HomeMy WebLinkAbout2016 inspection reportUnderground Storage Tank Program
DW Inspection Report
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: Sam's Liquor and Gas-15-021-53230
Date:05/11/2016
Address Name: 801 E. California Ave-SAMRITH VONG
Inspector Name: Shane Gardner #8248557
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
cc
SOC
Comments
No
:0�
a
p
0
Z
0
z
n
0
W
File Review
Facility Tank Information
2030021
Facility has a valid Permit
Tank 1-12000-DW-DSL
to Operate from the
Tank 2-12000-DW-PRM
CUPA - 23 CCR 16 2712(i);
None
Tank 3-12000-DW-REG
HSC 6.7 25284
Tank 4-
2010010
UST Operating Permit
Application for Facility
information and Tank
information
�
❑
n
E]
El
D
None
submitted/maintained - 23
CCR 16 2711; HSC 6.7
25286(a)
2010001
Current BOE number
submitted to the CUPA
'01:1
MR
Ej
None
and/or CERS - HSC 6.7
25286(c)
2030011
UST compliance
statement and/or
Designated Operator
F-1
❑
❑
❑
❑
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
F-1
n
M
Minor
maintained - 23 CCR 16
2632 d) (1)(C), 2711(g)(8)
2010006
Owner/Operator has not
made false statements or
representation on any
F1
M
El
R
E]
None
required document - HSC
6.725299
2010003
Owner/Operator has a
DO and/or informed the
CUPA of any change (s)
El
❑
❑
E-1
❑
None
within 30 days - 23 CCR
16 2715(a)
Violation
Program Requirement
4-
0
4)
soc
Comments
No
0
>
13
(1)
0
(L
42 W
"=
0a
z
0
z
>
Testing
2030002
Owner/Operator has
tested and certified leak
detection equipment
❑
❑
❑
❑
❑
None
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
[73:6
❑
❑
❑
None
after the test - 23 CCR 16
7
2637(e)
2030064
CUPA was poperly
notified within the
prescribed number of
None
hours prior to testing - 23
CCR 16 2637M, 2638(e),
2643(8), 2644.1(a)(4)
Install/Repair
2060009
Permits obtained to
install, replace, repair, or
r7_1
El
F1
El
El
n
None
modify part of the UST
syste - 23 CCR 16 2712
UST System Observation
General Monitoring
2030003
Leak detection system
maintains continuous
RD
monitoring that activates
F-1
1:1
n
None
El
El
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
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
activates an audible and
RD
visual alarm or stops the
None
❑
flow of at the dispenser -
Yes
23 CCR 16 2636(0(1)
1
1
1
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
° o
SOC
Comments
No
OU
_.
z
O
z
W
p>
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
0.0
SOC
Comments
No
F-
M
0
0
0.
0
Z
0
Z
M
•
Line Leak Detector
2060012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
1:1
❑
1:1
❑
❑
None
❑
25290. 1 (h), 25290.2(g),
Yes
25291(1), 25292(e),
2636(1) (2)
2030026
Line leak detectors detect
a 3 gph leak and/or
RD
audible and visual alarm
None
❑
function properly - 23
Yes
CCR 16 2636(0(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
2636(0(2)
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
C1
0
(L
O)o
Z
0
Z
v
of
2030008
UDC, sumps, and/or
other secondary
containment in good
❑
1:1
❑
❑
❑
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
❑
❑
❑
❑
❑
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
and has a functional drain
RP
valve or other means to
None
❑
remove liquid - 23 CCR 16
Yes
2635(b), 2665
2030054
Spill bucket maintained in
RP
good condition and free of
❑
F-1
❑
❑
❑
None
❑
debris and/or liquid - 23
Yes
CCR 16 2635(b), 2715(c)(2)
2060019
Spill bucket to has a
minimum capacity of five
[--j
❑
None
gallons - 23 CCR 16
2635(b), 2665
Overfill
2030035
UST system is operated
to prevent unauthorized
RP
release, including spills
❑
❑
❑
[:j
❑
None
❑
and overfills - HSC 6.7
Yes
25292.1 (a)
2030036
Overfill prevention system
has not been overridden
RP
and meets overfill
❑
❑
❑
❑
1:1
None
❑
requirements - 23 CCR 16
Yes
2635(b)(2), 2665
1
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
4-
0
0.0
SOC
Comments
No
0>
:) I--
<
a
0 (a
L
2 010 'M
Z
0
z
D
On Site
Records
Certifications
2030023
Required designated
operators or contractors
maintain a proper and
1:1
❑
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
❑
F-1
❑
❑
❑
None
certification - 23 CCR 16
2715
2010007
Submit/maintain current
Certificate of Financial
Responsibility/mechanism
of financial assurance -
23 CCR 16 2711; 23 CCR
❑
❑
❑
F-1
❑
None
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
E?
❑
El
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
❑
❑
❑
None
site, and a log kept - 23
CCR 16 2715(c)(6), 2715(1)
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
4 C
6 0 .0
SOC
Comments
No
13
42'0
03 0
Z
0
Z
D
0
W
0
5
Logs
2030001
Leak detection alarm
logs, maintenance and
RD
records of appropriate
1:1
❑
❑
❑
❑
None
❑
follow-up actions
y
Yes
maintained - 23 CCR 16
2632, 2634, 2712(b)
Maintenance/Tests
2010008
Monitoring, maintenance,
repairs, linings, and
RD
upgrade records
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
F%1
❑
❑
❑
❑
❑
None
plan - 23 CCR 16 2632,
_T
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
R
time frame - HSC 6.7
Yes
29294,29295
General Operating Requirements
Permit Condition/Approval
2030039
Compliance with all
operating permit
❑
1:1
❑
❑
❑
None
conditions - 23 CCR 16
2712; HSC 6.7 25299
2030059
UST system maintained
in accordance with
exclusion/exemption
FU
❑
1:1
❑
❑
r-1
None
status - HSC 6.7 25281.6,
ff
25283.5
2030014
Owner/Operator received
approval and has
implemented a training
❑
❑
❑
None
program at an unstaffed
facility - 23 CCR 16
2715 2)
2030015
Facility exhibited that the
method used to monitor
the tank meets the
monitoring methods in
❑
1:1
❑
❑
❑
None
2643(f) - 23 CCR 16 2643
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
0.2
SOC
Comments
No
o
4°
z
o
y
z
M
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
F1,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:
Date: -5 /(( 1 i �,
Inspector: Enter # of Violations: RD: RP:
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
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
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
G : I . `use: .+Vt C v
FACILITY CONTACT
BUSINESS ID NUMBER
oo
Consent to Inspect Nampe /Title
Z .' 's. <tt. �. P 3 �, .t. ..i ',: S �: sF.. •: @'�_W<. 4'eD : ti5, 5.1:.:
's
':[ E. ,: s. Fx, s' a� 2�x. a :;iii
...«� T.s..,.., ....u.x. �:... •...,. .:::
-i C, fi
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.I�v ,.. .4
INT ❑ RE- INSPECTION
❑ ROUTINE Imo" COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ 'COMPLAINT
= omp lance
C V 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 (CFO: 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
VERIFICATI ON.OF LOCATION (OCR: 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 (CC, R: 2731(c))
j�
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 & 90 6)
3030032
SITE DIAGRAM ADEQUATE &' ON HAND (CCR: 2729.2)
. 1010005
ANY HAZARDOUS WASTE ON SITE. '` I >YES ❑ NO
i natureofRecei t tt
Explain ::
re
Inspector:
POST INSPECTION INSTRUCTIONS:.
Correct the violation(s) noted above by
• 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 8//14)
HAZARDOUS WASTE �.. BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS y Prevention Services
B E R s F I i n 2101 H Street
SMALL QUANTITY HAZARDOUS PINK." Bakersfield, CA 93301
.WASTE GENERATOR INSPECTION . ARrM � phone: 661 - 326 -3979 •Fax: 661- 852 -2171
S7 J4
Facility Name:. U/.. Date•'�d_ /
Site Address: ° 1 Time In. Time Out:
Owner /Operator: ^<,4 A4A r O^11-1 Phone: EPA ID #
Type of inspection
0 Routine 0 Re- inspection/Follow -up >eombinedRouti n action 0 Joint Inspection 0 Complaint 0 Focused 0 Other
0 CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements.
4 '-`
C
l..Vlll
V
14111 �. ♦ � V14uu A, 1a
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation #
COMMENTS
Recordkee in documentatlon
` Generator has an EPA ID number HSC 25143.131
3010002
" "' esq
Hazardous waste determination made for all wastes
0 Analysis >96nerator Knowledge [CCR 66262.401
3030005
Contingency lan information posted near phone [CCR 66262.34(d)(2)]
3010022
Facility personnel demonstrate training/awareness [CCR 66262.34(d)(2)]
3020001
Manifests/Consolidated Manifest receipts com late [CCR 66262.23(a)]
3010008
Blue co (s) of manifest mailed to DTSC [CCR 66262.23(a)(4))_
3010011
Bills of Lading/receipts 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
Containers are in good condition CCR 66262.34(d)(2)]
3030013
Containers are closed except when addin removin [CCR66262.34(d )(2)
3030017
Satellite containers at or near point of generation [CCR 66262.34(e) 1 A)]
Empty containers are Smpty JCCR 66262.34
3030007
Containers inspected weekly [CCR 66262.34(d)(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 90/180/270 CCR 66262.34(d)]
3030010
Empty containers managed within one ear ICCR 66262.34(d)]
3030010
Universal waste accumulated less than one ym [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 [66262.34(f)]
3030007
Excluded recyclable materials marked properly [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
3030007
Tank marked with "haz waste" , contents, start date [66262.34(f)] 1--1-3030007
Treatment Transport and Disposal/Other
Have pen-nit/authorization to do treatment HSC 25136.21
3040003
Waste sent with authorized transport en. eligible) [CCR 66263.41 ]
3050001
Waste disposed of to authorized poimVparty [HSC 25189.5(a))
3050002
Failed to properly handle appliance wastes HSC 25212 a
Fire Protection [66262.34(d)(2)]
3030032
Print and sign in this box for receipt of this report. Signature does not imply agreement with findings only receipt of report.
INSPECTOR' "
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by (that all violations have been corrected as noted)
• 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