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Home My WebLink AboutBUSINESS PLAN 6/29/2007 fl ~ - ~ u CAL WATER - sTa 3-oa _ _ Cj ~~ 1518 F STREET __ ~'- - Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST~~ B E R s F. D 900TruxtunAve., suite2lo ~~ _ __ _. ~_~ ~ ._ _ _ _ _.___ _ -_ - FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "RrM r .Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME 1 ~ C ~ / ~ ~- S ~ Do -d INSPECTION DATE ~ ~Z 9 - ~ ~ INSPECTION TIME ~yo a ~ o~„ ,~ ~- ~ ADDRESS / f- S~" PHONE NO. ~,~ 7 _ 7Zoo NO OF EMPLOYEES D FACILITY CONTACT ~ r//e BUSINESS ID NUMBER ,5-02,- oozg~y 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 ^ BUSIII2SS 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 /// ~~` ~ JI {,J ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING L~ ^ FIRE PROTECTION / ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN Jar YES ^ NO c' ~o y..r QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~^ - // _... L~ ~~G!/~ t9oCfGtl~ ~' C Inspector (Please Print) Fire Prevention l 1~' In I Shift of SitelStation # usiness Site ! Respon ble Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 •4 •~ a CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 Manager TIM TRELOAR Location: 1518 F ST City BAKERSFIELD BusPhone: (661) 837-7200 Map 102 CommHaz High Grid: 25D FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code:4941 DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR Business Phone: (661) 396-2400x 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) 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 individual 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. iature Dat `~ TotalASTs: _ TotalUSTs: _ RSs: No Gall Gal ~~07 -1- 01/26/2007 F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ ~ 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- 01/26/2007 -3- 01/26/2007 c. F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ ~ 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 I Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 200.00 GAL ~ 200.00 GAL 200.00 GAL ___ ru~~HtcLUUa ~:uinruiv~iv l a °s~^1t - RS CAS# 12.00 Sodium Hypochlorite No 7681529 I11~GFitCL 1-1J b~~.71~1t',1V1D TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 01/26/2007 P_ F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ nyGlll.y 1VV1..111LQ1..L_VII11 II I ~M~~OV e?l 8~e ~-dl'Ne~ ~7U Cd I~ 9 (i F.~+~ LN Cdr o ~ ~MQLgBNCy L'IIl~J.1V~/CC 1VU1.11 / L~VdC:Udl.1U11 ~N M dN~d ~~a~~~~ _,_ , , rl.ll/11t. 1VV 1..11. ~ L~VQI-.UQ L1Vll EYdCvd~Iow ~u ~e deTe~MIN?U Sy FS, ~e~,s'oaN2'J vN~.ss evdc. rs Necesrd6y ~ci~p~ '~a ~41~ d~`~~al• Emergency Medical Plan 10/12/2005 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- 01/26/2007 ;a F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/12/2005 ~ SITE IS VISITED BY CWS EMPLOYEE WHO IS TRAINED IN HAZ MAT REPORTING. Release Containment SECONDARY CONTAINMENT 10/12/2005 Clean Up 10/12/2005 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT AS NEEDED AND TO THE SATISFACTION OF THE RESPONDING REGULATORY AGENCY. Other Resource Activation -6- 01/26/2007 s ~ F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~)C41d1 tldGdIU~ Utility Shut-Offs 10/16/2006 NATURAL GAS/PROPANE: N/A ELECTRICAL: MAIN BREAKERS IN ELECT PANELS. WATER: WATER WELL SPEICAL: N/A LOCK BOX: NO Fire Protec./Avail. Water FIRE HYDRANT - WELL DISCHARGE. 10/16/2006 Building Occupancy Level 02/27/2006 UNMANNED SITE. -7- 01/26/2007 r F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING. BRIEF SUMMARY OF TRAINING PROGRAM: DAILY SITE VISITS ARE MADE BY PUMP OPERATORS TRAINED IN HAZ MAT REPORTING PROCEUDRES. MONTHLY COMPANY SAFETY PROGRAMS ADDRESS HAZ MAT TRAINING. rayc c. riciu tvi r ul.ulC U5C 1ZC 1l..l LUL t UL U.LC U5~ -$- 01/26/2007 ~, CAL'~FORNIA WATER SRV 003-04 Manager TIM TRELOAR Location: 1518 F ST City BAKERSFIELD CommCode: BFD STA 01 EPA Numb: SiteID: 015-021-002954 BusPhone: (661) 837-7200 Map 102 CommHaz High Grid: 25D FacUnits: 1 AOV: SIC Code:4941 DunnBrad: Emergency Contact TIM TRELOAR Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DISTRICT MGR (661) 396-2400x ( ) - x ( ) - x / Title / ASST DIST MGR (661) 837-7271x ( ) - x ( ) - x 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) 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 E3ased on my inquiry of those ind'+viduals rea~r~nsible 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. _ o u~.e., ~ i ~ y 7 ature Dat TotalASTs: _ TotalUSTs: _ RSs: No ~~~`~ ~~~ ~ ~pO7 Gall Gal Emergency Contact RUDY VALLES Business Phone: 24-Hour Phone Pager Phone -1- 07/10/2007 F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ ~ ~ Hazmat Inventory By Facility Unite ~ 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 F CALIFORNIA WATER SRV 003-04 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit SiteID: 015-021-002954 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 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 t1HGL-1tt1JVU5 C:V1~lYV1VI;1V~l~~ %Wt. RS CAS# 12.00 Sodium Hypochlorite No 7681529 t1AGE1KL A~SL'~5~1~1L"~1V'1'S 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 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/26/2007 ~ EMPLOYEES ARE TRAINED TO CALL 911 IN CASE OF EMERGENCY. Employee Notif./Evacuation 02/26/2007 UNMANNED SITE. Public Notif./Evacuation 02/26/2007 EVACUATION TO BE DETERMINED BY ES PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL. Emergency Medical Plan 10/12/2005 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/12/2005 ~ SITE IS VISITED BY CWS EMPLOYEE WHO IS TRAINED IN HAZ MAT REPORTING. Release Containment SECONDARY CONTAINMENT 10/12/2005 Clean Up 10/12/2005 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT AS NEEDED AND TO THE SATISFACTION OF THE RESPONDING REGULATORY AGENCY. Other Resource Activation -6- 07/10/2007 a _. F CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~JCC:1d1 rid'GdlUS Utility Shut-Offs NATURAL GAS/PROPANE: N/A ELECTRICAL: MAIN BREAKERS IN ELECT PANELS. WATER: WATER WELL SPEICAL: N/A LOCK BOX: NO 10/16/2006 Fire Protec./Avail. Water 10/16/2006 FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level UNMANNED SITE. 02/27/2006 -7- 07/10/2007 P CALIFORNIA WATER SRV 003-04 SiteID: 015-021-002954 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING. BRIEF SUMMARY OF TRAINING PROGRAM: DAILY SITE VISITS ARE MADE BY PUMP OPERATORS TRAINED IN HAZ MAT REPORTING PROCEUDRES. MONTHLY COMPANY SAFETY PROGRAMS ADDRESS HAZ MAT TRAINING. rayv ~ Held for Future Use nciu ivi r u~..uic voc -8- 07/10/2007