HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007r-1
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CALIFORNIA WATER SRV 126-01
Manager TIM TRELOAR
Location: 2130 21ST ST
City BAKERSFIELD
CommCode: BFD STA Ol
EPA Numb:
SiteID: 015-021-002953
BusPhone: (661) 837-7200
Map 102 CommHaz High
Grid: 25B FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:
Emergency Contact
TIM TRELOAR
Business Phone:
24-Hour Phone
Pager Phone
Hazmat Hazards:
/ Title
/ DISTRICT MGR
(661) 837-7200x
( ) - X
( ) - x
Contact BILL ROSICA
MailAddr: 3725 S H ST
City BAKERSFIELD
Emergency Contact / Title
RUDY VALLES / ASST DIST MGR
Business Phone: (661) 837-7271x
24-Hour Phone ( ) - x
Pager Phone ( ) - x
React 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
Oared on my inquiry of those individuals
responsible for obi:aining the infnr~,ation, 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 oomplete
Q
Si ture ~'~' 7 ~7 D
Da e
TotalASTs: _
TotalUSTs: _
RSs: No
JUG 2 0 2007
Gal
Gal
-1- 07/10/2007
~i ~
F CALIFORNIA (n1ATER SRV 126-O1 SitelD: 015-021-002953 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE R IH L 200.00 GAL Hi
-2- 07/10/2007
-3- 07/10/2007
,,
F CALIFORNIA WATER SRV 126-01
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
SODIUM HYPOCHLORITE
Location within this Facility Unit
SitelD: 015-021-002953 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7681-52-9
STATE TYPE PRESSURE
Liquid TMixture ~mbient
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
riAGF~tCLVU~ 1:V1~lYV1V1;1V1~
°sWt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
t1HGHKL 1'.~~L' a~1~1LS1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4- 07/10/2007
~a
F CALIFORNIA WATER SRV 126-O1 SiteID: 015-021-002953 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
r~ycll~:y 1VV1.111Ud1.1Vi1
LdLL~J1VyCC 1VV 1.11 / L' VdC:Udl.1 V11
_~_ ~ i...
r w.J11V 1VV L11~GVQVUQL1V11
Emergency Medical Plan 10/12/2005
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE.
-5- 07/10/2007
~.
F CALIFORNIA WATER SRV 126-01 SiteTD: 015-021-002953 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 05/01/2006 ~
SITE IS VISITED DAILY BY CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING.
Release Containment
SECONDARY CONTAINMENT
10/12/2005
Clean Up
05/01/2006
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE REPSONDING REGULATORY
AGENCY.
Vl.lict itC w7VU1VC C]l.V1VQl.1 V11
-6- 07/10/2007
F CALIFORNIA WATER SRV 126-01 SiteID: 015-021-002953 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
_, ,_
.~~c~.iai nac~aiua
Utility Shut-Offs 05/01/2006
NATURAL GAS/PROPANE: N/A
ELECTRICAL: MAIN BREAKERS IN ELECT PANELS
WATER: WATER WELL
SPECIAL: N/A
LOCK BOX: NO
Fire Protec./Avail. Water
FIRE HYDRANT - WELL DISCHARGE
10/17/2006
Building Occupancy Level 05/01/2006
UNMANNED SITE
-7- 07/10/2007
F CALIFORNIA WATER SRV 126-O1 SiteID: 015-021-002953 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/01/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING.
BRIEF SUMMARY OF TRAINING PROGRAM: DAILY SITE VISITS ARE MADE BY PUMP
OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY
PROGRAMS ADDRESS HAZMAT TRAINING.
rayc ~
nc.LU r_vi ru~.uic roc
_ i ~ r _
11G 11A 1V1 r~.LV V.1G V-~G
-8- 07/10/2007
- Prevention Services
- - UNIFIED PROGRAM INSPECTION CHECKLIST B F R s r . . ,, 900 Truxtun Ave., suite 210
_ FiR~ Bakersfield, CA 93301
i
~ SFCTInN 1 ~ 14usilnPCC Plan and InvPntalrv Prnaram ~RZM r Tel.: (661) 326-3979
__ `" ~ Fax: (661) ~37`L-`L171
FACILITY NAME ~ - - INSPECTION DATE INSPECTION TIME
~ .,0 ~
ia(t ~
,c `
ADDRESS PHONE NO. NO OF EMPLOYEES .
7P-~~
FACILITY CONTACT BUSINESS ID NUMBER
15-021- od ~~33
~it~
- --- _ - -
I ^/ Section 1: Business Plan and.Inventory Program ~-ll~O
I LK ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( C=Compliance OPERATION
\ V=Violation COMMENTS
,_,f
^ APPROPRIATE PERMIT ON HAND
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,
~
!
Lt7 ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ~
coos
~ VISIBLE ADDRESS
^ _
~,,//
La ^ CORRECT OCCUPANCY
,
^ VERIFICATION OF INVENTORY MATERIALS
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K
~
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L
~
^ VERIFICATION OF QUANTITIES
~
,/
L'7 ^ VERIFICATION OF LOCATION -
^ PROPER SEGREGATION OF MATERIAL
~/~
L
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^ VERIFICATION OF MSDS AVAILABILITY
-
/
L
K
^ VERIFICATION.OF HAZ MAT TRAINING /'
`-~
!/
,
.
/~
L~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L!r ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
@r ^ 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
~Ui1• ~\~c.c-~ 4~
Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # B Hess Site /Responsible Party (Please Print)
^ YES ~O
White -Prevention Services -Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05
p.9.. ,r
CALIFORNIA WATER SRV 126-01
Manager TIM TRELOAR
Location: 2130 21ST ST
City BAKERSFIELD
CommCode: BFD STA Ol
EPA Numb:
SIC Code:4941
DunnBrad:
Emergency~Contact
TIM TRELOAR
Business Phone:
24-Hour Phone
Pager Phone
Hazmat Hazards:
/ Title
/ DISTRICT MGR
(661) 837=7200x
( ) - x
( ) - x
Contact BILL ROSICA
MailAddr: 3725 S H ST
City BAKERSFIELD
Emergency Contact / Title
RUDY VALLES / ASST DIST MGR
Business Phone: (661) 837-7271x
24-Hour Phone ( ) - x
Pager Phone ( ) - x
React 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 Direct"fives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
i3aaed on my inquiry of those individuals
r®gponsible 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.
u'J^.c~.. 2 6 (1
Si ature p~~
TotalASTs: _
TotalUSTs: _
R5s: No
oo~
Gall
Gal
SiteID: 015-021-002953
BusPhone: (661) 837-7200
Map 102 CommHaz High
Grid: 25B FacUnits: 1 AOV:
-1- 01/26/2007
;~ ,
F CALIFORNIA WATER SRV 126-01
~ Hazmat Inventory
~ MCP+DailyMax Order
=~SitelD: 015-021-002953 ~
By Facility Unit ~
Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE R IH L 200.00 GAL Hi
-2-
01/26/2007
-3- 01/26/2007
fT .
F CALIFORNIA WATER SRV 126-O1 SiteID: 015-021-002953 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
SODIUM HYPOCHLORITE Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
7681-52-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ 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
°sWt . RS CAS#
12.50 Sodium Hypochlorite No 7681529
riHGHtCL 1.1 ~.7L" w7.71~1L' 1V l A
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
~ -4- 01/26/2007
t
F CALIFORNIA WATER SRV 126-01 SiteID: 015-021-002953 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
by Clll:y lVV 1.111C:d 1.1 V11
i_
r~uiNiVyv~ 1VV1.11. / P~Vdl:Udl.1Vi1
r uiJl lt,: 1VV l.1t / L' VdC:Ud l.1 Ui1
Emergency Medical Plan 10/12/2005
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE.
-5- 01/26/2007
F CALIFORNIA WATER SRV 126-01 SiteID:-015-021-002953 ~
.Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 05/01/2006 ~
SITE IS VISITED DAILY BY CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING.
Release Containment 10/12/2005
SECONDARY CONTAINMENT
~l
Clean Up
05/01/2006
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE REPSONDING REGULATORY
AGENCY.
Other Resource Activation
-6- 01/26/2007
F CALIFORNIA WATER SRV 126-O1 SiteID: 015-021-002953 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~JC C:1d1 11dGdL US
Utility Shut-Offs 05/01/2006
NATURAL GAS/PROPANE: N/A
ELECTRICAL: MAIN BREAKERS IN ELECT PANELS
WATER: WATER WELL
SPECIAL: N/A
LOCK BOX: NO
Fire Protec./Avail. Water
FIRE HYDRANT - WELL DISCHARGE
10/17/2006
_-
Building Occupancy Level 05/01/2006
UNMANNED SITE
-7-
01/26/2007
~. _~
F CALIFORNIA WATER SRV 126-O1 ~ SiteID: 015-021-002953 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/01/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING.
BRIEF SUMMARY OF TRAINING PROGRAM: DAILY SITE VISITS~ARE MADE BY PUMP.
OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY '
PROGRAMS ADDRESS HAZMAT TRAINING.
rayC ~
nc.LU 1V.L rul. ul.C 1.1.7C
riciu iv.L r ul.utC U5C
-8- 01/26/2007
+ CALIFORNIA WATER SRV 126-0'~1 _________________________ SitelD: 015-021-002953 +
Manager TIM TRELOAR
Location: 2130 21ST ST~S'~a (2b~
City BAKERSFIELD
BusPhone: (661) 837-7200
Map 102 CommHaz High
Grid: 25B FacUnits: 1 AOV:
CommCode: BFD STA 01
EPA Numb:
SIC Code:4941
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DIS'~T' MANAGER $~3~-HAhP~Fr~'~u~y YJII¢S / ASST DIST MGR
Business Phone: (661) 39'S~-2400x Business Phone: (661) 3-9~6--~-6~A,x
24-Hour Phone ( ) - x 24-Hour Phone ( ) 837=~'`~"x
7271
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React ImmHlth
Contact DBE-G6N~BS- 3~ 11 IZosrc/t Phone: (48~6~- 3-6~--8" ~
MailAddr : 3a-2-E}-N-F~I~S~'-S~"t' 3'~ z S so~1~l, --~ S't~~ State : CA~1 837 ~ 727
City S~--d~Fr $~Ke45~,~.~(d Zip 9r1-~2 933uy
' 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:
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
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.
ENT'D Mq ~ 16 2p06
ature Dat
-1- 02/27/2006