HomeMy WebLinkAboutBUSINESS PLAN 10/19/2007
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I~ CALIFORNIA WATER SERVICE
~' 2009 YARNELL CT
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C~~DII~tAL
C113
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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