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HomeMy WebLinkAboutBUSINESS PLAN 7/17/20071 C" _ J ~~ ~ ~~ ~. ice. ~~ _~ ~ -- Prevention Services UNIFfED PROGRAM INSPECTION C:HECKLIST''_ A_ E R s F , , n 9ooTruxtunAve., suite 210 ~~ __~~ _~,,~~~~.. ~ ~ ~. ~ FiRE Bakersfield, CA 93301 SECT-ION _ 1: Business Plan. and Inventory Program "RrM Tel.: (661) 326-3979 - _ - - ~ 'Fax: (661) 872-2171 FACILITY NAME - ~ - - - ~' - ~ ~L ae N/A n- V INSPECTION D TE 1G ~ 9 ~0'7 INSPECTION TIME i Gv' ADDRESS - - - ~ ~ PHONE NO. 3'`I~- Z~oc3 NO OF EMPLOYEES FACILITY CONTACT ~ - - - - ~- M " cD/,1 - - BUSINESS ID NUMBER - - 15-021- (j~jdtl ~ Section 1; Business Plan and Inventory Program ROUTINE ^ COMBINED "^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT - ^ RE-INSPECTION C :. V ~ C=Compliance OPERATION V=Violation COMMENTS ~'' ^ APPROPRIATE PERMIT ON HAND I~^ ^ BUSIP1eSS PLAN CONTACT INFORMATION ACCURATE ~'T ^ s VISIBLE ADDRESS ice' ^ t CORRECT OCCUPANCY (~ ^ VERIFICATION OF INVENTORY MATERIALS Its ^ VERIFICATION OF QUANTITIES ~~~,~ ~+ ~ ~ ~ ~ _ 4•* i~ ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL B' ^ VERIFICATION OF MSDS AVAILABILITY . i~- ^ VERIFICATION OF HAZ MAT TRAINING ©° ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES [,l° ^ EMERGENCY PROCEDURES ADEQUATE I~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ice' ^ FIRE PROTECTION i~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: - QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site /Responsible Party (Please Print) ' ~ White -Prevention Services ' - Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/OS CALIFORNIA WATER SRV 182-01 SiteID: 015-021-002105 Manager TIM TRELOAR Location: 6017 AKERS RD City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 23D FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact TIM TRELOAR Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DISTRICT MGR (661) 837-7200x (661) 837-7200x ( ) - x RSs Contact BILL ROSICA MailAddr: 3725 S H ST City BAKERSFIELD Emergency Contact RUDY VALLES Business Phone: 24-Hour Phone Pager Phone / Title / ASST DIST MGR (661) 837-7271x (661) 837-7271x ( ) - x Fire Press ImmHlth Phone: (661) 837-7278x State: CA 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 Fa.s~fi dh ray inquiry of those individuals res~7~rtci{~1~ #~r obiaining the information, ! cardfy ur~dr?r ~er?alty cif law 4hat I have personally euamirrt~d and am familiar with the information suGrhitt~d and believe the information is true, atbi~r~td, and complete. __ ~, v attar? Da TotalASTs: _ TotalUSTs: _ RSs: Yes ENr~ ~UL 2 ® 2407 Gall Gal -1- 07/10/2007 7 F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-002105 ~ ~ 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- 07/10/2007 Y ~ F CALIFORNIA WATER SRV 182-01 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCLOSURE NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture ~mbient SiteTD: 015-021-002105 ~ Facility Unit: Fixed Containers on 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~~r-atcliuu~ ~vinr~lv~iv_1~ %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 r~~~,tcL tiaa~~5i~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi -4- 07/10/2007 r F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-002105 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. ~~ P~Lll~J 1.V~/CC 1VV 1.11. / P~VCLI: UClL1V11 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 r F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-002105 ~ Fast Format ~ ~ Mitigation/PreventjAbatemt Overall Site ~ ~ Release Prevention 09/27/1994 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 08/04/2006 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 05/16/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDTATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. V1.11C1 iCC w7VULl.:C t'11: 1.1Vq.L1V11 -6- 07/10/2007 F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-002105 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, .~Z/c~,iai nac~aiua Utility Shut-Offs Fire Protec./Avail. Water 08/04/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 05/16/2006 UNMANNED SITE -7- 07/10/2007 (. ~ i ^. F CALIFORNIA WATER SRV 182-O1 SiteID: 015-021-002105 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rcty~ ~ Held for Future Use Held for Future Use -s- o~/l0/200 UNIFIED PROGRAM INSPECTION CHECKLIST A}'3C ..::Y{^~. ~-0fin".vv"`J.<....>_,P,,..Y4.:.>i'~'.. ,-..i-~:..... -:•.,~ ,. '.:;~~:._"..a ~,':-, :..:.A:. ...; _.;: SECTION 1: Business Plan and Inventory Program • 1BAKERBFIELD FIRE DEPT a Prevention Services ,r~t~ 900 Truxtun Ave., Suite 210 ~RtrM ~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FAC ITY NAME NSPECTION DA E NSPECTION TIME .- L - -0 1 od a ~~ ADDRESS 61~ <~1 HON NO. ~- 00 O OF EMPLOYEES FACILITY CONTACT ,~ SINESS ID NUMBER 15-02~- oa ~ ~ o s Section 1: Business Plan end Inventory Program CC ~ 3~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V t C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfI@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 r~ ~~~~ ~ ° ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PR CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - _ .QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (881) 328-3979 L7 ~~ ~~~~ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station / Business Sfte/School Site Responsible Party (Please Prnt) Wfiite -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. 02105) 1-~ _ JT. + CALIFORNIA WATER SRV 182-01 _________________________ SiteID: 015-021-002105 + ~37~7z~ Manager BusPhone: (661) ~^` ^^^ Location: 6017 AKERS RD Map 123 CommHaz High City BAKERSFIELD Grid: 23D FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact~ / Title TIM TRELOAR / DISTRICT MGR f~r,~r v~llej / ASST DIST MGR Business Phone : ( 6 61) ' ^`-' '' ^ ~ ^ } d3 % ~ 7zct Business Phone : ( 6 61) 3~~8•A•~~ X37.72 ~ 24-Hour Phone (661) '^` ''^^^--~y37~~ 24-Hour Phone (661) 3~xf~3J~T ~r Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth ~' ~ I 1 `S ~c!} Contact ! Phone • ( 661) 3-~~„~.~ MailAddr: 3725 S H ST State: CA u37-7Z7~ 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 : /~ ~~`f] i ~ PROG A - HAZMAT ~ J PROG T - ABOVEGROUND STORAGE TANK t CONTACT PERSON : 8 3 2- 2141 ~NI D A I r~ V 4 2406. Based on my inquiry of those individuals responsible for obtaining the information, I certify ¢1 under penalty of law that I have personally ,, A ~~/ examined and am familiar with the information ~ r submitted and believe the information is true, 4` accurate, and complete. ~~ Z.2 (~ Sig ure Date -1- 05/16/2006 CALIFORNIA WATER SRV 182-O1 Manager TIM TRELOAR Location: 6017 AKERS RD City BAKERSFIELD SiteID: 015-021-002115 BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 23D 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 RUDY VALLES / ASST DIST MG1 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: (~) "r' """°= Address 3725 Svv"~I~ ~{ S{~ - State: CA ~ ~~7-7Zc7o City S~~E ~dket ~ Zip 9~3~.-~ g~~~~ . r Period to TotalASTs: = E3a1 Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENT°D ~ E ~ ~ ~ z~~7 of those individuals formation, 1 certify mY inquirY i on n the Based ersonally ons~ble for oofalaw9that I have P rmation s re fo P under penalty fam~l~ar With the mation is true, d examined an believe the infor d submitted an 1ete. nd comp accurate, a ~` 0 O~A__-~--~- pate Si ature -1- 01/29/2007 I~ ~ F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-0021b5 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit ~~P SODIUM HYPOCHLORITE F P IH L 200.00 GAL ~1 -2- O1/29/~007 -3- Ol/29/~007 F CALIFORNIA WATER SRV 182-O1 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCLOSURE NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixtur~Ambient SiteID: 015-021-0021(75 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: ------- CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Dail Maximum Dail Avera e 200.00 GAL y 200.00 GAL y 200.00 GAt, r1r~~rirclJUU~ wl~irvlvl;iv~l~~ °sWt . RS CAS# 12.50 Sodium Hypochlorite No 7681529 t1E3GE~iCL !-~~~~SSi~1~1V"1"~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi -4- 01/29/2007 F CALIFORNIA WATER SRV 182-O1 SiteID: 015-021-0021(75 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. _, ~ ,_ r~uiZ/lvyco 1VV1.11. ~ 1'~Vd[.:Udl.1V11 Public Notif./Evacuation 10/05/192 EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL. Emergency Medical Plan. 08/04/200 MERCY HOSPITAL, TRUXTUN AVE. -5- 01/'29/2007 F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-0021(75 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/27/1954 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 08/04/201)6 IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD $E MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK. THE CONVAULT TANK HAS i BUILT-IN SECONDARY CONTAINER AND IS ENCASED IN CONCRETE. Clean Up 05/16/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY.' v~itci iCC.7VULl:C HC:l.1Vdl.1Vi1 -6- O1/29/~007 t F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-0021175,E Fast Format ~ ~ Site Emergency, Factors Overall Site ~ especial riazaras uziliLy SnuL-~==s Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. 08/04/201)6 Building Occupancy Level UNMANNED SITE 05/16/20176 -7- O1/29/~007 + -e F CALIFORNIA WATER SRV 182-01 SiteID: 015-021-0021i~5 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/16/20d~ ~ MATERIAL SAFETY DATA SHEETS ON FILE. rays ~ nclu tVi rul.utC V~7C nC1U 1Vl L'uI~ULC U5C -8- Ol/29/~007