Loading...
HomeMy WebLinkAbout420 34th st. inspector report 3-11-13UNIFIED PROGRAM INSPECTION CHECKLIST Underground Storage Tank Program u Facility Name: Bakersfield Memorial Hospital Address: 420 34th St. Bakersfield, CA. 93301 Contact: Joshua Sha Phone: ro BAKERSFIELD FIRE DEPARTMENT Date of Inspection: 3 /lr Time In: !2 ! 0o 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 #2 #3 Size 20,000 2 20,000 Contents DSL DSL DSL Construction DWF DWF. DWF Tank Monitoring:; DW: Continuous Interstitial Monitoring'° ❑ Dry 0,Brine/Hydrostatic ❑ Vacuum /Pressure. SW: SIR and Line Test every 2 years. ❑ ❑ ❑ 0 `❑ SW: ATG 0.1 annual. ❑" ❑ "❑ SW: ATG 0.2 monthly. SW: Continuous In -Tank Leak Detection (CITLD). ❑ ❑ - ❑ ❑� ❑ ❑ "" ❑°� " SW: Tank Gauging. SW: Vadose /GW Monitoring. ❑ ❑ ❑l ❑ ❑ ❑ ❑ " Other Description: ❑ ❑ El 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. DW VPH Monitoring: Includes lines, sumps, fill pipe, vapor lines, etc. ❑ ❑ 0 ❑ ❑ ; ❑ " ❑ SW Conventional Suction: Triennial 0.1 gph line test., and daily monitoring. ❑ 0 El ❑ 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. El El El ` ❑' 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 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) 326 -3979 If in compliance, check the box. Check NA if not applicable. If a violation, determine if Minor, Class II, or Class I, or To Violations Be Determined (TBD) if uncertain and will be determined later. k: !<1^", '.' T��" 4 .g"" 1. . �� �Fd. ,. >..,� .>, u. a >. w• , ^;". r.§k >.,.., L� .�.,, '.: ... ,,.. s a Kl �.. .a. .'[* !.: .� -3. .v. Y _... . � �` �:en 3'�.v. ',1c 1'"n D 5' �i♦5 - .den I' 'v "x. �. -„ en -'er �,... a 4 .:. , - ,. . ' . rr�.ry .. - ...;� .�ma , • W „.. .� '. ,t � ,z, .�..>•_*�. . ��,�':. r:.� «' R��� "U4� a„ .$. `4 '�,� �,.. k. _ ..�-. < ,� §� 2 ... - .'.•,n ^ t's2 '%�. .+-� ...::VCIa i <Y v� x n 'Hd. "<c✓!.N',"k�.,^,. �i -g` ..�' � �$. . �+.. 'W'. �� �. �, w. 4- ��. �'. J%3'm- +u, ,. A,' NI � � ��j ' �; r „.� ,,.fa . 1 �, .,*�'.� �7"'.,. .� =.�'� - - � R ,+ - �+.<.* t°' :° .An! .3 4.r•<! .ice ^ < st, t .R vrCS :• 44zt?3.:.U.r` ''. ':R:. ��� �>; xrw'�',F' -: � �� ""'�i: �e���,�.""y -.. �_ •�'� "'Y � .. -,}'y �9'�"� .,.•�,�'.:.:.' .,�`,�',�..'.��r. >Fy��, 'i'-s '.,�.t � MM11 '_: >✓� -fZF.. � . -g yY :. - .•. ,`�.,���� S d r..' - ":y.:.r` � .>,� as �,3`G -: ^ `�k YY' _ �.<,.K3E s;✓3'„ R'L k �'' � <, ,».'k � %%..ff;; � '(i yr,�" ,F.. ��- urS'La.,, :, v-. ,, S c ,.; •t” 2dL§ C'+t,Si "�.. 4i X. ,.�\ E < n ` T ' -at§`' 3 � . T• ry, .,, .. ,-�+ mY�'�T ,t '. •y. 'Y? v 4. �' ! j`� � � .."A`. }'.. ".` �i fk?! . -� ?. r .- M '�. k�'fL• .ris .� �.. t�'. �. ,v'�,. �: .d 2�.> 'H'- -:..- �^�a -..� ^!a. . -:A'. '- "'.' ?' ” :.M° �'•i �, >'r -'� .A. �•Ea b. ="'t �5 .. 7R-' i +�'.+.+. rt.'�'F }}k � : Y? r�S. r ".�' .� n. p := ?✓ may'# `�;. �``Si' ...°4>{`• ": - Y'.'r5n.'a,, .:,. a '� . v.� � 33 �� �=t }.•°r � yC'M ?t ._ ..: +e, S•h„lc.. 'v:T,. ,%Y'SV'. ,.. L,'... , ?. ,J. ., >• ?� <....,.. -•�," y.'?;. `g �.,. ..���- ��. i�z��& 4�No'i..5`Avf,.ri�.,C.�.�iw1WY d..>T!✓✓x.. ✓d%,.w:: File Rev ew ,r3..;§ .. > ",Y' 3- £.:.?c. �. i*'Y.� =& r?, = 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 ❑ P %���� -�'�'f number. HSC 25286(x) e 4 Fees are paid up -to -date. HSC 25285(c), 25287 ❑ 475 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 ❑ A)LcFd -1V ;.-v elve e usr level of detail. T23CCR2632(d), 2634(d), 2641(h), 2711(x)(8) X e, ®i�� ' AJ ❑ 8 Owner /Operator agreement submitted, if required. HSC 25284(x)(3) ❑ 9 Certification of Compliance and Designated Operator X ❑ ,tr %sue cam% Certification submitted by current tank owner. T23 CCR 2715 il- ❑ 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; ❑ f-- 4 e✓FSC- � 2809 - 2809.2 1 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 (4)(c); T23 CCR 2638 X12 Spill- bucket test results (most recent) conducted within allowable time frame. Results submitted and indicate a passing ❑ test. HSC 25284.2 1-113 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 6) 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(x) 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 6 Repaired tanks /piping are tightness tested within 30 days of RD RD RD RD ❑ the repair. 40 CFR 280.33, T23 CCR 2661 F-1 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) 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 �a 1� On -Site Review. This Inspection is being conducted during the al monitoring certification.YES ONO The service technician has provided ICC Certific manufacturers training documentation, and pos., tester's license or works under a CSLB contract O YES O NO ���, �� � �a����ng� Components fMonrtonng�an S' ai`w ''3 General X20 Tank systems meet current construction standai for type of system. HSC 25288 _21 Hazardous substance tanks have secondary coi CFR 280.42(b); T23 CCR 2631 "F22 Electronic monitoring system has audible and vi operating condition. T23 CCR 2632, 2634, 2636 K3 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 `N25 Overfill Prevention mechanism present and ope according to type: dapper valve ❑ Audible -vi: ❑ball float. ❑ AN alarm and Ball Float 40 CFR 28c 280.21(d); T23 CCR 2635(b)(2), 2631(d)(4) 26 Spill prevention device is present and functional condition and drain mechanism operational if ap 280.20 C 1 l , 280.21(d); T23 CCR 2635(b)(1);2665 7 Piping and piping penetration boots within sump OOd condition. HSC 25288(a), 25292.1 028 All sumps, spill buckets, and UDC's free from dE 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 30 Release Detection methods are present and me standards. See LG -113. 40 CFR 280.40(x)(3) `Z31 All sensors are correct for the type of system an 40 CFR 280.40 a 2 , 280.43(g)(1)&(?); HSC 25290.1(e ), 25290.2, 2 32 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 2632(c );2641(a) X33 All secondary containment, including UDC shall with a continuous monitoring system that either AN alarm or stops the flow of product at the dish detects a leak. T23 CCR 2636 (1)(1) Tank Monitoring Y, ' t ; pp u"L E c$?y- `K Interstitial monitoring conducted properly. 40 c W4 280.43(g)(1)&(2); T23 CCR 2632 (c)(2); 2634 d 1 5 NRVPH monitoring conducted properly. HSC 25290 $ 3'C SiS f. •A '` O�-0SW. v✓-{ :. 2.^S '� SY Y�, �'L �'.0 h ",' X E .. C R .,Lv..e �..w a`.',r „S +-i .'a.i -. :NAa. r.,dx. uW a,L, O SIR 036 SIR and Biennial 0.1 gph tank test performed pr 280.41, 280.43; T23 CCR 2643, 2646.1 037 Non - passing SIR monitoring report results are n 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 Facility Name: Date: Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 yf t 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 K3 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 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 " °tYss . 1110_1111 ir.)%'F �..,�,., ' -�.n""3..�, O Continuous Monitoring System 44 DW piping (gravity, suction, pressure) in the turbine sump has continuous monitoring system that activates an pudibl __wd 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 26360(1) O Line Integrity Testing for Pressurized Piping ❑46 An annual 0.1 gph line integrity test is performed properly. (Either third party or by Enhanced Line Leak Detection) T23 CCR 2636( 0(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 26360(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 shuts off flow of product. T23 CCR 26360(2) O DW Emergency Generator Tank X49 LLD activates AN alarm and monitoring system is checked daily. T23 CCR 26360(2) 0 In lieu of LLD, continuous monitoring system of DW emergency generator tank activates AN alarm, system is checked daily, and I og s are kept. T23 CCR 2636 (0 (6) r 9"�.i'''` a NS7, � 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: SW conventional suction system: inspections conducted for 053 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 Y55 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 ❑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 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 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) On -site Pa erwork' 62 Permit and conditions available on -site. Facility is operated ❑ according to permit and conditions. HsC 25293, 25299; T23 CCR 2712(1) 3 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 ❑ _ u�' ''���� �'�' `� elements. T23 CCR 2632(d) �t�� I& /%'_Ai�" 41° 57" &= i a %65 All release detection records for monitoring method are available, up -to -date, and appropriate for leak detection RD RD RD El 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 ©V %, 7 Equipment maintenance records/logs available. T23CCR2712(b) ❑ 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 Y70 Designated UST Operator monthly reports available and ❑ complete. T23 CCR 2715 071 Employee training records available and training appropriate ❑ a _ �Of'� Za-W and up-to-date. T23 CCR 2715 IWWoO / c ' -s�FaZ � 072 Suspected or actual unauthorized releases are recorded rRD + %ss�`�7 5� %�� CIS and /or reported within allowed timeframes, including non- RD RD RD ❑ passing test results. Leak and Spill Logs available. 40 CFR 280.50; ❑73 T23 CCR, 2650, 2652 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 _ //2- Bakersfield Fire Department — Prevention Services Division, 2101 H Street, Bakersfield, CA 93301 (661) 326 -3979 UNDERGROUND STORAGE TANK COMPLIANCE INSPECTION REPORT Facilitv Name: Date: On -Situ .Observation of Periodic Testis 4 Spill- bucket testing conducted appropriately and a passing test achieved. El X75 Secondary Containment testing conducted appropriately and a �N /2c� r)assina test achieved. El %]wJ,< I� SOC AND RED TAG �.. 3 's + e.r R 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.) ❑ e a���k��lua m y INNER- �.A 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