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HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This hermit is Issued for the followin~_: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program PERMIT ID # 015-021-002100 [] Hazardous Waste On-Site Treatment C ALIFO RNIA WATER .c?'~ vc~, ~,~.~ ~ LOCATION: CLAFIJN & 32"~ S;TREE~()V ~AKERSFIELD CA 93301 Issued by: Bakersfield Fire Department ./9 ,~ ~ OFFICE OF ENVIRONMENTAL SER VICES' ~~' d'  1715 Chester Ave., 3rd Floor Approved by: J~{J{~' 1 ~ ~_~1_~ Bakersfield, CA 93301 O~ceofE.~~ices...d Issue Date Voice (661) 326-3979 FAX(661) 326-0576 Expiration Date: Jl, lNe 30.. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This _permit is issued for the followin_.: [] Hazardous Materials Plan [3 Underground Storage of Hazardous Materials [3 Risk Management Program [3 Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002100 CALIFORNIA WATER LOCATION 1715 Chester Ave., 3rd Floor Approved by: (~Ralp~Huey. D~~5 Issue Date Bakersfield, CA 93301 OfficeofEvimnmenl~Services '" Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: 'June 30.. 2003 SITE DIAGRAM~____~ FAQL~DIAGRAM ! Business Name: ~..t',i.,,,.-,.,;~ ~.,--1-,-,-- s,,.~.,,;_~ Business Address: ~-. s4-.. ~a-o~ c_.~,,,~-ti~, ;. ~v._''j s4-. OU CALIFORNIA WATER SERV STAll801 SiteID: 015-021-002100 ~ BusPhone 39 ~- ~O O Manager : ~ _~ ~'i~ : (661) 325 7120 Location: CLAFLIN & 32ND ST ~ Map : 103 CommHaz : Minimal City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:4941 EPA Numb: DunnBrad: 00-691-3578 ~--~ Emergency Contact / Title Emergency Contact / Title ! ~x, SUPER MELVIN BYRD / DISTRICT M33!AGE TIM TRELOAR , 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: (40~x MailAddr : ,/ State: -~A -- City : SAt~--~S4~ Zip : 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: .................................................... D|s~c~ Manager-Tim Treloar Emergency Direct ives: Asst. Dis~ict Manage-Bill Ha~er Contact Person-Tamara Johnson CONTACT PERSON '~ii, i HEDKiCK 832-2141. Same Phone Numbers Mailing Address Change: ~'~'~ ~ ~ ~ ~"7 ~tQ~_ 3725 South "H" Street Do heroD? certify ~Insl Bakersfield, CA 93304 reviewed the attacl~eO hazardous m~'~erials manage- ~. ,6~. E.¢--., and %h~t i~ along wi~h =xny o~e~ion~ oons[i~u~e a corn¢~e ~nd eorr~ man° ~®m®m gan ~r my ~acili~y. + 1 07/30/2003 CITY OF BAKERSFIELD ....... OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, retum this form ~Siin 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 front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA MAILING ADDRESS: ~.n 'z '5 ~o. ~ ~ +. CITY: ~ e....- · f-,'~, ,:t. STATE: c_t, ZIP:q~'5o,4 PHONE: PRIMARY ACTIVITY: ~-~,-.~a.~,o,- of- ~o,,,..~,~-,'~._ OWNER: ~,--.,~, e_ 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 MONITOI~ING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. E~IRO~NT~ ~SPONSE ~AGE~NT: D. EMERGENCY MEDICAL PLAN: 2 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). NATUILAL GAS/PROPANE: .. ELECTKICAL: ..5~_.-,~,i..~. ~o, to~.~..t-`-~ o,~ .~.:~, e_. WATER: ~/~. SPECIAL: ~/~, LOCK BOX: YES/~_.O IF YES, LOCATION: '--'-- PRIVATE FIRE PROTI?.CTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ------ B. WATER AVAILABILrFY (FIRE HYDRANT): ~,-~- -k~,[,-o..-,4 ,~g ,...,,_ti. I~ZARDOUS MATERIALS MANAGEMENT PLAN ..SECTION III; TRAINING NUMBER. OF EMPLOYEES: ~4o,,,.c. - ta ,,, ,,,., e..,,, ,,, .,.~ -,.,~-~. MATERIAL SAFETY DATA SHEETS ON FILE: ~ BRIEF SUMMARY OF TRAINING PROGRAM: c._O. $",~'--!"q ?,-o,_~d,.,,-.c~ ,,,, l-t.,_ ._.,...,+ CERTIFICATION I, , , ~,,. g- I- "~.,- ~- ~,,, 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 INACCUILATE INFORMATION CONSTITUTES PEILYLIRY. SIGNATURE TITLE DATE 4 ,, ~_',~... s. ~ OI~CE OF ENVIRONMENTAL ~Ii~RVICES /eux~": ..... ;::::,;... ~-'~"~' BUSINESS OWNER I OPE~TOR IDENTIFICATION FACILI~ INFORMATION .. ~.' I. FACILITY IDENTIFICATION LIUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE ~:,I'TE ADDRESS . ~ ~ ~ D~JN & 106 SIC CODE BRADSTREET ~O- ~ I - ~ ~ (4Digit~) ~ COUNTY I~ ~ ~ ~ OPERATOR NAME ~t~L~t~ ~~ ~t~ ~o · lo9 OPE~TORPHONE OWNER MAILING ADDRESS ~1~ ~ ~. ~ ~ ~. f:7 [ CONTACT PHONE ~ 118 CONTACT NAME ~ ~~ CONTACT MAILING ADDRESS CITY ~ ~ STATE ~ , ~21 Z P : -PRIMARY-' '. E ERGEN ON ' 24-HOUR PHONE ~ ~ ~ ~2F 24-HOUR PHONE _~ ~ PAGER tt ~ ~28 PAGER ~ ~. ~:s C,~rlificnlion: B~sod on my Inqu}~ of Ihoso Indivldu~ls responsible for obtaining the information. I ~dt~ under penalty of law thai I have p~rsonall7 oxarni~ ;..I mn [nmilt~r wllh the informmllon submilled In Ibis Inwnlo~ and believe the Information is Irue. accurale, and ~mplele. NAMES OF OWNE~OPE~TOR (prinl) ~36 TITLE OF OWNE~OPE~TOR DF'CF (7/99) S:/CUPAFORMS/OES2730.TV4.wpd /' ~ CITY OF BAKERSFIEL~ .~ o ~ , ~, ~ ~ ~ ,~ o OIN~CE OF ENVIRONMENTAI ~RVICES ~ ~1~ ~ .... ~A~.~ ~:'r 1715 Chester Ave., CA 93301 (661) 326-3979 ~. CHEMICAL DESCRIPTION (one ~ per material per Ouddm9 or ~NEW ~ADD ~ OELETE ~REVISE ~ Page ~ ol · CHEMI~L LO~TION · ' 201{ CHEMI~L LO~TION O~ bi ~ '] ~NFIOENTIAL(EPC~) ~Yes ~No ~0Z , II Ill.,l, I ' . 1, CHEMI~L ~ME 2O7 COM~N~ ' ~ EHS' ~Y~ ~No 208 210 TYPE ~ p PURE ~ m ~RE ~ w WASTE 211 [ ~DIOACT~ ~Y~ ~ 212[ CURIES~ 2~3TM, ~'HYS,~L STATE ~ s SOUU ~ UOU~U ~ g ~S 2{4 ~ROEST CO~NN[~ ~t. FEDH~RD~TE~RIE9 ~ I FIRE ~2 REA~ ~3 PRESSURE REL~E ~4 AC~ H~LTH ~5 CHRONICH~LTH (Ch~ e, that ap~) DAYS ON SITE ' UNffS* ~ ga ~L ~ d CU ~ ~ lb LBS · ~ ~ TONS 221 * ~ E~. am~nt must ~ In I~. g TO.GE CO~AINER ~ a A~VEOROUND T~K ~ · P~STI~N~ALLIC DRUM ' ~ I FIBER DRUM ~ m G~S BO~LE ~ q ~{L ~ 223 (Check afl that a~) · ~b UNDERGROUND TANK ~f ~N ~j BAG ~n P~STICBO~LE ~r OTHER ~ C T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE B~N ~ d S~EL D~M ~ h SILO ~ ) CYLINDER ~ p TANK WA~N STOOGE PRESSURE ~ a A~IE~ ~ ~ A~VE A~IE~ ~ ba BELOW A~IENT 224 STOOGE TE~E~TURE ~ eA~IE~ ~ ~ A~VEA~IE~ ~ ba BELOW A~IE~ ~ c CRYOGENIC 225 [ 226 227 ~ Y~ ~ No 228 2 t 230 23~ ~Y~ ~ 232 233 242 243 ~ Y~ ~ No 244 245 ' ~"RINT NA~E & TIT~E'oF ~U~O~E~ ~O~NY REP~ESE~AY~E ....... sI~T~E' ' ~ ~' ' DATE / UPCF (7199) S:\CUPAFORMS\OES2731.TV4,wpd