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HomeMy WebLinkAbout5201 white lane inspector reoort 11-22-13Facility Name: Good Samaritan Hospital South West Address: 5201 White Lane, Bakersfield, CA 93309 Contact: Joe Gonzalez Phone: Date of Inspection: Z z-//-3 Time In: I Time Out: Inspected by: Ernie Medina ICC# 8012428 -Ul Type of Inspection: Annual Compliance ❑Re- inspection ❑ Complaint Permission for Inspection Granted by: (661) 215 -7702 ❑ r ❑ ❑ ' ,; AY 4- Tank ID ❑ #1 ❑ SW: Vadose /GW Monitoring. ❑ El' ❑ Size Other Description: 1,000 ❑ ❑ ❑ DW or SW: Gravity Flow Pipe. Contents ❑ DSL Piping Monitoring: El El El -' Construction ❑ DWF SC ❑ ❑ DW Pressurized: Interstitial at UDC and Turbine Sump and 3.0 gph LLD, ❑ Annual Line Test or ❑ Auto - shutdown and Failsafe. ❑ Tank Monitoring-.'.,, ❑ DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc. E] ❑ ❑ ["7 SW Conventional Suction: Triennial 0.1 gph line test., and daily monitoring. DW: Continuous Interstitial Monitoring [71;' ❑ 0 ❑ 0 Dry ❑ Brine/Hydrostatic ❑ Vacuum /Pressure. W: SIR and Line Test every 2 years. ❑ ❑ ❑ . 4 SW: ATG 0.1 annual. ❑ ❑ ❑ SW: ATG 0.2 monthly. ❑ ❑. - ❑.. ❑... , . SW: Continuous In -Tank Leak Detection (CITLD). ❑ ❑ . ❑ ❑ ' ,; SW: Tank Gauging. ❑ ❑ ❑: ❑ SW: Vadose /GW Monitoring. ❑ El' ❑ ❑ Other Description: ❑ ❑ ❑ ❑ DW or SW: Gravity Flow Pipe. ❑ ❑ ❑,� Piping Monitoring: El El El -' 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 Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc. E] ❑ ❑ ["7 SW Conventional Suction: Triennial 0.1 gph line test., and daily monitoring. ❑ [71;' ❑ 0 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: El El El -' RAfArancas tn thin Hpnith and Safety Code. the California Code of Reaulations and the Code of Federal Reg ulationsah,.roughout 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 Facilitt Name: Date: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 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. i: ,' "r11 •, _. �• u. v .. . .. , - : .... .` .., y .' .. .` x .. .. .'Yt _'�- "'i�,.at. . `.' 4 .r�'W✓gM ^�� ".. : ".. ! ,d1i M. a ,�` - ■..�.. y, 'r`'> . - .aie{.. r rp'ka.s'., xj it �. - �. en _�H. ,e it` o �. 'lz %c" uA � e ��g _Y12 �— � r ,..:. .Y � :, Y ..: _ �. .. .,.. . 1, .. ..- ,:. ". ::r. ,f? t .+,r eYi''b" r �.:. � x .. .h. �, kk '` .. (`.' �izk��.:✓' v /.Y �rh th.' �a.M`re f. f ie , ... �. 1! �.s✓v: r.,. y ._ _ ...... ... !'y,�Y.. . �...:. '^:. .ten. :. .1 .. :. w"^ �... .. "... 33 .,,:�. �.tr... >t ,. .t 1 t. `x ,r'�.'�.^ "•�ii%c"' �. i ,:.y v.. ii' rn'5 "��� =«' ,^>� e}v. . .:,. H.: „1 � .- ..'W' .. : „za.x74/ , ;, '._ 19°11 Yn� -oY"Y NOW �Y � .«- k Rvsi'.:. .�£±rc ?`1- .�\ rk.:a - ,�r-� Mrs Xrr ��T . '4d _ f.�,�¢•� y"" `R�, -. ,. ' }r" F=:: a..v � -::f. v`p—� ..1`3. .✓� . .- :. n,:�'..«ry .. >1 9°'. /!t ;5'.y5 ,� Y" (= 'is,cu, aA,l zyz�.,$�,. v:.. '�l..t 1 eiea ..z- ..:Abif• -.Y ":� v�'� rv7 �:.: Fill. .a. 4. '. F":-. File Review. ❑ 1 UST Permit to Operate is current. HSC 25284(x), 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 ❑ content and level of detail. T23 CCR 2632(d), 2634 (d), 2641(h) 6 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(a)(8) 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 1D(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; 1:1 2809 - 2809.2 11 Monitoring system certification (most recent) conducted within JL 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 25284.2 013 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(8)(1) &(2), 280.44(a); HSC 25292(e); T23 CCR 2638, 2641 6) �kj 4 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) 15 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 repair. 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 177118 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 RPI 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)(1,); RP RP RP RP T23 CCR 2663(h) Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 Facility dame: UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Date: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 Onw. IRe�iew ,'S 21 This Inspection is being conducted during the a� monitoring certification. XYES O NO The service technician has provided I CC CertiA manufacturers training documentation, and pos, tester's license or works under a CSLB contract YES ONO Y �Ta nk/PrpEgCopox�ents,Monf #onnar } G „eneral 0 Tank systems meet current construction standa for type of system. HSC 25288 Al Hazardous substance tanks have secondary co CFR 280,42(b); T23 CCR 2631 ❑22 Electronic monitoring system has audible and vl operating condition. T23 CCR 2632, 2634, 2636 023 Monitor console programmed appropriately for r option used. T23 CCR 2638, 2643, 2643.1 024 Tank systems in temporary closure meet require 280.70; T23 CCR 2670 & 2671 17125 Overfill Prevention mechanism present and ope according to type: ❑Flapper valve ❑ Audible -vi: ❑ball float. ❑ A/V alarm and Ball Float 40 CFR 28( 280.21 d ; T23 CCR 2635(b)(2), 2631(d)(4) 6 Spill prevention device is present and functions condition and drain mechanism operational if al: 280.20(c ) (1 1, 280.21 (d); T23 CCR 2635(b) 1 ; 2665 027 Piping and piping penetration boots within sumK good condition. HSC 25288(a), 25292.1 018 All sumps, spill buckets, and Ull free from di HSC 25291(e), 25290.1, 25290.2; T23 CCR 2635(b)(1)(C) 9 Areas around vents appear to be free from sign releases. HSC 25288(a), 25290.1, 25290.2, 25295.5 WO Release Detection methods are present and mE standards. See LG -113. 40 CFR 280.40(x)(3) 031 All sensors are correct for the type of system ar 40 CFR 280.40 a 2 , 280.43 1 & 2 ; HSC 25290.1 e , 25290.2, D932 All sensors are located in the proper position /lol 280.40(a)(2), 280.43(g)(1) &(2); HSC 25290.1, 25290.2, 25291; T23 2632(c);2641(a) 133 All secondary containment, including UDC shall with a continuous monitoring system that either A/V alarm or stops the flow of product at the dis detects a leak. T23 CCR 2636 (1)(1) Tank >Mon�toring 7 034 Interstitial monitoring conducted properly. 40 280.43(g)(1)&(2); T23 CCR 2632 (0(2); 2634 d 1 035 ❑ VPH monitoring conducted properly. HSC 2529 xcpri-1 a¢ ha ( l a 1011 Y J 3y 21""l :.. O SIR 036 SIR and Biennial 0.1 gph tank test performed p 280.41, 280.43, T23 CCR 2643, 2646.1 037 Non - passing SIR monitoring report results are i investigated properly. 40 CFR 280.41(a), 280.43(h)(1),(2), Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facilit °"Name: Date: SW conventional suction system: inspections conducted for �2 fi� k ❑53 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 5 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(g)(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, 280.21 059 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 060 Cathodic protection system is tested within 6 months of installation and then every 3 years. 40 CFR 280.31(x) & (b)(1); T23 CCR RP RP RP RP 2635 a 2 ❑61 Impressed current systems checked every 60- calendar days RP RP RP RP and records are U -to -date. 40 CFR 280.31(c); T23 CCR 2635(a) (2) Qn =site Pa ` erwork' 062 Permit and conditions available on -site. Facility is operated ❑ ►�'SSo'�y Pe�r;" tP p�'-�;4 according t0 permit and conditions. HsC 25293; 25299; T23 CCR 2712(1) �963 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) ;965 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 6 All monitoring /testing records /documents are available for the required timeframe. (3 years, 6 % years, five years, life of tank) T23 CCR ❑ 2712 7 Equipment maintenance records/logs available. T23CCR2712(b) ❑ 068 Alarm logs /tapes available and appropriate follow -up actions ❑ A /Z`L;4 occurred. T23 CCR 2712(b); 2632; 2634 COZ12CIA07 -( "S'_ A44-1- 069 Visual observation logs available, up -to -date, and appropriate ❑ _e- CA "-2 a follow-up actions to problems occurred. T23 CCR 2712(b); 2642 A!© 0& ! DVS €` ©� ,R70 Designated UST Operator monthly reports available and ❑' % ©'� �arjs complete. T23 CCR 2715 1 Employee training records available and training appropriate ❑ and up-to-date. T23 CCR 2715 W2 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 K73 Financial Responsibility Certificate and mechanisms (CFO Letter, etc.) on -site and up -to -date. HsC25292.2, 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 Facilit'Name: Date: ❑74 Spill- bucket testing conducted appropriately and a passing test achieved. 075 Secondary Containment testing conducted appropriately and a passing test achieved. SOC AND RED TAG w t 08' ' a 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.) 7 '$ s 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 2797(a)(9) ❑ 2. Violation that impairs the ability of an UST system to detect a leak. CCR 2797(a)(2) ❑ 3. Chronic violation or committed by a recalcitrant violator. CCR 2797(a)(3) ❑ Item Inspection Comments: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979