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Home My WebLink AboutBUSINESS PLAN 7/17/2007i ' ~I p J' ~ ~~ ~ CAL WATER - sTa ias u l_ ____ _!~ 629 WHITE LANE _ _ __ _~~~ - - :. J CALIFORNIA WATER SRV 143-O1 Manager TIM TRELOAR Location: 629 WHITE LN City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: SitelD: 015-021-002946 BusPhone: (661) 396-2400 Map 124 CommHaz High Grid: 18D FacUnits: 1 AOV: SIC Code:4941 DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DIST MANAGER RUDY VALLES / ASST DIST MGR 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: React ImmHlth Contact BILL ROSICA Phone: (661) 837-7278x MailAddr: 3725 S H ST State: CA City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE Phone: (661) 837-7200x Address 3725 S H ST State: CA City :. BAKERSFIELD Zip 93304 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK i3a.ser_i on my inquiry of those ~nd~v~duCAls responsible for ob#aining the 'snfcrmation, ! cariify ~ ~ 007 under penalty of {aw that i have personally examined and am familiar with the informaticn ~ J~~ submitted and believe the information is true, accurate, and complete. crllvc/~.. ~~~ a Z~.. Si ~ lure Dat -1- 07/10/2007 f; - F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ ~ 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 200.00 GAL Hi -2- 07/10/2007 -3- 07/10/2007 F CALIFORNIA WATER SRV 143-01 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-002946 ~ 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 200.00 GAL 200.00 GAL ti1~GHKLVU~ 1:V1~lYV1VL'1VlJ %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 tLHGKKL 1-~~7J~5J1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/10/2007 r. `' F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ,~ Lil ll~JlVyCC 1VV 1..11. ~ P.~VdI.:Udl.l V11 i_ t'U1J11C.: 1VV 1.11. / L' VdC.:Udl.1 V11 Emergency Medical Plan 10/18/2006 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/18/2006 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment LIQUID CHLORINE - SECONDARY CONTAINMENT. 10/18/2006 ~.icaai v~ Other Resource Activation -6- 07/10/2007 P CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ o~c~lal nac~al.u5 Utility Shut-Offs 10/18/2006 NATURAL GAS/PROPANE: N/A ELECTRICAL: MAIN BREAKERS IN ELECT PANELS WATER: WATER WELL LOCK BOX: NO Fire Protec./Avail. Water FIRE HYDRANT - WELL DISCHARGE 10/18/2006 Building Occupancy Level 03/07/2006 CENMANNED SITE -7- 07/10/2007 i ~ ?- F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/18/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING AND OR PANEL/CWS FIELD OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP ORERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES MATERIALS TRAINING. rays ~ RClu LV1 ru1..u1C vac Held for Future Use -8- o~/l0/200~ ~' v CALIFORNIA WATER SRV 143-01 Manager TIM TRELOAR Location: 629 WHITE LN City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: SiteID: 015-021-002946 BusPhone: (661) 396-2400 Map 124 CommHaz High Grid: 18D FacUnits: 1 AOV: SIC Code:4941 DunnBrad: Emergency Contact TIM TRELOAR Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DIST MANAGER (661) 837-7200x ( ) - x ( ) - x Contact BILL ROSICA MailAddr: 3725 S H ST City BAKERSFIELD Emergency Contact / Title RUDY~VALLES / ASST DIST MGR Business Phone: (661) 837-7271x 24-Hour Phone ( ) - x Pager Phone ( ) - x React ImmHlth Phone: (661) 837-7278x State: CA Zip 93304 Owner CALIFORNIA WATER SERVICE Phone : ( 661) 3-^, << =4 Address 3725 S H ST State: CA f337-7200 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 individuals responsible for obtaining 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. cr,]~.c.o~. 2 6 U ature Da e TotalASTs: _ TotalUSTs: _ RSs: No ENT'p ~,~~ ~ ~ 2pp~ Gall Gal -1- 01/29/2007 F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ ~ 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 200.00 GAL Hi -2- 01/29/2007 -3- 01/29/2007 F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ ~ 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 TMixtur~ AmbRient~E ~ AmbientT~E ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL - HAZARDOUS COMPONENTS gWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 ria'~GI~tC1J f~J ~~JJl~lL'1V1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 01/29/2007 a F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ AC~j.Ci1Cy 1VUL1L1Cdl.1Ui1 P~lll~JlVyCC 1VUl.1L / P~VdC:Udl.1Vi1 t U1.J11C: 1VV l.1L / L' VdC:Udl..l Vll Emergency Medical Plan 10/18/2006 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- 01/29/2007 F CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/18/2006 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment 10/18/2006 LIQUID CHLORINE - SECONDARY CONTAINMENT. l.1Cd11 V~J v 1.11C1 1CCc7-V UI_C~C liV l.lVdl.l Vll -6- 01/29/2007 F CALIFORNIA WATER SRV 143-O1 SiteID: 015-021-002946 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aN~~..Lai nac.ai. u~ Utility Shut-Offs 10/18/2006 NATURAL GAS/PROPANE: N/A ELECTRICAL: MAIN BREAKERS IN ELECT PANELS WATER: WATER WELL LOCK BOX: NO Fire Protec./Avail. Water 10/18/2006 FIRE HYDRANT - WELL DISCHARGE ~uliuing occupancy Level 03/07/2006 UNMANNED SITE -7- 01/29/2007 ~- P CALIFORNIA WATER SRV 143-01 SiteID: 015-021-002946 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/18/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE IN BUILDING AND OR PANEL/CWS FIELD OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP ORERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES MATERIALS TRAINING. _~ ~. ~` -- rdy C L 1ZC 111 1Vi 1'UI. ULC V~7~C 1 Held for Future Use -8- 01/29/2007 t ~ ^_- +ICALIFORNIA WATER SRV 143-01 _________________________ SiteID: 015-021-002946 + Manager TIM TRELOAR Location: 629 WHITE LN City BAKERSFIELD BusPhone: (661) 396-2400 Map 124 CommHaz High Grid: 18D FacUnits: 1 AOV: CommCode: BFD STA 05 SIC Code:4941 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DIST MANAGER I~uc~.~ VaII¢s / ASST DIST MGR Business Phone: (661) 396-2400x Business Phone: (661) 'Q` ''^^"" 24 -Hour Phone ( ) - x 24 -Hour Phone ( ) 837--~ 271 x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React ImmHlth Contact SAN a; 1( ~kosscA Phone: (661) =~-2-4-x^ MailAddr: 3725 S H ST State: CA t~37-7z7g City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE 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 PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry df tba~e individuals responsible for obtaining the i~~rmation, I certify under penalty of lain that I bays personally examined and am familiar with th® information submitted and believe the information is true, accurate, and complete. -~-G ~ 3 4 0 a_.e.e S' ature Dat ENT's ~p ~ ~ ~ 2oas -1- 03/07/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~~~~.~~mm_v..~~~~~~..~~ ..._,~r~~~-~~_.~. v__ ~~~~. _____ ~_~_.~~... SECTION 1: Business Plan and Inventory Program Prevention Services A F R s F , . „ 900 Truxtun Ave., Suite 210 FARE Bakersfield, CA 93301 ' ARTM Tel.: -(661) 326-3979 =u~ Fax: x(661) 872-2171 FACILITY NAME ~ ~ ~ ~ ~ ~ ~ o ~ INSPECTION DATE ~ ~ ~ INSPECTION TIME ~a o .~ o ,~~ ~ S t a -t°r- o 6 ADDRESS ~ - ~ , J ~ l ? HO ENO. ~0 ~~'~ NO OF EMPLOYEES ~ ~-e J ^, ~ . _ Gis ,q r7 rV try -y . bO J _ - ~~ - ` ~ n FACILITY r U{ ~ `,- -O l BUSINESS ID'NUMBER ^ ^ / >'' tJ n 15.021- ' ~11. / / 0 % ` f V , - i ~ c- ~ v Section 1: Business Plan and Inventory Program _ _ - _ -- ~~ 'Id ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION ~ V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ^ NIBBLE ADDRESS ENT ~ ~J ^ CORRECT OCCUPANCY [~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~I ^ VERIFICATION OF LOCATION ~I ^ 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 ~I ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUIlS,, WASTE ON SITE? ^ YES Ip IVtO EXPLAIN: Y'3 'D I ~,~~ - O I ~ g~ °- O1 3 177- S QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Plea a Print) Fire Prevention / 1"_In Shift of Site/Station # Busin s Site /Responsible Party (Please Print) White -Prevention Services ~ Yellow -Station Copy- Pink -Business Copy ~ FD 2155 (Rev. 09/05