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HomeMy WebLinkAboutBUSINESS PLAN RETURN pAYMENTS TO: ß;6"VF BAKERSFIELD , P,O. BOX 2057 BAKERSFIELD, CA 93303-2057 STATE'MENT OF ACCOUNT PLEASE MAKE CHECKS PAYABLE TO: CITY OF BAKERSFIELD ACCOUNT NO. HMô44'9iJl " ' {,.,.-" .,," ... FIRE OEPARTMENT ... MS2ardous "~t.ri~ls Handling Account 011-11111 Site ~d~ress: WARRENTON AV AT FeesP~evtous Balance " . , _¡'!T~-';~~¡"~~f.~'~ .t!"\~~;"~jP'!.: ~·~i~>~¡ft!'~'·'~ ~r~!l~l':~~~~~:'~;~!~ ~ARVlHtiR.ST"c.'A!.G 1\.4. ';;<1';': ,'1' 'J"I " . . 'ii' ~ \ : .......- <. \ \.~' .. '. 'I , ,¡ ; .. : 1:; ~ ¡; \ i I 11~.Ol !'" ~... "."~.,, 'f~""'~"\'" , < ~ , , ' . t. .. ~ " " , .",.",~~ ' ~ .' , ;:;~;:t)fl)1~~'9fJE~i~~Q1 teE '.ÐÀTE '09/0'j/9.Ô YQUR AC(OUWT IS OElINø.UENT. f':ulA'NèE CHARGÉS WI Ll BE ASSESSED MONTHUt O~ THE ß,AlANÇE uÞilll IT IS PAIn, Hi .FtJll " " ,,' .' ,,' $te~em¡!:nt 51a}. riot ,ef,tec~'~O$t t'e~e~t·~:.p,·a:y~~~tSti\ ',',,, ,.' -",. . ~. , . >.. --...--..--.... . TOTAL NOM DUE 112.Ql \':'/:, .~.. ", ~~ff\~ ORtG~N~O- INQUIRIES CONCERNING THIS BILL, PLEASE PHONE: 326-3919 CAlI~OR"IA WAtER SERVt(~ CO 644'01 3125 S H sr aAKERSF.f~O CA 93304 CUSTOMER COPY .. RaTURN PAYMENTS TO: .......~n;V"OF BAKERSFIELD P,O, BOX 2057 BAKERSFIELD, CA 93303-2057 STATEMENT OF ACCOUNT PLEASE MAKE CHECKS PAYABLE TO: ACCOUNT NO, ;'!tL'.1;J.'¡;' 'H¡1. CITY OF BAKERSFIELD ~*~ FIRE DEP~RT~ENT **. d,3 z {)rdotl S f~(! t{~ ri at g H<"JnG1 ti ng F e~ s ':~<;,;¡olmt û;,l-1.1,117 , " " .:;. it!: f\ dd r ~n:! '}: H Mk¡H: I'" r ON A'if :\ T M ·-ì.iiV lHth~ 5'f "'(': ~.,tC. 12.. , " Pr¡;;>.,dous 3alanci':? U.2,,01 ~'\, '(J¡ . ;/11 '#, !;~ ... 'J¥ .;.., ~ ' " ., ,~ ..' ," " ,- ,- -.- ' " " Of 4,tf'H~J Ut.?.; ~:itI,aJ\,¡~H I Cf iJ At i: O? I ',J 51 '1 {) X,Ùlít: ¡'\~CO¡jNT IS Ð;ç:llt<~)lJEr-;'f.. ~INA~Ct Ch~RGfS ~llL ~E ASSfSSCÐ MONTHLY CN THE ~ALA~C~ iJ}ìHt ¡~ IS ì)f'¡;:¡ f N fULL ~t~te~~"t may not reflect rnas~ r!=~n~ pa/aents~ --"'*------~ T J r t,L NOw D t;;::, 112",Q1 i ~ ~@o~m , ,/ 7--- ~.~ r INQUIRIES CONCERNING THIS BILL, PLEASE PHONE: ! , l :~2ð-3t';1""<I (ALIFO~N[A WAT~~ S~RVIC~ (r 64~~Ol ,5ο5 S ,< S'f :'3 ¡{ Þ: :;: ;; .3 ¡:, X .~. t~;, C i\ ~~ :) ~ f; i~ REMITTANCE COpy - - CALIFORNIA WATER SERVICE COMPANY 3725 SOUTIl"H" STREET - BAKERSFIELD, CA 93304-6538 - (805) 396-2400- December 05, 1995 P/fl, /!t! 7ð7§¡; h~~ r -.oj W/~ V !, ,D tc 1 ,) l!;;; '0, ' ,-, 199 - ( [8 . I, "') / -y~ ' ---~, II -':-:'-~::--:---" .,-'-......~ -~-..", Ralph Huey Bakersfield City Fire Department 1715 Chester Ave, Bakersfield, CA 93301 Re: Hazardous Materials Management Plan Deletion California Water Service Company is requesting to delete the HMMP for the site at Warrenton Ave, east ofMaryhurst S1. called CBK-12, Butane is no longer stored at this site, If you have any questions regarding this, please call, Sincerely, ? o _ ~I Q.~~ Kim Hedrick Production Superintendent KHlpc cc: Kent Adney e -- RECORD OF TELEPHONE CONVERSATION Location: W c.J r fP",-,(.cY"- Cãù YV!I\-I'y / L,ùrsl- 10#_ Business Name: ~~l w~ 1::., ~ 4e.-""c-Or, c.l~ e?' Contact Name: Business Phone: '33 '2- - L ( 4 , FAX: Inspector's Name: ~w Time of Call: Date: , 7..-/ 4 Ie, r- Time: # Min: Type of Call: Incoming [~ Outgoing [ Returned [~ Content of Call: ~J L.PG 'TG..k e..,.l- $1 +-e... f\J.A, {,eø/ WI II ~<. ( gFD I ~.u~ ..fD c~ (..<!!/( I~r.f~·t.- (6J W~44s ).. cj(.)s.~ C) t ߟ~", p(~""", rce.q~e.~ LI ~.~ \ - --------- ," Actions Required: AM PM ;1 M E M s E : M G o E -r , PHONED SIGNED WAS IN 0 URGENT 0 Time Required to Complete Activity # Min: ..¡- -¡r - e ~ 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 Overall Site with 1 Fac. Unit Page 1 General Information Location: WARRENTON AV\MARYLHURST S Map:122 Haz:3 Type: 3 City . Grid: 02B F/U: 1 AOV: 0.0 . ~ Contact Name Title ~ Contact Name G.ell\. ~ 1 it Ití~ 11\ ~II\Ò.~ IV"\" _T'> .... \ 'if\~\vi'" ßy....~ / DISTRICT MANAGE MiELVIIt ....1<:rn \ìtÞ\ Tr~\~l' / ASSIST iHSTMAN Business Phone: (805) 324-6011x Business Phone: (805) 832-2141x 24-Hour Phone · (805) 327-2161x 24-Hour Phone · (805) 327-2161x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: P.O. BOX 1150 D&B Number: 00-691-3578 City: SAN JOSE State: CA Zip: 95108- Comm Code: 215-011 BAKERSFIELD STATION 11 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 c:..~ l 2.-0 , (j~ r, t~o~~~ Do hereby certify that' have reviewed the attached hazardous maten"a' , C4 \¡-Ç, \.Ù 4- sma. .age- ment plan tor' Q;\e~ SeY'''Y\<e. Co" . (Name 0' Bualneaa) and that It along with any corrections COnstitute a complete and correct man- agement plan for my facility. '. ~~~ c¡ (3¡'y Date . i e e 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards 02-001 BUTANE . Fire, Immed Hlth, Delay Hlth Form Max Qty MCP Liquid 300 High GAL · ¡ e ·e 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 BUTANE ~ Fire, Immed Hlth, Delay Hlth Liquid 300 High GAL CAS =It: 106-97-8 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 300 I 300.00 I 300.00 Storage r Press T Temp -:ì Location FIXED PRESS. CYLINDER Ambient AmbientlCLOSE TO WELL SHELTER - Cone --I Components 100.0% n-Butane Or Butane Mixture MCP ~Guide ~igh I 22 ,. · . e e 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 4 <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 . , . . e . 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention <2> Release Containment IF THE ABOVEGROUND BUTANE TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE MADE WITH AN OUTSIDE COMPANY TO STOP THE LEAK. <3> Clean Up RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT R£MEDIATION CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. <4> Other Resource Activation - e e 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 6 <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 DON'T KNOW IF THIS AN OCCUPANCY OR MERELY AN INSTALLATION SINCE IT IS ONLY MONITORED AS OPPOSED TO OCCUPIED. IF IT DOES QUALIFY AS AN OCCUPANCEY THEN IT MUST BE AN "H". . I 1':"-" e . 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE NO EMPLOYEES AT THIS FACILITY. DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? y~> BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use I <4> Held for Future Use '. .: . .' r -, e . 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 8 <H> RMPP DATA <1> Release Containment <2> Offsite Consequences <3> In House Capabilities <4> Plant Shutdown Instruction . ~ I" ., e . 08/04/94 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 9 <I> Underground Storage Tanks <1> Leak Monitoring Methods <2> Leak/Spill Response Plans <3> Financial Responsibility <4> Tank Test/Service Company r, ; '; ~ ...-¡; . . ~ 08/18/92 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 Overall Site with 1 Fac. Unit Page 1 General Information Location: WARRENTON AV\MARYLHURST S Map: 122 Hazard: Moderate Community: BAKERSFIELD STATION 11 Grid: 02B FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone B.D. LEWIS DISTRICT MANAGER (805) 324-6011 x (805) 327-2161 MELVIN BRYD ASSIST DIST MANAGER (805) 832-2141 x (805) 327-2161 Administrative Data Mail Addrs: 3725 S H ST D&B Number: 00-691-3578 City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 4941 Owner: CALIFORNIA WATER SERVICE COMPANY Phone: (408) 4"53 84-i-4' Address: 1720 N FIRST ST State: CA LfSI ~ ?aoo City: SAN JOSE Zip: 95112- .. Summary RECEIVED SEP 2 4 \992 HAl. MAT. OlV. (()~ ~i \('e.t\+ Aà~ Do hereby csi1j~ ~~ ~ have (TVP3 or print i"e"i~wsd the a~chGd hazardous maRsHals mana@<a- (GAUW©~i\j~A WATER SE~VWE CO, ment plan ior SInd thaR it ~I©~g with (Nm1ø of BU9ineSO) IaIrD1? oo!i'U'OOtion$ rorD®ft¡~U~~ tal ©ompls~s smd oorroo man- ta1g~m~nft pian for M1f ~~©Ölô~W. i, , !J.¡juJ. 'W~ SieMtUro ctlLJ I Cf-z.. DÐIO (ß"- \t...()1 ,/ " ~ '" e . I 08/18/92 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 BUTANE ~ Fire, Immed Hlth, Delay Hlth Liquid 300 High GAL CAS #: 106-97-8 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 300 I 300.00 I 300.00 Storage r Press T Temp ~ Location FIXED PRESS. CYLINDER Ambient AmbientlCLOSE TO WELL SHELTER - Conc ~ Components 100.0% n-Butane Or Butane Mixture r= MCP -¡List ¡High I ,- 1 " . e . I 08/18/92 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 3 <D> Notif./Evacuation/Medica1 I <1> 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 . e . 08/18/92 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 4 <E> Mitigation/prevent/Abatemt <1> Release Prevention <2> Release Containment If the aboveground butane tank were to start leaking, arrangements would be made with an outside company to stop the leak. <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 ,;. .. - e I 08/18/92 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 5 <F> Site Emergency Factors I <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 DON'T KNOW IF THIS AN OCCUPANCY OR MERELY AN INSTALLATION SINCE IT IS ONLY MONITORED AS OPPOSED TO OCCUPIED. IF IT DOES QUALIFY AS AN OCCUPANCEY THEN IT MUST BE AN "H". ¡ .- .. ,~ . . e . 08/18/92 CALIFORNIA WATER SERVICE COMPANY 215-000-000094 00 - Overall Site Page 6 <G> Training <1> Page 1 ¡Œ HAVE 11 EMPLOYEES 1\.'1' THIS FACILITY ÐO YOU HAVE P~TERIAL SAFETY DATA SHEETS ON FILE? ÐRIEF SUMMARY OF TRAINING: no ~\M,f[oý~~.s 0..+ ~~'::. o¡;ì~- <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 'i f2/27/91 CALIFORNtlÞWATER SERVICE COMPANY 241Þ000-000094 Overall Site with 1 Fac. Unit Page 1 General Information 1. © Location: WARRENTON AV\MARYLHURST S Community: BAKERSFIELD STATION 11 Map: 122 Hazard: Moderate Grid: 02B Flu: 1 AOV: 0.0 Contact Name B.D. LEWIS MELVIN BRYD Title Business Phone DISTRICT MANAGER (805) 324-6011 x ASSIST DIST MANAGER (805) 832-2141 x 24-Hour Phone (805) 327-2161 (805) 327-2161 Administrative Data Mail Addrs: 3725 S H ST City: BAKERSFIELD Comm Code: 215-011 BAKERSFIELD STATION 11 D&B Number: 00-691-3578 State: CA Zip: 93304- SIC Code: 4941 Owner: CALIFORNIA WATER SERVICE COMPANY Address: 1720 N FIRST ST City: SAN JOSE Phone: (408) 453-8414 State: CA Zip: 95112- Summary RECEIVED JAN 0 61992 HA7. MÄT. OIV. E ¥ {]~ ~ø \< ~~~c.r ~br Do hereby certify that í havE. reviewed the -attached h??Si'(()i.,$ materials man CAlfFORN!~ WATER SERVICE Co. . age- msnt plan for ':,nf~ ft t ·t I . "'J', ;;Tõ.:--;;:::-:-:----'" ".. "la I a ong with \1 ....r7'!n _. Di.~$:¡ ~.:.:.....} ®Il')l' corrections conS!Îtui.a a cornplete and corrsct man- ~gl9m®m plan 10r my facility. \G-~, S!ønoIll I/z.hL DÐI$ (~k. \1..--6\ ,. CALI FORN4t WATER SERVICE COMPANY 2J1þOOO-~00094 02 - Fixed Containers on Site Page 2 1-2 / 2 7 / 9 1 Hazmat Inventory Detail in Reference Number Order 02-001 BUTANE Fire, Immed Hlth, Delay Hlth Liquid 300 High GAL CAS #: 106"'"97-8 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 300 I 300.00 I 300.00 Storage r Press T Temp -:-1 Location FIXED PRESS. CYLINDER Ambient Ambient CLOSE TO WELL SHELTER - Conc ~ Components 100.0% n-Butane Or Butane Mixture r= MCP -¡-List High I , I <¡ CALI FORJIt WATER SERVICE COMPANY 2J1ÞOOO-000094 O~ - Overall Site Page 3 !2/27/91 <D> Notif./Evacuation/Medical <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 - CALI FORJIt WATER SERVICE COMPANY 2J1þOOO-0~0094 00 - Overall Site Page 4 12/27/91 <E> Mitigation/Prevent/Abatemt <1> Release Prevention <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 · 12'127/91 CALIFOR~ WATER SERVICE COMPANY 2t1l000-000094 00 - Overall Site Page 5 <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 DON'T KNOW IF THIS AN OCCUPANCY OR MERELY AN INSTALLATION SINCE IT IS ONLY MONITORED AS OPPOSED TO OCCUPIED. IF IT DOES QUALIFY AS AN OCCUPANCEY THEN IT MUST BE AN "H". ~ CALI FORJIt WATER SERVICE COMPANY 2J1tOOO-00~094 00 - Overall Site Page 6 12/27/91 <G> Training <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY o 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 1:'? '~,. · Bakersfield Fire Dlt. Hazardous Materials Inspection RECEï\lEO AU6 3 0 1990 % ~2p.-Q....Ans'd. o L ú" ........... Date Completed Business Name: a.J( VaÆtú ~µi¿ (!¡r Location: ()./'~ @ <lJtt£M¡~ ©Y-- Plan ID # 215-000JLt)?L( (Top right comer Business Plan) _ Station No. / ( Shift 13 Inspector !\ cÄi8¿ ~~~ 1 ~'~ Adequate Inadequate . ~ ~rification of Inventory Materials ~ '''ANY! Pftl11l.k_ ~ 0 f/ Vt ~ \\~;;;¡;;;¡¡;:Ji.¿1/ ~. Verification of Quantities J ~ ~ ~ ~,' LJ 0 Verification of Location ~ .ffit à ~ vÚ11 ~ ~ 0 PropersegregationofMaterial~ ~~ --te c&.ÆbL ~ 0 CommentJ;:~<AJø<I~~ ~ ~a*v~~J ld 0 Verification of MSDS Availability Number of Employees Verification of Haz Mat Training Q-- o Comments: Verification of Abatement Supplies & Procedures Q~ D Comments: Emergency Procedures Posted ~ D EJ a-- Containers Properly Labeled ~ ~W~ Comments:~ ~ ~ g¡d Verification of Facility Diagram o o Special Hazards Associated with this Facility: Violations: ~ FD 1652 (Rev, 3-89) White-Haz Mat Div, Yellow-Station Copy Pink-Business Office e _ September 12, 1990 TO~ Nina Mayer, Accounts Receivable FROM~ Ralph E. Huey, Hazardous Materials Coordinator SUBJECT~ City, County agencies to be made exempt Nina, per our phone conversation, the £ollowing account numbers are to made exempt and any balance owing on these accounts should be voided. HM 647201 - Kern County Hall o£ Records HM 644701 - Cali£ornia Water Service (owned by City) HM 644801 - Cali£ornia Water Service (owned by City) HM 644901 - Cali£ornia Water Service (owned by City) HM 645101 - Cali£ornia Water Service (owned by City) HM 645701 - Cali£ornia Water Service (owned by City) HM 645901 - Cali£ornia Water Service (owned by City) HM 646101 - Cali£ornia Water Service (owned by City) · 4I!AKERSFIELD CITY FIRE DEPARTMEN~ 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 j!;;JR-O ~ II - II OFFIcrAL USE ONLY ID# ¡;SIXESS \'A~E HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: Cf+ {j£)¿3 ~QI 1. To avoid further action. return this fQpm by 2: TYPE/PRINT ANSWERS IX 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 A. BUSINESS NAME: California Water Service Comoany LOca.t: {ON - R.. ~1J"to^, Q.ve Q"t:- B. 1 r / STREET ADDRESS: 1725 South "H" Street CITY: Bakersfield ZIP: 91104 BUS.PHONE: (80S ) 312-2141 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. E~PLOYEES TO NOTIFY,I~ CASE OF E~ERGEXCY: XA.'fE AND TITLE DURI~G BUS. HRS. AFTER BI:S. HRS. A.B.D. Lewis, District Manager Ph# 324-6011 Ph# 327-2161 a.Melvin Bryd, Assistant District Manager Ph# 832-2141 Ph# 327-2161 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. ~AT. GAS/PROPANE: North of last parking stall near office building. B. ELECTRICAL: South-east corner of office building. C. WATER: 10' west of gas meter. D. SPECIAL: None E. LOCK BOX: YES /~ IF YES. LOCATION: No IF YES, DOES IT CONTAI~ SITE PLANS'? YES / NO MSDSS'? YES , NO ! FLOOR PLANS? YES / NO KEYS? YES I ~O e SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE . Company personnel would deal with any emergency in concert with local emergency service agencies. Any and all removal of a hazardous material would be conducted 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 ~~D REFRESHER TRAIXING IN THE FOLLOWING AREAS. CIRCLE YES OR ~O INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS :'o{A TER IALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:..... ............. .... .... ~ NO C. PROPER USE OF SAFETY EQUIPMENT:........ ..... ..... ~ NO D. EMERGENCY EVACUATION PROCEDURES: .... ... .......... ~~NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.... ... ~ NO SECTION 7: HAZARDOUS MATERIAL REFRESHER @ NO c:Jj.i) NO ~NO , NO ES NO CTRCLE YES OR NO OR NONE .DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POrXDS OF A SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:..,... YES ~ I, Ravrnond 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 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. LEDicector of Water <;>atity DATE '3h.o/90 / - 2B - e e ',," """""1._'1( ""4'," F'I<:Ol-lr, ELEVÁTiOAl REÞ.R f:LEVÁTiOAí -IyPl c...¡ i.- ".E~~ ~trl '''IIA/'' M,r.., Þ:JoIt J\O·oII!('\.·...,""'· .",.." .,AlM/6 ·'~"r !>to F: ELEVÁTiON -.- ~'t:>E; ELEVÁTiON rvYnp RU/L..b IAJ Go. ',,:c· _*III_C, M'C._ ,...·..'.,-__6..W· '1.._, 'V6"U ··~'1:~ø¡:9 .. s 1'»O,...""¿: I I L J I o 'o~ø· FOUi.lOÁTiOA/ ¡ FLOOR Pl..AN CALIFORNIA WATER SERVICE CO ENGINEERING DEPARtMENT . DIIrnncT PUMP ßUILDIN6 DMWN .y aT. HO, ::0. C.W.7Qo _w TRAC~ .,. CHD:klED" ..,...... No ""Þ.I.E e e l' BAKERSFIELD CITY FIRE DEPART:!EXT 2130 "G" STREET BAKERSFIELD, CA +93301 a~?:CTA~ rSE aXLY ID;: ------ 8US EESS X.-\~Œ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1." To avoid further action. this form must be returned hy: 2. TYPE/PRIXT YOUR AXSWERS I~ ENGLISH. 3. An~wer the ~uestions b~law fer THE FACII,ITY ~XIT LISTED 3E~aW 4. Be as BRIEf and CO~Cr3E as poss:ble." FACILITY tmIT~ FACILITY UNIT NA~: California Wa~er Service Company CBK 12-01 SECTION 1: ~ITTGATIO:;, PREVEN7ION, ABATÐ!EXT P~OCEDC'RES o Release abatement woùld be performed by an independent remediation consultant as needed, and to the satisfaction of the responsible regulatory agency, SECTION ~: XOTIFTCATION .. "'.'" ."""~'U ZVAC~ATION P~OCEDl~ES AT THIS l~IT O~LY N/A .t;,~ - 3A - e e '-. SECTION :3: HAZARDOIiS :-!ATERIALS FOR THIS ¡;NIT OXI. Y ,j w A. Does this Facility Unit contain ~f.\;:;u'àous :-[aterials?..... ~::o If YES, see B. If NO, continue with SECTIO~ 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: ~O~-TRADE SECRETS OXLY (white form ~4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS O::LY (yellow form =:4A-2) in addition to the non-trade ~ec~et form. List only the trade sec~ets on form 4A-2. SECTTON 4: PRIVATE FIRE PROTECTTO~ Fire Extinguisher ,~ """ SECTION 5: LOCATrO~ OF ~iATER SL~PLY FOR USE BY E~RGENCY RESPONDERS On-site well discharge. SECTION 6: LOCATIO~ OF LïILITY Shüï-OFFS AT THIS L~TT O~LY. A. XAT. GAS/PRO?\XE': N/A 8. ::LECTRICAL: Service box located inside well pump shelter. C. í~ATER: N/A .~ D. SPECIAL: N/A ~. LOCK BOX: YES ,@~? YES, LOC..;TIO~;: IF YES, SITE PLAXS? FLOOR PLAXS? YES / XO YES / ::0 )[SDSs? ~EYS? YES XO YES l XO - 38 - - WAS Ilt.I.()(.AT@ þf ¡¡¡ ¡¡~. - -.6--- ,....:c:.:=.::::......... ,-",,--- .........' ,,' ,.- ',', ,~ . " . . ' ,. , . ,,' " " , I , I I, II ,. II II II I' \ , \\ \' \\ =>--:Z: ( "::JCÅ\.. to; \". \ ' < II e--4 ~~,t'":::'l1 . .N4I'J-fA' (US tJI/T¿¿r C -.:::1 J ... . ....' -.,-- '<i.... 'jYA(lKF~A ~ (\ ø:#S INtVNL'. , '-1~ ~. I . ~ ~ ~l§ . & ~. ~~..~~ 0 ~' ~ '\I " "'~HI '~ ~ã. 1;...,.;.N.'. ~ll~~~ ~~~~~ ~. .~~.' .'.~.~. n~~~r Q) ~ Q.¡~ US I. k), ' N: '~Ñ~: . 1 IJ t=ð~ ~ PIPE , S' .,.- ¡-vc. C::ONT~ tOt: !:I\.VIt.\..\. VU:.\ F"( A\..\. O\MENS\ONS \N ì~e. P\é.\..D. - 5EC7/0N A-A' ~t.\.I.~ ~.. " ~o..'<<Cr'$.ç\c.' J.. SITE PLAN CJ3K /2-0/ HAZARDOUS MATERIALS INVENTORY Farm and Agticulture [] Standard Business ~ NON-TRADE SECRETS Page of BUSINESS NAME: California Water Service Coopany OWNER NAME: California Water Service CœpanyNAME OF THIS FACILITY: Station CBK 12-01 LOCATION: Warrenton Avenue at M-3rylhurst ~t ADDRESS: ~_lJZO North Fir95 r2' STANDARD IND. CLASS COOE:__A941_____ CITYË ZIP: Bakersheldj CA - CITYË ZIP~ _Jos:¿ CA 1 DUN AND BRABSTREE16 N9UH1BER3 5 7 8 PHON II: OO':.J-tI3 Z-Ll4 . PHON II: -qœ-4':.Jj 414 0 _ _ _ REFER TO-rrvSTRUCTIONS-roTrPROPER CODES - - - - - - 7 8 9 10 II 12 13 u J Dys Cont Cont Cont Use loc~tion Where 'by !/ar.es of Iixture/C~"ponents .- on SIte Type Press Temp Code Stored In FacIlIty Wt See Instructions // 365 3 100 ps' 4 19 Close to well shelter Butane 000-106-978 C0l1ponent.1 Name & C.A.S. Number I Tr~ns Code N 300 Physical and Health "afard (Check all that apply _Fire Hazard [] Reactivity o Delared [] Sudden Release Hea th of Pressure CITY of BAKERSFIELU IV! . Component.2 Name & C.A.S. Number B ImmedIate Health Component.3 Name & C.A.S. Number Physical end Health "afard ICheck all that apply C.A.S. Number [] Fire Hazard [] Reactivity [] De Jayed 0 Sudden Re I ease Health of Pressure Component.1 Name & C.A.S. Number O Component.2 Name & C.A.S. Number Immediate Hea Ith Component.3 Name & C.A.S. Number Physical and Health Hatard (Check all that apply) EMERGENCY CONTACTS #1 B.D. Lewis District Manager 327-2161 112 Melvin Bvrd Raile Tftle 2T1Jr Phone Rame ertifi atio Re and j n ·af r c()m 1 t jng. li 11. sections) . . , C.A.S. Number o Fire Hazard [] Reactivity o Delayed 0 Sudden Release Health of Pressure PhrsicÞI end Health Hafard (Check all. that apply C.A.S. Number o Fire Hazard [] Reactivity o De Jayed 0 Sudden Re I ease Health of Pressure Component.1 Name & C.A.S. Number O . Component.2 Name & C.A.S. Number Immedl8te Hea Ith Component '3 Component. 1 Name & C.A.S. "ul1ber [] . Component.2 Name & C.A.S. Number ImmedIate Health Component.3 Name & C.A.S. Number Asst. District Manager TTtle 327-2161 Zfl{r "hone ?A~tb ¡