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Home My WebLink AboutBUSINESS PLANCAL WATER SRV ~cBx-23) 1202 KINGS ABBOTT WAY _._ __ _. _ _ '~ I .z ~. CALIFORNIA WATER SRV CBK-23 Manager TIM TRELOAR Location: 1202 KINGS ABBOTT WY City BAKERSFIELD CommCode: BFD STA 15 EPA Numb: BusPhone: Map 123 Grid: 06D SiteID: 015-021-002857 (661) 837-7200 CommHaz :High FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact TIM TRELOAR Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DISTRICT MGR (661) 837-7200x (661) 837-7200x ( ) - x Emergency Contact RUDY VALLES Business Phone: 24-Hour Phone Pager Phone / Title / ASST DIST MGR (661) 837-7271x (661) 837-7271x ( ) - x 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 Preparers Certif ' d: ParcelNo: Emergency Directives: PROG A - HAZMAT- PROG T - ABOVEGROUND STORAGE TANK TotalASTs: _ TotalUSTs: _ RSs: No ENT'D F E B ~ 1 2007 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. nature ~ Ddte ~~~! Gall Gal -1- 01/29/2007 .. ' F CALIFORNIA WATER SRV CBK-23 SitelD: 015-021-002857 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI SODIUM HYPOCHLORITE F IH L 200.00 GAL Hi -2- O1/29/2007- -3- 01/29/2007 F CALIFORNIA WATER SRV CBK-23 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCL NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture Ambient SiteID: 015-021-002857 ~ 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 t~~r~xL~uS wrirviv~iv'1'S sWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 riAGFitC1J Aa 5tS5J1~1~1V'15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH / / / Hi -4- 01/29/2007 F CALIFORNIA WATER SRV CBK-23 SiteID: 015-021-00285`7 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification employee NoLiz.~~vacuaLion Public Notif./Evacuation Emergency Medical Plan MERCY HOSPITAL, TRUXTUN AVE. 08/07/20016 9 -5- O1/29/~007 F CALIFORNIA WATER SRV CBK-23 SiteID: 015-021-00285'7 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/17/2016 ~ LIQUID CHLORINE IS STORED IN SEPARATE UNIT AND HAS 110% SECONDARY LEAK CONTAINMENT. DAILY SITE VISIT BY CWS PRSONNEL TRAINED IN HAZMAT REPORTING: Release Containment 10/24/20E~3 LIQUID CHLORINE HAS SECONDARY CONTAINMENT. Clean Up 05/17/2006 RELEASE ABATEMENT WILL BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATRDY AGENCY. V1.11C1 1CC~VULLC 1'il.:L1VGLL1Uil -6- O1/29/2b07 4 .~4 F CALIFORNIA WATER SRV CBK-23 SiteID: 015-021-002857 ~ Fast Format ~ ~ Site Emergency Factors Overall Sites ~ .7~JCC:1d1 ildGdLUwS' Utility Shut-Offs 10/18/20016 ELECTRICAL: MAIN BREAKER IN BLDG WATER: WELL DISCHARGE __ Fire Protec./Avail. Water 12/28/2005 FIRE EXTINGUISHER IN BLDG Building Occupancy Level 05/17/2006 UNMANNED SITE -7- 01/29/2007 /= F CALIFORNIA WATER SRV CBK-23 SiteID: 015-021-002857 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/17/20n6 ~ MSDS SHEETS ON FILE IN PUMP BUILDING AND CWS 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 HAZMAT TRAINING. rays ~ nclu LvL r ul. ILLC UDC aactu LVL ruI.ULC 11.7-C -8- 0l/29/z~o7 Prevention Services UNIFIED PROGRAM {NSPECTION CHECKLIST'.. n E R s t: , _D_ 9001~uxtun Ave., suite 210 _. _ _ _ _.~__..~~. _-.~_- .__ _,_ _ FARE Bakersfield, CA 93301 - - - ~ __ SECTION. 1: Business Plan and Inventory Program "'~'"' r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME r . C A ' / INSPE i TION DAT ~ INSPECTION TIME /fi Q t ~ `1 ~ V, ~ 0 ~ 2 1 ADDRESS ~ i ' PHONE NO. N EMPLOYEES . ~ U~ 6b 4 ~ ~~ (r ~ ~ FACILITY CONTACT BUSINESS ID NUMBER ~' ~ ' _ ~ ~ 15-021- ~,~j 7 Section 1: Business Plan and Inventory Program ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION n V1 n C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND BUSIfIeSS 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 ^ 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 ~ ~ IVO EXPLAIN: V ~ nar-auto i QUESTIONS R Inspector EGA IN IS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~' ~~'=;~ ~C - Print) re Prevention / 15~ In /Shift of Site/Station # ~` usiness Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .4. Y. + CALIFORNIA WATER SRV CBK-23 _________________________ SitelD: 015-021-002857 + Manager :.TIM TREALOAR Location: 1202 KINGS ABBOTT WY City BAKERSFIELD CommCode: BFD STA 15 EPA Numb: v 3"~ ` ~7Z.c~ Bus Phone : ( 6 61) '..~-~z~ Map 123 CommHaz High Grid: 06D FacUnits: 1 AOV: SIC Code: DunnBrad: +______________________________________________________________________________t Emergency Contact / Title Emergency Contact, / Title TIM TRELOAR / DISTRICT MGR ~uc~y VdNC'.~ / ASST DIST MGR Business Phone: (661) -_ ~3~.)ZVa Business Phone: (661) 'TJ"6--z-g-0.6x~37,7~- ~ 24-Hour Phone (661) 3-9U~~37~7zu , 24-Hour Phone (661) -~~o-z°^~~~33~-72 ~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire TmmHlth +- -----+ --------------- -~ -.--------------- ~ ~~~ ' ~ c.p Contact ~ t ~ ~i4~ Phone: (661) MailAddr: 3725 S H ST State: CA ~37~'7a7~ City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone: (661) 326-2400x 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 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. cYy-.per S~Z.Z /O~ry Si ture Date ~ FNT~ A~ G®~Z~ D~ ~~l -1- 05/17/2006