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HomeMy WebLinkAbout4203 MING AVENUE (10)CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE J 5 661) 326 -3979 ARCO Ao"IPP 1 Location: L12o? o -i;AAg A,,1,5 You are hereby required to take the following action at the above location; 1x5 "CORRECT & CALL FOR REINSPECTION OCORRECT & PROCEED I ) Al66-=/ 9 Fi'1z 6 E:lf 7- 5 lV Ec A— 05-r /UFPA r%D IL/ 1f C c-1 9'wc,1 AJo VIOU"5 5 %5/N o/N H67ely 6-WOo5vA6 Completion Date for,,Co iections. a / Q-/ Received by: -- Inspector: Emie Me ina Initial: Date: I u Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am) CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION Ya1501TRUXTUNAVENUE 661)/326 -3979 Location: ,4 You are hereby required to take the following action at the above location; 07 CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED 11 Al W 4F At. f J Aye, 17PI/ o 122 A ",ecl il?"V, A,1 e;," A/ /Z/C /05 Completion Date for-Corriblctions: —4 Received by: ama- Initial: Date: j I IjInspector: EmieMe '.., I - ; Ia L. Desk Phone: (661) 326-3682 (from 8:00am to 8:30am) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program O B. 1 113 ..._S- 1_1. F 1,T) FIRE ARM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V C= Compliance OPERATION V= Violation INSPECTI0 DATE INSPECTION TIME R a APPROPRIATE PERMIT ON HAND r 00 Vn ADDRESS Business PLAN CONTACT INFORMATION ACCURATE PHONE NO. NO OF EMPLOYEES A VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) r4- CORRECT OCCUPANCY CBC:401) FACILITY CONTACT 93- BUSINESS ID NUMBER VERIFICATION OF QUANTITIES Consent to Inspect Name /Title I v Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) T Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC:401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) CjC-2Az^^C'6r N e, e CX- FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO Sianatu ofRecei t Explain: d_X-66D POST INSPECTION INSTRUCTIONS: - Ft't6ws c Correct the violation(s) noted above by Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to: Bakersfield Fire Dept., Prevention Services, 2101 Ii Street, California 93301 3Y r 6iWTe $49V4A1Z While — 13usiness Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10) OS I 97-C- fir cS+ / " KERN BUSINESS FORMS- (661) 325- 5818 - #6013 UNIFIED PROGRAM INSPECTION CHECKLIST ''-SF E t" A T SECTION 1: Business Plan and Inventory Program 06b /Oe- BAKERSFIELD FIRE DEPT. Prevention Services 2101 H'Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTI0 DATE INSPECTION TIME RCa o d,"I COMMENTS W 00 0-6111 ADDRESS f A / PHONE NO. NO OF EMPLOYEES vt Iz,11; f. FACILITY CONTACT BUSINESS ID NUMBER K Consent to Inspect Name /Title r VISIBLE ADDRESS Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) vt Iz,11; f. Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) K VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) L FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? m YES El NO Si natu of Recei tk y Explain: j c" 2/ r' +7 ilV d WG ? J S zv - U S U Lam• 5 G C c. 2 POST INSPECTION INSTRUCTIONS: f--J C6Cs Correct the violation(s) noted above by Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 white — Business Copy Yellow — Business Copy to be Sent in alley return to Compliance Signature (that all violations have been corrected as noted) t Date Pink — Prevention Services Copy 171)2155 (Rev 6//10) f HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT UNIFIED PROGRAM CONSOLIDATED FORMS A R I Prevention Services w /Rf 1501 Truxtun Ave 1sT FLR HAZARDOUS WASTE GENERATOR r Bakersfield, CA 93301 INSPECTION REPORT Phone: 661 - 326 -3979 •Fax: 661 - 852 -2171 Facility Name agw /T- • 26LI Date Site Address Time In 'L00A 1Time Out Owner /Operator SN MZZU (y/ 4, ( = //_ __ ( ( G" f Phone Misc. Type of Inspection Inspection Consolidation EPA ID # C4k E3QC)1 IZ IrS- Routine Re- inspection/Follow -up `ilCombined Routine Inspection Joint Inspection Complaint Focused Other C3 integrated or Multi -Media Inspection //' CUPA Facility ID# CONSENT TO INSPECT GRANTED BY (Name /Title): Inspection may involve obtaining photographs, review and copying of records, and determination ofcompliance with hazardous waste handling requirements. I - Class I Violation, II - Class If Violation, M - Minor Violation Page of l 11 M Code I HAZARDOUS WASTE REQUIREMENTS YI N N/A COMMENTS /NOTES/DOCUMENT(S) REVIEWED MISSING INFORMATION/ UNRESOLVED ISSUES Recordkee in documentation GROI I Generator has an EPA ID number GR02 Hazardous waste determination made for all wastes Analysis nerator Knowledge GR03 Contingency Ian information posted near phone GR04 Facility personnel demonstrate training/awareness GROS Manifests/Consolidated Manifest receipts complete GR06 Blue co (s) of manifest mailed to DTSC GR07 TSDF signed copy of manifest available Win 35 days of waste shipment GRO8 I Bills of Ladin recei is available GR09 LDRs available and complete GRIO Onsite recycling reported using UPCF Container /tank management GCOI Containers are in good condition GCO2 Containers are closed except when adding/removing GC03 Empty containers are empty GC04 Containers inspected week) GC05 Tanks inspected daily GC06 Satellite containers at or near point of generation GC07 Satellite containers under control of operator GCO8 One container per wastestream at satellite area GC09 Exclude recyclable materials stored in accordance with local ordinance/hazardous materials codes Accumulation Time Limits GA01 Waste is accumulated not more than 90/180/270 Se, I G GA02 Satellite wastes accumulated for less than I year GA03 Empty containers managed within one year GA04 Universal waste accumulated less than one year GA05 Used oil filters offsite within 180 (I ear if <l ton) GA06 Pb -acid batteries offsite within 18O I yr. if < I ton Labeling/Marking GL01 Containers are properl labeled GL02 Satellite containers have 2" A marked once full GL03 Excluded recyclable materials marked properly GL04 Universal waste container properly labeled GL05 Used oil filters marked "drained used oil filters" GL06 Date written on spent lead -acid batteries GL07 Used Oil' marked on all used oil tanks /containers GLO8 Tank marked with "haz waste' , contents, start date GL09 Empty containers marked with date emptied Treatment Transport and Disposal/Other Print and sign in this box for receipt of this report. Signature does not imply agreement with findings, only receipt of report. GT01 Have permit/authorization to do treatment GT02 Waste sent with authorized transport (gen. eligible GDOI Waste disposed of to authorized point/ part GH01 Failed to properly handle appliance wastes POST INSPECTION INSTRUCTIONS: Refer to the back of this 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, 1501 Truxtun Avenue, California 93301 While — Prevention Services Copy Signature (tha i latio a corrected e Date Yellow— Business Copy FD2179 (Rev 10/11/08) 1).'681 SZ DSI-I •1u!oc p.- mpoglnrun ur 111 Olsen SM011113zml JO p3soc s!p Aupe.1 agJ. I ND 091 SZ /(r)S91 SZ JSI-I. Olq!' !13 Lou aaaAS Aagl uagAs 11Smss p31rp!!osuoo ao Ialloc sue.q c pnSilpol.loc stimi pO)Ois! atzu r. 3sn of p3prl Atll!Orl 311,1. 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Type of Inspection Inspection Consolidation EPA ID # CA R ry» ( era q!'- Routine Re- inspection/Follow -up Combined Routine Inspection Joint Inspection Complaint Focused O Other Integrated or Multi -Media Inspection ' CUPA Facility ID# CONSENT TO INSPECT GRANTED BY (Name/ Title): Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements. 1 -Class I Violation, II -Class II Violation, M -Minor Violation Pa a of l ll M Code I HAZARDOUS WASTE REQUIREMENTS 11 Y I N N/A COMMENTS /NOTES/DOCUMENC(S) REVIEWED MISSING INFORMATION/ UNRESOLVED ISSUES Recordkee in documentation GR01 Generator has an EPA ID number Y GR02 Hazardous waste determination made for all wastes Anal sis.4f Generator Knowledge GR03 Contingency Ian information posted near phone GR04 Facility personnel demonstrate training/awareness GR05 Manifests/Consolidated Manifest receipts complete GR06 Blue co (s) of manifest mailed to DTSC tr GR07 TSDF signed copy of manifest available Win 35 days of waste shipment X GR08 Bills of Ladin recei is available v GR09 LDRs available and complete GR10 Onsite recycling reported using UPCF Container /tank management GC01 Containers are in good condition GCO2 Containers are closed except when adding/removing GC03 Empty containers are empty GC04 Containers inspected weekly si GC05 Tanks inspected daily X GC06 Satellite containers at or near point of generation GC07 Satellite containers under control of operator V GC08 One container per wastestream at satellite area GC09 Exclude recyclable materials stored in accordance with local ordinance/hazardous materials codes Accumulation Time Limits GA01 Waste is accumulated not more than 90/180/270 S' 7 9',11-11 GA02 Satellite wastes accumulated for less than I year GA03 Empty containers managed within one year GA04 Universal waste accumulated less than one year GA05 Used oil filters offsite within 180 (1 year if <1 ton) x GA06 I Pb -acid batteries offsite within 180 l yr. if < 1 ton Y Labeling/Marking GL01 Containers are ro erl labeled GL02 Satellite containers have 2" AS D marked once full GL03 Excluded recyclable materials marked properly GLO4 Universal waste container properly labeled GL05 Used oil filters marked "drained used oil filters" GL06 Date written on spent lead -acid batteries GL07 Used Oil' marked on all used oil tanks /containers 5c GL08 Tank marked with "haz waste" , contents, start date GL09 Empty containers marked with date emptied Treatment ' Transport and Disposal/Other 1 Print and sign in this box for receipt ofthis report. Signature does not imply agreement with findings, only receipt ofreport. GT01 Have permit/authorization to do treatment GT02 Waste sent with authorized transport (en. eligible) GD01 Waste disposed of to authorized point/party GH01 Failed to properlyerl handle a wappliancewastest POST INSPECTION INSTRUCTIONS: Refer to the back ofthis inspection report for regulatory citations and corrective actions°- Correct the violation(s) noted above by Signature Iolati ns.ha e b en corrected-as•tioteedj- Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301 Date V 3y . C <2N /'C _ '/ FD2179(Rev 10/21/08) White — Prevention Services Copy Yellow— Business Copy RefJulatory Citations and Corrective Actions I I)'r i, 0z" ' 1 I t , , , Description of violation I Re =ulatory /statutory citationI Corrective actions to he taken jiv minor violations (narked in the "Al" column on Pont) GROi The Facility I'ailed to obtain an EPA ID number ]`rifle 22, CCR, 66262.121 For a California EPA ID # contact the Department ol'Toxic Substances Control at 1- 800 -G18 -6942. For a EPA ID # call 415- 495 - 8,895. Write the number in the space narked "EPA ID # on the /Font ol'this Image. GR02 The facility failed to make a waste determination lot- the noted in the Title 22, CCR, 66262.11 ] it lake a determination of the waste based on your knowledge (vou can use AJSDSor other docronents. /o" help) or have the waste sampled and sent to a state certified laboratory lbr analvsis. It' sampling is conducted tell the lab to analyze Mr GR03 The Iacility (lid not have the name and phone number ol'the emergency coordinator, the location of fire extinguishers and spill control equipment, or the fire department telephone number posted nest to the telephone. ITitle 22, CCR, 66262.34(d)(2)j Prepare and post the above infornatiorn next to a phoile. GR04 Facility personnel did not demonstrate that they were familiar with proper waste handling procedures due to Title 22, CCR, 66262.34(d)(2) Provide training to personnel regardinz GIt05 The Iacility failed to properly complete a hazardous waste manilest. Manifest # was missing Title 22, CCR, 66262.23(a)(1)]. Correct the information on the manifest in Box(es) . initial anddate. Submit a letter to DTSC. GISS:: P.O. Box 806 Flr1 -1: Sacramento, CA 95812 -0800 stating the manilest #, the ship date. your EPA ID #, the Box # and correction made anal your signature. Correction for more than one manifest inav be included in the same letter) GR06 Facility failed to submit a copy ofthe manifest to DTSC within 30 clays ot'shipment. [Title 22, CCR, 66262.32(x)(4)] Mail the blue copv of mahif,st lo: DTSC, PO Rox 400. Sacramento. CA 9581241400 or a Photocopi, ol'the TSDFco v to: DTSC. PO Box 3000. Sacramento, CA 95812 GR07 The facility failed to file an exception report to DTSC after not receiving the signed TSDF copy ol'a manifest (within 35 clays. [Title 22, CCR, 66262.421 Alake it copv ofthe maiafest and send it with a letter to 07SC. PO BoxXXV Sacramento. CA 95812 stating what vou are doing tofin dout whyiou have not received the Jinal, signed copi; of the manifest. Include a siiZnature and vourfindings while looking joy the manifest in the corer letter. GROS The Iacility failed to have copies ofreceipts for the removal of . [IiSC 25160.2 - Consolidated manifests/ 66266.81(a)(6)(I3)- lead acid batteries /66266.130- oil fiftersl The Iacility shall contact and request copies ol'receipis between & GIt09 The facility failed to complete or maintain a Land Disposal Restriction notification for manilest # ["Title 22, CCR, 66262.34(a)(4)] The Jacility shall determine il'as waste is subject to LDR requirements, and it so, ensure that a LDR is prepared and submitted with each shipment ofwaste. GR10 The facility did not submit a recycling report 1I -1 SC 25143.101 Thejacility shall complete and submit the UPC'F.1brrn "Recvelab(e Alateria(s Repot ". The lbrm can be found at www.ca1epq.qa.f_Yov/pub1 ications/title27/defaLl It.110-171 GC'01 The facility failed to maintain containers holding hazardous waste in good condition. The container of was I-ille 22, CCR, 66262.34(a)(1)(A) The contents ol'tte eorttaimer of shall inunediaely be trcrosli —red to a container in good condition GCO2 The lacilily tailed to keep containers closed except when adding /removing waste. The container of was observed open [Title 22, CCR, 66262.34(x)(1 l(A) . The litcilih+ shall impnediatel) +close all cmttainers cold ensure that containers remain closed evice pl when addin or removing teuste. 0003 The facility is handling contaminated containers as empty when they are not. A container of was noted as not meeting the definition of empty. [Ville 22, C'CIt, 66261.71 Thefacilip- shall mark the container as hazardoca poste or consolidate the contents gl the container with a like waste raid irnptediaaely label the em tied container with the wordy "eta tv"coal the date. GC04 The Cacility could not demonstrate that containers were being inspected weekly. [Title 22, CCR, 66262.34(a)(1)(A)] The tcilih: shall develop cued implement a plan that ensures that all containers holding waste are inspected weekhr GC05 The facility could not demonstrate that tanks were being inspected daily. [Title 22, CCR, 66262.34(a)(1)(A)] TheJiacility shall keep a log showing that tanks holding waste are inspected dadv. GC06 Containers utilizing satellite accumulation rules were not at or near the point of generation. l'1'itle 22, CC'R, 66262.34(e)(I)(A)l Tlre.hncilih shall mote the container holding to a location that is at or near the point ofgeneratioh or shall ensure that the waste is removed within 90/180/270 d" I'S of first drop of waste being added. ('if the faacilinv generates less than 100 kY. the clock does not start until /00 k¢. are generated) GC07 Containers utilizing satellite accumulation rules were 1101 under the control of an operator. [Title 22, CCR, 66262.34(e)(1)(A)l TheJiacilin- shall ensure that an operator is at or near the point ofaccupuaaioh or shall ensure than the waste it removed within 90/18111270 caws of first drop of waste being added GCOS The Iacility kept more than one satellite container of al a satellite accumulation area. .Title 22, CCR, 66262.34(c)(I )] Thefacility shall immediately reprove all but one container /iron the accumulation area or shall demonstrate that it is not practical a" sale to (lo such. 0009 The facility stored excluded recyclable materials not in accordance with local ordinance /fire code /hazardous materials codes J:I-ISC 25143.9(c)] The.facili(v shall return to code by GAO The facility accumulated waste fir greater than allowed time limits (Storage without a permit). A container of had an start date of marked on it. [Tide 22, CCR, 66262.34(x)] The Jacilav shall immediately arrange.fo" the removal of waste. and shall supple a copv of the manilest or bill or IadhnK demonstrating removal )vithin days. GA02 The facility held satellite accumulation wastes For greater than one year. ITitle 22, CCR, 66262.34(e)(1)(B)l See GA01 above for corrections. GA03 The facility tailed to properly handle contaminated containers within I year. Title 22, CCR, 66261.7(1)1 See G1101 above for corrections. GA04 The facility held universal wastes I-or greater than one year. ITitle 22, CCR, 66273.15(x) or 66273..35(a)l See G.401 above fbn" corrections. GA05 The Iacility held drained used oil filters for greater than 180 days/one vear. ITitle 22, CCR, 66266.130(c)(4) See GA01 above or corrections. GA06 The facility held ]cad acid batteries for greater Than ISO days /one Year. ITitle 22, CCR, 66268.81(a)(6 )1 See GA01 above for corrections. G['01 he Cacility failed to properly label all containers. Containers, contents and missing information are noted on the front orthis page. [Title 22, CCR, 66262.34(1)1 Thejacilim shall eleartiv marls all containers with the following: l) the words "hazardous waste ". 2) composition and physicalstate. 3) hazard ro perry. 4) name and address of the generator. aml 5) accumulation start date. GL02 The Iacility failed to mark the date the container was moved From the satellite accumulation area [Title 22, Celt, 66262.34(c)(1 )(13)] Thefaci(im shall mark all satellite accumulation with the date waste is first added as well as the date the container is lidl. GI-03 The Iacility (ailed to mark tanks /container(S) ol'excluded recyc]able materials properly [I-ISC 25143.9(x)] 'l'he ranks /cotlaainers of nmrterials shall be clearly marked with the words "E "vchtded ream clable nuterial" insteacl of ' hazardous waste ". GL04 The theiIity Failed to mark a container of universal waste properly. [Title 22, CCR, 66273.14 for SQI -1 or 66273.34 for LQI -1l. The facility: shall immcdiately mark till containers holding universal waste with the Ivords "Universal Waste- " GI-05 The Cacility failed to mark a container ofdrained used oil filters with the words "drained used oil filters ". [ Title 22, CCR, 66266.130(c)(3)] The. /iacihn- shall mark all fhfter containers with the words "drained used oil filters ". GL06 rhe facility railed to mark the date on which the battery was received. 'Title 22, CCR, 66266.8 1 (a)(6)(D)l The facility shall v rna rk the date on each battery. GL07 The facility Failed to mark a tank /container of used oil destined for recycling with the words "used oil" [I ISC 25143.9(x)] Clearly nharkall tanks and containers with the hvo"ds "used oil ". GI-08 The Iacility failed to mark the tank of with the [Title 22, CCR, 66234(1)1 Thefacility shall elearly mark the talk with GL09 The facility Failed to mark contaminated containers with the date emptied. ITitic 22, CCR, 66261.7(1 )1 C7ear(v mark all containers with the date emptied. GH01 The tacility Failed to remove rrom an appliance prior 10 crushing, baling, shredding, sawing or disposing of the appliance [I -ISC 25212(a)[. The facility must submit to DTSC an application to be certifies/ cis a "Certified Appliance Recvcler" GT01 The laci]ity failed to obtain a permit or other authorization for treatment ol'hazardous waste. I HSC 25189.5(4) GT02 The facility failed to use a registered trans porter /used a transporter or consolidated waste when they were not eligible JHSC 25165(a)/25160 GD01 Elie facility disposed of llaLardous waste at an U112L11hOrlZed point. I HSC 25189.5(U) I I)'r i, 0z" ' 1 I t , , , FACILITY NAME: /Llik29 Ac/C 0ajZE s ,'/ 9'3309 Section 2: Underground Storage Tanks Program BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 INSPECTION DATE: Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection Type of Tank zF Number of Tanks Type of Monitoring Type of Piping f GiJF OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current Certification of Financial Responsibility x Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding /labeling Is tank used to dispense MVF ?) If yes, does tank have overfill / overspill protection? C = Compliance V = Violation Y = Yes N = No Inspector: G5-1V 1,5 M,5igf(/Z Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)