The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLANPrevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT ~015~21~02102 PERMIT ID CALIFORNIA WATER STA13301 . 1000 MADISON AVENUE BAKERSFIELD, CA ~.~ Issued by: B A K I] R S P I B:J. D - FIRE DEPA R TMIN Bakersfield Fire Department OFFICE OF PREVENTION SERVICES THIS PERMIT IS ISSUED FORTHE FOLLOWING: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] California Accidental Release Program [] Hazardous Waste Generator and/or Treatment [] Above ground Storage Storage of Petroleum [].Paint Spray Booth ,.: [] Industrial Hood Suppressi6n SYStem 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 852-2171 Approved by: Expiration Date: ~l<~ph Hue~/, Director Prevention Services June 30, 2006 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the following: [] Hazardous Materials Plan I-I Underground Storage of HazardOus Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002102 CALIFORNIA WATER LOCATION CA Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: NOV ! ZO0~I Issue Date June 30. 2003 ITE DIAGRAM __ gACILITY I~G~ ! RUNDAGE FREEWAY ILO I .1 9 CROSS ~4 6" STL t E-6448 2~ STA. ,)DERI~ELL ~ z$ / 24 N ITE DIAGRAM Business Name: c... t~ f. o ,...,: ~, FA~ I~GRAM [ ~. ! Business ;IV TRU~TUN CI.ARENDON CHESTER PL E 7TIt ST E 6TH ST ST LIB ST RALSTON ST MURDOCK VIRGINIA m~oBRUNDAGI WA Y$1DE AV BEI. LE -. I BELLE MAR OR · '-f:E'tfZ ~ -- MCNEW CT CANNON AV 5Mt ftl S1 BELLE ILNBAC.~ PARA PCHEAIItAM ..... YLLL + CALIFORNIA WATER SERV CO ~13301 Manager : ~ Location: 1000 MADISON AVE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 06 EPA Numb: SiteID: 015-021-002102 + BusPhone: (661) ~ Map : 124 CommHaz : Minimal Grid: 05D FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 ==+ Emergency Contact / Title MELVIN BYRD / DISTR!~-T--biAi~AGE Business Phone: (661) 396-2400x 24-Hour Phone : (661) 396-2400x Pager Phone : ( ) - x Emergency Contact / Title Ti,;i TR~-LOAR / GEN SUPV. P_ Business Phone: (661) 396-2400x 24-Hour Phone : (661) 396-2400x Pager Phone : ( ) - x Fire Press ImmHlth Hazmat Hazards: RSs Contact : / MailAddr: ~9--B~Y;~-~0 ~ City : SA~3-~S%~- Phone: (406) 451-$200x State:-C-A-- Zip :--¢~-1-043 Owner CALIFORNIA WATER SERVICE COMPANY Phone: (408) 451-8200x Address : 1720 N FIRST ST City : SAN JOSE Period : to Preparer: Certif'd: ParcelNo: State: CA Zip : 95112 TotalASTs: = Gal TotalUSTs: = Gal RSs: Yes Emergency Directives anager-Tim Treloar Mailing Address Change: 3725 South "H" Street Bakersfield, CA 93304 -1- 07/28/2003 CITY OF BAKERS. FIE~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: rm~ 1. To avoid further action, return this fo ' y of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief mid concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA } ~'--q ~- ~ --~ BUSINESS NAME: ~_,= LOCATION: ~-~. MAILING ADDRESS: PRIMARY ACTIVITY: '~'~."~ ~'-/o "' STATE: c_~, ZIP: q~'5o.4 PHONE: Ct,,~ 0 3qro zq-o o OWNER: b~, e_ PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT 1. t,q~.l,~,~, ~¥ 2. "1~.',,~, 'q'7,Z1 TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: Co EMPLOYEE AND AGENCY NOTIFICATION: CO. c,'-tl q~l ~,nti & I ~oo - ~57..-1550 ENVIRONMENTAL RESPONSE MANAGEMENT: Do EMERGENCY MEDICAL PLAN: ZARDOUSMATERIALS MANAeMENT PLAN Ao SECTION II.2: RELEASE RESPONSE PLAN I.[AZARD ASSESSMENT AND PREVENTION MEASUI~ES: R .LEASE CONTAINMENT AND/OR MITIGATION: -rg.~. s.,a,'~.,., d...t~oa, to,';b,_ ,'., CJ CLEAN-UP AND RECOVERY PROCEDUI~S: UTILITY SHUT-OFFS ,(LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROI'ANE: WATEIC SPECIAL: LOCK BOX: YES/~.Q) IF YES, LOCATION: '--"-- PRIVATE FIRE PROTECTION/WATER AVAILABILITY Ao Bo I'RIVATE FIRE PROTECTION: ----- WATER AVAILABILITY (FIRE HYDRANT): SECTION .III; _TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SIIEETS ON FILE: BR. IEF SUMMARY OF TRAINING PROGRAM: C._O. CERTIFICATION I, ~/c~ ~"" Jr,~,.' CERTIFY THAT THE ABOVE INFOI~,IATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FUI,I;ILL MY FIRM'S OBLIGATIONS UNDER. THE "CALIFORNIA IlEAL'HI ANI) SAFETY CODF? ON i lAZARI)OUS MATER. IALS (DIV. 20 CI{APTER 6.05 SEC. 25500 ET AL.) AND TtIAT INACCURATE 1NFOPdVIATION CONSTITUTES PEILJURY. SIGNATURE TITLE F ~' ~"~ DATE 4 Ol,i,iCg O1,' ENVIRONMENTA. L SERVICES ~1715 Chester Ave., CA 93301 (~1) 326-3979 BUSINESS OWNER / OPEF~TOR IDENTIFICATION FACILITY INFORMATION Par, jo . "I. FACILITY IDENTIFICATION I ~\('"il',:iYl~-~#----[-- ' ' . . [ ! Year Beginning too Year Ending I. U,~INESS NAME (Same as FACILITY NAME or DBA. Doing Business As) 3 BUSINESS PHONE ,'~IT E ADDRESS [)lIN & , lOS SIC CODE COUNTY I~ ~. ~' v~ (')WNERNAME .C.~I',.(,-o~_~,.',,<:x ~.J¢_. Irw..,,- '~,~.,--,w;~,e_ ~<:~ . ()WNER MAILING (:UNTACT NAME % ~ ~ ~o e.[ ~ ~ llz I CONTACT PHONE C()NTACT MAILING Al)DRESS Sift CIfY ,..PRIMARY.,: ',': .;...."?iV~,:EMERGENCY coNTACTS ~,l.tlOUR PHONE PAGER # ..,,.--- 120 ,. ." .-SECONDARY- NAME '"T~,-.~ ~e. I o o.~.r BUSINESS PHONE (.~_'}___~.~.~_~_t .~ .L .............................. 24-HOUR PHONE .~&_ ................................................ PAGER ¢ ~. ('~,I lificalio~: Based on my Inquiry o! those Individuals responsible for obtaining the information, I cefllfy under penally of law that I have personally ex;m~in,:d ;,nd nm familiar with lbo infom~llon ~ubmillo(! In Ihis Invonlory and believe Ihe Information is true, accuralo, and complele. r;,, ;NA'ruR,]t' ..................... OF OWNER/[OPERA/, T4R ........................................... { ............................. DATE 134 J ............................... NAME OF DOCUMENT PREPARER__ ~^MI.~S OF ow~r-'iff/bis'~i~Tbi~P~;~ii ...................... ~-;" -¥if~-E~'61~i~i~-R)C~i~'I~F~TOR- ...................................................... ,:~, Ill'CF (7/99) S:~CUPAFORMS\OES2730.TV4.wp(I CITY OF BAKERSFIJ~LD ~FFICE OF ENVIRONMENT.~I~SERVICES 1715 Chester Ave.,~ CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY '. CHEMICAL DESCRIPTION (one form per n~te~al pet bo#dm9 or C NEW n ADO ~ DELETE ~ REVISE ~ Page ~ ol ~* I RUSINESS NAME (~e ~ ~ACILI~ ~ ~ D~ - ~ng B~ ~) ' ~ CIIEMI~L LO~T~N .. 201] CHEMI~L LO~TION ~ ~ ~ ~ 1 , , ,j --P' ,0,.0 . 203 ' , ~NFIDENT.L(EPC~) ~Yes ~No 202204 ..o . '* "'i ~ ~ ' 'r~,~ .............................. '" ..... , __1, I..J.,....l , , I ~ _ ..~., .... 205 207- I' IYPE I'11Y SIC,AL STATE r-] p PURE I~ m MIXTURE I--] $ SOLID I-1 w WASTE 211 TRADE SECRET [] Ve~ r.~ No 206 If Subjec~ Io EPCRA. refe¢ lo inslmclitms RADIOACTIVE' [] Yes [] No 212 I CURIES~ rFD HAZARD CATEGORIES [~ 1 FIRE (C.e<~ ~l mat appb') AMOUNTANNI. JAI. WASTE uNrrs* I 210 2-13--I.I I'~1 LIOUID [] g GAS 214 LAROESTCONTAINER 2~5 'Z~kZ::~ c~ t ......................... [~]2 REA~ ~3 PRES~RE~L~E ~4 A~H~LTH ~5 CHRONICH~LTH 2~6 I ~I~M 218 A~ 2~9 STATE WASTE COVE 220 I ~ ga ~L ~ U CU ~ ~ ~ ~S · ~ ~ TONS 221 DAYS ON SITE '~22'~ ' E E~, ~nt must ~ ~ ~. ~ ~ .'; f ()RAGE CONTAINER [~ a ABOVEOROUND TANK [~ · PLASTI~NMETALLIC DRUM r'l i FIBER DRUM [] m GLASS BoI'rLE [] q RAIL CAR 223 (Check all lhal llp~y) . [~ b UNDERGROUND TANK [] f CAN [::] I BAG [] n PLASTIC BOTTLE [] r OTHER [~ C TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN r-J d STEEL DRUM [] h SILO [] I CYLINDER [] p T~'NK WAGON 2TORAGE PRESSURE ~ · AMOIENT [] me .ABOVE AMBIENT [] ba BELOWAIv~IENT 224 STORAGE 1EMPERATURE ~] · AIr, lENT r'l a~ ABOVE AMBIENT r'] ba BELOWAMBIENT [] c CRYOGENIC 77,,~ 226 227 I--1 Yes [] "0228 230 231 [] Yes D No 232 234 : 235 r'l Yes [] No 236 238 239 [-1 yes [-1 No 240 242 243 [] Ye~ [] No 244 229 233 231 241 NAME & 111LE OF AU~OREED COWA~ REPRESENTATNE SI~TUflE , UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd