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Home My WebLink AboutBUSINESS PLAN 7/12/2007d ~~'' CAL WATER - sTa csx-s ~~ 5701 DISTRICT BLVD. --- - --- l CALIFORNIA WATER SRV CBK-08 Manager TIM TRELOAR Location: 5701 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SiteID: 015-021-002943 BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 15C 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 Emergency Contact RUDY VALLES Business Phone: 24-Hour Phone Pager Phone / Title / ASST DIST MGR (661) 837-7271x (661) 837-7271x ( ) - x React ImmHlth Phone: (661) 837-7278x State: CA Zip 93304 Owner CITY OF BAKERSFIELD Phone: (661) 837-7200x Address 10000 BUENA VISTA RD State: CA City BAKERSFIELD Zip 93311 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Gall Gal TotalASTs: _ TotalUSTs: _ RSs: No ~N~,~ ~~ . ~ ~ ~ ~pD7 Based on my inquiry of thaw individual; respansible for obtaining the information, !certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accuraate, and complete. S' . ature Date -1- 07/10/2007 L ~, P CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ ~ 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- o~/lo/aoo~ ~ CALIFORNIA WATER SRV CBK-08 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-002943 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL -• nr~~[~tcl~uu5 wl~ir~lv~lvl,~ $Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 t1AGLitCU HSSi55~1~1C~1V'15 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-08 SiteID: 015-021-002943 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Prlll~JlVyCC 1VV 1.11. ~ L' VCL I: UGL41V11 i_ tU1J1ll: 1VV 411. ~ P~VCI1: UGi41V11 Emergency Medical Plan 08/01/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/18/2006 ~ SITE IS VISITED DAILY BY CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING. Release Containment 10/07/2005 SECONDARY CONTAINMENT 1.160.11 V~J v ~llcl 11caV U1_l:C tiC: l.lVdl.l CJil -6- 07/10/2007 R 'I F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, .~Nc~.ia.a. aaa~atu~7 Utility Shut-Offs 08/01/2006 ELECTRICAL: MAIN BREAKERS IN ELECT PANELS WATER: WATER WELL LOCK BOX: NO Fire Protec./Avail. Water WELL DISCHARGE 08/01/2006 Building Occupancy Level 03/14/2006 UNMANNED SITE -7- 07/10/2007 ,~ F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 08/01/2006 ~ 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. rays ~ Held for Future Use nciu iui. r u~uiC u~C -8- 07/10/2007 .Q ~~ ~ CALIFORNIA WATER SRV CBK-08 Manager TIM TRELOAR Location: 5701 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SiteID: 015-021-002943 BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 15C FacUnits: 1 AOV: SIC Code:4941 DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGf 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 CITY OF BAKERSFIELD Phone: (661) 837-7200x Address 10000 BUENA VISTA RD 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 ENT'D ~ ~ ~ ~ 6 ~DO7 f these individuals Based on my inqu!rY t~®in~rrnstion, 1 certify responsible far obtain~n9 ersonally under penalty of law that I have p examined and am familiar with the information submitted nd complete. the Information is true, accurate,a u-~- Da e ~~ nature -1- 01/29/007 ji 3 ri F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-0029~~ ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Side ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE R IH L 200.00 GAL ~i -2- 01/29/2007 -3- O1/29/2~07 F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ ~ 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 Mixture 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 7681529 t11~GHKL 1~~ ~J;5~1~1J;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA? No No No No/ Curies R IH / / / Hi -4- O1/29/Zd07 ;~,, ,; F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification employee NoLiz.~~vacuaLion runlic i~oLi=./~vacuaLion Emergency Medical Plan MERCY HOSPITAL, TRUXTUN AVE. 08/01/20(75 -5- ~ O1/29/~U07 F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/18/20i7i~ ~ SITE IS VISITED DAILY BY CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING. Release Containment SECONDARY CONTAINMENT 10/07/20175 l,1Cdi1 U~J Vl.il~t" KCSUI,L.LC~ 1-~C:C1VdL.LOR -6- O1/29/2n07 ~, ~. F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ . Fast Format ~ ~ Site Emergency Factors Overall Sits ~ J~JC I: 10.1 17C1G CLL Ua Utility Shut-Offs 08/O1/20~6 ELECTRICAL: MAIN BREAKERS IN ELECT PANELS WATER: WATER WELL LOCK BOX: NO Fire Protec./Avail. Water 08/O1/20k76 WELL DISCHARGE Building Occupancy Level 03/14/2005 UNMANNED SITE -7- 01/29/2007 F CALIFORNIA WATER SRV CBK-08 SiteID: 015-021-002943 ~ Fast Format ~ ~ Training Overall Sits ~ ~ Employee Training 08/01/2006 ~ 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. rage Held for Future Use Held for Future Use -8- Ol/29/~007 UNIFIED PROGRAM INSPECTION CHECKLIST~_' .SECTION 1: Business Plan and Inventory Program BASERSFIELD FIRE DEPT Prevention Services „ ~~~~ 900 Truxtun Ave., Suite 210 ~Rtrr Bakers$eld, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE NSPECTION TIME ~/~ 2 C - o$ lol> a~ ~~i 30 ADDRESS ~~ I ~ ~ ~ ~ HONEpN~O. OOF^EIMPLOYEES FACILITY CONTACT / ~ 11 BPS; ~ USINESS ID NUM81 rJ_021 o~a~~3 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 ^ BUSI11@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ ,~ ^ CORRECT OCCUPANCY - VERIFICATION OF INVENTORY MATERIALS - EItl 1 ~ ~ L ~ L. ^ 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 C~ ^ EMERGENCY PROCEDURES ADEQUATE I~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: - _ .` ~" ~UESTIONS REGARDING THIS INSPECTION? PLEA8E CALL US AT (881) 328-3979 ~( 13 Ins r (Please Print) Fire Prevention / 1'~ In / Shift of Site/Station q B ss Sfl ool Site Responsible Party (Please Print) White -Prevention Sarviees Yellow -Station Copy Pink - t3uaineoa Copy F02049 (qw. OY/OS)