HomeMy WebLinkAboutUPI CHECKLISTUNIFIED 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:
Rio Bravo are -1 -021 -03286
Date of Inspection:9 /12/2014
Time In: Time Out: l<00
Address:
201 Lae Ming Rd-Applied
Inspected by: Shane Gardner
ICC# 8248557
Contact:
Iran in
Tge of Inspection:
nnual Compliance ❑Re- inspection ❑Complaint
Phone:
1(661) 487-5404/(661) -41 (24-hour)
Permission for Inspection Granted by:
Tank ID
#1
#2 `
#3
#4
Size
12000
12000
Contents
REG
REG
Construction
DW
DW
Tank Monitoring:
DW: ontinuous Interstitial Monitoring
❑ Brine/Hydrostatic ❑ Vacuum /Pressure.
�❑''
❑
❑
SW: SIR and Line Test every 2 years.
❑
❑
❑
El
SW: ATG 0.1 annual.
❑
❑
❑
❑
SW: ATG 0.2 monthly.
J2'
,,ET
❑
SW: Continuous In -Tank Leak Detection (CITLD).
❑
❑
❑
El
SW: Tank Gauging.
❑
❑
❑
❑
SW: Vadose /GW Monitoring.
❑
❑-
❑
❑
Other Description:
❑
❑
❑
El
Piping Monitoring:
DW Suction: Continuous Interstitial at UDC and Tank Sump.
❑
❑
❑
El
DW Pressurized: Interstiti# at UDC and Turbine Sump and 3.0 gph LLD,
❑ Annual Line Test or Auto- shutdown and Failsafe.
❑
0
.Z
DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc.
❑
❑
❑
El
SW Conventional Suction: Triennial 0.1 gph line test., and daily
monitoring.
❑
❑
❑
SW Pressurized: Line 0.1 gph annual or 0.2 gph monthly line test and
LLD with Auto - Shutdown.
❑
❑
❑
El
SW or DW Safe Suction.
❑
❑
❑
❑
SW- Vadose Zone or GW Monitoring.
r SW: Gravity Flow Pipe.
❑
��
❑
❑
❑
❑
El
Other Description:
❑
❑
❑
References to the Health and Safety Code, the California Gode of Regulations ana the L;oae or reaerai Regulauons inrvuynUuL uns aic
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.
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
ISO,
❑2
[�f �3
r5 04
06
9
012
❑15
❑16
❑17
❑18
❑19
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
✓❑ On -Site Review
This Inspection is being cogddcted during the annual
monitoring certification. YES o NO
The service technician has provided ICC Certification and
manufacturers training documentation, and possesses a tank
testo''s license or works under a CSLB contractor's license.
L� YES O NO
04 ❑ Interstitial monitoring conducted properly. 40 CFR 280.40(a)(2), RD RD RD RD ❑
280.43(g)(1)&(2); T23 CCR 2632 (c)(2); 2634 d 1
035 ❑ VPH monitoring conducted properly. HSC 25290.1 RD RD RD RD
O SIR
036 SIR and Biennial 0.1 gph tank test performed properly. 40 CFR RD RD RD RD
280.41, 280.43; T23 CCR 2643, 2646.1
037 Non - passing SIR monitoring report results are reported and r RD RD RD
investigated properly. 40 CFR 280.41(a), 280.43(h)(1),(2); T23 CCR 2646.1
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
General �'
0
Tank systems meet current construction standards as required
❑
for type of system. HSC 25288
21
Hazardous substance tanks have secondary containment. 40
RP
RP
RP
RP
❑
CFR 280.42(b); T23 CCR 2631
22
Electronic monitoring system has audible and visual alarm in
❑
r
operating condition. T23 CCR 2632, 2634, 2636
911
Monitor console programmed appropriately for monitoring
❑
option used. T23 CCR 2638, 2643, 2643.1
❑24
Tank systems in temporary closure meet requirements. 40 CFR
RD
RD
RD
RD
280.70; T23 CCR 2670 & 2671
5
Overfill Prevention m�phanism present and operational
according to type: E2FIapper valve ❑ Audible- visual alarm
RP
RP
RP
RP
❑
❑ball float. ❑ alarm and Ball Float 40 CFR 280.20(c)(1)(Y),
280.21(d); T23 CCR 2635(b)(2), 2631 d 4
k246-
Spill prevention device is present and functional (in good
condition and drain mechanism operational if applicable). 40 CFR
RP
RP
RP
RP
❑
280.20 c 1 1, 280.21(d); T23 CCR 2635(b)(1);2665
27
Piping and piping penetration boots within sumps /UDC are in
❑
good condition. HSC25288(a), 25292.1
28
All sumps, spill buckets, and UDC's free from debris and liquid.
❑
HSC 25291(e), 25290.1, 25290.2; T23 CCR 2635(b)(1)(C)
29
Areas around vents appear to be free from signs of liquid
❑
releases. HSC 25288(a), 25290.1, 25290.2, 25295.5
'30
Release Detection methods are present and meet performance
RD
RD
RD
RD
❑
standards. See LG -113. 40 CFR 280.40(x)(3)
1
All sensors are correct for the type of system and operational.
RD
RD
RD
RD
El
r
40 CFR 280.40 a 2 , 280.43(g)(1)&(2); HSC 25290.1 e , 25290.2, 25291; T23 CCR 2638
3 2
All sensors are located in the proper position /location. 40 CFR
RD
RD
❑
280.40(a)(2), 280.43(g)(1) &(2); HSC 25290.1, 25290.2, 25291; T23 CCR 2630(d);
RD
RD
);2641(a
W2632(c
3
All secondary containment, including UDC shall be equipped
with a continuous monitoring system that either activates an
❑
AN alarm or stops the flow of product at the dispenser when it
detects a leak. T23 CCR 2636 (0(1)
Tank Monitoring
04 ❑ Interstitial monitoring conducted properly. 40 CFR 280.40(a)(2), RD RD RD RD ❑
280.43(g)(1)&(2); T23 CCR 2632 (c)(2); 2634 d 1
035 ❑ VPH monitoring conducted properly. HSC 25290.1 RD RD RD RD
O SIR
036 SIR and Biennial 0.1 gph tank test performed properly. 40 CFR RD RD RD RD
280.41, 280.43; T23 CCR 2643, 2646.1
037 Non - passing SIR monitoring report results are reported and r RD RD RD
investigated properly. 40 CFR 280.41(a), 280.43(h)(1),(2); T23 CCR 2646.1
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Nqma- Date:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
^i. t'
WO
01
0 Automatic Tank Gauging (ATG) Continuous In-Tank Leak
1
1
Detection (CITLD)
081
ATG or CITLD 0.2 gph monthly test performed properly. 40 CFR
RD
RD
RD
RD
❑
280.43; T23 CCR 2643(p)(1), 2643(b)(5)
ATG generates a hard copy printout of all data reported
,g39
including time and date, tank I.D., fuel depth, water depth,
temperature, liquid volume and duration of test. If installed after
❑
1/1/95 printout includes calculated leak rate and leak threshold.
T23 CCR 2643(b)(1)
0 Manual Tank Gauging (SW tanks </=1000 gal. ONLY)
❑40
Weekly manual tank gauging performed properly. 40 CFR 280.43;
RD
RD
RD
RD
T23 CCR 2645
1
❑41
Tank Integrity test performed, if necessary. 40 CFR 280.43; T23 CCR
RD
RD
RD
RD
2645
0 Vadose Zone and/or Groundwater Monitoring
❑42
Monitoring system is installed and monitored properly. 40 CFR
RD
RD
RD
RD
.16
280.43, T23 CCR 2647-48
*Tank Exemption
❑43
Tanks/piping meet tank exemption criteria, and weekly visual
monitoring records are kept up-do-date. HSC25283.5
Pipe Monitoring
'0 Continuous Monitoring System
DW piping (gravity, suction, pressure) in the turbine sump has
continuous monitoring system that activates an audible and
RD
RD
RD
RD
❑
visual alarm or restricts or stops flow at dispenser. T23 CCR
2636 (0(1)
15
DW piping in the UDC is continuously monitored and method
either shuts down the flow of product to the dispenser or
❑
activates an AN alarm. T23 CCR 26360(1)
* Line Integrity Testing for Pressurized Piping
❑46
An annual 0.1 gph line integrity test is performed properly.
RD
RD
RD
RD
(Either third party or by Enhanced Line Leak Detection) T23 CCR
2636 (0(4)
;21147
-
in lieu of the annual tightness test for DW pressurized piping,
the monitoring system for all product piping outside the
dispenser is fail-safe and shuts down the pump when a leak is
RD
RD
RD
RD
❑
detected and the monitoring system shuts down the pump or
flow restriction occurs when a leak is detected in the UDC. T23
CCR 26360(5)
0 Line Leak Detectors (LLD)
8
LLD's installed, annually tested, and operational on DW
J4
pressurized piping that detects a 3.0-gph leak, and restricts or
RD
RD
RD
RD
❑
shuts off flow of product. T23 CCR 26360(2)
0 DW Emergency Generator Tank
❑49
LLD activates AN alarm and monitoring system is checked
RD
RD
RD
RD
daily. T23 CCR 26360(2)
❑50
In lieu of LLD, continuous monitoring system of DW emergency
generator tank activates AN alarm, system is checked daily,
and logs are kept. T23 CCR 2636 0(6)
0 Line Integrity Testing
❑51
SW pressurized piping: annual 0.1 gph line integrity test or a
monthly 0.2 gph line integrity test is performed properly. 40 CFR
RD
RD
RD
RD
280.41, 280.44; T23 CCR 2643(c) (2),Q)
1
❑52
SW conventional suction system: 0.1 gph line integrity test is
RD
RD
RD
RD
performed every three years. 40 CFR 280.40, 280.41; T23 CCR 2643(d) _11
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facilitv Name: Date:
053
SW conventional suction system: inspections conducted for
presence of air in the pipeline. Daily monitoring records are
kept. T23 CCR 2643(d)
054
SW gravity flow piping: biennial 0.1 gph integrity test or overfill
tank integrity test is conducted within allowable time frames.
T23 CCR 2643(e)
O Safe Suction (SS) System
055
Piping meets the SS requirements. 40 CFR 280.41; T23 CCR 2636(a)(3)
RD
RD
RD
RD
A -D
O LLD for Pressurized Piping
❑56
LLD's installed, annually tested and operational on SW
pressurized piping. Pump shuts down when a leak occurs and
RD
RD
RD
RD
when the LLD fails or is disconnected. T23 CCR 2666
❑57
LLD's installed, annually tested, and operational on SW
/
emergency generator systems; LLD is connected to an AN
alarm. 40 CFR 280.40(x)(2), 280.43(g)(1),(2), 280.44(a); T23 CCR 2666
Corrosion Protection
058
Metal Tanks and piping components have corrosion protection,
RP
RP
RP
RP
or are isolated from the backfill. 40 CFR 280.20, 280.21
059
Corrosion protection equipment turned on, functioning properly
and provides continuous protection. 40 CFR 280.31(a),(b)(1); T23 CCR
RP
RP
RP
RP
2635
❑60
Cathodic protection system is tested within 6 months of
installation and then every 3 years. 40 CFR 280.31(a) & (b)(1); T23 CCR
RP
RP
RP
RP
2635 a 2
061
Impressed current systems checked every 60- calendar days
RP
RP
RP
RP
and records are up-to-date. 40 CFR 280.31(c); T23 CCR 2635(a)(2)
On -site Paperwork
Permit and conditions available on -site. Facility is operated
❑
according to permit and conditions. HsC 25293; 25299; T23 CCR 2712(1)
Monitoring and response plans are on -site and are the
❑
approved version. T23 CCR 2712(i); 2632 ;2634; 2641
4
Site plan depicts current site conditions and has all required
❑
elements. T23 CCR 2632(d)
5
All release detection records for monitoring method are
available, up -to -date, and appropriate for leak detection
RD
RD
RD
RD
❑
method. 40 CFR 280.41, 280.45
6
All monitoring /testing records /documents are available for the
required timeframe. (3 years, 6'/2 years, five years, life of tank) T23 CCR
El
2712
Equipment maintenance records/logs available. T23CCR2712(b)
❑
E1W
Alarm logs /tapes available and appropriate follow -up actions
❑
occurred. T23 CCR 2712(b); 2632, 2634
Visual observation logs available, up -to -date, and appropriate
❑
follow-up actions to problems occurred. T23 CCR 2712(b); 2642
Designated UST Operator monthly reports available and
❑
com lete. T23 CCR 2715
Z1
Employee training records available and training appropriate
❑
and up-to-date. T23 CCR 2715
072
Suspected or actual unauthorized releases are recorded
and /or reported within allowed timeframes, including non-
RD
RD
RD
RD
passing test results. Leak and Spill Logs available. 40 CFR 280.50;
T23 CCR, 2650, 2652
3
Financial Responsibility Certificate and mechanisms (CFO
Letter, etc.) on -site and up -to -date. HsC 25292.2, 25299.30- 25299.34; T23
Ll
El
I
CCR 2711; T23 2808.1; 2809 - 2809.2
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facilitv Name: Date:
On-Site Observation of Periodic Testinq
04 Spill-bucket testing conducted appropriately and a passing test El
Kachieved.
5 Secondary Containment testing conducted appropriately and a
Dassina test achieved.
SOC AND RED TAG
Item
# � Inspection Comments:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
N
a. This facility is in compliance with Release Detection (RD) requirements only. (No
violations in boxes marked RD, but one or more in boxes marked RP.)
❑
b. This facility is in compliance with Release Prevention (RP) requirements only. (No
violations in boxes marked RP, but one or more in boxes marked RD.)
1:1
c. This facility is in compliance with BOTH Release Detection (RD) and Release
Prevention (RP) requirements. (No violations in boxes marked RD or RP.)
d. This facility is NOT in compliance with both Release Detection (RD) and Release
Prevention (RP) requirements. (One or more violations marked in (both) boxes RD
and RP.)
❑
NIY
Z vw
A Red Tag was issued to this facility based on the results of this inspection.
Red Tag #
❑
Reason for Red Tag (Choose one):
1. Violation that causes or threatens to cause a liquid release. CCR 2717(a)(1)
❑
2. Violation that impairs the ability of an UST system to detect a leak. CCR 2717(a)(2)
❑
3. Chronic violation or committed by a recalcitrant violator. CCR 2717(a)(3)
❑
Item
# � Inspection Comments:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
BAKERSFIELD FIRE DEPT.
Prevention. Services
UNIFIED PROGRAM INSPECTION CHECKLIST _A aS �E_R 2101 H Street
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program F' Tel.: (661) 326 -3979
a Fax: (661) 852 -2171
FACILITY,NAME
'
INSP CTION DATE
INSPECTION TIME
1D 3`0ALIC:i'' ?a-%'
9112
VISIBLE ADDRESS
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID.. NUMB-gER
{�
i
J 1
Consent to Inspect Name /Title
NX
::; =5::::::I ::: f::; ::::: :zap.:::::;: ili: r a ::::::rr : .. :. ., ::: :::::::::;
lffl: a u t. B�...... P >.. n i r
±...t . ............ :..............!�.. ........................... ...................�........... d.............± P..... C.. tft............................................. ...............................
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
i C =Compliance) OPERATION
V =Violation
COMMENTS
/
0 ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC:15- 52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
. ❑
C.ERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
I 1:1
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729:3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION.
(CCR: 2729.2)
❑
PROPER SEGREGATION. OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY .
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
.
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
�f ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? 'ES
NU.5;r'
Explain :
i nature of Receipt:,
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)