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Home My WebLink AboutBUSINESS PLAN 10/27/2006f CAL WATER SRV ~csx-~a) 8851 PACHECO ROAD UNIFIED PROGRAM INSPECTION CHECKLIST - SECTION 1: Business Plan and Inventory Program ;• r ~~ 8 A F. R S F l P P/RE ARTM Prevention Services 900-Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel:: (661) 326-3979 Fax:. (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS c~S. l ~~t-c~e ca ~~ PHONE NO. 6/ 3`~6 - ~l~G NO OF EMPLOYEES FACILITY CONTACT ~ BUSINESS ID NUMBER ~~ ~~ j©G'r 15-021- QOx/U y r 33~ Section 1: Business Plan and Inventory Program ^ ^ ^ ROUTINE ^ COMBINED ^ RE-INSPECTION MULTI-AGENCY COMPLAINT JOINT AGENCY C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND tad' ^ BUSIf1eSS 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 ~ OC ~J ^ ^ 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? EXPLAIN ^ YES ®' NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~ _ / nspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Busin s Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .?,il *~, + CALIFORNIA WATER SRV CBK-14 _________________________ SiteID: 015-021-002109 + X37 ~ 7zuC~ Manager BusPhone: (661) '°~`-~-~~- Location: 8851 PACHECO RD Map 123 CommHaz High City BAKERSFIELD Grid: 20B FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title I TIM TRELOAR / DISTRICT MGR ~~~~ ~r~I ~S / ASST DIST MGR Business Phone: (661) ~.~~37.7Lc0 Business Phone: (661) '°` ''~.,..~637JZ ~ 24 -Hour Phone ( 661) 3-9fs~-2.4~-@-~v~3~ ~7Lc~C, 24 -Hour Phone ( 661) ~~~~~., ~~~3~-~~ ~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth -----------,-------i------------ Contact ~`~~ ~Z'Si~~ -------------------------------------- Phone: (661) ~!~~~-4~%~ MailAddr: 3725 S H ST State: CA 1537~7L7~ 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 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally exam fitted and believe'Ithevinfo mationo is true, subm 1ete. accurate, and comp ~_ Da~ 2 g ature ENT AUG ® ~ 2006 ~~"~~ -1- 05/16/2006 ;'\ a't CALIFORNIA WATER SRV CBK-14 Manager TIM TRELOAR Location: 8851 PACHECO RD City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: SitelD: 015-021-002103 BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 20B 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 (6,61) 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 Address 37 z, <Snv~ ~~ ,$~ City `~ ~d~oLri~roLd Period to Preparers Certif' d: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Phone : () 4 5ra---°?T*O~y State : CA 6 837-~Zr~o Zip ~1m- $33oq TotalASTs: _ TotalUSTs: _ RSs: Yes ~N~~ ~ ~ ~ ~ X007 Based on my inquiry of those indivlduais responsible for obtaining the information, I fortify under penalty of law that I have perganally examined and am familiar with the lnfarrnation submitted and believe the information is true, accurate, and complete. ~,~,~ z G v Si ture Date Gall Gal -1- O1/29/~b07 F CALIFORNIA WATER SRV CBK-14 SiteID: 015-021-002109 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order ~ Fixed Containers on Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitI~CPI SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi -2- 01/29/2607 :~ -3- Ol/29/~007 F CALIFORNIA WATER SRV CBK-14 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit FENCED ENCLOSURE NEXT TO PUMP STATE TYPE PRESSURE Liquid TMixture 1 Ambient SitelD: 015-021-002149 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: -- CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient -~VE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily .Average 200.00 GAL 200.00 GAL 200.00 GA1:, r1H~rjxLUUS uul~iruiv~;iv'1'~ %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 t1AGHKL HJ5J;~51~1J;1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / j Hi -4- 01/29/2007 F CALIFORNIA WATER SRV CBK-14 SiteID: 015-021-002109 ~ 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 MERCY HOSPITAL, TRUXTUN AVE. 08/08/2005 -5- 01/29/2(707 ;~ F CALIFORNIA WATER SRV CBK-14 SitelD: 015-021-002109 ~ 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 B 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 05/16/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. V1.11C 1. tCC~CJUl(,C HCl.1 VCL 1, 1CJil -6- Ol/29/~007 ,d F CALIFORNIA WATER SRV CBK-14 SiteID: 015-021-002109 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~pec:iai nazarus Utility Shut-Offs Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. 08/08/20(76 Building Occupancy Level 05/16/2006 UNMANNED SITE -7- 01/29/2007 ,,. - F CALIFORNIA WATER SRV CBK-14 SiteID: 015-021-002109 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. Ydy C L Held for Future Use azc.~u ivi rut,utc vac -8- ~ 01/29/2007