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HomeMy WebLinkAboutBUSINESS PLAN 10/19/2007 ~~. I ~', I~ CALIFORNIA WATER SERVICE ~' 2009 YARNELL CT ~~ ` °~ / ~2.._ ~~ , C~~DII~tAL C113 I~ Prevention Services - ~ UNIFIED PROGRAM INSPECTION CHECKLIST : _ e . ERs , , , n 9ooTruxtunAve., suite 210 - F~Ria Bakersfield, CA 93301. SECTION 1: Business Plan and Inventory Program "R'M Tel.: (661) 326-3979_ Fax: (661) 872-2171 c=compliance - C V ( ) OPERATION V=Violation - - COMMENTS ,.,_,d Lld ^ "APPROPRIATE PERMIT ON HAND I~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~I ~ ^ CORRECT OCCUPANCY i ' ~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION i ,,` ^ PROPER SEGREGATION OF MATERIAL t7d' / Q' ^ VERIFICATION OF MSDS AVAILABILITY ed ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ~ Q' ^ EMERGENCY PROCEDURES ADEQUATE Q6 ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING I ,,_,` lid" ^ FIRE PROTECTION , ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site /Responsible Party (Please-Print) ^ YES ~ NO White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .Section 1. Business Plan and Inventory Program s,s~,~,, .. -- - to ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION 1- ~ CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 Manager TIM TRELOAR Location: 2009 YARNELL CT City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: BusPhone: (661) 396-2400 Map 123 CommHaz High Grid: 24D FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact TIM TRELOAR Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DISTRICT MGR (661) 837-7200x (661) 837-7200x ( ) - X Emergency Contact / Title RUDY VALLES / ASST DIST MGR Business Phone: (661) 837-7271x 24-Hour Phone (661) 837-7271x Pager Phone ( ) - 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 B;:,sed on my inquiry of those i;idivi~lu ;;; re5ponsih1e for ot~taininr the information,) certify under ,;en4lty of few ±hat I have personal'Y examined and am ,amiliar with the informaticn submitted ar,d believe the information is true, accurate, and complete. Si ture -'-'~~' 7 /) 0 Dat TotalASTs: _ TotalUSTs: _ RSs: No ENS ~~ ® ~®o/ Gall Gal -1- 07/10/2007 r. F CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE R IH L 200.00 GAL Hi DIESEL FUEL F IH DH L 500.00 GAL Low -2- 07/10/2007 '3' 07/10/2007 :, F CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 ~ ~ 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 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ABOVE GROUND TANK 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 nHC,Htu, HJ Jr~JJr1~1V t J 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 on Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: CLOSE TO WELL SHELTER CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid TMixture l Ambient ~ Ambient I ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 500.00 GAL HAZARDOUS COMPONENTS •°sWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 17tiGHLCL H JJI;JJL~IJJIV-1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/10/2007 F CALIFORNIA WATER SRV 183-O1 SiteID: 015-021-000290 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ r_ i7~G11\..y 1VV Vllll.0. l..1 V11 lrlll~JlVyCC 1VV 1.11. / P~VdUUdl.1 V11 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 10/06/2005 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV 183-O1 SiteID: 015-021-000290 ~ ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/12/2006 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment 10/18/2006 LIQUID CHLORINE - SECONDARY CONTAINMENT. Clean Up 08/28/2006 RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY AGENCY. V1.11Ct tc~5vuic,e tic:~lvazion -6- 07/10/2007 F CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ r7~JCU1d1 rid'G dl US Utility Shut-Offs 04/12/2006 A) ELECTRICAL - MAIN BREAKERS IN ELECT PANELS B) WATER - WATER WELL C) SPECIAL - N/A D) LOCK BOX - NO Fire Protec./Avail. Water 10/18/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. Building Occupancy Level 03/13/2006 UNMANNED SITE -7- 07/10/2007 F CALIFORNIA WATER SRV 183-O1 SiteID: 015-021-000290 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/18/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIlKARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES HAZMAT TRAINING. rayc c. Held for Future Use Held for Future Use -8- o~/l0/200~ t + CALIFORNIA WATER SRV 183-01 _________________________ SiteID: 015-021-000290 + Manager TIM TRELOAR Location: 2009 YARNELL CT City BAKERSFIELD BusPhone: (661) 396-2400 Map 123 CommHaz High Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact / Title Emergency Contact / Title TIM TRELOAR / DISTRICT MGR ~HARP'ER~vc~~) ~aIIeS / ASST DIST MGR Business Phone: (661) 396-2400x Business Phone: (661) 37~4~;,x 837-7' 7) 24-Hour Phone (661) 396-2400x 24-Hour Phone (661) 396-2400x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact 1~~ ~~ ~oS ~cQ Phone : ( 661) 3$6-~~- MailAddr: 3725 S H ST State: CA 83"7-7278 City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone: (408) 451-8200x 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 t~see tiH ~y inquiry Af those individuals 6~~a~~i~±~ ter Glit~:irtii5~ the intarmation, I certify in~ier p~~~ity e~i I~vv that I have personalty ,Verriino~ ~f1~ ~rfl tamllaF with the in4ormation submitted and b~llave the In4ormatlon is true, 3CCUP&tG~, dnd Cci~"1(~I@te. 3 z3 0~ Date ~NT'~ APR 12 2006 -1- 03/13/2006 • ~v ~~'~~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMF.NTAIL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST s ka';,;ati,,~ 1715 Chester Ave., 3`d Floor, Bakersfield, CA 93301 FACILITY NAME / !-~L~r ~/Rr~~ ~~y- ~. ADDRESS 4 ~ L L ~ ~r FACILITY CONTACT_ ~ INSPECTION TIME ,~ ~ ~- - r~ INSPECTION DATE c~ ~~, ~~~ _ PHONE NO. ~~~ - Z YU~j BUSINESS ID NO. 15-210- 04D ~Ll d NCIMBER OF EMPLOYEES I Section 1: Business Plan and Inventory Program (~ Routine ^ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address x Correct occupancy Verification of inventory materials Verification of quantities 'yC Verification of location ~( Proper segregation of material k Verification of MSDS availability Verification of Haz Mat training x Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand K C=Compliance V=Violation Any hazardous waste on site?: • Explain: Questions regarding this inspection? Please call us at (661) 326-3979 ^ Yes ~ No White -Env. Svcs. Yellow -Station Copy Pink -Business Copy ~s~f~ ~~F Business Site Res onsible Party Inspector:_ ~~`l \-~ ~~ ~o~3F,Jz,~ ~'~f~raN J16~, ~~ UNIFIED PROGRAM INSPECTION CHECKLIST '~ SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILIT'I NAME INSPECTION DATE I INSPECTION TIME '~ ~g3-~ ADDRESS ~ PHONE No. ; No. of Employees a c T--_------ ---- ------ ---- -----1------------------ FAGILITYCONTACT Business ID Number 15-021- ~~ p Section 1: Business Plan and Inventory Program ~+ ice, 1 y Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection C V \V=Vioatlonncel OPERATION J COMMENTS L7 ^ PERMIT ON HAND APPROPRIATE ORMATION ACCURATE BUSINESS PLAN CONTACT INF ^ VISIBLE ADDRESS ~/ (3 ^ CORRECT OCCUPANCY - ~^ TORY MATERIALS V ERIFICATION OF INVEN g ^ VERIFICATION OF QUANTITIES V [,J U ERIFICATION OF LOCATION __________ ~ EI ' F MATERIAL P J L L ROPER SEGREGATION O ~^ VERIFICATION OF MSDS AVAILABILITYE ~~ Z ~ -- ~^ VERIFICATION OF FIAT MAT TRAINING ~0• ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ -_ ~ - -~ --_- _ - -- - -_ - _ __ U ^ EMERGENCY PROCEDURES ADEQUATE ^ E ED C Id L ONTAINERS PROPERLY LAB H OUSEKEEPING -------------- F P -- ----------- ---------------- l~J LJ ROTECTION IRE -~- ^ --------- ------- SITE DIAGRAM ADEQUATE & ON HAND I ~ --------- ~. •~ /. 1 ~ - ------ ~~ J•j' --7 ANY HAZARDOUS WASTE ON SITET. ^ YES NO ~ ~ `,.; t' ~1 -yam : ,-~ -~') ~ 1.--~ ~ rr EXPLAIN: U n MC n n POD- rJ J Mp ~r-""~"%~~ ~^-~ . ~ l ~ ~s ~ P ~ PP ~ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66~~ 326-3979 Inspector Badge No. White -Environmental Services Yellow - Statbn Copy ~~- Business Site Responsible Party `~' Pink -Business Copy ~ n ~_ __i CALIFORNIA WATER SRV 183-O1 Manager TIM TRELOAR Location: 2009 YARNELL CT City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SiteID: 015-021-000290 BusPhone: (661) 396-2400 Map 123 CommHaz High Grid: 24D FacUnits: 1 AOV: SIC Code:4941 DunnBrad:00-691-3578 Emergency Contact TIM TRELOAR Business Phone: 24-Hour Phone Pager Phone / Title / DISTRICT MGR (661) 837-7200x (661) 837-7200x ( ) - x / Title / ASST DIST MGR (6.61) 837-7271x (661) 837-7271x ( ) - x Hazmat Hazards: Emergency Contact RUDY VALLES Business Phone: 24-Hour Phone Pager Phone Fire React ImmHlth DelHltli Contact BILL ROSICA Phone: (661) 837-7278x MailAddr: 3725 S H ST State: CA City BAKERSFIELD Zip 93304 Owner CALIFORNIA WATER SERVICE CO Phone : ( 4fr~) 4.5-°-8-2~6$x Address 1~^-^_~ 372$ Sc,~~ ~{ S~ State: CA 6~ ~3'- TZ o~ City S~@S£ ~ a k e~s'~~~ad d Zip 77~1Z ' ~,~ v cl Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK TotalASTs: = Gal TotalUSTs: = Gal RSs: No ENT°D F E B 2 3 2007 on my inquiry of those individuals Based the informatioersonally responsible for obtaining under penalty of law that I have p examined and am familiar with the information submitte and pomp ete. the information is true, accurate, Q 2/6 ~~ Dat Si lure -1- 01/29/2007 F CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE R IH L 200.00 GAL Hi DIESEL FUEL F IH DH L 500.00 GAL Low -2- 01/29/2007 -3- O1/29/~007 F CALIFORNIA WATER SRV 183-O1 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixture ~ Ambient 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 Daily Average 200.00 GAL 200.00 GAL 200.00 GAL SiteID: 015-021-000290 ~ Facility Unit: Fixed Containers on Site ~ ru~~xtcl~vu~ cvl~irvlvr,lyl~ %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 tl!-~GHtCL HJJ~~51~1~1V 15 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 DIESEL FUEL Location within this Facility Unit CLOSE TO WELL SHELTER STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: ---- CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 500.00 GAL 500.00 GAL 500.00 GAL t1AGHKLVUJ lLV1~lYV1V~1V1~ %Wt. RS CAS# 100.00 Diesel Fuel. No. 2 No 68476302 1'1.F1GE'itCL 1-1J.7~.7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Law -4- O1/29/~007 F CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ~R1~71Oy@~ 1VOL1L . / ~VdCUdG1CJi1 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 10/06/205 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL ON TRUXTUN AVE. -5- 01/29/2007 F CALIFORNIA WATER SRV 183-O1 SiteID: 015-021-000290 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/12/2006 ~ DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING. Release Containment 10/18/2005 LIQUID CHLORINE - SECONDARY CONTAINMENT. Clean Up 08/28/2006 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 F CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~.l.ai naaaiu~ Utility Shut-Offs 04/12/2006 A) ELECTRICAL - MAIN BREAKERS IN ELECT PANELS B) WATER - WATER WELL C) SPECIAL - N/A D) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WELL DISCHARGE. 10/18/2006 Building Occupancy Level 03/13/2006 UNMANNED SITE -7- 01/29/2007 F CALIFORNIA WATER SRV 183-01 SiteID: 015-021-000290 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/18/206 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ALSO ADDRESSES HAZMAT TRAINING. Yage Hera =or r'uture use Held for Future Use ' -8- 01/29/2007