HomeMy WebLinkAboutBUSINESS PLAN 5/22/2007~~~
i
CAL WATER SRV (cBx-39)
10301 RIVIERA GREENS WAY -
~~
~~ ~5 Z
,~~`~~
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the followin_~:
[] Hazardous Materials Plan
[3 Underground Storage of HazardOus Materials
[3 Risk Management Program
[3 Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-002114
CALIFORNIA WATER
LOCATION
93312.
Issued by:
Bakersfield Fire Department ',
OFFICE OF ENVIRONMENTAL SER VICES'
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576
Approved by:
Office ofEvimnmee~IServiccs -
NOV 1 ZOO0
Issue Date
Expiration Date:
'June 30. 2003
./
I
BOONE
/
/
/
/
VALLEY
DRIVE
12100
LOA AV
11200
11200
COTNER AV
ALLEN LN
WINN AV
12500
79O0
HIPPERWILL
MICHELLE
10500
LONON
BARON AV ~
DEE
AV
12100
AV
11900
AV
PALM
12100 ~ 11300
iPINEHAVEN
mx ~Lu~ APRIL ANN AV
11700
TOWN RD
12500
PL CONNERY WY FINSBURY
LONGMEADOW WY
2
11300
RS
SHELk~ABARGER
ELD
GREENACRES
GREEN 9~oo
9700
AV
9700
JR
CT 9300
CT
0 .25 .5 '~ ~
, , - F miles 1 in. - 1900 ft.
_ ~ 5~
~~
UNIFIED PROGRAM INSPECTION CHECKLIST'.. B E R S F r D
SECTION 1: Business Plan and Invento Pro ram '` "R"" T
ry g ~ ~
Prevention Services
900'I'ruxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS
10 ® ~ ~ v , Q ~ a G ~-.~~ ~., war PHONE NO.
$3~ -?~ NO OF EMPLOYEES \
ww~~
FACILITY CONTACT BUSINESS ID NUMBER
15-021- G~~Z~ ~ "'
- .- ~Seutio~ 1: Business Plan a~d~Invelatory Prograrr~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
`,..,
X11 ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
~^ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
~_ ^ VERIFICATION OF LOCATION ~1®~eD ~ ~~ ~j, Q ~('lo~
1tl f.: VV lY~ I
~I ^ PROPER SEGREGATION OF MATERIAL
LJ ^ VERIFICATION OF MSDS AVAILABILITY
~ ^ VERIFICATION OF HAZ MAT TRAINING y
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
nnr-ouw
ANY HAZARDOUS WASTE ON SITE? ^ YES ~O -~~ ^
EXPLAIN: ~g,..~ Cwv. ns+~ t ~ ~3 ~ ~>^ ~`1 /`..~ ~ 1 '~ S ~(p .- /`mow S2 ~ ~ \
~~ 'r¢.' .tic,,, f w y ~ ~,^~'1 ~ ~ T'~ ui ,,~
-a
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~'j
~L~~/~ vv
Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Bu ' ss Site /Responsible Party (Please Print) _
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
~. 1
CALIFORNIA WATER SRV CBK-39 SiteID: 015-021-00211
Manager TIM TRELOAR
Location: 10301 RIVIERA GREENS WY
City BAKERSFIELD
BusPhone: (661) 837-7200
Map 102 CommHaz High
Grid: 31B FacUnits: 1 AOV:
CommCode: KCFD STA 65
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) 837-720Ox 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: (~) ~ -~ez-0^o~-
Address 3.7 z j sow ~ (,( S~ State : CA ~~ X37--'7Zpp
City ~~~--~~.~~, ~~
~ Zip : °-~~~a . g3 0
3 4
e~s i
Period to TotalASTs: = Gal
Preparers TotalUSTs: = E~al
Certif~d: RSs: Yes
ParcelNo:
.............
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
I certify
the information
i
in
bt
f
l [~ q
~pr
~''`~ [7 ~+ t-aQ~
,
g
a
n
or o
e
responsib
ll ®
EN 1
y
under penalty of law that I have persona
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
o-.a.~-~.o. 2 6 b
S' ature D to
-1- 01/29/Zti07
F CALIFORNIA WATER SRV CBK-39 SiteID: 015-021-002114 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Sites ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit ~ICP
SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi
-2- O1/29/2~07
-3- 01/29/2007
o
F CALIFORNIA WATER SRV CBK-39 SiteID: 015-021-002114 ~
~ 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
Liquid TMixtur~mbient~E ~ AmbientT~E ABOVEOGROIINDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
• t~~x~w5 ~uinruiv~iv~l~~
%Wt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
rix~.yrcL tiaar.a~in~ly 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MAP
No Yes No No/ Curies F P IH / / / Hi
-4- 01/29/2007
h ,~
F CALIFORNIA WATER SRV CBK-39 SiteID: 015-021-002114 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 08/30/20170 ~
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 08/08/2006
MERCY HOSPITAL, TRUXTUN AVE.
-5- 01/29/2007
o ,
F CALIFORNIA WATER SRV CBK-39 SiteID: 015-021-002114 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Sits ~
~ Release Prevention 09/27/194 ~
DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK.
Release Containment 10/19/20(76
IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD
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 REGULATO7Zt~'
AGENCY.
V1.11C1 iCCSVI.IlLC 1-1(.:l.1Vdl,lVil
-6- 01/29/zoo?
F CALIFORNIA WATER SRV CBK-39 SiteID: 015-021-00211 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
w7~J C l:ld1 IldGd1 U.7'
V 1.11.E t,y J11LLL-Vll:i
Fire ProteC./Avail. Water 08/08/205
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
Building Occupancy Level 05/16/2005 =
UNMANNED SITE
-7- O1/29/~d07
.>_
F CALIFORNIA WATER SRV CBK-39 SiteID: 015-021-00211 ~
Fast Format ~
~ Training Overall Sites ~
~ Employee Training 05/16/20U~5 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
Yage
nclu Lvi r u~.uic u5c
nC1U LUL ru~uLC U5C
-8- O1/29/2n07
~~ 'T,
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\\
+ CALIFORNIA WATER SRV CBK-39 ___________ ______________ SiteID: 015-021-002114 +
X33 7 ~ 7 z~~ ~ ~~
Manager ~ BusPhone: (661) 3~fr~-448
Location: 10301 RIVIERA GREENS WY Map 102~- CommHaz High
City BAKERSFIELD Grid: 31B FacUnits: 1 AOV: '~
CommCode: KCFD STA 65 SIC Code:4941 ~ '
EPA Numb: _ DunnBrad:00-691-3578 \°,
Emergency Contact / Title Emergency Contac / Title
TIM TRELOAR / DISTRICT MGR ~c~y ~~~~5 / ASST DIST MGR
Business Phone : ( 6 61) 837-7ZC~6 Bus Ines s Phone : ( 6 61) ' °' ^ ^ ^ ^--~37,7z~ ~ ~,
24 -Hour Phone ( 661) 3 °7~-z^~~ ®37-7z~ 24 -Hour Phone ( 661) 39~6-~-2~~ 537.~7~ ~
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs Fire Press ImmHlth
+-----------------------------------}----- ----- +
---------------=--------
-
Contact ~r~~ ~oSiC,R ~3
~
Phone: (661) 3-9~--2~-6.6x
MailAddr: 3725 S H ST State: CA 7 7Z7~y
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
Preparers
Certif'd:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: Yes
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
CONTACT PERSON: 832-2141
!used on rrvy Inqu;ry of those individuals
responsible for obtaining the information, I certify
under penalty of IaW that I have Personally
examined and am familiar with the Information
`ubmitted and believe the Information is true;
act;urate, and complete.
/ ~% Date~-
EN~p AUG p 8 2006
~M~~~
-1- 05/16/2006
+ CALIFORNIA WATER SERV
39-10301
Manager : ~ELViN sYRD~
Location: 10301 RIVIERA GREENS
City : BAKERSFIELD
CommCode: COUNTY STATION 65
EPA Numb:
SiteID: 015-021-002114 +
BusPhone: (661) 3'25-7128
Map : 102 CommHaz : Minimal
Grid: 3lB FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title I Emergency Contact
/ DIST--_I TIM TRELOAn
(661) 396-2400x Business Phone:
(661) 396-2400x 24-Hour Phone :
( ) - x j Pager Phone :
/ Title
/ GEN
(661) 396-2400x
(661) 396-2400x
( ) - x
+
Contact :
MailAddr:
Owner CALIFORNIA WATER SERVICE COMPANY Phone: (408) 451-8200x
Address : 1720 N FIRST ST State: CA
City : SAN JOSE Zip : 95112
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: Yes
ParcelNo:
Emergency Directives:
CONTACT PERSON k~TM--~gR-~K 832-2141.
+
+= Hazmat Inventory -- One Unified List +
+== Alphabetical Order Ail Materials at Site +
+ + ....... + ........... + ..... + .......... + .... +- - -+
Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnitIMCPI
................................. + + + + + - _ -+- - -+
CHLORINE
iDistrict Manager-Tim Treloar
Asst. District Manager-Bill Harper
Contact Person-Tamara Johnson
Same Phone Numbers
Mailing Address Change:
3725 South "H" Street
Bakersfield, CA 93304
F P IH L 200.00 GAL Ext
-1-
07~28/2003
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
2.
3.
4.
5.
SECTION I: BUSINESS IDENTIFICATION DATA
To avoid further action, return this form within 30 days of receipt.
TYPE/PRINT ANSWERS IN ENGLISH.
Answer the questions below for the business as a whole.
Be as brief and concise as possible.
You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
BUSINESS NAME: c_-.-C.t....,-.,,'.~ ,.,,j~.~,,-
MAILING ADDRESS: 3n-z.~ $o. ~
CITY:
STATE: c~. ZIP:q'~$oq- PHONE:
PRIMARY ACTIVITY: '~,-.e,~./oc og do.,.,t~..I-~e...
OWNER:
PHONE:
MAILING ADDRESS: ~,,x.~ ~..
EMERGENCY NOTIFICATION
CONTACT
1. /M ,_!,~ ,',,~
2. "W-.,~ -F7'~ o_1
TITLE BUS. PHONE 24 HR. PHONE
HAZARDOUS MATERIALS MANAGEMENT PLAN
.SECTION II. l: DISCOVERY AND NOTIFICATIONS ,
A. LEAK DETECTION AND MONITORING PROCEDURES:
' i
EMPLOYEE AND AGENCY NOTIFICATION:
ENVIRONMENTAL RESPONSE MANAGEMENT:
EMERGENCY MEDICAL PLAN:
2
SECTION II.2: RELEASE RESPONSE PLAN
HAZARD ASSESSMENT AND PREVENTION MEASURES:
Bo
RELEASE CONTAINMENT AND/OR MITIGATION:
Co
CLEAN-UP AND RECOVERY PROCEDURES:
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GAS/PROPANE:
ELECTRICAL: <o~_~--~,.. ~o-~
WATER:
SPECIAL:
LOCK BOX: YES/~__O~ IF YES, LOCATION: -
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
Ao
PRIVATE FIRE PROTECTION:
WATER AVAILABILITY (FIRE HYDRANT):
tlAzAR-~ous MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES: ~o,,,~ _
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
I, ..~'-'.~__{.-~ ./L5 ~., ~,,. CERTIFY THAT THE ABOVE INFORMATION
IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY
CODE" ON I'[AZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND
THAT INACCURATE INFORMATION CONSTITUTES PERJURY.
SIGNATURE TITLE ~"' ~-'''~
DATE
4
OiFFICE OF ENVIRONMENT~ SERVICES
715 Chester Ave., CA 93301 ~"61) 326'3979
BUSINESS OWNER / OPERATOR IDENTIFICATION
FACILITY INFORMATION
Page ___ Of
· ' : ..,' :"" "i~' '.'!;:~ I. FACILITY IDENTIFICATION ·
F,\clLr[Y ,1::) # [:i~ .~ / J t '/ ,I VearBeginning
,~r. ~,~ ~oo ] Year Ending
BUSINESS'NAME ....... (~;me a~-~A-~II~iW NAtaL'S); ~)BA~6;I~t~ B--u~iho~s A~) ................................................ ~ BUSINESS PHONE .......
SITE ADDRESS
.................
DUN &
BRADSTREET
104
SIC CODE
(4 Digit #)
~02
107
COUNTY I~. ~.. ~'* V%
OPERATOR NAME (-.~-t~.~..,a.,-~,t~,~ ~,,1~-,~,,- ~,ee-',4~.,..e. Co . ,09 OPERATOR PHONE ('~i)e).~.Z..Z. iW[ (~o
.:: '.. ::,:~.,i:~.' ::i: ['f:i~ii!!' :?" :iI'~ :. ~ : i: : ' ,,II?OWNER: iNFORi~iATION :'i!!:!.: ;:j:~.~i:: ':/::',,':. :::i!,i!i:i~.? i:;,::: :!:,: :?:' ii:: , .:' ':. ...~ ...
OWNER NAME C..= I'~ ~_,~_~,~, ~,~ ~-.~__~_L..~_~ '~,~..,'"',~, ~.. ~.- (.c:, . ,ii t OWNER PHONE .f~ i_~_.~__~ ~,__~___~.~.C
OWNER MAILING
ADDRESS ~S ~ ~. ~ ~ ~.
CONTACT
NAME
I
114
STATE ,15 / ZIP
, '~' e:;: i~.:~' i~v~' t'". '" ,: '
:,: ::',,;':*- >.:~.. ?~,..? :.'. j- ~ .
~? I CONTACT PHONE
118
CONTACT MAILING
ADDRESS
BUSINESS PHONE (~
24-HOUR PHONE
PAGER ~ ~ 128
Cerli[calion: Based on my inqul~ of those individuals responsible for obtaining the info~ation, I ~di~ under penal~ of law that I have personally examined
and am familiar with the info~ation submitted in this invento~ and believe the information is tree, accurate, and ~mplete.
NAME '1'~', ,,~
TITLE ~,..
BUSINESS PHONE C~_~)_._~._~_...~._~__~__i__,.i.~L ...........................
24-HOUR PHONE ~_.-v~. ~.. _
PAGER #
119
122
129
130
131
132
133
UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd
CITY OF BAKERSI LD
-'OFFICE OF ENVIRONMENTJO__, SERVICES
.AZAROOu MATERIALS' iNVENToRY
'. " ,' CHEMICAL DESCRIPTION
:" (one fo~n per mate~fal per budding or ama)
]~NEW [::] ADD r'l DELETE r'] REVISE 200 '. Page -- o~ . __
BUSINESS ~ME (S~e ~ FAClLI~ ~ m D~ - ~ng Bu~ ~)
CItEMI~L LO~TION · ~1[ CHEMI~L LO~TION ' ~.
O ~ ~ I ~ ~ ~ ~NFIDENTIAL (EPC~) ~ ~ ~ No 202
2~ T~DE SECRET D Y~ ~ No 206
CHEMICAL NAME
COMMON NAME '
C~S #
- 'F-I'h~ ~T(~ ~'~ HAZARD CLASSES (Complele if requested by Ioca~ r~e c~leO
If Subject tO EPCRA, refe~ to inslmcfions
2O7
EHS'
. []Yes [~No 2O8
TYPE [] p PURE ~] m MIXTURE : [] w WASTE 211 RADIOACTIVE r~yes I-~No 212 I CURIES._
PHYSICAL STATE
LARGEST CONTAINER
[] s SOLID I~1 LIQUID [] g GAS 214
FED HAZARD CATEGORIES [~'1 FIRE
(Che¢~ ell that apply)
PRESSURE RELEASE ~i~4 ACUTE HEALTH
REACTIVE
~ol .
[] 5 CHRONIC HEALTH
AMOuNTANNUAL WASTE I~/,/~.
217 MAXIMUM
DAILY ^~OUNT ~. OB '~" t
UNITS*
~ ga GAL [] cf CU FT
· If EHS, amount must be In lbs,
218 [ AVERAGE"
-[ DALLY AMOUNT ~,OO 30,,~..
[] lb LBS: [] tn TONS
219 STATE .WASTE CODE
DAYS ON SITE
221
STORAGE CONTAINER
(Check aa that apply)
{~ a. ABOVEGROUND TANK
[] b UNDERGROUND TANK
I~ c TANK INSIDE BUILDING
r'l d STEEL DRUM
~ ® PLASTIC/NONMETALLIC DRUM
["If CAN
[] h SILO
' [] I FIBER DRUM [] m GLASS BOTTLE
I"-I J BAG [] n PLASTIC BOTTLE
r'l k BOX [] o TOTE BIN
[] I CYLINDER [] p TANK WAGON
[] q RAIL CAR 223
[] r OTHER
STORAGE PRESSURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT .
~] a AMBIENT [] aa ABOVE AMBIENT- ' r ~ be BELOW AMBIENT [] c CRYOGENIC
STORAGE TEMPERATURE
226
~38
~ ~,~ :~ .... ~R~DOU~ ONE
227
[]Yes []No 228
231 [] Yes [] No 232
235 [] Yes [] NO 236
239 [] Yes [] NO 240
· 243 [] Yes [] NO 244
DATE
UPCF (7199) S:\CUPAFORMS~OES2731.TV4.wpd
usiness Name:
Business Address:
FAC~ DIAGR,~ !
N