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
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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.
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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