Loading...
HomeMy WebLinkAboutUNDERGROUND TANK FILE 1~~OUS MATERIALS ~l~.. SION ~ TIME CHARGED BUSINESS/DEAPRTMENT NAME: ADDRESS: '/'~'"'~ ~--'~ PROJECT DESCRIPTION: PROJECT NUMBER: DATE: TIME CHGD: It,.- COMMENTS: PROJECT COMPLETION: '~'~ Ct~ -~ DATE: OLCESE P. O. BOX 651 BAKERSFIELD, CA 93302 OLCESE ¥~;ATEE DIST.'[cT .... P. O. BoX 651 '" : '** ~BAKERSFIELD_ 93302 '~ ~ i ....... P o ~ ~ ~._._~.N ,~ w 1'77'c14 . LJ OLCESE WATER DISTRICT 14801 Highway 178 Bakersfield, California 93306 Telephone: (805) 872-5563 Fax: (805) 872-9956 Mailing Address: P. O. Box 651 Bakersfield, California 93302 Howard H. Wines, iii Bakersfield Fire Department Environmental Services Office 1715 Chester Ave. Bakersfield, CA 93301 June 21, 1999 Subject: Chlorine, Storage At Olcese Water District Treatment Plant Dear Mr. Wines; As of June 18, 1999 Olcese Water District has no gas chlorine storage at the Olcese Water Treatment Plant. Our water treatment facility has converted to a sodium hypochlorite (liquid chlorine) system and, therefore, to the best of my knowledge we are no longer sub3ect to CALARP requirements to file a Risk Management Plan with your office. DLW:er cc: Mel Byrd Sincerely, Donald L. Wahl //District Manager CITY OF BAKERSF~iLD OFFICE OF ENVIRONMENTA~I~ SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material per building or area) of r'-i ADD E] DELETE ~EVISE 200 Page __ __ BUSINESS NAME (Same as FACILI~ ~ME or DBA - D~ng Busin~ ~) 3 CHEMICAL LOCATION ~ ~ ~ i~O(:::) 201CONFIDENTIALCHEMICAL LOCATION(EPCRA) [] Yes [] No 202 205 T~DESECRET ~ Y~ ~ No 206 { CHEMICAL NAME ~ I O ~ ~JJ( ~ / ~ If Subject to EPCRA, refer to iinstructions 2O7 COMMON NAME EHS° [] Yes [] No 208 FIRE CODE HAZARD C~SSES (~mplete if r~u~t~ by I~l fire ~i~ 210 ~PE ~ p PURE ~ m MI~URE ~ w WASTE 211 ~DIOACTIVE D Y~ D No 212 CURIES 213 PHYSICAL STATE Ds SOLID ~, LIQUID ~ g =S 214 =RGESTCO~AINER ~ OD 2i5 FED H~RD ~TE~RIES ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (~ all that apply) ANNUAL WASTE 217 ~IMUM 218 AVENGE ~O~ 219 STATE WASTE CODE . ~0 AMOUNT DAILY A~U~ DAILY AMOU~ [;~ga GAL [] cf' CU FT [] lb LBS [] tn TONS 221 UNITS* * If EHS, amount must be in lbs. DAYS ON SITE STORAGE CONTAINER J~ a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE ~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 230 231 ~ Y~ ~ No 232 234 235 ~ Y~ ~ No 236 238 239 ~ Y~ ~ No 240 242 243 ~ Y~ ~ No 2~ 237 229 1 2 233 3 4 241 5 245 3 .:~ '?. ;~ ??:: ~ ~':~; ~ ~77': :: t; ~ ~ ~:: .;~ ~ ~ ~; :~:~/~ ~ ::.; '~:~{:~a}~?:'zs?k~ :~ ~:?: P.:~<: 5' ;:~ !;: ::~? .~ i:k: ;:~.' :~ :':; t ;::: ~': :.:5 ~: ;-~ ~;> ~ ~5~ ~//~ :::::::::::::::::::::::::::::::::::::::::::::::::: ~:::: ~<:~::L;5~*~¥ :::(~::; PRINT NAME & TITLE OF AuThoRIZED coMPANY REPRESENTATIVE .... SIG~URE DATE 2~ · DEs FORM 2731 (7198) P:\OES2731.TV4.wpd 1999 2:12PM FROM CALIF WATER SERVICE 80~3962411 P. 1 FAX 'TRANSMISSION CALIFORNIA WATER SERVICE COMPANY BAKERSFIELD DISTRICT 3725 SOUTH "H" STREET BAKERSFIELD, CALIFORNIA 9530A PHONE; PHQ.NE: FAX: PAGES: .............: ~.-~0, REMARKS. NT [] FOR YOUR REVIEW (including cover page) [] REPLY ASAP [] PLEASE COMMENT Th~ fax is ~ntended for the addres,~ee only. tf it has been mt~Jrected, please call ~ne sender of )he above phone number. Chemical PAYTEF~,~/L~,~ '-~, .:"J'/"~ ~T.P.O.~.~ ~/ ~_.~ F.O.b. ~, _ if ;' _ ,. ...... _ __ 0 · .~ , . J_ "' [:~? ~ , · - '- I i ' ( ".': . : : CONDItiONS OF SALE AND FINANCE CHARGES ~.m ~ ~ ~.. ~ ............ " ME~CH~ILIW ~RA~O~ N~ K}~DtA730E~ EX.PT ~AT THE ~SOLD~RE~H , . ~ KNOWLEDGED ~~ ~ ..... I ~ND RECEIVED 6Y . ~ ~ ~ .... ~-e~ OR-O~ OZ-~ BK, B~ D~, D~ION PL. PAiL .... . _,, u. ~0~6 ~.CONIROL COPY ~.ARGO OEL~ERY ~ ~K.OELI~flY RECEIP; ~-~MERrGAL CON ~.~S?O~R5 BELNERY C~Y J 0 l~i~~ ~'ne~qiC°l PAy TERIV~S~t/~_7 T../t'q, . CUS~. P.O. NO. F.O.B. E~E~YP~E~. (~I) ~.~ ~ 0 p ' CUSTOMER NO, [ .... : .... ', .... ~ ...... I .- '1 cOnDITIONS OF SALE AND FINANCE ~'~'ARGES ~ ,= ..... I l-I~ % RN"NCECHARGE PE~ M~. O~ ALL ~ST ~E &~OU~ ' '1 ~ R~T~N ~VEN BY A~ RE~ l~ ~ ~ ITS ~T~ ffi GNEN ~OA~IED ~ ~KNOWLE~ED ABBREVIA~ONS ' ~D RECEIVED BY ~ . O ~ ~ ~ ~- ~ o~- ~ oz. OU~E ~L~ ~ I DATE RECEIVED _ ~ -/~.. ~ ~ ' ~ ' aK,BULK 01- ~ ~ PL-PAIt CERTI RCAT ' .. eT '~mE ~. ~H Pt .PI~ ~ ION ~e- ~ ~. ~c~ ~. eu~ ~ H~KEO ~D ~ELEO ~ ~ ~ ~ER ~]~ F~ ~AT~~G ~ · C~E t - LITER IN · TON SIGNATURE ~ ~'~. ~= . OEL]VE~DaY ..... ~ - / ~- ~' _, . ~) SALESMAN ~ WHffE.CONTROL COPY YELLOW-ARGO OELtVERY COPY I:~I}(-DELlVERY RECEIPt GREF~-NUMEfllCAL COPY MAJ~LA~USTOME RS DELIVERY COPY RECORD OF TELEPHONE CONVERSATION Business Name: ID# Contact Name: Business Phone: Inspector's Name: Time of Call: Type of Call: ~ /0 (~'-' FAX: D~tel: Z/t,o./~ ? Incoming Time: /~ Lo # Min: Outgoing [ ] Returned [ ] Actions Required: /P 4P Time Required to Complete Activity # Min: FIRE DP. PARTM£NT FAX Transmittal TO: COMPANY: ~--'~ ~ ~"-~'~ FROM: FAX No: Office of Environmental Services FAX No. (805) 326-0576 · Bus No. (805) 326-3979 1715 Chester Ave. · Bakersfield, CA 93301 Prevention -- RMP Submission http://www.epa.gov/ceppo/rmpsubmt.html Chemical Accident Prevention and RIVIP RMP Submission · Steps to Preparin[I and Submitting Your RMPGeneral steps to completing and submitting your RMP. · RMP*SubmitTM The free, official EPA, personal computer software for facilities to use in submitting Risk Management Plans (RMP) required under the Risk Management Program. · RMP*SubmitTM Users ManualThis document provides instructions on how RMPs are to be submitted and how to complete each data element.' It is the official method for submitting RMPs. · RMP*lnfo/SubmitTM Factsheet · RMP*SubmitTM Brochure (Note: The following documents are provided in support of the Clean Air Act (CAA) Risk Management Program Rule (RMP). Revised versions of any draft documents will be posted as they become available electronically. To order a paper copy of any of these documents, contact the National Service Center for Environmental Publications (NSCEP) at 1-800-490-9198. The Adobe Acrobat Reader, a free software system, will be necessary to read documents in Portable-- Document Format (PDF). More information on PDF files can be found on the PDF information page.) Steps to Preparing and Submitting your RMP, ii~ii O The following general steps may prove helpful in understanding the RMP submission process. Implement your Risk Management Program. Links to Information on Risk Management Program requirements are covered on the Business and Industry - Risk Management Program page, including links to relevant regulations; to RMP*Comp(TM), the RMP Offsite Consequence Analysis Guidance, and other tools for determining your off site consequences; general and industry specific guidance documents which cover the off site consequence analysis guidance as well as other the other aspects of a risk management program - from a single industry perspective; common questions and answers; further sources of assistance, etc. Download the RMP*Submit program, RMP*Submit manual, and install them on your PC. Information on downloading and ordering RMP*Submit and the manual is available from the R/VIP*Submit page. If you use RMP*Submit, you can be assured it is in an acceptable format for EPA. OR Obtain another RMP Submittal program. A list of RMP Submission systems we have heard about is on the CEPPO Tools page. OR If you can not prepare an electronic submittal, obtain an electronic waiver form and an official paper RMP submittal form. 1 'of4 4/21/99 9:52 AM 05/11/99 09:57 8805 326 0576 BFD HAZ MAT DIV ~001 *** ACTIVITY REPORT *** *************************** TRANSMISSION OK' TX/RX NO. CONNECTION TEL CONNECTION ID START TIME USAGE TIME PAGES RESULT 1459 05/11 09:55 01'34 2 OK 3962411 ,CITY OF BAKERSFIEI OI qCE.OF ENVIRONMENTAL ERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 CalARP REGISTRATION D Revised ~lnitial Submittal Page CalARP Addendum of I. GENERAL INFORMATION II. ADDITIONAL CalARP FACILITY INFORMATION DUN & BRADSTEET NUMBER OF CORPORATE PARENT COMPANY (if different) NUMBER OF FULL TiME EMPLOYEES ~VERNMENTAL AGENCY PROVIDING THE MOST RECENT SAFETY INSPECTION AT THE FACILITY CHECK AS APPLICABLE: [] Subject to Section 5189 of Title 8 CCR [~bject to Part 355 of Title 40 of CFR [] Subject to Title V of CAA REGULATED SUBSTANCE CHEMICAL NAME: __., CAS # QUANTITY (lbs.) PROGRAM LEVEL PROCESS # 2 DESCRIPTION: NAICS CODE REGULATED SUBSTANCE CHEMICAL NAME: PROCESS # 3 DESCRIPTION: REGULATED SUBSTANCE CHEMICAL NAME: PROCESS # 4 DESCRIPTION: CAS # QUANTITY Obs.) PROGRAM LEVEL NAICS CODE JCAS # I QUANTITY (lbs.) PROGRAM LEVEL NAICS CODE REGULATED SUBSTANCE CHEMICAL NAME: CAS # QUANTITY (Ihs,) PROGRAM LEVEL [] Check Here for Program 1 Only: Based on the criteria in Section 2735.4 of Title 19 of CCR, the distance to the specified endpoint for the worst-case release scenario for the above listed process(es)is less than the distance to the nearest public receptor. Within the past five years, the process(es) has (have) had no accidental release that caused offsite impacts provided in the risk management program Section 2735.4(c)(1). No additional measures are necessary' to prevent offsite impacts from accidental releases. In the event of fire, explosion, or a release of a regulated substance from the process(es), entry within the distance to the specified endpoints may pose a danger to public emergency responders. Therefore, public emergency responders should not enter this area except as arranged with the emergency contact indicated in the RMP. certify under penalty of law that, to the best of my knowledge, information, and belief formed after reasonable inquiry, the information submitted is true, accurate, and complete. SIGNATURE DATE NAME TITLE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 FACILrrY INFORMATION Page Of __ FACILFI~' ID # ~!t~i ~ . ~ Year Beginning. lOO Year Ending ~o1 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE 102 SITE ADDRESS 103 CITY DUN & BRADSTREET lO4 CA 106 ZIP 105 SIC CODE ~07 (4Digit#) COUNTY ~08 OPERATOR NAME 109 oPERATOR PHONE 110 OWNER NAME 111 OWNER PHONE ~2 OWNER MAILING ADDRESS 113 CITY 114 STATE 115 ZIP CONTACT NAME '-' 117 CONTACT PHONE ~18 1 CONTACT MAILING ~9 1 ADDRESS ] CiTY 120 STATE 121 ZIP 122] NAME 123 NAME ~29 TITLE 125 TITLE ~30 BUSINESS PHONE 126 BUSINESS PHONE ~3~ 24-HOUR PHONE 127 24-HOUR PHONE 132 PAGER # ~28 PAGER # 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 NAMES OF OWNER/OPERATOR (print) 136 TITLE OF OWNER/OPERATOR 137 F01~M 2?30 (3/99) Facility Name: Section 2, Toxics: Worst Case EPA Facility ID# (leave blank for first submission only) 2.12. Estimated residential population within distance to endpoint (numeric) I I,I I I I,IIIOI01 2.13. Public receptors within distance to endpoint (select all that apply) Ct 2.13.a. Schools Ct 2.13.g. Other (specify) (maximum 200 characters) J~L2.13.b. Residences Ct 2.13.c. Hospitals Ct 2.13.d. Prison/Correctional Facilities ~?..13.e. Recreation Areas . '~2. Major commercial, office, or industrial areas 1 3.f. 2.14. Environmental receptors within distance to endpoint {select all that apply) I-I 2.14.a. National or State Parks, Forests, or Ct 2.14.d. Other (specify) (maximum 200 characters) Monuments Ct 2.14.b. Officially Designated Wildlife Sanctuaries, Preserves, or Refuges Ct 2.14.c. Federal Wilderness Area 2.15. Passive mitigation considered (select all that apply) Ct 2.15.a. Dikes Ct 2.15.b. Enclosures ~ 2.15.c. Berms Ct 2.15.d. Drains Ct 2.15.e. Sumps Ct 2.15.f. Other (specify) (maximum 200 characters) 2.16. Graphics file name (optional) (maximum 12 characters) EPA Form 8700-25 (Date 2/1999) Page 2-2 Are you claiming confidential business I'~ information in this section? EPA Facility ID# (leave blank for first submission only) Section 2, Toxics: Worst Case (If yo.u need to report a worst-case scenario, make a photocopy of pages 2-1 and 2-2 and report each scenario separately) 2,1, Chemical 2.1.a. Name (maximum 100 characters) 2.1 .b, Percent weight of chemical (if in a mixture) I I I, I I% 2.2. Physical state (select one) I~ 2.2.a. Gas I~ 2.2.b. Liquid []~.2.c, Gas liquified by pressure I~ 2.2.d. Gas liquified by refrigeration 2.3. Model Used (select one or enter another model name in Other below) ~ 2.3.a. EPA's OCA Guidance Reference Tables or Equations ~ 2.3.b. EPA's RMP Guidance for Ammonia Refrigeration Reference Tables or Equations ~r~.3.d. EPA's RMP Guidance for Waste Water Treatment Plants Reference Tables or Equations I~ 2.3.e. EPA's RMP Guidance for Warehouses Reference Tables or Equations I~ 2.3.f. EPA's RMP Guidance for Chemical Distributors Reference Tables or Equations I~ 2.3.g. EPA's RMP*CompTM ~ 2.3.h. Areal Locations of Hazardous Atmospheres (ALOHA®) I~ 2.3.z. Other model (specify) (maximum 255 characters) 2.4. Scenario (select one) [~2.4.a. Gas Release O 2.4.b. Liquid Spill and Vaporization 2.5, Quantity released (lbs) I 2.6. Release rate (lbs/minute) I I I I I I I I 121(~10101I I I I I I 12'10101. I~1 I 2.7. Release duration (minutes) ~ 2.8. Wind speed (meters/second) 2.9. Atmospheric stability class (A-F) i~I 2.10. Topography (select one) I~.10.a. Urban I~l 2.10.b. Rural 2.11. Distance to endpoint (miles) EPA Form 8700-25 (Date 2/1999) Page 2-1 Are you claiming confidential business information in this section? Facility Name: Section 3. Toxics: Alternative Releases EPA Facility ID# (leave blank for first submission only) (If you need to report more than one alternative release scenario, make a copy of pages 3.1 and 3-2 and report each scenario separately) 3.1. Chemical 3.1 .a. Name (maximum 100 characters) :3.1 .b. Percent weight of chemical (if in a mixture) I I I, I I% 3.2. Physical State (select one) I~3.2.a..Gas Ct 3.2.b. Liquid I-I 3.2.c. Gas liquified by pressure Ct 3.2.c. Gas liquified by refrigeration 3.3. Model Used (select one or enter another model name in Other below) i-I 3.3.a. EPA's OCA Guidance Reference Tables or Equations Ct 3.3.b. EPA's RMP Guidance for Ammonia Refrigeration Reference Tables or Equations .3.d.EPA's RMP Guidance for Waste Water Treatment Plants Reference Tables or Equations Ct 3.3.e. EPA's RMP Guidance for Warehouses Reference Tables or Equations Ct 3.3.f. EPA's RMP Guidance for Chemical Distributors Reference Tables or Equations Ct 3.3.g. EPA's RMP*CompTM Ct 3.3.h. Areal Locations of Hazardous Atmospheres (ALOHA®) Ct 3.3.z. Other model (specify) (maximum 200 characters) 3.4. Scenario (select one) Ct 3.4.a. Transfer hose failure Ct 3.4.b. Pipe leak .4.c. Vessel leak Ct 3.4.d. Overfilling Ct 3.4.e. Rupture disk/relief valve failure Ct 3.4.f. Excess flow device failure Ct 3.4.g. Other (specify) (maximum 35 characters) 3.5. Quantity released (lbs) 3.7. Release duration (minutes) I iI IZlOi. I 3.9. Atmospheric stability class (A-F) 3.6. Release rate (lbs/minute) I I I I I I II I-~"1. I01 3.8. Wind speed (meters/second) I EPA Form 8700-25 (Date 2/1999) Page 3-1 Are you claiming confidential business r~ information in this section? Facility Name: Section 3. Toxics: Alternative Releases EPA Facility ID# (leave blank for first submission only) 3.10. Topography (select one) ,~.lO.a. Urban' ~ 3.10.b. Rural 3.11. Distance to endpoint (miles) I I I~)1 . I~ IC) I 3.12, Estimated residential population within distance to andpoint I I I,I I I I,I I I I 3.13. Public receptors within distance to endpoint (select all that apply) ~ 3.13.a. Schools ~-3.13.e. Recreation areas ~ 3.13.b. Residences I~ 3.13.f. Major commercial, office, or industrial areas I~ 3.13.c. Hospitals ~ 3.13.g. Other (specify) (maximum 200 characters) ~ 3.13.d. Prisons/Correctional facilities 3.14. Environmental receptors within distance to endpoint (select all that apply) I~ 3.14.a. National or State Parks, Forests, or ~ 3.14.d. Other (specify) (maximum 200 characters) Monuments I~ 3.14.b. Officially Designated Wildlife Sanctuaries, __ Preserves, or Refuges I-I 3.14.c. Federal Wilderness Area 3.15. Passive mitigation considered (select all that apply) ~ 3.15.a. Dikes ~ 3.15.e. Sumps ~ 3.15.b. Enclosures I~ 3.15.f. Other (specify) (maximum 200 characters) ~ 3.15.c. Berms ~1 3.15.d. Drains 3.16. Active mitigation considered (select all that apply) ~ 3.16.a. Sprinkler systems ~ 3.16.b. Deluge systems ~ 3.16.c. Water curtain I~1 3.16.d. Neutralization I~ 3.16.e. Excess flow valve I-I 3.16.f. Flares ~ 3.16.g. Scrubbers ~ 3.16.h. Emergency shutdown systems I-I 3.16.i. Other (specify) (maximum 200 characters) 3.17 Graphics file name (optional) (maximum 12 characters) EPA Form 8700-25 (Date 2/1999) Page 3-2 Are you claiming confidential business [=1 information in this section? EPA Facility ID# (leave blank for first submission only) Section 4. Flammables: Worst Case (If you need to report more than one worst-case scenario, make a photocopy of pages 4-1 and 4-2 and report each see ately) 4.1. Chemical Name (maximum 100 characters) / 4.2. Model Used (select one or enter another model name in Other below) ~ 4.2.a. EPA's OCA Guidance Reference Tables or Equations / C} 4.2.c. EPA's RMP Guidance for Propane Storage Facilities Reference Tables or Equat~ns ~ 4.2.d. EPA's RMP Guidance for Waste Water Treatment Plants Reference Tables or Equations C~ 4.2.e. EPA's RMP Guidance for Warehouses Reference Tables or Equations ' / C3 4.2.f. EPA's RMP Guidance for Chemical Distributors Reference Tables or Equati,,d'ns C) 4.2.g. EPA's RMP*CompTM / ~ 4.2.z. Other model (specify) (maximum 235 characters) . / / / 4.3. Scenario (only one option) / Vapor Cloud ExploSion 4.4. Quantity released (lbs) -- I 4.5~ndpoint Used (only one option) I I I I I I I I I I I I I l/ 1 PST 4.6. Distance to ei~dpoint (miles) /~ 4.7. Estimated residential population within distance to endpoint · I I I I. I I I I,I I I l,I I'1 4.8. Public reCeptors within endpo, i~t distance to (select all that apply) ' . C) 4.8.a. Schools ~r I~ 4.8.f. Major commercial, office, or industrial areas C) 4.8.b. Residences t/ C) 4.8.g. Other (specify) (maximum 200 characters) I~ 4.8.c. Hospitals ' C) 4.8.d. Prisons/Correctional Facili [~ 4.8.e. Recreation Areas 4.9. Environmental receptors_~hin distance to endpoint (select all that apply) C) 4.9.a. National or State Pa~,l~s, Forests, or Monuments 4.9.d. Other (specify) (maximum 200 characters) C~ 4.9.b.. Officially Designated'~r' Wildlife Sanctuaries, Preserves, or Refuges C) 4.9.c. Federal WildernZess Area EPA Form 8700-25 (Date 2/1999) Page 4-1 Are you claiming confidential business information in this section? Facility Name: Section 4. Flammables: Worst Case EPA Facili~ b;ank for first submission only) 4.10. Passive mitigation considered (select all that were considered in. fining the ~elease quantity or rate for the worst-case scenario) ~ 4.10.a. Blast walls ,~t~O.b. Other (specify) (maximum 200 characters) 4.11. Graphics file name (optional) (maximu~l~ characters) EPA Form 8700-25 (Date 2/1999) Page 4-2 Are you claiming confidential business r~ information in this section? Facility Name: Section 5. Flammables: Alternative Releases EPA Facility ID# (leave'blank fo~ submission only) (If you need to report more than one alternative release scenario, make a copy of pages 5-1 and 5-2 and repo scenario separately) 5.1. Chemical Name (maximum 100 characters) 5.2. Model Used (select one or enter another model name in Other below) I--I 5.2.a. i-I 5.2.c. ~ 5.2.d. ~ 5..2.e. I~ 5.2.f. {~ 5.2.g. r-I 5.2.z. EPA's OCA Guidance Reference Tables or Equations EPA's RMP Guidance for Propane Storage Facilities Reference.Ta~es or Equations EPA's RMP Guidance for Waste Water Treatment Plants Refere/ce Tables or Equations EPA's RMP Guidance for Warehouses Reference Tables or Eg~ations EPA's RMP Guidance for Chemical Distributors Reference ~les or Equations EPA's RMP*CompTM Other model (specify) (maximum 255 characters) / / 5.3. Scenario (select one) ~ 5.3.a. Vapor cloud explosion ~ 5.3.b. Fireball ~1 5.3.c. BLEVE ~ 5.3.d. Pool fire ~ 5.3.e. Jet fire 5.4. Quantity released (lbs) 5.5. Endpoint used (~ I~l 5.5.a. 1 PSI I-I 5.5.b. 5 kw/m2 for 40 secor ~ 5.5.c. Lower flammabilil (specify) I I I. I I I-I 5.3.f. Vapor cloud fire ~ 5.3.g. Other (specify) (maximum 30 characters) 5.6. Distance to endpT't~ (mileI) 5.7. Estimated residential population within distance to endpoint EPA Form 8700-25 (Date 2/1999) . Page 5-1 Are you claiming confidential business r~ information in this section? Facility Name: Section 5. Flammables: Alternative Releases EPA Facility ID# (leave nk for first submission only) 5.8. Public receptors within distance to endpoint (select all that apply) O 5.8.a. Schools I~ 5.8.f. Major c~mm~ ercial, office, or industrial areas ~ 5.$.b. Residences · ~ 5.8.g. Other~(§pecify) (maximum 200 characters) I~ 5.$.c. Hospitals / ~ 5.$.d. Prisons/Correctional facilities Ct 5.8.e. Recreation areas / ! ! 5.9. Environmental receptors within distance to endpoint (select all that apply) O 5.9.a. National or State Parks, Forests, or ~5.9.d. Other (specify) (maximum 200 characters) Monuments Ct 5.9.b. Officially Designated Wildlife Sanctuaries, Preserves, or Refuges [~ 5.9.c. Federal Wilderness Area 5.10. Passive mitigation considered (select all th; ~) 5.10.a. Dikes ~ 5.10.b. Fire walls [~ 5.10.c. Blast walls Ct 5.10.d. Enclosures 5.10.e. Other (specify) (maximum 200 characters) 5.11. Active mitigation considered (ser Ct 5.11 .a. Sprinkler system [~ 5.11 .b. Deluge system I~ 5.11 .c. Water curtain [~ 5.11 .d. Excess flow valve all that apply) Ct 5.11 .e. Other (specify) (maximum 200 characters) 5.12: Graphics file name (o~)nal), (maximum 12 characters) EPA Form 8700-25 (Date 2/1999) Page 5-2 Are you claiming Confidential business r~ information in this section? Facility Name: Section 6. Five-Year AcCident History EPA Facility ID# (leave blank for first submission only) (If you need to report more than one accident history, make a photocopy of pages 6-1 through 6-3 and report each accident separately) IWould you like to certify that your facility did not have any reportable accidents in the last 5 years? ~L,~es; leave the rest of this section blank I-t No; fill out this section for each accident Date of accident (day, month, and year) 6.2. 'rime accident began (hours and minutes),/~ 6.1. Qa.m. ~ I MIMI IDIDI IY I Y I Y I Y I I H I H I I M I M I I~ p.,~"~ 6.3. NAICS code of process involved I I I I I I I 6.4. Release duration (hours,~m~utes) I I I I I ~'1 I H H H .,,~M M / 6.5. Chemical(s) released (if you need more space to list chemicals, please m~ke a photocopy of this sheet) 6.6. Release event (select at least one) [~ a. Gas release / [~ b. Liquid spill/evaporation / 6.7. Release source (select a~l~ast one) ~ a. Storage vessel ~' I~ b. Piping ~' ~ c. Process vessel ~,J' {~ d. Transfer hose / I~ e. Valve / . ~ [~ f. Pump / _ ~ c. Fire I-I d. Explosion [~ g. Joint ~ h. Other (specify) (maximum 200 characters) / EPA Form 8700-25 (Date 2/1999) Page 6-1 Are you claiming confidential business r~ information in this section? Facility Name: Section 8. Prevention Program: Program 2 EPA Facility ID# (leave blank for first submission only) (If you need to report more than one prevention program, make a photocopy of pages 8-1 through 8-4 and report each separately) Prevention program description: 8.1. NAICS Code for process: , 1 If you need more space to list chemicals, please make a photo copy of this sheet. 8.3. Safety information 8.3.a. Date of most recent review or revision of safety information I I I I I I I I i I I M M D D Y Y Y Y Federal/state regulations or industry-specific design codes and standards used to demonstrate compliance with the safety information requirement (select at least one) 8.3.b.1. NFPA 58 (or state law based on NFPA 58) ~J~N8.3.b.7. Other (specify) (maximum 200 characters) 8.3.b.2. OSHA (29 CFR 1910.111) 8.3.b.3. ASTM Standards 8.3.b.4. ANSI Standards 8.3.b.5. ASME Standards ~ 8.3.b.8. Comments (maximum 100 characters) 8.3.b.6. None EPA Form 8700-25 (Date 2/1999) Page 8-1 Are you claiming confidenti~ business rml information in this section? Facility Name: Section 8. Prevention Program: Program 2 EPA. Facility ID# (leave blank for first submission only) 8.4. Hazard review 8'4'a' Date °f c°mpleti°n °f m°st recent hazard review °r update i~1~1 i tl~I i~ i~ i~1~1 M M D D Y Y Y Y 8.4.b. Expected or actual date of completion of all changes resulting froml(~)l~LIt~e hazardl~ I~" Ire'view ii I~1--~'1-- ~' I M M D D Y Y Y Y 8.4.c. Major hazards identified (select at least one) ~r,,,8.4.c.1. Toxic release --I 8.4.c.2. Fire I~ 8.4.c.3. Explosion (~ 8.4.c.4. Runaway reaction CI 8.4.c.5. Polymerization I~ 8.4.c.6. Overpressurization I~ 8.4.c.7. Corrosion (~ 8.4.c.8. Overfilling i-I 8.4.c.9. Contamination t~ 8.4.c.10. Equipment failure I~' 8.4.c.11. Loss of cooling, heating, electricity, instrument air ~8.4.c.12. Earthquake Ct 8.4.c.13. Floods (flood plain I~ 8.4.c.14. Tornado I~ 8.4.c.15. Hurricanes ~ 8.4.c.16. Other (specify) (maximum 200 characters) 8.4.d. Process controls in use (select at least one) [~ 8.4.d.1. V(~nts ~ 8.4.d.2. Relief valves I~ 8.4.d.3. Check valves E] 8.4.d.4. Scrubbers [~ 8.4.d.5. Flares 8.4.d.6. Manual shutoffs 8.4.d.7. Automatic shutoffs LJ 8.4.d.8. Interlocks I~ 8.4.d.9. Alarms and procedures l-t 8.4.d.10. Keyed bypass I~ 8.4.d.11. Emergency air supply ~ 8.4.d.12. Emergency power [~ 8.4.d.13. ~ 8.4.d.14. '1~ 8.4.d.15. ~t~.4.d.16. 1~ 8.4.d.17. [~ 8.4.d.18. I~ 8.4.d.19. [~ 8.4.d.20. ~ 8.4.d.21. Backup pump Grounding equipment Inhibitor addition Rupture disks Excess flow device Quench system Purge system None .. Other (specify) (maximum 200 characters) EPA Form 8700-25 (Date 2/1999) Page 8-2 Are you claiming confidential business r~ information in this section? Facility Name: Section 8. Prevention Program: Program 2 EPA Facility ID# (leave blank for first submission only) 8.4.e. Mitigation systems in use (select at least one) I~ 8.4.e.1. Sprinkler system [~ 8.4.e.2. Dikes O 8.4.e.3. Fire walls I-t 8.4.e.4. Blast walls i-I 8.4.e.5. Deluge system ~ 8.4.e.6. Water curtain I~ 8.4.e.7. Enclosure ~ 8.4.e.8. Neutralization .4.e.9. None O 8.4.e.10. Other (specify) (maximum 200 characters) 8.4.f. Monitoring/detection systems in use (select at least one) [~ 8.4.f.1. Process area detectors [~ 8.4.f.4. Other (specify) (maximum 200 characters) i-t 8.4.f.2. Perimeter monitors ~.4.f.3. None 8.4.g. Changes since last hazard review or hazard review update (select at least one) [~ 8.4.g.1. Reduction in chemical inventory [~ 8.4.g.8. None recommended O 8.4.g.2. ~ 8.4.g.3. Q 8.4.g.4. ~ 8.4.g.5. ~ 8.4.g.6. ~ 8.4.g.7. Increase in chemical inventory Change in process parameters Installation of process controls Installation of process detection systems Installation of perimeter monitoring systems Installation of mitigation systems O 8.4.g.9. None ~l~ 8.4.g.1'0. Other (specify) (maximum 200 characters) 8.5. Date of most recent review or revision of operating procedures I I I I I I I I I I I M M D D Y Y Y Y 8.6. Training · I 8.6.a. Date of most recent review or revision of training programs I I I I I I I I I I M M D D Y Y Y 8.6.b. Type of training provided (select at least one) I~ 8.6.b.1. Classroom ~ 8.6.b.2. On the job [~ 8.6.b.3. Other (specify) (maximum 200 characters) EPA Form 8700-25 (Date 2/1999) Page 8-3 Are you claiming confidential business r~l information in this section? Facility Name: Section 8. Prevention Program: Program 2 EPA Facility ID# (leave blank for first submission only) 8.6.c. Type of competency test used (select at least one) I~ 8.6.c.1. Written test ~ 8.6.c.2. Oral test [~ 8.6.c.3. Demonstration I~ 8.6.c.4. Observation ~ 8.6.c.5. Other (specify) (maximum 200 characters) 8.7. Maintenance 8.7.a. Date of most recent review or revision of maintenance procedures I I I I I I I I I I I M M D D Y Y Y Y 8.7.b. Date of most recent equipment inspection or test I I I I I I I I I I I M M D D Y Y Y Y 8.?.c. Equipment most recently inspected or tested (list equipment) (maximum 200 characters) 8.8. Compliance audits 8.8.a. Date of most recent compliance audit I '1 I I I I I I I I M M D D Y Y Y Y 8.8.b. Expected or actual date of completion of all changes resulting from the compliance audit I I I I I I I I I I I M M D D Y Y Y Y 8.9. Incident investigation 8.9.a. Date of your most recent incident investigation (if any) I I I I I I I I I I M M D D Y Y Y Y 8.9.b. Expected or actual date of completion of all changes resulting from the incident investigation I I I I I I I I I I I M M D D Y Y Y Y 8.10. Date of most recent change that triggered a review or a revision of safety information, the hazard review, operating or maintenance procedures, or training I I I I I I I I i I I M M D D Y Y Y Y EPA Form 8700-25 (Date 2/1999) Page 8-4 Are'you claiming confidential business information in this section? Facility Name: Section 9. Emergency Response EPA Facility ID# (leave blank for first submission only) 9.1. Written emergency response (ER) plan 9.1.a. O Is your facility included in the written community emergency response plan? 9.1.b. O Does your facility have its own written emergency response plan? 9.2. {~ Does your facility's ER plan include specific actions to be taken in response to accidental releases of *regulated substance(s)? 9.3. [~ Does your facility's ER plan include procedures for informing the public and local agencies responding to accidental releases? 9.4. {~ Does your facility's ER plan include information on health care? emergency 9.5. Date of most recent review or update of your facility's ER plan Date of most recent ER training for your facility's employees 9.7. Local agency with which your facility's ER plan or respon_se activities are coordinated 9.7.a. Name of agency (maximum 35 characters) 9.7.b. Phone number 9.8. Subject to {select all that apply) I~ 9.8.a. OSHA Regulations at 29 CFR 1910.38 I~ 9.8.b. OSHA Regulations at 29 CFR 1910.120 {~ 9.8.c. Clean Water Act Begulations at 40 CFR 112 {~ 9.8.d. RCRA Regulations at 40 CFR 264, 265, 279.52 {~ 9.8.e. OPA-90 Regulations at 40 CFR 112, 33 CFR 154, 49 CFR 194, 30 CFR 254 {~ 9.8.f. State EPCRA Rules or Laws {~ 9.8.g. Other (specify) (maximum 200 characters) Are you claiming confidential business r~ EPA Form 8700-25 (Date 2/1999) Page 9-1 information in this section? BAKERSFIELD FIRE DEPARTMENT FAX Transmittal TO: COMPANY: FROM: FAX No: Office of Environmental Services FAX No. (805) 326-0576 · Bus No. (805) 326-3979 1715 Chester Ave. · Bakersfield, CA 93301 ~'"'~!ALD L. WAHL Manager Fax (805) 872-~,...~ OLCESE WATER DISTRICT ! ! B~emfleld, CA ~ C- )RRECT!ON BAKERSFIELD FIRE DEPARTMENT Sub Div.. ~o~ a~e hereby ~equi~ed to make the ~o]lowi~ eo~etions at the above ]~ation:. Correoti-- ?"/''= ' ' : : ' '! Completion Date for ------__. Date , '' , ."-~ ,. ',.., ~ ; ... ,' ': . ,.- .w'" '..~,~.'..'~, . . , .~. · 'Inspector ' ' 326 3ele '"" 0 t o.7 FIRE DEPARTMENT FAX Transmittal TO: COMPANY: FROM: FAX No: Office of Environmental Services FAX No. (805) 326-0576 · Bus No. (805) 326-3979 1715 Chester Ave. · Bakersfield, CA 93301 COMMENTS: . .~... ......... ..?...~.~ .......... ~. ..... ~~....~..... ~ ........................................................... ............. ~. ............. ~._o.0.~,~ .......... B.~.~_'_=.._..~ ........ ~.~.~...T..:.~..e.......~_~.~.~__~5~%_~.~..*..~.r. US EPA - RMP*Submit (TM) http://www.epa.gov/ceppo/rmpsubmt, html - EPA Unit~ b'l~s Environmental Pro~e~ion ~er~y RMP*SubmitTM 'Special Note to Facilities Regarding Year 2000!" What is RMP*Submit? RMP*Submit is the free, offiCial EPA, personal computer software for facilities to use in submitting Risk Management Plans (RMP) required under the Risk Management Program. Portions of the RMP you submit to EPA will be publicly available on the Internet via RMP*lnfo. The information is intended to stimulate the dialogue between industry, state and local officials, and the public to improve accident prevention and emergency response practices. RMP*Submit: · Has all the data elements identified in the RMP regulations; · Helps you avoid common reporting errors by verifying you have completed all required data elements - using the same completeness check that will be used at the RMP Reporting Center; · Allows you to correct errors before submitting your RMP; · Accepts limited graphics; and · Provides on-line help. RMP*Submit is based on the requirements of PART 68 - Chemical Accident Prevention Provisions - of the Code of Federal Regulations, and the RMP amendments proposed on April 17th, 1998 which were published in the Federal Register on January 6, 1999. The Information Collection Request (ICR) for these amendments was approved on February 22, 1999 by the Office of Management and Budget (OMB). You may submit your RMP to the Reporting Center at any time. RMPs are due by June 21, 1999. Please remember that you may not use the Beta Version of RMP*Submit to submit your official RMP. Any official RMPs that are mailed to EPA for the June 21, 1999 compliance date using the Beta version of RMP*Submit will not be able to be processed. You may use other RMP submission software products to submit your RMP. For some examples, visit our tools page. You may also want to use RMP*Submit for its validation check prior to submission. If you consider any of the information you are required to report to be confidential business information (CBI), please read this. How do I download and install RMP*Submit? 1) Print or download the readme-i.txt (ASCII Text) file for RMP*Submit (March 19, 1999). (Note: You will need to identify or create the directory into which you want to download files. This does not have to be the same directory where you want to install RMP*Submit.) Read the instructions for installing and using RMP*Submit, the User Manual, and RMP*Comp. Also included in the readme file is a short list of data elements for which the on-line help is incorrect. 2) Download RMP*Submit (4,700 KB) and install it on your PC. (Note: Also, depending on the speed of your computer modem, the type of connection you have to the Internet, and the amount of other activity there is on the web at the time you are downloading, this could take several minutes.) 1 of 3 4/2/99 4:36 PM Prevention -- Industry-Specific Guidance http://www.epa.gov/ceppo/ap-ingu.htm Emergency Planning and Community Right-to-Know I Emergency Response II International Programs II Counter-Terrorism II Business and Industry ] Concerned Citizens II Partnerships II State, Local, and Tribal II II Databases and Software II Laws and Regulations Publications II Maintained by the Chemical Emergency Preparedness and Prevention Office (CEPPO), Office of Solid Waste and Emergency Response (OSWER), U.S. Environmental Protection Agency (EPA) http://www.epa.gov/ceppo/ap-ingu.htm Last Updated: March 30, 1999 5 of 5 4/2/99 4:38 PM * User name: * File name: *' Directory: * Description: hwines (538) Queue: CITY/Q_HAZl Server: !PS HAZl * http://www.epa.gov/ceppo/ap-ing * April 2, 1999 4:38pm * h i h hhhh w w ii h hw w i h hwww i h hwww i h h www iii nnnn eee ssss n n e e s n n eeeee sss~ n n e s n n eeee ssss L SSS TTTTT * L S S T * L S T :: * L SSS T :: * L S T * L S S T :: * LLLLL SSS T :: * US EPA - RMP*Submit (TM) http://www.epa.gov/ceppo/rmpsubmt, html Alternatively, you may download the following 4 files either to diskettes or to a single directory: o rmp-dzl.exe o rmp-dz2.exe o rmp-dz3.exe o rmp-dz4.exe If you have any problems with installing RMP*Submit, contact the RMP Reporting Center at: (703) 816-4434 during normal working hours (Sam-4:30pm M-F, and up until 7pm during peak periods) or via e-mail at: userrmp.usersupport@epcra.org) 3) Also download or print the RMP*Submit User Manual (February 1999)(PDF) (933 KB)and its Appendices (January 1999) (PDF) (229 KB). You can also view or download the Appendices individually. If you've already downloaded the January 1999 version of the user manual, you can refer to this errata sheet for a list of the changes from the January version to the February version.. (Note: The Adobe Acrobat Reader 3.0.1 will be necessary to read documents that are in Portable Document Format (PDF).) 4) You will also want to download RMP*CompTM if you plan to use it for calculating alternative and/or worst case scenarios. RMP*Submit guidance and sources of additional help are provided in the User Manual. On-line help is also available in RMP*Submit. If you have additional questions about completing your RMP, contact the Hotline that supports Clean Air Act Section 112(0. Are there other ways to obtain RMP*SUbmit? RMP*Submit is also available free-of-charge through the National Center for Environmental Publications and Information (NCEPI) at: Phone: (800) 490-9198 Fax: (513) 489-8695 E-mail: ncepi.mail@epamail.epa.gov or order through their on-line NCEPI Publication Request Form. Please use the following titles and publication numbers: · "RMP*Submit CD-ROM" with RMP*Submit, the User Manual, RMP*Comp and a paper copy of the RMP*Submit User Manual is EPA publication number 550-C99-001. · "RMP*Submit Diskettes" with RMP*Submit and a paper copy of the User Manual is EPA publication 550-C99-002. · "RMP*Submit User Manual" alone is EPA publication number 550-B99-001. How do I Submit my RMP? Submit your completed RMP on diskette to EPA by June 21, 1999 using the instructions in the User Manual. Send them to: RMP Reporting Center P.O. Box 3346 Merrifield, VA 22116-3346 (Note: Submit your RMP electronically, if at all possible; otherwise, submit your RMP on the official RMP form (Appendix A of the User Manual) (PDF) (149 KB) along with a completed waiver form.) 2 of 3 4/2/99 4:36 PM US EPA - RMP*Submit (TM) http://www.epa.gov/ceppo/rmpsubmt.html How can I find out about Bugs, "Work Arounds" and System-related Questions and Answers? The RMP*Submit Known "Bugs" file (March 19, 1999) (ASCII Text) will be updated to include any known bugs, possible work arounds and system-related questions and answers that could be helpful to other RMP*Submit users. What if I need technical assistance? Software questions... For answers to functional software questions or solutions to installation problems, contact the RMP Reporting Center: (703) 816-4434 (Sam-4:30pm M-F) or via e-mail at: userrmp.usersupport@epcra.org). Other questions... If you don't understand the regulation, how to apply it at your facility, or what information EPA is asking for in a specific field, EPA's RCRA, Superfund, and EPCRA Hotline is a toll-free service that can answer technical policy questions on RMP and several other federal EPA regulations. The Hotline can be reached during regular business hours at: · Toll-Free: (800) 424-9346 · Local: (703) 412-9810 · TDD: (800) 553-7672 · TDD Local: (703) 412-3323 Additional related information... The CEPPO Accident Prevention and Risk Management Program page provides access to downloadable versions of the RMP regulations, Frequently Asked Questions, and a wide variety of assistance materials; many of which are also available upon request from NCEPI. The RMP*lnfoTM and RMP*Submi Tt~-~ Development page provides information relevant to other software developers and about RMP*lnfo. HEPA Homepage IIOSWER Homepage IICEPPO Homepage IISearch EPAII IIComments to CEPPO EPCRA Hotline NCEPI (to order EPA documents) Maintained by the Chemical Emergency Preparedness and Prevention Office (CEPPO), Office of Solid Waste and Emergency Response (OSWER), U.S. Environmental Protection Agency (EPA) URL: http:llwww.epa.govlswercepp/rmpsubmt.html Last Updated: March 22, 1999 3 of 3 4/2/99 4:36 PM Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: Issued by: '-~~--------~ Bakersfield Fire Department OFFICE OFENVIR 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 OLCESE WATER DISTRICT Manager: Location: KERN RIVERUPSTREAM City : BAKERSFIELD CommCode: COUNTY STATION 44 EPA Numb: BusPhor~e: ( 805) -I~._~__.'~__~ 04 "Grid: 03C 215-000-000559 872-5563 CommHaz : High FacUnits: 1 AOV: SIC Code:3823 DunnBrad: Emergency Contact / Title TED MCMULLEN / FIELD MANAGER Business Phone: (805) 872-5563x 24-Hour Phone : (805) 325-6220x Pager Phone : 7z Z Emergency Contact / Title DONALD L. WAHL / DISTRICT MANAGE Business Phone: (805) 872-5563x 24-Hour Phone : (805) 831-7918x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Agency-Defined Topic Title = Hazmat Inventory --MCP+DailyMax Order Hazmat Common Name... CHLORINE ALUMINUM SULFATE POLYDIMETHYLDIALLYAMMONIUM One Unified List All Materials at Site [SpecHaz[EPA Hazards[ Frm F P IH .G IH L L [ DailyMax [Unit]MCP; 15000 FT3 Ext 1000 GAL Low ~'~/~ ~ GAL UnR OLCESE WATER DISTRICT Inventory Item 0001 COMMON NAME / CHEMICAL NAME CHLORINE Facil Location within this Facility Unit TYPE PRESSURE F STATE Gas Lrgst Cont.this Loc FT3 I$ DailyMax Stored FT3 AMOUNTS STORED DailyMax aily~ax Open %Wt. HAZARDOUS COMPONENT: SiteID: 215-000-000559 .ity Unit: Fixed Containers on Site Days On Site 365 CAS9 IN USE Loc FT3 DailyAvg this Loc FT3 De FT3 DailyMax Closed Use FT3 CAS# -2- OLCESE WATER DISTRICT = Inventory Item 0002 Faci -- COMMON NAME / CHEMICAL NAME ALUMINUM SULFATE Location within this Facility Unit FSTATE TYPE PRESSURE -- TEMPI:RATURE Liquid I ~ ,, AMOUNTS STORED ~ND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyMax Stored GAL DailyMax Open ;se GAL %Wt. HAZARDOUS COMPONENT~ SiteID: 215-000-000559 .ity Unit: Fixed Containers on Site Days On Site 365 CAS# CONTAINER TYPE DailyAvg this Loc GAL DailyMax Closed Use GAL EHSCAS# OLCESE WATER DISTRICT Inventory Item 0003 COMMON NAME / CHEMICAL NAME POLYDIMETHYLDIALLYAMMONIUM Location within this Facility Unit SiteID: 215-000-000559 Facility Unit: Fixed Containers on Site Days On Site 365 CAS# VSTATE' Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE Lrgst Cont.this Loc GAL DailyMax Stored GAL AMOUNTS STORED AND IN USE DailyMax this Loc ~GAL DailyMax Open Use GAL DailyAvg this Loc GAL DailyMax Closed Use GAL I%Wt. I HAZARDOUS COMPONENTS IEHSI CAS# -4- F OLCESE WATER DISTRICT SiteID: 215-000-000559 Fast Format = Notif./Evacuation/Medical ~-- Agency Notification CITY FIRE DEPT. DISTRICT MANAGER ALL NOTIFICATION IS DONE BY TELEPHONE. Overall Site 10/08/1992 -- Employee Notif./Evacuation ONLY SNE EMPLOYEE~ON DUTY AT TREATMENT PLANT. lie WILL EVACUATE VIA ENTRANCE ROAD. 10/08/1992 -- Public Notif./Evacuation 10/08/1992 NONE AT PRESENT TIME. NEAREST PUBLIC (OF FACILITY) IS THE KERN RIVER GOLD COURSE - APPROXIMATELY 1/2 MILE DISTANCE. Emergency Medical Plan 10/08/1992 HOSPITALS AVAILABLE IN AREA: KERN MEDICAL CENTER, GREATER BAKERSFIELD MEMORIAL HOSPITAL, SAN JOAQUIN COMMUNITY HOSPITAL. -5- F OLCESE WATER DISTRICT SiteID: 215-000-000559 Fast Format Mitigation/Prevent/Abatemt Release Prevention ALL MATERIALS ARE IN LOCKED ENCLOSURES. Overall Site 10/08/1992 Release N/A Containment 10/08/1992 --Clean Up NO CLEAN UP PROCEDURES FOR CHLORINE. OTHER MATERIALS ARE WASHED AWAY WITH WATER. 10/08/1992 Other Resource Activation -6- F OLCESE WATER DISTRICT SiteID: 215-000-000559 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - NONE LISTED B) ELECTRICAL - METER CABINET LOCATED IMMEDIATELY EAST OF BLDG C) WATER - NONE LISTED D) SPECIAL - NONE E) LOCK BOX - NO 10/08/1992 -- Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED WITHIN BLDG 10/08/1992 NEAREST FIRE HYDRANT - NO HYDRANT, BUT ADEQUATE SUPPLY O FWATER NEARBY (RIVER, SETTLING BASIN). Building Occupancy Level -7- F 'OLCESE WATER DISTRICT SiteID: 215-000-000559 Fast Format = Training -- Employee Training WE HAVE 2 EMPLOYEES AT THIS FACILITY~ WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: HANDLING OF CHLORINE. Overall Site 10/08/1992 SENIOR OPERATOR HAS ATTENDED COURSE RE: Page 2 Held for Future Use Held for Future Use OLCESE WATER DISTRICT 14801 Highway 178 Bakersfield, California 93306 Telephone: (805) 872-5563 Fax: (805) 872-9956 Mailing Address: P. O. Box 651 Bakersfield, California 93302 April '18, 1'997 RalDh E. Huey Hazardous Materials Coordinator Environmental Services 1715 Chester Ave. Bakersfield, CA 93301 Sub3ect: Hazardous Materials Business Plan For Olcese Water District Dear Mr. Huey; Please find enclosed an updated Hazardous Materials Plan for Olcese Water District. Also enclosed is an updated sketch of the Olcese Water Treatment Plant site. Our original submittal to your department a few years ago indicated that Olcese also operated a small treatment Dlant off of Rancheria Road apDroximately one quarter mile north of the river. That plant has been deactivated by Olcese Water District. DLW:er enc. Sincerely, Donald L. Wahl District Manager OLCESE ¥!ATER DIST~.'.CT P. o. BOX 651 ~I~,KERSFIELD, CA 93302 ACCOUNTS/IEE~IVABLE ADJUSTMENT March 21, 1995 Date Esther Duren From Fire Department- Hazardoua Materials Division Department/Division OLCESE WATER DISTRICT HM769301 Ac~ount~Number New A,--=aunt New Address Close Account Service Change Other Adjustments X Billing Name KERN RIVER 4/10 MI KERN RIVER GC Billing Address Site Addresa Parcel # (if Applicable) Landlord Name & Addre88 (If Applicable) ADJUSTMENT Last Billed Correct BIIilng Adjustment to Effective Date of Billing Change <45.28> 03-01-95 App~rove/d By: ~ Remarka: PAYMENT WAS POSTED ON MARGH 3RD AI~-rER FINANGE GHARGES HAD BEEN ADDED. WE WILL WRITE OFF THE FINANCE CHARGES. Page: 1 Account Billing/Collection Activity Inquiry SUTL108 Acct : 769301 Cyc St: CL Bill St: NO Cyc: .5 Rt: 1 Seq: SSN : Parcel: .... Svc Cls :e Name : OLCESE WATER DISTRICT Svc Add: .KERN RIVER 4/10MI KERN RIVER GC Amt due: 45.28 Lst Pmt: -377.00 Pmt Dte: 03/03/95 -- Prior Bills -- Date Balance 01/01/95 0.00 01/01/94 0.00 01/01/93 0.00 Current Period Postings Type Desc Date Amount Receipt # B91 PENALTY 03/01/95 37.70 B92 FINANCE CHARGE 03/01/95 7.58 99 PAYMENT 03/03/95 -377.00 104375 'D' For Detail Page or ~ Enter '/' For Billing History, 'P' To Print Report, , '/C' For Credit and Deposit History or 'XX' To Exit UNDERGROUND ST GE TANK INSPECTION ~kersfield Fire Dept. Hazardous Materials Division Date Completed I///%//q~ Operating Permit: Business Name: ~'~t~',~°~ ('~)~,3c~P-- Location: d',~O~ ~R~_ ~ ~ Business Iden~ca~on No. 215-000 ~' Number of Tanks. ~ T~e: Con~inment: CONTACT INFORMATION (Top of Business Plan) Lines: Owner: Emergency Contacts: Monitoring Program Adequate Inadequate RECORDS Maintenance l"1 [~ Testing r~ ~ Inventory Reconciliation ~ ~ RESPONSE PLAN Violations: Emergency Plan Bhsiness Owner/ White - Haz Mat Div Pink - Business Copy All Items O.K. Correction Needed RISK RANKING - OLCESE WATER DISTRICT FACILITY RISK INDEX INSPECTION HISTORY POPULATION EXPOSED MCP TOX FACTOR (2,000 LB / 100 LB) = 20 ONE TON CYLINDER ON LINE AT A TIME 1.5 X 3 = 4.5 0 X 3 = 0 5 X 2 = 10 5 X 1 = 5 10 X 1 = 20 TOTAL SCORE= 39.5 FACILITY RISK INDEX RATING Activities o~ conditions that increase the likelihood of a release. 3 x .5 TM 1.5 (NO. OF YES ANSWERS ON THE QUESTIONNAIRE 1-13. Add 1 yes to each facility for storage and minimal handling Accident / safety record. 0 (REASONABLE=0, INADEQUATE=0.25, GROSSLY INADEQUATE=0.5) Not directly addressed in the questionnaire. 0 (OTHER COMPLICATING FACTORS MINIMAL=0, CONSIDERABLE=0.5, SUBSTANTIAL=i.0) FACILITY RISK INDEX = 1.5 RATING FI = X + Y + Z RATING RATIONALE: Risk increases with increasing process complexity and potential for human error. 1. IS TOXIC MATERIAL APT TO BECOME AIRBORN RAPIDLY ? i.e. A GAS, FINE DUST, HIGHLY VOLATILE LIQUID NO=0 YES= 2 2 IF ANSWER TO '#1 IS NO, PROCEED TO #6 IF ANSWER TO #1 IS YES, ESTIMATE THE EVACUATION RADIUS, USING THE BAKERSFIELD FIRE DEPT. GRAPH MODEL, AND ANSWER QUESTIONS 2-5. 2. IS THERE A SCHOOL WITH IN THE EVACUATION RADIUS ? NO=0, YES=2 3. IS THERE A NURSING HOME OR HOSPITAL WITH IN THE.EVACUATION RADIUS ? NO=0, YES=i 4. IS THERE RESIDENTIAL HOUSING WITHIN THE EVACUATION RADIUS ? NO=0, YE$=i 5. IS THE POPULATION DENSITY OF THIS AREA HIGHER THAN THE AVERAGE DUE TO ALOT OF MULTISTORY BUILDINGS ? NO=O, YES=i 6. WHAT IS THE OCCUPANCY OF THE BUILDING THAT AHM IS STORED OR HANDLED IN ? LESS THAN 5 PEOPLE=i 6 - 25 PEOPLE =2 26 - 50 PEOPLE =3 MORE THAN 50 PEOPLE =4 TOTAL POPULATION EXPOSED RATING = 5 RATING RATIONALE: Releases that are limited to onsite consequences will limit the exposed population. As the number of persons onsite increases, evacuation and and response efforts become more complicated, and the potential for injury increases. FACILITY INFORMATION FORM RECEIVED Please answer each of the following questions by circling Y (yes) or.N (no). 1. Is any acutely hazardous material (AHM) manufactured or used in a chemical reaction ? 2. Is any other flammable gas, flammable liquid or explosive material manufactured or used in. a chemical reaction'? 3. Is any reaction in question 1 or 2 a moderately or highly exothermic reaction ( e.g. alkylation HAZ. MAT. DIV. es~e~fi.cation, o~ida~on,.Ditr~tion,_ip~grization or condensation) or' one involving electrolys~s~ ~y'i/~ can any unplanned release of a AHM to the atmosphere result from the malfunction of any scrubbing, treatment or neutralization system or the discharge of a pressure relief syste~ ? Does any physical or chemical process, in which an AHM is produced or.used involve a batch process ? Does any physical or chemical proCess involve the production or use'of any-P2qM at. a pressure in excess of 15 psig ? .~'~ 7. In excess of 275 psig ? Does any physical or chemical process involve the production or use of an AHM at a temperature above 125 degrees F ? 9. In excess of 250 degrees ? .... ~9~ Can any explosive dust be preSent in any closed c6nta~n~r'wi~hin~'100'-fe~t o~ a~AH~ o~ otherwise be present in the'same building as an. AHM ? 11. Is there any ignition source or open flame within 100 ft. of any process, storage or transfer area where a flammable or explosive AHM is present , except where there is a firewall providing protection ? 12. Is any lined or non-metallic pipe used in the transfer of any AHM ? ~7~'c/ Y~/ N' Y 13. Is any equipment or piping handling any AH~r9 ~_, 10 years old ? . /~~.× .~ PLEASE PROVIDE THE FOLLOWING INFORMATION : ( Attach additional pages if necessary) Your,company's current workers compensation ,/^ experience modification factor. How many people occupy the building in whiCh AHM's ~re used or stored ? GiVe detail~ of &ll aCcident~ which inv°lv~d any hazardous material and all'other instances when the fire department has been summOned in an emergency. · 4. Briefly described the operations process at your plant and the specific processes 'utilizing AHM's, including storage proceedures. -2- Briefly describe the equipment being~.uSed in the processes- involving AHMs. Report quantity-;of AHM(s), referenced in the cover letter, that this busineSs handles. a) Maximum amount on hand at any one time. b) Please attach a Material Safety Data Sheet /~ for any material that is a mixture· Do not include MSDS for pure substanceS· DEMOGRAPHIC DATA: State the straight line diStanCe in feet between the business property line and ~each of the following. Nearest schOol. Nearest daycare center, hospital, nursing home or similar facility. Nearest residence/motel etc. Nearest occupied buiid~g~ Business Name: AddreSs: ~ I certify that the fore,lng' information is. correct to the best o my k ledge. Signature: Title:· true and Date: -3- BUSINESS SITE-ADDRESS' Rancheria Road .... ' " ' . .... :. ~ '.': ~c~,~.~--.'i~-~,__. ?w .?~.;:,,. .... , :ii -..--~ ,"~,-:'; ':L;-'~, :.:. ~'-: >.'~,: .¥.:i;, ..~.,.'.; "~ '"'.~'~ .'"v ,.- ...... · ""~:" ', · -" ~,~ *-~°~:~'X'r'~'"~" ..... :' ..... ":':':' ": ' ":":: ........ ' ....... '-1500 u~u Ft. ' ' . .... /_.~- GENERAL DESCRIFTION OF PROCESSE.g AND PRINCIPAL EOUIPMENT*: - ' TTFLE District Manager PRINTED NAME Donatd'L. Wahl Call~rnlLOffi~ ~ Eme~enc? Se~ FORM HM 3T77 (11 - 12 - ~)' I-3 INSTRUCTION~; Superscripts: .', "" 1. Please contact your. local Administering Agency if you handle quantities of Acutely Hazardous Materials above state thresholds and have not submitted a busine.~ plan (Remember that California Acutely Hazardous Materials'are identical to EPA Extremely Ha?~rdous Substances). 2. "Process Designation" is provided for facilities that, with Administering Agency approval, would most easily be .....-.:'- -: ...reportedby process.._For a business that reports the business plan data by process, this will allo~t subdivision, of facility RMPP registration data in similar format to the business plans.' This format could simplify facility ' inspections and future emergency response. 3. Use the EPA list of Extremely I-la-nrdous Substances from the Federal Register,.40 CFR 355 (Sections 302 and 304) (Note: This list may change on a yearly basis. Be sure the list used for compliance is the updated list. .... updated list can be olaalned from EpA or the State of California Environmental Affairs Agency.) if appropriate, ankh a copy of the inventory (submiv. ed to your Administering Agency in your business plan) with all Acutely '----4.' Do not include Trade Secret information in the,~ descriptions. General: For emergency response purposes, if these elemenu are appropriate, it would be desirable to describe the following to the Administering Agency: 1. Batch Process: 'a. What raw materials? b. What operating pressure range? c. What operating temperature range? d. Batch capacity, rating? ., e. Product characteristics? (e.g., chemical state, flammability, toxicity, f. Critical process points and characteristics? 2. Continuous lXOCeSS: (similar infcxmation as above.) "Pursuant to §25534, the Administering Agency may require the submission of a Risk Management Pre;'enrion Program (RMPP), if the Administering Agency dexerrnines that the handler's'operation may present an acutely hazardous malerials accident risk. The handler shall prepare the RMPp in accordance with §25534 (c) of the He..alth and Safety Code.' The RMPE shall be prepared within 12 months following the request made by the Administering Agency pursuant to this section." (§ 25534 (c) Health and Safety Code) An,amendment to tim RMPP must be submitted to the Administering Agency within 30 days of: 1. Any'additional .handling of acutely hazardom matemls. 2. Any maLeri_'al or substantial alterations to business activities. ..... :.:.-~ ::-:_~:::: ..... .,--:3.~: Change-of-_~ b_usin_e.ss ownership,..or.business name. _.(§_25533~(c).Health& Safe. Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL' IMPLEMENT THE APPROVED RMPP · · 89 80373 I-4 ACUTELY I~rZA~OUS' MATERIALS REi~STRATION FORM This form MUSTbe completed by the owner or operator of EACH business in California which, at · any time, handles'iAcutely Hazardous Material in quantities, or in a mixture, equal to or greater than the :' Federal Threshold Planning Quantities for'Extremely Hazardous Substances. Submit this comPleted form t° your local Administering'Agency..;'(§25533 &.2~..~36 He .al~ & Safety'code) Note instrnetions on rever~f BuSINESs SITE. ADnRESS' Kerfi-River Upstrejm Kern River G01f 'Course .... _,'~-- U~S'~~G~D~S(~ff~t)P.O... Box 651!, Ba~er, sf:~elg,: CA. -93302.- ;,.~5.~;~:.~:~ ' ' "' '' ' ''< '*;:"' ' : ......... ~" "-C'=~*::.2'&iSC~g~.g;-,--?:;:~.,;.7:~.~,,-' .~-,-~:~:_::;~;~:;., .... .*_?"A~LY HAZARDOUS MA~RIALS HANDLED' '.::;~.~::~-U~ ~DmONAL'pAG~ -' -;'Ch-lOrl'Ke"":".' - .'- : .......... ..':" ':? ......... ':'~:"¥'""' 15 Gu GENERAL DESCRIFTION OF PROCF_qS~q AND PRINCIPAL EOUIPMENT*: "- SIGNATURE TITLE District Manager PRI~rED NAME Donald L'. Wahl "'. Call~rni~Offi~ ~ Eme~enc? Servk~ FORM I-IM 3T/7 (11 - 11 - 8~)' 1-3 i INSTRY. ICTIONS: Superscripts: 1. Please conumt your local Administering Agency if you handle quantities of Acutely I-la?_~rdous Mamfi~ls 'above sram thnmholds and have not submitmd a business plan (Remember tha~ California Acutely HaTardous Materials~are identical to EPA Extremely HaT~rdous Substances). 2. "Process Designation" is provided for facilities that, with Administering Agency approval, would most easily be -........ ..... reponexl by process,_. For. a business that reports the business.plan data by. process,, this will allow, subdivision, of ..... facility RMPP registration data in s'unilar format to the business plans/" This format could simplify facility inspections and fuuue emergency ~'Imnse. 3. Use the EPA list of Extremely Ha:mrdous Substances fr06i the Fedeagal Registex,.40 CFR' 355 (Sections 302 and 304) (Note: This list my change on a yearly basis. Be sure the list used for compliance is the updated list. ..An '-'.. . updated list can be otmained fi'om EPA or the'State of California Environmental Affairs Agency.) If appropriate, att~h a copy of the inventory (submitted to your Administering Agency in your business plan) with all Acutely ,, ,,' ........ 4.- Do not incltde Trad~ Secret information'in these descriptions.- '-' ............ "' ':" ":' For emergency response purposes, if these elements ate appropriate, it would be desirable to describe the following to the Administering Agency: 1. Batch Process: ...... a. What raw materials? b. What operating pressure range? c. What operating temperature range? cl. Batch capacity, rating? . e. Product characteristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical process points and characteristics? Continuous process: (s'urfilar infcannafion as above.) NOTE: "Pursuant to §25534, the Administexing Agency may require the submission of a Risk Management Prevention Program (RMPP), if the Administering Agency deuamines that the handler's' opexation may present an acutely hazardous materials accident risk. The handler shall prepare the RMPP in accordance with §25534 (c) of the Health and Safety Code.' The RMPP_ shall be prepared within 12 months following th~ request made by the Administering AgenCy ptUSmnt to this section." (§ 25534 (c) Health and Safety Code) An.amendment to the RMPP must be submitted to the Administering Agency within 30 days of: 1. Any.additional .handling of acutely hmmrdous malerials. 2. Any material or substantial alterations to business activities. .. ............ __' .............. 3L. Change~o£addre.~, business o .wnership, .or b_us~ess name. _(§_25533_(c).Health & Safety Code) __ · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL' IMPLEMENT THE APPROVED RMPP _o3C Bakersfield Fire 'Dept. Hazardous Materials Division 2130 "G" Street. RECEIVED HAZ. MAT. OtV.~ HAZARDOUS M~TERIALs MANAGEMENT PLAN INSTRUCTIONS: 2. 3. 4. To avoid further action, return this foffn within 30 daYs of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the.questions below for the business as a whole, ' Be brief and concise as possible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: Olcese Water District LOCATION: On Kern River 4/10th Mil~ Upstream of Kern River Golf Course MAILING ADDRESS: CITY: Bakersfield. P.o. BOx 65~ STATE: CA ZIP: 93302 PHONE: 872-5563 DUN & BRADSTREET NUMBER: None PRIMARY ACTIVITY' Water Ti:eatment Plan~; OWNER: Olcese Water District SIC CODE: 3823 MAILING ADDRESS' Same as Above SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS, PHONE 24 HR, PHONE Ted McMullen Field Manager g72-556~ Donald L. Wahl District Manager 872-5563 325-6?20 831-7918 Bake£sfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3:. TRAINING: -'N'~;MrB:ER OF!EMPLOYEES: 2 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Se'~ior Operator Has attended cohrse re: handling 'of Chlorine. .SECTION 4: EXEMPTION,REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95~OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. ~ OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, Donald Wahl CERTIFY THAT THE ABOVE INFOR- MATION 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 INACCURATE INFORMATION CONSTITUTES PERJURY'.,,' ~~~IGNATUREV'- District Manager TITLE /DATE FD1590 Bakersfield Fire Dep~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Rio Bravo Treatment P.lant SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES: City F±re Dept. Notified District Manager Notified Ail notification is done by telephone EMPLOYEE NOTIFICATION AND EVACUATION: OnCe, one epmolyee on duty at treatment plant He will evacuate via entrance road PUBLIC EVACUATION: None at present time. Nearest public (of facility) is the Kern River Golf Course - approximately 1/2 mile distance. D. EMERGENCY MEDICAL PLAN: - .:. Hospitals ~aitable~ in.71~re~: Kern MedidA1 Center Greater Bakersfield Memorial Hospital San Joaquin Community Hospital Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: Ail materials are in locked enclosures. RELE.A. SE. C_ONTAI_NME_N! ANDJOR_ M.!_NIMIZATION' ~/A CLEAN-UP PROCEDURES: No clean up procedures for Chlorine. Other materials are washed away with water. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ELECTRICAL: Meter cabinet located immediately east of building WATER: SPECIAL: LOCK BOX: YES,~ IF YEs, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: PRIVATE FIRE PROTECTION: Fire extinquisher located within building. WATER AVAILABILITY (FIRE HYDRANT): ...... Nd ~ydr~nt, but adequate supply of water nearby 4. (river, .:set~tling basin) FD1590 CITY OF BAKERSFIELD HAZARDOUS MATERIALS :INVENTORY' ' Farm and Agriculture ~ Standard Business ' ' ' NON - TRADE' SECRET. BUSINESS NAME: 01case Water.Di~trdet CITY, ZIP: -Bakef§fi~ld%-CA~ ................... PHONE #: 872-5563 OWNER NAME:01cese Water District ADDRESS: 6200 Lake Min~ Road CITY, ZIP: Bakersfield. CA. 9qq06 PHONE #: R79-5563 ?OR PROPER CODES Page .of 01cese Water NAME OF THIS FACILITY:Treatment Ptafit STANDARD IND. CLASS CODE: 3823 DUN AND BRADSTREET NUMBE~/FEDERAL ID ~ '~ 90 - 303 - 2970 1 2 ' '3 4 5 6 7 8 9 10 11 12 · 13 14 Trane Type Max Average Annual Measure ~ Days Cent Cent Cent Use Location Where % by Names of Mixture/Components Code Code Amt Amt Amt Units on Site Type Press Temp Code Stored in Facility wt See Instructions N [ P 115000 [ 9500 I 28000 I FTq I 365 [ aa I. ? I n Il, il South Perimeter of Yard Physical and Health Hazard C.A.S. Number 007782-50-5 Component ~ 1 Name & c.a.s. Number --L00 Chlorine (Check all that apply) Component # 2 Name & C.A.S. Number of Pressure Health Health Component # 3 Name & C.A.S. Number' N I X I ~S00 1700 I 5000 IOal~on% 365 I 01 l1 I 4 1411South Perimeter of Yard / Physical and Health Hazard C.A.S. Number 10043-01-3 component ! ~ S~m. a C.A.H. Humber 26 B Alumiumin Sulfate (Check all that apply) Component # 2 Name & C.A.S. Number 'KD Fi~ Ha,--d ~ Sudden ~lease ~ ~eactivity [] ~ia~ [] De~ay~ of Pressure Health Health Component # 3 Name & C.A.S. Number / ~ I ~ I 500 I 250 I 1000 IOanon& 365 106/0f 1 I 4 14~1~ w~ ,~ '~ ~ Physical and Sealth Hazard C.A.S.'Number N/A component # i ~.m. a' C.A.S. Humber Polydimethyld, iallyammbnidm (Check-all that apply) COmponent # 2 N~e & C.A.ao Nu~be~ ~ Fire Hazard ~ Sudden ReZeas. ~ Reactivity [] I~m~ediate ~7 Delayed of Pressure Health Health Component ~ 3 Name & C.*A.S. Number. / N I ~1 450 I 25O 1900 IOa:on~ 365 106/0fl I 4 14~lSouthPe~e~ o~ ~ 100 P oly dime thy.l:.d':ia 1 lyammonium Physical and Health Hazard C.A.S. Number N/A . Component # i Name & C.A.H. Number. Ch!oridc (Check.all. tha~ apply) Component # 2;Nam~ & C.A.$. Number ~-,i.~-a,erd ~ Sudd. n ~.leas. [] ~.~i~ity ~ Z~iat. ID D.leyed of Pressure Health Health . Co, posset # 3 N~me-~&. C.A.S.-~Ntunber EMERGENCY CONTACTS #1 Ted McMullen FJe]H Mmnm~mr 3?5-6290 '#2 Donm]~ T. lJ~hq ~ - ................... Na~ Title' 24 'H~. Phone Name Title Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I hayer personally examined andam familiar with the information submitted in this and all attached documents and that based on my l~quiry of those. individuals responsible for obtaining the information. I' believe that the .submitted information t8 t~ue, a~urate, and-complete. · . . Donald L Wahl, District Manager' NAME AND .OFFICIAL TITL~ OF OWNER/OPERAXOR OR OWNER/OPEI~ATORJB A~R.IZED I~PI~SENT~ZVg ..... DATI~ SIG~D . . CITY OF BAKERSFIELD Farm and Agriculture ~ Standard Bus~'ness HAZARDOUS MATERIALS INVENTORY NON - TRADE SECRET BUSINESS NAME:01cese Water District OWNER NAME:01cese Water District NAME OF THIS FACILITY: LOCATION: ~h~.i~_RdL~N~:of.i~e~. .' .~- .--- ADDRESS: 6200 Lake Ming Road '' STANDARD IND. CLASS CODE: R~ve~.~- ? CITY, ZIP: Bakersfield. CA. qqq~6 DUN AND BRADSTREET NUMBER/FEDERAL ID CITY, ZIP: no~ .... ~.. CA. ~o~ 95 - 303 - 2970 PHONE #: 872~5563 ..... ' ..... PHONE,#: R7~-5563 REFER TO INSTRUCTIONS FOR PROPER CODES Page of Rancheria Treatment Plant I 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual' Measure # Days Cent Cent Cent Use Location Where % by ,. Names of Mixture/Components Code Code Amt Amt Amt Units on Site Type Press Temp Code Stored in Facility w~ See Instructions N } P I 1500 I 750 I ~250 I Ftq I ~aq I 04 I2 I /, I 4!1 Rancheria Reed P~al and Health Hazard c.a.s. Number 007782-50-5 component # 1 Name a C.A.S. Number i00 Chlorine ck all that apply) Component # 2 Name & C.A.S. Number [] Fire Hazard ~ Sudden Release ~ Reactivity ~ I~ediate ~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # 1 Name & C.A.S. Number (Check all that apply) Component # 2 Name & C.A.S. Number ~ Fire Hazard , [] Sudden Release [] Reactivity [] Immediate [~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # 1 Name & C.~.S. Number (Check all that apply) Component # 2 Name & C.A.S. Number -~ Pir. Razard [] Sudden Release ~ Reactivity [] I~ediate ,~ of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # 1 Name & C.A.S. Number (Check all that apply) Component # 2 Name & C.A.S. Number ~ Fire Hazard ~ Sudden Release ~ Reactivit~ ~ Immediate ~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number EMERGENCY CONTACTS, #1 T~ M~,,]]~n ~ u ...... oo~ ~o~0 #2Donald L. Wahl District ManaKer 831-7918 Name -T~i~ ....... °~ 24"~[~r-'. ~h%~e Name Title 24 Hr Phone Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify ~nder peanlty of law that I hayer, personally examined and am familiar with the information submitted in this and all attached docaments and that based on ~y inquiry of those individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. NAME AND OFFICIAL TITLE OF OWNER/OPERATOR~OR OWNER/OPEI~tTOR'S AUTHORIZED REPRES~TATIVE ~"~AT~ ' ! - "~ - ' DATE SICNED