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Home My WebLink About6501 WHITE LN SQG 2015UNIFIED PROGRAM INSPECTION CHECKLIST Aboveground Petroleum Storage Tank Program FACILITY NAME INSPECTION DATE' w° INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER CONSENT TO INSPECT NAME /TITLE rftIrWIN■► VI ►'IIII-r•.4JMUr8L- '=.4fArrr_►y,rrIIIw IIk9s]rus - III _r 3- Ikr MW.T: I DESCRIPTION Y N N/A COMMENTS Prepare an SPCC plan [CFR 112.3] Review or amend SPCC plan [CFR 112.5 (a)(d)] r SPCC plan available on site [CFR 112.3(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)] , Records of inspections or tests signed by inspector [CFR 112.7(e) , L. r I"Im L_ Z]r�t.l. rrilrl rrarns�nr%¢- a MOS11rn X. x!Mrnry r -nnn -i..-i in n h -JIm-»n 11 -3 DESCRIPTION Y N N/A COMMENTS Self - certification for Tier I or II facility [112.6(a)(1),(b)(1)� Professional engineer certification CFR112.3(d) and 112.6(b)(4 r Documentation of 5 year review and evaluation of SPCC plan [CFR 112.5 b)] Amendments required within 6 months of changes/certifications [CFR 112.5(a) and 112.6(a)(2), (b)(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) Type of oil and storage capacity for each container CFR 112.7(a)(3) Dischar e prevention measures and procedures for routine handling CFR 112.7(a)(3) t ° Countermeasures for discovery, response and clean-up [CFRl 12.7(a)(3)] rc Required contact list and phone numbers [CFR 112.7(a)(3)] ,., JCIr 1 IIJIVI .S= "alIRFAI aryl. ICP_nlllrP_MP -nTC' 1.a11Tnrnin makni n 16 tiaT ®t\/ I "ANdl• d I• 7R.77n iC 7r.77n 4 7 DESCRIPTION YJ N N/A COMMENTS Provide corrosion protection [CFR 112.8(c)(4)(5), d)(1 Containers compatible with materials stored CFR 112.8(c)(1)] r Implement SPCC plan review changes or amendments within 6 months [CFR 112.5(a)(d)] Prepare an oil contingency plan or written control /removal commitments [CFR 112.7(d)] L.-- lWM ■iWI►K:7W*>lr•i•MErlrIIII or. Il111110 E'r,IIIWdII I'M wo f' llr . ftirrmK.T.r3rs.-rinr•s. DESCRIPTION Y N N/A COMMENTS Training program [CFR 112.7(f)], Train personnel in operation and maintenance of equipment CFR 112.7(f) r Conduct annuals ill prevention briefings [CFR 112.7(f)(3)] r+l -&Wz ■ ►•1► mom .r: I"11 I IUAII 7 1" 01:404 Ito] I M WV:11Ito] i 11 1-.M : r=3:1 I I f!3 i►M K.T. r3irj y/l I W, s. DESCRIPTION Y N N/A COMMENTS Meet provisions of conditional exemption [H &S 25270.4.5(b)] K Facility security adequate [CFR 112.7(g)] r Clean-up materials readily available CFR 112.7(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)(1 1) , Loading / unloading rack drains into containment area [CFR 112.7(h) Provide appropriate containment /diversionary structures to prevent discharge [CFR 112.8(a), 112.7(c)] Secondary containment adequate to contain capacity of largest container + precipitation [CFR 112.8(c)] t Remove accumulation of oil in secondary containment [CFR 112.8(c)(10) rc Secondary containment valve(s) closed [CFR 112.81 ' Implement SPCC plan elements [CFR 112.3]s NY HAZARDOUS WASTE ON SITE? aWES ❑ NO Si natureofRecei t xplain: g XV31 11VIUML111 V1V 11V11Kuklil 1V�0: • Refer to the back of this inspection report for regulatory citatio'k and corrective actions • Correct the violation(s) noted above by Z; L • 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 to be Sent in after return to Compliance Pink - Prevention Services Copy FD2156b (Rev 9/10) I¢ X. k POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report I for regulatory citations and corrective actions • Correct the violations) noted above by - 732., -- ) • 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 St. Bakersfield, CA 93301 Whiter Prevention Services Copy V Signature (that all violations have been corrected as noted) Date Yellow— Business Copy FD2171 (Rev 11/13) H HAZARDOUS WASTE Code HAZARDOUS WASTE REQUIREMENTS BAKERSFIELD FIRE DEPARTMENT UNIFIED, PROGRAM CONSOLIDATED FORMS�""""�- N/A 'Prevention Services - B B R S F I }��' D - 2101 H Street Recordkee in documentation HAZARDOUS WASTE GENERATOR ARM r Bakersfield, CA 93301 INSPECTION REPORT GR01 Phone: 661- 326 - 3979 • Fax: 661- 852 -2171 Facility Name f CIA Date Site Address �,,.� GR02 Time In Time Out Owner /Operator Phone Misc. Type of Inspection �'- Inspection Consolidation �outine ❑ Re- inspection/Follow -up ❑ Combined Routine Inspection ❑ Joint Inspection EPA ID # ❑ Complaint ❑ Focused. ❑ Other ❑ Integrated or Multi - Media Inspection CUPA Facility ❑ 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. T _ ('lncc T- Vin1nfinn TT _ r1TT Ar,_1. +;__ AR POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report I for regulatory citations and corrective actions • Correct the violations) noted above by - 732., -- ) • 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 St. Bakersfield, CA 93301 Whiter Prevention Services Copy V Signature (that all violations have been corrected as noted) Date Yellow— Business Copy FD2171 (Rev 11/13) H M Code HAZARDOUS WASTE REQUIREMENTS Y N N/A ra a of COMMENTS/NOTES/DOCUMENT(S) REVIEWED MISSING INFORMATION/ UNRESOLVED.ISSUES Recordkee in documentation GR01 Generator has an EPA ID number GR02 Hazardous waste determination made for all wastes ❑ Analysis C Generator Knowledge GR03 Contingency plan information posted near phone GR04 Facility personnel demonstrate training /awareness GR05 Manifests /Consolidated Manifest receipts complete GR06 Blue copy(s) of manifest mailed to DTSC GR07 TSDF signed copy of manifest available w /in 35 days of waste shipment GR08 Bills of Lading/receipts available GR09 LDRs available and complete GR10 Onsite recycling reported using UPCF , Container /tank management GCO1 Containers are in good condition a GCO2 Containers are closed except when adding/removing GC03 Empty containers are empty GC04 Containers inspected weekly 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 GA02 Satellite wastes accumulated for less than 1 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 <I ton) �, GA06 Pb -acid batteries offsite within 180 (1 yr. if < 1 ton) .)C Labeling/Marking GLO1 Containers are properly labeled GLO2 Satellite containers have 2" ASD marked once full GL03 Excluded recyclable materials marked ro erl GLO4 Universal waste container properly labeled ° r v°- GL05 Used oil filters marked "drained used oil filters" GL06 Date written on spent lead -acid batteries ty;y ,rr GL07 "Used Oil" marked on all used oil tanks /containers 3Y 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. GTOl Have permit/authorization to do treatment GT02 0 . Waste sent with authorized trans ort ( en. eligible) GD01 Waste disposed of to authorized poinVparty GH0J Failed to properly handle appliance wastes POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report I for regulatory citations and corrective actions • Correct the violations) noted above by - 732., -- ) • 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 St. Bakersfield, CA 93301 Whiter Prevention Services Copy V Signature (that all violations have been corrected as noted) Date Yellow— Business Copy FD2171 (Rev 11/13) BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST FIRE ?101 Hstxeet ARTM r Bakersfield, CA 93341 Tel.: (661) 326 -3979 SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171 Inspection I FACILITY NAME INSPECTION DATE INSPECTION TIME r a ADDRESS `�"` PHONE NO. NO OF EMPLOYEES - fig. FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title �� ROUTINE ❑ COMBINED ❑ JOINT AGENCY..... ❑._...MULTI-AGENCY1 .x,.R..,Q...;:. COMPLAINT ❑ RE- INSPECTION C V G=Gompliance . OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT #. 1Q, APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 M4. c VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY. (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 p VERIFICATION OF QUANTITIES (CCR: 2729.4) w 1010006 VERIFICATION OF LOCATION (C' CR: 2729.2) «, PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) - VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 x HOUSEKEEPING (CFC: 304.1) .� FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2) 1010005 NY HAZARDOUS WASTE ON SITE? ❑:;YES ❑ NO i natureofRecei t Explain: x�pecwr- POST INSPECTION INSTRUCTIONS: • 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: Signature Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White — Business Copy Yellow - Station Copy Pink = Prevention Services FD2155 (Rev 8//14)