HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This 0ermit is issued for the following:
[] Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
[] Risk Management Program
[] Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-002097 -- ·
CALIFORNIA WATER C '83-01
OFFICE OF ENVIRONMENTAL SERVICES' ' ~ ~ NOV 1 2000
1715 Chester Ave., 3rd Floor Approved by: (.. RayU'Huey. V~--~i ~ssue Oate
Bakersfield, CA 93301 om¢~of£v~-o,m~,~rs~ic~s ~
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date: 'Jun{} ~O.. ~1~OO~
ITE DIAGRAM
Business Address:
Business Name: ,-~.~fco,.-,.,f.. ,.,.,e. $.,.. %,.,-.,,,_,_ t._,~.
Business Address: c~,.., si-e,. ~-ot c~.tet--; ~,o:~g.;-,-,
l
[IUN
,'~ U[ h
CLARENDON
_] :~lI' [.ill >l. l:l ViRGiNiA
I
I .~r i
F I
I. I
I
I&r.~ E mpoBRUNDAGE
l. .. s, I
CALIFORNIA WATER STA83-01 =y .... SiteID: 015-021-002097 +
L -z4oo
Manager : M~n¥~N-~%~ ~-- BusPhone: (661)
Location:' CLYDE & WILKINS ~.~ Map : 103 CommHaz : Minimal
City : BAKERSFIELD %iv- Grid: 32D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 06 SIC Code: 4941
EPA Numb: DunnBrad: 00 - 691 - 3578
Emergency Contact / Title Emergency Contact / Title
~L .... DYRD / DT~TPT~m ~~ mT~ m~T.~ / GEN SU~
Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x
24-Hour Phone : (661) 396-2400x 24-Hour Phone : (661) 396-2400x
Pa~er Phone : ( ) x Pa~er Phone : ( ) - x
Hazmat Hazards: RSs / Fire Press Im~lth
MailAddr: P~ ~ I150-~/ State: ~
City : g~ OOs~'~ / Zip
Owner CALIFO~IA WATER SERVICE COMP~ Phone: (408) 451-8200x
Address : 1720 N FIRST ST State: CA
City : S~ JOSE Zip : 95112
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif 'd: RSs: Yes
ParcelNo: r
Dis~ict M~ag~-Tim Trelo~
................................................... Asst. Di~ict Mmag~-Bill ~er - - +
Emergency Direct ives: Contact Person-Tampa Jo~son
S~e Phone N~rs
CONTACT PERSON ~K 832-2141.
Mailing Ad~s ~ge:
M 0 3725 Soum
S~eet
Bak~sfield, CA 93304
-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, return this fo, eceipt.
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: a_--~iko~,;., ~.~.~-.-
MAILING ADDRESS: 3'n 'z '~ So. ~4 ~ +.
CITY: ~ ~.~.- · f-.'.-..~ STATE: c.~, ZIP:q3-5o.4 PHONE:
PRIMARY ACTIVITY: ~'~,_,.--,,,7oe or- ~o,~,,-~c,'~
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 MONITORING PROCEDURES:
B. EMPLOYEE AND AGENCY NOTIFICATIONi
C. E~IRO~~ ~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:
-rC.~. Soa,,~..., 4.~f,o~..to,A-,_ ,'., ,,.,_o~,a,,.I
C. CLEAN-UP AND RECOVERY PROCEDURES:
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GAS/PROPANE:
ELECTRICAL: Se.,-,~,~,~-~,o~ ~o~1 o~ ~,,'~,.~_.
WATER:
SPECIAL: ~/~,
LOCK BOX: YES/~ IF YES, LOCATION: ------
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILrFY (FIRE HYDRANT): ~--*-- -k'-t~,r--~4 o.g ,,,,,-ti- ~,~,,.L,~,-,Be_;
.S.E..C,T, ION III: TRAINING
NUMBER OF EMPLOYEES:
MATERIAL SA~'ETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
I, _..~.,_ t.- ~- ~ ~ ,' ~, ,.,, CERTIFY THAT THE ABOVE INFORMATION
IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA ItEALTH AND SAFETY
CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND
THAT INACCURATE INFORMATION CONSTITUTES PEILIURY.
SIGNATURE ~ TITLE I DATE
4
,1~15 Chester Ave., CA 93301 (661~326-3979
BUSINESS OWNER / OPE~TOR IDENTIFICATION
FACILI~ INFORMATION
Page .... OI ....
.. ' ~ I. FACILITY IDENTIFICATION
"(/\~ii]~:i~9--~ ~:i': ' ]--f~!~r[~l ' Year Beginning ,oo ....
BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE
SITE ADDRESS
........... ' ' - ' ~ CA
DUN & 106 SIC CODE
BRADSTREET ~O- ~q I - ~ ~ (4Digit~) ~q~
COUNTY I~ ~ ~ ~
....- ' ' i .......................................... ..............
OPERATOR NAME ~t,~t~ ~~ ~e~c~ ~o . ~09 OPE~TORPHONE (~ ~t~t ~0
'~"~ ...... : ~?' .... "' ' ~'.~,'~2 II.,owNE~ INFORMATION :.'''~] '~..:~t:.:'.L ,:'~ ..
....... : .~_~:Z,,.. L ,~ ......... ' ', ~ : h ....h.
OWNERNAME ~t~ov~'~ ~ ~(v ~wt~ ~o ~ OWNERPHONE ~[
....... ' . .[ .................... .( ...... ...................
OWNER MAILING
ADDRESS ~ ~ ~. ~ % [.
' · :, '{. ' ~':'" ]'~ ~ '"~ '~, .~,,~',hS'" '"' '"' .... ;'.' ' ' '":" ~', '~', ".'~: ~ ~'' ' .
' ~ ~ '.~;?;~;..~":;; ~' ~ ',:?;~:~ V',:";',?~ :,::%'~;,.':'~:::~, :'~'::~;~ III ',; ENVIRONMENTAL' CONTACT .,: ;~? ;:"~ :.:,'.:?" ,'-~L :',¢::; :~ .~.. ', :'., ."
.............. , ;;: ~..~.. >':"~:'}.;V~'~.'./J..~].;,';2,(;~.'~-:?,'..':''..:~':'.: .,.'"~ ',,, , ..i.:: ~; · :.., : ' ~','; .;~'~.':~::'., ~'.';'"~' ':.'; ": . ......
CONTACT NAME ....... ~ ~~ 1~1 [ CONTACT PHONE
CONTACT MAILING
ADDRESS
' .-PRIMARY.' "" : IV~.; EMERGENCY NTAC ' ': " ~ECONDARY-
.................. ~-~;~.~-2 ........ ~-~. ' .,, ~ ,..'~--~ '~ ~
NAME ....... ~1~,~ ~.~ ,21 NAME
tITLE ~,~,~ ~~.~¢ ~2s TITLE ~~ ~;~~ ~.m~¢
BUSIN~ S.~.~?~L~_~])~ q ~ ~ * O O ,2~ BUSINESS PHONE .(~.~:)__.~.~.~.~_~..[ .............................
24-HOUR PHONE ~ ~ ~ ~ ~2~ 24-HOUR PHONE .~ ~
PAGER # ~ ~28 PAGER ~ ~
C~,rlificafion: B~sed on my Inqul~ of lhoso individuals responsible for oblaining lhe Information, I ~dl~ under penally of law Ihal I havo porsonally
mul am lamili~ wilh the info~atlon submitted In Ibis Invonlo~ and believe the lnlo~matlon is lrue, accurate, and ~mplele.
I(~ ' '
blAMES OF OWNE~6~'~ (prinl) 136 TITLE OF OWNE~OPE~TOR
UPCF (7~99) S;\CUPAFORMS[OES2730.TV4.wpd
CITY OF BAKERSFIEI411 "
"'/--"~ O~ICE OF ENVIRONMENTAI,'~RVICES
~~~ 1715 Chester Ave., CA 93301 (661)326-3979
'~*"~"""~-" HAZARDOUS MATERIALS INVENTORY
'. CHEMICAL DESCRIPTION
(one fo~ per ~8te~al per Ouddmg or
· ~ NEW ~ ADO ~ DELETE ~ REVISE ~ Page ~ of
CIIEMICL kO~TION 201[ CHEMI~L LOCTION m.
I
205 T~DE SECRET ~ Y~ ~ No 206
CI IEMI~L ~ME
If
Subj~
Io
EPC~
Io
COM~N~ ' ~ EHS* . ~Y~ ~Uo 200
210
~PE
p PURE ~ m ~RE ~ w WASTE 211 ~D~ACTNE' ~Y~ ~No 212 ~
CURIES
PHYSI~L STATE ~ s SOLID ~1 L~UID ~ g ~S 214 ~RGES/CO~AINER 2~5
FED HA~RD ~TE~RIES ~ 1 FIRE ~ 2 REA~ ~ 3 PRESSURE ~L~E ~4 AC~ H~LTH ~ 5 CHRONIC H~LTH 2~6
(C~ ~1 that
ANNUAL WASIE 217 ~I~M 218 [ A~ 219 1
UNffS' ~ ga ~L ~ ~ CU~ ~ lb LBS · ~ ~ TONS 22t [ DAYSONSITE 222
· ff EHS, a~nt musl ~ In ~.
SIO~GE CO~AINER ~ a A~VEGROUND T~K ~ · P~STI~NM~ALLIC DRUM ~ I FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~ 223
(Check afl that a~) .
~b UNDERGROUNDTA~ ~f ~N El BAG ~. P~STIC BO~LE ~r OTHER
~ ~ T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN
~ d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N
STOOGE PRESSURE ~ a A~IE~ ~ aa A~VEA~IE~ ~ ba BELOWA~IENT 224
STOOGE IEMPE~IURE ~ a A~IE~ ~ ~ A~A~IE~ ~ ~ BELOW A~IE~ ~ c CRYOGENIC 225
~ j ~0 231 ~Y~ ~232 2~
3.. 2~ 235 ~ Y~ ~ ~ 236
~ 238 ~9 ~ Y~ ~ No 240
; 242 243 ~ Y~ ~ No 244 2.:
Pll~N[ NAME & TITLE O~ Au~OR~ED COMPA~ REPRE$E~AT~E 81G~TURE / [
UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd