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Home My WebLink AboutBUSINESS PLAN/i .~ - ~' II ~ ~~ CAL WATER SRV (iso-oi> iif'~ 4405 COUNTRY WOOD LANE ~~ ~~ !I UNIFIED PROGRAM INSPECTION CHECKL.IST~ » ~~Rii a.,....,...,..x.4S,sx'~d...w~..av ..c:.LS^3'%rz ..... rt .,.-. 1:,, C. rl~'F...4 ... .. ........ ..d'iC-.., 'S a.'..M'.' -3 ~~~~ SECTION 1: Business Plan and Inventory Program ~ '~'' BAKERSFIELD FIRE DEPT Prevention Services 900 Trtixtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME d~~~A .(~ ~ /~4- o I INSPECTION DATE ~ ~ ~ -~ INSPECTION TIME ADDRESS U s C'o~ w-T l Jooa ,~. HONE NO. 6- a o0 O OF EMPLOYEES FACILITY CONTACT ~• USINESS ID NUMBER 15-021- DO a ~'7,~ i+_ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS fZi ^ APPROPRIATE PERMIT ON HAND . O BUSItI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~) ^ VERIFICATION OF INVENTORY MATERIALS lp ^ VERIFICATION OF QUANTITIES , f 4u ^ VERIFICATION OF LOCATION I]I ^ PROPER SEGREGATION OF MATERIAL (~ ^ VERIFICATION OF MSDS AVAILABILITY m ^ VERIFICATION OF HAZ MAT TRAINING f~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -- ~1 ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY. LABELED ~I ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ¢~ NO EXPLAIN: _ THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~ Print) Fire Prevention / tb~ In /Shift of Site/Station # Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program A A A R S P I. D F/RE D ARfM Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAM INSPECTION ATE INSPECTION TIME L/lORI~/~ D- O v ~ ADDRESS PHONE N O. NO OF EMPLOYEES / FACILITY CO~CT BUSINESS ID NUM615-U21- ^~ W~ ~~ - ._ M Y lnventory Program"; ness :Plan and Busi ~'~ Section 1: ,. `.. ~ _, ,_, , . ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND GIB' ^ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE Q~ ^ VISIBLE ADDRESS [~ ^ CORRECT OCCUPANCY I~ ^ VERIFICATION OF INVENTORY MATERIALS [~ ^ VERIFICATION OF QUANTITIES C~^ ^ VERIFICATION OF LOCATION CCU' ^ PROPER SEGREGATION OF MATERIAL EIa 'D ' C>~ ^ VERIFICATION OF MSDS AVAILABILITY COY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ~ ,_ /~ L7 ^ EMERGENCY PROCEDURES ADEQUATE (Bl ^ CONTAINERS PROPERLY LABELED C3~ ^ HOUSEKEEPING C,~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~ C~' NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site I Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~, a CALIFORNIA WATER SRV 180-01' SiteID: 015-021-002373 Manager TIM TRELOAR Location: 4405 COUNTRY WOOD LN City BAKERSFIELD BusPhone: (661) 396-2400 Map 123 CommHaz High Grid: 23C FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:4941 DunnBrad: 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: React 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 TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK CONTACT BILL ROSICA, 837-7278, FOR INSPECTIONS. DIRECTIONS TO SITE: TURN ON COUNTRY MEADOW DR OFF HARRIS - TAKE IMMEDIATE LEFT ONTO COUNTRY WOOD LN. THERE IS A LARGE CONDO COMPLE X - SITE SITS ON PARKING LOT. C~as~?d on my inquiry of those individuals re:~q~nksibie for ol.~taining the information, I c2rtity C ~~ undt~?' pFnaity of law that I have personally C examined and am familiar with the information ~ submitted and believe the information is true, ~ ,~ accurate, and complete. ~®~ ~/)0 ' nature Da -1- 07/10/2007 ~r , F CALIFORNIA WATER SRV 180-01 SiteID: 015-021-002373 ~ ~ 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- 07/10/20.07 -3- 07/10/2007 t F CALIFORNIA WATER SRV 180-O1 SitelD: 015-021-002373 ~ ~ 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: AT PLANT CAS# 7681-52-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture r Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL t1r~~HxliuuS uulnrulv~lV~1~5 %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 t1AGH.KL H~5r:~51~1~1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/10/2007 ,, F CALIFORNIA WATER SRV 180-01 SiteID: 015-021-002373 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ rlyvllc:y 1VV<,111Ud1.1V11 • i ~.. tll ll~JlVyCC 1VV 1.11. ~ r~V d1.:Ud 1.1 Vll _i_ ~ i.-. r l1iJ 1 l V 1Y V 1.. 1 1. ~ 1:1 V Q 1. 11Q V 1 V l l Emergency Medical Plan 04/12/2006 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 180-01 SiteID: 015-021-002373 ~ Fast Format ~ ~ Mitigation/PreventJAbatemt Overall Site ~ ~ Release Prevention 06/10/2002 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment LIQUID CHLORINE - SECONDARY CONTAINMENT 10/18/2006 Clean Up to/ls/2oo6 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. ~,_ V 1.. i l c 1 2<c w7 V u 1 V G L'11.. V 1 V CL V 1 V l l -6- 07/10/2007 1 F CALIFORNIA WATER SRV 180-01 SiteID: 015-021-002373 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lCl:1d1 17d'Gdl US Utility Shut-Offs 1'11C rLVI..CL /HVd11 INdI~Cl Building Occupancy Level 03/15/2006 UNMANNED SITE -7- 07/10/2007 +5 ~ t4 F CALIFORNIA WATER SRV 180-O1. SiteID: 015-021-002373 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/12/2006 ~ MSDS IN FIELD OFFICE AND STATION ELECTRICAL PANEL, BRIEF SUMMARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES HAZMAT TRAINING. rayC ~ Held for Future Use nciu Lvi r u~.uic vac -8- 07/10/2007