HomeMy WebLinkAboutAST PROGRAM 3-24-15UNIFIED PROGRAM INSPECTION CHECKLIST
Aboveground Petroleum Storage Tank Program
BAKERSFIELD FIRE DEPT.
B. E K s F, „ Prevention Services 9VP FIRE 2101 H Street
�a►,�Rr�l�r r Bakersfield, CA 93301
,OV Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME I ` INSPECTION DATE
ADDRESS / PHONE NO.
T BUSINESS ID NUMBER
FACILITY CONTAC
CONSENT TO INSPECT NAME /TITLE
Qcr'Tinkl I • Ror•nreia Raviaw- r_alifnrnin Haalth R Safpty Cnda- 25270
NSPECTION TIME
O OF EMPLOYEES
DESCRIPTION
Y
N
N/A
COMMENTS
Prepare an SPCC plan [CFR 112.3
1r
Review or amend SPCC plan [CFR 112.5 a)(d)
SPCC plan available on site [CFR 112.3(e)]
V,
-
d/ t; - V
Conduct inspections and test in accordance with written procedures [CFR 1 12.7 e
-►�
Maintain records of inspections, tests and/or procedures [CFR 112.7(e)]
kX.
Records of inspections or tests signed by inspector [CFR 112.7(e)]
x
f
QCr17Ir11U ')- QDrr Dion Pickmanta- f- alitr% min 1- 1021th X tiataty [:nr1A' -lN7111_x_261_ L9L 111.11
DESCRIPTION
Y
N
N/A
COMMENTS
Self- certification for Tier I or II facility 112.6 a 1 , (b) 1
1r
Professional engineer certification CFR112.3 d and 112.6(b)(4)]
Documentation of 5 year review and evaluation of SPCC plan [CFR 112.5 (b)
V,
-
d/ t; - V
Amendments required within 6 months of changes/certifications [CFR 112.5 a) and 112.6 a 2 , (b)(4)]
-►�
Management authorization of resource commitment to implement the SPCC [CFR 112.7 & 112.6(a)]
X
Diagram with location and contents of containers, transfer stations, connecting piping 112.7(a)(3)]
f
Type of oil and storage capacity for each container [CFR 112.7(a)(3)]
Discharge prevention measures and procedures for routine handling CFR 112.7(a)(3)]
k
Countermeasures for discovery, response and clean-up CFR112.7(a)(3)]
Required contact list and phone numbers [CFR 112.7(a)(3)]
CCr- 1lrll►1 'a• rnnerftl Cvr-r- SWIM iiIrarnginTa, 1_a11rnrnla M6321M I% '%ATP_TU l-n[7P_' LnL /U -4 -n- LnL/U_n_ LnL /U -7L
DESCRIPTION
YJ
N
N/A
COMMENTS
Provide corrosion protection [CFR 112.8(c)(4) 5 , (d)(1)]
'
Containers compatible with materials stored [CFR 112.8(c)(1)]
Implement SPCC plan review changes or amendments within 6 months [CFR 112.5 a d
V,
Prepare an oil contingency lan or written control /removal commitments [CFR 112.7 (d)
WI=r--rIr1wI A. cor-r- oI.%W% I r1ft Ir%ow%/4• I -onrnrnim M data irn 14 _-%=TOT'Li 9 iu u -%
DESCRIPTION
Y
N
N/A
COMMENTS
Training program [CFR 112.7
'
Train personnel in operation and maintenance of equipment CFR 112.7(
Conduct annuals ill prevention briefings [CFR 112.7(f)(3) ]
V,
0 fr - rlrlAl G• C Hit Uolifr%rnl9 manim J% 1aTdMTV
DESCRIPTION
Y
N
N/A
COMMENTS
Meet provisions of conditional exemption [H &S 25270.4.5 b
'
Facility security adequate [CFR 112.7
Clean-up materials readily available [CFR 112.7(c)]
V,
Overfill protection procedures or devices in place and operative [CFR 112.8(c)(8
Portable /mobile containers positioned to prevent discharge [CFR 112.8 c 11
Loading / unloading rack drains into containment area [CFR 112.7(h)]
Provide appropriate containment /diversionary structures to prevent discharge [CFR 112.8(a), 112.7(c
Secondary containment adequate to contain capacity of largest container + precipitation [CFR 112.8(c)]
Remove accumulation of oil in secondary containment [CFR 112.8(c)(10)]
Secondary containment valve (s) closed [CFR 112.8
Implement SPCC plan elements [CFR 112.3
NY HAZARDOUS WASTE ON SITE?
xplain:
YES
❑ NO Si nature of Recei t t '
J
POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• Correct the violation(s) noted above by
• 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
Pink - Prevention Services Copy
Signature (that all violations have been corrected as noted)
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance
FD2156b (Rev 9/10)