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HomeMy WebLinkAboutBUSINESS PLAN 10/2/2007CAL WATER (062-d2) ' __ _ _~~ 1022 EYE STREET_ __ __ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST', SECTION 1: Business Plan and Inventory Program ~~ Prevention Services A A ~_ R 5 r ,_ 900 Truxturi Ave., Suite 210 Fine •- Bakersfield, CA 93301- . o aRrM - Tel.: (661) 326-3979 Fax: (661)"872-2171 FACILITY NAME }} nn J ~ ' ? v ~ Z ~ ~ ~'" ~ ti( 't ~?) INSPECTION DATE 2 2~v7 ~l INSPECTION TIME L ~ ~ L. ~ Q n,1 V~ .; ~ j ti. ~ J , t s ADDRESS Jv J ozti (; I ~ S~ P O E O y~~' . ~Zvo NOOFEMPLOYEES v~~~~~la~ FACILITY CONTACT ~~ ' ~ BUSINESS ID NUMBER 15-021- JU D~ 7 D Y`'i ~ rD~ - _ _ _ _ _. ~ Section 1: Business Plan and Inventory Program ~ -- ROUTINE" ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance O"PERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ' ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~~~~® ~~~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING p ///I~" ` ~ ~ /~~y~ / r' ,,.J ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES'ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 ,~.~,~a~ c~~6~ ~ ~ ~ Inspector (P a Print) Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Business Site /Responsible Party (Please Print) Pink -Business Copy FD 2155 (Rev. 09/05 r. . ~: i •, CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 Manager TIM TRELOAR Location: 1022 EYE ST City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (661) 396-2400 Map 103 CommHaz High Grid: 31A FacUnits: 1 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 ( ) - x ( ) - 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 ( ) - x ( ) - x Fire Press ImmHlth DelHlth 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 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. nature Dat J U~L ~ 0 ~Oa7 Gall Gal TotalASTs: _ TotalUSTs: _ RSs: Yes -1- 07/10/2007 ~. F CALIFORNIA-WATER SRV 062-02 SiteID: 015-021-000370 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE DIESEL FUEL F P F IH IH DH L L 200.00 500.00 GAL GAL Hi Low -2- 07/10/2007 -3- 07/10/2007 F CALIFORNIA WATER SRV 062-02 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCL NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000370 ~ Facility Unit: Fixed Containers on 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 I Daily Average 200.00 GAL 200.00 GAL 200.00 GAL -- ti1~Gt1tt1JUUJ w1~lrUlv~ty 1 %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 riAGAJ.[L 1~~~1'~5~1~1L'~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DIESEL FUEL Location within this Facility Unit NEAR WELL SHELTER STATE TYPE ~ PRESSURE Liquid Mixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 500.00 GAL ri1-1GL•iCCL V U w7 l..Ul~lk'UlV L' 1V 1.7 %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 ru-~~xrc~ r~a a~~~ln~lyl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/10/2007 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. ,~ r,uiNlvycc ivv~ii . ~ ~va~:ua~.lvii Public Notif./Evacuation 10/05/1992 EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL. Emergency Medical Plan 08/30/2000 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/17/2006 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 10/17/2006 IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK. THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER AND IS ENCASED IN CONCRETE. Clean Up 10/17/2006 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 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~peciai riaLarus ~~.L..a.~..~y aiiu~-viii Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. FIRE HYDRANT - WELL DISCHARGE. 10/17/2006 Building Occupancy Level 02/27/2006 L;INMANNED SITE . -7- 07/10/2007 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/17/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc c. nciu ivi ru~uLC u5c nc.LU ivt ru~.uLC VAC -8- 07/10/2007 f~ ( „i CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 Manager TIM TRELOAR Location: 1022 EYE ST City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (661) 396-2400 Map 103 CommHaz High Grid: 31A FacUnits: 1 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 ( ) - x ( ) - 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 ( ) - x ( ) - x Fire Press ImmHlth DelHlth Phone: (661) 837-7278x State: CA Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone: (4$Sj 4-5-1=-~6~6x Address 37~-n '~-T-TrR TT=Y 3~2j .So~'~ ~ S~- State: CA 6~' 837_~Zoo city °T~-~~E ~~Ke4r~' Id zip ~ ~~ 933oG 10 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 obtairong the information, I cer#ify unde~~ penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ture Da e TotalASTs: _ TotalUSTs: _ .RSs: Yes ~N~'~ ~ ~ ~ ~ ~ 2007 Gall Gal -1- 01/26/2007 T F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE DIESEL FUEL F P F IH IH DH L L 200.00 500.00 GAL GAL Hi Low -2- 01/26/2007 -3- 01/26/2007 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: FENCED ENCL NEXT TO PUMP CAS# 7681-52-9 ~Liquid~Mixture I AmbRent~E ~ AmbientT~E ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL I ___.200.00- GAL Y1HGF~ICLVUJ 1:V1~lYV1V1';1V"15 %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 t1ljGtiKL 1-~a ~r,J51~1~1V l5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DIESEL FUEL Location within this Facility Unit NEAR WELL SHELTER STATE TYPE PRESSURE Liquid TMixture T Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid:, CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 500.00 GAL nr~at~tclivua wl~lr~lv~ivia %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riAGHKL 1'~~JL~~1~1L1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 01/26/2007 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Notif./EvacuationjMedical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. .GUI~J1VyCC 1VV1.11 / P~VdC:Udl.lVil Public Notif./Evacuation 10/05/1992 EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL. Emergency Medical Plan 08/30/2000 MEDICAL ASSISTANCE~WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE. -5- 01/26/2007 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/17/2006 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. = Release Containment 10/17/2006 IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK. THE CONVAULT TANK HAS A BUILT-IN SECONDARY CONTAINER AND IS ENCASED IN CONCRETE. Clean Up 10/17/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. v~.,iic~. ncovut~c r~~.~.tva.~.ivii -6- 01/26/2007 F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~J C l:1dl Ild'G dl C.L~S' V 1.1111.y J11U1..-V11~ Fire Protec./Avail. Water 10/17/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 02/27/2006 UNMANNED SITE. -7- 01/26/2007 l J~ F CALIFORNIA WATER SRV 062-02 SiteID: 015-021-000370 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/17/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc c. nciu ivl. rutruiC v5c nc.LU ivi ru~uiC u~~ -8- 01/26/2007 UNIFIED PROGRAM INSPECTION CHECKLIST' SECTION 1:.Business Plan and-Inventory Program. ROUTINE 'Section 1:' Business Plan and Inventory Program ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT __ ~~ 1 i ___ ^ RE-INSPECTION Prevention Services a n F R - s r _, ~ 0 900 Truxtun Ave. , Suite 210 . FIRE Bakersfield, CA 93301 ARTM Tel.: (661) 326--3979 Fax: (661) 872-2171 FACILITY NAME _ - S ~ ' INSPECTION DATE ~ 6 INSPECTION IME ~ 0z._ L v Q6 C ~. W ~~)L ~o F.ov . ADDRESS ~ V LL ~ Y~ ~ PHONE NO. 396.. Z~ao NO QF EMPLOYEES 7V~ti FACILITY CONTACT 1 ~ BUSINESS ID NUMBER ~ 15-021- d bv37U p,,w~• d ~{NSu C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND I~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE [ ~` ((1~ ENT's ®L 1, ®C 2006 ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY Q~ ^ VERIFICATION OF INVENTORY MATERIALS (~ ^ VERIFICATION OF QUANTITIES l~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY V V IQ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ^ EMERGENCY PROCEDURES ADEQUATE ® ^ CONTAINERS PROPERLY LABELED ^ 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 ~_ ~lr'114~1rt~~ ~A 3 ~ ~~,~~'} Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # ^ YES - ~ NO White - PreventiomServices Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05