HomeMy WebLinkAboutBUSINESS PLAN
CAL WATER SRVC CO. (118-01)
3200 CLAFIN WAY
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
~J
Prevention Services
s a a s F I D 900 Truxtun Ave., Suite 210
--.._ _
FARE Bakersfield, CA 93301
ARTM T Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~ ~l
Gucd~.~~,~~ ~, ,, Ilg (J INSPECTION DATE
~ I~ INSPECTION TIME
~ 1~b
ADDRESS PHONE NO OF EMPLOYEES
~f~-
~ ya ~ o
K .
FACILITY CON ACT
~' BUSINESS.ID NUMBER
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- _, :`' ~ Section 1: Business Ptah-and Inventory Program' ~J~~
ROUTINE ~ . ^ COMBINED - ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=Compliance . OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE
L
K ^ VISIBLE ADDRESS
,
,
/
M ^ CORRECT OCCUPANCY
~ ^ VERIFICATION OF INVENTORY MATERIALS
,,
,/
LJ ^ 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
^ EMERGENCY PROCEDURES ADEQUATE
C3~ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
1~ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES`s ^ NO
EXPLAIN: ~ Gr.~ ~ L'~[fhCf6~~
~/tcr j ..
QUESTIONS EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
6
r
Inspector (Please Pr' t) Fire Prevention / 1s` In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy
'7 .~. 0 C~
siness Site I Response "le Party (Please Print)
Pink -Business Copy
FD 2155 (Rev. 09/05
~ I , i.
+ CALIFORNIA WATER SRV 118-01 _________________________ SiteID: 015-021-002100 +
Manager
Location: 3200 CLAFIN WY
City BAKERSFIELD
X37-7 u~o
BusPhone : ( 661 } ~-9~C--~~
Map 103 CommHaz High
Grid: 19C FacUnits: 1 AOV:
CommCode: BFD STA O1 SIC Code:4941
EPA Numb: DunnBrad:00-691-3578
Emergency Contact / Title ac / Title
Emergency Cont
TIM TRELOAR / DISTRICT MGR i
~ud~Vd~S / ASST DIST MGR
Business Phone : ( 661 } ~ "~~4-89xt33,,7isoc~ Business Phone : ( 661) ' ^'_ ""_ ^ "-_E337~~7 L ~
2 4 -Hour Phone ( 6 61) ~$6x~3 7.7 ~Ci 2 4 -Hour Phone ( 6 61) ~3-~-6~9a~~37 -72 ~
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs Fire Press ImmHlth
Contact ~r` ~ ( ~ os t~A Phone : ( 6 61) 3 9.6-2-4-6'0 x
MailAddr: 3725 S H ST State: CA ~ 37~~Z?(
City BAKERSFIELD Zip 93304
Owner CALIFORNIA WATER SERVICE CO Phone: (408) 451-8200x
Address 1720 N FIRST ST State: CA
City SAN JOSE Zip 95112
Period to TotalASTs: _ Gal
Preparers TotalUSTs: = Gal
Certif~d: ~ RSs: Yes
ParcelNo:
~ Emergency Directives: ~
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
CONTACT PERSON: 832-2141
'~8sed on
responsible fort' inquiry pt those
under obtalninc~ the inform individual$
examined natty of iew that I anon, I certif
submitted and a~li~a+~iliar with the inf rsonally
accurate, and coin e the infor ormation
piste, matJon is truQ,
Si a ure Vie` S ~ 2 ..
Dat
~~"~~
5
G~Try1
UU A~~, o .
~ ~®06
-1- 05/12/2006
T,'r,' ~
CALIFORNIA WATER SRV 118-O1 SiteID: 015-021-002100
Manager TIM TRELOAR
Location: 3200 CLAFIN WY
City BAKERSFIELD
CommCode: BFD STA 04
EPA Numb:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact
TIM TRELOAR
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ DISTRICT MGR
(661) 837-7200x
(661) 837-7200x
( ) - x
Emergency Contact
RUDY VALLES
Business Phone:
24-Hour Phone
Pager Phone
Hazmat Hazards: RSs Fire Press ImmHlth
Contact BILL ROSICA Phone: (661) 837-7278x
MailAddr: 3725 S H ST State: CA
City BAKERSFIELD Zip 93304
Owner
CALIFORNIA WATER SERVICE
C
O
P one:
#-9-@~ r~ Q7nns.
4~~
Address 11
/
I72^ 'o--=;~ai ST 3725' Sovr~ N S~ State: CA6~ $37,~Zoc~
City ~--~eS-E ~~,(Ce~s~' e,~d
t' Zlp `~"~', 933oq
Period to
Preparers
Certif ' d:
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
8a~ed cn my inquiry of those individuals
respt~nsigle for obtaining the information, I certify
under pent3fty of law that I have personally
examined and am familiar with the information
submit.t®r~ and bslleve the information is true,
accurate, and complete.
rr~.ep -~~ )~
ature Da
i
TotalASTs: _
TotalUSTs: _
RSs: Yes
/ Title
/ ASST DIST MGR
(661) 837-7271x
(661) 837-7271x
( ) - x
ENT'D F E B 2 6 2007
Gall
Gal
BusPhone: (661) 837-7200
Map 103 CommHaz High
_ Grid: 19C FacUnits: 1 AOV:
-1- 01/26/2007
F CALIFORNIA WATER SRV 118-O1 SiteID: 015-021-002100 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi
-2- 01/26/2007
-3- 01/26/2007
F CALIFORNIA WATER SRV 118-01 SiteID: 015-021-002100 ~
~ 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
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~mbient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum- Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
I1tiGbilCLVUJ 1.V1~lYV1V~1V1.7
°sWt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
I1riGL-1RL HJ .71;J.71"1P~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No Yes No No/ Curies F P IH / / / Hi
-4-
01/26/2007
F CALIFORNIA WATER SRV 118-O1 SiteID: 015-021-002100 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 08/30/2000 ~
CALL 911.
_, t ~_..
~.:~u~Nivycc 1VV1~11 . ~ P.~VGI.:UCLl.1V11
Public Notif./Evacuation 10/17/2006
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY ,EMERGENCY SERVICES
PERSONNEL UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
Emergency Medical Plan 08/04/2006
MERCY HOSPITAL, TRUXTUN AVE.
-5- 01/26/2007
F CALIFORNIA WATER SRV 118-O1 SiteID: 015-021-002100 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 09/27/1994 ~
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.
v1.11CL J.[C.SVUIC:C HC:l.1Vdl.1Vi1
-6- 01/26/2007
F CALIFORNIA WATER SRV 118-01 SiteID: 015-021-002100 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
bjJCC:1d1 rid'GdIUS
Utility Shut-Offs
Fire Protec./Avail. Water 08/04/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
Building Occupancy Level 05/12/2006
UNMANNED SITE.
-7- 01/26/2007
t^ M
F CALIFORNIA WATER SRV 118-01 SiteID: 015-021-002100 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/12/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
ruyC ~
nciu ivi. ru~uic v~C
nc.iu ivi r ul.uLC U5C
-8- 01/26/2007
t
:1
a
f. .. - 4Y:
CALIFORNIA WATER SRV 118-O1 SiteID: 015-021-002100
Manager TIM TRELOAR BusPhone: (661) 837-7200
Location: 3200 CLAFIN WY Map 103 CommHaz High
City BAKERSFIELD Grid: 19C FacUnits: 1 AOV:
CommCode: BFD STA 04
EPA Numb:
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
(661) 837-7200x
( ) - x
RSs
Emergency Contact
RUDY VALLES
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ ASST DIST MGR
(661) 837-7271x
(661) 837-7271x
( ) - x
Fire Press
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
Eased on my ingsiry of those indivi~3~~als
responsible for obtaining the informatior7, I U;;rtify
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.
ature Date
TotalASTs: _
TotalUSTs: _
RSs: Yes
~~ ~~L ~ 0 ZB®7
Gall
Gal
-1- 07/10/2007
F CALIFORNIA WATER SRV 118-01 SiteID: 015-021-002100 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi
-2- 07/10/2007
-3- 07/10/2007
~~
F CALIFORNIA WATER SRV 118-01 SiteID: 015-021-002100 ~
~ 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
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~-Ambient ~ Ambient ~ ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
111iGtiCCLVUJ 1.U1~lYUlV L"1V 1b
•°sWt . RS CAS#
12.50 Sodium Hypochlorite No 7681529
11tiGtiRL EiJ JJJDDI~I.C,1V 1 ~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No Yes No No/ Curies F P IH / / / Hi
-4- 07/10/2007
F CALIFORNIA WATER SRV 118-01 SitelD: 015-021-002100 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 08/30/2000 ~
CALL 911.
_, ,~
~uiNivycc i~v~.ii . ~ r~vu~:ua~.lvii
Public Notif./Evacuation 10/17/2006
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES
PERSONNEL UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
Emergency Medical Plan 08/04/2006
MERCY HOSPITAL, TRUXTUN AVE.
-5- 07/10/2007
F CALIFORNIA WATER SRV 118-O1 SiteID: 015-021-002100 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 09/27/1994 ~
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 118-O1 SiteID: 015-021-002100 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
_,
.~~c~.iai nac~aiu~
~~iii~y ~iiu~-vtL~
Fire Protec./Avail. Water 08/04/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
Building Occupancy Level 05/12/2006
UNMANNED SITE.
-7- 07/10/2007
F CALIFORNIA WATER SRV 118-01 SiteID: 015-021-002100 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/12/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
rayc c.
Held for Future Use
Held for Future Use
-8- 07/10/2007