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Home My WebLink AboutBUSINESS PLAN__ ___ ~ _ CAL WATER SRV ~csx-L2os~ 8650 HAGEMAN ROAD ?~' "d ~/ (; i Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST H E R s F , , 0 9ooTruxtun Ave., suite 210 _ _ - -- ~v_._ m ___~ _ _,._ __- __~__ _ .._._.____ _ ._ Flee Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "RrM t Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ION DATE T INSPE` INSPECTION TIME L'c~r\~~'dc~,c ~ 1~.1~.~C~r Svfv e K ~-Z~5 ~ ., SJ~L~b ADDRESS ~ PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ' 15-021- O pZ }-`~~ erection 1: Business ~la~ alhd Inventory Pragra~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND '~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ a Nf-. ^ VERIFICATION OF LOCATION ~, c~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~ ~ Vk~ t ^ 0 (~~ ~\ `v ~B' ^ 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 ENO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Hess Site /Responsible Party ( lease Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155- (Rev. 09/05 f'~ (y CALIFORNIA WATER SRV CBK-L205 Manager TIM TRELOAR Location: 8650 HAGEMAN RD City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: SiteID: 015-021-0021]:2 BusPhone: (661) 837-7200 Map 102 CommHaz High Grid: 17D 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 (661) 837-7200x ( ) - x RSs Contact BILL ROSICA MailAddr: 3725 S H ST City BAKERSFIELD Emergency Contact / Title RUDY VALLES / ASST DIST MGR Business Phone: (661) 837-7271x 24-Hour Phone (661) 837-7271x Pager Phone ( ) - x ................ Fire Press ImmHlth ............... Phone: (661) 837-7278x State: CA Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone : ( 4$8 ) 4~5~--5~-0~0'x Address 3~ Z $ SoJ~, N S~ State : CA ~37-7Zvo City °"~--Q~ t~a~lo~.~'.,el,! Zip 91-2 933~~i 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 oo~a~naW9that II fhave (personally under penalty examined and am familiar with the information submitted and hel~lete, the information is true, accurate, and comp --~__ '~r~'~' Date' ature TotalASTs: _ TotalUSTs: _ RSs: Yes ENT F E B 2 7 2007 Gall Gal -1- Ol/29/2d07 F CALIFORNIA WATER SRV CBK-L205 SiteID: 015-021-002112 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Sites ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE F P IH L 200.00 GAL -2- 0l/29/200~ -3- O1/29/~007 F CALIFORNIA WATER SRV CBK-L205 SiteID: 015-021-002112 ~ ~ 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 ENCLOSURE NEXT TO PUMP CAS# 7681-52-9 Liquid TMixtur~ Ambient~E ~ AmbientT~E ABOVEOGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average " 200.00 GAL 200.00 GAL 200.00 GAL ru~~r~tcLVU~ ~ui~irulvr~iv l5 aWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 t~~ta.rcL tiaar~5~i~i~ly l~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MRCP No Yes No No/ Curies F P IH / / / Hi -4- Ol/29/2b07 1 F CALIFORNIA WATER SRV CBK-L205 SiteID: 015-021-002112 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Sits ~ ~ Agency Notification 08/30j2000 ~ CALL 911. r~mpioyee lvozi= . / ~vacuazion 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 08/04/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 01/29/2007 F CALIFORNIA WATER SRV CBK-L205 SiteID: 015-021-002112 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/27/1994 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 10/18/2006 IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD MADE TO IMMEDIATELY REMOVE ALL FUEL FROM THE TANK.. THE CONVAULT TANK HAS BUILT-IN SECONDARY CONTAINER AND IS ENCASED IN CONCRETE. Clean Up 05/16/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATO~?Y AGENCY. V1.11C1 1<C e7VUl l:C 1'il:L1VCLV1V11 -6- 01/29/2007 ~, F CALIFORNIA WATER SRV CBK-L205 SiteID: 015-021-002112 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~iai na~.ctiu~ V 1.1111..y ~711LLL-V115 Fire Protec./Avail. Water 08/04/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 05/16/2006 UNMANNED SITE -7- 01/29/2007 F CALIFORNIA WATER SRV CBK-L205 SiteID: 015-021-002112 ~ Fast Format ~ ~ Training Overall Sites ~ ~ Employee Training 05/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc c nclu tvl ruI.LLLC VAC l1C1U 1VI t'UI.UlC Va5'C'' -8- 01/29/2007 -. ~ _. ~~_ + CALIFORNIA WATER SRV CBK-L205 _______________________ SiteID: 015-021-002112 + t;37-7Z.C)C9 Manager BusPhone : ( 6 61) -~ Location: 8650 HAGEMAN RD Map 102 CommHaz High City BAKERSFIELD Grid: 17D FacUnits: 1 AOV: CommCode: KCFD STA 65 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Con act / Title TIM TRELOAR / DISTRICT MGR /~?u~~ VdIIeS / ASST DIST MGR Business Phone : ( 661) '~~ ^~n x 4~7-7"LO Business Phone : ( 661)__" '~' ~"' ~ t~37~~~ f 24 -Hour Phone ( 6 61) ~-°, ~~~,?,7.7z~0 24 -Hour Phone ( 6 61) ~9fi-~~ 8~0x ~37~7L ~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth Contact .L>r~) ~~StCA Phone: (661) '^` ^"^^~- MailAddr: 3725 S H ST State: CA d37~7Z7~ 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 ~N~'® ~, f CONTACT PERSON: 832-2141 ~ O ~ ZOO 6 ~o~ Base d an my inqquiry of those individuals ~~~ responsiple fAr obtminin~ the Information, I certify under penalty cif law ttjflt I have personally examined and am familiar with the Information submitted and believe the information 1s true, accurate, and complete. ~'~-Cr. 5 22 C~ ature Dat -1- 05/16/2006