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HomeMy WebLinkAboutBUSINESS PLAN/~ 1 ~~ 7C -- -- - - CAL WATER SRV (csx-2~~ 13703 VIA LA MADERA & JENKINS u ~- Per \.. Issued by: ".~. ,.1, _ it Operate to Hazardous Materials/Hazardous Waste Unified Permit , CONDITIONS OE:-PEB,MITON REVERSE SIDE : '- ',"';"', ':::':~~'~~;ft~;~~h:~;~~:'" '.' . ': . ' . , , . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA. 93301 Voice '(661) 326-3979 FAX,(661) 326-0576 ; ExpiraHon Date: , --. -... ...;:;""';'~."'!"~. ·~~:;;:·~·"hf-:",'·:.· ;~:: <..., Issue Date 'June 30, 2003 ; i Per...Ït to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE CALIFORNIA WATER SERVIC This permit is issued for the following: ~:tIªzardous Materials Plan "':;E::~[9round Storage of Hazardous Materials "J)agement Program Waste "- ~ PERMIT ID# 015-021.001796 LOCATION 13703 Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805)326-3979 FAX (805)326-0576 Approved by: *~ ph Huey, ffice of ental SetVi es Expiration Date: June 30, 2000 e LA MADER.A. B'SANITARY SEWER 0'L EXISTING WELL BE ABANDON 150' 10 I ¡~ ., '\.. . l> i!:!J SIMEON AVE. N'ï'C ' , ._ 51 N 11 ARY SE'" - -0 WU.L ~Ilf:' ~ ,.,,: - ~A'rd<I·.L 0' . - cHOt.::; BL· ,'- R .I" I "I :,10P¡ .~,,> J LIMlh,',,! [) Ff'll, PROP ,_.. ',"".IJ 50 <=EET 0.:-:..1 '/;'f Li.... o OC (STA,2ì VIA :"A MADERA ;I WELL SITE . ~ SAN SIMEON CONTENTO ~ U1 Z )( Z w ..., STOCKDALE HWY, VICINITY MAP NT,S, PLAT SHEET: SCALE: :"c·40' DRA1'N BY: F, RIO~ CHECIŒD BY: APPROVED BY: :::---oMftl Da1 ::' 0- :: 0- :::.. 0 :=..: 0- =- 0- -- 0 Cl. « --;:::-~ CY: «ilio zaer!-- ~:JN ~<i -.1WI- ~LLlf) o..>-ey: '--../CÝ-o ~LL ~ Z E l% DISTRICT: CITY OF BAKERSFI DATE: ~-Ió- q?; I:n'DUn 110' 526 éBK DRAIIING 110.: CB1<.6ìl ~1~~~ UNIFIED PROGRAM INSPECTION CHECKLIST 4 SECTION 1: Business Plan and Inventory Program B _-- B R S F 1~ D F/RE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ~~~d~~~~ ~~~~f S®~~ C13x - 2 ADDRESS PHONE NO. ENO OF EMPLOYEES 13 '1 ©~ v t ~ ~ i'h ~ d e t ~ ' g 3 ~ ^ 7 Zr~~ w v~ ,,.o..,.~ FACILITY CONTACT BUSINESS ID NUMBER 15-021- oU 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 ^ BUSIII2SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS a ~~Q i ^ VERIFICATION OF QUANTITIES ~~ '~fl ^ VERIFICATION OF LOCATION - I ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~~ ^ VERIFICATION OF HAZ MAT TRAINING 1 h V~~ = '~ °'~ ~ ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES i ^ EMERGENCY PROCEDURES ADEQUATE r~~ d Se c~ ,^ ~ t { Cv ~ < < ~, . -i v ^ CONTAINERS PROPERLY LABELED G ~ 1 ~ c(w ~'w~ ~~ ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ^ YES ^ NO Ker-oul~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 G ~G-~ ~ Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Busin Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105 h t !~ tj• ~~_- . . + CALIFORNIA WATER SRV CBK-27 _________________________ SiteID: 015-021-001796 + c337-7ZCo Manager BusPhone : ( 661) a••3-9~6~4~~" Location: 13703 VIA LA MADERA & JENK Map 101 CommHaz Moderate City BAKERSFIELD Grid: 35D FacUnits: 1 AOV: CommCode: KCFD STA 67 SIC Code:4941 EPA Numb: DunnBrad:00-691-3578 t______________________________________________________________________________+ --------------------- Emergency Contact / Title Emergency Con act / Title BILL TRELOAR / DISTRICT MGR ~v~~ V•al~es / ASST DIST MGR Business Phone: (661) 3~--2~6~@X~.37~7Le Business Phone: (661) ''°~~~~83~-7` 7/ 24 -Hour Phone ( 661) ~~fr~@~c ~37.7~ • 24 -Hour Phone ( 661) ' "~ ''~' -~~ ~y3~• ~1 z j Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ~ ~ a vS t c~ Contact i ~ ~ Phone : ( 6 61) 3-9.6~4-6'6x MailAddr: 3725 S H ST State: CA X37.727 City BAKERSFIELD Zip 93307 Owner CALIFORNIA WATER SERVICE CO Phone: (408) 451-8200x Address 1720 N FIRST ST State: CA City SAN JOSE Zip 95112 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK EeSed can my inquiry of those individuals responsibly for obtaining the information, I certify under penalty of law that I have personally examined and am famAiar with the information submitted and believe the information is true, accurate, and complete. i u~t-c.c. -~ ~2 ~ 6 Si ture Date ~~'~~ 5~ ~N~~ ~~~ a 8 2~©~ -1- 05/16/2006 CALIFORNIA WATER SRV CBK-27 SiteID: 015-021--001796 Manager TIM TRELOAR BusPhone: (661) 837-7200 Location: 13703 VIA LA MADERA & JENK Map 101 CommHaz High City BAKERSFIELD Grid: 35D FacUnits: 1 AOV: CommCode: KCFD STA 67 EPA Numb: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact BILL TRELOAR Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DISTRICT MGR (661) 837-7200x (661) 837-7200x ( ) - x Emergency Contact RUDY VALLES Business Phone: 24-Hour Phone Pager Phone / Title / ASST DIST MGR (661) 837-7271x (661) 837-7271x ( ) - x React ImmHlth Contact BILL ROSICA Phone: (661) 837-7278x MailAddr: 3725 S H ST State: CA City BAKERSFIELD Zip 93307 Owner CALIFORNIA WATER SERVICE CO Phone : ( 4-t3-~ 4 43--~0-~c Address 3?ZS sov'}~ ~ ~~ State: CA ~~~ ~37~~2~ City S~~BS•E Zip °~ 93~~~ i~ t, ~~L.S'~i' D. ~ GI Period ~ to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK TotalASTs: _ TotalUSTs: _ RSs: No ENT's ~ E~ ~ ~ 2~®~ g+!~e~ en my inquiry of those individuals respors~ii5ie far obtaining the infarmation, I certify under p~r~alty of la~v th>~t I have pesrsonally examin~ci tend am Farr~lllar with the information submitted and b®iieve the information is true, accurate, and complete. ~J 2 6 S' ature ~ e Gall Gal -1- 01/29/2007 F CALIFORNIA WATER SRV CBK-27 SiteID: 015-021-001796 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE DIESEL FUEL R IH L L 100.00 500.00 GAL GAL Hi Low -2- 01/29/2007 -3- 01/29/2007 o ~ F CALIFORNIA WATER SRV CBK-27 SiteID: 015-021-001796 ~ ~ Inventory Item 0002 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 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 GAL 100.00 GAL 100.00 GAL HAZARDO US COMPONENTS oWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 r11iL~riRL 1-1i J 47 L' .7 J1"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: NEAR WELL SHELTER CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL I 500.00 GAL rat~[~tuu~V V .7 l-. V1•lt' V1V Lily 1.7 $Wt. RS CAS# 100.00 Diesel Fuel No. 1 No 70892103 ilti[~tiRL tiw 7 JLiJ ~71.1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 01/29/2007 F CALIFORNIA WATER SRV CBK-27 SiteID: 015-021-001796 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/16/2006 ~ CALL 911 AND 800-852-7550 OR 916-427-4341. Employee Notif./Evacuation Public Notif./Evacuation 05/16/2006 WE WOULD PREFER TO RELY ON EMERGENCY SERVICES PERSONNEL TO DETERMINE IF AN EVACUATION IS NECESSARY. HOWEVER, WE WILL EVACUATE THE AFFECTED LOCAL POPULATION, AS NECESSARY, IF EMERGENCY SERVICES PERSONNEL ARE NOT AVAILABLE. Emergency Medical Plan 08/08/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 01/29/2007 F CALIFORNIA WATER SRV CBK-27 SiteID: 015-021-001796 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/16/2006 ~ DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 05/16/2006 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 REGULATORY AGENCY. Other Resource Activation -6- 01/29/2007 r. F CALIFORNIA WATER SRV CBK-27 SiteID: 015-021-001796 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ - l _J. Jl.JC \.. 10.1 170. G 0.1 1A ~7 Utility Shut-Offs A) ELECTRICAL - SERVICE BOX INSIDE WELL PUMP SHELTER B) LOCK BOX - NO oa/os/2oo6 Fire Protec./Avail. Water 08/08/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 05/16/2006 UNMANNED SITE -7- 01/29/2007 e .i F CALIFORNIA WATER SRV CBK-27 SiteID: 015-021-001796 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/16/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: THE CALIFORNIA WATER SERVICE CO PROVIDES THE FOLLOWING TRAINING: 1. SAFETY PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIALS RELEASE, OR THREATENED RELEASE. 2. HAZARD COMMUNICATION STANDARD. 3. EVACUATION PROCEDURES. 4. PROPER HANDLING OF HAZARDOUS MATERIALS. 5. HMMP IMPLEMENTATION. rayc c Held for Future Use Held for Future Use -8- 01/29/2007 /-' .J, ~~.... ) . + CALIFORNIA WATER SE~~ CBK27-01 =================== Manager : '·MEL DYRD ocation: 13703 VIA LA MADERA City BAKERSFIELD CommCode: BAKERSFIELD STATION 11 EPA Numb: QC1 SiteID: 015-021-001796 + 3'1 b - dJ!-r:J(J BusPhone: (661) 83:2 2141 Map : 101 ComrnHaz : Low 7-'l.Oij1fid: 35C FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x 24 -Hour Phone : () x 24 -Hour Phone : () x Pager Phone () x Pager Phone () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: I +------------------------------------------------------------------------------+ Contact: Phone: (661) 396-2400x MailAddr: 3725 S H ST State: CA City : BAKERSFIELD Zip : 93307 +------------------------------------------------------------------------------+ 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: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: f \ District 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 ~ Cþ<l~ !O¡~:3 +==============================================================================+ -1- 07/28/2003 I i ~' -_. 'i _ - - CALIFORNIA WATER SERV CO CBK27-01 Manager : MEL BYRD Location: 13703 VIA LA MADERA City BAKERSFIELD BusPhone: Map : 101 Grid: 35C SiteID: 015-021-001796 3(7(", c./ (661) 832-2141 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 EPA Numb: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title MEL BYRD / DISTRICT MGR TIM TRELOAR / GENERAL SUPER Business Phone: (661) 396-2400x Business Phone: (661) 396-2400x 24-Hour Phone : ( ) - x 24-Hour Phone .' ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Contact : Phone: (661) 396-2400x MailAddr: 3725 S H ST State: CA City : , BAKERSFIELD Zip : 93307 Owner CALIFORNIA WATER SERVICE COMPANY Phone: (661) - 39x62400 Address : 1720 N FIRST ST State: CA City : SAN JOSE Zip : 95112 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì specHaz EPA Hazards Frm I DailyMax Unit MCP p= Hazmat Inventory ~ As Designated Order Hazmat Common Name... DIESEL L 500.00 GAL Low I, :f1k '"- ~".l:... pa or print name) Do hereby certify that I have rS\1iewed the attached hazardous materials manage- ment plan 101' c. ""-' ~ and that it along with (Nelme 01 Business) any corrections constituts a complete and correct man- agem~ni plan for my faciliiy. 1~~J. &-I~.OO Date -1- 07/19/2000 , .. - - F CALIFORNIA WATER SERV CO CBK27-01 p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME DIESEL SiteID: 015-021-001796 1 Facility Unit: Fixed Containers at Site 1 Days On Site 365 Location within this Facility Unit CLOSE TO WELL SHELTER Map: Grid: CAS # 68476-34-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 500.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 500.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 1 No 70892103 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS -2- 07/19/2000 It - F CALIFORNIA WATER SERV CO CBK27-01 I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001796 ì Fast Format ì Overall Site ì 08/19/1997 CALL 911 AND'1-800-852-7550 OR 1-916-427-4341. r=::NOTEmPIOyee Notif./Evacuation L: APPLICABLE THIS IS AN UNMANNED SITE. 08/19/1997 ] 08/19/1997 Public Notif./Evacuation WE WOULD,PREFER TO RELY ON EMERGENCY SERVICES PERSONNEL TO DETERMINE IF AN EVACUATION IS NECESSARY. HOWEVER, WE WILL EVACUATE THE AFFECTED LOCAL POPULATION AS NECESSARY, IF EMERGENCY SERVICES PERSONNEL ARE NOT AVAILABLE. Emergency Medical Plan 08/19/19971 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL - TRUXTUN AVE. -3- 07/19/2000 .. ~-", e e F CALIFORNIA WATER SERV CO CBK27-01 I ' p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001796 ì Fast Format ì Overall Site ì 08/19/1997 STORED IN AN ABOVEGROUND CONVAULT TANK. Release Containment 08/19/1997 THE CONVAULT TANK ,HAS A BUILT-IN SECONDARY CONTAINER, AND IS ENCASED IN CONCRETE. Clean Up 08/19/1997 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY Other Resource Açtivation -4- 07/19/2000 e e F CALIFORNIA WATER SERV CO CBK27-01 I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-001796 ì Fast Format ì Overall Site ì I 08/19/1997 A) GAS - N/A B) ELECTRICAL - SERVICE BOX LOCATED INSIDE WELL PUMP SHELTER C) WATER - N/A D) SPECIAL - N/A E) LOCK BOX - NO Fire Protec./Avail. Water 08/19/1997 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. NEAREST FIRE HYDRANT - ,ON-SITE WELL DISCHARGE. Building Occupancy Level -5- 07/19/2000 ?i , .-. 'lie e e F CALIFORNIA WATER SERV CO CBK27-01 I F Training Employee Training SiteID: 015-021-001796 ì Fast Format =¡ Overall Site ì 08/19/1997 THIS IS AN UNMANNED SITE. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: THE CALIFORNIA WATER SERVICE COMPANY PROVIDES THE FOLLOWING TRAINING: 1. SAFETY PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIALS RELEASE, OR THREATENED RELEASE. 2. HAZARD COMMUNICATION STANDARD. 3. EVACUATION PROCEDURES. 4. PROPER HANDLING OF HAZARDOUS MATERIALS. 5. HMMP IMPLEMENTATION. Page 2 r I I Held for Future Use Held for Future Use -6- 07/19/2000 J. Bakersfield Fire De¡At Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 liCfÇo . I DI-3SC1 1 [ c.... HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action. return this form within 30 days of rec,eipt. 2, 1YPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole, 4, Be brief and concise as possible, SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: c...-\.y o~ ~"ke~~ì~~ - ~-\-~o~· c.ß\< ),,1-0/ LOCATION: \ 3 ìO~ V\r.,." LGo. fV\l.\l~~ ßø..k~.....s..p,dA I CA c./o . CA\,.ç.o'("",\~ ~~-tc...- ~~v'cc.. 'C.ð"""~"..,,y MAILING ADDRESS: 37:a..S S o~ lIlt" s.+re~t CITY: ß...Ktf".s ~'t.I\À STATE: ~ Zip: cr3~o'1 PHONE: ~os-i"32.-.l''i1 DUN & BRADSTREET NUMBER: 00- ~cU_ ~S7? SIC CODE: 4 '1" , PRIMARY ACTIVITY: ?"-rV~Yð" o-Q bO~£.s1ic.. LJQ.~~-r c.;~ o-Ç. &ø.kc.rS-f~~\~ OWNER: C( (; C A.'i~OV'""'f... Wt4,:t·~ St\"'vtc~ LQ~VQ,~Y MAILING ADDRESS: \72.0 No...."'""' t= ì f"st $+rc.~. çC<\.V\ J~. CA e¡s,/z.. I ./ SECTION 2: EMERGENCY NOTIFICATION: CONTACT ' TITLE BUS. PHONE 24 HR, PHONE ~L.- ßyl.2-\;) ~.9G-24~ o&;;;þo./VI£. 1. a.~. L-"w:s. \:)\s.+'t"'C.t")ñ4W\4't~ ÝbS-~1l, ~..(( goS-'ð~(-t\"l TI....... T2e~^,:2. ~e.~,-Ç'U?£~I""'~O€.,. 'r '39b~~4~~ s,.t..IV\E 2. ~ JVII"J. ~ /.,.l -AsØ. ..~fl~~ lE>t M."",..,er ~$ "3t. 21:-..1 ~>- 3'" 2~1 1. FO: 50( .LJo...o..<::L ùJ.J.<¡:J.U .1.' U'~ .LJ~tJ\". .Hazardous Materials Division _ HAZAR~US MATERIALS MANAGEMENT PLAN '. '.IIj." III ......... . SECTION 3: TRAINING: NUMBER OF EMPLOYES. S: t\o\'\'4L - U"" _ } .1 . 'MQ.\,\\\~ ~ i Te:. . MA TERJAL SAFETY DATA SHEETS ON FILE: yes. BRIEF SUMMARY OF TRAINING PROGRAM: Th<.. c."'\'~0"'V\\G.. W~~...... S~vt ce.. c..oW'\,?"'Y\.'f ,?"'o\l..à~s. -\-"'-c. -Qo\bc.ùì~ +Y"f<\ìr'\i~: ,. <;~~Q,.-\-'f ~at.l~~ "i~ ~ ~~wt o~ CI... 'h"'ø.~o"'.s \Mø..+~.,.~O\.l5 0'(" ~ """'+'t.\'\~ reo. \ ~CLse . Y"~~.k I 2... ~~l..~"').. <.oW\"",vY\.t~+\oY\ ~-\--..~a.~. 3. E..v~c..v...-t\C)~ ~rO<'~~. Lf. ?rorq,'('" ~~\:~ o~ ~'C.o...,..J,.O,)s W'\A.'t~Q..\.s. S . ~ ~ \ ""'f \ce.W\I\e.."'- -\.,.;;\-, 0" . SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS. BUT THE QUANTITIES AT NO TlMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I. \(~+ AJ...'r\e...' CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFilL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. IW-~ SIGNA TURE ",~'Lø.'rJ....6V~ MA.-t~Y"~,,\~ S~rvtS6V"" TITLE I z.{ b('~ DATE 2. FOI590 ~ ~ Da.Kt::f:;uelQ 1:"lre vepr,. I,IÞ Hazaràous Materials Divisioe HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: C~ ~ ßA.~c-s{4~\~ ~ -.k-\-I ð""-. C 81<:: ).)-0 I SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: C~ ( 91' ú~!... \-&oo-ÝS'2-1SS0 0..... \-'Ub-LP.7-43L11 ._, B, EMPLOYEE NOTIFICATION AND EVACUATION: ~ot "'ff\t(4~\~ - ,~\s \s ~ \N\~VW\~ $it-~. C. PUBLIC EVACUATION: LJe.. u.) lh)\~ f~~ -\() 't"Q,,\y 0'" ~~tY"~~Y\"1 SC~ v\ <:1t$ ~~'t"So~~\ \0 ð.c\-~""\Ii\c.. \~ G.,^- Q.v..<.~t ìo~ \~ V\~c.~A.rý Ho4 ~~ . II Q.vo..<.vo..:tc.... ~-- ".Q.Ç~1-c.cl \~c..",,\ ~O~"'\4\.+I~~ ~s ,^¡c..fi!.~~r;1 't{I <¿W\~v-~U\~ S~V"VI<:~S "e.~OIi\"'~\ (t-nt. t\ð-t ~v"i \~bk . I D. EMERGENCY MEDICAL PLAN: ty\~\~t "~s\s.-\-~\'\.ce. ~oú\J. be. ~'f"1)V\J~ ~y M~-r<..y \-\O~;~I IY'V~ A~~ Bc;..~~s~;~~. / 3. Ft)I!>;O fa Hazardous Materials Division __ HAZARDOUS MATERIALS MANAGEMENT PLAN ~. '", SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A, RELEASE PREVENTION STEPS: ~ \~~4l..\ \ 5 S~l>~ ì ~ o..~ o..bo"'<"6ro\1~ Co~\lQ."H- ~V\ 'to 8, RELEASE CONTAINMENT AND/OR MINIMIZATION: \he. LO"",V4\",H- -\o.V\.\:::. ~t(.s 0.. b\)dt-~V\ Sct.C.~A("-ý ;:> ~~C:,,~ \ V\. <Þ~c.t"'c.,..-t~. coW"\.\-~, "'~W'""' a\o\ð. I C. CLEAN-UP PROCEDURES: \(~\~~ v..b~-\-Q.~(tll\."'t W ðÙ \!. 'be. r4lY'~o"'W\~ boy o.v-.. '~~~~~~~t\-t r~w\Q.à..\..t\O\l'\ <.O~ ~\~ o..s "\~~~ tÃ~ \.,u_ l £\..L ~ ~ I \0 ~ ~ S't\l.s1"4\c.\ lo~ 0, c.. 'I"'~5VO"",~ib.l4i!:. r4t~v\ø..-t-o....-y G..~4l\'\.c..y. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ~ { ,; ELECTRICAL: Se..,..."t<&. bo~ \ O<A.+cà ì~s.¡A.e w<-\I YUW\? ~~'!,\+Cf" WATER: t'.t I A SPECIAL: tl(A LOCK BOX: YES@ IF YES. LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: =t\~ ~~I~Ù\5"'.... B. WATER AVAILABILITY (FIRE HYDRANT): O"'...s.\\-~ ~~\\ å\~c1.a..f'~~. 4. F015;>O Farll\ and Agticu1ture 0 Standard Business USINESS NAME: C;i.. OCATlîN';' ,-¡ ð IT Y I t': 'HONÈ: _ I ¡r~ns Code g. HÚard o Re~clivity ~ De tayed 0 Sudd~n Re lease Health of Pressure CITY of BAKERSFIELD 14 ~a~es of ~ixture/Ç:~conents. 5!e Instru:llcns Dì~..l ~ COl1ponent 11 COlI\ponent 12 Name I C,A,$, Nunber o IlImedlate Health Component'3 Hame I C,A,S, Humber Phyþical end Health Halard (Check a I' that app I YI C.A,S. Number o Fire Hazard o Reactivity o De Jared 0 Sudd~n Re I ease Health of Pressure Component II Name I C,A,S, Nunber COlI\ponent 12 Hame I C.A,S, Number o Immediate Health Component'3 Hame I C.A,S, Nunber Physical end Health Halard (Che:k all that apply! C.A,S. Humber o Fire Hazard o Reactivity o De Jayed 0 Sudd~n Re I ease Health of Pressure Component.1 Nallle I C.A,S, Number Component 12 Name I C.A,S, NUl1ber o IlImediate Health C0l1ponent.3 Nalle & C,A,S, Nunber O t Component 12 Nane I C.A,S. Nunber IlImed ate Health Component 13 Nal1e I C,A,S, Hunber EMERGENCY CONTACTS tl1RYIir· L.."",s fl~Gt M""4'Kt' ~~~;e¡'U,' 112R~;\"\'" ~yr¡. TttWS-trI(.-t M41\.C)~"" !efiJJjf:tj~~er enal\R~PFa frfI ~a~f7errofa~Grex~~mf/ft./fWilral'itffh~íjf~nft{ n $ubnitte4 in this end all Ittaçl~dddQCVnenrs, an~ t~at ~ase~ on IIY Inquiry QI (hose In~lvl~ua's responslb'e for obtainIng t~e InformatIon, 1 belIeve that the' ubJILt~e Infarnatlon IS true, accurate, and co~plete. 1!!~~1;nM; ," "~~~, K,kt:fr¡tõ~\ ,~~~v)¡:,r.'ntlt"'· J~ ~ ~: I Ph(Y~ical end Health Ualard I Check aiL that apply, CJ.S, Nunber o Fire Hazard o Reactivity o De 1ared 0 Sudd~n Re I ease Health of Pressure Component II Nalle & C,A,S, Nunber' ios-3l:7~ l.\ '2Tl!nñOñf l2.. hh~ O~ tM f~m- Trans CQca (Column 1) A = Add This Item D :: Delete This 'tern R· = Revised Information Tvee Coctl (Column 2) P Pure Material M Mixture of Substances W = Waste (Must Also: Add Appropriate Waste Code from ·Waste Code Sheet·) Measure Uni1~ (Column 6) LBS = Pounds TON = Tons (2,000 Ibs) GAL = Gallons BBL = Barrels (42 gals) Ft3 :: Cubi~ Feet CUR = Curies Container TVQJ (Column 7) 01. Underground Tar)k 02. Aboveground Tank 03. Fixed Pressurized Cylinders 04. Portable Pressured Cylinders 05. Insulated Tank (Includes Cryogenics) 06. Drums or Barrels - Metallic 07. Drums or Barrels - Non-Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 1 J . Box(es) 12. Bag(s) 13. Metal COntain8t$.1Not Drums) 14. In Machinery or PrOCessing Equipment 15. Bin(s) 1 6. Unlined Sumps Container PressurJ (Column 8) 1 = Ambient Pre"ure- 2 = Greater Thart' Ambient Press 3 - Less than Ambient Press Container Temeeraturt (Column 9) 4 = Ambient Temperature 5 = Greater than Ambient 6 = Less than A'mbient.Tem'p':buf'nor_ Cryogenic . 7 = Cryogenic Conditions "4ì.. ;' .,.... - 01. 02. 03. 04. 05. 06. 07. 08. 09. 10. 1L 12. 13. 14. 15. 16. 17. 18. t9. 20. 21. - 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. ··37. 38. 39. 40_ ' 41. 42. 43. 44. 45. 46. 47. 48. -49. sa. . 51. 52. 53. 54. 55. 99. .use Codel (Column 10) Additive Adhesive Aerosol/Inflation Anesthetic Bactericide Blasting Catalyst Cleaning Coolantl Antifreeze Cooling Drilling Drying Emu'sifier/Demulsifier Etching Experimental/AnalYtical Fabrication- Fertilizer Formulation/ManUfacturing Fuel Fungicide Grinding Heating Her.bicide Insecticide Instructional Lubricant Medical Aid or Process Neutralizer Painting Pesticide Prating Preservation Refining Sealer SpraYin,g . St'enliZer Storage/In Storage. Stripper Washing Waste Water Treatment Welding Soldering Well Injection or· Ser:vice,' Oil Treatment Resale Aircraft Systems Battery ¡ElectrolYte Breathing Air Draftin~ Aid Finished~Ptoduct, Fire Protection;';, Hy~rau'ic Equipment RoadlHwy Maintenance Testing Wholesale Chemicals OTHER - ,Specify on another page:. e