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Home My WebLink AboutBUSINESS PLAN 3/2/2007CAL WATER SRVC CO ~~ZS-o~~ 647 CASA LOMA DRIVE ~~ ~ - - ~ ~~50 CALIFORNIA WATER SRV 125-O1 SiteID: 015-021-001942 Manager TIM TRELOAR Location: 647 CASA LOMA DR City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: BusPhone: (661) 837-7200 Map 124 CommHaz High Grid: 08B FacUnits: l 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 Based on my inquiry of those individuals responsible for obtaining the information, I C@rtify 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. Q~•cc... 3 Z U ~_ S' ature Dafe TotalASTs: _ TotalUSTs: _ RSs: Yes ENT'D MAR 8 X007 V"DO°~ Gall Gal -1- 01/26/2007 F CALIFORNIA WATER SRV 125-O1 SiteID: 015-021-001942 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at 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 125-01 SiteID: 015-021-001942 ~ ~ 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: FENCED ENCLOSURE NEXT TO PUMP CA5# 7681-52-9 STATE T TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Mixture I Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL t1AL,~tu.~~u~ 1:U1~lYUN~1V'1'S oWt. RS CAS# 12.50 Sodium Hypochlorite ~ No 7681529 tiHGL~1tL A~~1;551~1t;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi -4- 01/26/2007 F CALIFORNIA WATER SRV 125-O1 SiteID: 015-021-001942 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/04/2006 ~ CALL 911 AND 800-852-7550 OR 916-427-4341. ~- Ldll~J1 V~/CC 1VV 1,11. / r,VdUlAd 1, .l Vil Public Notif./.Evacuation 08/04/2006 WE WOULD PREFER TO RELY ON EMERGENCY SERVICES PERSONNEL TO DETERMINE IF AN EVACUATION IS NECESSARY. HOWEVER, WE WILL EVACUATE THE AFFECTED LOCAL POPULATION, AS NECESSARY, IF EMERGENCY SERVICES PERSONNEL ARE NOT AVAILABLE. Emergency Medical Plan 08/04/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 01/26/2007 F CALIFORNIA WATER SRV 125-01 SiteID: 015-021-001942 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 08/04/2006 ~ SODIUM HYPOCHLORITE IS STORED IN AN ABOVEGROUND SECURE AREA. Release Containment 04/06/1999 THE SODIUM HYPOCHLORITE IS SECONDARILY CONTAINED. ~.icail vN V1.11C1 iCC.7-VULC:C LiC:l.lVdl.lUi1 -6- 01/26/2007 F CALIFORNIA WATER SRV 125-O1 SiteID: 015-021-001942 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~iai ncac~c~iu~ Utility Shut-Offs 08/04/2006 A) ELECTRICAL - SERVICE BOX INSIDE FAC B) LOCK BOX - NO Fire Protec./Avail. Water _ 08/04/2006 FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 05/12/2006 UNMANNED SITE. -7- 01/26/2007 i -t F CALIFORNIA WATER SRV 125-01 SiteID: 015-021-001942 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 05/12/2006 ~ MSDS SHEET ON FILE. BRIEF SL7MMARY OF TRAINING PROGRAM: CALIFORNIA WATER SERVICE CO PROVIDES THE FOLLOWING TRAINING: 1. SAFETY PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIALS RELEASE OR THREATENED RELEASE. 2. HAZARD COMMUNICATION STANDARD. 3. EVACUATION PROCEDURES. 4. PROPER HANDLING OF HAZARDOUS MATERIALS. 5. HMMP IMPLEMENTATION. rayc ~ _ t ~ r _ RG 1l.L 1V1 L' lA l,. I.LLG V.7G Held for Future Use -8- 01/26/2007 F ~ .a F CALIFORNIA WATER SRV 125-O1 SiteID: 015-021-001942 Manager TIM TRELOAR Location: 647 CASA LOMA DR City BAKERSFIELD BusPhone: (661) 837-7200 Map 124 CommHaz High Grid: 08B FacUnits: 1 AOV: CommCode: BFD STA 05 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) 837-7278x 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 E3ased c~ res;;c,7s;f,i, rmY inquiry of those individuais nor obPairring the infer u~~der pnalty of law that I examined and mateon, I certify am familiar have Personally submitted and believe with the information accurate, and com the infor plete. mation is true, ature ..~ ~ ~~ G Oath ~ `~ ~~ ~ ~ ?007 Gall Gal TotalASTs: _ TotalUSTs: _ RSs: Yes -1- 07/10/2007 r F CALIFORNIA WATER SRV 125-01 SiteID: 015-021-001942 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at 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 F CALIFORNIA WATER SRV 125-01 SiteID: 015-021-001942 ~ ~ 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: FENCED ENCLOSURE NEXT TO PUMP CAS# 7681-52-9 Liquid TMixtur~ AmbRent~E ~ AmbientT~E ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL rita~t~rcliuua ~:ui~irvlvr;lvla oWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 ri1~L,HKL 1.1~~~J,71~1L1V 1 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 125-01 SiteID: 015-021-001942 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/04/2006 ~ CALL 911 AND 800-852-7550 OR 916-427-4341. _, r .~ ~.:~uiNivYcc ivv~.ii . / P~V0.l~UQl.1V11 Public Notif./Evacuation 08/04/2006 WE WOULD PREFER TO RELY ON EMERGENCY SERVICES PERSONNEL TO DETERMINE IF AN EVACUATION IS NECESSARY. HOWEVER, WE WILL EVACUATE THE AFFECTED LOCAL POPULATION, AS NECESSARY, IF EMERGENCY SERVICES PERSONNEL ARE NOT AVAILABLE. Emergency Medical Plan 08/04/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 125-O1 SiteID: 015-021-001942 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 08/04/2006 ~ SODIUM HYPOCHLORITE IS STORED IN AN ABOVEGROUND SECURE AREA. Release Containment 04/06/1999 THE SODIUM HYPOCHLORITE IS SECONDARILY CONTAINED. l.1CQ11 V~J V 1.11C1 1<C.7VU1 l:C L'il~l.l VCL l..1 Vll -6- 07/10/2007 F CALIFORNIA WATER SRV 125-01 SitelD: 015-021-001942 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ r7~JC l: 1 CL 1 1ZCL G G1.L U.7- Utility Shut-Offs 03/08/2007 ELECTRICAL - SERVICE BOX INSIDE SITE __ Fire Protec./Avail. Water 08/04/2006 FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 05/12/2006 UNMANNED SITE. -7- 07/10/2007 ,_ .. F CALIFORNIA WATER SRV 125-O1 SiteID: 015-021-001942 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/08/2007 ~ MSDS SHEET ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: CALIFORNIA WATER SERVICE CO PROVIDES THE FOLLOWING TRAINING: SAFETY PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIALS RELEASE OR THREATENED RELEASE; HAZARD COMMUNICATION STANDARD; EVACUATION PROCEDURES; PROPER HANDLING OF HAZARDOUS MATERIALS; AND HMMP IMPLEMENTATION. rayc ~ nciu ivi ru~uL~ use azciu ivi rUI.ULC UDC -8- 07/10/2007 UNIFIED PROGRAM INSPECTION CHECF(LIST SECTION 1: Easiness Plan and Inventory Profogram ,n 11 9 ~' Prevention Services ri ,~,~~r:,a ~ r ,'~ „ 900 Truxtun Ave., Suite 210 ~' F~Re ~ Bakersfield, CA 93301 o~,aer~~ r Tel.: (661) 326-3979 ~~ '``~ .~~' Fax: (661) 872-2171 FACILITY NAME ~ _ INSPECTION DATE INSPECTION TIME ADDRESS ~ ~, ~ _ PHO ENO. O OF EMPLOYEES ~ FACILITY ~ r .. ~ N ` ~ n ,D! r tiA' ~~ `~- 'O ~ G BUSINESS ID NUMBER ~ ^ j 15-021- /!t' t/`f/'7 Section 1: Business Plan and Inventory Program ~~~ - - -- - ---- -. -- - - - -~ 1r~ _ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance) OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~'I' P.P ~ ..~ .~ ~ ~ ~,~ ^ CORRECT OCCUPANCY L~ ^ 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 PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION 1~' ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOU)S WASTE ON SITE? ^ YES ~i NO EXPLAIN: 1=~-i ..~ (~) /,~ °j ° C% 1 T~ (y ,~ •- ~Y ~ 3 ~ ~ ~ • ~ >4 ~ ~~ s:~f ~ ~l •~.a1 '~w'~~ ) QUESTIONS REGARDING~T^HIS INSPECTION? PLEASE CALL US AT (661) 326-3979 _~~~ r~~~~r' % ~~ 1. ,-i ~I~a r:t. ~ ~•j /'1~ ~. '`~.. U''_~./~iti Inspector (Please Print) Fire Prevention / 1" In Shift of Site/Station # Basin s Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/OS UNIFIED PROGRAM.INSPECTION`CHECKLIST SECTION-1: Business Plan and Inventory. Program r Prevention Services e A ,- r R 5 ,: , n 900 Truxtun Ave., Suite 210 _ ~~ FiaE =~ - Bakersfield, CA 93301. v aAr~ Tel.: (661) 326-3979- ~~~~ ~~ Fax: (661) 872-2171 FACILITY NAME a ~ r l~~- b C) INSPECTION DATE G INSPECTION TIME /y3o c p .e l ~ b ADDR~S~~~ ~ ^ C 4 ~~ ~ !~ P~`~~ O~ ~ba NO OF EMPLOYEES FACILITY CONTACT ~ 1~'OS) Cla BUSINESS ID NUMBER ~ ~ ~ ^ 15-021-aJ-., 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 006 ^ BUSIneS$ PLAN CONTACT INFORMATION ACCURATE (\Cj `+ V ~I ^ VISIBLE ADDRESS I ~ ^ CORRECT OCCUPANCY , y ~ I[7 ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION I$ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ~ . ^ EMERGENCY PROCEDURES ADEQUATE ~ ,r I.~ ^ CONTAINERS PROPERLY LABELED i~' ^ 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 ~~. N ~ ~ ° Busines i e / Res onsible Pa Please Print Inspector (Please Print) Fir Prevention / 1'~ In /Shift of Site/Station # P rtY ( ) - ~ White -Prevention Services Yellow -Station Copy 'Pink - Business-Copy ~ - FD 2155 (Rev. 09/05 ^ YES ~'7 NO -, '~~, + CALIFORNIA WATER SRV 125-01 _________________________ SiteID: 015-021-001942 + Manager BusPhone : ( 661) ~9~2~4~6 Location: 647 CASA LOMA DR Map 124 CommHaz High City BAKERSFIELD Grid: 08B FacUnits: 1 AOV: CommCode: BFD STA 05 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR R~~y Valli-~ / ASST DIST MGR Business Phone: (661) ~'~ ^_^_^^==X37-~~~ Business Phone: (661) 3.90 =4-^~c~3~-7~, 24 -Hour Phone ( 6 61) ' ° ~ `' ^ ^ ^°°~i37 7u1U 24 -Hour Phone ( 6 61) 3-96~~-@{~xS;37.7"Z ~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire -Press ImmHlth Contact ~°~( ~osr~:A Phone : ( 661) "3-9~C-~0.0~c MailAddr: 3725 S H ST State: CA E337~7~7~ City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone: (661) 396-2400x Address 3725 S H ST State: CA City BAKERSFIELD Zip 93304 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 beli1ete the information is true, accurate, and comp z2 (~ ~ Date g; " lure ENT A~~ ~ ~ 2006 ~""~~ 5 -1- 05/12/2006