HomeMy WebLinkAboutBUSINESS PLAN 7/12/2007r _ _ _
- _ - ~ ~ i'~ 'CAL WATER - sTn csx 2
~! 5151 DISTRICT BLVD. ~,
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CALIFORNIA WATER SRV CBK-02
Manager TIM TRELOAR
Location: 5151 DISTRICT BLVD
City BAKERSFIELD
SiteID: 015-021-002945
BusPhone: (661) 837-7200
Map 123 CommHaz High
Grid: 15D 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 BAKERSF IELD Zip 93304
Owner CITY OF BAKERSFIELD Phone: (661) 837-7200x
Address 1000 BUENA VISTA State: CA
City BAKERSFIELD Zip 93311
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: No
Gall
Gal
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Sased on .n
res oni' x y inquiry of those
p ole nor obtaining the informatio ~~ j id~ tify
under penalty of laws
examined and am f that I have personally
submitted and believe ~t~he nlformationo s t ue~
accurate; and complete.
ature `Y_ ~ Z U
Da e
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-1- 07/10/2007
r_ '
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945 ~
~ 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
P CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945 ~
~ 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 TMixtur~mbient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
• t1HGAttLV U 5 1:V1~1Y V1V 1'~1V'1'~
sWt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
ri1~GHKL A~Ji'~Ja1~1L1V 1
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 CBK-02 SiteID: 015-021-002945 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification
Employee Notif./Evacuation
,~
rUJJ11V 1VV 1.11. ~ P~VQ.I.UQl.l V11
Emergency Medical Plan 08/01/2006
MERCY HOSPITAL, TRUXTUN AVE.
-5- 07/10/2007
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/15/2006 ~
SITE IS VISITED DAILY BY CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING.
Release Containment
SECONDARY CONTAINMENT.
10/07/2005
1..1CQ11 V~.1
Other Resource Activation
-6- 07/10/2007
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.7~lCC:1a1 17.cLGGil U5
Utility Shut-Offs 08/01/2006
ELECTRICAL: MAIN BREAKERS IN ELECT PANELS
WATER: WATER WELL
LOCK BOX: NO
Fire Protec./Avail. Water
WELL DISCHARGE
05/25/2006
Building Occupancy Level
UNMANNED SITE
03/15/2006
-7- 07/10/2007
P
i~ ~ ~
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/25/2006 ~
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 c.
nc~.u l.vi ru~.uic vac
nclu iii ruuuiC u~c
-8- 07/10/2007
(~ - r
CALIFORNIA WATER SRV CBK-02
Manager TIM TRELOAR
Location: 5151 DISTRICT BLVD
City BAKERSFIELD
CommCode: BFD STA 13
EPA Numb:
SiteID: 015-021-002945
BusPhone: (661) 837-7200
Map 123 CommHaz High
Grid: 15D 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
(661) 837-7200x
( ) - x
Contact BILL ROSICA
MailAddr: 3725 S H ST
City BAKERSFIELD
Owner CITY OF BAKERSFIELD
Address 1000 BUENA VISTA
City BAKERSFIELD
Period to
Preparers
Certif'd:
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Emergency Contact
RUDY VALLES
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ ASST DIST MGF~:
(661) 837-7271x
(661) 837-7271x
( ) - x
React ImmHlth
Phone: (661)
State: CA
Zip 93304
Phone: (661)
State: CA
Zip 93311
TotalASTs: _
TotalUSTs: _
RSs: No
~NT'~ ~ ~ ~ 2 ~~~~
Based on my inquiry of those individuals
responsible far 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.
a-.uc,~. Z 6~
i nature ~ date
Gal
Coal
837-7278x
837-7200x
-1- 01/29/2007
r ,
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-00295 ~
~ 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- 01/29/2007
-3- Ol/29/~d07
F CALIFORNIA WATER SRV CBK-02 SitelD: 015-021-002945 ~
~ 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 TMixtur~ Ambient ~ 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
%Wt. RS CAS#
12.50 Sodium Hypochlorite No 768129
riAGL~I[1J A55~5~1~1t51V 1'~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA
No No No No/ Curies R IH / / / HY
-4- 01/29/2007
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945
Fast Format
~ Notif./Evacuation/Medical Overall Sites
~ Agency Notification
9
9
Employee Notif./Evacuation
YUlJ11G 1VV l.1L f P~VdC:Udl.l Vil
Emergency Medical Plan 08/O1/20E75
MERCY HOSPITAL, TRUXTUN AVE.
-5- O1/29/~007
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-00295 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Sites ~
~ Release Prevention 03/15/2005 ~
SITE IS VISITED DAILY BY CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING.
Release Containment 10/07/2005
SECONDARY CONTAINMENT.
~ieail up
Other Resource Activation
-6- O1/29/~007
4-
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945 ~
Fast Form~:t ~
~ Site Emergency Factors Overall Sites ~
J~JC l: 1cL1 i1cLG CtL US
Utility Shut-Offs 08/01/20175
ELECTRICAL: MAIN BREAKERS IN ELECT PANELS
WATER: WATER WELL
LOCK BOX: NO
__ ___.
Fire Protec./Avail. Water 05/25/20175
WELL DISCHARGE
Building Occupancy Level 03/15/20f15
UNMANNED SITE
-7- Ol/29/~607
eZ
F CALIFORNIA WATER SRV CBK-02 SiteID: 015-021-002945 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/25/2076 ~
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.
rctyC G
nciu ivi ru~.uic v~C
naict Lvi ru~uiC u~~
-8- O1/29/~007
C: ~:
+ CALIFORNIA WATER SRV CBK-02 =________________________ SiteID: 015-021-002945 +
Manager TIM TRELOAR
Location: 5151 DISTRICT BLVD
City BAKERSFIELD
CommCode: BFD STA 13
EPA Numb:
BusPhone: (661) 837-7200
Map 123 CommHaz High
Grid: 15D FaCUnits: 1 AOV:
SIC Code:4941
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DISTRICT MGR ~G~~ Valf~~ / ASST DIST MGR
Business Phone: (661) - X37-7L~ Business Phone: (661) "'~ar~-4vv~c+37-~~ 7~
24-Hour Phone (661) '"'~_n-~-4~^~~37-72n~ 24-Hour Phone (661) 396-2400x r 37-72 ~
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React ImmHlth
-----------------------------------
Contac t a r` ~ ~ ~eS r'cA- Phone : ( 4 0 8 ) 3~f~~ ='8-3-z-4~r
MailAddr : 37 ~_5' S~u~~ N S~ State : CA b 37- 727
City ~ ~~~e~ irz~cC Zip -953-1~- Si33~s~.
Owner CITY OF BAKERSFIELD Phone: (661) 837-7200x
Address 1000 BUENA VISTA State: CA
City : BAKERSFIELD Zip 93311
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo : ''(~
Emergency Directives: `/~~
PROG A - HAZMAT ~,
PROG T - ABOVEGROUND STORAGE TANK ~N~
~~
ada ~oDs
S.~
~ no°~
~~
~~
55
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that 1 have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
`~c~h.~ S~` 3 ~ +~~
nature Dat~®
-1- 05/25/2006
~~` C~r~
UNIFIED PROGRAM INSPECTFON CHECKLIST ' ~ prevention Services
>3 r: R s ~ , , p 900 Truxtun Ave., Suite 210
- ~- § ~= FiRF Bakersfield, CA 93301
SECTION 1T: ~BUSin@SS Plan and Inv@r1tOry Program aRrra Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME` INSPECTION DATE INSPECTION TIME
ADDRESS i
S 1 S 1 ~S-f"t'Zt
T' `tom [ 1> HONE NO.
$3~--?z.~ NO OF EMPLOYEES
~--
FACILITY_CONTACT
~~ ~~
~~ BUSINESS ID NUMBER
15-021- Z~
Section 1: Business Plan and Inventory Program ~0~
--
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C=Compliance OPERATION
V=Violation COMMENTS
ie7 ^ APPROPRIATE PERMIT ON HAND ..+
^
BUSIneSS PLAN CONTACT INFORMATION ACCURATE ... ~
'
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
Yd ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION '
^ PROPER SEGREGATION OF MATERIAL
J
($ ^ VERIFICATION OF MSDS AVAILABILITY
E~ ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
i~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
~ ^ HOUSEKEEPING
,,
/
LrJ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES NO
EXPLAIN:
QUESTIONS REGA DING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Ins to Please Print) ire Prevention / 1s In /Shift of Site/Station # Hess Site /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink.- Business Copy FD 2155 (Rev.-09/05