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HomeMy WebLinkAboutBUSINESS PLAN Per Permit ID #:: 015-000-001945 CALIFORNIA WATER SERV. C ,~; ¡ , LOCATION: N END OF STANDARD ST' \Y[ . :-'/! ;, Issued by: .' -. , Ît Operöte to Hazardous Materials/Hazardous W aste Unified 'Permit ~ CONDITIONS ,OF ,PERIVI,IT ON REVERSE SIDE '~-_;_1'.1 . ~~>':~~~;~! ';; , This oermlt is issued for the following: . ~ Hazardous Materials Plan o Underground Storage of Håzardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment , , . . ~ , , Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd f:looc Bakersfield, CA,93301 Voice (661) 326-3979 FAX (661) 326-0576 . Approved by: 'I Issue Date : Expiration Date: . i~: ,,-'. :'-<~¡"~:~1:~';::~' . June 30, 2003 . ',' - :" ~<",' ~., ;":. '-, ~ ",'." ;. " .. ,--< .7 '" . J' ~~ . ~Sð¿ ~Vlum ðY~ L .' ATLAS CT. ~~- ,~ ~.~ -n + '~ORNIA WATER SERV~ CBKF103 . / . ../-' .---.-/ ,~ ' , . -------------------- -------------------- SiteID: 015-021-001945 + anager : WEL-~Y~ ocation: N END OF STANDARD ST City BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: oc1 1 1.QØ BusPhone: Map : 102 Grid: 23B (661) 396-2400 CommHaz : Moderate 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 : () x 24-Hour Phone : () x Pager Phone () x Pager Phone () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ImmHlth I +------------------------------------------------------------------------------+ Contact: MELVIN BYRD Phone: (661) 396-2400x MailAddr: 3725 S H ST State: CA City : BAKERSFIELD Zip : 93304 +------------------------------------------------------------------------------+ Owner CALIFORNIA WATER SERVICE COMPANY Phone: (661) 396-2400x Address: 3725 S H ST , State: CA City : BAKERSFIELD Zip : 93304 +------------------------------------------------------------------------------+ ~eriOd : to TotalASTs: = Gal Preparer: TotalUSTs: Gal ertif'd: RSs: No arcelNo: +------------------------------------------------------------------------------+ Emergency Directives: (' District Manager-Tim Treloar Asst. District Manager-Bill Harper Contact Person-Tamara Johnson . Same Phone Numbers \ ~~~ 1~3 +==============================================================================+ -1- 07/28/2003 i", .. - - Manager : MEL BYRD Location: N END OF STANDARD ST City BAKERSFIELD BusPhone: Map : 102 Grid: 23B SiteID: 015-021-001945 (661) 396~b1òr CommHaz : Moderate FacUnits: 1 AOV: CALIFORNIA WATER SERV CO CBKF103 CommCode: BAKERSFIELD STATION 01 EPA Numb: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title MELVIN BYRD / DISTRICT MGR TIM TRELOAR / ASSIST DIST MGR Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : MELVIN BYRD Phone: (661) 396-2400x MailAddr: 3725 S H ST State: CA City : BAKERSFIELD Zip : 93304 Owner CALIFORNIA WATER SERVICE COMPANY Phone: (661) 396-2400x Address : 3725 S H ST State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: , : Hazmat Common Name... One Unified List 1 All Materials at Site 1 f= Hazmat Inventory f== As Designated Order EPA Hazards DailyMax MCP CHLORINE F P IH I, -r: JY~o~~m~):"" Do hereby certify that I have reviewed the attached hazardous ma1eriais manage- ment plan for c...~ ~ and that it along with (NaIrne 01 Busfl'less) any corrections constitute a complete and corrsd manD agemsnt plan for rAY facility. L 200.00 GAL Ext )~~J. ß-H--oo Date - -1- 07/19/2000 \ " It e F CALIFORNIA WATER SERV CO CBKF103 p= Inventory Item 0001 COMMON NAME / CHEMICAL NAME CHLORINE SODIUM HYPOCHLORITE 12.5% Location within this Facility Unit FENCED ENCLOSURE NEXT TO PUMP SiteID: 015-021-001945 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 7882-50-5 STATE ---'-- TYPE Liquid Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 200.00 GAL ZAR U %Wt. RS CAS # 12.50 Sodium Hypochlorite No 7681529 HA DO S COMPONENTS HAZ D l\..:> ES I~E TS ::J I USDOT#J ' TSecret RS BioHaz Radioactive/Amount NFPA MCP No No No No/ Curies EPA Hazards / / / Ext F P IH AR cs S N -2- 07/19/2000 e e F CALIFORNIA WATER SERV CO CBKF103 I 'p Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001945 ì Fast Format ì Overall Site ì 04/30/1999 CALL 911 AND (800) 852-7550 OR (916) 427-4341. ~. EmPlo.ýee Notif./Evacuation N/A - UNMANNED SITE. 04/30/1999 ] 04/30/1999 Public Notif./Evacuation WE WOULD PREFER TO RELY ON EMERGENCY SERVICES PERSONNEL TO DETERMINE IF AN EVACUATION IS NECESSARY. HOWEVER, WE WILL EVACUATE THE AFFECTED LOCAL POPULATION AS NECESSARY, IF EMERGENCY SERVICES PERSONNEL ARE NOT AVAILABLE. Emergency Medical Plan 04/30/19991 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL. -3- 07/19/2000 ¿ï-: .., e e F CALIFORNIA WATER SERV CO CBKF103 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001945 l Fast Format l Overall Site l 04/30/1999 STORED IN AN ABOVE GROUND SECURE AREA. Release Containment 04/30/1999 THE SODIUM HYPOCHLORITE IS SECONDARILY CONTAINED. Clean Up Other Resource Activation -4- 07/19/2000 ; . e e F CALIFORNIA WATER SERV CO CBKF103 I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-001945 l Fast Format l Overall Site l I 04/30/1999 A) GAS - N/A B) ~LECTRICAL - SERVICE BOX LOCATED INSIDE FACILITY. C) WATER - N/A D) SPECIAL - N/A E) LOCK BOX - NO FireProtec./Avail. Water 04/30/1999 PRIVATE FIRE PROTECTION - ?????????? NEAREST FIRE HYDRANT - ON SITE WELL DISCHARGE. Building Occupancy Level -5- 07/19/2000 'i'--:e, e e F CALIFORNIA WATER SERV CO CBKFI03 I F Training Employee Training SiteID: 015-021-001945 ì Fast Format =¡ Overall Site =¡ 04/30/1999 WE HAVE NO EMPLOYEES AT THIS FACILITY IT IS AN UNMANNED SITE. WE DO HAVE MSDS SHEETS ON FILE. , BRIEF SUMMARY OF TRAINING PROGRAM: CALIFORNIA ¡'¡ATER SERVICE COMPANY PROVIDES THE FOLLOWING TRAINING: 1. SAFETY PROCEDURES IN THE EVENT OF A HARDOUS MATERIALS RELEASE OR THREATENED RELEASE. 2. HAZARD COMMUNICATION STANDARD. 3. EVACUATION PROCEDURES. 4. PROPER HANDLING OF HAZARDOUS MATERIALS. 5. HMMP IMPLEMENTATION. Page 2 I I I Held,for Future Use Held for Future Use -6- 07/19/2000 "" ' ' ~ INSTRUCTIONS: - e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 Ic,Œ4S ~ e , fO? -'~ :: r. '\ I/~ C Æ I( Jíí1 Fl03 IkN fpl. 1. To avoid further action, return this form within 30 days of receipt. . 2. TYPEIPRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: (} ITY ðf= ð~I¿.e\2""-.;) FI E:: L-t~ 'CE~ ~ T Á . F If) .2 LOCATioN: · tp/<l71 éívp " .trill/PARI) d!i: c.../o' C'A L- \ FOR-~ c ~ \JJ".. ~ SE: ~~{ I c.e.. COM j:>OÞ.NY C' "'lit MAILING ADDRESS: ~t'2 S ~OUïH ,.., ~ï12.e:z::ï . CITY: e,AI,¿EI2.-S F I ~L--Ö STATECA. ZIP~3ö4PHONE:€sos)~·2Aoo SIC CODE:49A , DUN & BRADSTREET NUMBER: 00 - (ò9 \ - 3S"7 B PRIMARY ACTIVITY: R"~\..I~YOR 04=' Do,....",ecsïlc \,vÂTt:::R. o f"T'""-( OC ~~2~F( e- L..D OWNER: 0../0 C""'-'f'C?~NI'" WÞ~~"Ic£ Cù~;\p.þ.~'Y " L.I MAll..INGADDRESS: 37'2.'5 S'o~ -bt ~"""ï SECTION 2: EMERGENCY NOTIFICATION CONTACT 1. M£,-",~ '&I2D 2. Tì,...~ TrzELDAR , TITLE BUS. PHONE 24 HR. PHONE . , D'~ cr \114~'I\6'IéQ. ~D~ ')ß%-24 00 5~E3:. ~ ~TT2-,cíMA-\.1~ II t( 1 '. - e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: 'N O~. - Ut.JMwtoN....:e:o S I'T1!: MATERIAL SAFETY DATA SHEETS ON Fn.E: 'YE-S BRIEF SUMMARY OF TRAINING PROGRAM: CA'-\~UA W A-""RiõQ~~VLc.e OC'J'ovlI'?A,þ..I'(' PR.dtV\ P.BS ït+E. Fou-Dw N 6 TRAI N' W£:r -: CI::> ~Fe"l"l ~OC.l!H~yltD;. 1"'""T'f+-~ E..VENT -t:>F A ·'µA,,%.A."1:2OI.HJ~1'4,Â.TER.IA&-S C2..'Euëþ..SE D~ ~~~"T'ENE.1:) ~I 1iJ"4$:- <Ð ..l-\..A"ZbÞ i") Co,..,.. N1 u.....~"T' ~ '" Ç+¡..,..¡ OÞO,Q.f;> ~ EV~þ.'" ø.... ~oc..QU~E;."5 @) ~..:)~ U...... þU Nw OF l"¡AV-1:2DØI.l~ t'-1('-~.""5 ® H MMI-=> IMP.....t'v1EN~r,o.... SECTION 4: EXEMPTION REOUEST 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 TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I' I, ~1''' }...tEDr=t,CK. CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT TIllS 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. II I Ç?~ tJ --rQ ~ SIGNATURE \=k.:>DUC'T\O..... Ç,. PeR ~ [::Et-.." TITLE Á -'o-~8 DATE 2 e e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: CAL-L Sf' .ANO (SOD) 852-1550 OIZ (<=3(Cc» L127- -4YII B. EMPLOYEE NOTIFICATION AND EVACUATION: WA. U....t-A...~I~DÇ'~TE., C. PUBLIC EVACUATION: \1l(I!. \AfOUL..\) P~'FeR ïO Rid.- Y 0..1 E.\vte.u(~Cy ~~\., I ce..Cã 'P.ERS.OWN~' TO D«=-. ï):RJ'v , N eo (~A N .EY.þ.C..(j A--n ON IS Ne;. Ct:.."'$. Þ-'R'.(. W (;) '^' E::..'\J e'R. I \NE W I w.. !:SV AnC;W ¡,. TE T~E AR=€CTE.O LðCAL PO"PULAIldÑ Ag NEOE..~ARY t t F i='t-I\EC:6E:.-...Jc',-' SEl2...\.JlceS· PE.'RSo,.....'~\~L A'KE NOT AVA I'-Þ'Ö'-E:.. D. El\ŒRGENCY MEDICAL PLAN: 1'-At.DICA L- ASSI'"5T;b.NCE.. W OUI,...\J ß.E. r.::::'R 0" I DE. 0 'ò.....( ~A.e:..RCy ~OSP IT,b.I..., TRU '>L TU~ A\. ~ Lie.. I 8Ä~i='~U:> 3 " 'i,. e e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: SOC>'UM µ'f"'POCHLC9rTE \:5 ~~{;D '1'.1 Þ.1-1 A"ßCl.....,e. G-ROUND ~u~e. AR"¡¡¡;~, B. RELEASE CONTAINMENT AND/OR MINIMIZATION: T4£ S'OD'UM HYPDC+-ILD1Z nE \5 <Sa::~ ~ :2' L..y C~'-.þ I NG:.1::>. C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURALGASIPROPANE: N/A ELECTRICAL: ~v, OE ð<:::N.. l-Ot;. .ïEO IN '51 Dt!- ~ÂC' 1-1 T'r" WATER: N/Á t-----II þ. SPECIAL: LOCK BOX: YEs@) IF YES, LOCATION: " SECTION 9: PRIV ATE FIRE PROTECTION/W ATER A V All..ABILITY A. PRIVATE FIRE PROTECTION: i' B. WATER AVAILABILITY (FIRE HYDRANT): Ft~.wYDCtP.,,",ï -ON £/"1'1ë \.u..I.-L. D\S:.t+p.~ 4 T " e e - CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME OlT"'"( OF' ~AM'~I2..S1=I 5'\-(") FACILITY NAME C~ -ST~. ,&:'10:3 SITE ADDRESS 7(0~7N 6 f) () ¡: $7ANtJAR¡) ~f' CITY 5,A.I.£el2-cs.'F(e=~ STATE C'A ZIP 9~~ù\ NATURE OF BUSINESS Pu~ VE.Vc:li:2 OF DO,....,1f~"'STïc.. W ~TeR... .~ 4~4l ,DUN & BRADSTREET NUMBER oo-~9 ( - ~5êß SIC CODE . w/OPERATOR O~I-H=Or2NI,...\J~~VIC.£ ~w.tJ-æHONE( 80S) 3~'=-'2AOO MAILING ADDRESS 372.5 Söv~ I.l bJ" ~¡-. CITY ~\ool.e:,~"'"S. Fl Çë-......, STATE CA. ZIP C::::>ð~c>4 EMERGENCY CONTACTS NAME . t'- Æ E= L... \.¡ ",( By'.:¿ f) , TITLE Q--S..,-n.IC::T "flA"-'A.Cr~ BUSINESSPHONECfu5)3~-2AoO 24HOURPHONE SA.....~e. NAME l"it'/1 \12"E:L.OAQ.. TITLE ~ '"TA"'rr D-$TQ. c-rl'1\ A"-I""GØIfZ- BUSINESS PHONE (60.;;) "æb-'"2400 s,.,s.. y....1\£:., 24 HOUR PHONE 1 wem>0US MATERIALS INVENTOe . am/J.. ~ n ; Page..L of 1- BÚ5iness N l-IFC"Rt.HÅJþ..·r~.;¿ lCE:LO. AddIess CI3~ 5í1f F/o ~ l/olPI I'll" ()F .r;¡ON£)A~J>.s) ~- . CHEMICAL DESCRIPTION 1) INVENTORY STA1US: New [)( Addition [ ] Revision [ ] Deletion [ ] Check: if chemical is a NON Trade Sam fX] Trade Secret [ 2) çommon Name: 0+-1 Lo¡? I ... 1'£7; 3) DOT ## (optional) Chemical Name: SOD 1 \J ~II \J 'YÞOCH L- OR -¡E:. ( 2 . 5;t?AHM [ ] CAS ## ~(<Oê 1'52-9 4) Physical &; Health PHYSIC~tz. ~::SI v ~"") HF.AL1H Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure l] ediate Health (Acute)[ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE ] Delayed Health (Chronic) fX1 At 6) PHYSICAL STATE Solid [ Liquid ~] Gas [ J Pure l)<.J Mixture [ ] Waste [ ] Radi08áive [ 7) AMOUNT AND TIME AT FACILITY MaximIUD Dailv Amount '200 Average Dailv Åmount 200 Annual AmoÚnt '20 \::) Largest Size Container 20 0 t# Days on Site '3C'ó5 UNITS OF MEASURE Lbs [ 1 Gal D<] ft3 [ J Curies [ ] 8) STORAGE CODES a) Container: 02 - R","STìC- b) Pressure: c) Temperature Circle \Vñich Months: All Year, J, F, M. A, M. J, J, A, S. 0, N. D 9)~: LiM the three most haÍardous I ) chemical components or 2) any AHM components 3) COMPONENT CAS" %wr AHM [ ] [ ] [ ] IO)LOCATION 1- r- e e...1 C e...:) £ t-..I C ~~~_UI2.e. )4é.~T '"T'\.:::) Pû ,..'" ,-=> Chemical Name: 3) DOT #I (optional) AHM[ J CAS# I) INVENTORY STATIJS: ~ew [ J Addition [ ] Revision f ] :)~leùon [ 1 Check if chemical is a NON Trade Secret [ ~) Common Name: 6) PHYSICAL STATE Solid [ ] Delayed Health (Chronic) [ ~) Physical & Health PHYSICAL Hazard Categories Fire ( I Reactive ( ] Sudden Release 01 Pressure ( 5) WASTE CLASSIFICATION ;) AMOUNT ..\.\'1) TIME Ai F..\Cll.ITY Ma.\Ut11UD Daily Amount A\·er3g~ Daily Amount Annual Amount largest Size Contalner 1# Days on Sile l "}''TIS . Œ.ASURE Lb·· : Gal ( J 1\3 ( (uries [ J USE CODE MixtUre [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature Liquid [ Gas ( J ,. Circle \\ 1ùch Months: All Year, J. F, M. A, M, J, J, A, S, 0. N, D .' ;" 9) MIX1URE: List the three most hazardo chenucal compo~ or anY7Øónents I~TION I certify under penalty of law. that I have personally examined an~ am tàmiliar with the inlònnation on this and all attacbed documcDts. I believe the submitted information is true, accurate and complete. ~ . k',,,~ µED~'C\(' -~OÞuCTto",Ç'C-'~~It..tts.._u::aNt' ~~ -.Q~ ~...\o·95 PRINT Name it Title of Authorized Company Reprcsentauve Signature Date COMPONENT CASt# %wr AHM [ ] [ 1 [ ]