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UNIFIED PROGRAM INSPECTION CHECKLIST
Aboveground Petroleum Storage Tank Program
FACILITY NAME INSPECTION DATE INSPECTION TIME
-Z.6
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
! C 7 1 --c2.. -7 5- -7
CON T TO INSPE AME /TITLE _
A �
Al�A.7• / \�/ . _ ... .-. _. -_■. -. !`f - - -: .�__ -. �:.C_.....:w IJww�il.. 4 0^ -V '4' ■/ f /I1Ad• 03r .37n
DESCRIPTION
Y
NJ
N/A
COMMENTS
Prepare an SPCC plan [CFR 112.3]
Review or amend SPCC plan [CFR 112.5 (a)(d)]
X
ca a
SPCC plan available on site [CFR 112.3(e)]
X
Conduct inspections and test in accordance with written procedures CFR 112.7(e)]
-K
Maintain records of inspections, tests and/or procedures [CFR 112.7(e)]
t'> ":a 1
Records of inspections or tests signed by inspector [CFR 112.7(e)]
V ■�V f ■V ■\ l.. Y. - -
DESCRIPTION
YJ
N
N/A
COMMENTS
Self - certification for Tier I or II facility 112.6(a)(1),(b)(1)]
Professional engineer certification CFR112.3 d) and 112.6(b)(4
X
Documentation of 5 year review and evaluation of SPCC plan CFR 112.5(b)]
X
Amendments required within 6 months of changes/certifications CFR 112.5(a) and 112.6(a) (2), (b)(4)]
-K
Management authorization of resource commitment to implement the SPCC [CFR 112.7 & 112.6(a)]
Diagram with location and contents of containers, transfer stations, connecting piping [112.7(a)(3)
jXpe of oil and storage capacity for each container [CFR 112.7(a)(3)]
Discharge prevention measures and 2rocedures for routine handling CFR 11 2.7(a)(3)]
Countermeasures for discovery, response and clean-up [CFR112.7(a)(3)]
'
Required contact list and phone numbers [CFR 112.7(a)(3)
VVV ■ ■V■\ V. v.if■v■w■ V. wv -- - - - - - - --- -
DESCRIPTION
Y
N
N/A
COMMENTS
Provide corrosion protection [CFR 112.8(c)(4)(5), (d)(1)]
Containers co m atible with0"terials stored CFR 1 12.8(c)(1)
X
hn lement SPCC plan review changes or amendments within 6 months [CFR 112.5(a)(d)]
X
Prepare an oil contingency plan or written control /removal commitments [CFR 112.7(d)]
DESCRIPTION
Y
NJ
N/A
COMMENTS
Training program CFR 112.7(f)
Train personnel in operation and maintenance of e ui ment [CFR 112.7(f)]
Conduct annuals ill 2revention briefings [CFR 112.7(f)(3)]
X
DESCRIPTION
YJ
N
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)
X
Overfill protection procedures or devices in place and operative [CFR 112.8(c)(8)]
Portable /mobile containers positioned to prevent discharge CFR 112.8(c)(11)p
Loading / unloading rack drains into containment area CFR 112.7(h)]
Provide appropriate containment /diversionary structures to prevent discharge [CFR 1 12.8(a), 112.7(c)]`
Secondary containment adequate to contain capacity 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 112.81
Implement SPCC plan elen Tents CFR 112.31
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Si natureofRecei t
Explain:
POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for regulatory citations and corrective ctions
• 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 Street, California 93301
Date
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink - Prevention Services Copy FD2156b (Rev 9/10)