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Home My WebLink AboutBUSINESS PLAN 10/19/2007CAL WATER SRVC CO (cBK-2s~ - 3608 BRISBANE AVENUE - UNIFIED PROGRAM INSPECTION CHECKLIST ~ Prevention Services B F R s r, p 900 Truxtun Ave., Suite 210 _- ~ ,.~ --~ ~--~ ~ ._....:~,~ .a. ~,~ 5~a._.. F~Re .~ Bakersfield, CA 93301 SECTION 1: Business Plan.and~lnventory Program ° ARrs Tel.: (661) 326-3979 - ~ Fax: (661) 872-2171 FACILITY NAME INSPECT~~N DrrTE INSPECTION TIME U a ~PNI ,~,a. v> .ZD - d) a ll9!°7 GD ADDRESS - - PHONE NO. O OF EMPLOYEES r~DB ~ ~ 3 ~ - ZYd~ FACILITY CONTACT ~- BUSINESS ID NUMBER 15-021- QD ~T D l ! L.D/~ /L Section 1: Business Plan'and Inventory-Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS E ~ ^ APPROPRIATE PERMIT ON HAND ~ / NJ ^ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ ^ CORRECT OCCUPANCY ,~ / L7 ^ VERIFICATION OF INVENTORY MATERIALS 1 ~ ^ VERIFICATION OF QUANTITIES , , / LJ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~~°~ ~~~ ~, ,. . 1 L7 ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING I~ 4 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C~ ^ 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 ~- ~~. c 3i~ ~a ~.~1 ~..- ~~'C~r'-~- Ins ctor (Please Print) Fire Prevention / 1'~ In /Shift of Site/Station # Business Site /Responsible Party (Please Print) ^ YES L5' NO White -Prevention Services Yeilow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 T ~. CALIFORNIA WATER SRV 202-01 SiteID: 015-021-002108 Manager TIM TRELOAR Location: 3608 BRISBANE AVE City BAKERSFIELD BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 35B 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 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 t3a;;ed an my inglriry of those individuzi resprnsible for obtaining the information, I certify unde~~ penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. _ 7 /1 UU7 Si ature Da- t~ ' TotalASTs: _ TotalUSTs: _ RSs: Yes ~~L 2 ~ ~~~~ Gal Gal -1- 07/10/2007 T ~ F CALIFORNIA WATER SRV 202-01 SiteID: 015-021-002108 ~ ~ 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 C 'f F CALIFORNIA WATER SRV 202-01 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCLOSURE NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-002108 ~ 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 - rlt~~tLtu~vua wrir~lv~lv_la oWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 tiLjGHl[L A771'~571~1i51V 17 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 202-O1 SiteID: 015-021-002108 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. Employee Notif./Evacuation 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 08/01/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 202-01 SiteID: 015-021-002108 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/27/1994 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 10/18/2006 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 REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. V1.11C1 iCC .7VULl.:C til:L1VCLL1V11 -6- 07/10/2007 F CALIFORNIA WATER SRV 202-O1 SiteID: 015-021-002108 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 ildGd.LC.ly' Utility Shut-Offs Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. 10/18/2006 Building Occupancy Level UNMANNED SITE 05/16/2006 -7- 07/10/2007 .~ .. ~,. F CALIFORNIA WATER SRV 202-O1 SiteID: 015-021-002108 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc ~ Held for Future Use nciu ivs. ru~.uic vac -8- 07/10/2007 k. t, l CALIFORNIA WATER SRV 202-O1 Manager TIM TRELOAR Location: 3608 BRISBANE AVE City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SiteID: 015-021-00210$ BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 35B 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 MGM: (661) 837-7271x (661)- 837-7271x ( ) - x Fire Press ImmHlth Phone: (661) 837-7278x State: CA Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone: (4-6.8) ~-~" Address 372$ Sp~"N, ~l S'~t..ae~ State: CA 66~ d37-~z~c~ city --~e~ 3a ke~s-~re,l d zip : -°t~, ; 9 33 o y Period to Preparers Certif'd: 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. v " - ®a e Si~ ture TotalASTs: _ TotalUSTs: _ RSs: Yes E.NT'D F E ~ 21 2007 Gal Gal -1- O1/29/~007 a~ +i F CALIFORNIA WATER SRV 202-01 SitelD: 015-021-fl021t7$ ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MAP SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi -2- 01/29/2007 -3- O1j29j~b07 F CALIFORNIA WATER SRV 202-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 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 tiHGtjttl.~VUa C:V1~lYV1V~1V 1'~ %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 riAL,E11tL Aa~L"~5~1~1i51V'15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi SiteID: 015-021-00210$ ~ Facility Unit: Fixed Containers on Site ~ -4- 01/29/2007 F CALIFORNIA WATER SRV 202-O1 SitelD: 015-021-00214$ ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2040 ~ CALL 911. Employee Notif./Evacuation 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 MERCY HOSPITAL, TRUXTUN AVE. 08/01/2046 -5- 01/29/2407 F CALIFORNIA WATER SRV 202-O1 SiteID: 015-021-0021x$ ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/27/1994 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 10/18/20(76 IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD f3E MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK. THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER-AND TS ENCASED IN CONCRETE. Clean Up 05/16/20016 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. Other Resource Activation -6- O1/29/Z007 .t F CALIFORNIA WATER SRV 202-O1 SiteID: 015-021-00210$ ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ 5peciai riazaras Utility Shut-Offs Fire Protec./Avail. Water 10/18/2005 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level UNMANNED SITE 05/16/2005 -7- Ol/29/~007 ±~ k F CALIFORNIA WATER SRV 202-01 SiteID: 015-021-00210$ ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rage ~ Held for Future Use n~.iu ivi ru~.uic v~C -8- Ol/29/Z007 f_ „- + CALIFORNIA WATER SRV 202-01 _________________________ SiteID: 015-021-002108 + c~7-7Zao Manager BusPhone : ( 661) 3-9~6-°-~-60 Location: 3608 BRISBANE AVE Map 123 CommHaz High City BAKERSFIELD Grid:_35B FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contract / Title BILL TRELOAR / DISTRICT MGR ~vd~ \/~ ~IeS / ASST DIST MGR Business Phone: (661) -'°~ ''^^^v-I~37.7ZO Business Phone: (661) -S.A5~2^^^~°~3I-'7' ~ 2 4 -Hour Phone ( 6 61) ~~z~b~~. 7~~ 2 4 -Hour Phone ( 6 61) ~3-9~6--Z-~@~-(337 -7' 7~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth Contact .~' f ~~ ~c~5t~ Phone : ( 661) ~ `_~~~-~±~@~c MailAddr: 3725 S H ST State: CA C37~7L7(~ 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 I ~± PROG T- ABOVEGROUND STORAGE TANK ENT' l D A U G Q 1 2006 CONTACT PERSON: 832-2141 Based on my inquiry of those individuals /~~ responsible for obtaining the information, I certify V" 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. i ature Date ' -1- 05/16/2006 UNIFIED PROGRAM INSPECTION CHECKLIST use .. ~ a,-K..:<+v;;aestvrrt-a~*,:._~ r .:.. .::..:::. ....::..: ~ , . ...._. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a Prevention Services ~l~s 9001Yuxtun Ave., Suite 210 ~RtN f Bakersfield, CA 93301 ~~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FAC TY NAME ~ NSPECTION DATE d wl INSPECTION TIME ~ ~ ~J ~ - - ~ - ~ a a . „ ~ ADDRESS .360 s HONE NO. ~-~, o0 O OF EMPLOYEES FACILITY CONTACT ~- USINESS ID NUMBER 15-021- 0~,2 J v ~ Ll - ----- - -- Jd ~_-~- Section 1: Business Plan and Inventory Program , _~__ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V t C=Compliance OPERATION COMMENTS V=Violation ^ APPROPRIATE PERMIT ON HAND ,^ Q- BUSineSS PLAN CONTACT INFORMATION ACCURATE , ~ ~./ L~ ^ 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 PR EDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINENS PROPERLY LABELED ^ HOUSEKEEPING (~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES ^ YES ^ NO EXPLAIN: - _ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U8 AT (661) 326-3979 Ins of r (Please Print) Fire Prevention / 1" In /Shift of•Site/Station Y Business Site/School Site Responsible PaAy (Please Prnt) White -Prevention Services Yellow -Station Copy Pink - Buainese Copy FD2048 (Rev. 02105)