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Home My WebLink AboutBUSINESS PLAN 12/18/2006CAL WATER SRV ~i33-oi) 324 MADISON STREET ~~ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST.. B A F R S F. p 9ooTruxtunAve., suite2lo _ FIRE Bakersfield, CA 93301. SECTION 1: Business Plan and Inventory Program i°RT"' Tel.: (661) 3z6-3x79 Fax: (661) 872-2171 FACILITY NAM~I, ~ ~~~ ^ ~ ~ f ~ ~ K ( l.~ INSPECTION D ~ (/L INSPECTI ~~ S / i ADDRESS ~ /j' ~~ ~ ~O ~ ~ ~U[/ PHONE NO. NO OF EMELOYEES /`~/ FACILITY CONTACT BUSINESS ID NUMBER 15-021- ~}Z~~Z Section 1: Business. Plan and Inventory Program -- - - - _, - ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSP C V ~ C=Compliance OPERATION V=Violation COMMENTS J [tJ ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION O ^ PROPER SEGREGATION OF MATERIAL l 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 AN.Y HAZARDOUS WASTE ON SITE? ^ YES ,~~NO EXPLAIN: ~ _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~ C~rf~r~(~~ Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 _ i;J `„7 + CALIFORNIA WATER SRV 133-01 _________________________ SiteID: 015-021-002102 + ~J3`7 ~ ? 2c=o Manager BusPhone : ( 6 61) ~ ' °~~~--~~~ Location: 324 MADISON ST Map 124 CommHaz High City BAKERSFIELD Grid: 05A FacUnits: 1 AOV: CommCode: BFD STA 06 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title TIM TRELOAR / DISTRICT MGR Emergency Con act / Title ~~~. VJ~~~s / ASST DIST MGR ~ Business Phone: (661) 3~5 "z-•~~c~37-7~uC~ Business Phone: (661) '"-4-6~6~c X37-7~ ~~ 24-Hour Phone (661) •'^`-~^^^ -~'3~~7 24-Hour Phone (661) 3~9~~-6~6oc~43~~~` 7~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth Contact fa n ( 6 61) 3"-~~~ ~=~_ S °cA Ph ` ~~ 1~a r 1 o e : MailAddr: 3725115 S H ST State: CA ~37~72,7~; 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 ENfi~ q~~ p ~ 2006 Ses~~ pry ~`! in respop~i~i~ fpr ~~# din Y of those Individuals examinponplfy Af law~ghaeq rl havation, I ~ ed arr certl submitted and am fa-nlllar with the personally accurate bei-eve the informa4io ~rnlation ,and compiet®. Is true, S~ ~ tune ~ date ~°°~ ~ -1- 05/12/2006 _ J CALIFORNIA WATER SRV 133-O1 Manager TIM TRELOAR Location: 324 MADISON ST City BAKERSFIELD SiteID: 015-021-002102 BusPhone: (661) 837-7200 Map 124 CommHaz High Grid: 05A FacUnits: 1 AOV: CommCode: BFD STA 06 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 (661) 837-7200x 24-Hour Phone (661) 837-7271x Pager Phone ( ) - x Pager Phone ( ) - x 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 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: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Based tin f'ny inquiry of those indi id v uals respnn;~ihle ft5r oui~:ining the information, I certify under penalty of law that I have personally examined and am familiar with the informa?ion submitted and believe the information is true , accurate, and complete. ig ature ~ ~ ~~~ D /~ ate / -1- 07/10/2007 r. F CALIFORNIA WATER SRV 133-O1 SiteID: 015-021-002102 ~ ~ 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- ~ F CALIFORNIA WATER SRV 133-O1 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCL NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture 1 Ambient SiteID: 015-021-002102 ~ Facility Unit: Fixed Containers on 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 ttAG1.1ttUVUJ ~v1~1rv1vl"~1v 17 °sWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 nr~~r-ucL t~aa~~ai~l~lvl~ TSeCret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi -4- 07/10/2007 r F CALIFORNIA WATER SRV 133-O1 SiteID: 015-021-002102 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. P~ILI~)1V~/CC 1VV1~11 . / ~VdC:UdL1V11 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 MERCY HOSPITAL, TRUXTUN AVE. 08/07/2006 -5- 07/10/2007 F CALIFORNIA WATER SRV 133-01 SiteID: 015-021-002102 ~ 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 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 08/07/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. ~,_ v ~..iic1 nccvllt ~.c L?L. l.1 VGL l.1 Vll -6- 07/10/2007 F CALIFORNIA WATER SRV 133-01 SiteID: 015-021-002102 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCC:1d1 ildGdIU~7' Utility Shut-Offs Fire Protec./Avail. Water 08/07/2006 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 133-O1 SiteID: 015-021-002102 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/12/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc ~ Held for Future Use _ ~ ~ r iaciu ivi r u~.uic vac -8- 07/10/2007 J~ _ 1,' r CALIFORNIA WATER SR.V 133-01 SiteID: 015-021-002102 Manager TIM TRELOAR Location: 324 MADISON ST City BAKERSFIELD BusPhone: (661) 837-7200 Map 124 CommHaz High Grid: 05A FacUnits: 1 AOV: CommCode: BFD STA 06 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 (661) 837-7200x 24-Hour Phone (661) 837-7271x Pager Phone ( ) - x Pager Phone ( ) - x I 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 CO Phone: (~6~6•) _ ______ Address 3?ZS So~~u S~ State: CA~~ c`~37-7Zvo City 9~Q~E 1~o~~~ec. 't,~Q Zip 9~5ri-3_~?r 933rd Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes 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. Oft-co.. 2 6 Si ture Dat ~Nfi'~ ~' ~ ~ ~ ~,QO? -1- 01/26/2007 r, ~7 F CALIFORNIA WATER SRV 133-O1 SiteID: 015-021-002102 ~ ~ 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 133-01 SiteID: 015-021-002102 ~ ~ 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 Mixture Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 200.00 GAL 200.00 GAL 200.00 GAL riL-1GEiiCLVU~ 1:V1~lYV1Vi51V1J owt. Rs cAS# 12.50 Sodium Hypochlorite No 7681529 t1E~G.'ittL tea ~ l~J a 71~1L' 1v 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Hi -4- 01/26/2007 r. F CALIFORNIA WATER SRV 133-O1 SiteID: 015-021-002102 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/30/2000 ~ CALL 911. r,[llfJ1U~/~C 1VV1.11. / rJVdGUdl,1Vi1 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 08/07/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 01/26/2007 ,, .T F CALIFORNIA WATER SRV 133-01 SiteID: 015-021-002102 ~ 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 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 08/07/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. V1.11CL 1CC w7"V UI_LC a`i(.: l.1Vdl.1 V11 -6- 01/25/2007 F CALIFORNIA WATER SRV 133-O1 SiteID: 015-021-002102 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ special Hazards Utility Shut-Offs Fire Protec./Avail. Water - 08/07/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level CINMANNED SITE . 05/12/2006 -7- 01/26/2007 r F CALIFORNIA WATER SRV 133-01 SiteID: 015-021-002102 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/12/2006 MATERIAL SAFETY DATA SHEETS ON FILE. rc~yc G nciu ivi r u~.uic vac nciu iv.L r u~,uic vac -8- 01/26/2007