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Home My WebLink AboutBUSINESS PLAN 11/28/2006,. 0 0 0 .~ a ~~ a~ ~w ~I ~H o aN V N ;, Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST'; B_ E R s F• _D 9ooTruxtunAve., suite 210 - _ _ _w___.~_ __._______mm~v ~~ FiRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventor'1/ Program ~.~~ r Tel.: (661) 326-3979 . - tl ~ r ax: inn l ~ a i ~-~ i i i FACILITY NAME - / Ib-oQ~t~ W~IT~- S~J ~y ~~ INSPECTION DATE 1/- ~~' ~~~ ti,- INSPECTION TIME / o ADDRESS ~~~~ ~ „/ ~~ ~I•` P3~~0` a ~~~ NONOF%LOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- ZoR~ Section 1'. ~-Business Plan anc~ inventory Pragrarn ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~ ~ C V ~ C=Compliance OPERATION V=Violation ~ COMMENTS Q ^ APPROPRIATE PERMIT ON HAND ^ BUSIft@SS PLAN CONTACT INFORMATION ACCURATE O ~ ~ ~~ ~ ~ ~ S ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ ? ~ ~ ( o `1 ~, ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES J~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~jl ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING '~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 l Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~~ :~ ~a~ ~,, ~~ ;_ + CALIFORNIA WATER SRV Of~5-05 ___________ ______________ SitelD: 01.5-021-002094 + i f _ ~v3 7 = 7~Z ~o Manager Bus Phone : ( 6 61) ' °~~_~, Location: 2409 20TH ST Map 102 CommHaz High _ City BAKERSFIELD Grid: 25D FacUnits: 1 P.bV: ~\ CommCode: BFD STA Ol SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR K~v~y ~ctl~r'f / ASST DIST MGR Business Phone: (661) ~ X37-7L+:C~ Business Phone: (661) ~6 `'-~~~37~-7L ~, ~ ~.4 ~,,,~ 24 -Hour Phone ( 661) ° ^~ " " ^ ^~r 6'37-7zr~ 24 -Hour Phone ( 661) ~3-~ '~~ Nr3>~~7Z ~ Pager Phone ( ) - x Pager Phone - ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth ~k ~ cS t c~ Contact ~r l ~ Phone : ( 661) 3~-~=-Z~~~ MailAddr: 3725 S H ST State: CA G37-7L7~y City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone: (408) 451-8200x Address 1720 N FIRST ST State: CA City SAN JOSE Zip 95112 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: ~~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK CONTACT PERSON: 832-2141 Based on my inquiry of those individuals responsible for obtaining the information, 1 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. 'nature Date ~~ °~ 1 E~~1? q~ ~ p 4 ZDO 6 ~5 3y~~~ oa9 ~f~~~ -1- 05/11/2006 ,~ CALIFORNIA WATER SRV 005-05 Manager TIM TRELOAR Location: 2409 20TH ST City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: BusPhone: (661) 837-7200 Map 102 CommHaz High Grid: 25D FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 , SiteID: 015-021-002094 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR 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: RSs 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: (4~6~-}~ 4 ' Address 372J Scv~l, K ~1.~~ State: CA~6f 63~-7too city ~"a~~E ~b~e~J~i~cld Zlp 2'~~' 933vq Period to TotalASTs: = Gal Preparers . TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK 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 and believe the information is true, accurate, and complete. ature ~ D e~ V ~~~7 -1- 01/26/2007 F CALIFORNIA WATER SRV 005-05 SitelD: 015-021-002094 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi -2- 01/26/2007 -3- 01/26/2007 F CALIFORNIA WATER SRV 005-05 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCL NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture i Ambient SiteID: 015-021-002094 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE ~- CONTAINER TYPE r...L., ,-.... a- TDl1[TL~ nn/'lr[TTr1 mTTTV AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL r~~r~.rcL~uS ~~i~irvlv~ly 15 %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 tiAY,H.ttL t~aa~aai~i~iv-1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi -4- 01/26/2007 f F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. P~lll~JlVyCC 1VV 1.11. ~ L' Vdl:Udl.l Vil Public Notif./Evacuation 10/05/1992 EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL. Emergency Medical Plan 08/04/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 01/26/2007 F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/27/1994 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 05/11/2006 IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK. THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER AND IS ENCASED IN CONCRETE. Clean Up 05/11/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. v~.aaci nc~vut~c r~~.~..LVa~..iv11 -6- 01/26/2007 F CALIFORNIA WATER SRV 005-05 SitelD: 015-021-002094 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial riazaraes Utility Shut-Offs Fire Protec./Avail. Water 08/04/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 02/27/2006 UNMANNED SITE. -7- 01/26/2007 i F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/11/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc ~ Held for Future Use nciu iui ru~uiC u~c -$- 01/26/2007 f` 1 ~y CALIFORNIA WATER SRV 005-05 Manager TIM TRELOAR Location: 2409 20TH ST City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: SiteID: 015-021-002094 BusPhone: (661) 837-7200 Map 102 CommHaz High Grid: 25D FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR 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: RSs 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) 837-7200x Address 3725 S H ST State: CA City BAKERSFIELD Zip 93304 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals responsible far obtaining the information, 1 certify un~;aar penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. o-.~.~c,~.. ~ ~ 7 v Si ature Da e `t~t~ ~ 0 2007 Gal Gal TotalASTs: _ TotalUSTs: _ RSs: Yes -1- 07/10/2007 ~ 9 F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi -2- 07/10/2007 -3- o~/lo/aoo~ -~ F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: FENCED ENCL NEXT TO PUMP CAS# 7681-52-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 ntic~rucL ria a.a~al~latvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi -4- 07/10/2007 F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. ,_ P.~lll~.11 V~/CC 1VV 1.11. / L' VdC: l1C1L1V11 Public Notif./Evacuation 10/05/1992 EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL. Emergency Medical Plan 08/04/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/27/1994 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 05/11/2006 IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK. THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER AND IS ENCASED IN CONCRETE. Clean Up 05/11/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. vt,iici iccav uiuc til. l.lVQl.1 V11 -6- 07/10/2007 F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~CC:1d1 ild'GdZUS V1.1111.Y O11U1.-V11.7 Fire Protec./Avail. Water 08/04/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 02/27/2006 UNMANNED SITE. -7- 07/10/2007 F CALIFORNIA WATER SRV 005-05 SiteID: 015-021-002094 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/11/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc ~ Held for Future Use Held for Future Use -s- o~/l0/200~