HomeMy WebLinkAboutBUSNESS PLAN 1/12/2009P~evention Services
UNIFIED PROGRAIVI INSPECTION CHECKLIST~ A A F R s r,~ s, n 9oo~-uxtunt~ve:; suite2lo
~ = - - :-._..- _._....~m_=~m. _T. - _~:~_____ _ _- _--_ ___.__ __ __
-_ - -~---- ~ _ __ -LL' ~ ~ F/RE ~ Bakersfield, CA 93301
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SECTION 1. Business Plan and Inventory Program ;~ .' ~ Tel.: (661) 326-3979
~1 F~: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
C. ~ ~~- e- ~' 1-! 2- v 9 ~ 3
ADDRESS
'
~ PHONE NO. NO OF EMPLOYEES
~ ~ (.~~ ` ~'
~
FACILITY CONTACT BUSINESS ID NUMBER
15-021- UU 2~ ~ O
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINTAGENCY ^ MULTI-AGENCY ^ COMPLAINT ~ RE-INSPECTION '''
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSI112SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
C~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ 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
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES L`T NU
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~i /~-~JV~"g~'.' ~`~.
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
Manager : TIM TRELOAR
Location: 730 BRUNDAGE LN
City : BAKERSFIELD
BusPhone: (661) 396-2400
Map : 124 CommHaz : High
Grid: 06A FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:4941
DunnBrad:
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR
Business Phone: (661) 396-2400x Business Phone: (661) 837-7271x
24-Hour Phone :(661) 396-2400x 24-Hour Phone :(661) 396-2400x
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 CO Phone: (661) 837-7200x
Address : 3725 S H ST State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------------------------------------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
PROG T- ABOVEGROUND STORAGE TANK
+______________________________________________________________________________+
-1- 08/25/2008
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
+= 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 I
+______________________________________________________________________________+
-2- 08/25/2008
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
SODIUM HYPOCHLORITE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
AT PLANT I 7681-52S9 I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient ~ ABOVE GROUND TANK ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
200.00 GAL 200.00 GAL 200.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I~wt I ypochlorite INosl CAS#7681529I
12.50 Sodium H
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I EPA RalHrds I%F%A/ USDOT# HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-3- 08/25/2008
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 02/26/2007 +
CALL 911.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 02/26/2007 +
UNMANNED SITE.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ___________________________________= 02/26/2007 +
EMERGENCY SERVICES WILL MAKE THIS DECISION, UNLESS IT IS NECESSARY TO
EVACUATE PRIOR TO THEIR ARRIVAL.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 10/16/2006 +
MERCY HOSPITAL, TRUXTUN AVE.
+______________________________________________________________________________+
-4- 08/25/2008
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 06/10/2002 +
DAILY SITE VISIT BY CWS PERSONNEL TRAINED IN HAZMAT REPORTING.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 06/10/2002 +
LIQUID CHLORINE-SECONDARY CONTAINMENT
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 10/16/2006 +
REFER TO SECTION II - ITEM C
RELEASE ABATEMENT WOULD BE PERFORMED BY AN INDEPENDENT REMEDIATION
CONSULTANT, AS NEEDED, AND TO THE SATISFACTION OF THE RESPONSIBLE REGULATORY
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-5- 08/25/2008
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ________________________________ +
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 02/26/2007 +
ELECTRIC AT PANEL.
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 02/26/2007 +
FIRE EXTINGUISHERS
FIRE HYDR.ANT
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 03/09/2006 +
UNMANNED SITE
+______________________________________________________________________________+
------------ ------- ------ --------
-6- 08/25/2008
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 10/16/2006 +
MSDS IN FIELD OFFICE AND STATION ELECTRICAL PANEL.
BRIEF SUMMARY OF TR.AINING PROGRAM: SITE VISITS ARE MADE DAILY BY PUMP
OPER.ATORS TR.AINED IN HAZMAT REPORTING PROCEDURE. MONTHLY COMPANY SAFETY
PROGR.AM ALSO ADDRESS HAZARDOUS MATERIAL TRAINING.
t______________________________________________________________________________+
g -------------------------------------------------------------------
+__= Pa e --------+
--------------------------------------------------
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-~- os/2s/2oos
+ CALIFORNIA WATER SRV 035-02 _________________________ SiteID: 015-021-002370 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-8- 08/25/2008