HomeMy WebLinkAbout5201 RIVERLAKES DRIVE (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301'
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE INSPECTION TIME
COMMENTS
3:) APPROPRIATE PERMIT ON HAND
ADDRESS PHONE NO.
0ie
NO OFt EMPLOYEES
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Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
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FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
1-kPAE- Y A,J St,ti
CORRECT OCCUPANCY
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE * ^s OMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
3:) APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
g 91) Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
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m VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
tT CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
13 VERIFICATION OF QUANTITIES CCR: 2729.4)
3z, VERIFICATION OF LOCATION CCR: 2729.2)
kDa PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
tEl: VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
Q VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
L73 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
o HOUSEKEEPING CFC: 304.1)
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El FIRE PROTECTION CFC: 903 & 906)
dk:) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? . ES NO Si natureofRe!ii t
Explain: 1 y
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Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
While —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
UNIFIED PROGRAM INSPECTION CHECKLIST
Aboveground Petroleum Storage Tank Program
BAKERSFIELD FIRE DEPT.
H Prevention Services
FIRE 2101 H Street4ARTMF
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME nL. I n It S .91 ^ IU C 'z L .'+a k e
INSPEFTIOy DATE4I) // Z
INSPECTION TIME
ADDRESS .Zv I P- 1 U AU
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT 1A 1 `wisa v
BUSINESS ID NUMBER
ONSENT TO INSPECT NAME/TITLE
SECTION 1- Recnrrlc Review- California Health & Safety Code: 25270
DESCRIPTION Y N N/A COMMENTS
Prepare an SPCC plan [CFR 112.3
I
Review or amend SPCC plan [CFR 112.5 (a)(d)
X
SPCC plan available on site [CFR 1 12.3 e
G
v e
Conduct inspections and test in accordance with written procedures [CFR 112.7(e)]
Maintain records of inspections, tests and/or procedures [CFR 112.7 e A. 0. ,c • ..•,c "1+
Records of inspections or tests signed by inspector [CFR 112.7 (e) to No n, rtat,\. '!>f„X - ^ -r. t„9
SECTION 2: SPCC Plan Elements: California Health & Safetv Code: 25270.4.5. 25270.12
DESCRIPTION YJ N N/A COMMENTS
Self- certification for Tier I or 11 facility I12.6(a)(1), (b) (1) I
Professional engineer certification CFRI 12.3(d) and 112.6(b)(4)] X
Documentation of 5 year review and evaluation of SPCC plan [CFR 112.5(b)]
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v e
Amendments required within 6 months of changes/certifications [CFR 112.5(a) and 112.6 (a) 2 , 6 4
Management authorization of resource commitment to implement the SPCC [CFR 112.7 & 112.6 a
Diagram with location and contents of containers, transfer stations, connecting piping 112.7(a)(3)] 3 15 A
Type of oil and storage capacity for each container [CFR 112.7(a)(3)]
Dischar e prevention measures and procedures for routine handlin CFR 1 12.7(a)(3)] X
Countermeasures for discovery, response and clean-up CFRI 12.7(a)(3)]
4
Required contact list and phone numbers [CFR 112.7(a)(3)]
SECTION 3: General SPCC Reauirements: California Health & Safety Code: 25270.4.5. 25270.5. 25270.12
DESCRIPTION Y N N/A COMMENTS
Provide corrosion protection [CFR 112.8 (c)(4)(5), d)(1)
Containers compatible with materials stored [CFR 1 12.8(c)(1)]
Implement SPCC plan review changes or amendments within 6 months [CFR 1 12.5 a d
G
Prepare an oil contingency Ian or written control /removal commitments [CFR 112.7(d)
SECTION 4: SPCC Plan Trainina: California Health & Safety Cede: 25270.4.5
DESCRIPTION Y N N/A COMMENTS
Training program [CFR 112.7
Train personnel in operation and maintenance of equipment CFR 112.7(0]
Conduct annuals ill prevention briefings [CFR 112.7(f)(3)] G
SECTION 5: Facilitv Insnection: California Health & Safety Code: 25270.4.5
DESCRIPTION Y N N/A COMMENTS
Meet provisions of conditional exemption [H &S 25270.4.5(b)]
Facility security adequate [CFR 112.7(g)]
Clean-up materials readily available [CFR 1 12.7 c
Overfill protection procedures or devices in place and operative [CFR 112.8(c)(8)]
Portable /mobile containers positioned to prevent discharge [CFR 112.8 c 11)
Loading / unloading rack drains into containment area [CFR 11 2.7(h)
Provide appropriate containment /diversionary structures to prevent discharge [CFR l 12.8(a), 11 2.7(c)
Secondary containment adequate to contain capacity of largest container + precipitation [CFR 1 I2.8 c
Remove accumulation of oil in secondary containment [CFR 112.8(c)(10)] 4
Secondary containment valve(s) closed [CFR 112.8]
Implement SPCC plan elements [CFR 112.3
I "+
tNY HAZARDOUS WASTE ON SITE? la YES NO i nature..ofR&!2i t
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White - Business Copy Yellow - Business Copy tobe Sent in after return to Compliance Pink- Prevention Services Copy FD2156b (Rev 9/10)