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Home My WebLink AboutBUSINESS PLANr, n~ ~~ I~CALIFORNIA WATE i~ p516 E. TRUXTUN o .~. i + CALIFORNIA WATER SRV 098-0~1 _________________________ SitelD: 015-021-002377 + Manager TIM TRELOAR BusPhone: (661) 396-2400 Location: 516 E TRUXTUN AVE (5~~ y~y„pl ~ Map 103 CommHaz Low City BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:4941 EPA Numb: Dunn.Brad: Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DIS'~TRICT MGR B-~-HA~F~Eh~~dy Vdf1eS / ASST DIST MGR Business Phone: (661) 39'6-2400x Business Phone: (661) ~c 24-Hour Phone ( ) - x 24-Hour Phone ( ) ~3~'-~Z~) x Pager Phone ( ) - x Pager Phone ( ) - x f Hazmat Hazards: ~ o Contact ~' ~~ ~ s~'cA Phone • ( 6 61) •3~~--~~~-x MailAddr: 3725 S H ST State: CA ~'337~7Z7F'i City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATEP' 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 innu~rv o, ii'+nc~ i^dividuais responsible for o~iaininc ?~~~~ Is ~fnrmatian, I certify under penalty a law 1'fiai i havE~ personally examined and am familiar ,A,iI,S ire, information submitted and b~:ii~uP the +nform~iwn is true, accurate, and complete. ~~.. ~_/_~/oc~__ - Si furs i~~a~e ENT M,q R ~ ~ 2006 -1- 02/28/2006. ' '"~' CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMF,NTAI, SERVICES .y. UNIFIED PROGRAM INSPECTION CHECKI'p ~~ N :r~R' ;~tii~A 1715 Chester Ave., 3rd Floor, Bakersfield, CA 9330 ~ 20~~ FACILITY NAME l .ALi~~R~~~ ~A t ~ ~~~~~SPECTION DATE l ~ ~ 7 ~ ~ZD"® ~ ADDRESS ~~ (~ l= . "trLLX7-v~rl A~ PHONE NO. ~`-'I ~ - ~ y~~-C~ FACILITY CONTACT T1 try Trtz~~-oA~6'-- BUSINESS ID NO. 15-21 U- ~~ ~ '7 INSPECTION TIME ~ w~ ~ til NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~outine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business 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 procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy usiness Site Responsible Party Inspector: _"~ CALIFORNIA WATER SRV 098-01 Manager TIM TRELOAR Location: 516 E TRUXTUN AVE City BAKERSFIELD SiteID: 015-021-002377 BusPhone: (661) 396-2400 Map 103 CommHaz High Grid: 30D FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:4941 DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR Business Phone: (661) 396-2400x Business Phone: (661) 837-7271x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x 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) 837-7278x 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 PROG T - ABOVEGROUND STORAGE TANK (( I d N~ VL bS I ~2~PN G? Ol e ~ r ( . M N~ Haza~r)n M ~'~et~t~d ~ vN S ~ r Based on my inquiry of those individuals responsible for obtaining the under penalty of law th t information, 1 certify a I have personally examined and am familiar with the information submitted and believe the information is true accurate, and complete. , ~p Q 207 - t ~ G ~ at 7 ~ ~ ure Da e -1- 07/10/2007 r. F CALIFORNIA WATER SRV 098-O1 ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002377 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE R IH L 200.00 GAL Hi -2- 07/10/2007 -3- 07J10/2007 F CALIFORNIA WATER SRV 098-01 SiteID: 015-021-002377 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7681-52-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL tix~[~tcliwa cr~rir~lv~ly 15 %Wt. RS CAS# 12.00 Sodium Hypochlorite No 7681529 riH'LHKL A5a~5~1Y1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies R IH / / / Hi -4- 07/10/2007 F CALIFORNIA WATER SRV 098-01 SitelD: 015-021-002377 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ,~ Ldtl~JlVyCC 1VV 1.11. ~ L' VQI: UCLL1V11 Public Notif./Evacuation Emergency Medical Plan 06/10/2002 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL TRUXTUN AVE. BAKERSFIELD CA -5- 07/10/2007 F CALIFORNIA WATER SRV 098-01 SiteID: 015-021-002377 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/10/2002 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment 06/10/2002 LIQUID CHLORINE-SECONDARY CONTAINMENT - -- - Clean Up 06/10/2002 REFER TO SECTION II - ITEM C RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT AS NEEDED AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. v~.ilci .[~cavuii.c tal.l.lVGil.1V11 -6- 07/10/2007 F CALIFORNIA WATER SRV 098-01 SiteID: 015-021-002377 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~1C C:1d1 17d L.dl_ ll~ V 1.1111.y iJ 11U lr-V11.'7" i~ t 11G r1Vl..G li~t1VQ11 YYQ l.G1 Building Occupancy Level UNMANNED SITE. 02/28/2006 -7- 07/10/2007 a .. F CALIFORNIA WATER SRV 098-O1 SiteID: 015-021-002377 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/28/2006 ~ MSDS IN FIELD OFFICE AND STATION ELECTRICAL PANEL. SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZ MAT REPORTING PROCEDURE MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESS HAZARDOUS MATERIAL TRAINING. rays ~ nciu ivi ru~uLC u~c nciu iv.r. rut.uic u5c -8- 07/10/2007 - ~ ~... UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:.. Business Plan and Inventory Program ~~~ Prevention Services A F a s ~ , „ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARAM r Tel.: (661) 326-3979 Fax: (661) 872-2171 , FACILITY NAME IN S ECTION DATE INSPECTION TIME t- ~ ~ ~ Sf'-. 1~. ~ !~ `P ` ~-7 l ` S ' !~ ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ._ ` 15-021- Cac7~3 -7 7 ^~ ~ - ~ _ .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 ^ ^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS On ~4 ^ ^ CORRECT OCCUPANCY ~~~~~ ~--~~Dy~~ ' `' ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES h`~Z^ j ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS 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? EXPLAIN: QUEST{ONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector. (Please Print) Fire Prevention / 1" In /Shift of Site/Station # B ss Site pons a ease Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ^ YES ^ NO ~ CALIFORNIA WATER SERV~ CO 98-01 . SiteI~002377 Manager : MELVIN I3YRD", Location: 516 E TRUXTUN AVE City BAKERSFIELD '2. 't "Ø\)~ ~t\ BusPhone: Map : 103 Grid: 30D (661) 396-2400 CommHaz : FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code:4941 DunnBrad: Title Emergency Contact / Title Emergency Contact M Business Phone: 24-Hour Phone Pager Phone (661) 396-2400x (661) 396-2400x () x Business Phone: (661) 396-2400x 24-Hour Phone : (661) 396-2400x Pager Phone : () X Hazmat Hazards: React ImmHlth Owner Address City CALIFORNIA WATER SERVICE COMPANY 3725 S H ST BAKERSFIELD Phone: (661) 396-2400x State: CA Zip 93304 Phone: (661) 396-2400x State: CA Zip 93304 Contact : MELVIN BYRD MailAddr: 3725 S H ST City BAKERSFIELD Period Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = ~Ss_=-N.o Gal Gal Emergency Directives: District Manager-Tim Treloar Asst. Dist Manager-Bill Harper Contact Person-Tamara Johnson Same Phone Numbers ~o'JAmA62J:¡,--bHtJ~l12lD h (TVP&orprintnmte) 0 ereby certify ~ha~ ~ Û1~'\IS if'®VÙ®wred ihs ~a h d II<. .'.- c s laZ-a:di.h.i$ lTIaterial$ ffltalU'Utalg®o ffi®ú1~ plan ~©V' (I AU (? lJ..") - ~ '. . (NArnOOfBu::~' afld W~:l !~ a¡/ong wi~h ooy Corr®dions C©(¡'):sfti~lIftl9 tal CQmnlel~ !'JIl1I>d f'" (9)' 0 \C©8'rOOit maú10 agemsm plan tor ml' Uieili~y. Va 11:( 0011 . s:;r, ~ Sisncittro ~OI10Lo~~ I Dt\! -1- 10/10/2003 " . OIS- ();¿/ -ðð~3'7se , . CITY OF BAKERSFIELD OFFICE:,OF E3NVIRONMENTALSERVICES 1715 Chester Ave., Bakersfield, CA (ô61) 326-3979 ,., / INSTRUCTIONS: 1. 2. 3. ,4. " 5. 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 I_Operator Form and Chemical Description F onp(s) , to the ,ft-ont of this plan instead of completfug SECTION"I. below fur initial submission. /I;rI /) (J 9 /IfI1 ()/ 1 sst)tJ I SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME:, ,é.4¿lhJ£AI//} WJl1éR' SEÆtI/CE L'òlfl,oA/I'I~.57l!1Jð/1/ 9ß-ó/' ( LOCATION: 5/(; £, UPX71I1V At/E. _ ~7 25..JíJurJl" /I v 5rREET . . MAILING ADDRESS: CITY: ¿I1KEÆS/IELo STATE: CA ZIP: q~3t)¥, PHONE: £¿/ -396 r:2W ' /ttÆ'VEl/lf£ rJF /.JtJ/VESí;C WAff~ ' PRIMARY ACTIVITY: O'WNER: '¿:AL I//JI:/VIA w/lrE'.£ 5Ei' Y/c£ ctJNP/I/lfI 3725'" dÕurll "f! I¡ 5"-rk'EéT PHONE: ~6/-.JC¡b-;;;¥Ø MAIT..ING ADDRESS: " ENŒRGENCY NOTIFICATION ,. ',' ,~ .,;;;' CONTACT JIIELI//IV AY£b TITLE BUS. PHONE OISí¿ICÎ .#MlAtiEÆ tt/~3tJt -.2J;t1 Affí LJ)fhfJÓ AI"pIl,lúE£ SIlAlE' 24 HR. PHONE .sA/4E 1. I 2. /7;1.1 rLELð/l¿ 5",11111£ 1 .,,_, .. .u<... _ ~_ . '.), ;~>..~\:,,) ,~~" ,.; ,.J.'.;¡""'~ ._'>£"J"1:...~..>.¡ .....; '.o..:..._:.~' -.;."-,,' ....:...:·.~h;.~:.>...J..;"";.,;".:.',,,;.\~h;)...:..~ ~...:."':"":'.:: '~-..: .;~ ,.:.~"~........._.,: ,;"....... " - '-'h"..:'''·' .;....: :~, \~\,....; '.:: .:' .h.., \. ,,1'_ C'.._. '......" '.'-.." -',............. '," '-,..:........~... '\.~>j... ,,,J... \.' ..,- -'-'->- \.,."",->..." '-'>..,..\......,.,. ,.. _ .,' '"--',_,-", . . ... ,. ~~"'.. h:'~" ....._,,' ~".-'-'-.-'>-': ".~_.:". ._..'-.. .. .>. ......-............................'''a''--'':.:..~.....,J.-~).. 1.'¡:''4.) " . . t~. - ~ .., ~ARDOUS MATElUALS~1\tfANAGEMENT P~AN . -,~~-,' '- '''~ , , .:, SECTION fI.I: DfSCOVERY AND NOTIFICATIONS' A. LEAK. DE7;;ECTION AND MONIT®R.ENG PROCEDURES; C/lÚ>~//VE IS' .ríð¡(ED IAI fEJPA£Aj¿: /'EAleEo .!)r¡C¿CffLl¿é AIVLJ IIA.r //11% SEC'IJ/VíJA£Y (!OH'Ji?IAlME.A17 " '. ~ . , , , B. EMPLOYEE i\NDAGENCY NOTlF.ICATION: 7711.1' If A¡t/LlN/f4".4A1A1ElJ J/1L. " (~. C. ENVIRONMENTAL RESPONSE MANAGEMENT: £ELEA5E //ðl!77ft1bf/í úlÍJlJLLJ is£' ,o££/i:J£AJE.o ð'fI /1# /,v,Ó¿',.&>éAl.oEm £EßELJ/AJ7ðA1 ¿"tJAlJtlL7JlNT /If AléEOE.L? ,4/1/¿; /ð 771£ S/l/Ú/"/lt'7/¿)jI/ , ð¡:"7J¡E £éf"PtJNSltðL£ -Æ'EBtJL/!7ð£Y /.láE/VCY . e. [ D. Elv.ŒRGENCY MEDICAL PLAN:" NéÞ/L'/lL /1ß/f/ANêE J.t/lJuL/.J 6E ~£()¡/I//~O .8Y ~E,.(é'Y .IItJ.5.ø17/!¿ ~d,(J[¡AJ .4t1¿. ¿4~E&¡:¡Eú:J) .ð1UFð.d!//I '. 2, , ' . . n :' I'~ HAZARDOUS l\iIA TERIALS l\IIANAGEMENT PLAN 1''1. . - . SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES:, , DA/L f SIrE fl.f/Î L8Y e. W.S, f/é£Só/tlNéL ~A¡ÀIij¿ IN 1I//2.-/f.IAí g~tJ6lVá \ I B. RELEASE CONTAINMENT AND/OR NJITIGATION: 1.It9t// D C'/!LÒ£¡11f - 5Iéd/VLJA£f tJjA/1;/}¡/VhE/!(T C. CLEAN-UP AND RECOVERY PROCEDURES: ¡f¿/"é~ 7éJ SéC1?ðN2L. - /íEfi1 C· ( '. UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY> NATÛRAL GASIPROP ANE: AI//I ELECFRICAL: . /VII/IV é3£//1I¿E.,i... //ŸS/ðELJtd.œø£ ¿:=LEC/;R/~.4¿ /AIV£L- WATER:' 71J/.f 15 A '/(jA7é£ NELL SPECIAL: LOCK ~C?X; YES~ IF YES, LOÇATION: , j PRN ATE FIRE PROTECTIONIW ATER AVAILABILITY'" A. PRIVATE FIRE PROTECTION: /í£E EK7íAl6L1¡sflœ ðlVf/"Æ B. WATER A V AlLABILlTY (FIRE HYDRANT): WEtL. /l/5CIII!&íE 3 .. .. ...__., ._. b.,,·_..·d_._. '':';''-~'o;,._~. :.: ~:.~.;:.:...:",;,;..J__,~\'.,-, .)..-'7 'k"_;'':.~:''-~·\'\' .,~ h:.~ ..~ ,,' "-.;,.'.,~'_,':".:::,.:"'.'::.~:"'':''_':.o.,:,.~, :.' :,....,...:,.,,__.'\..~,,\~::.~,.... ,:_ . .::. .,' '..:.~ :.,--.:.::~ _':'-.'.",-,'~,::",~. .:;,,' .._,,,,è-,,,,: ,~.._;'.::~.,;:"":'''':''~~~~'~'.~,:;.,::, '~':':',!.:....:~~'-2,;,;,.":~è:;,.;';':"':..;.¡,,.,;,;,,.,~.:..~,...:.~,",,-~~, ,-,~;''..'~:''C'';':''~....:;::...::..:..:...:....:.~,·.;"..;,....; 4h<..::....'~'..·..\,~:J.:.J.~~:.t..~ . - .< ue . , "..... " .. ". '-... ~ -.. ~- '---. .;. '( ',)- . HAZARDOUS MATERIALS .MANAGEMENT PLAN --...; ... ' I SECTION fII: TRAININ"G NUMBER OF E1vfPLOYEES:-- L/IV,4NÎNAléD s/7é i;í~ MATERlAL SAFETY DATA SHEETS ON FILE: IAI ,F¡ELLJ tJr//CE I s;;i"J/oAlétEffhô1¿ RA'AlE't.. BRIEF SUMMARY OF TRAINING PROGRANt 5'"¡rE 1//J17Y-M¿' N/lOE' OAILY .ðY ¡t'tt#"t' ¿,øEM7JÆS 7íf'/i/IYEO ./AI JlAZ-ßAí h,PdR.7ï.l'/& //RtJfEat£é': #omïlLY Co,A4fJAtV'I SIIFé'n' ,.P,etJ6£AfiI-ALSð '//OlJREffß IIA.i,.qh;JtJdJ #.¡1l/?//iL:J7t/l/¡lI/AIf} ( CERTIFICATION I, ,'c:://filé': ~EéN CERTIFYTHATTHEABOVEmFORMATION' I~ ACCURATE. I UNDERSTAND THAT THIS INFORlvfATION WILL'BE USED TO FULFILL MY FIRM'S OBLIGATIONS uNDER THE "CALIFORNIA HEALTH AND SAFE.TY CODE" ONHA2;ARDOUS MATERIALS (DIV. 20·CHAPTER 6.95 SEC. 25500 ET AL.). AND THAT INACCURATE INFORMATIQN CONSTITUTES PERJURY. '¿:k /1,1/ M.J7ZAJAAlCE ..fd¡JE£JAIJl"AJ.c>E/'tJJ" TITLE éJlÍg)¡ DATE ., .",i >l .. C IfAZ MAT MNQMNT PLAN.!I: JNSTRUC 4 . . CITY OF BAKERSFIELD OFFICE OF ENVIRONlVIENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326.-3979' . , FACILlTY INFORMATION Business Activities / ....;.-,..- ... ". .-.--- ------.--.--. -.- ... - -.------ I i , rr:ï.CIU'rŸ ID#(FÕr·Oiiîêaus.;õñiÿ ~pìêäšëÎeäw biañk)-' - --. I. FACLlTY IDENTIFICATION Page of ---- .. . -- .. - - - . .--- -:r,",'O'~-_ ~ _~- _~m _ _ ... ---.-.-.----..--- DBA/FACIWTY NAME 2 ¿¡/!¿¡/¡J£A¡'/!? /AlAï7~ S£¡fi//¿,E {'cMI¡1I1A/if -SíA1?ð4 98-ð/ II. ACTIVITIES DECLA.RATJON Does· Your Facility... A. HAZARDOUS MATERIALS Ii <i5ÝES ONO 1. Have on site (for any purpose) hazardous materials at or above 55 gallons fërliquids. 500 pounds for solids. or 200 i' cu ft for compressed'gases (include liquids in ASTs and I USTs)? " ' I· ...I Ha"e any amount of an explosive material (other than lOVES 0NO ammunition) on site? ! L-_ i / ¡ OYES ®NO I 4 ! V- I ..... I i 5 I I I i ! I 6 I V- i V- ; V- I i 'I 7 I V- I V- I I ". a ! i "Ii I V- 9 ' V- I 10 I V- I I 11 ! V- If Yes, Please Complete... OE,S FORM 2731 (Chemical Desaiption Fonn) CONSOLIDATED COMPtlANCE PLA-N Minimum reauired ola/ilnino elements: · Emergenèÿ Response Plän · Maps · Training · Prevention · Certifications OES FORM 2731 (Chemical Desaiption Form) RISK MANAGEMENT PLAN (RMP Submit to USEf'A) CONSOLIDATED COMPLIANCE PLA-N · IncorPoraüng CalARP Program EJements UST FAGILlTY FORM UST T.iXNK FORM' (one,pertanit) UST FACILITY FORM UST TANK FORM UST INSTALLA.TION FORM (one per tank} UST TANK FORM (dosuresedíon-one per tank) 2. REGULA-TED SUBSTANCES (RS) Have onsite RS at greater than the threshold planning quantities established by the Cålifomia Accidental Release Preventiòn'.program (CaIARP)? C. UNDERGROUND STORAGE TANKS (USTs) Qwn or operate Underground' Storage Tanks? Intend to upgrade existing or instal! new USTs? , B. OYES 0NO OYES 0N() , D. TANK CLOSURE / REMOVAL 1. Need to report clo~ing, a UST that held hazardous materials or waste?· ' 2. . Need to report the closure! removal of a tank that was classified as hazardous waste and. cJeaned onsite? E. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: any tank capacity is great~r than 660 gallons or the total capacity for the facility is greater than 1.320'gallons. F. HAZARDOUS WASTE: 1. Generate hazardous waste? 2. Recycle more than 10fJ kg/mo ofrecyciable materials at the same location it was generated? 3. RecycJemore than 100 kg/mo of recyclable materials at an offsite location different from the point of generation? 4. Treat Hazardous Waste on site? OYES NO OYES 0NO OYES øÑo I OYES ciNo ! OYES øNO I: : OYES ~O I I OYES 0NO I OYËs 0&0 OYES 0NO I-=----;:.._Æ_ i OVES ~O r i I 5. I 6. I Tï:)ERMIT CONSOLJDA TION ZONE: i Intend to consolidate ottler Cal/EPA agency permits? (If yes. please complete Section III and attach) Subject to Financial Assurance requirements? Consolidate Hazardous Waste generated at a remote site? V- 12 i I I 13 ,I v' i 1!1 I V- i, 15 ¡"~ 181'~ 17 V- I , 18 I V- i I I , TANK CLQSURE FORM CONSOUDATED COMPLIANCE PLAN . Incorporating Federal Spill Prevention Control and Countermeasure (SPCC) Elements pursuant to 40 CFR Part 112 EPA 10 number-provide on this page To obtain EPA ID#, please phone.(916) 324-1781 . - RECYCLING FORM RECYCLING FORM TP FACILITY FORM (DTSC Form 1772) TP'UNIT FORM (one per unit) CERT1FICATION OF FINANCIAL ASSURANCE REMOTE WASTE /. CONSOLIDATION SITE NQTIFICAT10N FORM CONSOLJDA TED COMPLIANCE PLAN . Incorporating all other environmental permit requirements per 27 CCR10410 }TE: . / If you checked YES to, any part of Sectiòns IIA-IIG above. then in addition to the forms requested above. please Submit OES Form 2730. UPCF (7/99) S:\CUPAFORMSlACT1VITY.wpd . ..,.......'.. ..... "_'.. ,,:-.~,·_o:':'..:...':'..: . . ,,: .":":._.è.~.~..._....J.;,h . .......'>..-,;._.~ . CITY OF BAKERSFIELD OFFICE OF ENVIRONIVlENTAL SERVICES 1715 CJiester Ave., Bakersfield, CA93301 (661) 326-3979 1·-..··------ , I ' , I FACILITY 10 # (For office use only - please leave blank) I . I L-_...__ ______.__ I D8A/FACIUTY NAME ¡ i I I . ' FACIUTY INFORMATION Business Activities Addendum if f>age af I. FACILITY IDENTIFICATION --'-- 1IEPAID# --.----. ---- ---- 2 ' 3 C4¿1/"¡J/W//! WA7?£ .JERJ//CE ê.ðN¡P/lA!Y-f7l?1?CN 9ß-¿J/ III. CONSOLIDATED PERMIT ACTIVITIES , ! , i J. STATE WATER RESOURCES CONTROL BOARD I \. ':NTRAL VALLEY REGIONAL WATER QUALITY CONTROL h::sOARD I ~ i QVES ~O'· ! ' I ; QVES ~O i I - / I K. CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD i üVES (Ø'NO I I L KERN COUNTY RESOURCE MANAGEMENT AGENCY i / ¡ , øYES QNO I ¡' I ! QVES tiNO I i QVES Ø'NO I ! QVES ~O I i: QVES ØNO I ; I ! QVES ~O M. CITY OF SA_SAECD WASTE WATER oMSlo" ¡ :::: : I I NOTE: I It' If you checked VES to'any part of Sections III-Hto III-M above. then please address aU applicable permit requirements in the FaciDty Compliance Plan. Is your Fª,cHity Compliance Plan subject to review by... H. DEPARTMENTOFTOXICSUBSTANCES'CONTROL ; QVES ¡ .! ' I ¡ ; II. SAN JOAQUIN VALLEV UNIFIED·AIR POlLUTION ¡ CONTROL DISTRICT ; OVES ØÑo ; QVES cøNO ¡ QVES '@NO üVES QNO I : QVES 0NO . i QVES 0NO ill" , I 11'" iv' I ' , ¡II" I III" ill" I ¡II" , ill" I ¡ II" I I 'II" I ',,' i I I: , III" r II" II" for satisfying, the còriditions of these permits? . ST AN DARDI2EÐ)'PERMI'T;, eAII'Modiffcations·· , Non-RCRA HAZARDOUS WASTE FACILITY RCRA HAZARDOUS WASTE FACILITY AUTHORITY TQ CONSTRUCT PERMIT TO OPERATE WASTE DISCHARGE REQUIREMENT (WOR) GENERAL PERMITS SPEciFiC PERMITS NATIONAL P9E.LUTlON DISCHARGE EÙMINA TlON SYSTEM (MPDES)' REGISTRATION PERMIT. ENVIRONMENTAL HEALTH SERVICES PERMITS 'DÐmestic· Water Well Permit Haz, Mat Monitoring, Well Permit Septic System Permit II" Public Swimming Pool Permit II" Food Facility Construction Permit Solid Waste Local'Enforcement Agency (LEA) Related Pemlits Medical Waste Rèlated Permits IN,Dl;JSTRIAL WASTE WATER DISCHARGE PERMIT ( S;ICUPAFORMS\AdMly adoI1dwn.WId July 1, 1998 ;~~ . CITY OF BAKERSFIEL6t OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 , BUSINESS OWNER I OPERATOR ID.ENTIFICA TION FACILlTY INFORMATION Page _ Of I. F ACIWTY IDENTIFICA T10N : FACIUTY /D # i ! ¡ i " Year Beginning z{)()/ : .. ",_,___ _..:l~1 --L..l-.' i, .L__ _____ I ' BUSINESS NAME (Same as FACIUTY NAME or DBA- Doing Business As) 3 : BUSIÑESSPH'ÓNE --"-'---'" ____.n --,õ2' : ,.__.____..CALI£~R'NIA ÞfIlTg.[E£/I11!E {,£JM~1dt~Jíï11lC>,A{Jg-Ò1 __:...._.~b/- 4r'-~~~_.__n..'_.__._. 'I. 100 ; Year Ending 101 103 ;H.__n_~'- , SITE ADDRESS ' - .i? - .5/~ £. /£t/Y/úN//J/é, ð4KEßrIELlJ' ZIP 9Eðf , , I ._~----------~ I ; CITY, DUN& . BRADSTREET COUNTY OPERATOR NAME I 104 I CA I 105 , 106 ; SIC CODE I ¡ (4 Digit #) F/9¥1 ,107 ð¿)~bq/-:3578 J<::É/èN tAlIFt¥!lV//J )VA fl"£. S£<(/ICé' Lð¡f/fJA;1/ý IJ. OWNER INFORMATION 108 109/ OPERATOR PHONE 6b1- 59t -;<roð 110 OWNER NAME 111 : OWNER PHONE 661-59G --.:< t/tXJ 112 OWNER MAILJNG ADDRESS - C¡I/¿I/tJ£/V//! WAll'£. SE¡(J!ICE Cð.AlIJAAlY 31% .5ÎJt./rlf" /I JJ1',.fEEí ð1 tt'é'Æ.Jr/£ LLJ 113 I 114 ¡STATE L'A III. ENVIRONMENTAL CONTACT 9~f 115 : ZIP I 116 CONTACT NAME' .fEE ßEMW 5AME .fANE , -PRIMARY- NAME /tféLtll# ¿YÆ'tJ TITLE O/.J1íf/L'T /lIA/IIAtJéÆ BUSINESS PHONE it 1- ß? 6 - .:< ~ðO 24-HOUR PHONE S liNE PAGER # /VIA CONTACT MAILING ADDRESS CITY ' 117 , CONTACT PHONE S/lMé 118 119 120 I STATE ell 121 ZIP 9330t/ IV. EMERGENCY CONTACTS -SECONDARY- 123 I NAME 7í N ME kJllæ. 125 I TITLE A.fSr £)617<' ICT" ß//lA///tf æ ' .__ fi BUSINESS ~HONE ¿iii ~3?6 - ~¡Iq¿__._.___~._ ._..._. 127 i 24-HOUR PHONE $l/NE .._______. 128 ! PAGER # ¡'{jJ V. CERTIFICATION 122 129 , 130 '131 132 133 , ! :ertification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under, penalty of law that I have personally examined 2nd am familiar with the information submitted in this inventory and bejeve the information is true, accum,te, and:complete. : 3IGNAruR I W~ERlOPE~TOR I DATE 134 ¡ NAME OF DOCUMENT PREPARER . ¡: ~ I q/¡&h/ ¡..J:;JtI L tf~EEII \jAMES OF RIOPERATOR (print) 136 h-ITLE OF OWNER/OPERATOR -- -- -----·---·----137 _~_'!LI-=q~/V/~ NA7T£ Q;(¿I iCE ¿"ðµ~AI~_~3~JN#Ñ1~-~/~!1'fJ??M:Y4[--.. ___.._. .._.., 135 c::·\rIICå¡:;f)C~A<;;\IìFq2730.TV4.wcd .~~ '~ ~..A ~. ' ' . . CITY OF BAKERSFIELD OFFICE OF ENVIRONlVIENTAL SERVICES 1115 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ¡NeNV 200 DReVlSE D DE!.ETE DADD -_._--~_.._- ...-. --..- ..------.-.---.-------- (one form per material per building or alBa) Page of - . - ____ --.0 J. FACIUTY INFORMATION , BUSINESS NAME (Same as FACIUTY NAME or DBA ~ Doing Business As) : .___ " C,4{!!"tJ£A[~.j1(ATª..5MtI/q/'£1~.¡//!!!y -.J~.Jí~N 9g-01__.___..,._.______ __. if· FACIUTY 10 # I MAP # (optional) 201i CHEMICAL LOCATION ! CONFIDENTIAL (EPCRA) 2D3 GRID # (optionaJ) -- o Yes ~o 202 204 CHEMICAL LOCATION 5/£ E hWX/"VAI AvE. mT:T--' 11 II. CHEMICAL INFORMATION 205 TRADE SECReT 0 Yes ø'~o 206 If Subject to EPCRA, refer to instrucl!ons CHEMICAL NAME 5Í'JiJll//l! flY/oellùJA'/7C-' COMMoN NAME EHS· o Yes ~o 208 207 L/(J(,J/D {'II Lt),(/~ 209 'lfEHS is"Yes. .. all amoums be10w II1ILSt be in lbs. 210 ' ðtJ7£¿ff29 FIRE CODE HAZARD CLASSES (èOmpiete if requested by loi:al fire chief) , /V/)¡ , CAS# DYes ~NO , TYPE rø'm MIXTURE ~ UOUID 214 LARGEST CONTAIIER ;Z01J ~ " 04 ACUTE HEALTH ;~ CHRONIC HEALTH Cðæ£dJ/t/é o w WASTE o p PURE 211 RADIOACTNE PHYSiCAl STATE ogGAS o s SOUD FED HAZARD CATEGORIES ¡,-....,.,¡, aU that apply) Al WASTE A..o.iUNT o 2 REACTIVE o 3 PRESSURE RElEASE 01 FIRE 212 CURIES . 213 2150 216 MAXIMUM DAILY AMOUNT 21 i AVERAGE ! DAILY AMOUNT o tn TONS 222 OgaGAL OcfCUFT . If EHS. amount must be in Ibs. UNITS· .AlIA STORAGE CONTAINER ...../ j)ði. Y (Check an that apply) l!I a ABOVEGROUND T~NK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM o e PlAsT1C1NONMETAWC DRUM Of CAN o 9 CARBOY o h SilO o i F1BER DRUM OJ BAG ' Ok BOX o I evUNDER o m GIJ\SS BOTTlE o n PLASTIC BOTTlE o 0 TOTE BIN o p TANKWAG9N STORAGE PRESSURE ~ AMBIENT o aa ABOVE AMBIENT o baBELOW AMBIENT 220 o q RAIL CAR o r OTHER 223 224 STORAGE TEMPERATURE iZ' a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT r 22S %WT HAZARDOUS COMPONENT -d I 231 I ì i EHS o C CRYOGENIC CAS # I /.' 'J 228 I ;-.. " SOf)/t/JI4¡.!/lpO(!flttJR ITE I 2 230 i : . ¡ - ~-;---_._-----¡-_.._.- 3 : 234 I -1__._.... _---1-._____._____.. 4 ' 236 , 5, 242 -I I I I o Yes ~o 226 I tJt) ?6Ô í5.:<9 ¡ o Yes 0 No 232 ¡ i , I 235 0 Yes 0 NÓ 238 I J ~------_.._. 239.~yes O~ 240:1 ...__. 243' I Qy~ 0 No 244 I , .~~ III. SIGNATURE 229 233 . ---------- 237 241 245 :;;;~&~;;;~;;;;;~7;:~t7OW rf:~L' , ______._.____ ___ _..____..___. ,_, ,_. ._. - ,_ __.... . .~~ on, ' . ___.. ,__._______ -- .------ ,- ,,_..., ... DATE 1/;gþ) 246 <::·\r, ICA¡:;("\~M~\(,,¡¡:;C::?7~1 TV4.WDd / I r / \,' I / . .Oð , " ) SITE DIAGRAM ( Business Name: Business Address: Silt' A/)j)tf¡[fj. . . 1 FACILITY DIAGRAM.l><1 C4L1f"tJRN/A fVAré£ f¿::"fYIt'E C~. - S7A1id~1 9B-C)j ..17~5 .JÎJtlíH "/-I 451irLrT, .i3I1;(¿,fJf"lfL.Q¡ t'A¿I/:: '1ß()Y" £/t E, /£1I)()V¡1/ Art· j{', (;0.. \.u ~ ~ ~ ~ <;¡;j ~ .;(d¿) 6liLéØl7 ¿;}lLð~/¡./Eí7íHK- .,,,.S-lIl/f-07fE£- /81 '~s¿j -,¿:rŒL&ðAÆo' JI'/A)N' .ðlJéA,ré£ J I r ~ $/'Ll- 9Ø-ð I .¡'\~>.;' ~ (/ X7ll ¡t/ A ¡/¿~ ---- .~ 1 ~ .-- j N ~ ~ "~ t .-1)1 ,~ ;~ 'I() S:\PROCEDURE MANUAL\dia;ramins..wpd .