HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This _~ermit is Issued for the following:
[] Hazardous Materials Plan
[3 Underground Storage of H-~_.rdOus Materials
[3 Risk Management Program ' ·
[3 Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-002124-
CALIFORNIA WATER
LOCA~ON CA
OFFICE OF ENVIRONMENTAL SER VICES'
1715 Chester Ave., 3rd Floor Approvedby:
; Issue Date
Bakersfield, CA 93301 ' Omceofev~ervices -
Voice (661) 326-3979
FAX(661) 326-0576 Expiration Date: '~une 30;. 2003
SITE DIAGRAM ~ FACILITYg~AGRAM [
,,~ - ..... ~ '+ ..... F
....... I '. l
..... + · ___+ F_F
I ] [ I C~ ~:~ ..... I
I
I
- _ _
~-' .... I I
I
" I
-
I [ I I I ' "
" ' E ~LD:' ""
' "" BAKEBS ~"' '~'
.... I_ _ _ ~ ~" ' '"'
N
CALIFORNIA WATER CBKSTA24 SiteID: 015-021-002124 +
Manager : BusPhone: (661) ~
Location: 3 MI W/O BV 1/4 MI N/O 22 Map : 123 CommHaz : Low
City : BAKERSFIELD Grid: 18 FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 09 0~ ~ ~ SIC Code:4941
EPA Numb: DunnBrad:00-691-3578
+
+
Emergency Contact / Title Emergency Contact / Title
M
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 : //~/ P~ne: (~0~} 45!-8200x
MailAddr: PO'BOX 11-50 ~R~re-r-~=3A--
City : SJ~N JOSE ~
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~ 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
07/28/2003
CITY OF BAKERSFIEL
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS: -~'~~
1. To avoid further action, return th~s form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Amswer 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 I ''~ '~- [ c~-
MAILING ADDRESS: 3-~2.~ $o. vi- ~,+.
CITY: ~ v,.e-~ g,'~. ~ ~ STATE: c.~. ZIP:q~oq- PHONE:
PRIMARY ACTIVITY: ~"~,'-~'-/o~' ~,-,~'(.'- ,
OWNER: se,..., ~_ 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:
~,_.u,. {:~,_', L~./ ;:, ,,,,o,,.:ko,.,.J ~td, I._t I~,1 ,.o,,0~.,,1 ,.,,.,oto..t ,,_~ ·
B. EMPLOYEE AND AGENCY NOTIFICATION:
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
2
H~ARDoUs MATERIALS 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: ~t,-,~,~,~-~o-~
WATER:
SPECIAL:
LOCK BOX: YES/~ IF YES, LOCATION: -'----
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION: - -
B. WATER AVAILABILITY (FIRE HYDRANT):
3
HAZA~RDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION' "
i, ..--~¥~- ~.,~.- [-', ,~ CER~rIF¥ TUAT THE ABOVE mFOmUxrIou
IS ACCtmATE. I U~ERSTA~qD THAT THIS I~O~TIO~ 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 INACCURATEJNFORMATION CONSTITUTES PERJURY.
SIGNXTURE ~ ~ TITLE DATE
4