HomeMy WebLinkAboutAST 2018UNIFIED PROGRAM INSPECTION CHECKLIST
Aboveground Petroleum Storage Tank Program
FACILITY NAME
Y
INSPECT ON DATE
INSPECTION TIME
COMMENTS
Prepare an SPCC plan [CFR 112.3]
XX
ADDRESS „,
}
7
jCAJ
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT..
BUSINESS ID NUMBER
/_,ti ;}_�
CO�VSE - O..INSPEC.T NAME /TITLE
DESCRIPTION
Y
N
N/A
COMMENTS
Prepare an SPCC plan [CFR 112.3]
XX
Review or apaend 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)]
R6e6rds of inspections or tests signed by inspector [CFR 112.7(e)]
DESCRIPTION
Y
N
N/A
COMMENTS
Self- certification for Tier I or H facility 112.6(a)(1),(b) 1
XX
Professional engineer certification CFR112.3 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 [112.7(a)(3)]
;
'
Type of oil and storage capacity 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)]
AA
V1�VI�V1\ •7.,VG..G.GI■ V■ vv ■�v w..v...w..�... ��.....�..._� __- ______ _- _ __
DESCRIPTION
protection
Y
N
N/A
COMMENTS
``Provide co'r'rosion [CFR 112.8(c)(4)(5), (d)(1)]
Containers compatible with materials stored [CFR 112.8(c)(1)
=
Implement SPCC plan review changes or amendments within 6 months CFR 112.5(a)(d)
Prepare an oil contingency plan or written control /removal commitments [CFR 112.7(d)]
VLV 1 �4J1\ 4. V. Vv ■ ■u■■ ■ ■..a■■■... vv.... ... ...... ..��.. �.. � _----- - - - - a
DESCRIPTION
Y
N
N/A
COMMENTS
Training ro ram CFR 112.7(f)
Train perspnnel in operation and maintenance of equipment [CFR 112.7(£) ]
<L
Conduct annuals ill prevention briefings [CFR 112.7(f)(3)]
a79;;;V 1 IVF\ J. 1 CRUNINa .■■.7r c.va■v■ ■. vw....... - -- - ---
DESCRIPTION
Y
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 11 2.8(c) 11
/ unloading rack drains into containment area [CFR 112.7(h) ]
'
-Loading
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
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 ]
?�
ANY HAZARDOUS WASTE ON SITE? .YES ❑ NO Signature ofRecef Receipt
v
Explain:
POST INSPECTION INSTRUGIIO.NS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• 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 Street, California 93301
Date
Pink - Prevention Services Copy
Signature (that all violations have been corrected as noted)
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance
FD2156b (Rev 9/10)