HomeMy WebLinkAboutINSPECTION REPORT 2017BAMRSFIELD FIRE DEPT.
x
Prevention Services:
B : E R S F I Lt' 2101HStreet
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE Bakersfield, CA 93301
T Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Ins ion
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tok.71 OMPLAINT ❑ RE- INSPECTION
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FACILITY CONTACT BUSINESS ID NUMBER
rnsentto Inspect Name/Title
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omp lance
C V OPERATION C E R S
V =Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC:1 .65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 5.52.020)
CORRECT OCCUPANCY (BC: 401)
VERIFICATION OF INVENTORY MATERIALS (CC i : 2729.3) 1010004
VERIFICATION OF QUANTITIES (CC : 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CF : 2704.1)
,. VERIFICATION OF SDS AVAILABILITY (CCR: 272 .2(3)(b)) ,
o VERIFICATION OF HAZ MAT TRAINING (C R: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES.& PROCEDURES (CC : 2731(c))
Y,
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFO: 2703,5) 3030007
HOUSEKEEPING (C FC: 304.1)
FIRE PROTECTION (CFC: 903 3030032
SITE DIAGRAM ADEQUATE & ON HAND (C R: 2729.2) 1010005 .
ANY HAZARDOUS WASTE ON SITE? '®w YES ❑ NO Signature ofRecei t
'3
Explain:
Inspector• t
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: 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 — Prevention Services
FD2155 (Rev 8//14)
DATE
ATE .
F... . �r A� ¢ �C' I: ,i L *moi .I T�z i 3 .'Y. < ❑�>_x x'�.., .r t. k. .:; 4., . . x, . ,rn . .. . N,,,.'Atex ,' ,n Y.M4 : ,.. [i.�•. �i y,�E eh n" F., :,s 'I� T»l,.'>. . v... '°. . , i' � ,t �.i... . 2 > ,�'I, d. c . . .w „ N , nw . . �,✓.'f '�E ,1, "?,� , ^�, 3 r , C,�.K;, d .3?.,k ? �.x5t.w'r '3, .' ` t* : D .z. � . �e? f�:,;:, �� �. .�, >,, :: J � o . . �� . `� . . : ' �x + .k x 'o . . � . i s : L ' a,.a g ;s �T,.a. * . ..�, . . . , - . 5 .s ".>} �r'<. x 3� „”. ` . �.: 8,�4. .r , > s. , �: ?� s re z, a . .>*y < . .a `, 'k v smCe3 , r .,,r��.',L,1O. �.9� ..,%�'r.W �..i' , . , + �. M..s-�;..? „ .. e . . ' . :. ..�< . fo >.: ! ..�» .d .aB•4 .,./ '. .� � '.. .. .. . . . k f,i ” , .s r. I ! fi., �w xN .,. . � . .r. : " �. .>& 7.< ,zeE . n. �c. Y�+ :.7 ,*w sx l. � ` .D . � x .,: . . aa,,€�., e. .� , ' ., . . r . � 3 b � C..Y. .., ,` . v .# , t , .-., i, , �s.s ' 0 k :. ❑s.;- :. s», ,�. .a .. ,.: , , . .>< . . 1r 1 k1 �,.°. .,'. 'L>«-,.� ^.. . �. F" r,Jw� .', . ., nh �s � ,. . r. . � >: .O � . � z ,%,3
'.r.c .n ,,,w. . . .. ,I� ,aaa;_; �a .: .. N � pz:, ?: B. ,# "s?„ eT , � : F. d ,,�r � U. e K Ara «t ?S- ,m,. . .. -�SG� . .� + ,..�.+ „.. ., t :..; .. . .iE; ..,. , v -,. . iw , :,: t i<�, . r. . , < . N 1 ... , r a, ..� @. v . C .�.3a .,,.,4s , , .,: Y .. �. .,3t .v. . !s . g . .,,_ .:.2 : .x� ��', v, � , ,.. .. .... . P i ,. . .Y ?. , ,a, �. ( a3: t �.. ��'.�.�: a. : 2 � .. . '. ,.,,❑ . .. : E .. ".,. - � ,.m , , rK ., �. ,. � r: s e 'N .. i . r rx Y 'K ,L n ' . . s . , � 9 ! ,. .� U�..._...,a .. .. ,,.,. . .. > .e.- d. L c ' . , . _:: ., . T , u.:. ,. .„ 1 .. .. . ., ,�.., , ,. I.ls. :_- .o. .<, ,.i z An. E, . 3. . <R .. .. - RG... u < w ; �., ' ? h ,£, : E; .. � ,.. . ,' . 3., R,i N. .a, . . . � ;, x< , r G,i �/,., . . }.. . .,"Y - . .3.:. .,. . .� �.. : . v..., .<, A t.r... . > . § � .s s . � r � �, . r , 9 1
, £r , ❑ ". , .ra ,,,i:�,. ^ ,,....f ,.. � . < .t. r , ,. _ .� , Ia . +� NCi ,S,, Pn .?�, 5,E C.
T,.� .rr� :I? � Oe?.?,.:N , .. . �
omp lance
C V OPERATION C E R S
V =Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC:1 .65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 5.52.020)
CORRECT OCCUPANCY (BC: 401)
VERIFICATION OF INVENTORY MATERIALS (CC i : 2729.3) 1010004
VERIFICATION OF QUANTITIES (CC : 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CF : 2704.1)
,. VERIFICATION OF SDS AVAILABILITY (CCR: 272 .2(3)(b)) ,
o VERIFICATION OF HAZ MAT TRAINING (C R: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES.& PROCEDURES (CC : 2731(c))
Y,
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFO: 2703,5) 3030007
HOUSEKEEPING (C FC: 304.1)
FIRE PROTECTION (CFC: 903 3030032
SITE DIAGRAM ADEQUATE & ON HAND (C R: 2729.2) 1010005 .
ANY HAZARDOUS WASTE ON SITE? '®w YES ❑ NO Signature ofRecei t
'3
Explain:
Inspector• t
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: 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 — Prevention Services
FD2155 (Rev 8//14)
Inspector• t
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: 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 — Prevention Services
FD2155 (Rev 8//14)
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
9
I fflNlt;� t 2 E R S V 1 101 H Street
SMALL QUANTITY HAZARDOUS Bakersfield, CA 93301,
7]
WASTE GENERATOR INSPECTION Phone: 661-326-3979 Fax: 661-852-2171
Facility Name: Date:
Site Address: Cl;r,,- AJ .4 1-41 Cj 9- Time In: Time Out:
4
Owner/Operator: i Phone: EPA ED # r —1:
Type of Inspection,,
0 Routine 0 Re-inspection/Follow-up 0 M-mbined Routine Inspection 0 Jo�ntIns ection. 0 C plaint 0 Focused 0 Other
pe
0, CONSENT TO INSPECT GRANTED BY (Name / Title): Cn—i V!9 M
--- U L C,
Inspection may involve obtaining photographs, review and copying of records, and d ermination of cornplii;nke with hazardous waste handling requirements.
C 1
1I01
V I
P14111 t. v = %—iaaa &, LA vA 1via11V1 avauuvaa
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation #
COMMENTS
Recordkeeping/documentation
Generator has an EPA ID number [HSC 25143.131
1
3010002
Hazardous waste determination made for all wastes
a Analysis ),`Generator Knowledge [CCR 66262.40]
1
3030005
Conting enc y plan information posted near phone [CCR 66262.34(d)(2)] j
3010022
')c
Facility personnel demonstrate training/awareness [CCR 66262.34(4)(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)1_
1
3010011
Bills of Uding/receipts available [CCR 66262.40(a)]
3010010
[CCR
LDRs available and complete _66268.7(a)]
3 030006
Onsite recychn&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)l
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 25143.10]
3010016
Accumulation Time Limits
Waste is accumulated not more than 900_. "M 70 [CCR 66262.34(d)]
_
3030010
Empty containers managed within one year [CCR 66262.34(d)]
_ N,
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. < I ton) - .[CCR66266.81 (a)(3)]
3030002
Labeling/Marking
Containers are properly labeled [66262.34(f)]
3030007
Excluded recyclablematerials marked properly [HSC 25143.9(a)]
>,e'
3050005
Universal waste container roperly labeled (CCR 66273.341
V
3030008
Used oil filters marked "drained used oil filters" [CCR 66266.130]
3030004
Date written on spent lead-acid batteries [CCR 66266.8 1 (a)(6)(B)l
3030003
"Used Oil" marked on all used oil tanks/containers CCR 66279.21
>c
3030007
Tank marked with "haz waste' , contents, start date (66262.34(f)]
3030007
Treatment, Transport and Disposal/Other
Have p t/authorization to do treatment [HSC 25136.2]
)e'
3040003
Waste sent with authorized transport (gen. eligible) [CCR 66263.411
_ )c
3050001
Waste disposed of to authorized point/ party -[HSC 25189.5(a ]
_ ' 1-
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
(f:::MUyJ1 21 60 L
with findings only receipt of report.
INSPECTOR
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• 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
White — Businessi Copy Yellow— Sta on. Copy
Signature (that an vioiations nave oeen correctect as notea)
Date
FD2171 (Rev 9/14)
Pink- Prevention Services Copy
Underground Storage Tank Program
DW Inspection Report
Permission to Inspect: G a P
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979
Fax: 661 -872 -2171
[Business Name: R C p ('.0
Program Requirement
Date:
Address Name: A L- i or CVL Ov-
Inspector Name: Shane Gardner #8248557
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
000
SOC
Comments
No
>
a
o
O
a
o
z
O
z
M
t)
W
�>
File R
view
Facility Tank Information
2030021
Facility has a valid Permit
Tank 1- 12-W- ^ 0
to Operate from the
Tank 2- 20,! -(>,- - tZ 6- G
CUPA - 23 CCR 16 2712(1);
®
❑
❑
❑
❑
D
None
Tank 3 -1a Y- - D"�' -�� C'
HSC 6.7 25284
Tank 4-
2010010
UST Operating Permit
Application for Facility
information and Tank
information
®
❑
D
D
D
D
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(c)
2030011
UST compliance
statement and /or
Designated Operator
®
❑
D
D
D
D
None
current certification
submitted - 23 CCR 16
2715(a), 2715(b)
2030046
A complete and accurate
response plan has been
submitted, approved and
®
❑
D
❑
D
D
None
maintained - 23 CCR 16
2632, 2634(e), 2641(h),
2712(i
2030041
A complete and accurate
plot plan has been
submitted, approved and
®
D
D
D
D
D
Minor
maintained - 23 CCR 16
2632(d)(1 )(C , 2711(6 )(8)
2010006
Owner /Operator has not
made false statements or
representation on any
®
D
D
D
D
❑
None
required document - HSC
6.7 25299
2010003
Owner /Operator has a
DO and /or informed the
CUPA of any change (s)
®
1:1
❑
D
❑
D
None
within 30 days - 23 CCR
16 2715(x)
Violation
Program Requirement
d o
SOC
Comments
No
Gj
M
Q
o
O
a
0o
z
O
z
V
�j
Testing
2030002
Owner /Operator has
tested and certified leak
®
❑
❑
❑
None
detection equipment
annual) - 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
®
❑
❑
❑
❑
❑
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
®
❑
❑
❑
Cj
❑
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
s stem - 23 CCR 16 2712
UST System
jObservation
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
®
❑
❑
❑
❑
❑
None
❑
the alarm - 23 CCR 16
Yes
2631(g), 2632(c)(2)(A) &(8),
2633(c), 2636
2030017
Product piping outside the
UDC is fail -safe and shuts
down the pump or
®
❑
❑
❑
❑
❑
None
restricts flow - 23 CCR 16
26360(5)
2030018
Turbine sump monitor
RD
activates an audible and
visual alarm or stops the
®
❑
❑
❑
❑
❑
None
❑
flow of at the dispenser -
Yes
23 CCR 16 2636(0 (1)
Underground Storage Tank Program - DW Inspection Report v 2.0
Violation
Program Requirement
j
aoi o
SOC
Comments
No
z
O
z
�I
V
�j
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
R®
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
®
❑
❑
❑
❑
❑
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,
®
❑
❑
❑
F I
R
None
or replaced - 23 CCR 16
2638(o
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-
°W o
SOC
Comments
No
?
:D
<
a
0
fL
0)0
Z
0
Z
M
Line Leak Detector
2060012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
None
❑
25290. 1 (h), 25290.2(8),
Yes
25291(0, 25292(e),
2636(f) (2)
2030026
Line leak detectors detect
a 3 gph leak and/or
RD
audible and visual alarm
1:1
1:1
❑
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
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
[:1
restricts the flow or
Yes
alarms - 23 CCR 16
2636(0(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
°� o
SOC
Comments
No
0>
Q
o
O
a
�o
Z
O
z
0
W
�j
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
®
❑
❑
❑
❑
❑
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
®
❑
❑
❑
❑
❑
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
®
❑
❑
❑
❑
❑
None
❑
remove liquid - 23 CCR 16
Yes
2635(b), 2665
2030054
Spill bucket maintained in
RP
good condition and free of
®
❑
❑
❑
❑
❑
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(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
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 v 2.0
Violation
Program Requirement
m ,c
SOC
Comments
No
p
_
o
a
a
01c
z
O
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U
G>
On Site
Records
Certifications
2030023
Required designated
operators or contractors
maintain a proper and
0
❑
❑
❑
❑
❑
None
current [CC 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 -
❑
❑
1:1
❑
❑
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
®
❑
❑
❑
❑
[]
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
d o
SOC
Comments
No
Oj
<[
o
O
a
a� o
Z
O
z
V
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Logs
2030001
Leak detection alarm
logs, maintenance and
RD
records of appropriate
®
❑
❑
❑
❑
❑
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
❑
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(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 Operati j
g 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(1) (2
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
m o
SOC
Comments
No
p
F-
Co
0.
c
z
O
z
V
0.5
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
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
®
❑
❑
❑
❑
❑
None
CCR 16 2631(c), 2662(d)
® There were no violations noted for this inspection.
❑This report shall serve as a "NOTICE TO COMPLY" f
Major violations. You are, hereby, ordered to correct th
correction summaries provided. Formal enforcement
violations noted, and for those not corrected in a timell
will follow.)
Inspectors Signature:
Inspector: Enter # of Violations: RD: . C('� RP:
Check one box for facility Significant Operational Stat
[HOC with both Release Detection and Release Detecti
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 Rel
violations)
)r Minor Violations, and a "NOTICE OF VIOLATION" for
above noted violations within 30 days, or according to
nd /or penalty assessment may be initiated for any
manner. (NOTE: If this is a preliminary report, a final report
Date: .� Y - f 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 v 2.0