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BUSINESS PLAN
Prevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT .... THIS PERMIT IS ISSUED FOR THE FOLLOWING: .... ~?~:? ::";.: .::~;.,~?~ .... ll~H~zardous Materials Plan' 6920 DENNEN STREET ~:~.d t: ' ~:'~- .......... ~qc~t ;] '~ , ~, r~..~':~ ~4' ~. BAKERSFIELD, CA 93313 ~.~'".'[ . }-} ~,.: ':.:";~f~' .}~:~:~,~,?...~.., ..~f~.5, }.~' ~:'.'~ · ~ ~ ~, ,. ~,....., · ~ ~, . ~ ,.~ ,'., ~ ', ~.' I~ued~,,~:;:.L:, ---bY: Bakersfield Fire Department, ~~_-- "~ 0~-I~ OF P~~ON SER~S ~""~.",,:,~ 1715 Chester Ave., 3rd Floor ApproVed by: · · ~ ~ · s ~ ~"8~,~ ~ ~ph .uoy. Director-- ~ · ': Ft~ ?'? Bakersfield, CA 93301 provontion Somices Voice (661) 326-3979 "'"?~"-""?~" June 30, 2006 ':': FAX (661) 852-2171 Expirotion Dote: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the following; [] Hazardous'Materials Plan [] Underground Storage of Hazardous Materials El Risk Management Program PERMTT ID # 015-021-002104 El Hazardous Waste On-Site Treatment CALIFORNIA WATER ""~/" '""NNEN LOCATION: ,~ ,~,,~ ~. CA 93313 OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: ~U~ (... RalpgHuey, V~ i Issue Date Bakersfield, CA 93301 OmceofEv~Services Voice (661) 326-3979 FAX(661) 326-0576 Expiration Date: J~,lr~8 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This oermit is issued for the followin~l; El Hazardous Materials Plan [] Underground Storage of HazardOus Materials I-I Risk Management Program '[3 Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002104 CALIFORNIA WATER LOCATION ' 93313 ' Issued by: ~ Bakersfield Fire Department 1715 Chester Ave., 3rd Floor Approved by: (_.Ralp~Huey, l~~ Issue Date , Bakersfield, CA 93301 OmceorEviron~,m'rservices Voice (661) 326-3979 FAX(66!) 326:0576 ' Expiration Date: Jtllle 30.. 2003 SITE DIAGRAM ~ FA GRAM [ ~ ! Business Name: ~-.~,:~o,.~,~ ,..,,oe...~,...~:,...,:,.._,. Business Address: c~,,.... ~4-.--. ,~-o, ~,q~.c, o,_~,~,o~, ~_~-. ) RD B !12 cALIFORNIA WATER S BK191-01 SiteID: 015-021-00210.4 + Manager : mELViN-BYRD ~ O BusPhone: (661) Location: .~z~8-DENNEN ST .~ Map : 123 CommHaz : Minimal City BAKERSFIELD ~ ~ ~-- ~ Grid: 24D FacUnits: 1 AOV: : CommCode: BAKERSFIELD STATION 13 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title MELVIN ~ / DISTR1-C~ i~AGE .TiM TREL©~ / G~N SUPER 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~F~: ~=~) ~ 51-82~Q0x MailAddr: P State: CA City : S~ ~Z/p : ~5!Q$ 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 ~32-2141. += Hazmat'Inventory One ~nified Lis~ + +== Alphabetical Order Ail Materials at Site + +- -+ ....... +- -+- + -+ .... +- - Hazmat Common Name... ISpecHazIEPA HazardsI Frm I DailyMax IUnitlMCPl ................................ + ....... + ........... + ..... + .......... + .... +- - -+ CHLORINE F P IH L 200.00 GAL Ext Asst. Di~ict Manage-Bill HaCer Contact Person-Tampa Jonson Same ~one Num~rs (Mai~g Ad&ess Ch~ge: ~ 3725 Sou~ "H" S~t l B~ersfield, _ __~ CA 93304 1 0712812003 / ' ~ CITY OF BAKERSFIELD i OFFICE OF ENVIRONMENTAL SERVICES · 1715 Chester Ave;, Bakersfield, CA (661) 326-3979 HAzApd)ous MATERIALS MANAGEMENT PLAN 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. '3. Answer the questions below for the business ~ a whole.4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Fo~ ~d Chemical Description Form(s) to the front of this plan instead ofco~npleting SECTION I. below for initial submission. BUSINESS NAME: ~,~'~.,;~ ~.~ S .... ,,~ LOCATION: ' ~ ~. J ~, I -. o I .... ~ "i MAILING ADDRESS: '5 '~ 'z '~ 5,.0. ~4 ~ +. CITY: ~ ~-~.- · ~- ,',-~ ~ STATE: PRIMARY ACTIVITY: '~"~,_,,.,.- -.~ -.,-/ ..=, ,,": of-- OWNER: ~,~,,,.., e_ PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION ,CONTACT TITLE BUS. PHONE 24 HR. PHONE - - II~ARDous MATERIALs'MANAGEMENT PLAN .SECTION II. I' DISCOVERY AND NOTIFICATIONS .. A. 'LEAK'DETECTION AND MONITORING PROCEDURES:" B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESpoNSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: iiA~RDous MATERIALS MANAGE~ PLAN SECTION II.2: RELEASE RESPONSE PLAN ' A. HAZARD ASSESSMENT AND PREVENTION MEASURES:. B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND IG!CovERy PROCEDUI~S: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURALGAS/PROI)ANE: "/~ · SPECIAL: LOCK BOX:. YES/~ IF YES, LOCATION: ~ , PRIVATE FIRE PROTI!CTION~ATER AVAILABILITY A. PRIVATE FI!HZ, I'ROTECTION: .... B. WATER AVAILABILITY (FIRE HYDRANT): Ci,-,~ - k-~,~,-o,~4. ~ I- ,~,.~. },~,L,~._3,- ~' ARDOUS MATERIALs MANAGEMENT PLAN . .. ' _SECTION III; TRAINING " "~ NUMBER. OF EMI'LOYEE$:' 4o,,,~ _ u,,,,.,, c..,,,.,, ,t~. '.s., ~.~ MATERIAL SAFETY DATA SItEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM:' c'~,. ~ e..,.,,,-',t' c~,'.,,.,.,,~,.,;,:., l-,o.., .,.~,,,,,d~',_d. ~CERTIFICATION CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. i UNDERSTAND THAT THIS INFORMATION WILL BE USED TO ,FUI,FILL MY' FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA-IIEALTH AND SAFI::,TY I CODF/' ON i lAZARI)OUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND ]' . :.' THAT INACCUIOVI'E INFOPdVIATION CONSTITUTES PERJUR. Y. SIGNATURE TITLE DATE · 5 Chester Ave., CA 93301 (6611Jl826-3979 BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION Page O! ..................................................... :-'." 7; · . ., "I. FACILITY IDENTIFICATION ' ""~ '-"~ '~ ' ~ii.~: ~i .. .... I..I .i~]___/-~-I.. t}.'~ .. I....I I.__I.....L:} ..}l ................... ' . Year Ending l ~ Year Beginning too ' - -II JSINESS NAME (Same as FACILITY NAME or OBA- Doing Business As) 3 BUSINESS PHONE ,'}ITE ADDRESS , . COUNIY r)f'ERATORNAME ~_..~_t~.[_~,.,,~,m ~,,.to.[-~.,,- ~,,-..tt,..,~ ~.,o. ~oe OPERATOR PHONE (~'~'~)'~,'~'Z.?_.%..~'.t ,.m ( )WNER MAILING (:rrY 1~,,~ ~.~...~, Ct-,,'". I d ~4 STATE ~s IP q 3'"~ ,r", '-t- ('.t)NTACT NAME ~ , O_ IO e.I *.~ ~ 111 I CONTACT PHONE C()NIACT MAILING ADDi'tESS · .;'. ,,'!,v2 ME ON' Ts -PRIMARY~' ' E RGENOYC. TAO .... ,.. ~EGONDARY- ..................... 2x.._~_..,:.Z.,:...~.~.,,,,..:L. .... . ...... ....;.~-~. '- t__._.:.'__~,...;~ '.~ ~. ._ ...... .~, ,' __ 2.4-HOUr-1 PHONE 5 o,'",, ~. ~2~ 24-HOUR PHONE ~_~v~..(.__. PAGER tt .......- ~28 PAGER #~ "' "~-.~.~ .......... ':: .... ',..' ,;:'.;., . . :. '..r:...,; ). ', · !. . {'mlificalion: Jla,od on my Inqul~ of'lhoso Individuals responsible for oblalnin§ tho Information, I corll~ under penally of law thai I have personally ;m~ I am fnmill~r wllh lho infommllon\$ubmlttod In Ibis Invonlory and believe tho Informatlon is true, accurate, and complete. IJPCF (7/99) · S:~CUPAFORMS~OES2?30.TV4.wpd ~ ~ CITY OF BAKERSFIEL~ '~-~~.-..%~"%~', ' tL: ~, ,~o O'CE OF EN.VIRONMENTAL.RVICES1715 Chester ~a~ Ave., CA 93301 (661) 326-3979 ~~"~' H~RDOUS MATERIALS iNVENTORY , ~ ' CHEMICAL DESCRIPTION (one fo~ per mate~al per bu#dmg or mua ~NEW ~A~ . ~ DELETE ~ REVISE ' ' ~ Page of ';.L~*~'~:~,~:(.:~;:~;';~,~?~L'L",:~..::.'.,,:;'..:~;:'~;,'~.~:F;:~'~:~'¥~,~::~'~,:~';~;~:~'~t,'~;'.~..,, ..'~.7'¥,'.~"..... *... * ,.... ....... * ........ .- ~" :.'.- it..".': ' '.f.:' .L:~ · . : " ' ,?" "~'th~:-. " ./'~.~A~.~;I~r~~'"~'~'~'~;"".'~'" '""',' :'~."'¥' ?':'"~" BUSINESS~J~e~.FACILI~D~.~ngB~M) .............. '~""'" ' , '~, ' ,,' .......... ~_.l:~ '* ~.,~*~ ~.~.~-~ CItEMI~L LO~TDN , 201 CHEMI~L LO~TION m ~ · . ....... O ~ ~ I ~ ~ ~NFIDENTIAL (EPC~) ~ Yes ~ No 202 · '~-. :'~ ;:. *~{,[? ~r&', s::~.~.~c?~:.~::~ ~':.?.:?? ...',..'~?t' :~,~.::~;%~'~2,:~22~2~?'?:22~L'2~22.':¢~,:~:.: '- : ~' :~'~ ...... ~"."'. ' ...... CIIEMI~L ~ME 205 T~DE SECRET ~ Y~ ~ No 206 20r COM~N ~ ' ~ EHS' ~Y~ CAS S ~ "~*ll ~HS ~'Y~,' ~ ~ ~ ~t ~ ia lbs. ................. 210 YYI'E ~ p ~RE ~ m ~RE ~ w WASTE 21t ~D~ACT~' ~ Y~ ~ ~ 212 ~ CURIES I'IIYSI~L STA~E ~ · SOLID ~ I L~UID ~ g ~S 214 ~RGEST CO~NER 2 ~ rFI)HA/~RD~TE~RIE8 ~ 1 FIRE '' ~ nEn~ ~a PRESSURE~L~E AC~H~L~ (Ci~ ~11h$1 s~) ~4 ~ 5 CHRONIC H~TH 216 ~U~,.WASTE ./~ 217 ] ~,~M 218 I A~ 219f " A~UNT OAILYA~U~ lOO. ~t, ~ILY~U~ ~oO 3 ~[' j STATE WASTE CODE ~2(, · ff EHS. a~nt musl ~ h ~. [ [;i OrlAGE CO~AINER ~ a A~VEGROUND T~K ~ · P~STI~NM~LIC DRUM ' ~ I FIBER DRUM ~ q ~IL ~R 223 (Check a~ fhat a~) ~ m G~SS BO~LE ~b UNDERGROUNDTA~ ~f ~N ~j ~G ~n ~STICBO~LE ~r O~ER ~ c T~ INSIDE BUILDING ~ g ~Y ~ k BOX ~ o TOTE BIN ~ ' ~ d S~EL DRUM ~ h SILO ~ I C~NDER ~ p T~K WA~N STOOGE PRESSURE ~ s A~IE~ ~ ~ .A~vEA~IE~ ~ ba BELOWA~IENT STO~GETEMPE~TU~ . ' '~ eA~IE~ .~ ~ ~A~IE~ ~ be BELOWA~IE~ ~ ~ CRYOGENIC 225 ? i 230 ' 231 ~Y~ ~232 ~ ,234 235 ~ Y~ ~ ~ 236 ~ 238 239 ~ Y~ ~ No 240 S 242 243 ~ Y~ ~ ~ 244 24 UPCF (7199) - S:~CUPAFORMSXOES2731.~4.wp