HomeMy WebLinkAbout801 e california inspector reporta
UNIFIED PROGRAM INSPECTION CHECKLIST
Underground Storage Tank Program
t4
Facility Name:
Sam's Ligu ®r & Gas
Address:
_R-01 V/
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979
Fax: 661- 852 -2171
Date of Inspection:
Time In: c6r 0 0 I Time Out:
Inspected / by: Esther Duran
I CC# 5296325 -U I
, of Inspection:
nual Compliance ❑Re- inspection ❑ Complaint
Samrith Von
Phone: Permission for Inspection Granted by:
(661)661 -1614 01��� k
Tank ID
#1
#2'
#3
Size
12,000
12100&:
12, 000
Contents
DSL.
PREM
REG
Construction
DWF SC
DWF SC
DWF SC
Tank"Monitorng:'
'
DW: Continuous Interstitial Monitoring
ry ❑ Brine/Hydrostatic ❑ Vacuum /Pressure.
❑
W: 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: Interstiti at UDC and Turbine Sump and 3.0 gph LLD,
❑ Annual Line Test or Auto - shutdown and Failsafe.
NZA
0
DW VPH Monitoring: I cludes lines, sumps, fill pipe, vapor lines, etc.
❑
❑ !'
❑
El'
SW Conventional Suction: Triennial 0.1 gph line test., and daily
monitoring.
❑
❑
❑
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.
❑
❑ "
❑
0..
SW: Vadose Zone or GW Monitoring.
❑
❑;
❑
"❑ " - =.
DW or SW: Gravity Flow Pipe.
❑
❑
❑
"
Other Description:
❑
Ell
❑"
"" ❑:
Rafarannzq fn the HAnIth and Safety Code. the California Code of Reaulations 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 ll, or Class I, or To
Be Determined (TBD) if uncertain and will be determined Violations
later.
.� ., �, . , a? , . , '',< ...' , .�,. ,. ? , „n... u:. , ."•? , m, `.. ,., ..... ,1: 4 : ,
NOR
'
:. , .: ✓ v�. .�. .d eli' -, n$. ..�t, ...
--
.'
-. ,.. .r r... �"'��`. :�E. � *�`�. i..... .. -s .. x - -. ,... ...c. iF12�. �"i.- ,..:x. 5- ...... -.. '�ss��a i..e. -:.,✓. ... -r. , �-. ;.a�� ..� ?,.: .P,. �.r '� ,r .� �'�:,' .r,.
�
w
�e'✓���r� ..F
, t �, ,,�
._
- w�.
,�r
e. F .. > $Y,. x..
�",
<�£',
/.. .'vh 6 �nS i �E��+ �:✓
,:. �, � .:� , � .
sue„ k.. S_ *F -^�.,: ..4.. _
Mal rr�.,mv�:va
"C✓1 w 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)
v
I 6 Current Emergency Response Plan submitted with appropriate El 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)
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
011 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
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 '
4 Secondary containment testing 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(f),
2643 b (3j, 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 h
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)
❑19 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) 326 -3979
Facility Name:
UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT
Date:
Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979
q.
On =Biter Reuie
This Inspection
monitoring certij
The service tecl
manufacturers t
tester's license
O YES O NO
Tank/P7perr93
General,
020
Tank systems rY
for type of s ste
021
Hazardous sub:
CFR 280.42(b); T23 C
022
Electronic monit
operating condii
023
Monitor console
option used. T23
024
Tank systems it
280.70; T23 CCR 267(
❑25
Overfill Preventi
according to typ
❑ball float. ❑ A
280.21(d); T23 CCR 21
026
Spill prevention
condition and dr
280.20(c)( 1 )(/), 280.21
027
Piping and pipin
good condition.
028
All sumps, spill
HSC 25291(e), 25290.
029
Areas around vE
releases. HSC 25,'
❑30
Release Detecti
standards. See
031
All sensors are
40 CFR 280.40(a) 2 ,
032
All sensors are
280.40(a)(2), 280.43(8
2632(c);2641(a)
033
All secondary c(
with a continuos,
AN alarm or stc
detects a leak. 7
ry A
TaAnk Monitor
7114
❑ Interstitial mo
280.43(g)(1)&(2); T23
035
❑ VPH monitori
O SIR
036
SIR and Biennic-
280.41, 280.43; T23 C
037
Non - passing SII
investigated pro
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 .
IMIM
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
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;
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
042
Monitoring system is installed and monitored properly. 40 CFR
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
_
4
y
O Continuous Monitoring System
044
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
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
RD
RD
RD
RD
❑
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
RD
RD
RD
❑
detected and the monitoring system shuts down the pump or
RD
flow restriction occurs when a leak is detected in the UDC. T23
CCR 2636M(5)
O Line Leak Detectors (LLD)
048
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(1)(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,
and logs are kept. T23 CCR 2636 0(6)
_. ,.w
O �..... .,M '4 .:, .. -.x,
O Line Integrity Testing
..
_.
:..::
E,n .N£ ,r♦.: mot.,....:
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
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
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
055
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
emergency generator systems; LLD is connected to an AN
`
alarm. 40 CFR 280.40(a)(2), 280.43(8)(1), (2), 280.44(x); T23 CCR 2666
Corrosion Protection
❑58
Metal Tanks and piping components have corrosion protection,
RP
RP
RP
RPj
or are isolated from the backfill. 40 CFR 280.20, 280.21
059
Corrosion protection equipment turned on, functioning properly
and provides continuous protection. 40 CFR 280.31(a), (b)(1); T23 CCR
RP
RP
RP
RP
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 u -to -date. 40 CFR 280.31(0); T23 CCR 2635(x)(2)
On- site Pa erwork
62
Permit and conditions available on -site. Facility is operated
❑
f}'c ? -`�`-
according to permit and conditions. HsC 25293; 25299; T23 CCR 2712(1)
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)
o P'
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
66
All monitoring /testing records /documents are available for the
required timeframe. (3 years, 6'h years, five years, life of tank) T23 CCR
❑
2712
7
Equipment maintenance records/logs available. T23 CCR 2712(b)
❑
7 8
Alarm logs /tapes available and appropriate follow -up actions
❑
occurred. T23 CCR 2712(b); 2632, 2634
9
Visual observation logs available, up -to -date, and appropriate
❑
follow-up actions to problems occurred. T23 CCR 2712(b); 2642
70
Designated UST Operator monthly reports available and
❑
complete. T23 CCR 2715
1
Employee training records available and training appropriate
❑
and up-to-date. T23 CCR 2715
❑72
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:
❑74 Spill- bucket testing conducted appropriately and a passing test ❑
achieved.
075 Secondary Containment testing conducted appropriately and a
passina test achieved.
S OC AND RED TAG
' b• �
d W � Q2 �` fi Y'. * �Y' '� �� $ � � a�. - ,1I k � ���'�������a":, /ru y.�.:
a b-t auz' g4acr:. ^aMm£�ni�.bLa+F,'a'. bn.. M+t+smc£ `�
i'-„h y •.z„ia
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(x)(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