HomeMy WebLinkAbout2017 INSPECTION REPORT{ BAKERSFIELD FIRE DEPARTMENT
.
FIRE P.REVE`NTION. INSPECTION t I!E!!R Prevention - Selry ces
'
F I t',; D ...
ME 2:101 H Street
.
AJP r Bakersf i61 CA 93301. '
-326- '' Fax:
Phone:: 661 3979. 6611 -852- 2171
77
DISTRICT
BLOCK NO.
;DATE .. EE .
_ . d
FACILITY ADDRESS'
C-1 Ai
CITY, STATE, ZIP '
Ir
FACILITY NAME
MANAGER'S NAME
PH- NO_
,
BUSINESS OWNER.'S NAME AND ADDRESS
CITY, STATE, ZIP.
PH NO.
`. "BELL
FO: '(IF DIFFERENT FROM ABOVE) NAME, ADDRESS,
CITY,: STATE, ZIP,
PH NO. '
OCC TYPE
OCC LOAD .
NO. OF FLOORS,
HIGH RISE BLDG
RISER DATE
.
..
p. 'YES . '' qo
:
CORREC.T.ALL VIOLATIONS VIOLATION
REQUIREMENTS
CHECKED.BELOW : NO.
1;
Remove and safely dispose of all hazardous refuse and :dry'vegetation o' the. above premise's.:(CFC
•
COMBUSTIBLE WASTE•/ DRY.
VEGETATION
304..'1:,1) . .
2
Z
Provide non-combustib }e containers with tight fitting' lids for th'e'storage of :c.omb`ustible waste and
Tubb -ish p.end'ing -its safedi'sposa•j; (CFC' 304:3.2) :Note: a:pplie to containers over 40 gallons...
COMBUSTIBLE STORAGE
3
Relocate 'com,bu•stibie storage to ;provide. at feast 3. feet clea'r:ance around motor fuse box /fire doo.r.(CFC
605.3.) '
4
Relocate fire, extinguisher ( s):'so that they will -be in'a conspicuous- locatio:n,' hanging pn.'brackets with the
top to the extinguisher not more than S :feet above. the floor. (CF'C 906.5 & 906;9:);
EXTINGUISHERS
_.
5
Provide and in "stall ('amoun't) ___ -- approved (type & size)':— ____�_�____ portable fire
- - --
exting.uis•her to be. immediately accessible for use in (area) ___ ___ _------- --- _---------- (CFiC
.
TABLE:'906.3(1))_
5
Re'- .ch.arge` all fire extinguishers. Fire.'dxtinguishers'shall be serviced 'at least o,nce each' year, and /or
' ..
after each u.se, by.a person having-a valid license or c.ertificate...(CFC'9`06'.2)
�.
Provide and maintain "EXIT "'.sign(s) with letters `6 or-more inches i'n h.e'ight over.e'ach req'.uir.ed. exit'
.
SIGNS
-
(door /window) -to 'fire escape. -
g
'Rrovide and maintain appropriate; numbers on, .a contrasting background..a-n-d visible..from'the'street to
indicate- the correct address of the,budilding, (CFC 505.1).
g
:
:Repair all ( cracksjho1e.s /openin g s) in plaster in ( to ca t i.o n) — -—— - -—__ - - - - - -- - - -- --
FIRE DOORS
FIRE SEPARATIONS
Plastering shall re:t.urn' the. surface. to its or.ig:inal fire resi'st'ive condition.' (CFC 703.1) .
1 o .
Remove /repair (item & 1. o c a t i o n) ----------------------------------------------- - - - - - --
Sel closing' doors shall be designed to close -by. gravity., 'or by the action of a:`me.ch.anical. device, or,,by an
approved smok;e_anc( "heat:•s.ensitive device: Self = closing doors shall have no attachments capable of
preventing the operation of the cl -osing .device, (CFC. 7`03.2)
1-1
Remove ail obstruction from hallways. Maintain all means of egress free of :any storage. (CFC 1.028.3),'
EXITS•
•
12.
Provide.a contrasting colored and permanently installed, electric 1ig-ht_ over or near. required exit
'
(to.cation) _- ___T_____ -_ - - -; =-- ---- - - = --= to..clearly indicafe it as.'a.n exit,' ('CFC .1006.3.)
STORAGE `.
13.
all StO,ra'ge and /Or other` obstructions from fire.escape.landings and ttairw.ays'stair shafts.. •.(Fire :.
_.
escapes. /stair shafts a.re to be main'ta.ined free', from.obstru.ctions at al.I•times.) (CFC .1003.6)„
14
Extension cords s.hall.not be. used in, lieu of permanent'a,pproved wining.: Instal]�addit.ional "appro.v,ed
ELECTRICAL APPLIANCES
electric.aa outlets Where-needed., .(CFC 605:5)"
15
Remove multiple attachment cords from specific electrical convenience outle.t (one plug per ou let): (CFC
OUTDOOR BURNING
16
Recreational fires or open burning., . CFC• 307:1
-
FIREWORKS
17,
Vi'ola.tions of Section (CFC. 5608.1.) :& 8.44.040 (b.M.C..)'. '
OTHER _
181
-
CORRECTION DATE
Correct the violations: noted above by;
LEGEND:
FIRE CODE'
C.F.C. CALIFORNIA,
C. BC - CALIFORNIA BUILDING CODE
CUSTOMER: fir" # . '° °�
"
B.M.C. BAKERSFEELD MUNICIPAL CODE,
(Signature) ,.(Please Print -Name Legibly,. Title).
N.F.P.A. NATIONAL= FIRE.PROTECfION
'ASSOCIATION .
INSPECTOR % :� , .+ a NO.: 77
N.E.C.- . ;; NATIONAL ELECTRIC CODE
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS +" Prevention Services
8 E >R s V c D 2101 H Street
SMALL QUANTITY HAZARDOUS PINE Bakersfield, CA 93301
WASTE GENERATOR INSPECTION A �tr�t phone: 661 -326 -3979 Fax: 661 -852 -2171
Facility Name: , ` 0 c? /V Al VIVIN r � Date: I
Site Address: ) $ r� .7 rte. ? ,1 t Time In: Time Out: -
Owner /Operator: "° "c�. '�� ,rte t. ��'""..*� `�--
Phone: EPA ID # 69Z a-;V)- .. 9 VZ-
Type of Inspection
d Routine d Re- inspection/Follow -up ombined Routine Ins ection Loi t In ection 0 Complaint d Focused Q Other
"- CONSENT TO INSPECT GRANTED BY (Name / Title): "�- r�
/Inspection may involve obtaining. photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements.
C
V
- - - - - - --
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation #
COMMENTS
Recordkee in documentation
Generator has an EPA 1D number HSC 25143.131
3010002
Hazardous waste determination made for all wastes
D Analysis ,;generator Knowledge [CCR 66262.40]
3030005
Contingency lan information posted near phone [CCR 66262.34(d)(2))
3010022
Facility ersonnel demonstrate training/awareness [CCR 66262.34(d)(2)]
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 Lading/receipts available [CCR 66262.40(a)]
3010010
LDRs available and complete CCR 66268.7(a)l
3030006
Onsite recycling reported using UPCF [HSC 25143.101
1
3030001
Container /tank management
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(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 8.70 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)]
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 66273.341
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
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 66263.41 ]
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(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.
'-
IN
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, 2101 H St. Bakersfield, CA 93301 Date
FD2171 (Rev 9/14)
White - Business Copy Yellow- Station Copy Pink- Prevention Services Copy
t.
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FACILITY NAME
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�. «sa�b
INSPECTION DATE
INSPECTION TIME
C V = ompiance OPERATION
CERS
V =Violation; 1,11 Minor
ADDRESS -
COMMENT
PHONE NO.
NO OF EMPLOYEES
- "\j C� -j
FACILITY CONTACT
3010001
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
onsent to lns e.ct NamerT& tie
y
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❑ ROUTINE ` COMBINED ❑ J.OINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT 4 ❑ RE- INSPECTION
C V = ompiance 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
y
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(17, 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? ❑ YES .5 NO
Signattwe ofR+ecei
Explains:
t
1,10 4a . � 1 2- La 37,..; r7-`. < : 1-1"9
Inspector:,.
POST INSPECTION INSTRUCTIONS:
• Correct the violations) 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 ' Pr66AM.'Services FD2155 (Rev 8H14)
Violation
Program Requirement
o
SOC
Comments
No
%- kv
M
z
O
z
v
W
G>
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(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
® 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: <::z, / 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:
OC 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
Violation
Program Requirement
%I-
C
0 0.0
S -0 C_
Comments
No
O
4
0
0
0.
44
20
00
Z
0
Z
Logs
2030001
Leak detection alarm
logs, maintenance and
RD
records of appropriate
r_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
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
E
❑
1:1
❑
1:1
❑
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
E
❑
❑
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
j
General Operating Requirements
Permit Condition/Approval
2030039
Compliance with all
operating permit
Z
None
conditions - 23 CCR 16
2712, HSC 6.7 25299
2030059
UST system maintained
in accordance with
exclusion/exemption
E
❑
❑
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(2)
2030015
Facility exhibited that the
method used to monitor
the tank meets the
monitoring methods in
Z
❑
❑
None
2643(f) - 23 CCR 16 2643
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
4-
0
0.0
SOC
Comments
No
D
a
Co
0
CL
42 (V
m 0
z
0
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
F-1
❑
❑
F-1
❑
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
0
❑
❑
❑
F-1
❑
None
the reports are complete -
23 CCR 16 2715
2030010
DO notified operator of
any condition observed
during the monthly
r-1
F-1
❑
1:1
❑
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-
W0 .o
S O-C
Comments
No
a
0
0.
CD 0
Z
0
Z
M
0
W
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
❑
liquid to drain into sump -
Yes
23 CCR 16 2630(d), 2641 (a)
2060006
Secondary containment
piping slopes back to the
Z
El
❑
❑
❑
❑
None
collection sump - 23 CCR
16 263(c)
2030047
Secondary containment
maintained tight and has
been confirmed by testing
Z
❑
E:]
❑
❑
❑
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
S
❑
❑
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(b), 2665
2030054
Spill bucket maintained in
RP
good condition and free of
None
r-1
debris and/or liquid - 23
Yes
CCR 16 2635(b), 2715(c)(2)
2060019
Spill bucket to has a
minimum capacity of five
Z
❑
❑
1:1
1:1
❑
None
gallons - 23 CCR 16
2635(b), 2665
Overfill
2030035
UST system is operated
RP
to prevent unauthorized
release, including spills
Z
❑
❑
❑
1:1
F-1
None
❑
and overfills - HSC 6.7
Yes
25292.1 (a)
2030036
Overfill prevention system
RP
has not been overridden
and meets overfill
ED
❑
❑
❑
❑
❑
None
F-1
requirements - 23 CCR 16
Yes
2635(b)(2), 2665
1
1
1
1
1
1
1
1
1 1
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
0 0-0
SOC
Comments
No
G
W
0
CL
4) W
%- co
ago
Z
0
Z
:D
0
W
0
Line Leak
Detector
2060012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
E
El
El
❑
F-1
❑
None
❑
25290. 1 (h), 25290.2(8),
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 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
None
❑
restricts the flow or
Yes
alarms - 23 CCR 16
2636(0 (2)
Secondary Containment
2060010
UST storing a hazardous
RD
substance has secondary
Z
❑
❑
❑
❑
❑
None
❑
containment - HSC 6.7
Yes
25292
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
o
SOC
Comments
No
a) W
c
z
O
z
M
V
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
0
❑
❑
❑
❑
❑
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
O
a
0
0.
110-
0)0
z
0
z
=
0
ix
05
Testing
2030002
Owner/Operator has
tested and certified leak
S
❑
❑
❑
❑
❑
None
detection equipment
annually - 23 CCR 16 2638
2030048
Secondary containment
testing conducted every
36 months in accordance
F-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
❑
❑
1:1
❑
None
hours prior to testing - 23
CCR 16 2637(1), 2638(e),
2643(8), 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
❑
❑
❑
f-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(g), 2636(o
2030017
Product piping outside the
UDC is fail-safe and shuts
down the pump or
0
❑
❑
1:1
None
restricts flow - 23 CCR 16
2636(0(5)
2030018
Turbine sump monitor
activates an audible and
RD
visual alarm or stops the
S
❑
❑
❑
❑
❑
None
❑
flow of at the dispenser -
Yes
23 CCR 16 2636(0(1)
Underground Storage Tank Program - DW Inspection Report v 2.0
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
Underground Storage Tank Program 2101 H Street
DW Inspection e Bakersfield, CA 93301
Permission to Insp Phone: 661 -326-3979
Fax: 661-852-2171
Business Name: CALIFORNIA MINI MART -15- 021 - 002991
Date:01/2512016
Address Name: 1129 Union Ave-CAL000249428-JASSAR SIKANDER
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
0
SOC
Comments
No
Q
U)
0
a.
=
g cc
0)73
z
0
z
M
0
W
>
File Review
Facility Tank Information
2030021
Facility has a valid Permit
Tank 1-10000-DW-REG
to Operate from the
Tank 2-1 0000-DW-REG
CUPA - 23 CCR 16 2712(1);
Z
❑
❑
None
Tank 3-1 0000-DW-PRM
HSC 6.7 25284
Tank 4-1 0000-DW-DSL
2010010
UST Operating Permit
Application for Facility
information and Tank
information
Z
❑
❑
❑
❑
❑
None
submitted/maintained - 23
CCR 16 2711; HSC 6.7
25286(a)
2010001
Current BOE number
submitted to the CUPA
Z
1-1
❑
❑
❑
❑
None
and/or CERS - HSC 6.7
25286(c)
2030011
UST compliance
statement and/or
Designated Operator
Z
E]
❑
❑
❑
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
Z
❑
❑
❑
❑
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)(g, 2711(a)(8)
2010006
Owner/Operator has not
made false statements or
representation on any
None
required document - HSC
6.725299
2010003
Owner/Operator has a
DO and/or informed the
CUPA of any change (s)
Z
❑
❑
1:1
❑
None
within 30 days - 23 CCR
16 2715(a)