HomeMy WebLinkAboutBUSINESS PLANHazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
Permit ID#:: 015-000-001017
CALIFORNIA WATER SERV
LOCATION: GOSFORD RD\PACHECO RD
/ '
This _oermit is issued for the followin_=:
[] Hazardous Materials Plan
13 Underground Storage of Hazardous Materials
[3 Risk Management Program
[3 Hazardous Waste On-Site Treatment
Issued by: Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
" ~ Bakersfield, CA 93301
· · .V°ice (661) 326-3979
FAX (661) 326-0576
Approved by:
Expiration Date:
Office ofEviwnm~'r~Services"
June 30. 2003
Issue Date
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
PERMIT ID# 015-021001017 ~!~ii? ~i ?~ iii;i~:~i !ii .... ...... !ii!i?~::i!!!ii!!i!~i!!i:!? :iii~i~'~i M~agement Program
.~,~i~' '= ~ ? '~' :.~ '~::::;:::~--'"'~::::. '"~i::, :>, '":~, ~, : :~:~:: ~.~iH~d~fiS Waste
C ALI F O R N IA WAT E R S E RV C O~: CB K
LOCATION GOSFORD ~D~E:~ BA~ER'S~D CA
~{~.~.~.....',~ ~:":~ ........ .= .~:'~:-%, ~.:~ ,' . . ' I~ ~"~. ~.~ ~,~" '~k.".--.j~
Issued by:
G Bakersfield Fire Department
OFFICE OF ENVIR ONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
Approved by:
Expiration Date:
June 30, 2000
IAGRAM
600
LNi
LOOPS
FRENCHGLEN c
~ LABOROUGH
AV
LN
= CT
SCHIRRA
DISTRICT
MCDIVII-[ DR
PACHECO RD
! COLD SPRIN6S
SILVER SPRAY ! TENSTRIKE D
2 TRIMONTWY
R[VISFD'DWG.
i]p, slroU PrMous Prints
CALIFORNIA WATER SERVICE CO.
~;o~ I~ - o~
CALIFORNIA WATER SERVICE CO.
Pd~P iSLII LPlI'q 0
.~o."' C.W .'TqO
RETU~NTS TO:
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CA 93303-2057
STATEMENT OF ACCOUNT
ACCOUNT NO. ,'iNa~510f
Na~ardous ~,tateriaLs Hand[in§ Fezs
Account ~i1-1~i~? : , ~
3tete~e~t ~ay n~'~ reftec~ ~ost recent payments.
PLEASE MAKE CHECKS PAYABLE TO:
CITY OF BAKERSFIELD
~ t,e.,v,,i,~.u's ~atance 't.~L 2. ¢ !
TOTAL
INQUIRIES CONCERNING THIS BILL, PLEASE PHONE:
CUSTOMER COPY
+ CALIFORNIA WATER SERV CBK16
Manager :
Location: GOSFORD RD\PACHECO RD
City : BAKERSFIELD
CommCode: BAKERSFIELD STATION 09
EPA Numb:
SiteID: 015-021-001017 +
BusPhone: (661)
Map : 123 CommHaz : Low
Grid: 20B FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact / Title Emergency Contact / Title
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: Fire ImmHlth DelHlth
Contact : / ~hone: (408) 451-G2
MailAddr: .P~X !!5~ / -State: CA
City : SP2~.JCSE / -Zip : 951418_
/
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: No
ParcelNo:
Emergency Directives:
District Manager-Tim Treloar
Asst. District Manager-Bill Harper
Contact/Person-Tamara Johnson
Same Ph~,~e Numbers
Mailing Address Change:
3725 South "H" Street
Bakersfield, CA 93304
1 07/28/2003
u., ,Eo
SECTION"I Business Plan and Invent0'ry Prog;am
FACILITY NAME
ADDRESS
FACILITYCONTACT
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
PHONE NO. ------- IN~7-. o~p-~ooy~e~---
L
BusineSs ~ ~um~ .................
1:5-021-OO IO(-7
; S'ection.l:'Business Plan, and InVentory Program ~--)T') ;i .;..~ ~ ~/~ :'~
J~J:~outine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
I C V ~'C=C°mpliance) OPERATION
\ V=Violat. ion
[~ [] APPROPRIATE PERMIT ON HAND
~-~ [] BUSINESS PLAN CONTACT INFORMATION ACCURATE
[] [] VISIBLE ADDRESS
[] [] CORRECT OCCUPANCY
[] VERIFICATION OF INVENTORY MATERIALS
[] VERIFICATION OF QUANTITIES
[] VERIFICATION Of LOCATION
[] PROPER SEGREGATION OF MATERIAL'
[] VERIFICATION OF MSDS AVAILABILITYE
[] VERIFICATION OF HAT MAT TRAINING
[] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
[] EMERGENCY PROCEDURES ADEQUATE
[] CONTAINERS PROPERLY LABELED
[] HOUSEKEEPING
[] FiRE PROTECTION
[] [] SITE DIAGRAM ADEQUATE & ON HAND
I
ANY HAZARDOUS WASTE ON SITE?: [] YES /~'No
EXPLAIN:
COMMENTS
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector Badge No.
White - Environmental Services
Yellow * Station Copy
Business Site Responsible Party
Pink - Business Copy
CALIFORNIA WATER SERV CO CBK16
Manager :
Location: GOSFORD RD\PACHECO RD
City : BAKERSFIELD
,CommCode: BAKERSFIELD STATION 09
EPA Numb:
SiteID: 015-021-001017
BusPhone: (805) 325-5440
Map : 123 CommHaz : Low
Grid: 20B FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact· / Title
MELVIN BYRD / DISTRICT MANAGE
Business Phone: (805) 396-2400x
24-Hour Phone : (805) 396-2400x
Pager Phone : ( ) - x
Emergency Contact
TIM TRELOAR
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ GEN SUPER
(805) 396-2400x
(805) 396-2400x
( ) - x
Hazmat Hazards:
Fire
ImmHlth DelHlth
Contact :
MailAddr: PO BOX 1150
City : SAN JOSE
Phone: ( )
State: CA
Zip : 95108
X
Owner CALIFORNIA WATER SERVICE COMPANY
Address : 1720 N FIRST ST
City : SAN JOSE
Phone: (408) 451-8200x
State: CA
Zip : 95112
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
= Hazmat Inventory
--As Designated Order
One Unified List
All Materials at Site
Hazmat Common Name...
ISpecHazlEPA HazardsI Frm
DailyMax UnitIMCP
DIESEL FUEL F IH DH
I, _'.'.~,_Z.L ~,., ~'L,,, DO hereby certify tha~ ~ have
[l'~pe or~nt name)
reviewed the a~ached hazardous materials manage-
ment plan for c,.u5 and ~hat it along with
(Name of Busine~)
any corrections constitute a complete and correct man-
agement plan for my facility.
L
500.00 GAL Low
-1- 07/19/2000
CALIFORNIA WATER SERV CO CBK16 SiteID: 015-021-001017
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
~lvUVl~ ~Vl~ / ~1v1~ ~/*-%_1_~ ~Vl~
DIESEL FUEL, Days On Site
365
Lo~ation within this Facility Unit Map: Grid:
CLOSE TO WELL SHELTER CAS#
68476-34-6
rSTATE ~ TYPE
Liquid /Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
500.00 GAL
Daily Average
500.00 GAL
%Wt.
100.00
HAZARDOUS COMPONENTS
Diesel Fuel No. 2
68476302
TSecret
No
I oRSIBi°Haz
N No
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies F IH DH
NFPA
///
IOSDOT#
MCP
Low
2 07/19/2000
CALIFORNIA WATER SERV CO CBK16
SiteID: 015-021-001017
Fast Format
= Notif./Evacuation/Medical
--Agency Notification
CALL.911
Overall Site
10/05/1992
-- Employee Notif./Evacuation
N/A - THIS IS AN UNMANNED SITE!
10/05/1992
-- Public Notif./Evacuation 10/05/1992
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES
PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
Emergency Medical Plan 10/05/1992
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVENUE,
BAKERSFIELD.
-3- 07/19/2000
CALIFORNIA WATER SERV CO CBK16
SiteID: 015-021-001017
Fast Format
= Mitigation/Prevent/Abatemt
--Release Prevention
DIESEL IS STORED IN AN ABOVE GROUND CONVAULT TANK
Overall Site
09/27/1994
--Release Containment 09/27/1994
IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE
MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK.
THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER, & IS ENCASED IN
-- Clean Up 09/27/1994
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
Other Resource Activation
-4t 07/19/2000
CALIFORNIA WATER SERV CO CB~16
SiteID: 015-021-001017
Fast Format
Site Emergency Factors
Special Hazards
Overall Site
--Utility Shut-Offs
A) GAS - ?????????
B) ELECTRICAL - ????????
C) WATER - ???????
D) SPECIAL - ????????~
E) LOCK BOX - ??????
04/06/1993
-- Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
04/06/1993
FIRE HYDRANT- ON-SITE WELL DISCHARGE
Building Occupancy Level
B-2
04/06/1993
-5- 07/19/2000
CALIFORNIA WATER SERV CO CBK16
SiteID: 015-021-001017
Fast Format
Training
-- Employee Training
WE HAVE NO EMPLOYEES AT THIS FACILITY.
WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING:
Overall Site
09/27/1994
Page '2
Held for Future Use
Held for Future Use
-6- 07/19/2000
CALIFORNIA WATER SER~ CQ~
Manager :
Location: GOSFORD RD\PACHECO RD
City : BAKERSFIELD
/' ./. Gri(
CommCode: BAKERSFIELD STATION 09
EPA Numb:
SiteID: 215-000-001017
hone: (805) 325-5440
: 123 CommHaz : Moderate
: 20B FacUnits: 1AOV:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact / Title
MELVIN BYRD / DISTRICT MANAGE
Business Phone: (805)
24-Hour Phone : (805) 327-21~x ~,~
Pager Phone : ( ) - x
Emergency Contact
TIM TRELOAR
o Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ GEN SUPER
(805) ~x
(805) ~7=~x
( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Agency-Defined Topic Title
~ Hazmat Inventory
-- MCP+DailyMax Order
One Unified List
Ail Materials at Site
Hazmat Common Name...
DIESEL FUEL
ISpecHazlEPA HazardsI Frm
F IH DH L
DailyMax Unit MCP
500 GAL Low
I, J~, ~ ~-c~,~,~- Do hereb~ certify that I have
O'y~ ,~ ~ ~)
reviewed ~h~ ~q.-,~.h~,~.,?,., ,~ h~ar~us materials manage-
C~ · a~ that il alo~ with
men~
plan
for.~~
a~y corrections constitute a complete and ~ff~ man-
ageme~t plan for my facility.
Date
CALIFORNIA WATER SERVICE COMPANY SiteID: 215-000-001017
Inventory Item 0001 Facility Unit: Fixed Containers on Site
DIESEL FUEL Days On Site
365
Location within this Facility Unit
CLOSE TO WELL SHELTER CAS#
68476-34-6
STATE TYPE I PRESSURE
I
Ambient
Pure
Liquid
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Lrgst Cont.this Loc GAL
AMOUNTS STORED AND IN USE
DailyMax this Loc GAL
500.00
DailyAvg this Loc GAL
500.00
DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL
%Wt.
100.00
HAZARDOUS COMPONENTS
Diesel Fuel No. 2
EHS CAS#
No 68476302
-2-
CALIFORNIA WATER SERVICE COMPANY
SiteID: 215-000-001017
Fast Format
Notif./Evacuation/Medical
Agency Notification
CALL 911
Overall Site
10/05/1992
Employee Notif./Evacuation
N/A - THIS IS AN UNMANNED SITE!
10/05/1992
-- Public Notif./Evacuation 10/05/1992
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES
PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
Emergency Medical Plan 10/05/1992
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVENUE,
BAKERSFIELD.
CALIFORNIA WATER SERVICE COMPANY
SiteID: 215-000-001017
Fast Format
Mitigation/Prevent/Abatemt
Release Prevention
DIESEL IS STORED IN AN ABOVE GROUND CONVAULT TANK
Overall Site
09/27/1994
-- Release Containment 09/27/1994
IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE
MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK.
THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER, & IS ENCASED IN
-- Clean Up 09/27/1994
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
Other Resource Activation
-4-
CALIFORNIA WATER SERVICE COMPANY
SiteID: 215-000-001017
Fast Format
Site Emergency Factors
[Special Hazards
Overall Site
-- Utility Shut-Offs
A) GAS - ?????????
B) ELECTRICAL - ????????
C) WATER - ???????
D) SPECIAL - ????????
E) LOCK BOX - ??????
04/06/1993
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
04/06/1993
FIRE HYDRANT - ON-SITE WELL DISCHARGE
B-2
Building Occupancy Level
04/06/1993
-5-
CALIFORNIA WATER SERVICE COMPANY
SiteID: 215-000-001017
Fast Format
Training
-- Employee Training
WE HAVE NO EMPLOYEES AT THIS FACILITY.
WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING:
Overall Site
09/27/1994
Page 2
Held for Future
Use
Held for Future Use
-6-
$
09/13/96
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
Overall Site with 1 Fac. Unit
General Information
Page
Location: GOSFORD RD\PACHECO RD Map:123 Haz:3
City : BAKERSFIELD / Grid: 20B F/U: 1 AOV:
-- Contact Name ~ Title ~__~~oO~ Contact Name ---- Title -
MELVIN BYRD . / DISTRICT MANAG/~ITIM TRELOAR / GEN SUPER
Business Phone. (805) ~x/ II Business Phone: (805) 832-2141x
24-Hour Phone : (805) 327-2161x II 24-Hour Phone : (805) 327-2161x
Pager Phone : ( ) - x ]1 Pager Phone : ( ) - x
Type: 3 I
0.0
Administrative Data
Mail Addrs: P.O. BOX 1150
City: SAN JOSE
Comm Code: 215-009 BAKERSFIELD STATION 09
D&B Number: 00-691-3578
State: CA Zip: 95108-
SIC Code: 4941
Owner: CALIFORNIA WATER SERVICE COMPANY Phone: (408) 451-8200
Address: 1720 N FIRST ST State: CA
City: SAN JOSE Zip: 95112-
Summary
RECE~¥ED
HAZ, MAT. DIV.
I, ~.~.(--(F_~ic~ _ Do hereby certify th~ ! have
('l'¥~:~e o~' print name)
reviewed the attached hazardous materials manage-
ment plan for ~-~./~/,~r~a, v~. and that it along with
any corrections const[tut~ a comp~st~ and correct man-
agement plan for my facility.
09/13/96
Pln-Ref
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Name/Hazards Form Max Qty
'Page
MCP
2
02-001 DIESEL FUEL
· Fire, Immed Hlth, Delay Hlth
Liquid
500 Low
GAL
09/13/96
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
Page
02-001 DIESEL FUEL
~ Fire, Immed Hlth, Delay Hlth
Liquid
500 Low
GAL
CAS #: 68476-34-6 Trade Secret: No
Form: Liquid Type: Pure
Days: 365 Use: FUEL
Daily Max GAL
500 I
Daily Average GAL
500.00
Annual Amount GAL
500.00
Storage
ABOVE GROUND TANK
Press T Temp Location
IAmbient|AmbientlCLOSE TO WELL SHELTER
- Conc
100.0% IDiesel Fuel No. 2
Components
MCP Guide
IModerate I 27
o %
09/13/96 CALIFORNIA WATER SERVICE COMPANY 215-000-001017 Page
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
N/A - THIS IS AN UNMANNED SITE!
<3> Public Notif./Evacuation
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES
PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
<4> Emergency Medical Plan
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVENUE,
BAKERSFIELD.
09/13/96 CALIFORNIA WATER SERVICE COMPANY 215-000-001017 Page
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
5
<1> Release Prevention
DIESEL IS STORED IN AN ABOVE GROUND CONVAULT TANK
<2> Release Containment
IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE
MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK.
THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER, & IS ENCASED IN
CONCRETE.
<3> Clean Up
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
<4> Other Resource Activation
09/13/96
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
00 - Overall Site
<F> Site Emergency Factors
Page
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - ?????????
B) ELECTRICAL - ????????
C) WATER - ???????
D) SPECIAL - ????????
E) LOCK BOX - ??????
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - ON-SITE WELL DISCHARGE
<4> Building Occupancy Level
B-2
09/13/96
CALIFORNIA WATER SERVICE COMPANY
00 - Overall Site
<G> Training
215-000-001017
Page
<1> Employee Training
WE HAVE NO EMPLOYEES AT THIS FACILITY.
WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING:
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
08/04/94
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
Overall Site with 1 Fac. Unit
General Information
Page
Location: GOSFORD RD\PACHECO RD
City ':
Map:123 Haz:3 Type: 3
Grid: 20B F/U: 1 AOV: 0.0
--Contact Name Title
~~\~ ~-k/ DISTRICT MANAGE
Business Phone: (805) 324-6011x
24-Hour Phone : (805) 327-2161x
Pager Phone : ( ) - x
Contact Name .
~2L'VZ~i ~RY~%~%~w/ ACSI~= r:2~i ~J~N
Business Phone: (805) 832-2141x
24-Hour Phone : (805) 327-2161x
Pager Phone : ( ) - x
Administrative Data
Mail Addrs: P.O. BOX 1150
City: SAN JOSE
Comm Code: 215-009 BAKERSFIELD STATION 09
D&B Number: 00-691-3578
State: CA Zip: 95108-
SIC Code: 4941
Owner: CALIFORNIA WATER SERVICE COMPANY Phone: (408) 451-8200
Address: 1720 N FIRST ST State: CA
City: SAN JOSE Zip: 95112-
Summary
I, \~_o:~, '~ ~.~e_¥ Do hereby certify that I have
reviewed the attached hazardous materials ma:rage-
merit plan for , (,.~.,f~...) ..and that it along with
any corrections constitute a complete and correct man-
agement plan for my facility.
08104/94
Pln-Ref
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Name/Hazards
Form Max Qty
Page
MCP
2
02-001
DIESEL FUEL
· Fire, Immed Hlth, Delay Hlth
Liquid
500
GAL
Low
O8/O4/94
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
Page 3
02-001 DIESEL FUEL
~ Fire, Immed Hlth, Delay Hlth
Liquid
500 Low
GAL
CAS #: 68476-34-6 Trade Secret: No
Form: Liquid Type: Pure
Days: 365 Use: FUEL
Daily Max GAL
500 I
Daily Average GAL
500.00
Annual Amount GAL --
500.00
Storage
ABOVE GROUND TANK
Press I Temp Location
IAmbientlAmbient CLOSE TO WELL SHELTER
-- Conc
!
100.0% IDiesel Fuel No. 2
Components
MCP ---iGuide
IModerateI 27
08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000'001017 Page
00 - Overall Site
<D> Notif./Evacuation/Medical
4
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
N/A - THIS IS AN UNMANNED SITE!
<3> Public Notif./Evacuation
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES
PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
<4> Emergency Medical Plan
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVENUE,
BAKERSFIELD.
08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-001017 Page
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
5
<1> Release Prevention
DIESEL IS STORED IN AN ABOVE GROUND CONVAULT TANK
<2> Release Containment
A HAZARDOUS \~IQUID ~UCH AS\~ASOLIN~ OR DIE~EL, SA~D STOR~ AT THE ~ELD
OFFI~ WOULE~BE US~ TO DISE THE ~LEASE, ~ND WOU~D ALS~BE USED
ABS~T. /~Y CO~INA~D SANV ~LL B~ ~OPE~DIS~SED OF./
IF AN ABOVEGROUND CO~AULT TANK WERE TO START LEAKING, AR~NGEMENTS WOULD BE
~DE TO I~EDIATELY REMOVE ALL FUEL FROM THE TANK.
<3> Clean Up
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
<4> Other Resource Activation
08~04~94
CALIFORNIA WATER SERVICE COMPANY 00 - Overall Site
<F> Site Emergency Factors
215-000-001017
Page
6
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - ?????????
B) ELECTRICAL - ????????
C) WATER - ???????
D) SPECIAL - ???????? '
E) LOCK BOX - ??????
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - ON-SITE WELL DISCHARGE
<4> Building Occupancy Level
B-2
08~04/94
CALIFORNIA WATER SERVICE COMPANY
00 - Overall Site
<G> Training
215-000-001017
Page
<1> Page 1
WE HAVE NO EMPLOYEES AT THIS FACILITY.
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? yes
BRIEF SUMMARY OF TRAINING:
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
08/06/96
CALIFORNIA WATER SERVICE COMPANY
00 - Overall Site
<H> RMPP DATA
215-000-001017
Page
8
<1> Release Containment
<2> Offsite Consequences
<3> In House Capabilities
<4> Plant Shutdown Instruction
08/06/96
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
00 - Overall Site
<I> Underground Storage Tanks
Page
<1> Leak Monitoring Methods
<2> Leak/Spill Response Plans
<3> Financial Responsibility
<4> Tank Test/Service Company
08/18/92
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
Overall Site with 1 Fac. Unit
General Information
Page
Location: GOSFORD RD\PACHECO RD Map: 123 Hazard: Moderate
Community: BAKERSFIELD STATION 09 Grid: 20B F/U: 1AOV: 0.0
Contact Name i Title Business Phone 24-Hour Phone]
B.D. LEWIS IDISTRICT MANAGER (805) 324-6011 x (805) 327-2161!
MELVIN BRYD IASSIST DIST MANAGER (805) 832-2~41 x (805) 327-2161
Administrative Data
Mail Addr~: 3725 S H ST D&B Number: 00-691r3578
City: BAKERSFIELD State: CA Zip: 93304-
Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 4941
Owner: CALIFORNIA WATER SERVICE COMPANY
Address: 1720 N FIRST ST
City: SAN JOSE
Phone: (~) 4~1
State: CA ~1
Zip: 95112-
Summary
RECEIVED
'~£P 2 4 1~92
HAT. I~fAT. nlV.
Do hereby certify that I have
V reviewed the attached hazardous materials
mj~t plan 'f~r -~ ...... :~'~ ~'"''~' "': !- ~ i',.L:",-i ~;,:i,;: manage.
COrrectlo
agement Plan for my facility.
08/18/92
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
Page
2
02-001
DIESEL FUEL
~ Fire, Immed Hlth, Delay Hlth
Liquid
500 Low
GAL
CAS #: 68476-34-6 Trade Secret: No
Form: Liquid Type: Pure
Days: 365 Use: FUEL
Daily Max GAL
500 I
Daily Average GAL
500.00
Annual Amount GAL
500.00
Storage
ABOVE GROUND TANK
Press T Temp Location
IAmbient~AmbientlCLOSE TO WELL SHELTER
-- Conc
1'00.0% IDiesel Fuel No.2
Components
MCP iList.
Moderate
08/18/92
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
00 - Overall Site
<D> Notif./Evac~ation/Medical
Page
3
Agency Notification
CALL 911
<2> Employee Notif./Evacuation
Not ApPlicable - this is an unmanned site!
<3> Public Notif./Evacuation
Evacuation of the local population to be determined by emergency
services personnel, unless evacuation is necessary prior to their
arrival.
<4> Emergency Medical Plan
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVENUE,
BAKERSFIELD.
08/18/92
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
Page
4
<1> Release Prevention
DIESEL IS STORED IN AN ABOVE GROUND CONVAULT TANK
<2> Release Containment
In the event of an emergency involving the release or threatened release
of.a hazardous liquid such as gasoline or diesel, sand stored at the
Field Office would be used to dike the release, and would also be used
as an absorbent. Any contaminated sand will be properly disposed of.
If an aboveground convault tank were to start leaking, arrangements
would be made to immediately remove all fuel from the tank.
<3> Clean Up
RELEASE ABATEMENT'WOULD .BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
<4> Other Resource Activation
08/18/92
CALIFORNIA WATER SERVICE COMPANY 215-000-001017
00 - Overall Site
<F> Site Emergency Factors
Page
5
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - ?????????
B) ELECTRICAL - ????????
C) WATER - ???????
D) SPECIAL - ????????
E) LOCK BOX - ??????
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - ON-SITE WELL DISCHARGE
<4> Building Occupancy Level
08/18/92
CALIFORNIA WATER SERVICE COMPANY
00 - Overall Site
<G> Training
215-000-001017
Page
6
Page 1
.~ EMPLOYEES--AT THiS ~A~fL~"~--
DO YOU ~AV_F _~.ATERIAL SAFETY DATA SHEETS ON FILE-
~~RY GF TK~iNii~G:
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
%
~t2/27/91
CALIFORNIA~TER SERVICE COMPANY 21500-001017
Overall Site with 1 Fac. Unit
General Information
Page
1
Location: GOSFORD RD\PACHECO RD
Community: BAKERSFIELD STATION 09
Map: 123 Hazard: Moderate
Grid: 20B F/U: 1AOV: 0.0
Contact Name
B.D. LEWIS
MELVIN BRYD
.Title, Business Phone
DISTRICT MANAGER 1(805) 324-6011 x
ASSIST DIST MANAGERI(805) 832-2141 x
24-Hour Phone1
(805) 327-2161!
(805) 327-2161/
Administrative Data
Mail Addrs: 3725 S H ST
City: BAKERSFIELD
Comm Code: 215-009 BAKERSFIELD STATION 09
D&B Number: 00-691-3578
State: CA Zip: 93304-
SIC Code: 4941
Owner: CALIFORNIA WATER SERVICE COMPANY Phone: (805) 832-2141
Address: 1720 N FIRST ST State: CA
City: SAN JOSE Zip: 95112-
Summary RECEIVED
JAN 0 6 ~992
HAZ ~!, DIV.
E
:¥
!, ~<z*~ F~'~ ......n~ hereby certify that ! have
· ..~:~.,,s matorials manag~
CALIFORNIA WAT[~ 8[~VlOE
merit ¢~s~ ~or . ....................... ~: '-~ ~hat i~ along with
any correctic:~5 .... :'"'~" ~;"" ~ ~omolete and co;~r8~ man-
a~ement plan for my facility.
12/27/91
CALIFORNIA~TER SERVICE COMPANY 215
02 - Fixed Containers on Site
-001017 Page
Hazmat Inventory Detail in Reference Number Order
02-001 DIESEL FUEL
Fire, Immed Hlth, Delay Hlth
Liquid 500 Low
GAL
CAS #: 68476-34-6 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: FUEL
Daily Max GAL500 I Daily Average 500.00 GAL
Annual Amount GAL
500.00
Storage
ABOVE GROUND TANK
Press T Temp Location
I AmbientlAmbient CLOSE TO WELL SHELTER
-- Conc
!
100.0% IDiesel Fuel' No.2
Components
..... MCP --~List
Low
12/27/91
CALIFORNI~ATER SERVICE COMPANY 215~0-001017
00 .- Overall Site
<D> Notif./Evacuation/Medical
Page
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
<3> Public Notif./Evacuation
<4> Emergency Medical Plan
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVENUE,
BAKERSFIELD.
12/27/91 CALIFORNI ATER SERVICE COMPANY 215 0-001017 Page
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
DIESEL IS STORED IN AN ABOVE GROUND CONVAULT TANK
<2> Release Containment
<3> Clean Up
RELEASE ABATEMENT WOULD BE PERFORMED BY AN'INDEPENDENT REMEDIATION
CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
<4> Other Resource Activation
12/27/91 Page 5
CALIFORNI~ATER SERVICE COMPANY 215~0-001017
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - ?????????
B) ELECTRICAL - ????????
C) WATER - ???????
D) SPECIAL - ????????
E) LOCK BOX - ??????
<3> Fire Protec./Avail. Water
pRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - ON-SITE WELL DISCHARGE
<4> Building Occupancy Level
12/27/91
CALIFORNI~ATER SERVICE COMPANY
00.- Overall Site
<G> Training
215~0-0
01017
Page
6
<1> Page 1
WE HAVE ?? EMPLOYEES AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING:
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
September 12, 1990
TO:
Nina Mayer, Accounts Receivable
Ralph E. Huey, Hazaedous Materials Coordinator
SUBJECT: City, County agencies to be made exempt
Nina, per our phone conversation, the following account
numbers are to made exempt and any balance owing on these accounts
should be voided.
HM 647201 - Kern County Hall of Records
HM 644701 - California Water Service (owned by City)
HM 644801 - California Water Service (owned by City)
HM 644901 - California Water Service (owned by City)
HM 645101 - California Water Service (owned by City)
HM 645701 - California Water Service (owned by City)
HM 645901 - California Water Service (owned by City)
HM 646101 - California Water Service (owned by City)
~AKERSFIELD CITY FIRE DEPARTMEN~
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
'I[]SINESS XAME
OFFICIAL USE ONLY
HAZARDOUS iWJkT E R I ALS
BUSINESS PLAN AS A WHOLE
FORM 2 A
INSTRUCTIONS:
1. To avoid further action, return this form by
2.' TYPE/PRINT ANSWERS IN ENGLISH.
S. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NA~E: California Water Service Comoany ~'
B.~/ STREET ADDRESS: 3725 South "H:' Street - Field Yard
CITY: Bakersfield ZIP: 93304
BUS.PHONE: (805 ) 832-214l
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involvin~ the release or threatened release of a
hazardous material, call 911 and 1-800-852-7850 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMP~0YEES TO NOTIFY IN CASE 0F EMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A.B.D. Lewis, District Manager Ph~ 324--6Oll Ph~ 327-2161
B.Melvin Bryd, Assistant District Manager Ph.~' 832-2141
Ph~ 327-2161
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WI~0LE
A. NAT. GAS/PROPANE: North of last parking stall near office building.
B. ELECTRICAL: South-east corner of office building.
C. WATER:
lO' west of gas meter.
D. SPECIAL: None
BOX: YES /(N~ IF YES, LOCATION:
E.
LOCK
No
IF YES, DOES IT CONTAIN SITE PLANS?
FLOOR PLANS?
YES / NO
YES / NO
MSDSS? YES .,' NO
KEYS? YES / NO
SECTION 4: PRIVATE RESPONSE TEAN FOR BUSINESS AS A WHOLE
Company personnel would deal with.any emergency in concer~ wi~h local emergency
service agencies. Any and all removal of a hazardous material would be co,ducted
by a private company specializing in removal of the particular substance.
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
Medical assistance would be provided by Mercy Hospital, Truxtun Avenue, Bakersfield
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL ~ND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO INITIAL
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
.MATERIALS: ....................................... ~ NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... ~NO
D. EMERGENCY EVACUATION PROCEDURES: .................
E. DO YOU M~ilNTAIN EMPLOYEE TRAINING RECORDS: .......
REFRESHER
No
NO
NO
SECTION ?: HAZARDOUS ~ATERIAL
CIRCLE YES OR NO QR NONE
.DOES YOUR BUSINESS HANDLE HAZARDOUS .MATERIAL IN QUANTITIES LESS THAN $00 POUNDS OF A
SOLID, $§ GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES ~
I, Raymond H. Taylor , certify that the above information is accurate.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.98
Sec. 25500 Et Al.) and that inaccurate information constitutes perjury.
$IGN~~'~EDirector of Water Quality. DATE ~/~9/9~)~ /
- 2B -
BAKERSFIELD CITY FiRE DEPARTMENT
2130 "G" STREET
BAKERSFtESD, CA 93301
BUSINESS XAh,'~:
USE O.YLY
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
./,
INSTRUCTIONS
I... To avoid further action, this form must be re'turned by:
2. TYPE/PRINT YOUR Ak'SWERS IN ENGLISH.
3. Anzwe!' the questions below fo:' THE FACII, iTY UXiT LISTED BELOW
,4. Be as BRIEF and CONCISE as possible.'-
California Water Service Company
FACILIT'! UNIT~ FACILITY b~'NIT NAME: Station CBK 16-01
SECTION I: MITIGATION; PREVEN'TION~ ABATEME.~FF PROCEDURES
o Diesel is stored in an aboveground Convault tank.
o Release abatement would be performed by an independent remediation
C~onsultant.as needed, and to the satisfaction of the responsible
regulatory agency.
SECTION ~:. NOTIFiCATiON A~D EVACUATION PROCEDL~ES AT ""Y,~.S L~."iT OYiY
N/A
- 3A -
SECTION ~: HAZARDOUS MATERIALS FOR THIS [,.'MIT ONLY
A. Does this Facility Unit contain Hazardous Materials? ...... ~ XO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide T~ade Secret YES~
If No, compl'ete'a separate hazardous materials inventory
fo~m marked: NON-TRADE SECRETS ONLY (white form ~4A-1)
If Yes; complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY {yellow form =4A-~) in addition to the non-trade
secret form. List only the trade secrets on form 4A-Z.
SECTION 4: PRIVATE FIRE PROTECTION
Fire Extinguisher
SECTION 5: LOCATION OF WATER SL'PPLY FOR USE BY EMERGENCY RESPONDERS
On-site well discharge.
SECTION 6: LOCATION OF 5WILITY SHL~F-OFFS AT THIS b~.'IT 05q~Y.
A. XAT. ' .... ~ ~'";
uA~.~ .' Pn0P.,Nc.
N/^
B, ELECTRICAL:
Service box located inside well pump shelter.
!
C..WATER: ,~.
O. SPECIAL:
i N/A
; E. LOCK BOX: YES .. iF YES, LOCATIOX:
IF YES, SITE PLANS?
FLOOR PLANS?
YES / MO
YES / NO
MSDSs?
KEYS?
'.,'ES ,' XO
YES .." XO
- 38 -
CITY of BAKERSFIELU
HAZARDOUS MATER1-ALS ZENVENTORY
Farm and Agticulture r] Standard Business ~
NON--TRADE SECRETS Pa,la __ of.
BUSINESS NAME: California Water Sez~r~ce Cc~y OWNER NAME: California Water SetuP_ce ~NAME OF THIS FACILITY: Station CBK t6-01
LOCATION: Cosfo~d ~d. south of vacheco ADDRESS: "1720 North First St. STANDARD IND. CLASS CODEr
CITY. ZIP: Bakersfield. CA c CITY. ZIP:. 5an .Jose, CA 9~11z DUN AND BRA~S~REE~~UH~BER 4941
PHONE fl: ~o5I~]j2-214][ PHONE fl: qo~--~>:J--~t4 - 3 5 7 8
'REFER TO'-7/~STR~-CT'IONS [-Ol~ PROPER CODES --
! 2 3 4 5 6 7 B 9 I0 II 12 ~/~y )lam of ,ixture/¢o~onents
Irons !y~e Hax Avtrage Annual .-Hmure I ~y) Cont Cont Cont Us Location.WheEe.. Ii ~,,
Code ~o.oe AmC AmC _ Est Units on ~lte Type Press Temp Co~eStored tn ~acimicywi See Instrucbons
Physical and Health Hazard C.A.S. Number 068-476-346 Component II Hame I C.A.S. Number
(Check all that app]y)
Component 12 Hame & C.A,S. Humber ,.
D Fire Hazard D Reactivity ~ Belayed D Sudden Release D ImmediateHearth
HeaKh of Pressure
Component 13 Hame A C.A.S. Number
Physical and Health Hazard C.A.S. Number Component II Name I C.A.S. Humber
(Check all that app]y)
Component I~ Hame & C.A.S. Humber
D Fire Hazard ~ Reactivity ~ Delayed D SuddenRe]ease ~ Immediate
Health of Pressure HeR]th
Component 13 Name & C.A.S. Number
Physical and Health Hazard C.A.S. Number Component Il Name I C.A.S. Number
(Checka/]thatapply)
Component 12 Name & C.A.S. Humber
~ Fire Hazard ~ Reactivity ~ De)ayed ~ Sudden Release D Immediate
Health of Pressure Health
J Component 13 Hame & C.A.S. Number
Physical and Health ~aTard C.A.S. Number Component II Name I C.A.S. Humber
(Check a]l. that apply!
Component I~ Name & C.A.S. Number
[] Fire Hazard [] Reactivity [] Delayed [] Sudan Release [] Immedi~.~e
Health of PressureHealth --
Component 13 Name & C.A.S. Number
).D. Ce. ts ~$trict re r 327-2161 #2Hetvin Byrd
EMERGENCY COHTACTS #l~me ~Cle nab'e ZqHtPnone H~e . ~ Dis~ictZ~Jana~¢r
ertifi atio Re and f n laf r' corn 1 fJf g a 1 1 sect; ions) ' '
f. cer.t,ly ,,Lr
pena,~i: ~a~l~ tb~lt ]~av~ pe[son;~.examln,~eq~ ~. ~.i',aL~itb ,he info[nation ~u~aiLt¢¢ in this.'nd al] '
acucned.docvmem, mng [pac Based on.my inquiry 9t.cnose ]mvloUm respomo/e for obca)n~ng the ~nrormmon.
suBmitteD In~ormaclOn IS true, accurate, one complete. .
Raymond H TayEor,, DtrecCor BI Wace~ QuaEtcy
~~flCIal title of ownertooerator UH owner/operator S authorized represen[mve