HomeMy WebLinkAbout400 old river inspector reportFacility Name: Date of Inspection:
Mercy Hospital Southwest
Time In: Time Out:
Address. Inspected by: Ernie Medina
400 Old River Rd. Bakersfield, CA. 93311 ICC# 8012428 -UI
Contact. Type of Inspection:
Nnnual Compliance ❑Re- inspection ❑ Complaint
Ken Stonecipher
Phone: Permission for Inspection Granted by:
(661) 632 -5572
Tank ID
#1
#2
Size
8,000
8, 000'' , .
Contents
DSL
DSL
Construction
DWF
DWF. , . .
Tank Monitoring:.
DW: Continuous Interstitial Monitoring
❑
0
Dry ❑ Brine/Hydrostatic ❑ Vacuum /Pressure.
SW: SIR and Line Test every 2 years.
❑
❑
❑
SW: ATG 0.1 annual.
❑
❑
❑
0
SW: ATG 0.2 monthly.
❑
❑''
❑
❑ -.
SW: Continuous In -Tank Leak Detection (CITLD).
❑
El
0 `>
SW: Tank Gauging.
❑❑
❑❑
SW: Vadose/GW Monitoring.
❑
❑
❑
❑
Other Description:
❑
E]
❑
'
Piping Morntonng:
DW Suction: Continuous Interstitial at UDC and Tank Sump.
❑
❑
❑ ,.:
DW Pressurized: Interstitial at UDC and Turbine Sump and 3.0 gph LLD,
❑
❑
❑ Annual Line Test or ❑ Auto - shutdown and Failsafe.
DW VPH Motoring: Includes lines, sumps, fill pipe, vapor lines, etc.
Monitoring:
❑
❑ ;
❑
❑,;<
SW Conventional Suction: Triennial 0.1 gph line test., and daily
❑
❑:
❑
El
monitoring.
SW Pressurized: Line 0.1 gph annual or 0.2 gph monthly line test and
E]
El
�
LLD with Auto - Shutdown.
SW or DW Safe Suction.
❑
❑❑
.: �:
SW: Vadose Zone or GW Monitoring.
❑
❑ -`
DW or SW: Gravity Flow Pipe.
❑
❑'
❑
Other Description:
El
❑
❑
Refaraneac fn the HAnIth and safety Code. the California Code of Regulations and the Code of Federal Regulations throughout this Appendix are
intended to be useful but are not necessarily exhaustive of all legal references that might apply or be relevant to a specific compliance determination.
Laws and regulations are subject to change, so the references contained herein may not be up to date. It is the responsibility of the owner and operator
to know and comply with all applicable legal requirements.
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 3 26-3 979
If in compliance, check the box. Check NA if not applicable.
If a violation, determine if Minor, Class 11, or Class I, or To
Violations
Be Determined (TBD) if uncertain and will be determined
later.
eM
ve .
Fi le, Revii
L
❑ 1
UST Permit to Operate is current. HSC 25284(a), 25299(a)(1) 25299 (b)(1)
❑
❑ 2
Transfer of permit and /or change of information provided within
30 days of ownership /information changes. HSC 25284(b) (c); T23
❑
CCR 2712(d)
❑ 3
UST form information current/correct for facility, including BOE
❑
number. HSC 25286(a)
4
Fees are paid up -to -date. HSC 25285(c), 25287
❑
❑ 5
Monitoring Plan approved for current owner with appropriate
El
N A � co14?�� v*r
content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h)
❑ 6
Current Emergency Response Plan submitted with appropriate
❑
,vEE Svb ;7'
content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h)
Pl9N
17-17
Plot Plan /Site Map submitted with appropriate content and
x
❑
,Veee_/_10
15;1e
level of detail. T23 CCR 2632(d), 2634(d), 2641(h), 2711(a)(8)
/
14410
❑ 8
Owner /Operator agreement submitted, if required. HSC 25284(a)(3)
❑
❑ 9
Certification of Compliance and Designated Operator
❑
Certification submitted b current tank owner. T23 CCR 2715
Lo °i�
car
10
Certificate of Financial Responsibility submitted and is current
for the permit period. HSC 25292.2, 25299.30- 25299.34; T23 CCR 2711; 2808.1;
El
2809 - 2809.2
11
Monitoring system certification (most recent) conducted within
allowable timeframe (sensors and console). Results submitted
❑
and show all required components with passing results. Hsc
25284.1 a 4 c ; T23 CCR 2638
2
Spill- bucket test results (most recent) conducted within
allowable time frame. Results submitted and indicate a passing
❑
test. HSC 25284.2
013
Leak Detector testing conducted within allowable time frame.
The most recent annual certification submitted and shows
RD
RD
RD
RD
❑
passing results. 40 CFR 280.40(a)(2), 280.43(g) (1) &(2), 280.44(a); HSC 25292(e);
T23 CCR 2638, 2641
14
Secondary containment testing conducted within allowable
time frame. Most recent testing results submitted and indicate
❑
a passing test. HSC 25284.1(a)(4)(8); T23 CCR 2637(a)
015
Pipe and /or tank integrity testing conducted within allowable
time frame. Most recent testing results submitted and indicate
❑
passing results. 40 CFR 280.33, 280.40, 280.41, 280.44; T23 CCR 2636(0,
2643(b)(3), (c)(3), d e
❑16
Repaired tanks /piping are tightness tested within 30 days of
RD
RD
RD
RD
the rep air. 40 CFR 280.33; T23 CCR 2661
❑17
ELD test conducted within allowable time frame. Most recent
test results submitted and passing results achieved. T23 CCR
2644.1
018
The corrosion protection system is checked by a corrosion
specialist within six months of installation /repair and at least
every three years thereafter; results show protection to be
RP
RP
RP
RP
adequate. Impressed current inspected every 60- calendar
days. 40 CFR 280.31, 280.70, T23 CCR 2635(a)(2)
019
Tank Lining recertification is current (within 10 years of lining
and every 5 years thereafter) and compliant. 40 CFR280.21(b)(1)(#j;
RP
RP
RP
RP
T23 CCR 2663(h)
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 3 26-3 979
G UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
On Site Reu�ew<
Kill
This Inspection is being conducted during the annual
monitoring certification. o YES ONO
The service technician has provided ICC Certification and
manufacturers training documentation, and possesses a tank
tester's license or works under a CSLB contractor's license.
L7 YES D NO
}.b
".m n � .. - �.
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�.
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�„� .W..
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a�a.f '�
5`"a..b�s"'aU'i
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- F�- w� =av!. --�i
as re
�;s.����.3P!i.na'n'3�i'i. '��eA.
/
20
Tank systems meet current construction standards as required
❑
for type of system. HSC 25288
1
1
21
Hazardous substance tanks have secondary containment. 40
RP
RP
RP
RP
❑
CFR 280.42(b); T23 CCR 2631
022
Electronic monitoring system has audible and visual alarm in
❑
operating condition. T23 CCR 2632, 2634, 2636
❑23
Monitor console programmed appropriately for monitoring
❑
option used. T23 CCR 2638, 2643, 2643.1
024
Tank systems in temporary closure meet requirements. 40 CFR
RD
RD
RD
RD,
280.70, T23 CCR 2670 & 2671
025
Overfill Prevention mechanism present and operational
according to type: ❑Flapper valve ❑ Audible- visual alarm
RP
RP
RP
RP
❑
❑ball float. ❑ AN alarm and Ball Float 40 CFR 280.20(c)(1)(ll),
280.21(d); T23 CCR 2635(b)(2), 2631 d 4
026
Spill prevention device is present and functional (in good
condition and drain mechanism operational if applicable). 40 CFR
RP
RP
RP
RP
❑
280.20 c (1 )(l , 280.21(d); T23 CCR 2635(b)(1);2665
027
Piping and piping penetration boots within sumps /UDC are in
❑
good condition. HSC25288(a), 25292.1
028
All sumps, spill buckets, and UDC's free from debris and liquid.
❑
HSC 25291(e), 25290.1, 25290.2, T23 CCR 2635(b)(1)(C)
;K9,9
Areas around vents appear to be free from signs of liquid
❑
releases. HSC 25288(a), 25290.1, 25290.2, 25295.5
;M0
Release Detection methods are present and meet performance
RD
RD
RD
RD
❑
standards. See LG -113. 40 CFR 280.40(a)(3)
031
All sensors are correct for the type of system and operational.
RD
RD
RD
RD
❑
40 CFR 280.40(a ) (2), 280.43 1 &(2); HSC 25290.1 (e), 25290.2, 25291; T23 CCR 2638
17132
All sensors are located in the proper position /location. 40 CFR
280.40(a)(2), 280.43(g)(1) &(2); HSC 25290.1, 25290.2, 25291; T23 CCR 2630(d);
RD
RD
RD
RD
❑
2632(c);2641(a)
033
All secondary containment, including UDC shall be equipped
with a continuous monitoring system that either activates an
❑
A/V alarm or stops the flow of product at the dispenser when it
detects a leak. T23 CCR 2636 (0(1)
Tank kMon�tor�ng°
LAW
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❑34
❑ Interstitial monitoring conducted properly. 40 CFR 280.40(x)(2),
RD
RD
RD
RD
❑
280.43(g)(1)&(2); T23 CCR 2632 (c)(2); 2634 d 1
035
❑ VPH monitoring conducted properly. HSC 25290.1
RD
RD
RD
RD
.
:.
95 u..,'k. 3,a�`^r , v «.w., arz x` . 'C ..;F: a '
'� * . �§ r,. <t. r , -'ca. . � ",�„s, . 1 . era.,.. ,?,r
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036
SIR and Biennial 0.1 gph tank test performed properly. 40 CFR
RD
RD
RD
RD
280.41, 280.43; T23 CCR 2643, 2646.1
❑37
Non - passing SIR monitoring report results are reported and
RD
RD
RD
RD
investigated properly. 40 CFR 280.41(a), 280.43(h)(1),(2); T23 CCR 2646.1
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
O Automatic Tank Gauging (ATG) / Continuous In -Tank Leak
Detection ( CITLD
038 ATG or CITLD 0.2 gph monthly test performed properly. 40 CFR
280.43; T23 CCR 2643(b)(1), 2643(b)(5)
&39 ATG generates a hard copy printout of all data reported
including time and date, tank I.D., fuel depth, water depth,
temperature, liquid volume and duration of test. If installed after
1/1/95 printout includes calculated leak rate and leak threshold.
T23 CCR 2643 b 1
O Manual Tank Gauging (SW tanks </ =1000 gal. ONLY)
040 Weekly manual tank gauging performed properly. 40 CFR 280.43;
T23 CCR 2645
041 Tank Integrity test performed, if necessary. 40 CFR 280.43; T23 CCR
2645
O Vadose Zone and/or Groundwater Monitoring
042 Monitoring system is installed and monitored properly. 40 CFR
280.43; T23 CCR 2647 -48
*Tank Exemption
043 Tanks /piping meet tank exemption criteria, and weekly visual
n
monitoring records are kept up-do-date. HSC 25283.5
P► aMonitorin
gn
O Continuous Monitoring System
044 DW piping (gravity, suction, pressure) in the turbine sump has
continuous monitoring system that activates an audible and
visual alarm or restricts or stops flow at dispenser. T23 CCR
2636 (0(
045 DW piping in the UDC is continuously monitored and method
either shuts down the flow of product to the dispenser or
activates an AN alarm. T23 CCR 2636(0(1)
O Line Integrity Testing for Pressurized Piping
046 An annual 0.1 gph line integrity test is performed properly.
(Either third party or by Enhanced Line Leak Detection) T23 CCR
2636(f) (4
047 In lieu of the annual tightness test for DW pressurized piping,
the monitoring system for all product piping outside the
dispenser is fail -safe and shuts down the pump when a leak is
detected and the monitoring system shuts down the pump or
flow restriction occurs when a leak is detected in the UDC. T23
CCR 2636(0(5)
O Line Leak Detectors (LLD)
1-148 LLD's installed, annually tested, and operational on DW
pressurized piping that detects a 3.0 -gph leak, and restricts or
shuts off flow of product. T23 CCR 2636(0(2)
O DW Emergency Generator Tank
049 LLD activates AN alarm and monitoring system is checked
daily. T23 CCR 2636(0(2)
050 In lieu of LLD, continuous monitoring system of DW emergency
generator tank activates AN alarm, system is checked daily,
and logs are kept. T23 CCR 2636 (0(6)
�011 �d ;.;�'i�r k+,M, s', `�F s'"'%'a2Rr xn 'j ^.a.- `sZ yr "r •x'3rZ s t ij r` •d , Y
O Line Integrity Testing
051 SW pressurized piping: annual 0.1 gph line integrity test or a
monthly 0.2 gph line integrity test is performed properly. 40 CFR
280.41, 280.44; T23 CCR 2643(c) 2 , 3
❑52 SW conventional suction system: 0.1 gph line integrity test is
performed every three years. 40 CFR 280.40,280.41; T23 CCR 2643(d)
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
053
SW conventional suction system: inspections conducted for
RP
RP
RP
RP
❑
062
presence of air in the pipeline. Daily monitoring records are
❑
059
kept. T23 CCR 2643(d)
❑54
SW gravity flow piping: biennial 0.1 gph integrity test or overfill
RP
RP
RP
RP
❑
tank integrity test is conducted within allowable time frames.
❑
060
T23 CCR 2643(e
❑
O Safe Suction (SS) System
RP
RP
RP
RP
❑
055
Piping meets the SS requirements. 40 CFR 280.41; T23 CCR 2636(a)(3)
RD
RD
RD
RD
❑
061
A -D
RP
RP
RP
RP
❑
O LLD for Pressurized Piping
056
LLD's installed, annually tested and operational on SW
pressurized piping. Pump shuts down when a leak occurs and
RD
RD
RD
RD
❑
when the LLD fails or is disconnected. T23 CCR 2666
057
LLD's installed, annually tested, and operational on SW
❑
068
emergency generator systems; LLD is connected to an AN
❑
alarm. 40 CFR 280.40(a)(2), 280.43(9)(1), (2), 280.44(a); T23 CCR 2666
❑58
Metal Tanks and piping components have corrosion protection,
RP
RP
RP
RP
❑
062
or are isolated from the backfill. 40 CFR 280.20, 280.21
❑
059
Corrosion protection equipment turned on, functioning properly
❑63
and provides continuous protection. 40 CFR 280.3 1 (a), (b)(1); T23 CCR
RP
RP
RP
RP
❑
2635
060
Cathodic protection system is tested within 6 months of
❑
installation and then every 3 years. 40 CFR 280.31(a) & (b) (1); T23 CCR
RP
RP
RP
RP
❑
065
2635(a )(2
061
Impressed current systems checked every 60- calendar days
RP
RP
RP
RP
❑
and records are up -to -date. 40 CFR 280.31(c); T23 CCR 2635(x)(2)
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
On =life Pa erwork
062
Permit and conditions available on -site. Facility is operated
❑
according to permit and conditions. HSC 25293; 25299, T23 CCR 2712(1)
❑63
Monitoring and response plans are on -site and are the
❑
approved version. T23 CCR 2712(1); 2632;2634; 2641
064
Site plan depicts current site conditions and has all required
❑
elements. T23 CCR 2632(d)
065
All release detection records for monitoring method are
available, up -to -date, and appropriate for leak detection
RD
RD
RD
RD
❑
method. 40 CFR 280.41, 280.45
066
All monitoring /testing records /documents are available for the
required timeframe. (3 years, 6'h years, five years, life of tank) T23 CCR
El
2712
067
Equipment maintenance records/logs available. T23 CCR 2712(b)
❑
068
Alarm logs /tapes available and appropriate follow -up actions
❑
occurred. T23 CCR 2712(b); 2632; 2634
069
Visual observation logs available, up -to -date, and appropriate
❑
follow -u actions to problems occurred. T23 CCR 2712(b); 2642
❑70
Designated UST Operator monthly reports available and
❑
complete. T23 CCR 2715
071
Employee training records available and training appropriate
❑
and up-to-date. T23 CCR 2715
072
Suspected or actual unauthorized releases are recorded
and /or reported within allowed timeframes, including non-
RD
RD
RD
RD
❑
passing test results. Leak and Spill Logs available. 40 CFR 280.50;
T23 CCR, 2650, 2652
073
Financial Responsibility Certificate and mechanisms (CFO
Letter, etc.) on -site and up -to -date. HSC 25292.2, 25299.30- 25299.34, T23
❑
CCR 2711; T23 2808.1; 2809 - 2809.2
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Facility Name: Date:
f?
� � � 3 t' ky � �'ax3 rF.�s � D✓
M t £
,o 2` j1
tv
Lim- L11111. 11
Spill-bucket testing conducted appropriately and a passing test
achieved.
S OC AND RED TAG
a. This facility is in compliance with Release Detection (RD) requirements only. (No ❑
violations in boxes marked RD, but one or more in boxes marked RP.)
b. This facility is in compliance with Release Prevention (RP) requirements only. (No ❑
violations in boxes marked RP, but one or more in boxes marked RD.)
c. This facility is in compliance with BOTH Release Detection (RD) and Release ❑
Prevention (RP) requirements. (No violations in boxes marked RD or RP.)
d. This facility is NOT in compliance with both Release Detection (RD) and Release
Prevention (RP) requirements. (One or more violations marked in (both) boxes RD ❑
and RP.)
A Red Tag was issued to this facility based on the results of this inspection. ❑
Red Tag #
Reason for Red Tag (Choose one):
1. Violation that causes or threatens to cause a liquid release. CCR 2717(a)(1) ❑
2. Violation that impairs the ability of an UST system to detect a leak. CCR 2717(a)(2) ❑
3. Chronic violation or committed by a recalcitrant violator. CCR 2717(a)(3) ❑
Item Inspection Comments:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
Facility Name:
Mercy Hospital Southwest
Address:
400 Old River Rd. Bakersfield, CA. 93311
Contact:
Ken Stonecipher
Phone:
(661) 632 -5872
Date of Inspection:
Time In: I Time Out:
Inspected by: Ernie Medina
ICC# 8012428 -UI
Type of Inspection:
❑ Annual Compliance ❑Re- inspection ❑ Complaint
Permission for Inspection Granted by:
Tank ID
#1
Size
27600
"2 6,010,
El
El-
Contents
DSL
DSL
❑
Construction
DWF
° � :� DWT,.
SW: SIR and Line Test every 2 years.
Tank Monitoring
�.. x._ �_
DW: Continuous Interstitial Monitoring
El
El-
El
❑
❑ Dry ❑ Brine/Hydrostatic ❑ Vacuum /Pressure.
❑
, 0
❑0
SW: SIR and Line Test every 2 years.
❑
❑ °;
❑
❑ :��..,
SW: ATG 0.1 annual.
❑
❑
El
El
SW: ATG 0.2 monthly.
❑;
.; ❑
❑
❑ : .�
SW: Continuous In -Tank Leak Detection (CITLD).
❑
❑
❑
SW: Tank Gauging.
❑
0 '
❑
SW: Vadose /GW Monitoring.
❑
❑
❑
❑ Y ;
Other Description:
❑:
❑' :
❑
Piping Monitorihm,
DW Suction: Continuous Interstitial at UDC and Tank Sump.
El
El-
El
❑ ,..'
DW Pressurized: Interstitial at UDC and Turbine Sump and 3.0 gph LLD,
❑
, 0
❑0
❑ Annual Line Test or ❑ Auto - shutdown and Failsafe.
DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc.
❑
❑ `
F-1
SW Conventional Suction: Triennial 0.1 gph line test., and daily
❑
❑
❑
monitoring.
SW Pressurized: Line 0.1 gph annual or 0.2 gph monthly line test and
❑
LLD with Auto - Shutdown.
SW or DW Safe Suction.
❑�
' ❑=
❑
SW: Vadose Zone or GW Monitoring.
❑�❑
❑,�❑
DW or SW: Gravity Flow Pipe.
❑
❑
Other Description:
❑
❑
❑
"'; Q , �. ,�
References to the Health and Safety Code, the California Code of Regulations and the Code of Federal Regulations throughout this Appendix are
intended to be useful but are not necessarily exhaustive of all legal references that might apply or be relevant to a specific compliance determination.
Laws and regulations are subject to change, so the references contained herein may not be up to date. It is the responsibility of the owner and operator
to know and comply with all applicable legal requirements.