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Home My WebLink About inspection report 2017BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST 3 1aF Prevention Services 2101 H Street " - 3301 Bakersfield CA 9 Haz -Mat Business Plan and Inventory Program v Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ` ::; �Y::::{!:`:::{:: L'+`':: k;`:!:{ zT23�3 ':t::;,y:r:v;!:Y::::.::,:' :. ::::�y::;: %:y: `� ?:;; }�:2j..�.;j'�::` ::::}y::::: ::•::: 3:: i::;: r:' Y:::::`:::;:::::'%''''{:;':::: j: 2:: ni�3 '2:i:5;::::'r:::i::':::': "::Y:: :: i ...... 113. ...,�.* .. ....::: i:�::i: ?i::•i': ` . :.. .. ... .: ... .. .. ..::.:..::.:•.::.: :. M.yn��............M........ ..... ................... ........................... ....................,.........: .: .: .:::.:.:. :.:..........:........ ::$*::: iif:: i :$iii::.::;;:;:a;::• >:;;;;.::.: �::.1:i iti^ >::iist> ::.:::::::::::<.::!.ii: is iiiii ?:.i:.::Y:::::::::::::::: :::: n:::::::::::::.:.:::::::::!:::!:.::..,.:'.: v::::::::::::::::::::::'.:........:. ............................... INSPECTION ,DATE INSPECTION TIME COMMENTS ADDRESS C: 15.52.020) PHONE NO. NO OF EMPLOYEES ❑ APPROPRIATE PERMIT ON HAND (B C:.15.65.080) FACILITY CONTACT BUSINESS iD NUMBER (H &S 25404(e) Consent to Inspect Name /Title ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE ['s' �d�f P 20 J4 r - -' X. ��$ #,,.::: �li::).' s:::'. y` :::::::.::::::::^%::::::%;:'}:?:;:..'.."';:/'�2<." j:::?::;'"``> ::2::5`�y::i:��:`:`::::::; ;:Y:' ..... ............................... ...... .. .... ...MR'iE ::: ii ...... ::r:::::. �: ;o-: >:;::u:;:o:::�:rv...;i` ;!? ii ii:$ii i;:ii:k:: iii::::: 5: 5i:: r:: i:<:iii:fi4$;:R:$G:$i: %i:'5;:;:i iY:: <:::::3'r:: iiii i::::::i:`:ii:'•: ^i r: tii;:$ ii:: :::Y:$i::$':;X;$:ik:i': "'t:i::i iY�: %:4:: i$::$$ii•:,:: >:yi is %::' /.: ^ii: ^$$iiii$i ` ::; �Y::::{!:`:::{:: L'+`':: k;`:!:{ zT23�3 ':t::;,y:r:v;!:Y::::.::,:' :. ::::�y::;: %:y: `� ?:;; }�:2j..�.;j'�::` ::::}y::::: ::•::: 3:: i::;: r:' Y:::::`:::;:::::'%''''{:;':::: j: 2:: ni�3 '2:i:5;::::'r:::i::':::': "::Y:: :: i ...... 113. ...,�.* .. ....::: i:�::i: ?i::•i': ` . :.. .. ... .: ... .. .. ..::.:..::.:•.::.: :. M.yn��............M........ ..... ................... ........................... ....................,.........: .: .: .:::.:.:. :.:..........:........ ::$*::: iif:: i :$iii::.::;;:;:a;::• >:;;;;.::.: �::.1:i iti^ >::iist> ::.:::::::::::<.::!.ii: is iiiii ?:.i:.::Y:::::::::::::::: :::: n:::::::::::::.:.:::::::::!:::!:.::..,.:'.: v::::::::::::::::::::::'.:........:. ............................... x. ROUTINE ❑ COMBINED JOINT AGENCY MULTI- AGENCY ❑ COMPLAINT ❑' RE- INSPECTION C V C =Compliance OPERATION V =Violation C V C =Compliance OPERATION V =Violation COMMENTS ❑ VISIBLE ADDRESS (CFO: 505.1, B C: 15.52.020) ❑ APPROPRIATE PERMIT ON HAND (B C:.15.65.080) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR, (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) P 20 J4 r - -' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ®. ❑ VERIFICATION OF QUANTITIES ' (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ . SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING . r (CCR: 2732) _ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR:2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 'Q ❑ HOUSEKEEPING (CFC:304.1) r ❑ FIRE PROTECTION (CIF C: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NY HAZARDOUS WASTE ON SITE? 0. YES O Explain: i nature of Receipt: ✓' / / / /// /J 1' Signature (that all violations have been corrected as noted) page to: Date Pink Prevention Services Copy FD2155 (Rev 1/14) POST INSPECTION INSTRUCTIONS FOR:RETURN- TO- COMPLIANCE: 0 Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of thi Bakersfield Fire Dept., Prevention Services, 2101 H Street, California. 93301 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance HAZARDOUS WASTE UNIFIED PROGRAM CONSOLIDATED FORMS B E R S F SMALL QUANTITY HAZARDOUS WASTE GENERATOR INSPECTION Facility Name: ,A (Do Site Address: AJ s --� Owner /Operator: -t .- Type of Inspection �outine 0 Re- inspection/Follow -up Combined Routine Insppection 0 oint, ONSENT TO INSPECT GRANTED BY (Name / Title): t " t r - 01 4'_ I I Inspection may involve obtaining photographs, review and copying of records, and determi C = Complaint: V = Class I,11 or Minor Violation 1BAKERSFIELD FIRE DEPARTMENT Prevention Services n 2101 H Street Bakersfield, CA 93301 Ir Phone: 661- 326 -3979 • Fax: 661- 852 -2171 Date: �- Phone: xtido_n / 0 Complaint �4 , ' 4& 'on of compliance wit Time In: Time Out: EPA ID #CAI - 0 Focused 0 Other h Hazardous waste handling requirements: C V HAZARDOUS WASTE REQUIREMENT N /A. CERS Violation # COMMENTS f Recordkee in documentation Generator has an EPA ID number HSC 25143.11 3010002 Hazardous waste determination made for all wastes Anal sis 0 Generator Knowledge [CCR 66262.406 3030005 Contingency lan information posted near phone [CCR 66262.34(d)( ] 3010022 7' 1 Facility personnel 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 L 3010010 LDRs available and complete CCR 66268.7(a 1 3030006 Onsite recycling reported using UPCF [HSC 25143. 11 3030001 Container /tank management 4, , Containers are in good condition CCR 66262.34(d)( _ 3030013 Containers are closed except when addin removin CCR66262.34(d )(2 )] 3030017 ` Satellite containers at or near point of generation [CCR 66262.34(6) Empty containers are empty CCR 66262.34 ] 3030007 Containers inspected weekly [CCR 66262.34(d)(2 3030019 l r a� 1 r F I Tanks inspected daily CCR 66262.34 d 2 , 40CFR 265.20 3030027 One container p er waste stream at satellite area CCR 66262.34(d)(2 t 3030022 ( --" Exclude recyclable materials stored in accordance with local ordinance/hazardous materials codes HSC 25143.1 } 3010016 Accumulation Time Limits Waste is accumulated not more than 90/180/270 CCR 262.34(d 3030010 Emvty containers managed within one year CCR 66262.34(d ) 3030010 Universal waste accumulated less than one year [CCR 66273.15(1)] 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(] 3030007 Excluded recyclable materials marked properly [HSC 25143.9(a)] 3050005 Universal waste container pr9perly labeled (CCR 66273.341 [ 3030008 Used oil filters marked "drained used oil filters" CCR 66266.13q] 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 1 66262.34 3030007 Treatment Transport and Disposal/Other Have permit/authorization to do treatment HSC 25136. ] g 3040003 Waste sent with authorized transport (gen. eligible) [CCR 66263.4 11 1 1 3050001 Waste disposed of to authorized point/party [HSC 25189.5W] ] 3050002 Failed to properly handle appliance wastes HSC 25212 Fire Protection [66262.34(d)(2)] 1 3030032 Print and sign in this box for receipt of this report. Signature does not imply a DWA merit- with- findings only receipt of report. �.a INSPECTOR l P4 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 Whiter Business Copv Yellow— Son Copy Signature (that all violations have been corrected as noted) Date FD2171 (Rev 9/14) Pink- Prevention Services Copy Owner /Operator: AJ .- 8. b 14P � 04 L11 : . Facillit IN VAC U0 _r Address: Print Name: There were NO violations observed during this inspection. s�. i .,'.. .... :,. » ... „r,,. ,•. -, �.. ..,� ,5�i .> }��'.. ._# .Lt� » + -. .... "Y.... ail. ..... .r -.h.•, ..ay <. e. ., \,. =yS diT ..._.... _ .., ,�v. ,.. .. ... .r', � .�,. ,. ,.. �, +€-... � •,. , . :,� .," .YtiKx d �eT' „ :..y.� s� £,ic... �- Y. d ♦ W1, Gf, _ �..,.. .''..�+' ..s.' tre.. §r' - .;' �. ire -�S ..... k ,.': .... v'... ./�' e 5,., r'j� :. _, K',� !:. ., n 0 :?G, h �=g, vim, L� rt,. �>; r r<V =zr,�s'�`r. k ..'F hiS,w.¢4?}r'�`... sF'.G.t -. 1.�a' ssi `m��..'✓. -z`.>. e..... ,^u'.�.rsu ��. ..',�.$r...sa.fiY<...e.�..�..... "5, ,?�.....: .dn ��.R.Y�,S��.S , ...,.:i+. rrsf Notice to Comply: Minor Violations were found <A ._.0 ..; .. . .. mk- T.t'.t' .. ., .y... <,.il _ , z2.. �� :� „€�... �., during this inspection as noted in the following Summary of Violations. The Violations indicated in this inspection report must be corrected .within 30 days, unless otherwise noted. Formal enforcement may be initiated for any violations noted, and for those not corrected in a timely. m, This report does not represent that there are no other violations at this facility. A re- inspection may occur to determine compliance status. certify that the violations noted above onr this Notice corrected. I have personally examined any docume the violations.'have been corrected. to Comply %Summary of Violations have been itation attached to the certification to establish that Signature: Title: Print Name: Date: KPS #8446 Inih; +o - Riiein=ee (rnnv vAnrw - RimcinPss ('nnv tc) h _ sent in after Return -to- Compliance Pink - Prevention Services Coav /O erator: .' ` F -, I The violations indicated in this inspection Facility:. ' " Aj l, , CC) � � �4 87 � iOwner Address;: � - � :�3 � . �- :. Notice Of Violation:. lass �ft� and/or Class noted'in the following Summary of`Violation Violations were found during this inspection as . - The violations indicated in this inspection eport- must be corrected within '30 days,: unless R otherwise noted.. DATE FOR Formal enforcement will be .initiated for all .Cla s I Violations, 'and, any Class lI violations not corrected Within the required .timeframe. This report does not represent that:there are no other., . OF VIOLATION- violations at this facility: A re- inspection .may ccur to determine.compliance status ,.'- SUMMARY O VLOLATIONS Item. VIOLATION',, R QUIREMENT'FOR CORRECTION. DATE FOR # OF VIOLATION- CORRECTION, Inspectors Received, by: Signature: .. Phone:? �� Pri t Name: Date:' Da e: KPS #8447 ' White = Business Dopy Yellow - Business Copy to b sent in after Return -to- Compliance Pink-- PreVention Services Copy Underground Storage Tank Program DW Inspection Report Permission to Inspect: BAKt:Kbr IELD FIRE DEPARTMENT Pr ventic n Services Division 1 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 Fax.- 661-852-2171 i Business Name: Panama Colony Shell-15-021-030056-Muneeb Darg hii Date:04/25/2017 Address Name: 2300 Panama Ln-CAL000403274 Inspector Name: Shane Gardner Inspection Type: Routine E 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 r- 46 0.0 SOC Comments No OO D a 0 0 a. I- cc 00 2 0 z File R view Facility Tank Information 2030021 Facility has a valid Permit T1-10000-DW-REG to Operate from the None T2-5000-DW-DSL CUPA - 23 CCR 16 2712(i); T3-5000-DW-PRM 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 Z ❑ None and/or CERS - HSC 6.7 25286(c) 2030011 UST compliance statement and/or Designated Operator ❑ 1:1 ❑ ❑ n None current certification submitted - 23 CCR 16 2715(a), 2715(b) 2030046 A complete and accurate response plan has been submitted, approved and 0 ❑ None maintained - 23 CCR 16 2632, 2634(e), 2641(h), 2712(i) 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 6.725299 2010003 Owner/Operator has a DO and/or informed the CUPA of any change (s) None within 30 days - 23 CCR 16 2715(a ) Testing Violation Program Requirement 4- 0 0 0 SOC Comments No M 0 a. = 120 (u z 1 0 z > 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 E ❑ ❑ None requir d - HSC 6.7 25284.2 2010009 Secondary containment test results submitted to the CUPA within 30 days E 1:1 [E] None after the test - 23 CCR 16 2637(e) 2030064 CUPA was poperly notified within the prescribed number of ❑ ❑ n ❑ ❑ None hours prior to testing - 23 CCR 16 26370, 2638(e), 2643 , 2644.1 (a) (4) Install/Repair 2060009 Permits obtained to install, replace, repair, or None modify part of the UST syste - 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 are continuously RD monitored and activates E ❑ On ❑ ❑ 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 El� ❑ ❑ None restricts flow - 23 CCR 16 2636(1) (5 2030018 Turbine sump monitor activates an audible and RD visual alarm or stops the 0 ❑ ❑ ❑ ❑ ❑ None F-1 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 L. cc �• °- z o z 0 W o> 2030019 Monitoring system in the UDCs activates an audible and visual alarm ® ❑ ❑ El E] None or stops the flow at the UDC -23 CCR 16 2636 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 ❑ ❑ E ❑ ❑ 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 ® ❑ ❑ E ❑ ❑ 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 ❑ ❑ ® ❑ ❑ None into secondary containment - HSC 6.7 25290.1 d Line Leak Detector Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement 4- 0 d).O SOC Comments No M 41� M 0 0. 010 2 0 Z M 2060012 Line leak detector installed on pressurized RD piping system - HSC 6.7 Z ❑ 1:1 ❑ None ❑ 25290. 1 (h), 25290.2(8), Yes 25291(1), 25292(e), 2636(1) (2) —L 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 Z ❑ ❑ El ❑ ❑ None ❑ disconnected - 23 CCR 16 Yes 2666(c) 2030025 Pressurized piping able to detect a 3.0 gph leak RD within an hour, and Z ❑ ❑ ❑ 1:1 ❑ None ❑ restricts the flow or Yes alarms - 23 CCR 16 2636 ()9(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 (0) 0 0 1-- a. 42 q)> Z 0 Z M 2030008 UDC, sumps, and/or other secondary containment in good E El ❑ ❑ 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 ❑ 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 ❑ ❑ I ❑ ❑ 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 F-1 ❑ I I 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 1:1 ❑ ❑ ❑ None ❑ remove liquid - 23 CCR 16 Yes 2635(b), 2665 2030054 Spill bucket maintained in RP good condition and free of F-1 r-1 r-11 ME] 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 ❑ F-1 ❑ 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 1 1 Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement 4- 0 .2 v SOC Comments No 1 =) < M 0 (L 20 C h 1 1 z 0 1 z 1 . I :3 I I 0 w 0 a > On Site Records Certifications 2030023 Required designated operators or contractors maintain a proper and E ❑ ❑ ❑ ❑ ❑ None current ICC certification - 23 CCR 16 2715 2030024 Service technician, installer, and/ or employee maintain a 0 ❑ ❑ ❑ None proper license - 23 CCR 162715 2030031 Employee or contractor obtained and maintained proper manufacturer ❑ I [__j None certification - 23 CCR 16 2715 2010007 Submit/maintain current Certificate of Financial Responsibility /mechanism of financial assurance - 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 Operator -Designated 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 ❑ I 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 C 0 0 SOC Comments No M a 0 = 42 W OZ Z 0 Z a > Logs 2030001 Leak detection alarm logs, maintenance and RD records of appropriate ❑ r-11 ❑ ❑ None ❑ follow-up actions Yes maintained - 23 CCR 16 2632, 2634, 2712(b) Maintenance/Tests 2010008 Monitoring, maintenance, repairs, linings, and RD upgrade records E ❑ 1:1 ❑ ❑ [] None ❑ maintained for the proper Yes time period - 23 CCR 16 2712(b) Documentation 2030033 Failure to maintain on site an approved monitoring 0 ❑ ❑ 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 unauthorized release RD reported in appropriate ❑ ❑ None ❑ time frame - HSC 6.7 Yes 29294,29295 General Operating Requirements Permit Condition/Approval 2030039 Compliance with all operating permit ❑ ❑ r-1 ❑ r-1 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(1) (2) 2030015 Facility exhibited that the method used to monitor the tank meets the E ❑ ❑ None monitoring methods in 2643(f) - 23 CCR 16 2643 Red Tag Underground Storage Tank Program - DW Inspection Report v 2.0 Violation Program Requirement ,o SOC Comments No 4) z o z v W o> 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(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 inspectio ®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 tim ly manner. (NOTE: If this is a preliminary report, a final report will follow.) 7 Operator Name: Operator's Signature: Inspectors Signature; Inspector: Enter # of Violations: RD: y RP:,-- Check one box for facility Significant Operational SOC with both Release Detection and Release Detect Prevention Violations) ❑ Not in SOC (Facility has both Release Prevention and ❑SOC with Release Detection only (Facility has no Rele violations) ❑ SOC with Release Prevention only (Facility has no Re violations) Title: Date: ICC# Date: us (SOC) to be reported to SWRCB and US EPA: on (Facility has no Release Prevention and no Release Release Detection Violations) ise Detection violations but one or more Release Prevention ease Prevention violations but one or more Release Detection Underground Storage Tank Program - DW Inspection Report v 2.0