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HomeMy WebLinkAboutBUSINESS PLANCAL WATER SERVICE CO.- sTA, its 1321 IVAN STREET :Y~ ~~ CALIFORNIA WATER SRV 128-01 Manager TIM TRELOAR Location: 1321 IVAN ST City BAKERSFIELD SitelD: 015-021-002835 BusPhone: (661) 396-2400 Map 124 CommHaz High Grid: 18A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR Business Phone: (661) 837-7200x Business Phone: (661) 837-7271x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire 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 TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: , Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~NT'D J EJ ~- ~ 0 2007 Laced on my inquiry of those ind'evidua~s fe~s~o;~sib!e far obtaining the information ! ~^ if , ert y e e ld a xam n d an am familia with the info mation submitted and believe th i e nformation is true, accurate, and complete. S' t `- ~f ~ ~ ~ a ure Dat -1- 07/10/2007 F ~ F CALIFORNIA WATER SRV 128-01 SiteID: 015-021-002835 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE F IH L 200.00 GAL Hi -2- 07/10/2007 -3- 07/10/2007 F CALIFORNIA WATER SRV 128-O1 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit STATE Liquid TYPE PRESSURE Mixture ~ Ambient SiteID: 015-021-002835 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 200.00 GAL tiAGAKL V U 5 I:UMYVIV 1;•1V'1'a %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 riAGHK1J AJatSJ~1~1151V1a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/10/2007 F CALIFORNIA WATER SRV 128-01 SiteID: 015-021-002835 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/17/2006 ~ RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. Employee Notif./Evacuation _,_ , r ,~ rU1J11~.. 1VV V11 ~ P.~V0.l..U0.L1Vll Emergency Medical Plan 06/13/2003 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, 2215 TRUXTUN AVENUE, 327-3371. -5- 07/10/2007 F CALIFORNIA WATER SRV 128-O1 SiteID: 015-021-002835 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 10/17/2006 ~ SODIUM HYPOCHLORITE HAS 1100 SECONDARY CONTAINMENT. Release Containment 10/17/2006 SODIUM HYPOCHLORITE HAS 1100 SECONDARY CONTAINMENT. 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 128-O1 SiteID: 015-021-002835 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JjJ~G1d1 rid'GdLUS Utility Shut-Offs 10/17/2006 NATURAL GAS/PROPANE: NONE ELECTRICAL: MAIN BREAKER OUTSIDE CONTROL PANEL WATER: WATER WELL SPECIAL: NONE LOCK BOX: NO Fire Protec./Avail. Water 1Oj17/2006 FIRE HYDRANT - E OF PROP. Building Occupancy Level 03/07/2006 UNMANNED SITE -7- 07/10/2007 F CALIFORNIA WATER SRV 128-O1 SiteID: 015-021-002835 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/17/2006 ~ MATERIAL SAFETY DATA SHEETS ARE ON FILE AT THE CONTROL PANEL AND IN FIELD OFFICE. BRIEF SLJNIMARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES HAZARDOUS MATERIALS TRAINING. rays a Held for Future Use Held for Future Use -s- 07/10/2007 ~' ~ '] CALIFORNIA WATER SRV 128-01 Manager TIM TRELOAR Location: 1321 IVAN ST City BAKERSFIELD CommCode: BFD STA 05 EPA .Numb: SiteID: 015-021-002835 BusPhone: (661) 396-2400 Map 124 CommHaz High Grid: 18A FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR Business Phone: (661) 837-7200x Business Phone: (661) 837-7271x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire 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 TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~~~e~ tin rfi;y inquiry of those individuals resp~ry~ibla for obtaining the Information, I certify urider ~Anmlty gf law that I have personally examined end am familiar with the Information submitted and b®Ilevp the information is true, accurate, and complete. ` ~ ~ S' ature Dat -1- 01/26/2007 ra -, F CALIFORNIA WATER SRV 128-01 SiteID: 015-021-002835 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE F IH L 200.00 GAL Hi -2- 01/26/2007 4 -3- of/a6/aoo~ ~•, ,; F CALIFORNIA WATER SRV 128-01 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-002835 ~ Facility Unit: Fixed Containers at 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 Daily Average 200.00 GAL 200.00 GAL 200.00 GAL riF~GKKLVUS LV1~lYV1V1!;1V 1-5 %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 riAGF~KL Aa5~JJ1~1L1V 1-5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 01/26/2007 .~ F CALIFORNIA WATER SRV 128-01 SiteID: 015-021-002835 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall;Site ~ ~ Agency Notification 10/17/2006 ~ RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. ~lll~lUy~C 1VU1.11. / ~Vc1CUdl.1Ui1 Public Notif./Evacuation Emergency Medical Plan 06/13/2003 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, 2215 TRUXTUN AVENUE, 327-3371. -5- 01/26/2007 :~ F CALIFORNIA WATER SRV 128-O1 SiteID: 015-021-002835 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/17/2006 ~ SODIUM HYPOCHLORITE HAS 110°x. SECONDARY CONTAINMENT. Release Containment 10/17/2006 SODIUM HYPOCHLORITE HAS 110% SECONDARY CONTAINMENT. 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. Vl.i1Cl rcesource 1'~CL1VaL1On -g- 01/26/2007 P CALIFORNIA WATER SRV 128-O1 SiteID: 015-021-002835 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JjJf.-'C:tdt t'!ci"GdiC1S Utility Shut-Offs, 10/17/2006 NATURAL GAS/PROPANE: NONE ELECTRICAL: MAIN BREAKER OUTSIDE CONTROL PANEL WATER: WATER WELL SPECIAL: NONE LOCK BOX: NO Fire Protec./Avail. Water 10/17/2006 FIRE HYDRANT - E OF PROP. Building Occupancy Level 03/07/2006 UNMANNED SITE -7- 01/26/2007 :~ F CALIFORNIA WATER SRV 128-O1 SiteID: 015-021-002835 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/17/2006 ~ MATERIAL SAFETY DATA SHEETS ARE ON FILE AT THE CONTROL PANEL AND IN FIELD OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES HAZARDOUS MATERIALS TRAINING. Ydy C G nciu ivi ru~u.LC vac Held for Future Use -8- 01/26/2007 UNIFIED PROGRAM INSPECTION CHECKLIST .~ .~M ,~. r z ::;. , ,. ,; . .SECTION 1: Business Plan and inventory Program • BASERSFIELD FIRE DEPT a, Prevention Services ~~t~ 900 Truxtun Ave., Suite 210 ~R~r ~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 ILITY NAME FAC NSPECTION DATE INSPECTION TIME // ~~) ,~( l Z.' - U ~ ' ` 7 ^ 7 O ~0 ~ l o n e. 2_ / C~c D <~ ~ v~ Gt TG / . ADDRESS S ~ HONE NO. O OF EMPLOYEES ''->T--= ~ '~- ~ V rte. FACILITY CONTACT USINESS ID NUMBER 15-021- 0~3~ Section 1: Business Plan end Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION LJ C V ~ C=Compliance OPERATION V=Violation COMMENTS ~^ APPROPRIATE PERMIT ON HAND ~^ BUSItI@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 ~nj~'r- { D ~~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE I~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES EXPLAIN: _ _ - !!! •GIUESTIONB REGARDING THIS INSPECTION? PLEASE CALL US AT (titil) 326-3979 Inspector (Please Print) ire Prevention / 1" In /Shift of Site/Station q Business Site/Sch Site Responsible Party (Please Prat) White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2019 (Rw. 02/05) _ ~r .~ + CALIFORNIA WATER SRV 128-:01 _________________________ SiteID: 015-021-002835 + Manager TIM TRELOAR BusPhone: (661) 396-2400 Location: 1321 IVAN ST Map': 124 CommHaz High City BAKERSFIELD Grid: 18A FacUnits: 1 AOV: CommCode: BFD STA 05 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / ~~Tit e Emergency Contact / Title TfM Tla ~o~-- I~~STt-rc~ MaNage~ ~vay Vd~les / ~SS~, l7~'S~'t-,~c~ Mdn~aygt- Business Phone . ( 661) ~ : ~/ Business Phone . ( b6~ ) (~37 -)27~ x O 24 -Hour Phone ( ) 396 .24°° x 24 -Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact ~~PrR t~;~! 1?~;~p Phone: (661) 3~6--~-6~x MailAddr: 3725 S H ST State: CA X37-~z7d City BAKERSFIELD Zip 93304 Owner Phone: (661) 396-2400x Address 3725 S H ST State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No 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, ()6 S' ture D to ~~~~~~~ Laos -1- 03/07/2006 UNIFIED PROGRAM INSPECTION CHECKLIST i• • SECTION 1 Business .Plan and Inventory Program Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: X661)_326-3979 _ _ _ FACILITY NAME + INSPECTION DATE INSPECTION TIME s~ C'li/, ¢°z~~rt,~ /jJ~ 7~cr SP.~v_! e_~_.._...___ _--'"v~''1,,~_,~.?.`~::....__1.~~... ~' /3 -oS'' ADDRESS PHONE No. No. of Employees 3 'Z 1 / ~/~ ~ 837-72ov - ---- _'~--.._.... FACILITYCONTACT Business ID Number G .~• w i'r•-- J ~ ~t vr. s o ~~.- 15-021-0 D ~ f, ,3,5' Section 1: Business Plan and Inventory Pn~giram outine O Combined O Joint Agency ^ MUltl-Agency O Complaint O Re-inspection ANY HAZARDOUS WASTE ON SITE: OYES ^ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTIOfV~ PLEASE CALL US AT ~C)C)') ~ 326-3979 Inspector (Please Print) ~ - - --- ~ - _ - -Fire Prevention tst-INShift o(Site - While -Environmental Services YelkriV -Station Copy -vim _S ~~ - ~-"~------ Business Site Rea Bible Pally (Please Print) Pink - Business Copy