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Home My WebLink AboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This oermit is issued for the followinQ: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [3 Risk Management Program PERMIT ID # 015-021-002123 [] Hazardous Waste On-Site Treatment CALIFORNIA WATER LOCATION: 3 MILES W OF BLIE~,~.i~* CA 93301 OFFICE OF ENVIRONMENTAL SER VICES · 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 ~.~~~..~, ~ss~ nat~ Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: June 30, 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the followin_.:. [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials [3 Risk Management Program [] Hazardous Waste On-Site Treatment . PERMIT ID # 015-021-002123 CALIFORNIA WATER LOCATION CA OFFICE OF ENVIRONMENTAL SER VICES' .' ~ NOV ]L ~.000 1715 Chester Ave., 3rd Floor Approved by: (~Ralpi~Huey, D~! Issue Date Bakersfield, CA 93301 OfficeofEvironm~Serviees - Voice (661) 326-3979 June 2OO3 FAX (661) 326-0576 Expiration Date: SITE DIAGRAM FAC__~_~ITY ~kGRAM [ ~' '"! Business Nam0: ~.. ,' t. .... ',. ,.o ~ ~-.._.- s ,....,: ,..~ ,--,_-,. Business Address: c~¢. s4-,~. 2~. '~',~,_~ ,~,~,.a--.,t- · ' ' "~.t 'i5, ....... I .................... ?: ..ru "'" ~'-" ' ~ .... .... ,~,, h ...., L_"'F.':'L' ......... ........... t ~1~_,, .......... ,,'_ ~=.-,,, .... ~ ....... ;~P--I-.-" "' :: ,,,,m^,.,. ilr ~ x,l:" ~ ........ ~un&,'.,~ _ l ............... ~' .... i'':~'~;'';'';''~'' ...... :,' , / ~ ~ ~ = ,- .~.,~,-',,,:,, ' " ' ........ '-~' ' 't, , ~i ....' ................. ........ + kx----I +-~- ",,' ... ,,' -- ------- ~A~<: . ~'~ ~'.~. .- " ' ' :" IWY ........... -- .I "' I '-% mm I I [ ' I '., ' I .' ~I .~I ~i .... .___, .,_ .... ";:,~b-.I ..... ~'"""' ~'~-"--Y ....... I ~k !5 ,.,::. I I , I I ...... 3;I 2 I ~. ...*";t ~ .. ~'"'~"~ ....... ............ ~ .... 4 .... .._.-= ....... ~'-- ....... '" ~ _,~l 'L__t _ , ..... ,,.~ ~,;~ .-,~=~' ,,, ,~, _..- .%_ ..... ~..)'ql_ ~,:, i m,,,- .................._.~ .~-__ _' _ _ ~ -q .... ~- - .k - ~'~'"- I ..'" I l ,. ~ I.~ I I '. ,B I I ; ." , ! I ...i '4~ =I ..' N CALIFORNIA WATER CBKSTA22 = SiteID: 015-021-002123 Manager : M~n%~-N--Bq~R~ BusPhone: (661) 85 7120 Location: 3 MILES W OF BUENA VISTA City : BAKERSFIELD 06~ ~ ~ Map : 123 CommHaz : Low Grid: 18 FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title I Emergency Contact / Title M - _ . .DIS CT Business Phon~ (661) 396-24~ I Business Phone: (661) 396-2400x 24-Hour Phone : (661) 396-2400x ~ I 24-Hour Phone : (661) 396-2400x Pager Phone ~: ( ) - x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth Contact : // q~Y~ne: ,~,408J 451-8200x MailAddr: P~B~JY~..--!!~ / State: CA City : S~ Zip : 9510~ 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~L~4~P~LCK 832-2141. Di~i~ M~ag~-Tim Trelo~ ~ As~. Di~ict M~ag~-Bill Ha~ Contact Person-Tampa Jonson S~e ~one Numb~s ( Mailing Ad&ess Ch~ge: 3725 South "H" S~eet Bakersfield, CA 93304 -1- 07~28/2003 ~I~'FICE OF ENVIRONMENTA~;ERVICES 715 Chester Ave., CA 93301 (661)326-3979 BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION Page __ Of .... : : :.;. .' · ' ~ i FACILITY IDENTIFICATION FACILITY ID# I I' li~j] I I [igg~l I I I I I I '1 Year Beginning ,oo [ Year Ending BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 I BUSINESS PHONE lo2' SITE ADDRESS . , DUN & ~os ~ SiC CODE lo~ , COUNTY I<. ~ ~' v~ OWNER MAILING ] CONTACT PHONE ...... CONTACT NAME 5~ ~o~ 118 CONTACT ~ILING ~ ~9 ADDRESS CITY ~20 STATE ~2~ ZIP ~ 122, ' ]29 24-HOUR PHONE 5 ~ ~27 24-HOUR PHONE ~ ~ ~ ~2 PAGER ~ ~ a28 PAGER ~ Cedification: Based on my inqui~ of those individuals responsible for obtaining the info~ation, I ~ under penal~ of law ~at I have personally examined and am familiar with the info.etlon submitted In this Invento~ and believe the information is tree, accurate, and ~mplete. NAMES OF OWNE~OPE~TOR~in~ ~30 IITLE OF OWNE~OPE~IOR UPCF (7/gg) S:[CUPAFORMS~OES2730.TV4.wpdi ., CITY OF BAKERSFIF~ --~ rltttt ~ ICE OF ENVIRONMENTALn3ERVICES t ,nnrt t r 1715 Chester Ave., CA 93301 (661) 326-3979 ~ H~RDOUS MATERIALS iNVENTORY CHEMICAL DESCRIPTION (one [o~ per mate~al per budding or ama) ~NEW ~ ADD ~ DELETE ~ REVISE 2~ Page ~ of BUSINESS NAME (Same as FACILI~ NAME ~ DBA - D~ng Busings ~) 3 CItEMICAL LOCATION } CONFIDENTIAL (EPC~) ~ Y~ 205 T~DE SECRET ~ Y~ ~ No 206 CHEMICAL ~ME 201 "~IRE CODE H~RD C~SSES (~plete if r~u~t~ by I~1 fire ~i~ 210 WPE ~ p PURE ~ m MITRE ~ w WASTE 211 ~DIOACT~E ~ Y~ ~ No 212 ~ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g ~S 214 ~RGEST CONTAINER ~ O O ~ ~[ . 215 FED HA~RD ~TE~RIES ~ 1 FIRE ~ 2 REACTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH (Ch~k all Ihal apply) A~UNT DAILYA~U~ ~OO ~ ~ I . DAILYA~Um ~ OO ~ ~ t . UNITS' ~ ga ~L ~ d CU ~ D lb LBS D tn TONS 221 DAYS ON SITE · ~f EHS, am~n~ mus~ be ~. ~bs. ~ ~ ~ STOOGE CO~AINER (Check all that apply) ~ a A~VEGROUND TANK D e P~STI~ONM~ALLIC DRUM ~ i FIBER DRUM g m G~SS BO~LE ~ q ~IL CAR 223 ~ b UNDER~ROUNO TANK ~ f ~N ~ i BAG ~. P~S~I~ BO~LE ~ O~HER ~ c TANK INSIDE BUILDING ~ g CARBOY ~ k BOX ~ o TOTE BIN ~ O ~ ~ ~ d STEEL DRUM ~ h SILO ~1 CYLINDER ~ p ~ANKWAGON ~ ~-- ~O~ ~ ~ STOOGE PRESSURE ~ a A~IE~ ~ aa ABOVE AMBIENT ~ ba BELOW AMBIENT 224 STOOGE TEMPE~TURE ~ a AMBIENT ~ aa A~VE A~IENT ~ ba BELOWAMBIENT ~ c CRYOGENIC 225 226 227 ~ Yes ~ No 228 229 2 ~ 230 231 ~Yes ~No 232 233 3 i 234 235 D Y~ ~ No 236 231 _ 242 243 ~ Y~ ~ No 244 245 PRINT N~ME & TITLE OF AUTHORIZED COMPANY REPRESE~ATIVE SIGNATURE ~ . ' ' - DATE ~46 UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 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 front of this plan instead of completing SECTION I. below for initial submission. · . SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: LOCATION: MAILING ADDRESS: CITY: ~-- v..~,-~ [,~.l ,:1 STATE: c.tx. ZIP:q=3=3oq- PHONE: (~') PKIMARYACTIVITY: '~,.,,-,~-/o~' og ,:lo,,.,t.~,c_ ,o,., ~..1- ~ ,- OWNER: ~,e,,~ ~. PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. I: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: £,..,_t.,. {;~._', I~1-7 ;:, ,,,,o..,;Lo,.,_J .:td.I._t k,1 B. EMPLOYEE AND AGENCY NOTIFICATION: ~ t,~. C. ENVIRONMENTAL RESPONSE MANAGEMENT: 2 SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: ~,o,t~,.,.,7, d, ni, o,.t,~,.,.,7~.~ ;, ~3,-o,...,t ,'~, e,~,o.,,- 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: $~_.-,~,~ ~o,:,.~ ~o,..~.~-~._,I o.~ ~. WATER: SPECIe: ~/~ LOCK BOX: YES~ IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: - 3 HAZarDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, ~ I- ~ ~m r lr~ ,n 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 PERJURY. SIGNATURE TITLE DATE ~~ FICE OF ENVIRONMENTA ;ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 .... .. ~m~m-..,, ~ HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fo~'m per mate~fal per budding or area) ~NEW [] ADO [] DELETE [] REVISE 200 Page ....... ........... :;t;?!..:.:?: : ........ "~E-SS NAME ({ame'as FACiLI~ NA~E or D~ ;~ng Busin~'~) ........ 3 . 201 CHEMICAL LO~TION : O ~ ~ t + ~ ....................... L ~;;~iT.~l;'.:i.',T..~7~;,Tl~ ............. '. ~"~A~i~'ms'i~~~[--~-[-- 1 '~ ~- 203 ] GRID ~ (opt~naO 204 1 205 i '"'T~DE ~RET Y~ No 2O6 CHEMICAL ~ME If Subj~ lo ~PC~, refer Io inslmcti~s ~o~ '* ~IRE coDE H~RD C~SSES (C~pt~e if r~l~ by I~l ~e ~i~ 210 ~PE ~ p PURE ~ m MITRE ~ w WASTE 211 ~DIOACTIVE ~Y~ ~No 212 ~ CURIES PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g ~S 214 ~EGEST CO~AINER ~ O O ~ ~ I , 215 FEDH~RD~TEGORIES ~1 FIRE ~2 REACT~ ~3 PRESSUREREL~SE ~4 ACU~H~LTH ~5 CHRONIC H~LTH 216 (Ch~ all th~t apply) A~uNTAN"UALWASTE 217 [ ~l~a 3 218 ~ AVENGE ~ 219 STATE WASTE COOE 2201 U/~ DAILYA~U~ ~OO ~ I, DAILYA~UNT G OD ~ t DAYS ON SITE 222 UNITS* ~ ga ~L ~ d CU ~ ~ ID LBS ~ tn TONS 221 ' ff EHS, ~nt must ~ in lbs. ~ ~ ~ ' STOOGE CO~AINER ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~R 223 (Check all that apply) ~ a ABOVEGROUND TANK ~ e P~STI~ONM~ALLIC DRUM ~ b UNDERGROUND TANK ~ f ~N ~ j eRG ~ n P~ST~C BO~LE ~ OTHER ~c TANKINSIDE BUI~ING ~g ~R~Y ~k SOX ~o TOTE SIN ~ d S~EL ORUU ~ h SILO ~ I CYLINDER ~ p ~ANK WA~N ~n ~ STOOGE PRESSURE ~ a A~IE~ ~ aa ABOVE A~IENT ~ ba BELOW AMBIENT 224 STOOGE TEMPE~TURE ~ a AMBIENT ~ aa A~VE A~IENT ~ ba BELOW AMBIENT ~ c CRYOGENIC 225 ] 226 227 ~ Y~ ~ No 228 229 ' ~ I ...... ~ i ~ 231 233 2 ;= 230 DYes ~No 232 234 235 ~ Y~ ~ No 236 237 UPCF (7199) S:~CUPAFORMS~OES2731 .~4.wp( ~'i FI~ '~ ~FICE OF ENVIRONMENTA~ERVICES t~,amr,~r 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER / OPE~TOR IDENTIFICATION FAClLI~ INFORMATION Page ~ O~ : :::~ :wr. ':~ ': ~.:~'~: .... . · :~:,~ :,=~:1. FAClLI~ IDENTIFICATION ::, FACILI~ID* I I ~5],i~ I I 'l~}~J I I [ t 1 I~ '1 Year Beginning ~oo Year Ending ................................... BUSINESS NAME (Same as FACILI~ NAME or DBA- Doing Business ~) 3 -OU~l-.-coo~nu.c~Ni~'~-%~i~k'i~ 102-' j 103 S~TE ADDRESS ' CA CI~ ~ ~a ~[ ~ t ~ ~ ZIP ~05 DUN & ~06 SIC CODE B~DSTREET ~- ~ I - ~ ~ (4Digitg) ~ 108 COUN~ ' OPE~TORNAME ~t~¢~t~ ~~e~[~ Co. 109 OPE~TORPHONE (~1 ~t~[ uo OWNER ~ILING 1~3 : ADDRESS ~ ~ ~. ~ ~ ~. CONTACT NAME I CONTACT ~ILING ADDRESS CITY ~ ~ ~2o STATE ~ ~2~ ~P ...... ~ ~ ,~ ~, M GENC~CONTACT~ ~ ~ ~ ~ECONDAE NAME ~l~, ~ ~A 123 NAME ~ ~1~' 129: . 130 131 12z 24-HOUR PHONE ' 24-HOUR PHONE 5~ 128 PAGER ~ PAGER ~ ~ Ce~i~cation: rased on ~y inqui~ of ~os~ individuals msponsibl~ for obtaining th~ info~ation, I ~i~ under penal~ of law ~at I hav~ personally examined and a~ ~militr with ~e infoma~omsubmitted in this Invento? and beli~v~ th~ information is t~, accurate, and ~mplete. ~Es OF OWNE~OPE~TOR (print) 136 TmTLE OF OWNE~OPE~TOR UPCF (7/99) S:\CUPAFORMS\OES2730.TV4,wpd