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IIII ,, CALIFORNIA WATER SERV 105-01
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CALIFORNIA WATER SRV 105-01 SiteID: 015-021-002098
Manager :'TIM TRELOAR
Location: 614. S REAL RD
City BAKERSFIELD
CommCode: BFD STA 03
EPA Numb:
BusPhone: (661) 396-2400
Map 102 CommHaz High
Grid: 35B 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:
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
Preparers
Certif'd:
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible fior obtaining the infiormation, !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 Date
Gal
Gal
TotalASTs: _
TotalUSTs: _
RSs: Yes
-1- 07/10/2007
F CALIFORNIA WATER SRV 105-O1
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-002098 ~
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- 07/10/2007
-3- o~/lo/aoo~
r
F CALIFORNIA WATER SRV 105-O1
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
SODIUM HYPOCHLORITE
Location within this Facility Unit
FENCED ENCL NEXT TO PUMP
STATE TYPE PRESSURE
Liquid TMixtur~mbient
SiteID: 015-021-002098 ~
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
riEiGHKLVUJ 1.V1~lYV1V~1V1S
%Wt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
-- tiHGH1CL 1~.7 .7~~~1~1L"1V1.7
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 105-O1 SiteID: 015-021-002098 ~
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
08/30/2000
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE.
-5- 07/10/2007
F CALIFORNIA WATER SRV 105-01 SiteID: 015-021-002098 ~
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
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 105-01 SiteID: 015-021-002098 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~N~~:iaa. na~cisu~
vi.lli~.y ~iiu~.-vii5
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
10/17/2006
Building Occupancy Level
UNMANNED SITE
03/01/2006
-7- 07/10/2007
-: ~~
F CALIFORNIA WATER SRV 105-01 SiteID: 015-021-002098 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/17/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
rc~yc ~
Held for Future Use
nciu ivi ru~.,u.LC vac
-8- 07/10/2007
~, _ ~ ;
CALIFORNIA WATER SRV 105-O1
Manager TIM TRELOAR
Location: 614 S REAL RD
City BAKERSFIELD
SiteID: 015-021-002098
BusPhone: (661) 396-2400
Map 102 CommHaz High
Grid: 35B FacUnits: 1 AOV:
CommCode: BFD STA 03
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: 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) ~DD~.
Address 3725 S H ST State: CA 837-7200
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
ENT'D FEg 2 6 20
0?
Based on my, ingqiail+~i of tHa~~a ipdividuals
responsible far sbtainlrl~ tMe infgrmation, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and b®lieve the information is true,
accurate, and complete.
a-y~.c,e~. 2 6
g ature Da e
-1- 01/26/2007
:~
F CALIFORNIA WATER SRV 105-O1 SiteID: 015-021-002098 ~
~ 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
a~ ~
F CALIFORNIA WATER SRV 105-O1 SiteID: 015-021-002098 ~
~ 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 Dail Maximum Dail Avera e
Y Y g
200.00 GAL 200.00 GAL 200.00 GAL
L1tiL.iL-l.RLVVJ L.V1•lt'V1V P~1V1J
%Wt. RS 'CAS#
12.50 Sodium Hypochlorite No 7681529
rlti4tiLCL HJ Ji+J JI.IP~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
~~ ~
F CALIFORNIA WATER SRV 105-01 SiteID: 015-021-002098 ~
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
08/30/2000
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE.
-5- 01/26/2007
r
F CALIFORNIA WATER SRV 105-O1 SiteID: 015-021-002098 ~
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 10/17/2006
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
V1.11C1 1CC~VUiC.:C Lil:l.lVdl.lVil
' -6- 01/26/2007
:~ •.
F CALIFORNIA WATER SRV 105-O1 SiteID: 015-021-002098 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
oNc~.ia.i nac.aiu~
Fire Protec./Avail. Water 10/17/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
Building Occupancy Level 03/01/2006
UNMANNED SITE
-7- 01/26/2007
f~;
F CALIFORNIA WATER SRV 105-O1 SiteID: 015-021-002098 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/17/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
rayc ~
I1C1U LVL t'UI.ULC UDC
I1C1U LVL tUI..ULC USC
-8- 01/26/2007
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
•
Prevention Services
s e a s F I D 900 Truxtun Ave.,-Suite 210
_..._.
F/RE Bakersfield, CA 93301
~RrM r Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~/v~ ~ ~ ~ `~ ~ ~ D JO I I ~PZTIOON ~ AEG ~ INSPEC~TQON T~, A" I ~
/
ADDRESS ~~''
~~ F~ !7~ ~Sov PHONE NO.
£~~~-727 NO OF EMPLOYEES
v.~~<n~e~
FACILITY ~f ONTACT
~3'!( ~5/ ~ ~'~
~ihc ene
F33 7-?2vv BUSINESS ID NUMBER
15-021- ~ZO9
v
-.9 - - _- -
_ - . : , - ` Section 1: Business Plan and Inventory Program ~~.
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ ~~BUSI112SS PLAN CONTACT INFORMATION ACCURATE
jf-
s n~ 1 ~S~/ ~...,
^ VISIBLE ADDRESS
e
/'eSS ,S ~v ieea1 'rJo~
^ . .CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL ~ ~G C
1-
^ VERIFICATION OF MSDS AVAILABILITY
f~ ^
` VERIFICATION OF HAZ MAT TRAINING
~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
T ^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE~CpALL US AT (661) 326-3979 A,
Inspector (Please Print) ire Prevention / 1~' In /Shift of SitelStation # Busin~es SitSit' / esponsible Party (Please Print)
^ YES
~ .
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
+ CALIFORNIA WATER SRV 105-0'~1 _________________________ SiteID: 015-021-002098 +
Manager
Location: 614 REAL RD (S~o. ~pS)
City BAKERSFIELD
BusPhone: (661) 396-2400
Map 102 CommHaz Extreme
Grid: 35B FacUnits: 1 AOV:
CommCode: BFD STA 03
EPA Numb:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DISTRICT MGR ~-H•P~PE•R ~l~~y Vd~~S / ASST DIST MGR
Business Phone: (661) 39'6-2400x Business Phone: (661) 3-~~x
24-Hour Phone ( ) - x 24-Hour Phone ( ) 837"~zl~x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs Fire Press ImmHlth
Contact 9@N ~~; I i ~~~ ; ~~ Phone : ( 6 61) 316°-24-8.6
MailAddr: 3725 S H ST State: CA ~3~-727~
City BAKERSFIELD Zip 93304
Owner CALIFORNIA WATER SERVICE CO 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: Yes
ParcelNo:
~ Emergency Directives: ~
PROG A - HAZMAT
PROG T - ABOVEGROUND STODGE 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.
-~~,~. 3 6
g ature Dat
EN~~ ~~~
~ ~~®6
-1- 03/02/2006
_~
BAKERSFIELD FIRE DEPT
>, p, t Prevention Services
UNIFIED PROGRAM INSPECTION CHECIfLIST~" rdas 9ooTruxtunAve.,Suite210
~~u,:.~~~u~~~=~vh,~.~~_~~~:.~ ...~....,~~- _-1:. r~~~.~..~ ,.~. ;~~ ~~ ,~.a.~~ ,~, ,:~,, ~Rrur >r ~ Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program `'~' Tel.: (661) 326-3979
• Fax: (661) 872-2171
FACILITY NAME ~ INSPECTI N DA INSPECTION TIME
Y tI~
ADDRESS ` -
( HO E 0,~ ~
-
/ OOFEMPLO~ES~~
I•"~V^'."•'
FACILITY CONTACT
~ ~ D NUMBER
USINES
S 1
15-021- 00~
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
•
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
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PR EDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZA D US AS ~ON ITE?
EXPLAIN: ^ ES ^ NO
<~= ~.. --- -
•OU TIONS REGARD NG S INSPECTION? PLEASE CALL US AT (661) 326-3979
( , r
Inspector (Please Print) Fire revention / 1s' In /Shift of Site/Station #
usiness ite/Sc
I e esponsible Party (Please Print)
~
White -Prevention Services Yellow -Station Copy Pink -Bu siness Copy FD2049 (Rev. 02105)