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Home My WebLink About2317 l st inspector report 11-13-13UNIFIED PROGRAM INSPECTION CHECKLIST Underground Storage Tank Program Fax: 661- 852 -2171 Facility Name: Date of Inspection: Sully's Downtown Chevron 3 113 Time In: 9,060A01 I Time Out: Address: Inspected by: Ernie Medina 2317 L St. Bakersfield, CA. 93301 ICC# 8012428 -Ul Contact: Type of Inspection: XAnnual Compliance ❑Re- inspection ❑ Complaint Frank Sullivan Phone: Permission for Inspection ,granted by: (661) 327 -5008 (��" 727 - Tank ID #1 #2 #3 #4' Size 8,000 8,000 12 000 Contents Mid REG. PREM DSL Construction DWF SC DWF SC ' DWF SC DWF SC Tank Monitoring: DW: Continuous Interstitial Monitoring Dry ❑ Bn ne /H drostatic ❑ 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. ❑ ❑ ❑ El, ` DW Pressurized: Interstitial at UDC and Turbine Sump and 3.0 gph LLD, ❑ Annual Line Test or Auto - shutdown and Failsafe. DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc. ❑ ❑ ❑ ❑ 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. ❑ 0 ❑ DW or SW: Gravity Flow Pipe. ❑ ❑ ❑ Other Description: El FT El ['71_ References to the Health and Safetv 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 specitic compliance aetermination. 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. UNIFIED PROGRAM INSPECTION CHECKLIST Underground Storage Tank Program' BAKERSFIELD FIRE DEPARTMENT Prevention Services Division 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 Fax: 661- 852 -2171 Facility Name: ally's Downtown Chevron Date of Inspection: Time In: � OvAn I Time Out: Address: 2317 L St. Bakersfield, CA. 93301 Inspected by: Ernie Medina ICC# 8012428 -UI Contact: f=rank Sullivan Type of Inspection: Annual Compliance ❑Re- inspection ❑ Complaint Phone: (661) 327 -6008 Permission for Inspectio Granted by: Tank ID #1 #2 #3 Size 8,000 10, 000 121000 Contents PREM MID REG Construction DWF SC DWF SC ` DWF SC Tank Monitoring: DW: Continuous Interstitial Monitoring] Dry ❑ Brine/Hydrostatic El Vacuum /Pressure. r El SW: SIR and Line Test every 2 years. ❑ ❑ ❑ SW: ATG 0.1 annual. ❑ �❑ ❑ ❑ 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. �l J� DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc. ❑ ❑ ❑ ❑ 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. ❑ 0 ❑ SW or DW Safe Suction. ❑ ❑ ❑ ❑ SW: Vadose Zone or GW Monitoring. ❑ ❑ ❑ ❑ DW or SW: Gravity Flow Pipe. El El ❑ ❑ Other Description: ❑ ❑ ❑ ❑ 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. } UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facility Name: Date: 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 Determined (TBD) if uncertain and will be determined later. , - we" - ,, m ,, , ,. H , . .✓ .. W P' .. ;?w: �. h - c:..hA .Y y r ,x, ,k'.,T r', .,.rv.d., #�: -`�`v. ,SF Y fF6 r i'Pa ,7r.,'* .F. ry . a..,:.sr. +,. .. :' • as > , ',. . "...' ,,,d. ,�'�, -�,' ✓ry , a '�, i, ",:... ?'. ✓ry, .d a" ". . , a � ?zi'.. „�-. -.. ��,."�* z*.,.� ... °.2`r > $: ,� ��., n. `� =?4 . ?b �'`., '+'F 4....: �.ari`F .. ';'Y �fw �': - .' � ..� .. - . � r.. 'r �€- ...,?'r. ,. qua.._ , v._ , `� -. '� -v. .:,. 4Y - .. .. �j'rh, . > ,. � 4 �rv, :Y c.�.,�. s% ., . , � •4?n �, may,,. „ ,. a £ ,. ..x . ��',. b::tia. 4^.. 3i'. �rt �,v r� � ,. .s�a� � �,.,x r .. �.. ..k 'g, !� .r'^s. � � H "a: 'F v ',r,. "., ,� � '10 T - r" ,? L '� , ✓ �. ^r, NI v N � '. �'++ %E ,art - ..: t : , : ✓ '..; - . '.s ,�,, C, (..."4: F�oi' : -<e. F . �? mot' .it� R'`F. i. or$' - . - ,a �.. 1� y , ... s ,� � �'C,.��.r�" , riS��'4'�+GY� r � -9 -. m /.i✓' "Y..r ,: .. ... '. u.. : ., .. "`�`a'>° .r'�'.'.v ,. ��'`i?itt�£�.'v °.,.9� :..;'„ ds ryy?�u�', .'�.. , ,��'' • _ „�' .,,i � ", .m, r l^" , —a: §� , n +^ �t4. .. ky �'iN !� :i4� i4. .:. .•. r. MIX. , .rr. � ��._ i °rr'.F�vr G:f w ,'. '.�/MMO ?�.. , :: �.a: R�.�''+, ,.:.ate^ 4. i., "` raY �fv !'T � :, k .: � � t ... -:.. � .. v.. yi. .. .. Fa '. rn.. f'� - 1 u•�'.- ��.l .. a ,� .. � #., n_' _ }f_,,F- -:. ,.f., Tht ra �'. .�"�?F_ 4 >. l-,�:1 T.. .. . ,, ��" .. � f File ° Rev iew 1 UST Permit to Operate is current. HSC 25284(x), 25299(x)(1) 25299 (b)(1) ❑ ❑ 2 Transfer of permit and /or change of information provided within 30 days of ownership /information changes. HSC 25284(b) (o); T23 CCR 2712(d) 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 ❑ content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h) )K6 Current Emergency Response Plan submitted with appropriate ❑ content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h) 7 Plot Plan /Site Map submitted with appropriate content and ❑ level of detail. T23 CCR 2632(d), 2634(d), 2641(h), 2711(8)(8) ❑ 8 Owner /Operator agreement submitted, if required. HSC 25284(a)(3) 9 Certification of Compliance and Designated Operator ❑ Certification submitted by current tank owner. T23 CCR 2715 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; ❑ 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 12 Spill- bucket test results (most recent) conducted within allowable time frame. Results submitted and indicate a passing ❑ test. HSC 25284.2 13 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(8)(1) &(2), 280.44(a); HSC 25292(e); T23 CCR 2638, 2641 6) 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 016 Repaired tanks /piping are tightness tested within 30 days of RD RD RD RD the repair. 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)(fi,); 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 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facility Name: Date: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 n r 4 r r :x u.� Can- siterReview This Inspection is being conducted during the annual monitoring certification. NNES 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. ES L7 NO es.'L., .x_x r,. .., '....C.i� n av' -.. n ,:':? 5 .� ',.,.,.: �, ,...,.: .�^ r .:.,h':, - x.f^va.... :i' .,- c. ,` -.`Lt. .. ,=. �, ,e w,. r :.Y. ,. ;(' r3 m� � .x*� > ,e e. . T _ ,.., .�,. ., .. .,. .. ,tY., z 1,A "- ,. •.< Y.f? :n.�.. r � +, ' :. ,.: c. ,. t r ': t a F 3D l P � . Co o :eats°.:.... on�tonn .and on�tonn 1 +iei L .. .. .. n. kr 5- J _ ,, .. C;.. § 4 ,.� ,o.,..y� r• r• t<' Y r• :3 ., 5 K ":...... u menu o,. :if,.. r—•_ - .., .. � C....> 0. . ■ !.: a a,. *rr T.. �_.� ti NO x _ `General 0 Tank systems meet current construction standards as required ❑ for type of system. HSC 25288 1 Hazardous substance tanks have secondary containment. 40 RP RP RP RP ❑ CFR 280.42(o); T23 CCR 2631 W22 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 25 Overfill Prevention mechanism present and operational according to type: ❑Flapper valveXAudible- visual alarm RP RP RP RP ❑ ❑ball float. ❑ A/V alarm and Ball Float 40 CFR 280.20(c)(1)(Y), 280.21(d); T23 CCR 2635(b)(2), 2631 d 4 6 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 / , 280,21(d); T23 CCR 2635(b)(1);2665 27 Piping and piping penetration boots within sumps /UDC are in ❑ good condition. HSC 25288(x), 25292.1 ❑28 All sumps, spill buckets, and UDC's free from debris and liquid. ❑ js4 - V'V ' HSC 25291(e), 25290.1, 25290.2, T23 CCR 2635(b)(1)(C) ✓ SLAM? 5~11 a'f jpws/r ZIP 9 Areas around vents appear to be free from signs of liquid ❑ releases. HSC 25288(a), 25290.1, 25290. 2, 25295.5 X30 Release Detection methods are present and meet performance RD RD RD RD ❑ standards. See LG -113. 40 CFR 280.40(a)(3) 31 All sensors are correct for the type of system and operational. RD RD RD RD ❑ 40 CFR 280.40 a 2 , 280.43(g)(1)&(2); HSC 25290.1 e , 25290.2, 25291; T23 CCR 2638 )632 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 El 2632(c);2641(a) A33 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 Monitoring : ,', df' . r, .,.'"f :'" > ? x341 e: 1 .,..,.. . , , :{ , r er^ 1 t,:: :.� / .t f 5 ,E,^ ,...,, h ;_^ ,• )434 D(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 onducted properly. HSC 25290.1 RD RD RD RD _xk ..,tt....xx.a....;�.. , z 0.5V�/ Y . ��,o,xs- r r. O SIR 1136 SIR and Biennial 0.1 gph tank test performed properly. 40 CFR RD RD RD RD 280.41, 280.43; T23 CCR 2643, 2646,1 037 Non - passing SIR monitoring report results are reported and RD RD RD RD— 7 investigated properly. 40 CFR 280.41(x), 280.43(h)(1),(2); T23 CCR 2646.1 1 1 1 __j Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facility Name: Date: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 Y M O Automatic Tank Gauging;(ATG) / Continuous In -Tank Leak Detection CITLD ❑38 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 X39 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) ❑40 Weekly manual tank gauging performed properly. 40 CFR 280.43, RD RD RD RD T23 CCR 2645 ❑41 Tank Integrity test performed, if necessary. 40 CFR 280.43; T23 CCR RD RD RD RD' 2645 O Vadose Zone and /or Groundwater Monitoring 042 Monitoring system is installed and monitored properly. 40 CFR RD RD RD RD 280.43; T23 CCR 2647 -48 *Tank Exemption ❑43 Tanks /piping meet tank exemption criteria, and weekly visual monitoring records are kept up-do-date. HsC 25283.5 Pi a o' hhonn ✓u.� x/ vw__.G_n�r�. _,.�a.. �.: .��_. ,u�ti.�a ., ._ ....k , �; . ... _,.., ,. _ dam. k � .. _ � Y 1`11 f f. .. O Continuous Monitoring System 44 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 (0(1) V45 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 26360(1) O Line Integrity Testing for Pressurized Piping 046 An annual 0.1 gph line integrity test is performed properly. RD RD RD RD (Either third party or by Enhanced Line Leak Detection) T23 CCR 2636 (0(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 26360(5) O Line Leak Detectors (LLD) 048 LLD's installed, annually tested, and operational on DW s %519.Vr-1- (Cjt) C.LiJJ pressurized piping that detects a 3.0 -gph leak, and restricts or RD RD RD RD ❑'�� shuts off flow of product. T23 CCR 26360(2) O DW Emergency Generator Tank 049 LLD activates AN alarm and monitoring system is checked RD RD RD RD daily. T23 CCR 26360(2) 050 In lieu of LLD, continuous monitoring system of DW emergency generator tank activates AN alarm, system is checked daily, X and logs are kept. T23 CCR 2636 0(6) �,,. ..r ><.. - -.. .✓., . _f; f r r F v <, .., :. f f .., ,. ,.... ...,<_ . ,,., r -,_ . ,/ < r ;..s 4 ''4::. r c.. 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) ❑52 SW conventional suction system: 0.1 gph line integrity test is RD RD RD RD JAI 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: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 ❑53 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 055 Piping meets the SS requirements. 40 CFR 280.41; T23 CCR 2636(a)(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 emergency generator systems; LLD is connected to an AN , alarm. 40 CFR 280.40(a)(2), 280.43(8)(1),(2), 280.44(a); T23 CCR 2666 'Corrosion Protection 058 Metal Tanks and piping components have corrosion protection, RP RP RP RP or are isolated from the backfill. 40 CFR 280.20, 280.21 ❑59 Corrosion protection equipment turned on, functioning properly RP RP RP RP and provides continuous protection. 40 CFR 280.31(a),(b)(1); T23 CCR �( 2635 ❑60 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 -site Pa erwork Cf62 Permit and conditions available on -site. Facility is operated ❑ Mis5ZW1 according to permit and conditions. HsC25293, 25299; T23 CCR 2712(i) G- )463 Monitoring and response plans are on -site and are the ❑ approved version. T23 CCR 2712(i); 2632 ;2634; 2641 q64 Site plan depicts current site conditions and has all required ❑ elements. T23 CCR 2632(d) A65 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 ' ^ +66 All monitoring /testing records /documents are available for the iss% ,2or�.Of rr,, required timeframe. (3 years, 6 Y2 years, five years, life of tank) T23 CCR x ❑ C��Ti Czii��+�' �E/�D '- 2712 a 67 Equipment maintenance records/logs available. T23 CCR 2712(b) ❑ 68 Alarm logs /tapes available and appropriate follow -up actions ❑ occurred. T23 CCR 2712(b); 2632; 2634 69 Visual observation logs available, up -to -date, and appropriate ❑ follow-up actions to problems occurred. T23 CCR 2712(b); 2642 Designated UST Operator monthly reports available and ❑ M+ssf j pi,29% 2o13 complete. T23 CCR 2715 1 Employee training records available and training appropriate ❑ and up-to-date. T23 CCR 2715 2 Suspected or actual unauthorized releases are recorded and /or reported within allowed timeframes, including non- RD ; RE) RD RD El test results. Leak and Spill Logs available. 40 CFR 280.50; T23 CCR, 2650, 2652 73 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 Facility Name: UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Date: On -Site Observation a Periodic Testin 074 Spill- bucket testing conducted appropriately and a passing test sovt' (q1) achieved.. � � � �. 075 Secondary Containment testing conducted appropriately and a passinq test achieved. SOC AND RED TAG fit# Inspection Comments: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 x a-� . ��` R " 5 4 ry �a C=.fi one T� .f 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.) u { e 0 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.) El 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.) e 1' �r rw ': '' 3' `�.:. ME 1011011111111 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) El 2. Violation that impairs the ability of an UST system to detect a leak. CCR 2717(a)(2) El 3. Chronic violation or committed by a recalcitrant violator. CCR 2717(x)(3) El fit# Inspection Comments: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facility Name: Date: Item Inspection Comments: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facility Name: Date: NOTICE TO COMPLY / SUMMARY OF VIOLATIONS MINOR VIOLATIONS Owner /Operator: Facility: Address: ❑ I There were NO violations observed during this inspection. F-1 Notice to Comply. Minor Violations were found during this inspection as noted in the following Summary of Violations. The violations indicated in this inspection report must be corrected within 30 days, unless otherwise noted. Formal enforcement may be initiated for any violations noted, and for those not corrected in a timely manner. This report does not represent that there are no other violations at this facility. A re- inspection may occur to determine compliance status. SUMMARY OF VIOLATIONS Item # VIOLATION REQUIREMENT FOR CORRECTION OF VIOLATION DATE FOR CORRECTION Inspectors Signature: Received by: Phone: Print Name: Date: Date: CERTIFICATION OF RETURN TO COMPLIANCE I certify that the violations noted above on this Notice to Comply /Summary of Violations have been corrected. I have personally examined any documentation attached to the certification to establish that the violations have been corrected. Signature: FT—i Print Name: Date: White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facility Name: Date: NOTICE TO COMPLY / SUMMARY OF VIOLATIONS MINOR VIOLATIONS Item VIOLATION REQUIREMENT FOR CORRECTION OF DATE FOR # VIOLATION CORRECTION Inspectors Received by: Signature: Phone: Print Name: Date: Date: CERTIFICATION OF RETURN TO COMPLIANCE I certify that the violations noted above on this Notice to Comply /Summary of Violations have been corrected. I have personally examined any documentation attached to the certification to establish that the violations have been corrected. Signature: FT-i Print Name: =at White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facility Name: Date: NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS CLASS II AND CLASS I VIOLATIONS Owner /Operator: Facility: Address: 0 Notice Of Violation: Class 11 and /or Class I Violations were found during this inspection as noted in the following Summary of Violations. The violations indicated in this inspection report must be corrected within 30 da s, unless otherwise noted. Formal enforcement will be initiated for all Class I Violations, and for any Class II violations not corrected within the required timeframe. This report does not represent that there are no other violations at this facility. A re- inspection may occur to determine compliance status. SUMMARY OF VIOLATIONS Item VIOLATION REQUIREMENT FOR CORRECTION DATE FOR # OF VIOLATION CORRECTION Inspectors � Received by: I Signature: Phone: Print Name: Date: Date: White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979