HomeMy WebLinkAboutBUSINESS PLAN 12/4/2006i~ SAL WATER SERVICE C . (sTa. a~-oi>
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
e E a s F _,_ D 9001Yuxtun Ave., Suite 210
F~Re Bakersfield, CA 93301
ARTM r Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
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Fo~viA ~(/~~ ~~vir
~l INSPEZ f~DATE
~ ~- o ~ INSPECTION TIME
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ADDRESS - ~
- L ~'~ PHONE NO.
c°37-zz78 NO OF EMPLOYEES
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FACILITY CONTACT
~ 3 7- ?Z
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~ BUSINESS ID NUMBER
15-021- ~V ~3~I
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. Section 1: Business Plan and Inventory Rrggram
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ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
u
C V ~ C=Compliance OPERATION
V=Violation COMMENTS L
^ APPROPRIATE PERMIT ON HAND
^ ~ BUSIn2SS PLAN CONTACT INFORMATION ACCURATE ~~ ~~ ~' ~~ ~~ /~-c~5~! CAL.
^ 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
C~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
C~ ^ EMERGENCY PROCEDURES ADEQUATE
Cf-Y ^ CONTAINERS PROPERLY LABELED
~
^ HOUSEKEEPING
..,/
ICI ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES NO
EXPLAIN:
ncr-ours
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Ire Prevention / 1s` In /Shift of Site/Station # Business Si a /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
t' ~ '
+ CALIFORNIA WATER SRV 047-0'~2 _________________________ SiteID: 015-021-001361 +
Manager M~~3~~~D i ;~ ~ Lc loan
Location: 805 REAL RD (s~.~,y~~
City BAKERSFIELD
BusPhone: (661) 396-2400
Map 102 CommHaz High
Grid: 35B FacUnits: 1 AOV:
CommCode: BFD STA 03
EPA Numb:
SIC Code:4941
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
AgE ~kvdy Ydl~es / DISTRICT MGR TIM TRELOAR / ASST DIST MGR
Business Phone: (661) ~~ Business Phone: (661) 396-2400x
24-Hour Phone ( ) 83~=~~~Ix 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React ImmHlth
Contact ~% I ( ~~S ~'rA Phone : ( 661) 3-96-~49~x
MailAddr: 3725 S H ST State: CA ~37~-yZ~~
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: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
Based on my inquiry of those individuals
responsible for obtaining the information, 1 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.
S' ature Dat
~N~p BAR ~
2B®6
-1- 03/02/2006
CALIFORNIA WATER SRV 047-02
Manager.: TIM TRELOAR
Location: 805 REAL RD
City BAKERSFIELD
CommCode: BFD STA 03
EPA Numb:
SiteID: 015-021-001361
BusPhone: (661) 396-2400
Map 102 CommHaz High
Grid: 35B FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:
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:
React 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
C~as~d pn my inquiry of those individuals
rospodsil~fe for obtaining the information, I certify
under pena4ty of law that I have personally
exdt~tined and am familiar with the information
submitted and believe the information is true,
abbutate, and complete.
e~i~.cc. ? V
~- tore Date
~pSs2f4
ENS ,~ U L ~ ~ ~~~~
Gall
Gal
TotalASTs: _
TotalUSTs: _
RSs: No
-1- 07/10/2007
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F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE R IH L ~0~6-'00 GAL Hi
ZoU • 0 0
-2- 07/10/2007
-3- 07/10/2007
z
P CALIFORNIA WATER SRV 047-02
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
SODIUM HYPOCHLORITE
Location within this Facility Unit
ON SITE
STATE TYPE PRESSURE
Liquid TMixture Ambient
SiteID: 015-021-001361 ~
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
2 0 0. 0 0 GAL Zoc~ 'S-6-@-6'0 GAL ~o U ~-0 0 GAL
tiHGAttLV U 5 1:v1~1rv1v ~1V ~1~5
°sWt . RS CAS#
12.50 Sodium Hypochlorite No 7681529
tiHGHK1J 1-~~ a C, ~ ~1~1~1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4- 07/10/2007
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 10/17/2006
CALL 911. AN OCCURANCE OF AN UNAUTHORIZED RELEASE WILL REQUIRED THE
IMMEDIATE NOTIFICATION TO THE BAKERSFIELD FIRE DEPT. RESPONSIBLE PERSONNEL
MUST EVALUATE THE SITUATION AND DETERMINE THE NEED TO EVACUATE STAFF TO A
SAFE AND SECURE LOCATION DEPENDING ON THE MATERIAL RELEASED. RESPONSIBLE
PERSONNEL WILL ADHERE TO THE RECOMMENDATIONS AND PROCEDURES SPECIFIED BY THE
BAKERSFIELD FIRE DEPT UPON THEIR ARRIVAL. RELEASE ABATEMENT WOULD BE
PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE
SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY.
9
Employee Notif./Evacuation 10/17/2006
RESPONSIBLE PERSONNEL MUST EVALUATE THE SITUATION AND DETERMINE THE NEED TO
EVACUATE STAFF TO A SAFE AND SECURE LOCATION DEPENDING ON THE MATERIAL
RELEASED. PERSONNEL WILL ADHERE TO THE RECOMMENDATIONS AND PROCEDURES
SPECIFIED BY THE BAKERSFIELD FIRE DEPT UPON THEIR ARRIVAL.
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t ULJ 1 1 \.. LY V V 1 1 .~ L' V Q V IACl {.. 1 V l l
Emergency Medical Plan 10/17/2006
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, 2215 TRUXTUN AVE,
327-3371.
-5- 07/10/2007
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/17/2006 ~
SITE IS MANNED BY PERSONNEL TRAINED IN HAZMAT REPORTING. FUEL IS STORED IN
ABOVEGROUND, DOUBLE-WALL TANK. LIQUID CHLORINE IS STORED IN TANK WITH 110s
SECONDARY CONTAINMENT.
Release Containment
GASOLINE - DOUBLE-WALL HOLDING TANK
CHLORINE - SECONDARY CONTAINMENT
10/17/2006
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.
v~.tici iccavul.trc Lil:l.lVCLl.1V11
-6- 07/10/2007
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
Jt.1G 1..1Gi1 11CLG Q1. 1..15
Utility Shut-Offs 10/17/2006
NATURAL GAS/PROPANE - BEHIND BRICK WALL BY CONTROL PANEL ON EPL
ELECTRICAL - SE CRNR FIELD OPERATIONS BLDG
WATER - NE CRNR FIELD OPERATIONS BLDG
SPECIAL - NONE
LOCK BOX - NO
Fire Protec./Avail. Water
10/17/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER IN ALL BLDGS AND AT GAS PUMPS.
FIRE HYDRANT - E PROP LINE ON SITE WELL DISCHARGE.
Building Occupancy Level 03/01/2006
80 EMPLOYEES
-7- 07/10/2007
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/17/2006 ~
MSDS IN FIELD OFFICE CABINET AT FRONT OF OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED IN HAZMAT
REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES
HAZARDOUS MATERIALS TRAINING.
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-$- 07/10/2007
CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361
Manager TIM TRELOAR BusPhone: (661) 396-2400
Location: 805 REAL RD 'Map 102 CommHaz High
-City BAKERSFIELD Grid: 35B FacUnits: 1 AOV:
CommCode: BFD STA 03 SIC Code:4941
EPA Numb: DunnBrad:
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 :i(661) 837-7200x 24-Hour Phone (661) 837-7271x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: ~ React 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) ~"' ""^^__
Address 3725 S H ST State: CA ~37~72ca
City BAKERSFIELD Zip 93304
Period to Tot'alASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals rA'
responsible for obtaining the information, I certify L~T~ ~°~t~
DD ~
S
under penalty of law that I have personally 2007
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
cr~.,« Z 6 d
S' nature Date
-1- 01/26/2007
~~
F CALIFORNIA WATER SRV 047-02
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-001361 ~
By Facility Unit ~
Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE R IH L 500.00 GAL Hi
-2- 01/26/2007
-3-
01/26/2007
9 ~
F CALIFORNIA WATER SRV 047-02
~ Inventory Item 0002
COMMON NAME j CHEMICAL NAME
SODIUM HYPOCHLORITE
Location within this Facility Unit
ON SITE
STATE TYPE PRESSURE
Liquid TMixture~ Ambient
SiteID: 015-021-001361 ~
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 I Daily Average
200.00 GAL 500.00 GAL 500.00 GAL
ru~~xrcLw~ ~ulnr~lv~iv~1~5
oWt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
t1E~GHKL ASa1'',~51~1L"1V15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4- 01/26/2007
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 10/17/2006
CALL 911. AN OCCURANCE OF AN UNAUTHORIZED RELEASE WILL REQUIRED THE
IMMEDIATE NOTIFICATION TO THE BAKERSFIELD FIRE DEPT. RESPONSIBLE PERSONNEL
MUST EVALUATE THE SITUATION AND DETERMINE THE NEED TO EVACUATE STAFF TO A
SAFE AND SECURE LOCATION DEPENDING ON THE MATERIAL RELEASED. RESPONSIBLE
PERSONNEL WILL ADHERE TO THE RECOMMENDATIONS AND PROCEDURES SPECIFIED BY THE
BAKERSFIELD FIRE DEPT UPON THEIR ARRIVAL. RELEASE ABATEMENT WOULD BE
PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE
SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY.
9
Employee Notif./Evacuation 10/17/2006
RESPONSIBLE PERSONNEL MUST EVALUATE THE SITUATION AND DETERMINE THE NEED TO
EVACUATE STAFF TO A SAFE AND SECURE LOCATION DEPENDING ON THE MATERIAL
RELEASED. PERSONNEL WILL ADHERE TO THE RECOMMENDATIONS AND PROCEDURES
SPECIFIED BY THE BAKERSFIELD FIRE DEPT UPON THEIR ARRIVAL.
t UJ.J111: 1V V 1.1 l ~ Pr V CL CL UC11. 11!11
Emergency Medical Plan 10/17/2006
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, 2215 TRUXTUN AVE,
327-3371.
-5- ~ 01/26/2007
.~
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/17/2006 ~
SITE IS MANNED BY PERSONNEL TRAINED IN HAZMAT REPORTING. FUEL IS STORED IN
ABOVEGROUND, DOUBLE-WALL TANK. LIQUID CHLORINE IS STORED IN TANK WITH 110
SECONDARY CONTAINMENT.
Release Containment 10/17/2006
GASOLINE - DOUBLE-WALL HOLDING TANK
CHLORINE - SECONDARY CONTAINMENT
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.
V1.1161 itG w7.VUl\..G CIl..L1VQl..1 V11
-6- 01/26/2007
;~
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~JCl:1C11 I1dGC1L U~
Utility Shut-Offs 10/17/2006
NATURAL GAS/PROPANE - BEHIND BRICK WALL BY CONTROL PANEL ON EPL
ELECTRICAL - SE CRNR FIELD OPERATIONS BLDG
WATER - NE CRNR FIELD OPERATIONS BLDG
SPECIAL - NONE
LOCK BOX - NO
Fire Protec./Avail. Water
10/17/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER IN ALL BLDGS AND AT GAS PUMPS.
FIRE HYDRANT - E PROP LINE ON SITE WELL DISCHARGE.
Building Occupancy Level 03/01/2006
80 EMPLOYEES
-7- 01/26/2007
~.
F CALIFORNIA WATER SRV 047-02 SiteID: 015-021-001361 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/17/2006 ~
MSDS IN FIELD OFFICE CABINET AT FRONT OF OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED IN HAZMAT
REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES
HAZARDOUS MATERIALS TRAINING.
rays ~
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aaciu LV.~.. i-u~.uLC vac
-8- 01/26/2007