HomeMy WebLinkAboutHW 2018UNIFIED PROGRAM INSPECTION CHECKLIST
Aboveground Petroleum Storage Tank Program
FACILITY NAME
INSP CTION DATE
INSPECTION TIME
N/A
COMMENTS
Prepare an SPCC plan [CFR 112.3]
ADDRESS
PHONE NO.
NO OF EMPLOYEES
_
Review or amend SPCC plan [CFR 112.5 (a)(d)]
°
FACILITY CONTACT
BUSINESS ID NUMBER
SPCC plan available on site [CFR 112.3(e)]
CONSENT TO INSPECT NAME /TITLE
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DESCRIPTION
YJ
NJ
N/A
COMMENTS
Prepare an SPCC plan [CFR 112.3]
"r
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 rocedures [CFR 112.7(e)]
`sr
Maintain records of inspections, tests and/or procedures [CFR 112.7(e)]
Records of inspections or tests signed by inspector [CFR 112.7(e)]`
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DESCRIPTION
Yj
NJ,
N/A
COMMENTS
Self- certification for Tier I or II facility 112.6 (a)(1),(b)(1)]
Professional engineer certification (CFR 112.3(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 )]
`sr
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 [I 12.7(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 1 12.7(a) 3
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Countermeasures for discovery, response and clean-u [CFRI 12.7(a)(3)]
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Required contact list and phone numbers [CFR 112.7(a)(3)
DESCRIPTION
Yj
N
N/A
COMMENTS
Provide corrosion protection [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)]
DESCRIPTION
Y
NJ
N/A
COMMENTS
Training program [CFR 11 2.7(f)]
Train personnel in operation and maintenance of equipment CFR 112.7(f)]'
Conduct annuals ill prevention briefings [CFR 112.7(f)(3)
'
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 1CFR 112.8(c)(8)]
Portable /mobile containers positioned to prevent discharge [CFR 112.$ (c) 11
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 )]
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? BYES ❑ NO ISignatureofRec.eipt
Explain:
POST INSPECTION INSTRUCTIONS:
• 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)