The URL can be used to link to this page

Home My WebLink Aboutinspection report 2016BAKERSFIELD FIRE DEPARTMENT Prevention Services Division Underground Storage Ta l r gra 2101 H Street DW Inspection Rep Bakersfield, CA 93301 Permission to Inspect:— Phone: 661-326-3979 Fax: 661-852-2171 Business Name, EZ STOP MOBIL-15-021-17072-BOUN CHI LY Date:8/29/2016 Address Name: 101 19TH ST-CAL000310413 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 '6 C 0 .0 SOC Comments No 0 > Q 0 0 a IM o. z 0 z 0 W 05 File Review Facility Tank Information 2030021 Facility has a valid Permit Tank 1-15000-DW-REG to Operate from the Tank 2-8000-DW-PRM CUPA - 23 CCR 16 2712(i); Z ❑ ❑ None Tank 3-7000-DW-DSL HSC 6.7 25284 Tank 4- 2010010 UST Operating Permit CERS Has not been accepted Application for Facility as required information is missing 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 2030011 UST compliance statement and/or Designated Operator Z ❑ ❑ ❑ ❑ ❑ 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 missing required plot plan has been information submitted, approved and ❑ Z ❑ ❑ Minor maintained - 23 CCR 16 2632(d)(1)(C), 2711(a)(8 2010006 Owner/Operator has not made false statements or representation on any Z None required document - HSC 6.725299 2010003 Owner/Operator has a DO and/or informed the CUPA of any change (s) ❑ ❑ ❑ ❑ None within 30 days - 23 CCR 16 2715(a) I I I Violation Program Requirement 4- 0 v.2 SOC Comments No D Ck 0 42 z 0 z M 0 W > Testing 2030002 Owner/Operator has tested and certified leak 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 None modify part of the LIST system - 23 CCR 16 2712 UST System Observation General Monitoring 2030003 Leak detection system maintains continuous RD monitoring that activates ED ❑ ❑ ❑ 1:1 ❑ None ❑ an audible and visual Yes alarm - 23 CCR 16 2632, 2634, 2636, 2666 2030016 The annular space of the tank, piping and sumps RD are continuously monitored and activates ❑ ❑ None ❑ the alarm - 23 CCR 16 Yes 2631(g), 2632(c)(2)(A)&(8), 2633 c , 2636(o 2030017 Product piping outside the UDC is fail-safe and shuts down the pump or 0 ❑ ❑ ❑ ❑ ❑ None restricts flow - 23 CCR 16 2636(1) (5) 2030018 Turbine sump monitor activates an audible and RD visual alarm or stops the Z ❑ ❑ ❑ 1:1 ❑ None ❑ flow of at the dispenser - Yes 23 CCR 16 26360 (1) Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement °� o SOC Comments No O> � ¢ p o a d� Co Z O Z M U AC 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 (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 Z ❑ ❑ ❑ ❑ ❑ None into secondary containment - HSC 6.7 25291(b 2060014 Correct leak detection equipment installed for RD the type of system ® ❑ ❑ ❑ (l ❑ 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(o 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 ❑ ❑ Z ❑ ❑ ❑ 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 OO 0 CO) 0 0. = 42 CO Z 0 Z M 4) Line Leak Detector 2060012 Line leak detector installed on pressurized RD piping system - HSC 6.7 9 ❑ F-1 ❑ ❑ Ej None ❑ 25290. 1 (h), 25290.2(8), Yes 25291(0, 25292(e), 2636(1) (2) 2030026 Line leak detectors detect a 3 gph leak and/or RD audible and visual alarm 0 ❑ ❑ El ❑ El n ❑ E] 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 ❑ ❑ 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 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 0.0 SOC Comments No a 0 a as 0 Z 0 Z M 0 W oy 2030008 UDC, sumps, and/or other secondary containment in good ❑ ❑ 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 Z ❑ ❑ ❑ ❑ ❑ None 1:1 liquid to drain into sump - Yes 23 CCR 16 2630(o), 2641 (a) 2060006 Secondary containment piping slopes back to the Z None collection sump - 23 CCR 16 263 c 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 Z 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 Z None ❑ remove liquid - 23 CCR 16 Yes 2635 2665 2030054 Spill bucket maintained in RP good condition and free of Z ❑ ❑ None ❑ 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 RP to prevent unauthorized release, including spills Z ❑ ❑ ❑ ❑ ❑ None ❑ and overfills - HSC 6.7 Yes 25292.1 (a) 2030036 Overfill prevention system RP has not been overridden 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 d o SOC Comments No OO Q O a �o z O z M 0 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 ® ❑ ❑ ❑ ❑ ❑ 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 soc Comments No Oj < 0 0) 0 (L Z 0 Z Logs 2030001 Leak detection alarm logs, maintenance and RD records of appropriate ❑ E-1 1-1 ❑ ❑ None ❑ follow-up actions Yes maintained - 23 CCR 16 2632, 2634, 2712(b) Maintenance/Tests 2010008 Monitoring, maintenance, repairs, linings, and RD upgrade records r-1 ❑ 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 0 ❑ ❑ ❑ r-1 ❑ 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 RD unauthorized release reported in appropriate ❑ ❑ [0 ❑ ❑ ❑ None ❑ time frame - HSC 6.7 Yes 29294,29295 General Operating Requirements Permit Condition/Approval 2030039 Compliance with all operating permit 0 El ❑ ❑ ❑ r-1 None conditions - 23 CCR 16 2712, HSC 6.7 25299 2030059 UST system maintained in accordance with exclusion/exemption E ❑ ❑ E-1 ❑ ❑ None status - HSC 6.7 25281.6, 25283.5 2030014 Owner/Operator received approval and has implemented a training El ❑ Z ❑ ❑ ❑ 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 m o SOC Comments No •� v O a. a� 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 ❑ ❑ E ❑ ❑ ❑ 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. 'his report shall serve as a "NOTICE TO COMPLY" for Minor Violations, and a "NOTICE OF VIOLATION" for a,or 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.) i Inspectors Signature. Date: Inspector: Enter # of Violations: RD: v RP!-=' Check one box for facility Significant Operational Status (SOC) to be reported to SWRCB and US EPA: 4SOC 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 DTE INSPECTION TIME APPROPRIATE PERMIT ON HAND (BMC:15.65.080) ADDRESS PHONE NO. NO OF EMPLOYEES FACI,UJTY.CONTACT USINESSIDy NUMBER onsent to Inspect Namefritle � :. ..... : - ..:.:, ac.c.,. ri•, ... , >, .<Mw: -: ,. -�:> -� �~:-;' � rt:'., .,� �; z tf .;,w f s rS:�•,: ,.a� .va ,,yE�: z.��st'a. .,a x .E,nY �,,v . _ ,s<.. .., s .S3£.. 5',. r .. ":t. :s.•.� rr. r t.. �"'3'kr r.. ,,,,: z:. € t.,._ g f ..y .., ..„. ., v+ ... �. w: s...a, k �"E` ,. ts,,. .MS'S•.. ,. s,r .:xi. x; °�' ., _,: _.w r.. .. §.. .,., ,c ,. ..� .:,, d .s< d. x. L f. .• .. ....., ,. ,. x : �kd.. , ,. ri.. 5,.... .. �v,FS. -, .> . ......'� r 3 a ...,., fi... •G' e. .. '6 ., e '�, ,.. uc,:..., 4 i � r'S''e. .:. �,.. ,,!... d^ , . .. , .. ... .. �. a^'�< ,.5+.. R'A S_' ; .v � ..�,:. s,.. , � ,^�, C ' .,_, rt. , ,.:4` s. ✓. 1. W �,. �' l,' ':R h,,�, , , fi �. ,. ,.� , � d 1•n�enfio ,:P, .o �r � , , .:� .. r, C.. ... x ,. .. a •., ,... ._... ... ..t ., _. 'A .,. ,.. t. .. �( K.. �i„ .F` r x.y�3bw�.4 �s<L..c,�9 n:Pa.4...� e' V� s ,�,. a >a`, &.ti;•, � c �' ar a.,,x1'<t,.r :'., k @,.'k�. ,a 3 4�,*.�,'S�a:.,:.$x . «� .? A. xv asm", H»<... n .2'K�xto-.�s�'t,x'�,,.i�`.zEs..s x.<w;.stxx�.au�i «.r, r,a�,,,,v�.. �<��t.. `Y-�a .i., $ S.xu.�& 7xs� `.�va.�e?......,,s5.tw.�a...�: o-,3t�'t�c.:fi'<o.n,e,�,�. ,.,� x:*. kke. ,�".^.m�,,.»,s�.5..rk:€'+te? €i. ❑ROUTINEMBINED ❑ JOINTAGENCY ❑. MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gompliance OPERATION v =Violation; 1,11 Minor CERS 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 r 'VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 1 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ,1010010 r 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 ON SITE? `=° ES ❑ NO i natureRRecei t Explain: 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 , i'Pmk k Prevem O�n Services FD2155 (Rev 8//14) . V VV111 ' "'.. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS WASTE,, COMMENTS C Prevention Services UNIFIED PROGRAM CONSOLIDATED FORMS B ..... E R_ s: F ...L. D 2101 H Street SMALL QUANTITY HAZARDOUS ;. F%R E ARTM T Bakersfield, CA 93301 W/4$TE:GENERATOR ISPECI)IO Phone: 661- 3.26 - 3979• Fax: 661 -852 -2171 Hazardous aste determination made for:all wastes 0 Analysis, nerator. Knowledge [CCR 66262.40] 3030005 � Contin ency planinformation posted near hone [CCR 66262.34(d)(2)]. Facility. Name: _ (" °°� l� I . Date: Site Address 3020001 , Time In:° ,r Time Out: Owner /Operator.: ,,, �'4. 3 $ '. Phone: EPA ID C _ ! i/ ` a Type of Inspection d Routine . 0 Re'- inspection/Follow -up �ombined Routine Inspectio �"L1I Joi. Inspecti '�'' Complaint 0 Focused 0 Other NSENT TO INSPECT GRANTED BY (Name../ Title): Blue copy(s) of manifest mailed to DTSC [CCR 66262.23(a)(4)] . handling Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste requirements. . V VV111 1Q111L. Y .^ 41GlJJ 1, u v : HAZARDOUS WASTE REQUIREMENT N/A CERS Violation.# COMMENTS C V ` Recordkee in docuanentation ;. Generator has an EPA ID number .[HSC 25143.13] 3010002 ' Hazardous aste determination made for:all wastes 0 Analysis, nerator. Knowledge [CCR 66262.40] 3030005 Contin ency planinformation posted near hone [CCR 66262.34(d)(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 Lading/receipts available [CCR 66262.40(a)] 3010010 LDRs: available and complete [CCR 66268.7(a)]. 3030006 . Onsite recycling reported using UPCF [HSC 25143.101 3030001 Container /tank management Containers are in ood condition. [CCR 66262.34(d)(2)1 3030013 Containers are closed except. when adding/rem g [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(d)(2)] 3030019 Tanks inspected daily [CCR 66262.34(d)(2), 400 FR 265.201] 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 Accium_lation Time Limits Waste is accumulated snot more than -9W 8,270 [CCR 66262.34(d)] 3030010 Empty containers managed within one year [CCR 66262.34(d)] 3030010 Universal waste accumulated less than one year [CCR 66273.15(a)] 303001 T 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 3 Excluded recyclable materials marked properly [HSC 25143.9(a)] 3050005 Universal waste container prop erl labeled (CCR 66273.341 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 [66262.34(f)] 3030007 Treatment, Transport and Disposal/Other Have permit/authorization to do treatment [HSC 25136.21 3040003 -Waste sent with authorized.transport (gen. eligible) [CCR 66263.411 3050001 Waste disposed of to authorized point/party [HSC 25189.5(a)] 3050002 Failed to properly handle appliance wastes [HSC 25212(a)] Fire Protection [66262:34(4)(2)] 3030032 Print and sign in this box for receipt of this ort. Signature does not imply agreement with findings only receipt of report: INSPECTOR �f 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: 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 Owner /Operator: 4/ C, ; Address:. , 0 There were NQ vi olations-observed during thi inspection. ; ` ' . .; ^ .3".'�Y ' , ..'v4. � . .x ..1x_.,>na.i'..m . 5..sx. � /. � N ?. ., .:?: .:,.4. .$l Y * , »� xla .4 .. .,'.� . . . y .J , Ra e . : .. x, , .., r,. :..,e J ,'k a'.. Y u,>h I.. b. ' a Y k �<.,:. -t fr � . � ..h�i ." : .:,n.x..s , .$ .ix. . , . '.. < � ., 7 .�,. ^s>. 'w wv. h . �.�. i . ,._., rv.L :.0 .ai.., h , n: '.,� . . , r. � +:W,� . £� .: .w $.' .i...R >r�,,[ .°..�. +T,- .0 . ! m:. :. . :.. A . 9.e. . i �, '. „ a”) - x a ' £��x Y' - r i��G> ' "�. _ .. r .-, : i . .>,. �. f ,. - u ..< . F,3-2,.C>. 9'".h,`.4 - . p . .p. n . � .,. � . 6 ' J ,yID ..,. . . .: ., ,.� ^ :..-., .' . L a ,�. x. ,. .. . u, . . _ _ i. E , �? k"1 H ,. �: . . _'H o Y '. x4. ' . '�l° -�'(i.. k_v ''..� lk .,..gd> , , .e. : .,, .4. Y4 ..:.a.`. . .S v . ., : r. �.a.a., :".t 4 3. . e . , "Y. . � .r.' u u M y+,. , Nry ' w��ti�%D. v , " . ." +r,L: ' '. §3. ., 5.y .. " :. : �.n i .`..� , M .” . :c.. " �i ` 'J , rG;. � : i n. X 1 A`�u �y�. � v.:d t .�n. h � .ZtPa, �Z. �.". x< „..L jOfi., �`.. .cwP.�.`...k:...:..,.s.. ...'a .!: ,a.'.,a.>,.. . . 3' a♦' #�f. , . a-_ n ' _ � F3 « ' '. a i.,. , o<. ., -..� . �.,h ..`.ra : e.�' .,: ?�.s-: , x, .a, :,� .4.�ru., ,Yu%..a . .. � g... .: ,.� . . . ��`ii. '' . .. „ e .fi . '. .l" i.r. �:m � . �, F.°h•.�( : a .t ,°. .5n- s + :4 ' �a`%v '.� .. . .' n.�.5.. ..”. : �i• , x rc ��$ h. °. , . .. .� . :e ,'. . 4S <�, .k F h ,. �- , . � .i. �.:i .t xv-> '..r� i+y . t. .;dJ _- r 4�_. w i-.yy - .'>.s.s. n . . ..'....,i,v •.> .. ` .[r .- . . ' � . ," . . . . i A }he i, M a � ' _„..sA : . �, ?9 - : t,).aaa.F. - A e -�..- .; r � . . :- � a3Fa4 .x . -. . "w'. :'y�?4 8'R � '4,.a.r,:+ x ' uM . E v" . ... � x ' k �r .� N� x N � i6�d3,..✓x :- um -`�a' � _. xv , . e . v � T w Notice to. Comply: Minor Violations were found, during. this inspection as noted in.'the following .. . e. . : 'Sumrr�ary of Violations. The violations; indicated in this inspection :report must be corrected W' ithin 30 days, unless[ otherwise noted. Formal enforcement maybe initiated for any violations. noted, and 'for. those .not corre=cted in a::- timely manner. This report. does not represent that there'are no other violations at.this facility:. A re- inspection may occur to determine compliance status..: CERTIFICATION OF RETURN TO COMPLIANCE certify that the violations noted above on this Notice to Comply /Summary.of Violations have been corrected. I have personally examined any documentation attached to the certification to establish that the violations have teen. corrected. S=ignature: Title , .Print Name: Date: <PR #R44fi IAX; i +.-. Q< YallmAi — RuainPSC (' f)nv to be sent in after.Return- to- Compliance Pink — Prevention Services Copy