GEYSER WATER COMPANY STATEMENT OF ACCOUNT 1501 TRUXTUN AVE ~~ ~ , B~KERSFI~LD, C~ ~3301-5201 , DATE: 6/11/~8 ~351 E BRUNDAOE 'LN, "?" BAKERSFIELD~ .,' C~: ~3307 :!.'t.., )~'¢?.':.. .:.. .. : ~. · . .~ .~ { · .. CUSTOMER NO: :;'".,'x,t~'7540 ~';'""" .: CUSTOMER TYPE: ES/ 13841 CHARGE DATE DESCRIPTION .~:' REF-NUMBER DUE DATE TOTAl_ AMOUNT 6/01/~8 BEOINNINO BALANCE~ . ..: 68. HMOIO 6/10/~8 'HAz MAT~'HANDLINO FEE 0 ' ~ ~ ~ 2~, O0 .,.. ,~ · ,~ ~ ~,,' CURRENT .CHARQES NOT BILL. ED ON THE 6/1/98 STATEMEN FOR OUESTIONS ON ACCOUNT - CALL NUMBER A']' TOP, CURRENT OVER 30 OVER 60 OVER VO 360.50 DUE DATE: 7/13/98 PAYME~;T DUE: TOTAL DUE: MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE ~- ~' -~C:~ NEW ACCOUNT ADDRESS CLOSE ACCT ' FINANCE CHARGE j OTHER ADJ MAILING ADDRESS ~'~ ~, ~ (~(-~C,~P__ ~ CITY ~_~_._~¢ %~i '~[O[,STATE ~..,~ ZIP CODE SITE ADDRESS PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT ! CHG DATE CHARGE CODE ADJUSTMENT AMOUNT ; I I APPRO~ JUL-08-96 HON 09:10 CRYSTAL GEYSER NHSE F~IX NO, 805 321 0251 P, 02 "" ' HAZARDOUS MATERIALS DIVISION 1715 CHESTER .AVE; BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN .~ , i'i;':'? ,;;~i..'"'~__ ~'~(~'i' , ,~I'11~1,1 ..... 'ii _~_:. ..... ~: _ tN~,_I!UCTIONS: i. To (3void turmer cction, return this torm within 30 clays or receipt. 2. i'YPE/PR{NT ANSWERS IN ENGLISH. $.Answer the Cueszions below for the Ou$iness cs a wnote. Be brier cnc ¢onc~e cs ~c~ible. SECTION 1' SUSlNESS IDENTIFICATION DATA 3USiN~$$ NAME: MAILING AC~:~'~,, :~' S:Tv. ~~~~ ' =-.,--, ~ 7,o, ~ PHONE: SECTION 2: EMERGENCY NC'TIFiCATICN: CONTACT TITLE BUS, ?HCNE 2,fi-,- HR. FHONE ,]UL-08-96 I'ION 09:11 CRYSTAL 6F. YBFR ~IHBE FP, X NO, 80~ 321 0261 P, 03 . .. HA~RDOUS MATERIALS MANAGEMENT P~N '" ~','~ NUMBER OF EMPLOYEES: ~ " MATERIAL SAFE~ DATA SHE~S ON FIL~: ~, g~lE~ SUMMARY O~ T~AINING SECTION 4: EXEMFTIQN REQUEST: ." ! CERTIFY UNBER.P~NALTY OF P:.RJURY,TNAT MY BUSINESS 15 RE?ORTING ~E~UI~MENTS OF CNAPTE~ 6.95 SAFETY CODE' FOR THE FOLLOWING REASONS: .'" '. " .,. ,'NE ~O NOT HANDLE~HA~ROCU, S:MATE~IALS. WE DO HANDLE HA~ARO~US MATERIALS, ~UT THE QUANTITtE~ AT NO TiMEEX~E~D THE MINIMUM RE~OR/ING QUANT~IES. . ,.- ......... ~::~ ~r, SECTION ~: C:E.~TIFICATIQN: I ....... /o,~'/,:'a.,'r" ~". /.~.~'z,'l~. ..... C~.RTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE,"' I UNOE'~$TANO THAT. THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S CBLIGATIONS UNDE~ THE "CALIFORNIA HEALTH AND SAFE:"Y CODE" INACCURATE INFORMATION CONSTITUTES PERJURY. . .... -SIGNATURE // ' TITLE DATE ...... ' JUL-08-96 ]iON 09:11 CRYSTAL GEYSER [,IHSE F~× NO, 805 321 025] P, 04 HAZARDOUS. ~.ATERIALS MANAGEMENT PLAN Facility Unit Name: c_.~ s c~c. C~c-e,~ -~ - SECTION,6,;~ .N,~qTIFI_.C_ATION AND EVACUATION Pt~OCEDLIRE$: A. AGF..NCY NOTiFiCATiON PROCEDURES: EMPLOYEE NOTiFiCATION AND :_"/ACUATION: t ~,J TF...'q.-C.C,'''v''' '~[-~'¢.,~:F,.-J C>FFI¢~ ~ JUL-08-96 I'I01,I 09',12 0RYSTFtL GEYSER 14HSE FAX NO, 805 321 0251 P, 05 Hazardous M~.t~ri~tls Di~sion ...... SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: B. RELEASE. CON'TAINMENT ANO/O~ MINIMIZATION: · .,. ,,,,.:AN-UP P.~CCEDURES: ,..cCTICN 8: UTILITY SHUT-OFFS ':"" L,.-CATICN CF SHUT-OFFS AT YOUR FACILITY): ',VATE~: ,,uCc C~.,.u'~ ~ ~Lf)C,..- L,..~...-, :C×: 'FEi/NC:' F Y== .C.,C,:,TION: .......... S~-TIC:DN 9: P.~IVATE FlEE PI~CDT~CT1ON/WAT~.~ AVAILABILITY: A. ?RIVATE FiRE PROTECTION' B. WATER AVAILABILI~ (Fi~E HY.DRANg' '. ~ ~ ~ ~u~ ,.:' JUL-08-96 MOI',I 09:13CRYS?AL GEYSER WHSE FAX NO, 805 321 0251 P, 07 , BAKER ;IELD CITY FIRE DEF TMENT ' H~RDOUS MATERIALS INVENTORY Pag~o~ CHEMI~ ~~ON 4) PHilCO& H~ PHYSI~ H~ 6)~;C~ST~ ~la [] Uqua [] ~ P~ ~ [] W=~ [] ~(] ~ ~NT ~O ~ME AT FACI~ ~O~ UNI~ O~M~~ 8) STQ~E CODES ~t Slze'Con~c 7 i ~ ~ · OMOnS~e ' "~'~ CimM~Me~s: NIYe~. J. F. M. A, M. J. J. ~ S, Q, N. 0 · e th~ most ~ 1) ,, ~!~, ..~ ~ /0o { I ~ ~M com~m~ ~) ........ [ ] a) { ] CHEMICAL DESCRI~ION 1) {NV~TORY ~TA~$: New [ ] Add.on [ ] Re.sion [ ] ~tion [ I Ch~k ~em~ ~ a NON ~E SECR~ ~E S~R~ [ ] 4) PHYSICAL & H~L~ PHYSICAL H~ ' ' H~RDCA~GORIES ~re [ ~ Rea~Ne[ ] Sud~nRe~e~eofPress~e [ J lm~eHe~h(Ag~e) ~l~dHe~(Chm~l [ ] 5) WA$~ C~$S[~ICATION (3~ig~ code ~m DHS Fo~ 8022) USE CQD~ 6) PHYSICAL STA~ Solid [ ] Liquid ~ G~ ( ] Pure { [ Minute [ ] W~ [ ] R~ [ ] 7) AMOUNT ANO ~ME AT FACIU~ UNITS OF M~SURE 8) 5TO.GE CODES Aver~ ~ly Amount; cubes [ ] b) Annua A~unt; c) · DoW On Site Circta~ich Months: All Ye=, J, F, M, A. M. J, J, A, S, O. N, O ~) MITRE: Ust COMPONE~ CAS ~ % ~ AHM t~e throe most ~ouS 1~ [ ] c~emi~ com~nents or { 1 ! cem~ un~ ~ of law, ~t i h~e pe~onal~ ez~m~ ~ ~ f~li~ Wi~"~e in~ma~ ~u~ on ~s ~ ~a~ ~umen~ submi~ info~a~ ~s ~e, ~=umm. ~ comp/em, ~RI~ N~e~ T~o of ~z~ Com~ Re~msen~e ~g~