HomeMy WebLinkAbout2013 REPORT FMCUNIFIED PROGRAM INSPECTION CHECKLIST
Underground Storage Tank Program
M
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979
Fax: 661- 852 -2171
Facility Name:
Date of Inspection:
Mikes Food & Liquor #3
Time In: 4# ?
Time Out:
Address:
Inspected by: Ernie Medina
Panama Ln. Bakersfield, CA. 93307
ICC# 8012428 -UI
Contact:
alin er C auan - Owner
Phone:
Type of Inspection:
'"Annual Compliance ❑Re- inspection ❑ Complaint
/
Permission for Inspection Granted by:
836-3362
°: J ME " !� , tva-1 °-1
Tank ID
#1
#2
#3
Size
5,000
5,000
10,000
Contents
DSL
PREM
REG
Construction
DWFSC
DWFSC
DWFSC
Tank Monitoring:
DW: Continuous Interstitial Monitoring
❑
Dry ❑ Brine/Hydrostatic ❑ Vacuum /Pressure.
SW: 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.
Other Description:
❑
❑
❑
❑
❑
❑
❑
❑-
❑
❑
El
❑
❑
El
❑
❑
El
❑
❑
❑
Piping Monitoring:
DW Suction: Continuous Interstitial at UDC and Tank Sump.
❑
❑
❑
El
DW Pressurized: Interstitial at UDC and Turbine Sump and 3.0 gph LLD,
nnual Line Test or ❑ Auto - shutdown and Failsafe.
DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc.
19Z
% --%
❑
❑
X
❑
El
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
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❑
❑
❑
LLD with Auto - Shutdown.
SW or DW Safe Suction.
El
El
El
SW: Vadose Zone or GW Monitoring.
❑
❑
❑
El
DW or SW: Gravity Flow Pipe.
Other Description:
❑
❑
❑
❑
❑
❑
❑
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 1, or To
Violations
Be Determined (TBD) if uncertain and will be determined
later.
9N 'E40. _g'
A'A
,s "6
a
NA,
owmg?g'!
N.
A
n" va WQ'Q' k,
N ro
4
-0,
1-4
File Review
01
UST Permit to Operate is current. HSC 25284(a), 25299(a)(1) 25299 (b)(1)
❑
02
Transfer of permit and/or change of information provided within
30 days of ownership/information changes. HSC 25284(b) (c); T23
CCR 2712(d)
UST form information current/correct for facility, including BOE
❑
number. HSC 25286(a)
are paid up-to-date. HSC 25285(c), 25287
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WFees
5�
Monitoring Plan approved for current owner with appropriate
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content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h)
Current Emergency Response Plan submitted with appropriate
❑
content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h)
;S7
Plot Plan/Site Map submitted with appropriate content and
❑
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)
X
X9
Certification of Compliance and Designated Operator
❑
Certification submitted by current tank owner. T23 CCR 2715
X10
Certificate of Financial Responsibility submitted and is current
❑
for the permit period. HSC 2529Z2,25299.30-25299.34; T23 CCR 2711; 2808.1;
2809-2809.2
Monitoring system certification (most recent) conducted within
allowable timeframe (sensors and console). Results submitted
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and show all required components with passing results. HSC
25284.1(a 4 c); T23 CCR 2638
Spill-bucket test results (most recent) conducted within
allowable time frame. Results submitted and indicate a passing
6 61-7
❑
OL
test. HSC 25284.2
"W1 3
Leak Detector testing conducted within allowable time frame.
The most recent annual certification submitted and shows
RD
RD
RD
RD
F-1
passing results. 40 CFR 280.40(a)(2), 280.43(g)(1)&(2), 280.44(a); HSC 25292(e);
T23 CCR 2638,2641a)
jtj 4
Secondary containment testing conducted within allowable
time frame. Most recent testing results submitted and indicate
❑
I a passing test. HSC 25284.1(a)(4)(8); T23 CCR 2637(a)
�EU5
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), (49 (e)
IRL
16
Repaired tanks/piping are tightness tested within 30 days of
RD
RD
RD
RD
F-1
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
7e,
❑
2644.1
❑18
The corrosion protection system is checked by a corrosion
specialist within six months of instal lation/repair and at least
every three years thereafter; results show protection to be
RP
RP
RP
RP
X
adequate. Impressed current inspected every 60-calendar
days. 40 CFR 280.31, 280.70, T23 CCR 2635(a)(2)
El 19
Tank Lining recertification is current (within 10 years of lining
and every 5 years thereafter) and compliant. 40 CFR280.21(b)(1)(Y,);
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
Date:
Bakersfield Fire Department — Prevention Services Division, 2 101 H Street, Bakersfield, CA 93301 (661) 326 -3979
On-Site Review
This Inspection is being conducted during the annual
monitoring certification. L7 YES KNO
The service technician has provided ICC Certification
manufacturers training documentation, and possesse.,
tester's license or works under a CSLB contractor's lic
L7 YES L7NO
!P1 0
General
nO
Tank systems meet current construction standards as
for type of system. HSC 25288
Hazardous substance tanks have secondary containn
CFR 280.42(b); T23 CCR 2631
�V2
Electronic monitoring system has audible and visual a
operating condition. T23 CCR 2632, 2634, 2636
V23
Monitor console programmed appropriately for monitc
option used. T23 CCR 2638, 2643, 2643.1
❑24
Tank systems in temporary closure meet requirement
280.70, T23 CCR 2670 & 2671
Overfill Prevention mechanism present and operation;
according to type: Klapper valve ❑ Audible-visual a
�'ball float. ❑ A/Valarm and Ball Float 40 CFR 280.20(0)(1,
280.21(d); T23 CCR 2635(b)(2), 2631(4(4)
�M6
Spill prevention device is present and functional (in g(
condition and drain mechanism operational if applicat
280.20(c)(1)(1), 280.21(d); T23 CCR 2635(b)(1);2665
X27
Piping and piping penetration boots within sumps /UDC
ood condition. HSC 25288(a), 25292.1
%W28
All sumps, spill buckets, and UDC's free from debris E
HSC 25291(e), 25290.1, 25290.2; T23 CCR 2635(b) (1) (c)
�Q9
Areas around vents appear to be free from signs of lic
releases. HSC 25288(a), 25290.1, 25290.2, 25295.5
O
Release Detection methods are present and meet pei
standards. See LG-1 13. 40 CFR 280.40(a)(3)
)01
All sensors are correct for the type of system and ope
40 CFR 280.40(a)(2), 280.43(g)(1)&(2); HSC 25290.1 e , 25290.2, 25291; T
",�2
All sensors are located in the proper position/location,
15Ke
280.40(a)(2), 280.43(8)(1)&(2); HSC 25290.1, 25290.2, 25291; T23 CCR 26
2632(c);2641(a)
�kK
All secondary containment, including UDC shall be ec
with a continuous monitoring system that either active
A/V alarm or stops the flow of product at the dispenSE
detects a leak. T23 CCR 2636 (0(1)
Tank Monitoring
'UT14
Interstitial monitoring conducted properly. 40 CFR 280
280,43(g)(1)&(2); T23 CCR 2632 (c)(2); 2634(0(1)
❑35
0 VPH monitoring conducted properly. HSC 25290.1
O SIR
❑36
SIR and Biennial 0.1 gph tank test performed properl,
280.41, 280.43, T23 CCR 2643, 2646.1
❑37
Non-passing SIR monitoring report results are reportE
investigated properly. 40 CFR 280,41(a), 280.43(h)(1),(2); T23 CC
Bakersfield Fire Department — Prevention Services Division, 2 101 H Street, Bakersfield, CA 93301 (661) 326 -3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
U_C2%A iL
1-40111c.
W"'Mal
O Automatic Tank Gauging (ATG) / Continuous In-Tank Leak
P
Detection CITLD)
038
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
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 9
O Manual Tank Gauging (SW tanks </ =1000 gal. ONLY)
040
Weekly manual tank gauging performed properly. 40 CFR 280.43;
RD
RD
RD
RD
T23 CCR 2645
041
Tank Integrity test performed, if necessary. 40 CFR 280.43; T23 CCR
RD
RD
RD
RD
2645
* Vadose Zone and/or Groundwater Monitoring
042
Monitoring system is installed and monitored properly. 40 CFR
RD
RD
RD
RD
280.43; T23 CCR 2647 -48
*Tank Exemption
043
Tanks /piping meet tank exemption criteria, and weekly visual
�
monitoring records are kept up -do -date. HsC 25283.5
Pipe Monitoring_
O
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(t)(1)
1;-irA5
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 2636(0(9)
O Line Integrity Testing for Pressurized Piping
�<46
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 (0(4)
X47
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)
O Line Leak Detectors (LLD)
';i�48
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 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)
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
280.49, 280.44; T23 CCR 2643(c)(2),(3)
052
SW conventional suction system: 0.1 gph line integrity test is
RD
RD
RD
RD
performed every three years. 40 CFR 280.40, 280.49; T23 CCR 2643(4)
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
11 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facilitv Name: Date:
053
SW conventional suction system: inspections conducted for
062
presence of air in the pipeline. Daily monitoring records are
❑
fe=4M, 6?V, 6/30/'7_
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.
64
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
RD
RD
RD
RD
❑
O LLD for Pressurized Piping
056
LLD's installed, annually tested and operational on SW
M %sr� j �E�.2.cfZ
pressurized piping. Pump shuts down when a leak occurs and
RD
RD
RD
RD
E]
Fn C. d I? el,o 7 ds✓ s'd �7�t=
when the LLD fails or is disconnected. T23 CCR 2666
❑57
LLD's installed, annually tested, and operational on SW
❑
1&8
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
X69
Corrosion Protection
❑
058
Metal Tanks and piping components have corrosion protection,
RP
RP
RP
RP
0
or are isolated from the backfill. 40 CFR 280.20, 280.21
❑
059
Corrosion protection equipment turned on, functioning properly
RP
RP
RP
RP
v
W1
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(8) & (b)(1); T23 CCR
RD
RD
RD
RD
❑
2635(a)(2)
❑61
Impressed current systems checked every 60- calendar days
RP
RP
RP
RP1
❑73
and records are up -to -date. 40 CFR 280.31(c); T23 CCR 2635(a)(2)
,
971 A7Cz7-e,:- & r-4
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
On -site Paperwork
062
Permit and conditions available on -site. Facility is operated
❑
fe=4M, 6?V, 6/30/'7_
according to permit and conditions. HsC 25293; 25299; T23 CCR 2712(1)
`463
Monitoring and response plans are on -site and are the
❑
approved version. T23 CCR 2712(1); 2632;2634; 2641
64
Site plan depicts current site conditions and has all required
❑
elements. T23 CCR 2632(d)
)465
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
066
All monitoring /testing records /documents are available for the
M %sr� j �E�.2.cfZ
required timeframe. (3 years, 6 Y2 years, five years, life of tank) T23 CCR
E]
Fn C. d I? el,o 7 ds✓ s'd �7�t=
2712
7
Equipment maintenance records/logs available. T23 CCR 2712(b)
❑
1&8
Alarm logs /tapes available and appropriate follow -up actions
❑
occurred. T23 CCR 2712(b); 2632, 2634
X69
Visual observation logs available, up -to -date, and appropriate
❑
follow-up actions to problems occurred. T23 CCR 2712(b); 2642
0
Designated UST Operator monthly reports available and
❑
com lete. T23 CCR 2715
W1
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
❑73
Financial Responsibility Certificate and mechanisms (CFO
,
971 A7Cz7-e,:- & r-4
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
Facilitv Name: Date:
I I On-Site Observation of Periodic Testing
)474 Spill-bucket testing conducted appropriately and a passing test ❑
achieved.
JW5 Secondary Containment testing conducted appropriately and a El
passing test achieved.
SOC AND RED TAG
Item
# � Inspection Comments:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979
L
aww
MMI !
M WR
a. This facility is in compliance with Release Detection (RD) requirements only. (No
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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
0
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.)
HMO It
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 2797(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