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DW Inspection Report
Permission to Inspect: '4
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979
Fax- 661-852-2171
Business Name: Howard's Mini Mart-15-021-048118
Date: 10/10/2016
Address Name: 4201 Belle Terrace-CAL000407742
Inspector Name: Shane Gardner #8248557
Inspection Type: Routine
Report: Final
FNVO = No Violation Observed OUT = Out of Compliance NA = Not Applicable Ull) = Undetermined
= Corrected On Site RPT = Repeat Violation
Violation
Program Requirement
" C
8 0
SOC
Comments
No
a
o
0.
cc
0a
Z
0
z
M
U
IY
05
File Review
Facility Tank Information
2030021
Facility has a valid Permit
Tank 1-15000-DW-REG
to Operate from the
Tank 2-10000-DW-PRM
CUPA - 23 CCR 16 2712(i);
Z
❑
❑
1:1
❑
❑
None
Tank 3-5000-DW-DSL
HSC 6.7 25284
Tank 4-
2010010
UST Operating Permit
Application for Facility
information and Tank
information
1:1
❑
❑
r-1
F-1
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
❑
❑
None
current certification
submitted - 23 CCR 16
2715(a), 2715(b)
2030046
A complete and accurate
response plan has been
submitted, approved and
Z
None
maintained - 23 CCR 16
2632, 2634(e), 2641(h),
2712(o
2030041
A complete and accurate
plot plan has been
submitted, approved and
Z
1:1
1:1
F-1
1:1
1:1
Minor
maintained - 23 CCR 16
2632 (1)(C), 2711(a)(8)
2010006
Owner/Operator has not
made false statements or
representation on any
Z
1:1
1:1
❑
❑
F-1
None
required document - HSC
6.725299
2010003
Owner/Operator has a
DO and/or informed the
CUPA of any change (s)
❑
F-1
None
within 30 days - 23 CCR
16 2715(a)
Violation
Program Requirement
4-
0 C
0 .0
SOC
Comments
No
<
a
Cl)
0
0.
0)0
z
0
z
D
0
W
of
Testing
2030002
Owner/Operator has
tested and certified leak
F-1
❑
None
detection equipment
annually - 23 CCR 16 2638
2030048
Secondary containment
testing conducted every
36 months in accordance
[:1
❑
❑
❑
❑
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 26370, 2638(e),
2643(g), 2644.1(a)(4)
Install/Repair
2060009
Permits obtained to
install, replace, repair, or
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
E
❑
❑
❑
❑
❑
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
Z
None
❑
the alarm - 23 CCR 16
Yes
2631(8), 2632(c)(2)(A)&(B),
2633(g), 2636(o
2030017
Product piping outside the
UDC is fail-safe and shuts
down the pump or
Z
None
restricts flow - 23 CCR 16
2636(1) (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 26360 (1)
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
d o
SOC
Comments
No
q
in
O
(L
O)o
z
O
z
n
v
o f
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(4), 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
o
SOC
Comments
No
10
'.
M
<
a
0
M
0
Z
0
Z
M
Line Leak
Detector
2060012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
❑
❑
F-1
F-1
❑
None
F-1
25290. 1 (h), 25290.2(8),
Yes
25291(1), 25292(e),
2636(f) (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
❑
❑
0
❑
❑
❑
None
❑
disconnected - 23 CCR 16
Yes
2666 c
2030025
Pressurized piping able to
detect a 3.0 gph leak
RD
within an hour, and
0
❑
❑
❑
❑
❑
None
F-1
restricts the flow or
Yes
alarms - 23 CCR 16
2636 (2)
Secondary Containment
2060010
UST storing a hazardous
RD
substance has secondary
Z
❑
F-1
❑
❑
❑
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
O::�.
M
a
W
0
9L
42
00
Z
0
Z
M
W.-
>
2030008
UDC, sumps, and/or
other secondary
containment in good
E
❑
❑
❑
❑
❑
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
1:1
liquid to drain into sump -
Yes
23 CCR 16 2630(d), 2641 (a)
2060006
Secondary containment
piping slopes back to the
E
1:1
❑
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
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
0
❑
❑
❑
❑
❑
None
❑
remove liquid - 23 CCR 16
Yes
2635(b), 2665
2030054
Spill bucket maintained in
RP
good condition and free of
E]
E:]
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
None
gallons - 23 CCR 16
2635(b), 2665
Overfill
2030035
UST system is operated
to prevent unauthorized
RP
release, including spills
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 4).0
SOC
Comments
No
>0
0
U)
0
�-
(L
L 4) .
0)0
z
0
z
On Site
Records
Certifications
2030023
Required designated
operators or contractors
maintain a proper and
0
❑
1:1
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
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
❑
❑
F-1
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), 2 715(o
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
0 .2 w
SOC
Comments
No
=
<
a
0
(L
42 C a
Z
0
Z
>
Logs
2030001
Leak detection alarm
logs, maintenance and
RD
records of appropriate
0
❑
❑
❑
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
0
❑
❑
❑
❑
❑
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(i)
2030037
Written agreement
between the tank owner
and tank operator to
monitor the tank system
Z
❑
None
is maintained - 23 CCR 16
2620(b); HSC 6.7
25284(a)(3)
2030061
Suspected or actual
unauthorized release
RD
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
❑
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
❑
❑
None
program at an unstaffed
facility - 23 CCR 16
2715(0(4
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
0
SOC
Comments
No
0 CO
I.-
0.
z
0
z
M
0
W
>
Red Tag
2030045
Red Tag information is
legible and has not been
❑
[-1
0
❑
❑
❑
None
tampered with - 23 CCR
16 2 717. 1 (g)
2030044
Facility did not allow for
deposit of petroleum into
a UST that has a red tag
❑
❑
❑
None
affixed to the fi ll - 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
ED
❑
1:1
1:1
1:1
F-1
None
I CCR 16 2631(c), 2662(d)
Z 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:
Inspector: Enter # of Violations: RD: RP:
Check one box for facility Significant Operational Status (SOC) to be reported to SWRCB and US EPA:
JZ SOC with both Release Detection and Release Detection (Facility has no Release Prevention and no Release
Prevention Violations)
F-1 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)
F-1 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
CERS
Violation
INSPEC ION ATE
INSPECTION TIME
.
V (Z-
K) I
ADDRESS
PHONE NO.
NO Of EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent.ja inspect Name/Title
CORRECT OCCUPANCY (CBC: 401)
.fi: . x . o',�.. ..., ... '. a ,p.'sFg . , r �+, } s... a . u' -
x s w, ,,. . ,.< a
w
n'.. <r:.. .,,.. w .�. x. "'� ,w,.. .�.... .. -,.,. .. ... s.:.. , .,. .�,k+. , ^$,
rt,, '>r % k. ....,.. +. ,. ,`ro. 3 '.' ,.Y4.r. .,} e T k, .:,w P�P,...b .LY.
, � .e.. :, .. z. x.. .,....z -��v .. ., ., a „„ ,. x . _< 5 ..ry � � - s, .�. k... 's. ....e,�.:., c �:,
�.. �. .. ,?.a „- .. ryry .< t 3. _.frs.:. . .. v{. ., wa, :s'., :. v ".' .a<..x;. �,. w r. .:, .,;% <. w .. .. .,.. ,. s, ..
Y4 k. T,P.. <.,��'. .. k .,'1.v r.:. �'. L�'.. fn o. y., e- .., .k .... F..w sa, : r .r ,.i S v +(
,. .....�. _ ,. . 4 ... z �'. ...: - � . _.✓. � .. � ....., -. r.: ti,3 .. ... < r5 „s -. , r. ;tZ'., �l`.. 3 . � ., z:& .so-..
.,... ,v. .u. M n., k"1..:.«."h+`�an.,...�. )_, t.. .. ', , .:W, itr !!' vh ,^�. i r :: bxv: »v ,y }, 1 �..'t '^�, ,�� C
,,.�..; +.,<:r>. ..s .:.'�; ,.. ,, .e 5.. �... ., ,\ .� ,. `'�, £'. asp, a
.. Lbw' c . r �,,� �: , ,... ..�Y;oa x 4. �� ���� � s:: ���,� �dw
.za.. yin ,,. e.. - . .e
man
J �.”
y.. s an
.4 . . k ..fs m
i x �' ,,,., < .. o- .�'vi”` n.,. >2t
.:� �P�lan.�and ylnu`enfio. ,�Plro Irani a
Sect�:on 1�..Bus�ness <, r � �e ,���� r� , .�.,�>
., . ,.. 5z?<. .. .,.. .�... t ,..: � ... d .. f < & .�C
......
r��sN.><GU°a�si
❑ ROUTINE OMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V G=Qompliance 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
j
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
30300.07
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? `EYES ❑ NO
Sianature ofRecei t
Explain:
r7 '�}L�
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 S1 gnature (that all viol ons ha been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H. Street, California
Date
White — Business Copy Yellow - Station-, Copy Fink — Prevention Services FD2155 (Rev 8H14)
1.. --
C
%—V111
V
A"AIAL. V �1— a, u WA
HAZARDOUS WASTE RE UIREMENT
[N/A
CER5
Violation #
COMMENTS
Recordkee in documentation
Generator has an EPA 1D number [HSC 25143.131
3010002
Hazardous waste determination made for all wastes
n Anal sis�enerator 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)1
3020001
Manifests/Consolidated Manifest receipts complete [CCR 66262.23(a)]
3010008
Blue co (s) of manifest mailed to DTSC [CCR 66262.23(a)(4)).
3010011
Bills of Ladin 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
Containers are in. good condition CCR 66262.34 d 2
3030013
Containers are closed except when adding/ rernovin 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(t))
3030007
Containers ins ected weekly [CCR 66262.34(d)(2)]
3030019'
rc
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 25143.10]
3010016
Accumulation Time Limits
Waste is accumulated not more than 90/ Of..270 CCR 66262.34(4)]
3030010
.4' Oi" F,(,ALVI.i,, A f d C
Empty containers managed within one ear CCR 66262.34(d)]
3030010
Universal waste accumulated less than one y ear [CCR 66273.15(a)]
303001`1
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(x)]
3050005
Universal waste container properly 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)J
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)J
3030007
sal/Other
Treatment Transport and Disposal/Other
Have permit/authorization to do treatment [HSC 25136.21
3040003
Waste sent with authorized transport (gen. eli ible) [CCR 66263.41]
3050001'
Waste disposed of to authorized point/ party [HSC 25189.5(a)]
3050002
Failed to properly handle appliance wastes. fHSC 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 . -AJ i ?
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (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, 2101H St. Bakersfield, CA 93301 Date
FD2171 (Rev 9/14)
White- Business Copy Yellow- Station Copy Pink- Prevention Services Copy