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CALIFORNIA WATER SRV 085-02
Manager TIM TRELOAR
Location: 903 MELWOOD ST
City BAKERSFIELD
CommCode: BFD STA 05
EPA Numb:
SiteID: 015-021-002125
BusPhone: (661) 837-7200
Map 124 CommHaz High
Grid: 08B 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 (661) 837-7200x 24-Hour Phone (661) 837-7271x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs
Contact BILL ROSICA
MailAddr: 3725 S H ST
City BAKERSFIELD
Fire Press ImmHlth
Phone: (661) 837-7278x
State: CA
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 on my inquiry of those individuals
responsible far obtaining the information, I certify
under penalty of la>^: that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~ 1 0
S ature Dat
-1- 07/10/2007
f~ 5
F CALIFORNIA WATER SRV 085-02 SitelD: 015-021-002125 ~
~ 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- o~/io/2oo~
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
~ 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
STATE TYPE PRESSURE
Liquid TMixture ~mbient
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
t1HG1-~KLVV~ I:VP~lYV1VtS1V'1'S
oWt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
r~~r~tcL r~5~~a~i~i~l~'1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No Yes No No/ Curies F P IH / / / Hi
-4- 07/10/2007
~- 5
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 08/30/2000 ~
CALL 911.
Employee Notif./Evacuation
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- 07/10/2007
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
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 08/07/2006
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
V1.11Ct 1CC .y"V Ul_l.:C 1'iC.: l.1Vdl.1 V11
-6- 07/10/2007
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.7~JC1:1d1 Ild'Gd1ll.~"
V 1.1111.y Jll llL-V11w7
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
08/07/2006
Building Occupancy Level
UNMANNED SITE.
02/27/2006
-7- 07/10/2007
YS ~ Y
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
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
CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125
Manager TIM TRELOAR
Location: 903 MELWOOD ST
City BAKERSFIELD
CommCode: BFD STA 05
EPA Numb:
BusPhone: (661) 837-7200
Map 124 CommHaz High
Grid: 08B 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
RUDY VALLES
Business Phone:
24-Hour Phone
Pager Phone,
/ Title
/ ASST DIST MGR
(661) 837-7271x
(661} 837-7271x
( ) - x
Fire Press
ImmHlth
Phone: (661) 837-7278x
State: CA
Zip 93304
Owner CALIFORNIA -WATER SERVICE CO Phone: (4~) 4L~reZ-max
Address 3725 Sou';~ ~( Sly- State: CA~~ ~3)~~Zno
City S~-a~.S~ ~dke~.rhro~d Zlp ~'~~°' s33o4
Period to
Preparers
Certif'd:
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
8~~pd on my inquiry of those individuals
responslbla fwar obtaining thQ information, I certify
uridar ppnplty of law that I have personally
examined and am famillpr with the Information
submitted and bplipvp the information is true,
accurate, and complete.
S' ature ~~ Da~
TotalASTs: _
TotalUSTs: _
RSs: Yes
ENT FED z s 200
Gall
Gal
-1- 01/26/2007
F CALIFORNIA WATER SRV 085-02
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-002125 ~
By Facility Unit ~
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 085-02
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
SODIUM HYPOCHLORITE
Location within this Facility Unit
FENCED ENCLOSURE NEXT TO PUMP
STATE TYPE PRESSURE
Liquid TMixture ~ Ambient
SiteID: 015-021-002125 ~
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 I Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
t1AGtu[iJVU~ 1:V1~lYV1Vr;1V'1'~
owt. Rs cAS#
12.50 Sodium Hypochlorite No 7681529
t1HGHKL 1-~J~L' SJ1~11;1V 15
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 085-02 SiteID: 015-021-002125 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
Agency Notification 08/30/2000
CALL 911.
_, ,_
i:,uiN.LVycc ivv~a.i . ~ ~va~:ucil.~c~tt
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
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
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 08/07/2006
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
V1.11C1 iCCAVUlVC til.: l.1VQl.1 V11
-6- 01/26/2007
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~7LJC(.:1d1 11dGdl U5
V1.1111.Y w711UL-VllA
Fire Protec.jAvail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
08/07/2006
Building Occupancy Level
UNMANNED SITE.
02/27/2006
-7- 01/26/2007
:~-
F CALIFORNIA WATER SRV 085-02 SiteID: 015-021-002125 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/12/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
rayc c
nC1U 1VI l.'LLl..I.LLC Uw5'C
l1C 1C.L lUL I'UI. UiC USe
-8- 01/26/2007
UNIFIED PROGRAM INSPECTION CHECKLIST
.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
to Prevention Services
f~t~ 9001'rL>uctun Ave., Suite 210
~R*r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~ NSPECTION DATE INSPECTION TIME
,, 11
~` u!' a. !NQ S s~ /t c e. U g ~'-U 2,, 7 - z.u -c>!~ Uu/ O/jlir ~`
ADDRESS HONE NO. O OF EMPLOYEES
9 a `~--'
v
FACILITY CONTACT USINESS ID NUMBER
15-021- vU"t. ! 2~
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ J01NT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C~
I
C V (c-Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
BUSin@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
+/^
Ld' ^
/~ ^ CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^
^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSOS 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 NO
EXPLAIN: - _
~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3979
Inspector (Please Print) ire Prevention / t" In / Shift o Site/Station A Business Sfte/Sc ool Site Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink - Buaineae Copy FD2049 (Rev. 02/05)
_'~ ~ ,
+ CALIFORNIA WATER SRV 085-02 _________________________ SitelD: 015-021-002125 +
d'37-~ ~ d
Manager BusPhone: (661)3
Location: 903 MELWOOD ST Map 124 CommHaz High
City BAKERSFIELD Grid: 08B FacUnits: 1 AOV:
CommCode: BFD STA 05 SIC Code:4941
EPA Numb: DunnBrad:00-691-3578
Emergency Contact / Title / Title
Emergency Con act
TIM TRELOAR / DISTRICT MGR ~~~ 'Vd y
I~eS / ASST DIST MGR
Business Phone : ( 661) ~ _ , _ _ _ _ __€~~7-7Zt~G Business Phone : ( 661) 3-9fr~-A~9~~3~, 72 /
24 -Hour Phone ( 661) 3 9•~=ix~~~3~,7z~ 24 -Hour Phone ( 661) ~3~6-2~6~6~c8~~~- 7~ ~
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs Fire Press ImmHlth
Contact Phone: (661) '-°' ^^^^-
MailAddr: 3725 S H ST State: CA c°~3`7-7'Z7i~
City BAKERSFIELD Zip 93304
Owner CALIFORNIA WATER SERVICE CO Phone: (408) 451-8200x
Address 172.0 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..
Bayed 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.
~,~.~
g ature J ~ ~ U6
Date
~b~~ l
ENfi~p ~u~ c~ ~ zoos
=1-
05/12/2006
_ l