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Home My WebLink AboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This 0ermit is issued for the followin_m [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials [] Risk Management Program PERMIT ID # 015-021-002115 [] Hazardous Waste On-Site Treatment CALIFORNIA WATER SI LOCATION: BUENA CA 93301 lssu~ by: Bakersfield Fire Depa~ment 1715 Chester Ave., 3rd Floor Approv~ by: u Bakersfield, CA 93301 Voice (661) 326-3979 F~ (661) 326-0576 Expiration Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the followin_~: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002115 CALIFORNIA WATER LOCATION CA Issued by: Bakersfield Fire Department ' · - ' ' ' ' -· '. ,,.-' NOV ! 2000 1715 Chester Ave., 3rd Floor Approved by: ~'(-'Ra¥1~Hue~'_D~i issue Date Bakersfield, CA 93301 Omceof£virommmllffServiees "' Voice (661) 326-3979 - FAX (661) 326-0576 Expiration Date:'J~,~'l~ 30.. '~OO3 SITE DIAGRAM __ FACILI'I11~IAGRAM Business Name: ~.,:r-o..~,;~. ,.,~.,...,- ~...-,,;.._.. c.o. Business Addrcss: c. ~ ~-. I '~. .; .LEY FOREST GASC . C l: "~:' '.',.'.'.'......'. E3 5}~. ' ~o~aua -~ ~tt ua I · o [ SUNSET TIPP~flA~Y VAI.[~Y tN uJ ~ION a' On ~ z .~AO~ CT CAMrUS N ~0' ES. F H 41~ FLD. / WHITE LANE / SIA 20.1.,~~ CALIFORNIA WATER CBKSTA20 == SiteID: 015-021-002115 Manager : k~ BusPhone: (661)-3~2-5~-7-t=%8 Location: BUENA VISTA/WHITE LN Map : 123 CommHaz : Minimal City : BAKERSFIELD Grid: 18 FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title M~,,T~, ~vDn / ~T~W~T~T ~U~= ~ ~~ / GEi~UPER' 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 : ~Phone: (408) ~5±-8200x MailAddr PC E©X 1150 .,' ~t~ ~- City Owner CALIFORNIA WATER SERVICE COMPANY Phone: (408) 451-8200x Address : 1720 N FIRST ST State: CA City : SAN JOSE Zip : 95112 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: CONTACT PERSON-K-~b~-~D~I~C~ 832-2141. District Manager-Tim Treloar Asst. District Manager-Bill Harper Contact Person-Tamara Johnson Same Phone Numbers Mailing Address Change: 3725 South "H" Street Bakersfield, CA 93304 4- 1 07/28/2003 CITY OF BAKERSFIELD~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HA.ZARDOUS MATERIALS PLAN INSTRUCTIONS: ~ ' 1. To avoid further action, retum this form wqi~n 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 fi'ont of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA MAILING ADDRESS: g'-tz~ ~o. ~4 OWNER: ~ ~ ,.~ ~ PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. ' LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: 2 HAZARDOUS MATER/ALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: ,',, C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: $~.,',~,L~-h,o.~ WATER: SPECIAL: LOCK BOX: YES/~ IF YES, LOCATION: -'-'--- PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ---- B. WATER AVAILABILITY (FIRE HYDRANT): ~."~ -k.-td~'o'~4 ,,1- ,-,.,,.-ti- 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBEROF EMPLOYEES: ~o.,,~ - MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, .._-~l.-[...~ ,,., ~,,, 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 CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PE1LIURY. ! SIGNATURE TITLE DATE ~' n~~ ~FICE OF ENVIRONMENTAI~ERVICES '-~ ~ rtn~ ~ 1715 Chester Ave., CA 93301 (661) 326-3979 FAClLI~ INFORMATION Page F AClLI~ ID *.~' ' ;~ ~4t~2/ ' Year Beginning ~oo Year Ending BUSINESS NAME (Same as FACILI~ NAME or DBA- Doing Business ~) 3 ~ BUSINESS PHONE SITE ADDRESS 103 ' CA CI~ ~~ ~ ~ ~ ZIP ~ I-t DUN & ~0s SIC CODE B~DSTREET O O- ~ I - ~ ~ (4 Digit~) ~ ~l 108 COUN~ ~ ~ ~ ~ OPE~TORNAME ~[,~ov~'~ ~&~ ~09 OPE~TORPHONE ~l~l ~0 OWNERNAME ~.~~ ~~v ~~ ~0 ~1 OWNERPHONE (~O~G~ ~2 OWNER ~ILING ~3 : ADDRESS ~1~ ~. ~ ~. CI~ ~ . , - ~ ,4 STATE~. ,s J ZIP ~0~ ~z CONTACT PHONE ~ [CONTACT NAME ~ ~[~ CONTACT ~ILING ADDRESS CITY ' ~20 STATE 121 ZIP ~ 122~' NAME ~ ~1~.~ ~ ¢ ~ 123 NAME ~ ~ ~1o~ ~ 129 130 ~25 TITLE ~s;~& ~,5~.;~ TITLE D,~v;~ ~~ ~¢ 131 ~26 BUSINESS PHONE (G~ ~ ~3%~1 ~ ~ BUSINESS PHONE ~ 3~oO . - 132 127 24-HOUR PHONE ..5~ ~ ~ 24-HOUR PHONE % ~ ~ ~ 133 ~28 PAGER ~ PAGER ~ _ Ce~ifica~on: Based on my inqui~ of ~ose individuals responsible for obtaining the info~ation. I ~ffi~ under penal~ of law that I have personally examined and am ~iliar with ~e info.arian submiffed In this invento~ and believe the information is tree, a~urate, and ~mplete. ~IGNATU,E OF OWNE~OPE~TOR ~ DATE ,~ NAME OF DOCUMENT PREPARER i .t 'm~,v,=o~ovv,~E tint) ~3s TITLE OF O~E~OPE~TOR 137 . I UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd OFFICE OF ENVIRONMENTAL SERVICES tt nn 'c wr 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per mate~al per budding or ama) ~NEW ~ ADD ~ DELETE ~ REVISE ~ Page BUSINESS ~ME (~e as FAClU~ ~ME ~ O~ - ~ng Bu~n~ ~) 3 CltEMICAL LOCATION · 2011 CHEMICAL LO~TION O ~ ~ I ~ ~ ~ ~NFIDENTIAL (EPC~) ~ ~ ~ No 202 '~A~ID, ~ ~ J J i 1 ~P,(op~naO 203 ' GRlD.(opt~naO 20S T~DE SECRET ~ Y~ ~ No 206 CHEMI~L ~ME . ' --- If Subj~ to EPC~ ref~ lo instm~i~s 207 COM~NNAME ' a EHS* ~ Y~ ~No 208 FIRE CODE H~D C~SSES (~plete ff r~u~t~ by I~ fire ~i~ 210 ~PE D p PURE ~ m MITRE D w WASTE 211 ~DIOACTNE ~ Y~ ~ No 212 ~ CURIES~ 213 ~RGEST CO~AINER 215 PHYSI~L STATE D s SOLID ~1 LIQUID ~ g ~S 214 ~ ~0 t . EEO H~RD ~TE~RIES ~ 1 FIRE ~ 2 REACTNE ~ 3 PRESSURE RELISH ~4 ACU~ H~L~ D 5 CHRONIC H~LTH 216' (Ch~ all that app.) UN~S' ~ ~ ~L ~ d CU~ D lb LBS ~ m TONS 221 ~ OAYSONSITE ' 222 ' ff EHS, am~nt must be in lbs. :, STOOGE ~AINER ~ a A~VEGROUND T~K ~ e P~STI~NM~ALLIC DRUM ~ I FIBER DRUM D m G~SS BO~LE ~ q ~IL ~R 223 (Check all that ~ b UNDERGROUND TANK ~ f ~N ~ j ~G ~ n P~STIC BO~LE ~ r OTHER ~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN ~ d S~EL DRUM ~ h SILO ~ I CYLINDER D p TANK WAGON STO~GEPRESSURE ~ a A~IE~ ~ aa A~VEA~IENT ~ ba 8ELOWA~IENT 224 STOOGE TEMPE~TURE ~ a A~IE~ D ~ A~VE A~IE~ Dba BELOW A~IENT ~ c CRYOGENIC 225 1 226 227 D Y~ ~ No 228 229 2 ~ 2~ 231 ~Y~ ~No232 238 ~9 D Y~ ~ No 240 241 242 243 D Y~ ~ No 244 245 t" PRINT NAME & TI~E' OF AU~O~'~ED ~MPANY REPRESE~ATNE · SIG~RE ~ ~ DA,E 246 UPCF (7~99) S:\CUPAFORMS\OES2731 .'l'V4.wpd!