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Home My WebLink AboutBUSINESS PLAN 2/6/2007 a~'~. ~'~ ~ ~ ~ ~~CALIFORNIA WATER SERURCO 18 ____ _ _ ~ _ ;, 6701 PACIFIC ISLAND D a~\ iq~`~ ;~ 1 - UNIFIED .PROGRAM INSPECTION CHECKLIST ' _ ~ - SECTION 1: Business-Plan and\Inventory Program . Prevention Services 9 E~R s F ~ n - 900'IYuxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 aRrM Tel:: (661) 326=3979 . -Fax: (661) 872-2171 FACILITY NA INSPECT ON D TE INSPECTION TIME. ADDRESS d ~ PHONE NO. 39~-~~~ NO OF EMPLOYEES ~~ zA / 7 FACILITY CONT9CT ~ BUSINESS ID NUMBER ~ /`t ~- 15-021- ~~ 1 t^~ (,~ Section 1: Business Plan and Inventory Program (ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ' ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS LY ^ APPROPRIATE PERMIT ON HAND I" ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLEADDRES6 ~ gq~~sf, > ~~~ J~? ,j~ ~( 1 Qd (J (,J / ~/ LY ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~/ Lf ^ VERIFICATION OF QUANTITIES I~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ,_,,/ Ll ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING -/ L-f ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ .CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~G ~ f~-~./ L~-~- l3 ~-' ~d ~,4. ~~ ~ r~ ~-U Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Business Site /Responsible Party (Please Print) ^ YES ~NO White -Prevention Services Yellow -Station Copy ~ Pink -Business Copy - FD 2155 (Rev. 09/05 r. 'i. s CALIFORNIA WATER SRV CBK-18 Manager TIM TRELOAR Location: 6701 PACIFIC ISLAND DR City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SiteID: 015-021-001944 BusPhone: (661) 396-2400 Map 123 CommHaz High Grid: 26A FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGFf: Business Phone: (661) 837-7200x Business Phone: (661) 837-7271x 24-Hour Phone (661) 837-7200x 24-Hour Phone (661) 837-7271x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth .............. Contact BILL ROSICA Phone: (661) 837-7278x MailAddr: 3725 S H ST State: CA City BAKERSFIELD Zip 93304 _..... Owner CALIFORNIA WATER SERVICE CO Phone : ( 661)3-9.6-"2~-fr6x Address 3725 S H ST State: CA City BAKERSFIELD Zip 93304 ............... Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: .............. Emergency,Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~Nr® ~~~ ~ ~'Q~~ Based on my inquiry of thaw individuals responsible for obtaining the Informatian, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. 041~c,P... 2 / `~V z ature Da e -1- Ol/29/2b07 a F CALIFORNIA WATER SRV CBK-18 SiteID: 015-021-001944 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~ICP SODIUM HYPOCHLORITE F P IH L 200.00 GAL xi -2- Ol/29/2ti07 -3- O1/29/~~07 i+ ~ F CALIFORNIA WATER SRV CBK-18 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCLOSURE NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-00194 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: --- CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL • ru~~xccLUU~ ~uinrulv~tv"15 %Wt. RS CAS# 12.50 Sodium Hypochlorite No ?681529 rita~tjxL tia a~5~ri~iv_15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M~~' No No No No/ Curies F P IH / / / Hi -4- 01/29/2007 F CALIFORNIA WATER SRV CBK-18 SiteID: 015-021-0019~~ ~ Fast Form~:t ~ ~ Notif./Evacuation/Medical Overall Sites ~ ~ Agency Notification 04/05/20015 ~ CALL 911 AND 800-852-7550 OR 916-427-4341. employee lvozi=./~vacuaLlon Public Notif./Evacuation 10/18/20016 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 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL. 04/30/1999 -5- 01/29/2007 F CALIFORNIA WATER SRV CBK-18 SiteID: 015-021-001944 ~ Fast Form~:t ~ ~ Mitigation/Prevent/Abatemt Overall Sits ~ ~ Release Prevention 04/05/2006 ~ SODIUM HYPOCHLORITE IS STORED IN AN ABOVEGROUND SECURE AREA. Release Containment THE SODIUM HYPOCHLORITE IS SECONDARILY CONTAINED. 04/30/1995 dean up V1.11C1 1<C .~VUL I.C til.L1VGLL1Vll -6- ~ 01/29/2007 r. F CALIFORNIA WATER SRV CBK-18 SiteID: 015-021-001944 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special tiazaras Utility Shut-Offs 10/18/20x6 A) GAS - N/A B) ELECTRICAL - SERVICE BOX INSIDE FAC C) WATER - N/A D) SPECIAL - N/A E) LOCK BOX - NO Fire Protec./Avail. Water 10/18/2006 FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 03/14/2006 UNMANNED SITE -7- 01/29/2007 a, F CALIFORNIA WATER SRV CBK-18 SiteID: 015-021-001944 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/18/2006 ~ MSDS SHEETS ON FILE. BRIEF SLTNIlKARY OF TRAINING PROGRAM: CALIFORNIA WATER SERVICE CO PROVIDES THE FOLLOWING TRAINING: 1. SAFETY PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIALS RELEASE OR THREATENED RELEASE. 2. HAZARD COMMUNICATION STANDARD. 3. EVACUATION PROCEDURES. 4. PROPER HANDLING OF HAZARDOUS MATERIALS. 5. HMMP IMPLEMENTATION. Yage Held for Future Use nciu ivi ru~uiC u~~ -8- 01/29/2007 UNIFIED PROGRAM INSPECTION CHECKLIST=' .SECTION 1: Business Plan and Inventory Program BASERSFIELD FIRE DEPT to Prevention Services •~t~ 900 T~ruxtun Ave., Suite 210 wRf1 f gakers8eld, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILIT AME NSPECTION DATE INSPECTION TIME ADDRESS HONE NO. O OF EMPLOYEES old 3 d-,,~ d~ FACILITY CONTACT -- USINESS ID NUMBER ~s-oz~- oa 19 y~i Section 1: Business Plan and Inventory Program ~ D " ROUTINE ^ COMBINED ^ JJOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND C,~ ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PRO EDURES ^ EMERGENCY PROCEDURES ADEQUATE f ~-rro p1,`~ `~'~ ~y -i ;~' ;,. ^ CONTAINERS PROPERLY LABELED ~" ^ HOUSEKEEPING CIp71 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - _ - .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3879 • ~Te e 13~ Inspector (Please Print) Fire Prevention ! 1" 1n !Shift of SitelStation # Business SiteJSchool She Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2048 tRw. 02!05) t ', ~ - _. + CALIFORNIA WATER SRV CBK-18 _________________________ SiteID: 015-021-001944 + Manager Location: 6701 PACIFIC ISLAND DR City BAKERSFIELD BusPhone: (661) 396-2400 Map 123 CommHaz Extreme Grid: 26A FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR ~u~y Va~~eS / ASST DIST MGR Business Phone: (661) 396-2400x Business Phone: (661) g3~-7 ~~ 24-Hour Phone (661) 396-2400x 24-Hour Phone (661) 396-2400x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth ~ .os ~cA- Contact T~lARA'~@RN~S@N k5< <) l Phone : ( 661) 3-x}6-z4-8~6~ MailAddr: 3725 S H ST State: CA ~3~-7Z7~j City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone: (661) 396-2400x Address 3725 S H ST State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif!d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT E~~ APB 0 5 2006 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of few that 1 have psrsanaily examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~ ~' 3 6 ature Dat -1- 03/14/2006 - ;,~:. ~' :ate, UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 9330~C Z 0 Tel: X661) 326-3979 _ _ _ _ ?~~~ FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No No. of Employees FACILITYCONTACT Business ID Number n1 T~ L~~_ 15-021- ~ q,~l, Section 1: Business Plan and Inventory Program ~ Routine O Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint O Re•inspection • C1 V ~ V=Vio atonn~ l OPERATION IQ ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE O VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES l - ----------.-._ _._- _... _._ ... .._._,._ _..._ __ __ ._..... I ----.--..... ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSS AVAILABILITYE --- -------- -------- ------ ------- - -- --. _.._... - ... ------- __.- ....-...T -... - - .. ............ .__ .. _ _ ^ VERIFICATION OF FIAT MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES l ----- ------_--___ __---------- ---------------_ __._. -....._...-... --.. 1..... _. _...__ _- .-_... .-. ^ EMERGENCY PROCEDURES ADEQUATE ~ 1_- ___ COMMENTS ANY HAZARDOUS WASTE ON SITE?: ^ YES 'U NO EXPLAIN: t'(~ /yY,~/l f1 CQC to l ``'~- • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT 661 326-3979 2 ~ Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy (,dlM_ cit/1-Fd_L_~_ _ _ Business Site Responsible Party (Please Print) m Pink • Business Copy • `p_ v ~~yQ~tit,n Fj~~ D FIRE DEPARTMENT CITY OF BAKERSFIEI. ~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~ ~ ~ UNIFIED PROGRAM INSPECTION CHECKLIST s, `w i~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME t%~ v. INSPECTION DATE D tl dS" _ ADDRESS 7/ 1~~^~~~ u~a r~~ ~ PHONE NO. q ! - ~ y FACILITY CONTACTT,/h ~.RFL r~AR BUSINESS ID NO. 15-~ Opt l - DO) 9 ~ INSPECTION TIME_ ,/D hi~)~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability ° Verification of Haz Mat training Verification of abatement supplies and procedures J Emergency procedures adequate Containers properly labeled .~ Housekeeping ~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation ~ny hazardous waste on site?: Explain: Questions regarding this inspection'! Please call us at (661) 326-3979 ^ Yes ^ No White -Env. Svcs. Yellow -Station Copy Pink -Business Copy ~T /~c~~l ~d Business Si Resporfsible Party Inspector ~ lfl /vow ~~ ~~~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS -- CQ~1_ o lI -~,~c~~ e 1 ~ ~ ~~ ~o _~~ -=---------------- PHONE No. ~-ate ~c No. of Employees -- --~"'- -- FACILITYCONTACT Business 10 Number 15-021-1~'~ ~ Section 1: Business Plan and Inventory Pn~gram .~. -;~-°~~ ~.; , - ; ;,.j -~~-~ ti ~~~ f Routine O Combined ^ Joint Agency ^Multl-Agency O Complaint ^ Re-inspection V C \V=Vioationn~l OPERATION COMMENTS ~ / Q ^ APPROPRIATE PERMIT ON HAND ---. J. ------ --- - -- -- C•J ^ ---- - ---------- --- BUSINESS PLAN CONTACT INFORMATION ACCURATE . -------- --- - ----- ------- Q' ^ VISIBLE ADDRESS Q/ ^ CORRECT OCCUPANCY -- ~^ - VERIFICATION OF INVENTORY MATERIALS L9' ^ VERIFICATION OF QUANTITIES ^ V ERIFICATION OF LOCATION l~ --~ f ROPER SEGREGATION OF MATERIAL - -_--__- ~ -- ` - -- .---` _` -_'_- L9" U -- VERIFICATION OF MSDS AVAILABILITYE -- --- --- ------- ~ ~' ~ _ ~ _ ,1- ~1 , ~ -----.~ --- --ti1`~~----~1~ --------- -------- LIV ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE _ v ~^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING LH ^ FIRE PROTECTION ~^ S ITE DIAGRAM ADEQUATE & ON HAND ~~C r ANY HAZARDOUS WASTE ON SITE: ^ YES l_!'IVO ~~ `~'~ ~ ~_ , ~ ~~ j ~ 7~ ~;~ / EXPLAIN: U /l JYl!''~ /~ 11 -F fSZ~ (~~O S"~C/1 t o .~1 ~ -~- ~ ~ ~~P~7 / ,e ~,/ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 326-3979 Inspector Badge No. Business Site Responsible Party While - Environmflntal Services Yellow • Stfllbn Copy Pink -Business Copy C~ ~~