Loading...
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 // '" < ~ ~ ~' Zr 6 0 4r~'~' 15-021 p~ ~ C d ~ - _, :`' ~ 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