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Home My WebLink About1700 mt vernon inspector reportUNIFIED PROGRAM INSPECTION CHECKLIST L'h Underground Storage Tank Program t : _r. BAKERSFIELD FIRE DEPARTMENT Prevention Services Division 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 Fax: 661- 852 -2171 Facility Name: Kern Medical Center Date of Inspection: Time In: Time Out: Address: 1700 Wit Vernon Ave. Bakersfield, CA. 93305 Inspected by: Esther Duran ICC# 5296325 -UI Contact: Leann Victory Type of Inspection: Annual Compliance ❑Re- inspection ❑ Complaint Phone: (661)326 -2000 (24 hr.) Permission for Inspection Granted by: Tank ID #1 Size 10,000 Contents DSL Construction Tank Monitoring: DW: Continuous Interstitial Monitoring ❑ Dry ❑ Brine/Hydrostatic ❑ Vacuum /Pressure. ❑ ❑ ❑ SW: SIR and Line Test every 2 years. ❑ ❑ ❑ SW: ATG 0.1 annual. ❑ ❑ ❑ El SW: ATG 0.2 monthly. ❑ ❑` ❑ ❑ SW: Continuous In -Tank Leak Detection (CITLD). ❑ ❑ ❑ SW: Tank Gauging. ❑ ❑ ❑ SW: Vadose /GW Monitoring. ❑ ❑ ❑ Other Description: ❑ ❑" ❑ - Piping .Monitoring: 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. ❑ ❑ ❑ 0, DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc. ❑ ❑ ❑ SW Conventional Suction: Triennial 0.1 gph line test., and daily monitoring. El El SW Pressurized: Line 0.1 gph annual or 0.2 gph monthly line test and LLD with Auto - Shutdown. ❑ ❑ ❑ 0: SW or DW Safe Suction. ❑ ❑ ❑ ❑� SW: Vadose Zone or GW Monitoring. ❑ ❑ ❑ ❑ DW or SW: Gravity Flow Pipe. ❑ ❑ Other Description: ❑ ❑ ❑ ❑ References to the Health and Safety Code, the California Code of Regulations and the Code of Federal Regulations throughout this Hppenaix 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 Facilit� Name: Date: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979 VI/ If in compliance, check the box. Check NA if not applicable. If a violation, determine if Minor, Class 11, or Class 1, or To Violations Be Determined (TBD) if uncertain and will be determined Jater. 91 01 'M� H 71 15 I gwo .10 - I11 A6 1 view', F e ')el UST Permit to Operate is current. HSC 25284(a), 25299(a)(1) 25299 (b)(1) El Transfer of permit and/or change of information provided within 30 days of ownership/information changes. HSC 25284(b) (c); T23 14:1"" all CCR 2712(d) 09 a El 3 UST form information current/correct for facility, including BOE -ro %her C.;'V/-tT number. HSC25286(a) -rhaltvah C"5 04 Fees are paid up-to-date. HSC 25285(C), 25287 El El 5 Monitoring Plan approved for current owner with appropriate El content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h) 06 Current Emergency Response Plan submitted with appropriate F1 content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h) Plot Plan/Site Map submitted with appropriate content and EJ level of detail. T23 CCR 2632(d), 2634(d), 2641(h), 2711(a)(8) 08 Owner/Operator agreement submitted, if required. HSC 25284(a)(3) 09 Certification of Compliance and Designated Operator El Certification submitted by current tank owner. T23 CCR 2715 010 Certificate of Financial Responsibility submitted and is current for the permit period. HSC 25292.Z 25299.30-25299,34; T23 CCR 2711; 2808. 1; 2809-2809.2 011 Monitoring system certification (most recent) conducted within pesrDwF 15-3 Avf allowable timeframe (sensors and console). Results submitted El and show all required components with passing results. Hsc 1 25284. 1(a)(4)(c); T23 CCR 2638 012 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 El passing results. 40 CFR 280.40(a)(2), 280.43(g)(1)&(2), 280.44(a); HSC 25292(e); T23 CCR 2638, 264 1 Y) Nri r ' 4 Secondary containmerittesting conducted within allowable time frame. Most recent testing results submitted and indicate a passing test. HSC 25284. 1(a)(4)(B); 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(o, (c)(3), (d) (e) ___2643(b)(3), 016 Repaired tanks/piping are tightness tested within 30 days of RD RD RD RD the rep ir. 40 CFR 280.33, T23 CCR 2661 017 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 instal lation/repair and at least RP RP RP every three years thereafter; results show protection to be 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)(fij; RP RP RP RP T23 CCR 2663(h) Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326-3979 VI/ Facility Name: UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Date: Y Q � Genera/ NO Tank systems meet current construction standar, for type of system. HSC 25288 X2 Hazardous substance tanks have secondary cor CFR 280,42(b); T23 CCR 2631 W2 Electronic monitoring system has audible and vi: operatin condition. T23 CCR 2632, 2634, 2636 23 Monitor console programmed appropriately for rr option used. T23 CCR 2638, 2643, 2643.1 024 Tank systems in temporary closure meet require 280.70, T23 CCR 2670 & 2671 ❑25 Overfill Prevention mechanism present and oper according to type: ❑Flapper valve ❑ Audible -vis ❑ball float. ❑ AN alarm and Ball Float 40 CFR 280. 280.21(d); T23 CCR 2635(b)(2), 2631 d 4 Spill prevention device is present and functional condition and drain mechanism operational if ap 280.20 c 1 1, 280.21(d); T23 CCR 2635(b)(1);2665 27 Piping and piping penetration boots within sump: good condition. HSC 25288(x), 25292.1 8 All sumps, spill buckets, and UDC's free from de HSC 25291(e), 25290.1, 25290.2; T23 CCR 2635(b)(1)(C) 29 Areas around vents appear to be free from sign: releases. HSC 25288(a), 25290.1, 25290.2, 25295.5 0 Release Detection methods are present and me standards. See LG -113. 40 CFR 280.40(x)(3) 1 All sensors are correct for the type of system an, 40 CFR 280.40(a) 2 , 280.43 1 & 2 ; HSC 25290.1(e ), 25290.2, 2 2 All sensors are located in the proper position /loc 280.40(a)(2), 280.43(g)(1) &(2); HSC 25290.1, 25290.2, 25291; T23 f 2632(c);2641(a) 33 All secondary containment, including UDC shall with a continuous monitoring system that either AN alarm or stops the flow of product at the disl detects a leak. T23 CCR 2636 (0(1) Tank Monitoring 4 Interstitial monitoring conducted properly. 40c, 280.43 1 & 2 ; T23 CCR 2632 c 2 ; 2634 d (1 035 ❑ VPH monitoring conducted properly. HSC 25290 O SIR 036 SIR and Biennial 0.1 gph tank test performed pr 280.41, 280.43; T23 CCR 2643, 2646.1 ❑37 Non - passing SIR monitoring report results are n investigated properly. 40 CFR 280.41(x), 280.43(h)(1),(2); Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 On'-, Site 'Review This Inspection is being conducted during the an monitoring certification. o YES NO The service technician has provided ICC Certific manufacturers training documentation, and poss tester's license or works under a CSLB contractc O YES O NO y. nTnk/PrprngCoporaents N NJonrtorrng any -C' 2 2, te's� h \ �• < i �(` iq �' tCu`k`. t i Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT FC2%A ILy Ivai 1 ic. NMI i 6 x � Y f O Automatic Tank Gauging (ATG) / Continuous In -Tank Leak Detection CITLD 038 ATG or CITLD 0.2 gph monthly test performed properly. 40 CFR RD RD RD RD 280.43; T23 CCR 2643(b)(1), 2643 (b) (5) 9 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 El 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; RD RD RD RD T23 CCR 2645 041 Tank Integrity test performed, if necessary. 40 CFR 280.43; T23 CCR RD RD RD RD 2645 O Vadose Zone and/or Groundwater Monitoring ❑42 Monitoring system is installed and monitored properly. 40CFR RD RD RD RD. 280.43; T23 CCR 2647 -48 OTank Exemption 043 Tanks /piping meet tank exemption criteria, and weekly visual monitoring records are kept up-do-date. HSC 25283.5 'Pi a Monitorin "t,M"'K � . . .. ter.. •. a.. ....Y ,.. .,._- "c'!,0�,� �ra�.., w ...ta �=�rn,. ru.3 s .,. �,..� t 3 w, o-,ia „8 «.,. a3t' .✓u..,.. O Continuous Monitoring System . - -..,r- v . A . .. - ., " s- ...hr . �<4_ DW piping (gravity, suction, pressure) in the turbine sump has continuous monitoring system that activates an audible and RD RD RD RD ❑ visual alarm or restricts or stops flow at dispenser. T23 CCR 2636 1 ❑45 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 RD RD' RD RD 2636 (4 ❑47 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 RD RD RD RD 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) ❑48 LLD's installed, annually tested, and operational on DW pressurized piping that detects a 3.0 -gph leak, and restricts or RD RD RD RD shuts off flow of product. T23 CCR 2636(0(2) O DW Emergency Generator Tank ❑49 LLD activates AN alarm and monitoring system is checked RD RD RD RD dal/v. T23 CCR 2636(0(2) 0 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) ra .cu. tqc r ... S �Yc. f .. ..., v f 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 RD RD RD RD 280.41, 280.44; T23 CCR 2643(c)(2),(3) 052 SW conventional suction system: 0.1 gph line integrity test is RD RD RD RD LA 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: n 5 053 SW conventional suction system: inspections conducted for presence of air in the pipeline. Daily monitoring records are kept. T23 CCR 2643(d) 054 SW gravity flow piping: biennial 0.1 gph integrity test or overfill tank integrity test is conducted within allowable time frames. T23 CCR 2643(e O Safe Suction (SS) System �55 Piping meets the SS requirements. 40 CFR 280.41; T23 CCR 2636(x)(3) RD RD RD RD ❑ A -D 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 AN emergency generator systems; LLD is connected to an alarm. 40 CFR 280.40(a)(2), 280.43(g)(1),(2), 280.44(a); T23 CCR 2666 Corrosion Protection . ❑58 Metal Tanks and piping components have corrosion protection, RP RP RP RP or are isolated from the backfill. 40 CFR 280.20, 280.21 059 Corrosion protection equipment turned on, functioning properly RP RP RP RP and provides continuous protection. 40 CFR 280.3 1 (a), (b)(1); T23 CCR 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 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(a)(2) On -situ Pa erwork 2 Permit and conditions available on- site. Facility is operated El according to permit and conditions. HSC 25293; 25299; T23 CCR 2712(i) 3 Monitoring and response plans are on -site and are the ❑ approved version. T23 CCR 2712(i); 2632;2634; 2641 L64 Site plan depicts current site conditions and has all required ❑ elements. T23 CCR 2632(4) 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'/2 years, five years, life of tank) T23 CCR 2712 ❑6.7 Equipment maintenance records /logs available. T23 CCR 2712(b) ❑ 8 Alarm logs /tapes available and appropriate follow -up actions r1E:1 occurred. T23 CCR 2712(b); 2632; 2634 0769 Visual observation logs available, up -to -date, and appropriate ❑ follow -up actions to problems occurred. T23 CCR 2712(b); 2642 0 Designated UST Operator monthly reports available and ❑ complete. T23 CCR 2715 71 Employee training records available and training appropriate ❑ 072 and up -to -date. T23 CCR 2715 Suspected or actual unauthorized releases are recorded '° j�5tn I� L c�o5 frames including non- and /or reported within allowed time 9 R RD RD RD ❑ passing test results. Leak and Spill Logs available. 40 CFR 280.50, T23 CCR, 2650, 2652 3 Financial Responsibility Certificate and mechanisms (CFO Letter, etc.) on -site and up -to -date. HSC 25292.2, 25299.30- 25299.34; T23 L El L 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: On -Site Observation of Periw c Tesf n 4 Spill- bucket testing conducted appropriately and a passing test achieved. 075 Secondary Containment testing conducted appropriately and a nassina test achieved. SOC AND RED TAG ►2 aggee yy.�� i � Ste. '...i {" vU MUM rF 5 c A ■ i i ■ $ t ? & 2 § k „ Y, $ �.`Y��" 4 1 � \14� �� d��t'N , ii � A ■a 'i � Y �� y � � 1. MSL��,xaacam. ^ 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.) El ,. , y •.: •;-, - , ,,, I G111 .�;^R". %5+'u,'.w.:sns-.+ ,.✓.< :.a'.`$rW.ss�."�c»+�,* hi:,'+Sagw'.. a r"`f ,. ?im.. . - �' 1' .� :r:: L>'..�4�V i A Red Tag was issued to this facility based on the results of this inspection. Red Ta # L 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(x)(2) 3. Chronic violation or committed by a recalcitrant violator. CCR 2717(x)(3) Item Inspection Comments: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979