HomeMy WebLinkAboutAPSA Insp Form 7-8-16UNIFIED PROGRAM INSPECTION CHECKLIST
Aboveground Petroleum Storage Tank Program
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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Prepare an SPCC plan [CFR 112.3
ADDRESS
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PHONE NO.
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NO OF EMPLOYEES
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FACILITY CONTACT _
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BUSINESS ID NUMBER ^�
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CONSENT TO INSPECT NAME /TITLE
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DESCRIPTION
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N
N/A
COMMENTS
Prepare an SPCC plan [CFR 112.3
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Review or amend SPCC plan [CFR 112.5 (a)(d)]
V
SPCC plan available on site [CFR 112.3(e)]
Conduct inspections and test in accordance with written procedures [CFR 112.7(e)`"
V
Maintain records of inspections, tests and/or procedures [CFR 11 2.7 e ]
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Records of inspections or tests signed by inspector [CFR 112.7(e)]
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DESCRIPTION
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N
N/A
COMMENTS
Self- certification for Tier I or II facility 112.6 (a)(1),(b)(1)
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Professional engineer certification [CFR112.3(d ) and 112.6(b)(4)
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Documentation of 5 year review and evaluation of SPCC plan [CFR 112.5(b) ]
Amendments required within 6 months of changes/certifications [CFR 112.5(a) and 112.6(a)(2), b)(4)
Management authorization of resource commitment to implement the SPCC [CFR 112.7 & 112.6(a
V
Diagram with location and contents of containers, transfer stations, connecting piping 112.7(a)(3)]
t.
Type of oil and storage capacity for each container [CFR 112.7(a)(3)
V
Discharge prevention measures and procedures for routine handling CFR 112.7(a)(3)
Countermeasures for discovery, response and clean-up [CFR1 12.7(a)(3)]
Required contact list and phone numbers [CFR 112.7(a)(3)]
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DESCRIPTION
Y
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NJ
N/A
COMMENTS
Provide corrosion protection [CFR 112.8(c)(4)(5), (d)(1)]
Containers compatible with materials stored CFR 112.8(c)(1)
Implement SPCC plan review changes or amendments within 6 months CFR 112.5(a)(d)
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Prepare an oil contingency plan or written control /removal commitments [CFR 112.7(d)]
V
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DESCRIPTION
Y
NJ
N/A
COMMENTS
Training program [CFR 112.7( ]
Train personnel in operation and maintenance of equipment [CFR 112.7(f)
Conduct annuals ill prevention briefings [CFR 112.7(f)(3)
V
DESCRIPTION A ^
YJ
NJ
N/A
COMMENTS
Meet provisions of conditional exemption [H &S 25270.4.5(b
Facility security adequate [CFR 112.7(g)]
Clean-up materials readily available CFR 112.7(c)
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Overfill protection procedures or devices in place and operative [CFR 112.8(c)(8)]
V
Portable /mobile containers positioned to prevent discharge [CFR 112.8(c )(11)
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Loading / unloading rack drains into containment area CFR 112.7(h)]
V
Provide appropriate containment /diversionary structures to prevent discharge [CFR 112.8(a), 112.7(c)
Secondary containment adequate to contain cEacity of largest container + precipitation [CFR 112.8(c)]
Remove accumulation of oil in secondary containment CFR 112.8(c)(10)
Secondary containment valve(s) closed [CFR 112.8 ]
V
Implement SPCC plan elements [CFR 112.3
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ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Si natureofRecei g t
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Explain: coin "`: c C. `a.1�,�1✓ b r, c "�s r Ict "r
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POST INSPECTION INSTRUCTIONS: F,,!-- oft
• Refer to the back of this inspection report for regulatory citations and corrective actions
• 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
Pink - Prevention Services Copy
Signature (that all violations have been corrected as noted)
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance
FD2156b (Rev 9/10)