HomeMy WebLinkAbout2015 REPORT FMCBAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
Underground Storage Tank Pr ram 2101 H Street
DW Inspection Repor Bakersfield, CA 93301
Permission to Inspect:
�� Phone: 661-326-3979
Fax: 661-852-2171
Business Name: Howard's Mini Mart-15-021-048118-Kevin Chea
Date: 10/27/2015
Address Name: 4201 Belle Terrace-CAL000407742
Inspector Name: Shane Gardner #8248557
Inspection Type: Routine �1
Report: Final
NVO = No Violation Observed OUT = Out of Compliance NA = Not Applicable UD = Undetermined
COS = Corrected On Site RPT = Repeat Violation
Violation
Pio-g-ram Requirement
00
SOC
Comments
No
0 Co
z
0
z
:)
0
>
File Review
Facility Tank Information
2030021
Facility has a valid Permit
Tank 1-15000-REG-DW
to Operate from the
Tank 2-1 0000-PRM-DW
CUPA - 23 CCR 16 2712(1);
E
F-1
❑
❑
❑
❑
None
Tank 3-5000-DSL-DW
HSC 6.7 25284
Tank 4-
2010010
UST Operating Permit
Facility information in CERS
Application for Facility
is not accepted.
information and Tank
information
❑
E
❑
1:1
❑
❑
None
submitted/maintained - 23
CCR 16 2711; HSC 6.7
25286(a)
2010001
Current BOE number
submitted to the CUPA
1:1
D
❑
❑
❑
None
and/or CERS - HSC 6.7
25286 c
2030011
UST compliance
statement and/or
Designated Operator
E
❑
None
current certification
submitted - 23 CCR 16
2715(a), 2715(b)
2030046
A complete and accurate
response plan has been
submitted, approved and
0
F-1
El
1:1
E]
F-I
None
maintained - 23 CCR 16
2632, 2634(e), 2641(h),
2712(i)
2030041
A complete and accurate
Plot plan needs to include sensor
plot plan has been
location
submitted, approved and
❑
E
❑
❑
❑
❑
Minor
maintained - 23 CCR 16
2632(4 )(1)(C), 2711(a)(8)
2010006
Owner/Operator has not
made false statements or
representation on any
F-1
❑
None
required document - HSC
6.7 25299
2010003
Owner/Operator has a
DO and/or informed the
CUPA of any change (s)
❑
El
❑
r-1
None
within 30 days - 23 CCR
16 2715(a)
Violation
Program Requirement
0
0
SOC
Comments
No
Q
0
a.
as
0
z
0
z
>
Testing
2030002
Owner/Operator has
91 LLD Failure
tested and certified leak
❑
El
❑
❑
❑
None
detection equipment
annually - 23 CCR 16 2638
2030048
Secondary containment
testing conducted every
36 months in accordance
E
❑
❑
❑
❑
❑
None
with requirements - 23
CCR 16 2637
2030055
Spill buckets have been
tested annually as
❑
❑
None
required 7HSC 6.7 25284.2
2010009
Secondary containment
test results submitted to
the CUPA within 30 days
None
after the test - 23 CCR 16
2637(e)
2030064
CUPA was poperly
notified within the
prescribed number of
None
hours prior to testing - 23
CCR 16 26370, 2638(e),
2643(g), 2644.1(a)(4)
Install/Repair
Permits obtained to
install, replace, repair, or
Z
❑
F-1
❑
r-1
❑
None
modify part of the UST
system - 23 CCR 16 2712
UST System Observation
General Monitoring
2030003
Leak detection system
maintains continuous
RD
monitoring that activates
2
❑
❑
❑
❑
❑
None
❑
an audible and visual
Yes
alarm - 23 CCR 16 2632,
2634, 2636, 2666
2030016
The annular space of the
tank, piping and sumps
RD
are continuously
monitored and activates
None
❑
the alarm - 23 CCR 16
Yes
2631(8), 2632(c)(2)(A)&(8),
2633(c), 2636(o
2030017
Product piping outside the
UDC is fail-safe and shuts
down the pump or
None
restricts flow - 23 CCR 16
2636(0(5)
2030018
Turbine sump monitor
RD
activates an audible and
visual alarm or stops the
E
❑
❑
r-1
❑
r-1
None
❑
flow of at the dispenser -
Yes
23 CCR 16 2636(1) (1)
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
a°, C
SOC
Comments
No
0
Q
a
CO
a
I- O)
Z
O
Z
2030019
Monitoring system in the
UDCs activates an
audible and visual alarm
®
❑
❑
❑
❑
None
or stops the flow at the
UDC -23 CCR 16
2636( 0(1)
2030043
Leak detection equipment
properly programmed or
RD
properly operated - 23
®
❑
❑
❑
❑
❑
None
❑
CCR 16 2632, 2634, 2636,
Yes
2666
2060005
System constructed with
a monitoring system
capable of detecting entry
®
❑
❑
❑
❑
❑
None
into secondary
containment - HSC 6.7
25291(b
2060014
Correct leak detection
equipment installed for
RD
the type of system
®
R
❑
❑
C]
❑
None
❑
present - 23 CCR 16 2638,
Yes
HSC 6.7 25290.1, 25290.2,
25291
2060015
Sensor located in the
RD
proper position /location -
®
(l
❑
❑
❑
❑
None
❑
23 CCR 16 2630(d), 2641(a)
Yes
2030062
Facility is in compliance
with not tampering with or
RD
disabling leak detection
®
❑
❑
❑
❑
❑
None
❑
devices or alarms - HSC
Yes
6.7 25299(a)(9)
2060022
System constructed with
a monitoring system
capable of detecting entry
®
❑
❑
❑
❑
❑
None
into secondary
containment - HSC 6.7
25290.2(d)
2030034
Tag /sticker on affixed
monitoring equipment
being certified, repaired,
®
❑
❑
❑
❑
❑
None
or replaced - 23 CCR 16
2638(
VPH Monitoring VPH
2030065
Interstitial monitoring of
the annular spaces of the
RD
UST is properly
❑
❑
®
❑
❑
❑
None
❑
maintained - HSC 6.7
Yes
25290.1(e)
2060023
System constructed with
a monitoring system
capable of detecting entry
into secondary
❑
❑
2
❑
❑
❑
None
containment - HSC 6.7
25290.1(d)
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
4-
0
0.0
SOC
Comments
No
0
>
1--
M
a
0 V)
�- .
0
4) 4,
01 1. 0 M
Z
0
Z
D
Line Leak Detector
2060012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
E
El
0
❑ 0
El
n
None
E]
25290. 1 (h), 25290.2(8),
Yes
25291(o, 25292(e),
2636(0(2)
2030026
Line leak detectors detect
a 3 gph leak and/or
RD
audible and visual alarm
E
❑
❑
❑
❑
❑
None
❑
function properly - 23
Yes
CCR 16 26360(6),
2666(c)
2030027
Turbine shuts down when
a leak is detected or
RD
when line leak detector is
None
❑
disconnected - 23 CCR 16
Yes
2666(c)
2030025
Pressurized piping able to
detect a 3.0 gph leak
RD
within an hour, and
1:1
❑
❑
None
❑
restricts the flow or
Yes
alarms - 23 CCR 16
12636(0(2) J—
I
Secondary Containment
2060010
UST storing a hazardous
RD
substance has secondary
❑
❑
❑
None
❑
containment - HSC 6.7
Yes
25292
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
4-
0
SOC
Comments
No
OF-
M
a
0
0.
Z
0
Z
M
0
W
>
2030008
UDC, sumps, and/or
other secondary
containment in good
❑
❑
❑
❑
None
condition and/or are free
of debris/liquid - HSC 6.7
25290.1, 25290.2, 25291
2030040
Secondarily contained
RD
piping maintained to allow
None
❑
liquid to drain into sump -
Yes
23 CCR 16 2630(d), 2641 (a)
2060006
Secondary containment
piping slopes back to the
None
collection sump - 23 CCR
16 263(c)
2030047
Secondary containment
maintained tight and has
been confirmed by testing
❑
None
- 23 CCR 16 2662; HSC 6.7
25290. 1 (c)(2), 25290.2(c)(2),
25291(a), 25292(e)
2030060
Entry fittings in secondary
containment for UST
system maintained
❑
❑
❑
❑
None
tight/sealed - 23 CCR 16
2630, 2635(d), 2636(c),
2666
2060020
Spill bucket is installed
RP
and has a functional drain
valve or other means to
❑
None
❑
remove liquid - 23 CCR 16
Yes
2635(b), 2665
2030054
Spill bucket maintained in
Rp
Reg Bucket Failure
good condition and free of
❑
E
❑
❑
None
❑
debris and/or liquid - 23
Yes
CCR 16 2635(b), 2715(c)(2)
2060019
Spill bucket to has a
minimum capacity of five
None
gallons - 23 CCR 16
2635(b), 2665
Overfill
2030035
UST system is operated
RP
to prevent unauthorized
release, including spills
None
❑
and overfills - HSC 6.7
Yes
25292.1 (a)
2030036
Overfill prevention system
RP
has not been overridden
and meets overfill
None
❑
requirements - 23 CCR 16
Yes
2635(b (2), 2665
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
4-
0
SOC
Comments
No
a
0
(L
0) 0
z
0
z
D
0
w
On Site
Records
Certifications
2030023
Required designated
operators or contractors
maintain a proper and
2
❑
❑
❑
❑
❑
None
current ICC certification -
23 CCR 16 2715
2030024
Service technician,
installer, and/ or
employee maintain a
❑
❑
None
proper license - 23 CCR
162715
2030031
Employee or contractor
obtained and maintained
proper manufacturer
None
certification - 23 CCR 16
2715
2010007
Submit/maintain current
Certificate of Financial
Responsibility/mechanism
of financial assurance -
None
23 CCR 16 2711; 23 CCR
18 2808.1, 2809-2809.2;
HSC 6.7 25292.2; HSC
6.75 25299.30-25299.34
Designated Operator
2010004
Copies of DO inspections
for last 12 months and list
of trained employees
None
maintained - 23 CCR 16
2715
2030013
Designated operator
properly conducted the
monthly inspection and
Z
❑
❑
❑
❑
❑
None
the reports are complete -
23 CCR 16 2715
2030010
DO notified operator of
any condition observed
during the monthly
None
inspection that may
require action - 23 CCR 16
2715(d '
2030012
DO employee training
performed, current for at
least one employee on
None
site, and a log kept - 23
CCR 16 2715(c)(6), 27150
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
0
0.0
soc
Comments
No
C0
0
211
C" 0
Z
0
Z
W
0
O 5
Logs
2030001
Leak detection alarm
logs, maintenance and
RD
records of appropriate
❑
❑
❑
None
❑
follow-up actions
Yes
maintained - 23 CCR 16
2632, 2634, 2712(b)
Maintenance/Tests
2010008
Monitoring, maintenance,
repairs, linings, and
RD
upgrade records
❑
❑
❑
❑
❑
None
❑
maintained for the proper
Yes
time period - 23 CCR 16
2712(b)
Documentation
2030033
Failure to maintain on site
an approved monitoring
❑
❑
None
plan - 23 CCR 16 2632,
2634, 2711, 2712(1)
2030037
Written agreement
between the tank owner
and tank operator to
monitor the tank system
❑
❑
❑
❑
❑
None
is maintained - 23 CCR 16
2620(b); HSC 6.7
25284 (3)
2030061
Suspected or actual
unauthorized release
RD
reported in appropriate
None
❑
time frame - HSC 6.7
Yes
29294,29295
General Operating Requirements
Permit Condition/Approval
2030039
Compliance with all
operating permit
E
❑
❑
❑
❑
❑
None
conditions - 23 CCR 16
2712, HSC 6.7 25299
2030059
UST system maintained
in accordance with
exclusion/exemption
❑
f__j
None
status - HSC 6.7 25281.6,
25283.5
2030014
Owner/Operator received
approval and has
implemented a training
None
program at an unstaffed
facility - 23 CCR 16
2715(1) (2)
2030015
Facility exhibited that the
method used to monitor
the tank meets the
monitoring methods in
E
❑
❑
❑
1:1
❑
None
2643(f) - 23 CCR 16 2643
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
W.
o
SOC
Comments
No
z
o
z
�0
M
y
�
o>
Red Tag
2030045
Red Tag information is
legible and has not been
❑
❑
®
❑
❑
❑
None
tampered with - 23 CCR
16 2717.1
2030044
Facility did not allow for
deposit of petroleum into
a UST that has a red tag
❑
❑
®
❑
❑
❑
None
affixed to the fill - 23 CCR
16 2717.1(
Install /Repair
2060024
UST system is made of or
lined with materials that
are compatible with the
®
❑
❑
❑
❑
❑
None
substance stored - 23
CCR 16 2631.1
2060021
Striker plate installed and
positioned correctly - 23
®
❑
❑
❑
❑
❑
None
CCR 16 2631(c), 2662(d)
® There were no violations noted for this inspection.
is report shall serve as a "NOTICE TO COMPLY" for Minor Violations, and a "NOTICE OF VIOLATION" for
Major violations. You are, hereby, ordered to correct the above noted violations within 30 days, or according to
correction summaries provided. Formal enforcement and /or penalty assessment may be initiated for any
violations noted, and for those not corrected in a timely manner. (NOTE: If this is a preliminary report, a final report
will follow.)
Inspectors Signatur Date:
Inspector: Enter # of Violations: RD:'— RP: 0
Check one box for facility Significant Operational Status (SOC) to be reported to SWRCB and US EPA:
❑ SOC with both Release Detection and Release Detection (Facility has no Release Prevention and no Release
Prevention Violations)
❑ Not in SOC (Facility has both Release Prevention and Release Detection Violations)
❑SOC with Release Detection only (Facility has no Release Detection violations but one or more Release Prevention
vio ations)
SOC with Release Prevention only (Facility has no Release Prevention violations but one or more Release Detection
violations)
Underground Storage Tank Program - DW Inspection Report v 2.0
Owner/Operator': v is �, `. A
Facili ..
2.-
SUMMARY OF VIOLATIONS
Item REQUIREMENT FOR CORRECTION DATE FOR
# VIOLATION OF VIOLATION CORRECTION
da.
2`'
-,rc, tAj' k1 t _ 'T^ k U iUm/t w^s a 3 , .�1- ` r ! s a 6� e 3 t tip+ C trG° 8 vb s�'+s;r� ± t "� &" ✓c�
P/'q �A tit �C� /��:. k. U " : 41, a s ,�? fl19 '4 s °Ci ' 'sa+,t�tJ;""
o t ?"s P a & C?,ta f d �+ 3 5-1;C'
C f 6e' r3` ss� "a sow)
Inspectors
Signature:. Received by:
Phone: Print Name.
#
Date: xr -� Date:
KPS #8447
White — Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy
'Notice.. Of Violation: /ass -" nd /or C lass / Violations were found during'th.is inspection as
noted in the following S mu many of Violations.
The violations indicated In this inspection report must be.corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for 811 Class i Violations,. and, for.any Class: I I Violations not.
corrected within the required timefrarne. This report�does not represent that there are no other
violations at this facility. A're- inspection may occur to .determine compliance status.
SUMMARY OF VIOLATIONS
Item REQUIREMENT FOR CORRECTION DATE FOR
# VIOLATION OF VIOLATION CORRECTION
da.
2`'
-,rc, tAj' k1 t _ 'T^ k U iUm/t w^s a 3 , .�1- ` r ! s a 6� e 3 t tip+ C trG° 8 vb s�'+s;r� ± t "� &" ✓c�
P/'q �A tit �C� /��:. k. U " : 41, a s ,�? fl19 '4 s °Ci ' 'sa+,t�tJ;""
o t ?"s P a & C?,ta f d �+ 3 5-1;C'
C f 6e' r3` ss� "a sow)
Inspectors
Signature:. Received by:
Phone: Print Name.
#
Date: xr -� Date:
KPS #8447
White — Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy
'Notice.. Of Violation: /ass -" nd /or C lass / Violations were found during'th.is inspection as
noted in the following S mu many of Violations.
The violations indicated In this inspection report must be.corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for 811 Class i Violations,. and, for.any Class: I I Violations not.
corrected within the required timefrarne. This report�does not represent that there are no other
violations at this facility. A're- inspection may occur to .determine compliance status.
HAZARDOUS WASTE
BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention ServhceS'
B .... E R•..S F L_ ....:D.
FIRE
2101 H Street -
SMALL QUANTITY HAZARDOUS F RTM T Bakersfield, CA 93301
WASTE GENERATOR INSPECTION Phone: 661-326-3979,o Fax: 661 -852 -2171
Facility Name: "' o u jt rz 'P I an a a �'�r "" Date: ! . "7
Site Address: � t� a Time In: . ` Time .Out:
..._ '�..i.... ice. . � ,��'"` A�i�. 6� C �
Owner /Operator: 1r' V t-4i'r or Phone: EPA II?
Type of Inspection
0 Routine 0 Re- inspection/Follow -up Xcombined . Routine Inspection 0 Joi ction Complaint 0 Focused D Other -'-
CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve. obtaining photographs, review and copying of rec nd dete . nation of bl5phance with hazardous waste handling requirements.
cT - !,.7....,. T TT
C
V
T HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation #
COMMENTS'.
Recordkeepin documentation
Generator has an EPA ID number [HSC 25141131
3010002
Hazardous waste deterinination made for all wastes
0 Analysis enerator Knowledge . [CCR 66262.40]
3030005
Contingency plan information posted near phone [CCR 66262.34(4)(2)],
3010022
Facility, personnel demonstrate training /awareness [CCR b6262.34(d)(2)]..
3020001
;.
Manifests /Consolidated Manifest receipts complete [CCR 66262.23(a)]
3010008
,V.0 tAA, A;• ,j, 9- rgr 6, . '9 : T r r r
Blue co pY( ) s of manifest mailed to DTSC [CCR 66262.23(a)(4)]
l
3010011
Bills 'of Lading/receipts available [CCR 66262.40(a)] _
3010010
,j '° C. o pQ -rA k Al ' _t
LDRs available and complete [CCR 66268.7(a)]
3030006.
Onsite �recycling reported using UPCF [HSC 25143.10]
i
3030001
Container /tank management
Containers are in go od condition [CCR 66262.34(d)(2)]
3030013
Containers are closed except when addinghernovin . [CCR66262.34(d)(2)]
3030017
Satellite containers at.or near point of generation'[CCR 66262.34(e)(1)(A)]
i
-Empty containers are em ty [CCR 66262.34(f)]
3030007
Containers inspected weekly [CCR 66262.34(d)(2)] .
.3030019.
Tanks inspected dail [CCR 66262.34(d)(2), 40CFR 265.2011.
3030027
One. container per waste stream at satellite area [CCR 66262.34(4)(2)].
3030022
. .
Exclude recyclable materials stored in accordance with local
ordinance/hazardous materials codes [HSC 25143.10]'
3010016
Acc lation Time Limits
Waste is accumulated not more than 90 70 [CCR 66262:34(4)]
3030010
Empty containers managed within one year [CCR 66262.34(d)]
3030010
Universal waste accumulated less than one year, [CCR 66273.15(a)]
3030011
Used.oil'filters offsite within 180 (1 year<l ton) [CCR 66266.130(c)(4)]
3030004: .
Pb -acid batteries offsite within 180 (1 yr. < 1 ton) [CCR66266.81(a)(3)]
3030002
Labeling/Marldng.
Containers are properly labeled [6626234(f)]
3030007
Excluded recyclable materials marked properly. [HSC 25143.9(a)]
3050005
Universal': waste containerproperly 'labeled . .(CCR 66273.34]
3030008
Used oil filters marked "drained used.oil filters" [CCR - 66266.130]
3030004
Date written on spent lead -acid batteries [CCR 66266.81(a)(6)(B)]
3030003
"Used Oil" marked on all used oil tanks /containers [CCR 66279.21(b)]
3030007
Tank marked with "haz waste" , contents, start date [6626234(f)].
3030002
Treatment, Trans ort and I)is osaUOther
Have ermit/authorization to do treatment ` [HSC 25136.21
1
3046003
Waste sent with authorized transport (en. eligible) .[CCR 66263.41]`
3050001
Waste disposed of to authorized point/ arty [HSC 25189.5(a)].
3050002
Failed to properly handle appliance wastes [HSC 25212(x)]
Fire Protection [66262.34(4)(2)]'
3030032
Print and sign in -this box for re eat Efth:i:1port. Signature does not imply. agreement with findings only receipt of report.
INSPECTOR
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s).noted above by try 1 Signature (that all violations have been corrected as noted)
-t
• 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 St. Bakersfield, CA 93301 Date
FD2171 (Rev 9/14)
White - Business Copy Yellow- Station Copy Pink- Prevention Services. Copy
KERN BUSINESS FORMS - (661) 325.5818 - #6013
BAKERSFIELD FIRE DEPT$'
r
i
Preven ti on :Sery ces
LA$ F .1. UNIFIED P''ROGRAM, INSPECTION CH�E,CKLISTI . B >? 2101 H Street
RE TM t Bakersfield, CA'93301
SECTION t Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME ` INSPECTION j ATE INSPECTION' TIME
V\^
Y _ T -7 �
ADDRESS
PHONE NO. NO OF EMPLOYEES
;.
FACILITY CONTACT BUSINESS ID NUMBER
Consent to:lnspect N e>�'IT'le
i S
f r= P
t a
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❑ ROUTINE COMBINED ❑ JOINT. yAGENCY ❑ MULTI- AGENCY s ❑) COMPLAINT ❑ ~
RE- INSPECTION
POST INSPECTION INSTICUC IIONS:
.c;.
• 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 ofthis page to:
C.' Comp
C V ( liance ) OPERATION
V= Violation
-COMMENTS
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
El BUS[neSS PLAN CONTACT INFORMATION ACCURATE - (.CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ CORRECT OCCUPANCY . (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR; 2729.3)
❑. VERIFICATION OF QUANTITIES - (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729;2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
❑ , VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(.b))
R ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
[9 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)t
"
❑ HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION_ (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND- (CCR: 2729,2)
-
-
ANY HAZARDOUS .WASTE ON SITE? ❑ YES NO
Si natur . Re
Explain:
POST INSPECTION INSTICUC IIONS:
.c;.
• 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 ofthis page to:
Owner/Operator: , 0 :: C H E VAr
Facility:' .. )z---
Address:
There were NO violations observed during this inspection.
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Notice to Comply: Minors Violations were found during this inspection as noted in the following
Summary of- Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement may be initiated. for any violations noted., acid for those` not corrected in a,
timely manner. This report does not represent.that there are. no. other violations at this facility. A
re- inspection :ma occur to determine 'complian.ce status.