HomeMy WebLinkAboutBUSINESS PLAN 9/30/2003 Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This ~ermit is issued for the followim]:
[] Hazardous Materials Plan
[] Underground Storage of HazardOus Materials
[] Risk Management Program
E] Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-002092
CALIFORNIA WATER
LOCATION 93301
OFFICE OF ENVIRONMENTAL SER VICES' '5. ~ ' NOV 1 2000
1715 Chester Ave., 3rd Floor Approvextby:
Bakersfield, CA 93301 C _Ra_l?¥Uuey, !~~ ! Issue Date
Office of Evironmer~TScrviccs
Voice (661) 326-3979
FAX(661) 326-0576 Expiration Date: Juqe 30, 2003
ITE DIAGRAM __ FACILrI'~IAGRAM ! ~- !
Business Name: c.~.t,'¢,..,,,,-~, ,..~--,-~.,-..,,,--c_o.
Business Address: fa,c_. ~-~.. z~ ~_~.o~' ,=~ ,. --~.
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CALIFORNIA WATER SER~ STA29-02 === SiteID: 015-021C002092
.-4~E ..... BYRD BusPhone: (661)
Manager · ~T
Location: 2808 EYE ST _$4ap : 103 Com~az : Minimal
City : BAKERSFIELD ~%%%~rid: 19C FacUnits: 1 AOV:
CommCode: B~RSFIEBD 8T~TIO~ 01 SIC Code
EPA Nu~: DunnBrad: 00 - 691 - 3578
Emergency Contact / Title Emergency Contact / Title
~ / DISTRI~ TIM T~ ~ ~N~
Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x
24-Hour Phone : (661) 396-2400x 24-Hour Phone : (661) 396-2400x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: RSs Fire Press Im~lth
..............................................................................
~ .... ~ -82~x
Contact :~ ~ne: ~=uo~ ~51
MailAddr: .... State-
City : S~ ~Zip : 9~
Owner CALIFO~IA WATER SERVICE COMPLY Phone: (408) 451-8200x
· Address : 1720 N FIRST ST State: CA
City : S~ JOSE Zip : 95112
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: Yes
ParcelNo: DJs~Jct M~ag~-TJm Trel0~
Asst. Di~ict M~ag~-Bill
Eme r~ency D i re c t ire s: Contact Person-Tampa Jonson
Same Phone N~rs
CONTACT PERSON ~832-2141.
Bakersfield, CA 93304
~ I, ~~ jo~4/ Do hereby
reviewed the aR~ched h~ardou~ materials mana~.
ment plan for~E~y//~ ~, an~ that i{ ~ong with
~Y ~e~ions ~nst~ute a ~mplete and ~r~ man-
agement Plan ~r my
-1- 07/30/2003
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HA.KARDOUS MATERIALS
1. To avoid further action, return this form within 30 d/als of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH. '
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial 'submission.
SECTION I: BUSINESS IDENTIFICATION DATA [ 0% --lq C
BUSINESS NAME: ~.~(.L.,..-.,,'.,~ ~.,,~-g~' <~e,-,~,~-~ co.
LOCATION: l~ r._.. ~-t-,~, z ~ - o z. z ~,c:, ~ ~--/~. S +, 0'~ 1
MAILING ADDRESS: a.n-/.$ $o. ul- ~4-.
CITY: ~ w~.~, g, ~., A STATE: c_o,. ZIP:9'~aoq- PHONE:
PRIMARY ACTIVITY: ,-.e~,./o,r ob do,~.e..,.~-,e.__
OWNER: ~e,~, ~_ PHONE:
MAILING ADDRESS: ~a.,., ~..
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:
E.~,_u., {;,_._._', I;I-.7 i:, ,,,, o.,,' Lo .. .,_ J Ad, I...t I,,,1
B. EMPLOYEE AND AGENCY NOTIFICATION:
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
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)
NATURAL GAS/PROPANE:
ELECTRICAL: 6~_.--~,Lt- ~'o-s
WATER:
SPECIAL: .~t/~,
LOCK BOX: YES/~ IF YES, LOCATION: --'---
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT): gq~-e. -k.-iI~-o..~.l- o.k- ~.,,-~t-
3
HA DOUS MATERIALS NAGE T PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES:
MATERIAL SAYETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
I, .. Z~ [_ 1-- d~-l. --- ~.o..,, CERTIFY THAT THE ABOVE INFORMATION
IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FII~M'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.
SIGNA"I:UR~ - '~, TITLE t DATE
4
Old'ICE OF ENVIRONMENTAI~RVICES
~5 Chester Ave., CA 93301 (66~326-3979
BUSINESS OWNER/OPE~TOR IDENTIFICATION
FAClLI~ INFORMATION
Page .... Of
·" .. ' ':' '!,:1. FACILITY IDENTIFICATION ·
[: AC, IL,~'¥ 10# r~,~,!q I;~,:~l ' Year Beginning ,~ ~ Year Ending
......... .... 'k~ BUSINESS
BUSINESS NAME (Same as FACILI~ NAME or DBA- Doing Business ~) 3 PHONE ~o~
SITE ADDRESS,
DUN & l~ SIC CODE
B~DSTREET ~O- ~ I - ~ ~ (4Digit~) ~
COUNTY I~ ~ ¢ ~
-
I
OWNER ~ILING
CONTACT NAME 5~ ~~ .7 ! CONTACTPHONE
CONIACl MAILING
ADDRESS
CITY ~ 120 SlAIE -- 1.z~ 122
NAME ~,~ ~¢~ 123 NAME ~~~ ,29
24-HOUR PHONE 5 ~ ~ ~ 121 24-HOUR PHONE ~ ~ ........ 132
PAGER fl ~ 128 PAGER ~ _
>'": ':;=' :CERTIFICATION ":', .::;::~::'~;":
cerlificalion: Based on my Inqul~ of those individuals responsible for obtaining the information, I ~di~ under penalty of law that I have personally examined
a~(J am familiar wilh lhe info~atlon submitted In Ibis Inven[o~ and believe the Information is true, accurate, and ~mplele,
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' CITY OF BAKERSFIE
ICE OF ENVIRONMENTAL' 'ERVICES
;: 1715 Chester'Ave., CA 93301 ( 61) 326-3979
HAZARDOUS MATERIALS INVENTORY '
'. 'CHEMICAL DESCRIPTION
. : (one Io~ per ma~edal per budding or a~ea)
~NEW ~ ADD ~ DELVE ~ REVISE ~ ' Page
BUSINESS ~ (~e ~ FACIL~ ~ m D~ - ~ng Bu~n~ ~) 3
~1~ CHEMI~L LO~TION
CI tEMI~L LO~TION
I I ~ I I ~ I ~ I I ~ .... ~ . ' . ~ / ,- ~
205 T~DE SECRET ~ Y~ ~ No 206
CHEMI~L ~E * ' ......... If Subj~ to EPC~ ref~ Io insulins
COM~N~ ' ~ EHS* , ~Y~ ~No 208
~PE ~ p PURE ~ m M~RE ~ w WASTE 211 ~D~ACT~' ~Y~ ~No 212 ~ CURIES~ 213
~RGEST CO~AINER 2 tS
PHYSI~LSTA~ ~ s SOLID ~1 LIOUID ~; ~S 214 ~ ~at .
FED H~RD ~TE~RIES ~ 1 FIRE ~ 2 R~ ~ 3 PRESSURE REL~SE ~ 4 Ac~ H~LTH ~ 5 CHRONIC H~LTH 216
(Ch~ all Ihat
ANNUAL WAS~ ~/~ 217 ~I~M . 218 [ A~ ' 219 STATE,WASTE CODE 220
~ UNffS' ~ ga ~L ~ d CU ~ ~ lb LBS, ~ ~ TONS 221 DAYS ON SITE ' 222
· ff EHS, ~nt m~t ~ In I~. ~ '
STOOGE CO~AINER ~ a A~VEGROUND T~K ~ · P~STI~NM~LIC DRUM ' ~ I FIBER DRUM D m G~SS BO~LE ~ q ~IL ~ 223
[Check afl ~hat a~) .
~ b UNDERGROUND TANK ~ f ~N D J BAG ~ n P~STIC BO~LE ~ r OTHER
~ c T~K INSIDE BUI~ING ~ g ~Y ' ~ k BOX ~ o TOTE BIN
~ d S~EL DRUM ~ h SILO ~ I C~INDER D p TANK WA~N
STOOGE PRESSURE ~ a A~IE~ ~ ~ A~VEA~IE~ ~ ba BELOWA~IENT 224
STOOGE TE~TURE ~ · A~IE~ ~ ~ A~VE A~IE~' '' :' ~ ba BELOW A~IE~ , ~ c CRYOGENIC 225
226 ' ~ ~ Y~ ~ No 228 229
3 ~ 2~ ' 235 ~Y~No 236 237
4 ~ 238 ~9 ~Y~ ~No 240 . 24
5 ~ 242 . : 243 DY~ ~ No 244 245
/
-~RINT NA~ & TI~E OF AU~OR~D ~A~ REPRESE~AT~E ~I~TU~ ~ DATE 246
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