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HomeMy WebLinkAboutUPI/BUSINESS PLAN 10/2014UNIFIED PROGRAM INSPECTION CHECKLIST Underground Storage Tank Program BAKERSFIELD FIRE DEPARTMENT Prevention Services Division 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 Fax: 661 - 852 -2171 Facility Name: White Lane Chevron -15- 021 - 000437 Date of Inspection: 10/16/2014 Time In: 00 1 Time out: 690'. Address: 2525 WHITE LN-CAL000338366 Inspected by: Shane Gardner ICC# 8248557 Contact: Ni dal Azzi Type of Inspection: Annual Compliance ❑Re- inspection ❑ Complaint Phone: (661 ) 632 -9761 Permission for Inspection Granted by: n 62� Tank ID #1 2 #3 #4 Size 10000 10000 10000 Contents DSL PRM REG Construction DW DW DW Tank Monitoring: DW: Continuous Interstitial Monitoring .,L21bry ❑ Brine/Hydrostatic ❑ Vacuum /Pressure. SW: SIR and Line Test every 2 years. ❑ ❑ ❑ ❑ SW: ATG 0.1 annual. ❑ ❑ ❑ El SW: ATG 0.2 monthly. ❑ ❑ ❑ ❑ SW: Continuous In -Tank Leak Detection (CITLD). ❑ ❑ ❑ El SW: Tank Gauging. ❑ ❑ ❑ El SW: Vadose /GW Monitoring. ❑ ❑' ❑ ❑ Other Description: ❑ ❑ ❑ ❑ Piping Monitoring:' DW Suction: Continuous Interstitial at UDC and Tank Sump. ❑ ❑ ❑ ❑ DW Pressurized: Interstitial at UDC and Turbine Sump and 3.0 gph LLD, ❑ Annual Line Test or ,auto- shutdown and Failsafe. DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc. ❑ ❑ ❑ SW Conventional Suction: Triennial 0.1 gph line test., and daily monitoring. ❑ El ❑ SW Pressurized: Line 0.1 gph annual or 0.2 gph monthly line test and LLD with Auto - Shutdown. ❑ ❑ ❑ SW or DW Safe Suction. ❑ ❑ ❑ SW: Vadose Zone or GW Monitoring. ❑ ❑ ❑ El DW or SW: Gravity Flow Pipe. ❑ ❑ ❑ El Other Description: ❑ ❑ ❑ ❑ References to the Health and Safety Code, the California Code of Regulations and the Code of Federal Regulations throughout this Appendix are intended to be useful but are not necessarily exhaustive of all legal references that might apply or be relevant to a specific compliance determination. Laws and regulations are subject to change, so the references contained herein may not be up to date. It is the responsibility of the owner and operator to know and comply with all applicable legal requirements. KERN BUSINESS FORMS - (661) 325 - 5818- #6013 FACILITY NAME C= Compliance C V ( ) OPERATION INSPECTIO�IDATE INSPECTION TIME V= Violation ❑ APPROPRIATE PERMIT ON HAND (BMC. 15.65.080) ADDRESS PHONE NO. NO OF EMPLOYEES . ❑ ❑ BUSIR @SS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1 FACILITY CONTACT ` E R BUSINESS ID NUMB _ t Conse6t to Inspect`Name /Title ❑ CORRECT.00CUPANCY (CBC: 401) [1 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) f Y a,o S Ni r � Se�tFOn � �us�ness fan x d Z J ... �a ,. ..w.F. .,:., .A .,: if .. �r.�.., .... ,n a::. LK. :... .» fix. ✓...2, aaY .R.. 5. C ;.ROUTINE ❑ COMBINED: ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C= Compliance C V ( ) OPERATION COMMENTS V= Violation ❑ APPROPRIATE PERMIT ON HAND (BMC. 15.65.080) t,Lfl ❑ ❑ BUSIR @SS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.:52.020) ❑ CORRECT.00CUPANCY (CBC: 401) [1 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) VERIFICATION OF QUANTITIES (CCR: 2729.4) [1, VERIFICATION OF LOCATION (CCR: 2729.2) . PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ 'VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©° ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) . El VERIFICATION OF ABATEMENT SUPPLIES ,& PROCEDURES . (CCR: 2731(c)) ❑, EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) - ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑`� CI HOUSEKEEPING (CFC:;304.1) ❑ ' ❑ - FIRE PROTECTION (CFC: 903 & 906) ;❑ `. El SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES /j2 NO Signature ofRIeeeipt ,. Explain,: POST INSPECTION INSTRUCTIONS: • :. Correct the violation(s) noted above by ; !:' Signature (that all violations have been corrected as noted) • Within 5 days of correcting all of the violations, sign: and :return a copy of this page to: