HomeMy WebLinkAbout104 CLYDE STREET (2)6"
+ CALIFORNIA WATER SRV 083-O1 _________________________ SiteID: 015-021-002097 +
~ . ,
Manager : TIM TRELOAR BusPhone: (661) 837-7200
Location: 104 CLYDE ST Map : 103 CommHaz : High
City : BAKERSFIELD Grid: 32D 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: RSs 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: Yes
ParcelNo:
+------------------------------------------------------------------------------~
Emergency Directives:
PROG A - HAZMAT
PROG T- ABOVEGROUND STORAGE TANK
+______________________________________________________________________________+
-1- 08/25/2008
+ CALIFORNIA WATER SRV 083-01 _________________________ SiteID: 015-021-002097 +
+= Hazmat Inventory _________________________________________ By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers on 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 083-01 _________________________ SiteID: 015-021-002097 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers on 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 _____+
I Liquid ~ Mixture ~ Ambient ~ Ambient ~ ABOVE GROUND TANK I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co200100rG~ I Daily 200100m G~ I Daily 200r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 12t50ISodium Hypochlorite INosl CAS#7681529I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlYeslBNoHazl RN~d~oactive/Cur1'es I FPP HalHrds I jF~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 083-01 ________________________= SiteID: 015-021-002097 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 08/30/2000 +
CALL 911.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation _______________________________________________+
+______________________________________________________________________________+
+___= 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 _____________________________________ 08/04/2006 +
MERCY HOSPITAL, TRUXTUN AVE.
+______________________________________________________________________________+
-4- 08/25/2008
+ CALIFORNIA WATER SRV 083-01 _________________________ SiteID: 015-021-002097 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 09/27/1994 +
DIESEL IS STORED IN AN ABOVEGROUND CONVAULT TANK.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 10/17/2006 +
IF AN ABOVEGROUND CONVAULT TANK WERE TO START LEAKING, ARRANGEMENTS WOULD BE
MADE TO INIMEDIATELY REMOVE ALL FUEL FROM THE TANK. THE CONVAULT TANK HAS A
BUILT-IN SECONDARY CONTAINER AND IS ENCASED IN CONCRETE.
+______________________________________________________________________________+
±___= Clean Up ____________________________________________________ 10/17/2006 +
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 083-O1 _________________________ SiteID: 015-021-002097 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ________________________________________________________+
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 08/04/2006 +
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDR.ANT - WELL DISCHARGE.
+______________________________________________________________________________+
+____= Building Occupancy Level __________________________________= 02/27/2006 +
UNMANNED SITE.
+_____________________________________________L=====___________________________+
-6- 08/25/2008
+ CALIFORNIA WATER SRV 083-01 _________________________ SiteID: 015-021-002097 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 05/12/2006 +
MATERIAL SAFETY DATA SHEETS ON FILE.
+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-~- os/25/2oos
+ CALIFORNIA WATER SRV 083-01 _________________________ SiteID: 015-021-002097 +
+_________________________________________________________________ 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
^ YES ^ NO
FACILITY NAME ' ~
~~~ Q~~ Q/ INSPE TION D E
~'
y INSPECTION TIME
~ o
z
ADDRESS ~ / P NE NO. ~~
Y 3 J NO OF Efy]pLOYEES
~T
FACILITY CONTACT
J 7' ~ ~~
~
// BUSINESS ID NUMBER
15-021-
~
i
OS
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ O P E RAT I O N
v=violation
C O M M E N T S
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSIIlBSS 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 ~
O ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^ FIRE PROTECTION
^ ^ SITE DIAGRAM ADEQUATE & ON HAND .
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
Prevention Services
a e R S F, 0 900 Truxtun Ave., Suite 210
-- -__._.__._..__.. ---
FlRE Bakersfield, CA 93301
~erM r Tel.: (661) 326-3979
~ Fax: (661) 872-2171
Ktfh-IiU1J
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
T • (~ . ~
Insp ctor (Please Print) Fire Pr~;vention / 1~' In / Shift of Site/Station # Business Site / Responsible Party (Please Print)
White - Preveniion Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
~.,,,.~.. _-.,...,
y~ ' ~
~4~ Prevention Services
UNIFIED PROGRAII~ INSPECTION CHECKLIST~ ~
~ B_A ...e...._R. S F, e__D 900'IYuxtun Ave., Suite 210
"~~_;~ ===~=~=--~~n°,~ ° >~,~~ ~~~°~-~ FiRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program °~"Rr"' .r Tel.: (661) 326-3979
, ~ Fax: (661) 872-2171
FACILITY NAME
U ~~ ~~~ ~ C1 ~ INSPECTION D E
.~7 ~d INSPECTION TIME
ADDRESS
D ~' PH NE NO.
Q'3 ~ 7zc~ NO OF EM LOYEES
-~-
FACILITY CONTACT ~~^
/
~/ 7' 7'd" BUSINESS ID NUMBER
15-021-
~
o
ROUTINE ^ COA1BINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comp~iance~ OPERATION
C O M M E N T S
v=vio~ation
^
^ ~
APPROPRIATE PERMIT ON HAND
^ ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE
\
^ ^ VISIBLE ADDRESS ~
^ ^ CORRECT OCCUPANCY
^ ^ VERIFICATION OF INVENTORY MATERIALS v
^ ^ ~>.. VERIFICATION OF QUANTITIES
~ -
^ ^ VERIFICATION OF LOCATION
^ ^ PROPER SEGREGATI~~N OF MATERIAL
r ~
^ ^ VERIFICATION OF MSDS AVAILABILITY ~
\
^ ^ VERIFICATION OF HA:? MAT TRAINING ~~ ~~ - '
^
^
VERIFICATION OF ABi>TEMENT.SUP.PLIES AND PROCEDURES . . .
~ ~ ~ i^' ...
~ , ~ _
.
~ ~
^ ~
^ ~
, , ~ ,
EMERGENCY PROCEUURES ADEQUATE ... -
,
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^ FIRE PROTECTION
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON :>ITE?
EXPLAIN:
QUESTIONS REGARDING THIS IINSPECTION? PLEASE CALL US AT (661) 326-3979
~ r • ,.~-p' CI . () `~ • `~' ~ ./
Insp, ctor (Please Print) Fire Pn:vention / 1~' In / Shift of Site/Station # Business Site / Responsible Party (Please Print)
^ YES ^ NO
t
e
White - Prevenlion Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05