HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007/.
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CALIFORNIA WATER SRV 150-01 SiteTD: 015-021-000612
Manager TIM TRELOAR
Location: 3401 TRUXTUN AVE
City BAKERSFIELD
CommCode: BFD STA O1
EPA Numb:
BusPhone: (661) 396-2400
Map 102 CommHaz High
Grid: 26D FacUnits: 1 AOV:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact
TIM TRELOAR
Business Phone:
24-Hour Phone
Pager Phone
Hazmat Hazards:
/ Title
/ DIST MANAGER
(661) 837-7200x
( ) - x
( ) - x
Emergency Contact
RUDY VALLES
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ ASST DIST MGR
(661) 837-7271x
( ) - x
( ) - x
Fire React ImmHlth DelHlth
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 individuRis
responsible for ol3taininc~ the inf;rrma;ion, I certify
under penal±y of lawf that 1 have personally
examined and am familiar with the informatian
submitted and belie~re the information is true,
accurate, antl complete.
Si ture Dat
ENT°D ~ U L 2 0 2007
Gal
Gal
TotalASTs: _
TotalUSTs: _
RSs: NO
-1- 07/10/2007
F CALIFORNIA WATER SRV 150-01 SiteID: 015-021-000612 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE
REGULAR GASOLINE R IH
F IH DH L
L 200.00
500.00 GAL
GAL Hi
Mod
-2- 07/10/2007
-3- 07/10/2007
F CALIFORNIA WATER SRV 150-01 SiteID: 015-021-000612 ~
~ 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:
CAS#
7681-52-9
Liquid TMixtur~ Ambient~E ~ AmbientT~E ABOVEOGROIINDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
IY1-~LE~tUJ 1-~.7~JL' .7.71~11",1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
REGULAR GASOLINE
Location within this Facility Unit
NEAR WELL SHELTER
STATE TYPE PRESSURE
Liquid TMixture TAmbient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
8006-61-9
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 GAL 500.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Gasoline No 8006619
ri1iGHKL H~ 7.7~.7J1~1~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
-4- 07/10/2007
-.
F CALIFORNIA WATER SRV 150-O1 SiteID: 015-021-000612 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 08/30/2000 ~
CALL 911.
Employee Notif./Evacuation
Public Notif./Evacuation 09/27/1994
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES
PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
Emergency Medical Plan 10/06/2005
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE.
-5- 07/10/2007
F CALIFORNIA WATER SRV 150-01 SiteID: 015-021-000612 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/18/2006 ~
SITE IS VISITED DAILY BY A CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING.
Release Containment 10/06/2005
SECONDARY CONTAINMENT.
Clean Up 10/18/2006
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
AGENCY.
v~.iici n.C5vu1.C.:C liC:l.lVdl.lC~i1
-6- 07/10/2007
..
F CALIFORNIA WATER SRV 150-01 SiteID: 015-021-000612 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~pec:ial nazarus
Utility Shut-Offs 10/18/2006
A) GAS - N/A
B) ELECTRICAL - MAIN BREAKERS IN ELECT PANELS
C) WATER - WATER WELL
D) SPECIAL - N/A
E) LOCK BOX - NO
Fire Protec./Avail. Water 10/18/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
Building Occupancy Level
UNMANNED SITE
02/28/2006
-7- 07/10/2007
Y • ~!
F CALIFORNIA WATER SRV 150-O1 SiteID: 015-021-000612 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/18/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING.
BRIEF SUMMARY OF TRAINING PROGRAM: DAILY SITE VISITS ARE MADE BY PUMP
OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY
PROGRAMS ADDRESS HAZMAT TRAINING.
rayc c
1ZC 1l,L LVL rUI.ULC V5C
11C1U LVL 1'UI.ILLC U~S'C
-8- 07/10/2007
t{ + 1
CALIFORNIA WATER SRV 150-O1
Manager TIM TRELOAR
Location: 3401 TRUXTUN AVE
City BAKERSFIELD
SiteID: 015-021-000612
BusPhone: (661) 396-2400
Map 102 CommHaz High
Grid: 26D FacUnits: 1 AOV:
CommCode: BFD STA Ol
EPA Numb:
SIC Code:4941
DunnBrad:00-691-3578
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DIST MANAGER RUDY VALLES / ASST DIST MG#
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:
Fire React ImmHlth DelHlth
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) 3-9~-2~-e'@x
Address 3725 S H ST State: CA ~+'37~7200
City BAKERSFIELD Zip 93304
...............
Period to TotalASTs: _ dal
Preparers TotalUSTs: = i~al
Certif' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible for obtammg the information, I ~ertifY
under penaity of law -that ! have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~~~~ 2 G Z.s
Si ature Dat
ENT'D ~ ~ ~ ~ ~ 2~~7
-1- 01/29/2007
1
F CALIFORNIA WATER SRV 150-O1 SiteID: 015-021-00061 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Sites ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE
REGULAR GASOLINE R IH
F IH DH L
L 200.00
500.00 GAL
GAL ~f
Mod
-2- O1/29/~007
-3- Ol/29f~007
,,
F CALIFORNIA WATER SRV 150-O1 SiteID: 015-021-000612 ~
~ 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:
CAS#
7681-52-9
Liquid TMixtur~ AmbRent~E ~ AmbientT~E ABOVEOGROIINDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 200.00 GAL
t1AGAJ.CLVU~ 1,V1~lYV1V~1V1~
°sWt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
ti1~Gf-~1CL a'~~a1;J71~1~1V1~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MRCP
No No No No/ Curies R IH / / / Hi
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
REGULAR GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid: ---
NEAR WELL SHELTER CAS#
800.6-61-9
Liquid TMixtur~Ambient~E ~ AmbientT~E ABOVE GROIUNDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 GAL I 500.00 GAL
nt~G.ytcl~v u ~ ~vl~irvly l;lv t
oWt. RS CAS#
100.00 Gasoline No 8006519
ti1~GHKL 1~~~1;JJ1~11J1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA
No No No No/ Curies F IH DH / / / Meld
-4- O1/29/2b07
a
F CALIFORNIA WATER SRV 150-01 SiteID: 015-021-000612 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 08/30/2000 ~
CALL 911.
_, ,~
r~uiNivycc i~v~.ii . ~ ~va~;uctt.lvtl
Public Notif./Evacuation 09/27/1994
EVACUATION OF THE LOCAL POPULATION TO BE DETERMINED BY EMERGENCY SERVICES
PERSONNEL, UNLESS EVACUATION IS NECESSARY PRIOR TO THEIR ARRIVAL.
Emergency Medical Plan 10/06/2005
MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE.
-5- 01/29/2007
F CALIFORNIA WATER SRV 150-01 SiteID: 015-021-00061 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/18/2016 ~
SITE IS VISITED DAILY BY A CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING.
Release Containment 10/06/20175
SECONDARY CONTAINMENT.
Clean Up
l0/18/2ob5
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULAT0I~Y
AGENCY.
V1.11C 1_ itC~VULUC tiU l.lVdl.1 V11
-6- O1/29/~007
F CALIFORNIA WATER SRV 150-O1 SiteID: 015-021-00061 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~peciai tiazaras
Utility Shut-Offs 10/18/20(76
A) GAS - N/A
B) ELECTRICAL - MAIN BREAKERS IN ELECT PANELS
C) WATER - WATER WELL
D) SPECIAL - N/A
E) LOCK BOX - NO
Fire Protec./Avail. Water
PRIVATE .FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - WELL DISCHARGE.
10/18/2005
Building Occupancy Level 02/28/2006
UNMANNED SITE
-7-
O1/29/~007
~.
F CALIFORNIA WATER SRV 150-01 SiteID: 015-021-000612 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/18/20176 ~
MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING.
BRIEF SUMMARY OF TRAINING PROGRAM: DAILY SITE VISITS ARE MADE BY PUMP
OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY
PROGRAMS ADDRESS HAZMAT TRAINING.
rage
nelu iur ruuuie use
Held for Future Use
-8- 0l/29/200~
UNIFIED PROGRAM I'NSP'ECTION CHECKLIST ~ Prevention Services ,
B n e R 5 ~, o '900 Truxtun Ave., Suite 210
F~tgE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program aRrM Tel.: (661)326-3979 .
'~' Fax: (661) 872-2171
FACILITY NAME
C
~
~ '
~
~ INSPECTION ATE
' INSPECTION TIME
~
a
t
e~Ni ~rr _
le~ ~6- X5
0 ~G
ADDRESS L ~ - ~ - PHONE N NO OF EMPLOYEES
~
FACILITY CONTACT
~
'
° - ~
~ USINESS ID NUMBER
15-021- tJG~/~P ~ 'Z
a
~
O~ ~
Section 1: Business Plan and Inventory Program ~ l 1~ ,~
^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
~,~
L~ LJ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS ~ ` ! : ,' 3 ~;~~ 1,/
~ _~
^ 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
^ OUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^ YES ^ NO
QUESTIONS REG ROI G TH INSPECTION? PLEASE CALL US AT (661) 326-3979
s ctor (Ple a Print) Fire Prevention / 1" In /Shift of Site/Station # B ess Site /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
~ •
•
li
•
UNIFIED PROGRAM INSPECTION CI~ECKLIST
~d~ ~.
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661.) 326-3979
FACILITY NA w INSPECTION DATE INSPECTION TIME
ADDRESS PHONE No. No. of Employees
FACILITYCONTgCT /~ ' / ~ ~•'• !~~"7 Buamess ID Number
~JJ~-e~=r MG4 ~ i i'! ~ I'~1 >~ ~ DJ l 7 7~ 15-021- U C~ G ~ r; ~ ..
Section 1: Business Plan and Inventory Program
Q~ outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection
ANY HAZARDOUS WASTE ON SITE?: ~ ^ YES ^ NO
EXPLAIN: G ~__( _~ ~~7 UC, ` ~v r `
I ~^ ~~ ~~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979
~' /^~ 7 f f
/ Y~ _- _
- -~- -- v~~_1~4_-- ----- --- --------- --- _. _------ -- - --
Inspector (Please Print) Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow -Station Copy
~.9
- - ~ -- - -tonsib - a - (Ple Print)
g
Pink • Business Copy
~ ~~
Q`~,LD p,~~ CITY OF BAICERSFIELI) 1+IRE DEPARTMENT ~CZ ~
~ OFFICE OF ENVIRONi~tENTAI, SEitV fCES
b
-y UNIFIED PROGRAM INSPEC"PION CHECKI.IS'1'
`w ~g~~~' 1715 Chester Ave., 3rd floor, Bakersfield, CA 93301
FACILITY NAME ~~~~~~, 1/Vo 512f` Sc-r~ rt^~?
ADDRESS 4 ~ ~~uxyf~n AYE"'
FACIL[TY CONTACT ;~,F` r-o~n Wes' ~v~~e
INSPECTION T1ME_/- /-~~
(NSPECTION DATE / o ~ ~- ° 3 _
PHONE NO. '3.2 ~/,3/
BUSINESS 1D NO. 15-21U-
NLIMBER C1F EMPLOYEES C~
Section i : Busi>rtess Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^MuIti-Agency f,] 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 ' ,~-~
~ld%C-~J
Proper segregation of material V ~<~~~
Verification of MSDS availability V # ~, a~j er--e~ ~
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
Aety hazardous waste on site?:
Explain:
Questions regarding this inspections P~hse call us at (661) 326-3979
^ Yes (~No
White -Env. Svcs. Yellow -Station Copy Pink • Business Copy
Busine~is S't Responsible Party
Inspecto//r:
~~
+ CALIFORNIA WATER SRV 150-0'~1 _________________________ SiteID: 015-021-000612 +
Manager TIM TRELOAR BusPhone: (661) 396-2400
Location: 3401 TRUXTUN AVE. (S~a1'. X99) Map 102 CommHaz High
City BAKERSFIELD Grid: 26D FacUnits: 1 AOV:
CommCode: BFD STA O1 SIC Code:4941
EPA Numb: DunnBrad:00-691-3578
+______________________________________________________________________________t
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DIS~'~C'RICT MGR B ~vc~y Valles / ASST DIST MGR
Business Phone: (661) 39~6~-2400x Business Phone: (661) 3-9~~8.8~
2 4 -Hour Phone ( ) - x 2 4 -Hour Phone ( ) ~ 3~~ = x
Pager Phone ( ) - x Pager Phone ( ) - ~ x
Hazmat Hazards: Fire React ImmHlth DelHlth
~
Contact DBE-GA~3~ ~r I I l
.os rc/I_ Phone : ( 4-9->~) 3 6-7~~-
MailAddr: 1; 2" ?~? L'Tn~ ~' 3725 Sov~~ ~ Si~. State : CA~~' 83')- 727
City S~-•~~E ~~Ke~S~teld Zip 9~5-1~- 4304
Owner CALIFORNIA WATER SERVICE CO Phone: O °z~4~~-^
Address 3725 S H ST State : CAbbi 396 ~ zgoo
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
~~rr~ ~,,~~. 7 6
~ ~od~
Based on my inquiry of those individuals
responsible for abta+ning 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.
U~~'y Da e
Si ture
-1- 02/28/2006