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Home My WebLink AboutBUSINESS PLAN~'~ I C ii CAL WATER ~ iA 19'n ~ ~ i~ 1124 DOBRUSKY-= _ _ _ _ = _- - ~J ~~ i ~~ . r :,~~4 \~~~ _~ CALIFORNIA WATER SRV 153-01 Manager TIM TRELOAR Location: 1124 DOBRUSKY LN City BAKERSFIELD CommCode: BFD STA 06 EPA Numb: SiteID: 015-021-002949 BusPhone: (661) 396-2400 Map 124 CommHaz High Grid: 06A FacUnits: 1 AOV: SIC Code:4941 DunnBrad:006913578 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 ( ) - x 24-Hour Phone ( ) - x 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 Address 3725 S H ST City BAKERSFIELD 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 certify under penalty of laFv that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~. ~!)p 8i ature Dat Phone: (661) 837-7200x State: CA Zip 93304 TotalASTs: _ TotalUSTs: _ RSs: No JtllL~®2~0/ Gall Gal -1- 07/10/2007 :~1 7 F CALIFORNIA WATER SRV 153-01 SiteID: 015-021-002949 ~ ~ 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 t~ -3- 07/10/2007 ;,~ ` F CALIFORNIA WATER SRV 153-01 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-002949 ~ 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 -- t~ly,~xtcl~vu5 ~vlYirvlvr:lv~t~5 %Wt. RS CAS# 12.50 Sodium Hypochlorite No ?681529 t1Y.GKICL 1'~aa~5J1~1~1V 1.> TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R TH / / / Hi -4- 07/10/2007 F CALIFORNIA WATER SRV 153-O1 SiteID: 015-021-002949 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ,~ P~Lil~J1VYCC lVV l.11 f PTV CLL: UCLL1V11 Public Notif./Evacuation Emergency Medical Plan 10/18/2006 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 :., F CALIFORNIA WATER SRV 153-O1 SiteID: 015-021-002949 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/18/2006 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment 10/18/2006 LIQUID CHLORINE - SECONDARY CONTAINMENT Clean Up 10/18/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. Other Resource Activation -6- 07/10/2007 a_ .. F CALIFORNIA WATER SRV 153-01 SiteID: 015-021-002949 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ iJ~JCC:1d1 !ld'Gdlll.5" Utility Shut-Offs 10/18/2006 NATUARL GAS/PROPANE: ELECTRICAL: MAIN BREAKERS IN ELECT PANELS WATER: WATER WELL SPECIAL: N/A LOCK BOX: NO Fire Protec./Avail. Water WATER AVAILABILITY - WELL DISCHARGE 10/18/2006 Building Occupancy Level 03/08/2006 UNMANNED SITE -7- 07/10/2007 n>., .. F CALIFORNIA WATER SRV 153-01 SiteID: 015-021-002949 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/18/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING AND OR PANEL/CWS FIELD OFFICE. BRIEF SUNIMARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES HAZARDOUS MATERIALS TRAINING. rayc c. Held for Future Use nciu ivi ru~.uic u~c -8- 07/10/2007 't,~ _ i CALIFORNIA WATER SRV 153-O1 Manager TIM TRELOAR Location: 1124 DOBRUSKY LN City BAKERSFIELD SiteID: 015-021-002945 BusPhone: (661) 396-2400 Map 124 CommHaz High Grid: 06A FacUnits: 1 AOV: CommCode: BFD STA 06 EPA Numb: SIC Code:4941 DunnBrad:006913578 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 ( ) - x 24-Hour Phone ( ) - x 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) 3~9~6-~-4-6.9-x Address 3725 S H ST State: CA X37-7Zd~ City BAKERSFIELD Zip 93304 Period to Preparers Certif ' d: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gall Gal Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~°Nfi`p ~,~~ ~ ~ 2 007 Based on my inquiry of those individuals responsible for obtaining the information, I aer#ify under penalty of Ia4v that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. i nature o-~~. Date -1- O1/29/~007 l ~i~ F CALIFORNIA WATER SRV 153-O1 SiteID: 015-021-002948 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Sites ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit NtCP SODIUM HYPOCHLORITE R IH L 200.00 GAL iii -2- Ol/29/2b07 -3- O1/29/~b07 F CALIFORNIA WATER SRV 153-O1 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 TMixture Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL ritiGtiLCLV V iJ t.V1~lYV1V L' 1V 1.7 %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 l1tiL~tiiCL EiJ JL~J.71•1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- Ol/29/2b07 1 r~ F CALIFORNIA WATER SRV 153-01 SiteID: 015-021-002945 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation t'U1J11C: 1VV 111 ~.GVdC:Udl.1 V11 Emergency Medical Plan 10/18/205 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- O1/29/~007 a F CALIFORNIA WATER SRV 153-O1 SiteID: 015-021-002949 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Sites ~ ~ Release Prevention 10/18/20076 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment 10/18/2006 LIQUID CHLORINE - SECONDARY CONTAINMENT Clean Up 10/18/20175 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATO#.ZY AGENCY. VLilCL ttCSVUic:e t~c.:~..1vdl.lc.~n -6- 01/29/2007 F CALIFORNIA WATER SRV 153-01 SiteID: 015-021-002949 q Fast Format ~ ~ Site Emergency Factors Overall Site ~ a7~JCU1d1 ridGdLUS Utility Shut-Offs 10/18/2005 NATUARL GAS/PROPANE: ELECTRICAL: MAIN BREAKERS IN ELECT PANELS WATER: WATER WELL SPECIAL: N/A LOCK BOX: NO Fire Protec./Avail. Water 10/18/2005 WATER AVAILABILITY - WELL DISCHARGE Building Occupancy Level 03/08/2005 UNMANNED SITE -7- O1/29/~007 :, F CALIFORNIA WATER SRV 153-O1 SiteID: 015-021-002949 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/18/20176 ~ MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING AND OR PANEL/CWS FIELD OFFICE. BRIEF SUNIlKARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY. COMPANY SAFETY PROGRAM ALSO ADDRESSES HAZARDOUS MATERIALS TRAINING. rage ~ ncici iuL ru~uic u~c nc.LU iuL r u~utc u~c -$- 01/29/~b07 UNIFIED PROGRAM INSPECTION CHECKLIST:` .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a Prevention Services Its 900 Truxtun Ave., Suite 210 ss'rr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ c~ I ~~- ,- ~5 _a NSPECTION DATE -zs_d~ NSPECTION TIME ~3~s ADDRESS ~ ~ ~ I b ~ ~ HONE NO. 3 O OF EMPLOYEES ~ ~t,~ -2 ~a FACILITY CONTACT r~ q ' ~~ l ~ ~ USINESS ID NUMBER 6~ 15-021- (~6 Ze~ I ~ c ~c ; Section 1: Business Plan and Inventory Program __~~~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY i ^ COMPLAINT ^ RE-INSPECTION • C V (c=compliance` OPERATION V=Violation / COMMENTS C~' ^ APPROPRIATE PERMIT ON HAND l~ ^ BUSIt1QSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~I tl ~rU ~ ~ ~ (~ Q ~1 O ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION Qy ~/ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PR CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES 1~ N~ EXPLAIN: - _ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Inspector (Please Pr' Fire Prevention / 1" In / ShiN of Site/Station q Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2W8 (Rev. 02105)