HomeMy WebLinkAbout141 BLISS STREET (2)~ ~ .
+ CALIFORNIA WATER SRV 159-01 _________________________ SiteID: 015-021-001948 +
Manager : TIM TRELOAR BusPhone: (661) 837-7200
Location: 141 BLISS ST Map : 103 CommHaz : High
City : BAKERSFIELD Grid: 32C FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:4941
EPA Numb: DunnBrad:00-691-3578
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
TIM TRELOAR / DISTRICT MGR RUDY VALLES / ASST DIST MGR
Business Phone: (661) 837-7200x Business Phone: (661) 837-7271x
24-Hour Phone :(661) 837-7200x 24-Hour Phone :(661) 837-7271x
Pager Phone : ( ) - x Pager Phone : ( ) - x
+---------------------------------------+--------------------------------------+
~ Hazmat Hazards: Fire Press 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 159-01 _________________________ SiteID: 015-021-001948 +
+= Hazmat Inventory _________________________________________ By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
~ SODIUM HYPOCHLORITE F P IH L 200.00 GAL Hi I
+______________________________________________________________________________+
-2- 08/25/2008
+ CALIFORNIA WATER SRV 159-O1 _________________________ SiteID: 015-021-001948 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
SODIUM HYPOCHLORITE I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
FENCED ENCL NEXT TO PUMP I CAS# I
7681-52-9
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient I Ambient ~ ABOVE GROUND TANK I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co200100rGAL I Daily 200100m G~ I Daily 200r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 12t50ISodium Hypochlorite INoSI CAS#7681529I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I FPP HalHrds I%F~A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I 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 159-01 _________________________ SiteID: 015-021-001948 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 05/16/2006 +
CALL 911 AND 800-852-7550 OR 916-427-341.
+______________________________________________________________________________+
+__= 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/Ol/2006 +
MERCY HOSPITAL.
+______________________________________________________________________________+
-4- 08/25/2008
+ CALIFORNIA WATER SRV 159-01 _________________________ SiteID: 015-021-001948 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ___________________________________________= OS/16/2006 +
SODIUM HYPOCHLORITE IS STORED IN AN ABOVEGROUND SECURE AREA.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 04/30/1999 +
THE SODIUM HYPOCHLORITE IS SECONDARILY CONTAINED.
+______________________________________________________________________________+
+___= Clean Up ________________________________________________________________+
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-5- 08/25/2008
+ CALIFORNIA WATER SRV 159-O1 _________________________ SiteID: 015-021-001948 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 07/20/2007 +
ELECTRICAL - SERVICE BOX INSIDE SITE
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 10/18/2006 +
FIRE HYDR.ANT - WELL DISCHARGE.
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 05/16/2006 +
UNMANNED SITE
+______________________________________________________________________________+
-6- 08/25/2008
+ CALIFORNIA WATER SRV 159-01 _________________________ SiteID: 015-021-001948
+_________________________________________________________________ Fast Format
+= Training _____________________________________________________ Overall Site
+_= Employee Training _____________________________________________ 02/26/2007
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: CALIFORNIA WATER SERVICE CO PROVIDED THE
FOLLOWING TRAINING: SAFETY PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIALS
RELEASE OR THREATENED RELEASE; HAZARD CONIMUNICATION STANDARD; EVACUATION
PROCEDURES; PROPER HANDLING OF HAZARDOUS MATERIALS; AND HMMP IMPLEMENTATION.
+
+
+
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+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-~- os/2s/2ooa
+ CALIFORNIA WATER SRV 159-O1 _________________________ SiteID: 015-021-001948 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-8- 08/25/2008
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B e R S F, 0 900'IYuxtun Ave., Suite 210
F/RE Bakersfield, CA 93301
~RrM ~ Tel.: (661) 326-3979
~ Fax: , (661) 872-2171
FACILITY NAME 7 ~n~ ~ Q/
. ~j/` /L / INSPE TION D E-
~y ~aa INSPECTION TIME
ADDRESS ,/ //`~
// /V~f~ P ONE N.
bV /' //uv`-~ NO OF EMPLOYEES
~C/
FACILITY CONTACT ?
~rJ 7' ~~ 7O
~~~~ ~~~/ BUSINESS ID NUMBER
15-021=
c~,
. m~ir '*~'' ~,' '~''~~ ~ ~l~ ~ ~~ ~ ~k,n ~ ~;a ai ~ `~ ` t ~r ~.' rr ,.~ °~ °, ~- ~
{
.,, Section~1:=iBus~ness Plan,-0and In~entor 7 P~o ram '~` `
~ ~~a ~ ~~ ,~,~. ° ~~ ~, ~ y 9 . . ~.~_, _.. '~ r
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ 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?
EXPLAIN:
^ YES ^ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~. s~. ~~
Insp tor (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