HomeMy WebLinkAboutCUPA REPORT 2017Underground Storage Tank Program
DW Inspection Report
Permission to Inspect:
SAKE RSF I ELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979
Fax: 661 -85 -2171
Business Name: A -1 FOOD STORE -15- 021 -36046
Program Requirement
Date:04/24/2017
[Address Name: 1200 H St- CAL000422926
Inspector Name: Shane Gardner
Inspection Type: Routine
Report: Final
NVO = No Violation Observed OUT = Out of Compliance
COS = Corrected On Site RPT = Repeat Violation
NA = Not Applicable UD = Undetermined
Violation
Program Requirement
m o
SOC
Comments
NO
Q
G
O
a
Oo
z
o
z
M
V
a
o5
File Review
Facility Tank Information
2030021
Facility has a valid Permit
T1- 20000- DW -REG
to Operate from the
T2- 20000- DW -PRM
CUPA - 23 CCR 16 2712(i);
®
❑
❑
❑
❑
❑
None
HSC 6.7 25284
2010010
UST Operating Permit
Application for Facility
information and Tank
information
®
❑
❑
❑
❑
❑
None
submitted /maintained - 23
CCR 16 2711; HSC 6.7
25286(a)
2010001
Current BOE number
submitted to the CUPA
®
❑
0
❑
❑
None
and /or CERS - HSC 6.7
25286(c)
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
®
❑
❑
❑
❑
❑
None
maintained - 23 CCR 16
2632, 2634(e), 2641(h),
2712(1
2030041
A complete and accurate
plot plan has been
submitted, approved and
®
❑
❑
❑
❑
❑
None
maintained - 23 CCR 16
2632(d )(1)(C), 2711(a)(8)
2010006
Owner /Operator has not
made false statements or
representation on any
®
❑
❑
❑
❑
❑
None
required document - HSC
6.7 25299
2010003
Owner /Operator has a
DO and /or informed the
CUPA of any change (s)
®
❑
❑
❑
❑
❑
None
within 30 days - 23 CCR
16 2715(g)
Testing
Violation
Program Requirement
%I-
0 0
SOC
Comments
No
0
0
0.
�cM
z
0
z
of
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
S
❑
❑
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(1), 2638(e),
2643(g), 2644.1(a)(4)
Install/Repair
2060009
Permits obtained to
install, replace, repair, or
None
modify part of the UST
I system - 23 CCR 16 2712
UST System
observation
General Monitoring
2030003
Leak detection system
maintains continuous
RD
monitoring that activates
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
N
❑
❑
❑
None
❑
the alarm - 23 CCR 16
Yes
2631(8), 2632(c)(2)(A)&(B),
2633(c), 2636(o
2030017
Product piping outside the
UDC is fail-safe and shuts
down the pump or
None
restricts flow - 23 CCR 16
2636(0(5)
2030018
Turbine sump monitor
RD
activates an audible and
visual alarm or stops the
S
❑
❑
❑
None
❑
flow of at the dispenser -
Yes
23 CCR 16 2636(0(1 )
L
I
I
Underground Storage Tank Program - DW Inspection Report I v 2.0
Violation
Program Requirement
0 0
SOC
Comments
No
Oj
<t
o
CO
a
0o
z
O
z
M
y
W
6>
2030019
Monitoring system in the
UDCs activates an
audible and visual alarm
®
❑
F1
❑
❑
None
or stops the flow at the
UDC -23 CCR 16
2636 ()9(1)
2030043
Leak detection equipment
RD
properly programmed or
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 -
®
❑
❑
❑
[J
❑
None
❑
23 CCR 16 2630(d), 2641(a)
Yes
2030062
Facility is in compliance
RD
with not tampering with or
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
RD
the annular spaces of the
UST is properly
❑
❑
®
❑
❑
❑
None
❑
maintained - HSC 6.7
Yes
25290.1 e)
2060023
System constructed with
a monitoring system
capable of detecting entry
❑
❑
®
❑
E
❑
None
into secondary
containment - HSC 6.7
25290.1(0
Line Leak
Detector
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
00 .0
SOC
Comments
No
O>
a
CO
0
a.
0
Z
0
Z
M
0
W
05
2060012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
0
❑
❑
❑
❑
❑
None
❑
25290.1(h), 25290.2(g),
Yes
252910, 25292(e),
2636(0(2)
2030026
Line leak detectors detect
a 3 gph leak and/or
RD
audible and visual alarm
❑
❑
❑
None
❑
function properly - 23
Yes
CCR 16 26360(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
0
❑
❑
❑
❑
Ej
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 I v 2.0
Violation
Program Requirement
0
0.0
SOC
Comments
No
M
0
0.
04,
cc
do
0
2030008
UDC, sumps, and/or
other secondary
containment in good
❑
r-1
❑
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
❑
❑
E]
None
❑
liquid to drain into sump -
Yes
23 CCR 16 2630(d), 2641 (a)
2060006
_
Secondary containment
piping slopes back to the
❑
❑
None
collection sump - 23 CCR
16 263(c)
2030047
Secondary containment
maintained tight and has
been confirmed by testing
2
❑
❑
None
- 23 CCR 16 2662, HSC 6.7
25290.1(c)(2), 25290.2(c)(2),
25291(p), 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
1
2060020
Spill bucket is installed
RP
and has a functional drain
valve or other means to
❑
❑
❑
None
❑
remove liquid - 23 CCR 16
Yes
2635(b), 2665
2030054
Spill bucket maintained in
RP
good condition and free of
M
None
❑
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(4), 2665
Overfill
2030035
UST system is operated
RP
to prevent unauthorized
release, including spills
❑
❑
1:1
❑
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 I v 2.0
Violation
Program Requirement
I*..
0
0.0
SOC
Comments
No
a
Co
0
(L
0 4.0
Coo
z
0
z
n
0
w
CD
On Site
ecords
Certifications
2030023
Required designated
operators or contractors
maintain a proper and
E
❑
r-1
M
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 -
E
El
❑
❑
❑
❑
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
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), 27150
Underground Storage Tank Program - DW Inspection Report I v 2.0
Violation
Program Requirement
4-
C
0 0. 0
SOC
Comments
No
C1
W
0
(L
00
Z
0
Z
v
of
Logs
2030001
Leak detection alarm
logs, maintenance and
RD
records of appropriate
E
❑
❑
❑
❑
F-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
7
2030033
Failure to maintain on site
an approved monitoring
ED
El
❑
❑
❑
❑
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
None
is maintained - 23 CCR 16
2620(b); HSC 6.7
25284(a)(3)
2030061
Suspected or actual
RD
unauthorized release
reported in appropriate
E
❑
1:1
❑
❑
❑
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
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
❑
❑
❑
❑
❑
None
monitoring methods in
2643 - 23 CCR 16 2643
Red Tag
Underground Storage Tank Program - DW Inspection Report I v 2.0
Violation
Program Requirement
° o
SOC
Comments
No
M
a
o
O
a
a)o
z
O
z
M
U
I
p>
2030045
Red Tag information is
legible and has not been
❑
❑
®
❑
❑
❑
None
tampered with - 23 CCR
16 2717.1(g)
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(t)
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" fa
Major violations. You are, hereby, ordered to correct the
correction summaries provided. Formal enforcement ai
violations noted, and for those not corrected in a timely
will follow.)
Inspectors Signature:
Inspector: Enter # of Violations: RD: <f�:D RP: C
Check one box for facility Significant Operational
`E705OC with both Release Detection and Release Detectio
Prevention Violations)
❑ Not in SOC (Facility has both Release Prevention and R
❑SOC with Release Detection only (Facility has no Relea;
violations)
❑ SOC with Release Prevention only (Facility has no Rele
violations)
Minor Violations, and a "NOTICE OF VIOLATION" for
above noted violations within 30 days, or according to
d /or penalty assessment may be initiated for any
,nanner. (NOTE: If this is a preliminary report, a final report
/ at f
Date: � 7
(SOC) to be reported to SWRCB and US EPA:
(Facility has no Release Prevention and no Release
ease Detection Violations)
Detection violations but one or more Release Prevention
>e Prevention violations but one or more Release Detection
Underground Storage Tank Program - DW Inspection Report I v 2.0
■� �V v�ev■ e'
FACILITY NAME
F0 C) 0
El ROUTINE COMBINED ❑ JOINTAGENCY ❑
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
C E R S
violation
D N U MB
USINESS I ER
FACILITY CONTACT
"C) 2'"' Gp
Consent to Inspect Name/Title ,r��
i
El ROUTINE COMBINED ❑ JOINTAGENCY ❑
ULTI- AGENCY El COMPLAINT El RE-INSPECTION
= omp lance
C �/ OPERATION
V= Violation; 1,11 Minor
C E R S
violation
COMMENT,
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
:2729.1)
1010008
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CC
4 VISIBLE ADDRESS (CFC: 505.1, BMC:
5.52.020)
CORRECT OCCUPANCY (13-13C:
401)
VERIFICATION OF INVENTORY MATERIALS (CC
: 2729.3)
1010004
VERIFICATION OF QUANTITIES (C
R: 2729.4)
1010006
VERIFICATION OF LOCATION (OCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (CF
30: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 274'99.2(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(f), CFO:
2703.5)
3030007
HOUSEKEEPING (CFC:
304.1)
903 & 906)
3030032
FIRE PROTECTION (CFC:
SITE DIAGRAM ADEQUATE & ON HAND (C
I
R: 2729.2 )
1010005
ANY
HAZARDOUS
WASTE ON SITE? ❑ YES ❑JU
i nature of Recei t
',
i
Explain:
inspector:
POST INSPECTION INSTRUCTIONS:
i Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
age to: Signature (that all violations have been corrected as noted)
Date
White - Business Copy Yellow — Station Copy Pink —
evention Services FD2155 (Rev 8//14)
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS WASTE
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
E a V I D 2101 H Street
SMALL QUANTITY HAZARDOUS Bakersfield, CA 93301
Sp Phone: 661-326-3979 Fax: 661-852-2171
WASTE GENERATOR INSPECTION
Facility Name: FOOD. 5'_7_04 F_ Date:
Site Address: Time In: Time Out:
Phone: EPA ID #CAJ�.tOOO 41? Z92 <o
Owner/Operator:
Type of inspection
0 Routine 0 Re,.-inspection/Follow-up 0 Combined Routine Ins ectio 0 ica,litkispe tio n 0 Complaint 0 Focused 0 Other.
0 CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photographs, review and copying of records, and det-,'rminatron of compliance with hazardous was te handling requirements.
C
VL
iaint: v %_iassi, jLL ur lvllliv, V AVIULAULI
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation#
COMMENTS
Recordkeeping/documentation
Generator has an EPA ID number [HSC 25143.131
3010002
Hazardous waste determination made for all wastes
0 Anal ysis-'%6enerator Knowled ge [CCR 66262.40]
3030005
Conlin ency plan information posted near phone [CCR 66262.34(d)(2)]
3010022
Facili!X personnel demonstrate training/awareness .[CCR 66262.34(d)
Manifests/Consolidated Manifest receipts -complete [CCR 66262.23(a)]
Blue co (s) of manifest mailed to DTSC [CCR 66262.23(a)(4))
3020001
3010008
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 25143.19)
3030001
Container/tank management
Containers are in good condition [CCR 66262.34@ 2)j
3030013
Containers are closed exce pt when addinghemoving [CCR66262.34(d)(2)]
3030017
Satellite containers at or near point of generation [CCR 66262.34(e)(1)(A)l
Empty containers are empty [CCR 66262.34(f)]
3030007
Containers inspected weekly [CCR 66262.34(d)(2)]
3030019
L - [CCR 66262.34(d)(2),40CFR265.2pjj--.-
Tanks inspected daily
-
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
0 [)l
Waste is accumulated not more than 9,0/180P2 L, CCR 66262.34(d
.
1
3030010
Empty containers managed within [CCR 66262.34(d)]
1—
3030010
Universal waste accumulated less than one year [CCR 66273.15(a)]
3030011
Used L oil filters offsite within 180 (1 year <1 ton) [CCR 66266.130(c)(4)]
3030004.
Pb-acid batteries offsite within 180 (1 yr. < I ton) [CCR66266.8 I (a) (1)1
Labeling/Marking
>
Containers are properly labeled [66262.34(f)]
3030007
.
Excluded recyclablematerials 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 66266.130]
3030004
Date written on spent lead-acid batteries L L [CCR 66266.8 1 (a)(6)(B)l
3030003
"Used Oil" marked on all used oil tanks/containers [CCR 66279.21(b)l
3030007
op
Tank marked With "haz waste" , contents, start date (66262.34 f)]
3030007
Treatment, Transport and Disposal/Other
Have ermi t/authorization to do treatment [HSC 25136.2]
p
1
3040003
Waste sent with authorized trans ort (gen. eligible) [CCR 66263.41]
1
3050001
Waste disposed of to authorized pDint/ p art [HSC 25189.5(a)]
y
3050002
Failed to properly handle Mhance wastes [HSC: 25212(g)]
_T
I-Fire Protection [66262.34(d)(2)]
3030032
Print and sign in this box for receipt of this report. Signature does not imply agr
A
ement with findings only receipt of report.
INSPECTOR Sk TOR "4 P3
POST INSPECTION INSTRUCTIONS-
0 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, sip 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- Sta n. Copy Pink- Prevention Services Copy