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Home My WebLink AboutINSPECTION REPORT 2015Underground Storage Tank Program DW Inspection Reppt—r" Permission to Inspect: BAKERSFIELD FIRE DEPARTMENT Prevention Services Division 2101 H Street Bakersfield, CA 93301 Phone: 661 -326 -3979 Fax: 661 -852 -2171 Business Name: Good Samaritan Hospital Southwest Date: 11/16/15 Address Name: 5201 White Lane, Bakersfield,CA93309, (661) 241 -5531 Inspector Name: Kris Karns (8292402) Inspection Type: Routine Report: Final NVO = No Violation Observed OUT = Out of Compliance NA = Not Applicable UD = Undetermined COS = Corrected On Site RPT = Repeat Violation Violation Program Requirement - SOC Comments No z 0 O z 0 W o> File Review Facility Tank Information 2030021 Facility has a valid Permit Tank 1 -1000- DIES -DW to Operate from the ® ❑ ❑ ❑ ❑ ❑ None CUPA - 23 CCR 16 2712(1); HSC 6.7 25284 2010010 UST Operating Permit Application for Facility information and Tank information ® ❑ ❑ ❑ ❑ ❑ None submitted /maintained - 23 CCR 16 2711; HSC 6.7 25286(a 2010001 Current BOE number submitted to the CUPA ® ❑ ❑ ❑ ❑ ❑ None and /or CERS - HSC 6.7 25286(c 2030011 UST compliance statement and /or Designated Operator ® ❑ ❑ ❑ ❑ ❑ None current certification submitted - 23 CCR 16 2715(a), 2715(b) 2030046 A complete and accurate response plan has been submitted, approved and ® ❑ ❑ ❑ ❑ ❑ None maintained - 23 CCR 16 2632, 2634(e), 2641(h), 2712(i) 2030041 A complete and accurate plot plan has been submitted, approved and ® ❑ ❑ ❑ ❑ ❑ None maintained - 23 CCR 16 2632(d) 1 (C ), 2711(a)(8) 2010006 Owner /Operator has not made false statements or representation on any ❑ ❑ ❑ ❑ ❑ None required document - HSC 6.7 25299 2010003 Owner /Operator has a DO and /or informed the CUPA of any change (s) ® None within 30 days - 23 CCR 16 2715(a) Testing Violation Program Requirement 4- 0 C 2 ,w. SOC Comments No 0 2 R z 0 z > 2030002 Owner/Operator has tested and certified leak El ❑ ❑ ❑ ❑ None detection equipment annually - 23 CCR 16 2638 2030048 Secondary containment testing conducted every 36 months in accordance ❑ ❑ ❑ ❑ None with requirements - 23 CCR 16 2637 2030055 Spill buckets have been tested annually as None required - HSC 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 2637(0, 2638(e), 2643(g), 2644.1(a)(4) Install/Repair 2060009 Permits obtained to install, replace, repair, or Z 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 Z ❑ None ❑ an audible and visual Yes alarm - 23 CCR 16 2632, 2634, 2636, 2666 2030016 The annular space of the tank, piping and sumps are continuously RD monitored and activates Z None ❑ the alarm - 23 CCR 16 Yes 2631(8), 2632(c)(2)(A)&(8), 2633(c), 2636(o 2030017 Product piping outside the Fail safe and positive shut down UDC is fail-safe and shuts aren't required. Site has double down the pump or None wall pipe, conventional suction restricts flow - 23 CCR 16 system, continuous monitoring 2636(1) (5) system and therefore isn't required 2030018 Turbine sump monitor activates an audible and RD visual alarm or stops the 0 ❑ ❑ ❑ ❑ ❑ None ❑ flow of at the dispenser - Yes 23 CCR 16 2636 (0(1) Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement ° o SOC Comments No 0 _ Q o o a 'W o z O z M y 1z 0 2030019 Monitoring system in the UDCs activates an audible and visual alarm ❑ ❑ ® ❑ ❑ ❑ None or stops the flow at the UDC - 23 CCR 16 2636( 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 ® ❑ ❑ ❑ ❑ ❑ None ❑ present - 23 CCR 16 2638; Yes HSC 6.7 25290.1, 25290.2, 25291 2060015 Sensor located in the RD proper position /location - ® ❑ ❑ ❑ ❑ ❑ 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 ❑ ❑ ® ❑ ❑ ❑ None containment - HSC 6.7 25290.1(d) Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement 4- 0 0 SOC Comments No M a 0 CL Z 0 Z M > Line Leak Detector 2060012 Line leak detector installed on pressurized RD piping system - HSC 6.7 ❑ M ❑ F1 ❑ None ❑ 25290.1(h), 25290.2(g), Yes 25291(o, 25292(e), 2636(0(2) 2030026 Line leak detectors detect a 3 gph leak and/or RD audible and visual alarm F] 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 E] ❑ 0 ❑ ❑ ❑ None ❑ restricts the flow or Yes alarms - 23 CCR 16 2636(0(2) Secondary Containment 2060010 UST storing a hazardous RD substance has secondary E:] E:] ❑ None [:1 containment - HSC 6.7 Yes 25292 Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement 4- 0 0.0 soc Comments No 9 M < C1 0 a. 2 (0 M 75 Z 0 Z M 0 W 4) > 2030008 UDC, sumps, and/or other secondary containment in good Z ❑ F-1 ❑ 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 g F-1 r-1 F-1 ❑ ❑ None 1:1 liquid to drain into sump - Yes 23 CCR 16 2630(d), 2641N 2060006 Secondary containment piping slopes back to the Z ❑ ❑ ❑ F-1 ❑ None collection sump - 23 CCR 16263 2030047 Secondary containment maintained tight and has been confirmed by testing Z ❑ ❑ ❑ ❑ ❑ 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 ❑ ❑ ❑ M ❑ None tight/sealed - 23 CCR 16 2630, 2635(d), 2636(c), 2666 2060020 Spill bucket is installed and has a functional drain RIP valve or other means to Z None ❑ remove liquid - 23 CCR 16 Yes 2635(b), 2665 2030054 Spill bucket maintained in RP good condition and free of E E] E] E] E] Ej None 1:1 debris and/or liquid - 23 Yes CCR 16 2635(b), 2715(c) (2) 2060019 Spill bucket to has a minimum capacity of five Z ❑ ❑ ❑ ❑ ❑ None gallons - 23 CCR 16 2635(b), 2665 Overfill 2030035 UST system is operated to prevent unauthorized RP release, including spills Z 1:1 ❑ ❑ None ❑ and overfills - HSC 6.7 Yes 25292.1 (a) 2030036 Overfill prevention system has not been overridden RP 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 0.0 SOC Comments No O> = B 0 0 (L 010 z 0 z C.) w On Site Records Certifications 2030023 Required designated operators or contractors maintain a proper and ❑ ❑ 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 0 ❑ ❑ ❑ ❑ ❑ None maintained - 23 CCR 16 2715 2030013 Designated operator properly conducted the monthly inspection and 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 Z 1:1 1:1 ❑ F-1 r-1 None site, and a log kept - 23 CCR 16 2715(c)(6), 2 715(o Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement 0 d).0 SOC Comments No 9 :) < a 0 Ea 00 Z 0 Z 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 0 ❑ ❑ 1:1 ❑ ❑ 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(a)(3) 2030061 Suspected or actual unauthorized release RD- reported in appropriate ❑ ❑ Z ❑ 1:1 ❑ None ❑ time frame - HSC 6.7 Yes 29294,29295 General Operating Requirements Permit Condition/Approval 2030039 Compliance with all operating permit Z ❑ ❑ ❑ ❑ ❑ None conditions - 23 CCR 16 2712; HSC 6.7 25299 2030059 UST system maintained in accordance with exclusion/exemption Z 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 2715M(2) 2030015 Facility exhibited that the method used to monitor the tank meets the monitoring methods in None 2643(f) - 23 CCR 16 2643 Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement ° o SOC Comments No M Q o O a as C o z O z M 0 W 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. ❑This 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 Signature: a ti Date: -11 / 16 0 i 5 Inspector: Enter # of Violations: RD: RP: Check one box for facility Significant Operational Status (SOC) to be reported to SWRCB and US EPA: 12/1s"OC 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 violations) ❑ 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