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BAKERSFIELD FIRE DEPT.
R aRrN 1, ; Prevention Services
2101 H Street
.: Bakersfield, CA 93 301
UNIFIED PROGRAM INSPECTION CHECKLIST". Tel.:. (661) 326- 3979
Fax: (661) 852 -2171
Aboveground Petroleum Storage Tank Program
FACILITY NAME
` I I.A. I fk "v,
INSPECTION DATE
?
INSPECTION TIME
ADDRESS
PHONE NO..
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME /TITLE,
SECTION 1, Records Review, Galitornia Health & Satety Gocie: Z5Z7U
DESCRIPTION
Y
N
N/A
COMMENTS
Prepare an SPCC plan [CFR 112.3]
V
;,, it r '`
Review or amend SPCC plan [CFR 112.5 (a)(d)]
Q
SPCC plan available on site [CFR 112.3(e)]
N,.
Conduct inspections and test in accordance with written procedures CFR 112.7(e)]
Maintain records of inspections, tests and/or procedures CFR 112.7(e)
,
Records of inspections or tests signed by inspector [CFR 112.7(e)]
SECTION 2: SPCC Plan Elements: California Health & Safety Code: 25270.4.5. 25270.12
DESCRIPTION
YJ
N
N/A
COMMENTS
Self- certification for Tier I or II facility [112.6(a)(1),(b)(1)
V
;,, it r '`
Professional engineer certification CFRl 12.3(d) and 112.6(b)(4)]
Documentation of 5 year review and evaluation of SPCC plan [CFR 112.5(b)]
N,.
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)]
Diagram with location and contents of containers, transfer stations, connecting piping [112.7(a)(3)]
Type of oil and storage capacity for each container [CFR 112.7(a)(3) -r
Discharge prevention measures and procedures for routine handling CFR 112.7(a)(3)]
,
Countermeasures for discovery, response and clean-up [CFR112.7(a)(3)]
K
Required contact list and phone numbers [CFR 112.7(a)(3)
`,
CFr-TlnlU R• rZanarnl SPf?C Rnniiiramentc" Calitnrnia Health K Safety Cndw 25770.4.5- 25270.5_ Z5Z7U_'12
DESCRIPTION
Y
N
N/A
COMMENTS
Provide corrosion protection [CFR 112.8(c)(4)(5), d)(1)]
V
;,, it r '`
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)]
.:
Prepare an oil contingency plan or writtencontrol /removal commitments [CFR 112.7(d)]
SF['_Tl("1N A- SPCC Plan Trnininn, Calitnrnia Health & Satety Cocle: Z5Z70.4.h
DESCRIPTION
Y
N
N/A
COMMENTS
Training program CFR 112.7(f)
Train personnel in operation and maintenance of equipment [CFR 112.7(f)]
Conduct annuals ill prevention briefings [CFR 112.7(f)(3)]
SECTION 5- Facility Insnection, Calitornia Health & Satety Gode: Z5Z7U.4.5
DESCRIPTION
Y
N
NIA
COMMENTS
Meet provisions of conditional exemption [H &S 25270.4.5(b)]
Facility security adequate [CFR 112.7(g)]
Clean-up materials readily available CFR 112.7(c)
Overfill protection procedures or devices in place and operative [CFR 112.8(c)(8)] t+
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 112.81
`,
Implement SPCC plan elements [CFR 112.3] '"
AV
ANY HAZARDOUS WASTE ON SITE? 1 YES ❑ NO ISignatureof Recei t
Explain:
POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions _.
....
• Correct the violation(s) noted above by Signature (t-hat 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 FD2156b (Rev 9/10)