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HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007r-1 O ~O N .-~ ~ L ~~ ~ } L H d ~ ~ } N O ~ M .~ O N ' ~_ L O V- O v i I_ i ~~ ~ :, r.:.:. 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 L .f , ~ ! Lt7 ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ~ coos ~ VISIBLE ADDRESS ^ _ ~,,// La ^ CORRECT OCCUPANCY , ^ VERIFICATION OF INVENTORY MATERIALS L K ~ /' L ~ ^ VERIFICATION OF QUANTITIES ~ ,/ L'7 ^ VERIFICATION OF LOCATION - ^ PROPER SEGREGATION OF MATERIAL ~/~ L !d ^ 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