HomeMy WebLinkAboutUST PROGRAM CHECKLIST 12-4-2012UNIFIED 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 - 85!2 -2171
Facility Name:
rS 1e It r m rd
Date of Inspection:
Y
Time In: ? 00 ,
Time Out:
Address:
4101 Trtn ave. Bakersfield, CA. 93309
Inspected by: Ernie Medina
ICC# 8012428 -UI
Contact:
Stuart a erson
Type of Inspection:
XAnnual Compliance ❑Re- inspection ❑ Complaint
Phone:
( 1 ) -3781
Permission for Inspection Granted by:
Tank ID
#1
#Z
Size
151000
15;000
Contents
Reg
DSL
Construction
DWF
DWF
'Tank Monitoring:
DW: Continuous Interstitial Monitoring
D ❑ Brine/Hydrostatic ❑ Vacuum /Pressure.
[]
❑
W: SIR and Line Test every 2 years.
❑
❑
❑
❑
SW: ATG 0.1 annual.
❑
❑
❑
SW: ATG 0.2 monthly.
❑
❑
❑
❑
SW: Continuous In -Tank Leak Detection (CITLD).
❑
❑
❑
SW: Tank Gauging.
❑
❑
❑
SW: Vadose /GW Monitoring.
❑
El
❑
❑
Other Description:
❑
❑
❑
❑
,I
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.
li
❑
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DW VPH Monitoring: I cludes lines, sumps, fill pipe, vapor lines, etc.
❑
❑
❑
❑
SW Conventional Suction: Triennial 0.1 gph line test., and daily
monitoring.
❑
0
❑
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.
❑
❑
❑
❑
DW or SW: Gravity Flow Pipe.
❑
❑
❑
❑
Other Description:
❑
❑
❑
❑
l
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.
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
If in compliance, check the box. Check NA if not applicable.
If a violation, determine if Minor, Class 11, or Class I, or To
Violations
Determined (TBD) if uncertain and will be determined
later.
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File Review
,
❑ 1
UST Permit to Operate is current. HSC 25284(a), 25299(x)(1) 25299 (b)(1)
"� 7b
❑ 2
Transfer of permit and /or change of information provided within
30 days of ownership /information changes. HSC 25284(b) (c); T23
CCR 2712(d)
71.5
UST form information current/correct for facility, including BOE
p �.� ���'�►
number. HSC 25286(a)
4
Fees are paid up-to-date. HSC 25285(x), 25287
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5
Monitoring Plan approved for current owner with appropriate
content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h)
6
Current Emergency Response Plan submitted with appropriate
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content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h)
7
Plot Plan /Site Map submitted with appropriate content and
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level of detail. T23 CCR 2632(d), 2634(d), 2641(h), 2711(a)(8)
❑ 8
Owner /Operator agreement submitted, if required. HSC 25284(a)(3)
9
Certification of Compliance and Designated Operator
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Certification submitted by current tank owner. T23 CCR 2715
)6-10
Certificate of Financial Responsibility submitted and is current
for the permit period. HSC 25292.2, 25299.30 - 25299.34; T23 CCR 2711; 2808.1;
2809 - 2809.2
011
Monitoring system certification (most recent) conducted within
p �7-- 6-e5r cbLIP
allowable timeframe (sensors and console). Results submitted
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j l� j` 13 De,
and show all required components with passing results. HSC
_ _
25284.1 a 4 c ; T23 CCR 2638
19Z.4 7-
012
Spill- bucket test results (most recent) conducted within
'2ST ovg
allowable time frame. Results submitted and indicate a passing
❑
test. HSC 25284.2
013
Leak Detector testing conducted within allowable time frame.
The most recent annual certification submitted and shows
RD
i RD
RD
RD
❑
azJr� /2) Sys
I
passing results. 40 CFR 280.40(a)(2), 280.43(g)(1) &(2), 280.44(a); HSC 25292(e);
T23 CCR 2638, 2641 0)
19^ ,r over
Secondary containment testing conducted within allowable
X35`) 7-a %% X7 x'2-5
time frame. Most recent testing results submitted and indicate
❑
�, - p� ; n3 e-
a passing test. HSC 25284.1(a)(4)(B); T23 CCR 2637(a)
04_A/11V ijX2 5' F-W
15
Pipe and /or tank integrity testing conducted within allowable
time frame. Most recent testing results submitted and indicate
passing results. 40 CFR 280,33, 280.40, 280.41, 280.44; T23 CCR 26360,
2643(b)(3), (c)(3), (d ) (e
41116
1 Repaired tanks /piping are tightness tested within 30 days of
RD
RD
RD
RD
�' 47` * .A w '
the repair. 40 CFR 280.33; T23 CCR 2661
❑17
ELD test conducted within allowable time frame. Most recent
test results submitted and passing results achieved. T23 CCR'
2644.1
018
The corrosion protection system is checked by a corrosion
specialist within six months of installation /repair and at least
every three years thereafter; results show protection to be
RP
RP
RP
RP'
adequate. Impressed current inspected every 60- calendar
days. 40 CFR 280.31, 280.70, T23 CCR 2635(x)(2)
019
Tank Lining recertification is current (within 10 years of lining
and every 5 years thereafter) and compliant. 40 CFR280.21(b)(1)(n,);
RP
RP
RP
RP
T23 CCR 2663(h)
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
facility Name:
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
nntgn-
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
On-'Site Review
This Inspection is being during I
0"
, r
monitoring certification. - YES ONO
The service technician has provided /CC C
manufacturers training documentation, anc
tester's license or works under a CSLB cor
OYES L7 NO
General
sty
Tank systems meet current construction s
forty e of system. HSC 25288
1
Hazardous substance tanks have seconda
CFR 280.42(b); T23 CCR 2631
2_
Electronic monitoring system has audible a
opera ing condition. T23 CCR 2632, 2634, 2636
p "3
q4
Monitor console programmed appropriately
o tion used. T23 CCR 2638, 2643, 2643.1
❑24
Tank systems in temporary closure meet rE
280.70, T23 CCR 2670 & 2671
❑25
Overfill Prevention mechanism present anc
according to type: ❑Flapper valve ❑ Audit
❑ball float. ❑ A/V alarm and Ball Float 40C
280.21 d ; T23 CCR 2635(b)(2), 2631(d)(4)
❑26
Spill prevention device is present and fund
condition and drain mechanism operationa
280.20(c)(1)(1), 280,21(d); T23 CCR 2635(b)(1);2665
❑27
Piping and piping penetration boots within !
good Condition. HSC 25288(a), 25292.1
❑28
All sumps, spill buckets, and UDCs free fr(
HSC 25291(e), 25290.1, 25290.2; T23 CCR 2635(b)(1)(c)
❑29
Areas around vents appear to be free from
releases. HSC 25288(a), 25290.1, 25290.2, 25295.5
❑30
Release Detection methods are present an
standards. See LG-113.40 CFR 280.40(a)(3)
All sensors are correct for the type of syste
40 CFR 280.40(a)(2), 280.43(g)(1)&(2); HSC 25290.1 e), 25
❑32
All sensors are located in the proper positic
280.40(a)(2), 280.43(g)(1)&(2); HSC 25290.1, 25290.2, 2529
2632(g);2641(a)
�03
All secondary containment, including UDC
with a continuous monitoring system that e
A/V alarm or stops the flow of product at th
detects a leak. T23 CCR 2636 (0(1)
Tank Monitoring
71, ._
NrInterstitial monitoring conducted properly
280.43(g)(1)&(2); T23 CCR 2632 (q)(2); 2634(d)(1)
❑35
❑ VPH monitoring conducted properly. H SC
0 SIR
❑36
SIR and Biennial 0.1 gph tank test perform
280.41, 280.43; T23 CCR 2643, 2646.1
❑37
Non-passing SIR monitoring report results
I
investigated properly. 40 CFR 280.41(a), 280.43(h)(
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
racility Name: Date:
O Line Integrity Testing
051 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),(3)
❑52 SW conventional suction system: 0.1 gph line integrity test is
�I
performed every three years. 40 CFR 280.40, 280.41; T23 CCR 2643(d) RD RD RD RD
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
O Automatic Tank Gauging (ATG) / Continuous In -Tank Leak
44
Detection CITLD
177138
ATG or CITLD 0.2 gph monthly test performed properly. 40 CFR
RD
! RD
RD
RD
❑
280.43; T23 CCR 2643(b)(1), 2643 b 5
39
ATG generates a hard copy printout of all data reported
)AF475
including time and date, tank I.D., fuel depth, water depth,
temperature, liquid volume and duration of test. If installed after
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1/1/95 printout includes calculated leak rate and leak threshold.
T23 CCR 2643(b 1
046
O Manual Tank Gauging (SW tanks </ =1000 gal. ONLY)
'
040
Weekly manual tank gauging p erformed properly. 40 CFR 280.43;
RD
RD
RD
RD
T23 CCR 2645
❑41
Tank Integrity test performed, if necessary. 40 CFR 280.43, T23 CCR
RD
RD
RD
RD
2645
O Vadose Zone and /or Groundwater Monitoring
RD
RD
RD
RD
❑
042
Monitoring system is installed and monitored properly. 40CFR
RD
RD
RD
RD
280.43; T23 CCR 2647 -48
OTank Exemption
043
Tanks /piping meet tank exemption criteria, and weekly visual
)K4-8
monitoring records are kept up-do-date. HsC 25283.5
Pine Moniforn_a
RD
RD
RD
RD
O Line Integrity Testing
051 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),(3)
❑52 SW conventional suction system: 0.1 gph line integrity test is
�I
performed every three years. 40 CFR 280.40, 280.41; T23 CCR 2643(d) RD RD RD RD
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
O Continuous Monitoring System
44
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(f)(1)
)AF475
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)
O Line Integrity Testing for Pressurized Piping
046
An annual 0.1 gph line integrity test is performed properly.
'
(Either third party or by Enhanced Line Leak Detection) T23 CCR
RD
RD
RD
RD
2636 4
'$ZA7
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 2636(1)(5)
O Line Leak Detectors (LLD)
)K4-8
LLD's installed, annually tested, and operational on DW
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)
O DW Emergency Generator Tank
049
LLD activates AN alarm and monitoring system is checked
RD
RD
RD
RD
daily. T23 CCR 2636(0(2)
050
In lieu of LLD, continuous monitoring system of DW emergency
generator tank activates AN alarm, system is checked daily,
!,
and loas are kept. T23 CCR 2636 0(6)
O Line Integrity Testing
051 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),(3)
❑52 SW conventional suction system: 0.1 gph line integrity test is
�I
performed every three years. 40 CFR 280.40, 280.41; T23 CCR 2643(d) RD RD RD RD
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
radlity Name: I Date:
❑53
SW conventional suction system: inspections conducted for
presence of air in the pipeline. Daily monitoring records are
kept. T23 CCR 2643(d)
❑54
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 requirements. 40 CFR 280.41; T23 CCR 2636(a)(3)'
g h SS q
RD
� RD
RD
RD
(A -D)
O LLD for Pressurized Piping
056
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(a)(2), 280.43(g)(1),(2), 280.44(a); T23 CCR 2666
Corrosion Protection
1
17158
Metal Tanks and piping components have corrosion protection,
RP
RP
RP
RP
or are isolated from the backfill. 40 CFR 280.20, 280.21
❑59
Corrosion protection equipment turned on, functioning properly
RP
RP
RP
RP
and provides continuous protection. 40 CFR 280.31(a),(b)(1); T23 CCR
2635
060
Cathodic protection system is tested within 6 months of
RP
RP
RP
RP
Installation and then every 3 years. 40 CFR 280.31(a) & (b)(1); T23 CCR
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(x)(2)
On site Paperwork
❑62
Permit and conditions available on -site. Facility is operated
❑
according to permit and conditions. MSC 25293; 25299, T23 CCR 2712(i)
3
Monitoring and response plans are on -site and are the
El
approved version. T23 CCR 2712(►); 2632 ;2634; 2641
64
Site plan depicts current site conditions and has all required
❑
elements. T23 CCR 2632(d)
65
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
66
All monitoring /testing records /documents are available for the
required timeframe. (3 years, 6 1/2 years, five years, life of tank) T23 CCR
❑
2712
'1.67
Equipment maintenance records/logs available. T23 CCR 2712(b)
❑
,K68
Alarm logs /tapes available and appropriate follow -up actions
❑
occurred. T23 CCR 2712(b); 2632; 2634
)469
Visual observation logs available, up -to -date, and appropriate
❑
follow-up actions to problems occurred. T23 CCR 2712(b); 2642
,WO
Designated UST Operator monthly reports available and
"
❑
complete. T23 CCR 2715
)R71
Employee training records available and training appropriate
El
and up-to-date. T23 CCR 2715
'972
Suspected or actual unauthorized releases are recorded
and /or reported within allowed timeframes, including non-
RD
RD
RD
RD
El
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
❑
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
Facility Name: Date:
On -Site Observation of Periodic Testing
4 Spill- bucket testing conducted appropriately and a passing test El
achieved.
075 Secondary Containment testing conducted appropriately and a �
n
passing test achieved.
SOC AND RED TAG
AN "v L
..'_ °"�
�� .5.' ��.
evY4R:v. .. ,i�AMY ".�i+.'.m32_:
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.)
❑
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.)
❑
a, •. n. 5:
^� ;;. ,,
(1 A a i i " " -.'y� '' .. 8 �' 4 lS � `�"RS' fl'�H- .f'.� .i. `: �' i' � }. r'%: �`+ �Y" ..hir Y*Y2 Y'�ar°: 3 � �� 4 31 ".' -"�' ��w�
� ...:�.,�s„ .� �.,.,.. �1.. ;:, :, . *s.' _+�: � �,�ia�.s.;=:.:.v�t <..�.c . - „.L�.... :::: �,="e..:,::ur`t�,';�.ry.�s�...i� ��"l � ,•^"„�� ��a.�?ra`.>r� ...�::”.
A Red Tag was issued to this facility based on the results of this inspection.
Red Tag #
5.pp:«
,..�:.twa�w.t.�,;.��.::�
❑
Reason for Red Tag (Choose one):
1. Violation that causes or threatens to cause a liquid release. CCR 2797(a)(9)
❑
2. Violation that impairs the ability of an UST system to detect a leak. CCR 2797(a)(2)
❑
3. Chronic violation or committed by a recalcitrant 'violator. CCR 2797(a)(3) 1
❑
Item Inspection Comments:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979