HomeMy WebLinkAboutINSPECTION REPORT 2015Underground Storage Tank Program
DW Inspection Rep
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: SAMCO FOOD STORE #2 -15- 021 - 91155 -HOSAM JOUDA
Date: 12/01/2015
Address Name: 3300 WHITE LN- CAL000373136
Inspector Name: Shane Gardner #8248557
Inspection Type: Routine
Report: inal
NVO = No Violation Observed OUT = Out of Compliance NA = Not Applicable UD = Undetermined
COS = Corrected On Site RPT = Repeat Violation
Violation
Program Requirement
0
SOC
Comments
No
z
O
z
M
Va.
�j
File Review
Facility Tank Information
2030021
Facility has a valid Permit
Tank 1- 12000- PRM -DW
to Operate from the
Tank 2- 12000- REG -DW
CUPA - 23 CCR 16 2712(1);
®
❑
❑
❑
❑
❑
None
Tank 3-
HSC 6.7 25284
Tank 4-
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(x), 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
®
❑
❑
❑
❑
❑
Minor
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(x)
Violation
Program Requirement
0
0.0
SOC
Comments
No
-0
'.
:)
<
a
o
(L
0 .
t- tv
O)o
z
0
z
M
0
W
Testing
2030002
Owner/Operator has
tested and certified leak
0
❑ El
❑
F]
❑
❑
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
0
❑
❑
1:1
1:1
❑
None
d - HSC 6.7 25284.2
1
1
1
2010009
Secondary containment
test results submitted to
the CUPA within 30 days
0
1:1
❑
❑
❑
❑
None
after the test - 23 CCR 16
2637(e)
2030064
CUPA was poperly
notified within the
prescribed number of
❑
F-1
❑
❑
❑
None
hours prior to testing - 23
CCR 16 26370, 2638(e),
2643(g), 2644.1(a)(4)
I
Install/Repair
2060009
Permits obtained to
install, replace, repair, or
E
❑
❑
❑
❑
❑
None
modify part of the UST
syste - 23 CCR 16 2712
LIST System Observation
General Monitoring
2030003
Leak detection system
maintains continuous
RD
monitoring that activates
❑
❑
❑
On
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(g), 2632(c)(2)(A)&(B),
2633(c), 2636(o
2030017
Product piping outside the
UDC is fail-safe and shuts
down the pump or
❑
F-1
❑
None
restricts flow - 23 CCR 16
2636(/) (5)
2030018
Turbine sump monitor
activates an audible and
RD
visual alarm or stops the
0
❑
1:1
1:1
❑
❑
None
r_1
flow of at the dispenser -
Yes
23 CCR 16 2636011)
1
1
1
1
1
1
1
1
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
o
SOC
Comments
No
0
05
z
o
z
D
0
W
o>
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
®
❑
❑
❑
❑
❑
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(x)(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(0
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
4)
SOC
Comments
No
0
>
M
a
0
0 .
I'D
Z
Z
0
Z
M
0
W
>
Line Leak
Detector
2060012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
❑
❑
[--j
None
❑
25290, 1 (h), 25290.2(g),
Yes
252910, 25292(e),
2636(0(2)
2030026
Line leak detectors detect
a 3 gph leak and/or
RD
audible and visual alarm
❑
❑
❑
❑
❑
None
[:1
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
❑
❑
E
❑
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
❑
❑
r-1
F-1
❑
None
❑
restricts the flow or
Yes
alarms - 23 CCR 16
2636(0(2)
Secondary Containment
2060010
UST storing a hazardous
RD
substance has secondary
❑
❑
ME]
None
❑
containment - HSC 6.7
Yes
25292
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
0
SOC
Comments
No
<
a
0
CL
42
cD75
Z
O
0
Z
4)
>
2030008
UDC, sumps, and/or
other secondary
containment in good
0
❑
❑
❑
r-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
F-1
❑
❑
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
F-1
❑
F-1
❑
r-1
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
F-1
0
None
tight/sealed - 23 CCR 16
2630, 2635(d), 2636(c),
2666
2060020
Spill bucket is installed
and has a functional drain
RP
valve or other means to
1:1
❑
❑
None
❑
remove liquid - 23 CCR 16
Yes
2635(b), 2665
2030054
Spill bucket maintained in
RP
good condition and free of
Z
❑
❑
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
❑
❑
1:1
❑
F-1
None
gallons - 23 CCR 16
2635(b), 2665
Overfill
2030035
UST system is operated
to prevent unauthorized
RP
release, including spills
❑
❑
1-1
F-1
❑
None
❑
and overfills - HSC 6.7
Yes
25292.1 (a)
2030036
Overfill prevention system
has not been overridden
RP
and meets overfill
E
❑
❑
❑
❑
❑
None
F-1
requirements - 23 CCR 16
Yes
2635(b (2), 2665
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
4-
0
4)
SOC
Comments
No
I--
D
a
co
0
1.-
0.
=
2
CF) o
2
0
z
M
1 0
1 w
>
On Site
Records
Certifications
2030023
Required designated
operators or contractors
maintain a proper and
1:1
❑
❑
❑
F-1
None
current ICC certification -
23 CCR 16 2715
2030024
Service technician,
installer, and/ or
employee maintain a
E
1:1
❑
[--j
None
proper license - 23 CCR
162715
2030031
Employee or contractor
obtained and maintained
proper manufacturer
0
❑
1:1
1:1
❑
❑
None
certification - 23 CCR 16
2715
2010007
Submit/maintain current
Certificate of Financial
Responsibility/mechanism
of financial assurance -
0
❑
❑
❑
EJ
❑
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
❑
❑
❑
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
4-
0 0
0
SOC
Comments
No
a
co
0
I-
(L
=
? 0
20
2
0
Z
M
0
W
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
❑
❑
❑
❑
❑
None
F-1
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
None
❑
time frame - HSC 6.7
Yes
29294,29295
General Operating Requirements
Permit Condition/Approval
2030039
Compliance with all
operating permit
None
conditions - 23 CCR 16
2712, HSC 6.7 25299
2030059
UST system maintained
in accordance with
exclusion/exemption
None
status - HSC 6.7 25281.6,
25283.5
2030014
Owner/Operator received
approval and has
implemented a training
❑
❑
0
❑
❑
❑
None
program at an unstaffed
facility - 23 CCR 16
2715(0(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
4-
0 0
4)
SOC
Comments
No
C1
0
0.
=
120 (0
75
1
z
0
z
M
0
W
>
Red Tag
2030045
Red Tag information is
legible and has not been
❑
1:1
M
❑
❑
F-1
None
tampered with - 23 CCR
16 2717.1 g
2030044
Facility did not allow for
deposit of petroleum into
a UST that has a red tag
None
affixed to the fill - 23 CCR
162717.1(0
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.
ZThis 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 Date:
Inspector: Enter # of Violations: RD: - C ), RP: CJ
Check one box for facility Significant Operational Status (SOC) to be reported to SWRCB and US EPA:
Q::80C 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
Ow, wner /O erator
Facility:
Address:
-
Notice Of Violation: Class ;ll nd /or Class i Violations were
noted �n the following ummary of Violations.
The violations indicated in this inspection report must -be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for ail Class l Violations, and for any Class II violations not
corrected within the reauired-timeframe.. This report does not represent that there are no other:
violations. at this facility. A re- inspection may occur to determine compliance status.
found during this inspection a
SUMMARY, OF,, VIOLATIONS
Item REQUIREMENT FOR CORRECTION DATE..,
TOR.
VIOLATION.
#. OF VIOLATION CORRECTION
�VT White - Business Copy Yellow Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services :Copy
_ t
V
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS WASTE
CERS
Violation .#
Prevention Services
UNIFIED PROGRAM CONSOLIDATED FORMS
R...._S_....F i... L..._D
.
,
.2101 H Street
7 SMALL QUANTITY HAZARDOUS
RTEA/ T
Bakersfield, CA 9330.1
WASTE GENERATOR INSPECTI
�-
Phone: 661- 326 -3979 •Fax: 661.- 852 - 2171
Hazardous waste determination made for all wastes
n Analysis `Generator Knowledge [CCR 66262.40]
r S'
Facility Name: :/ ' -./
~�-
Date:
Site Address:3 ^mac'_;a, t; ,`'' �+ ,.^. •`
Time In Time Out:
Owner /Operator: r f t " t � - .� a �..?s `? /
y
Phone:
EPA lD #;, 4 t.. C? ;P_ ; 1 J
Type of Inspection
3020001
Routine Re- inspection/Follow -up ombined Routine s ectiori Joigep'pection
Complaint,, Focused 0 Other
' NSENT TO INSPECT GRANTED BY (Name / Title):'
Manifests /Consolidated Manifest receipts complete [CCR 66262.23(a)]
inspection may involve .obtaining photographs, review and copying o recorr s, and7 determiif Edon of compliance with hazardous waste handling requirements.
n – /"�..,•.,,..1.,:,,.�. xT – 01— T - TT — _N4; nr �Iinl�tinn -
C
V
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation .#
COMMENTS
Recordkee in documentation
5
Generator has an EPA ID number [HSC 25143.131
3010002
�-
Hazardous waste determination made for all wastes
n Analysis `Generator Knowledge [CCR 66262.40]
3030005
~�-
Contingency lan information posted near phone [CCR 66262.34(4)(2)]
3010022
Facility personnel demonstrate training/awareness [CCR 66262.34(d)(2)]
3020001
Manifests /Consolidated Manifest receipts complete [CCR 66262.23(a)]
3010008
Blue copy(s) of manifest mailed to. DTSC [CCR 66262.23(a)(4)]
3010011
Bills of Lddin /recei is available [CCR 66262.40(a)]
3010010
LDRs available and complete [CCR 66268.7(a)]
3030006
Onsite recycling reported using UPCF [HSC 25143.10]
3030001
Container /tank management
3y-
Containers are in good condition [CCR 66262.34(d)(2)]
3030013
Containers. are closed except when adding/removing [CCR66262.34(d)(2)]
3030017
Satellite .containers at or near point : of generation ,[CCR 66262:34(e)(1)(A)]
Empty containers are empty [CCR 66262.34(f)]
- -
3030007 "
Containers inspected weekly [CCR 66262:34(4)(2)] '
3030019
Tanks inspected daily [CCR. 66262:34(d)(2), 40CFR 265.2011
3030027
One container per waste stream at satellite area .. [CCR 66262.34(d)(2)]
3030022
Exclude recyclable materials stored in accordance with local
ordinance/hazardous. materials codes [HSC 25143.101 .
3010016
Accumulation Time Limits .
Waste is accumulated not more than 90/1. X70 [CCR 66262.34(d)]
3030010
Empty containers managed within one year [CCR 6626234(d)]
--
3030010
Universal waste accumulated less than one year [CCR 66273.15(a)]
3030011
Used oil filters offsite within 180 (1 year <1 ton) [CCR 66266.130(c)(4)]
---
3030004
Pb -acid batteries offsite within 180 (1 yr. < 1 ton) [CCR66266.81(a)(3)]:.
3030002
Labeling/Marking "
Containers are properly labeled [6626234(.f)]
3030007
Excluded recyclable materials marked prop [HSC 25143.9(a)]
~•°'
3050005
Universal . waste container properly labeled (CCR 66273:34]
--'
3030008
Used oil filters marked °drained used oil filters" [CCR 66266.1301
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)]
3030007
Treatment, Transport and Disposal/Other
Have permit/authorization to do treatment [HSC 25136.21
S
3040003
Waste sent with authorized transport (en. eligible) [CCR 66263.411
3050001 :.
Waste disposed of to authorized point/party [HSC 25199.5(a)]
3050002
Failed to ro erl handle appliance wastes [HSC 25212(a)]
Fire Protection [66262:34(d)(2)]
3030032
Print and sign in this box for re eipt of1this report. Signature does not imply agreement with findings only receipt of report.
jf`fJa//
INSPECTOR._;
POST INSPECTION INSTRUCTIONS: /
e Correct the violation(s) noted above.by /j
• 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
White - Business :Copy Yellow- :'Station Copy
Signature (that all violations have been corrected as noted)
Date
FD2171 (Rev 9/14)
Pink- Prevention Services Copy,
FACILITY NAME
INSPECTION " DATE
INSPECTION TIME
171 ROUTINE M-r,, COMBINED ❑ J OINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
G,,.
C V = omp lance
OPERATION _
ADDRESS
PHONE NO.
NO OF EMPLOYEES
Violation
COMMENT
FACILITY CONTACT
BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
Coasen to InspectNarr�e /Title r "`
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR` 2729.1)
1010008
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171 ROUTINE M-r,, COMBINED ❑ J OINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp lance
OPERATION _
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR` 2729.1)
1010008
VISIBLE ADDRESS ('CFC: 505.1, BMC: 15:52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL ` (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES: (CCR: 2731(c))"
EMERGENCY PROCEDURES ADEQUATE. (CCR: 2731)
1010010
,.
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005.
ANY HAZARDOUS WASTE O N :SITE ? D-YES. ❑ " NO
i nature of Recei t-- --- -- _,;
Explain: i
w f— d= ?t. L
Inspector:.
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by ,+t °%
Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow - Station Copy Pink— Prevention Services FD2155 (Rev 81/14)