HomeMy WebLinkAboutAPSA 11/27/2017BAKERSFIELD FIRE DEPT.
Prevention Services
FIR FIR
R r T 2101 H Street
'A Rai t
Bakersfield, CA 93301
UNIFIED PROGRAM INSPECTION CHECKLIST Tel.: (661) 326-3979
Fax: (661) 852-2171
Aboveground Petroleum Storage Tank Program
FACILITY NAME
INSRECTION DATE
i 11,
INSPECTION TIME
ADDRESS T,-
2,
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
%;p ITV 11VI\ I. I %qW%, V.l%A ■ .V ter. __ . ...- .. --. -.. - ____ -.0 - - -_ - I - -
-
N N
N/A' C
COMMENTS
Prepare an SPCC plan .[CFR 112.3]
Review or amend SPCC plan [CFR 112.5 (a)(d)]
SPCC plan available. on site [CFR 112.3(e)]
- Conduct inspections and test in accordance with written procedures [CFR 112.7(e)]
Maintain records of inspections, tests and/or procedures [CFR 112.7(e)]
- Records of inspections or tests signed by inspector [CFR 112.7(e)] A
A0
SECTION '7m %ft- uf- Plan Ickmanirg- Uall[Tornia r1eann aL airety %.►uut:. 4541 u-•ip, d. AL V. I&
DESCRIPTION Y N N/A COMMENTS
Self-certification for Tier I or 1I facility [112.6(a (1),(b) 1)
Professional engineer certification [CFRI 123(d) and 112.6(b)(4)]
Documentation of 5 year review and evaluation of SPCC plan [CFR 112.5(b)]
Amendments required within 6 months of changes/certifications [CFR 112.5(a) and 112.6(a)(2), (b)(4)]
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 [1 12.7(a)(3)]
Type of oil and storage cEacity for each container [CFR 112.7(a)(3))
Discharge prevention measures and procedures for routine handling {CFR 112.7(a 3)]
Countermeasures for discovery, response and clean-up [CFRI 12.7(a)(3)]
Required contact list and phone numbers [CFR 112.7(a)(3)]
SECTION In f'_cknargall -qPr-r- Re noire-kmants• camorniaHearn & 5aret y Gode; 25270.4.5, zu'a I U.0, 'CU'L I V. I'L
DESCRIPTION YJ N N/A I COMMENTS
-Provide corrosion protection [CFR 112.8(c)(4)(5), (d)(1)]
Containers compatible with materials stored [CFR 112.8(c)(1)]
jLnplement SPCC plan review changes or amendments within 6 months [CFR 112.5(a)(d)]
FPrepare an oil contingency plan or written control/removal commitments [CFR 112.7(d)]
SECTION 4: SPCC Plan Training: California Health & Safety Code; 25270.4.5
1"'VQ1"_D1r1D1r'r"1V Y1 N N/A COMMENTS
Training program [CFR 112.7(f)]
Train personnel in operation and maintenance of equipment [CFR 112.7(f)]
Conduct annual spill prevention briefings [CFR 1 12.7(f)(3)] 't, 4
I X
SECTION 5• Facility Inspection: California Health & Safety Code;_ 25270.4.5
DESCRIPTION Yi
-b
-40
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)
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) 1 1)
Loading / unloading rack drains into containment area [CFR 112.7(h)]
Provide appropriate containment /diversionary structures to prevent discharge [CFR 112.8(a), 112.7(c)
Secondary containment adequate to contain capacity of largest container + precipitation [CFR 112.8(c)] A:�
Remove accumulation of oil in secondary containment [CFR 112.8(c)(10)]
Secondary containment valve(s) closed [CFR 112.8]
Implement SPCC plan elements [CFR 112.3]
q
ANY HAZARDOUS WASTE ON SITE? 'nSYES ❑ NO Signature of Receip
Explain:
POST INSPECTIOMNSTRUCTIONS: e_
• Refer to the back of this inspection report for regulatory citations and corrective action.,
• Correct the violation(s) noted above by "/ I/ )
• 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
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance,
Signature (that all violations have been corrected as noted)
Date
Pink - Prevention Services Copy
FD2156b (Rev 9/10)
SECTION In f'_cknargall -qPr-r- Re noire-kmants• camorniaHearn & 5aret y Gode; 25270.4.5, zu'a I U.0, 'CU'L I V. I'L
DESCRIPTION YJ N N/A I COMMENTS
-Provide corrosion protection [CFR 112.8(c)(4)(5), (d)(1)]
Containers compatible with materials stored [CFR 112.8(c)(1)]
jLnplement SPCC plan review changes or amendments within 6 months [CFR 112.5(a)(d)]
FPrepare an oil contingency plan or written control/removal commitments [CFR 112.7(d)]
SECTION 4: SPCC Plan Training: California Health & Safety Code; 25270.4.5
1"'VQ1"_D1r1D1r'r"1V Y1 N N/A COMMENTS
Training program [CFR 112.7(f)]
Train personnel in operation and maintenance of equipment [CFR 112.7(f)]
Conduct annual spill prevention briefings [CFR 1 12.7(f)(3)] 't, 4
I X
SECTION 5• Facility Inspection: California Health & Safety Code;_ 25270.4.5
DESCRIPTION Yi
-b
-40
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)
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) 1 1)
Loading / unloading rack drains into containment area [CFR 112.7(h)]
Provide appropriate containment /diversionary structures to prevent discharge [CFR 112.8(a), 112.7(c)
Secondary containment adequate to contain capacity of largest container + precipitation [CFR 112.8(c)] A:�
Remove accumulation of oil in secondary containment [CFR 112.8(c)(10)]
Secondary containment valve(s) closed [CFR 112.8]
Implement SPCC plan elements [CFR 112.3]
q
ANY HAZARDOUS WASTE ON SITE? 'nSYES ❑ NO Signature of Receip
Explain:
POST INSPECTIOMNSTRUCTIONS: e_
• Refer to the back of this inspection report for regulatory citations and corrective action.,
• Correct the violation(s) noted above by "/ I/ )
• 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
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance,
Signature (that all violations have been corrected as noted)
Date
Pink - Prevention Services Copy
FD2156b (Rev 9/10)
SECTION 4: SPCC Plan Training: California Health & Safety Code; 25270.4.5
1"'VQ1"_D1r1D1r'r"1V Y1 N N/A COMMENTS
Training program [CFR 112.7(f)]
Train personnel in operation and maintenance of equipment [CFR 112.7(f)]
Conduct annual spill prevention briefings [CFR 1 12.7(f)(3)] 't, 4
I X
SECTION 5• Facility Inspection: California Health & Safety Code;_ 25270.4.5
DESCRIPTION Yi
-b
-40
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)
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) 1 1)
Loading / unloading rack drains into containment area [CFR 112.7(h)]
Provide appropriate containment /diversionary structures to prevent discharge [CFR 112.8(a), 112.7(c)
Secondary containment adequate to contain capacity of largest container + precipitation [CFR 112.8(c)] A:�
Remove accumulation of oil in secondary containment [CFR 112.8(c)(10)]
Secondary containment valve(s) closed [CFR 112.8]
Implement SPCC plan elements [CFR 112.3]
q
ANY HAZARDOUS WASTE ON SITE? 'nSYES ❑ NO Signature of Receip
Explain:
POST INSPECTIOMNSTRUCTIONS: e_
• Refer to the back of this inspection report for regulatory citations and corrective action.,
• Correct the violation(s) noted above by "/ I/ )
• 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
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance,
Signature (that all violations have been corrected as noted)
Date
Pink - Prevention Services Copy
FD2156b (Rev 9/10)
SECTION 5• Facility Inspection: California Health & Safety Code;_ 25270.4.5
DESCRIPTION Yi
-b
-40
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)
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) 1 1)
Loading / unloading rack drains into containment area [CFR 112.7(h)]
Provide appropriate containment /diversionary structures to prevent discharge [CFR 112.8(a), 112.7(c)
Secondary containment adequate to contain capacity of largest container + precipitation [CFR 112.8(c)] A:�
Remove accumulation of oil in secondary containment [CFR 112.8(c)(10)]
Secondary containment valve(s) closed [CFR 112.8]
Implement SPCC plan elements [CFR 112.3]
q
ANY HAZARDOUS WASTE ON SITE? 'nSYES ❑ NO Signature of Receip
Explain:
POST INSPECTIOMNSTRUCTIONS: e_
• Refer to the back of this inspection report for regulatory citations and corrective action.,
• Correct the violation(s) noted above by "/ I/ )
• 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
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance,
Signature (that all violations have been corrected as noted)
Date
Pink - Prevention Services Copy
FD2156b (Rev 9/10)
q
ANY HAZARDOUS WASTE ON SITE? 'nSYES ❑ NO Signature of Receip
Explain:
POST INSPECTIOMNSTRUCTIONS: e_
• Refer to the back of this inspection report for regulatory citations and corrective action.,
• Correct the violation(s) noted above by "/ I/ )
• 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
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance,
Signature (that all violations have been corrected as noted)
Date
Pink - Prevention Services Copy
FD2156b (Rev 9/10)