HomeMy WebLinkAboutUNDERGROUND TANK (2)
CITY OF BAKERSFIELD HRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301
FACILITY NAME_E.:e. \Ñtv þ~ I
INSPECTION DATE
9þ/o+-
,
Section 2:
Underground Storage Tank~ Program
o Routine ~Combined
Type of Tank SuJL-
Type of Monitoring
o Joint Agency
( ß. p,)
ATC""']
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint 0 Re-inspection
'3
E'j'þ-I D. ~ .
OPERA nON C v COMMENTS
Proper tank data on tile X
Proper owner/operator data on tile Ý
Penn it fees current IX
Certification of Financial Responsibility Þ<
Monitoring record adequate and current K
Maintenance records adequate and current K
Failure to correct prior UST violations l
Has there been an unauthorized release? Yes No ~
Section 3:
Aboveground Storage Tanks Program
AGGREGATE CAPACITY
Number of Tanks
TANK SIZE(S)
Type of Tank
OPERA TION Y N COMMENTS
SPCC available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overtill/overspill protection'?
C=Compliance
V=Violation
Y=Yes
N=NO
Inspector:
Office of
White - Fnv, Svcs,
Pink - Business Copy
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
iÓ(
FACILlTYCONTACT
19 ¡it
___________n____ ]L~~~~-- _::_E_~TI::~~:E____
PHONE No, No. of Employees
___ç;t!?e t _ __"_n_______________.______________ __________ __ Z-
-..--- -. - Business Ie, Number
FACILITY NAME__~ ~___~þþ_; 1_________________________.._ ___________
-..-.-.---- ~
ADDRESS
15-021-
Section 1: Business Plan and Inventory Program
o Routine
Þ( Combined
a Joint Agency
o Multi-Agency
a Complaint
ORe-inspection
c V
( c=comPliance)
V=Violation
OPERATION
COMMENTS
Á 0 ApPROPRIATE PERMIT ON HAND
.--------
._____._____.__________________.__._.___~_.~_____..____. _______.___.____u________.___ _ .... _._._ ___.___.____... .__.____.._._____.______... _ ....._____ _..,.,.... .. _'_"'_' .._....__.
~ a BUSINESS PLAN CONTACT INFORMATION ACCURATE
----------.------------ -------------- - ----..--. ..----....----
. .... - -....-..---.--..---..-..-.-.... -------.- ... .-----....-..--.-. -. -.-.
ýJ.. l]. VISIBLE ADDRESS
f----'--.--------:--.--.------.-----.--------.-.-----------------'----------
~ a CORRECT OCCUPANCY
~~-_-m...-----_------..-.--_-------_-~--.-----..----.._____..._. _ ..__. _..___.__....___._..____ . _._.~_.._.. __._.__~__._..___. _._._.__.n.__.__ ._.. ___.___..___ __.___.___ ___.n .. _. ._ ......_ .._ n.... ._
)t a VERIFICATION OF INVENTORY MATERIALS
_________.______·______._.._._._________..__._.n..__________~ .._______._ _._____..____._ __. ________.__ _.. ..._______..__ ..___.______....._..__..... ______.__._.__.__..__. ...... _ .._ _.._
r( a VERIFICATION OF QUANTITIES
--.-.---..--....----.----------------------.----- .. -..---.----...--
.. LJ VERIFICATION OF LOCATION
... .-....---.-.---.--.---.--.-,..
.---. -- ----- -.-
-- -- - .------... .----.
---_._------._._-~ -_.- --.-.--.
.. _.__._______......_.____.._.___...__ __. ._.._...n..__.__ ..n "._ .
-----_._-------------~~----_._-_._----------_._---------------_..- ----.--------.-.--..---- --'-- _ -._- -.-...---.--.-----.....- -- .-- -...-..--.----....---..-
\4 0 PROPER SEGREGATION OF MATERIAL
c--.-.---~--------.-------_.-.-------------.--------h-....-..-.-----.- -- .--------.----.------.------ --. -- . .... -----------.----- -.------ ----- -.._-- -----
M. a VERIFICATION OF MSDS AVAllABILlTYE
--:r¡-- LJ --~~RIFI~~TION OF -~i;;:1~T ~~~~~~------oo---------------- -------------------- ------------------- -----.- ..--- ------ ------
f-----.---.------.--.------------.-.-------.------.--------.--------.----.-.----.----..--.----....- - -.-.------ .-....-.--
ór a VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
- _________________________________.___.________.._ ._._____ _____._________________.__..___._. _._ __ - - __. '_h_ _________ __ _._ ._..______.__ _.. ___
I) a EMERGENCY PROCEDURES ADEQUATE
___·_~n.________________.______.__.._______.._..___._.._.----.----.--.--- ______.,.. -----4-...--.-.--.------.. - .-. ---- -_.__..__ ... __ ..__h_'_oo. ----- -
_~__~__~ONT~~E~: PRO~~~_~~ _~B~_L=~______ ____h_______ ..__ --1-----------.- __ _____n_____ _ ______ ___ ______________
rjJ a HOUSEKEEPING. 1·
'--- -------------------.--------------------------..--- .--- -..--------- ---- -----._-- ----..--------..---. .------.------.-.-.-------. - .-- ---- ---
~ a FIRE PROTECTION
__n__ ___________________. ._____.__ .__._.__ ___.__.____.____...___._.._..__.._n_ ____un ______.._._ _..________ _._._ ___......_ ___ .._...._..___.______.._ __ ._._._ ___._ __. __...._..___.____ __. _
~ a SITE DIAGRAM ADEQUATE & ON HAND i
- --.--.-------.
ANY HAZARDOUS WASTE ON SITE?:
aYES
~NO
EXPLAIN:
QUESTIONS REGAR ING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
QJJ) _. ¡1L~
¿j~ ,",,,,,,., ð .._., "'" No.,
White - Environmental Services
~----~-_.~----_._---_.
?SineSS ¥Respónsible Party
Vellow - Station Copy Pink - Business Copy
19TH STREET rvlOBIL
101 19TH STREET
BAKERSFIELD CA
805-631-1049
SEP 30. 2004 12:03 PM
SYSTEM STATUS REPORT
- - - - - - - - - - - -
ALL FUNCTI ONS NORr1AL
I N\JENTORY REPORT
T 1: UNLEADED
VO LUrv1E
ULLAGE
nn.' ULLAGE::
VOLUME
,GHT
;ER VOL
':ER
'1P
2:SUPER
,LUME
.LAGE
)% ULLAGE::
:: VOLUlv1E
EIGHT
ATER VOL
lATER
TEMP
T 3:DIESEL
VOLUI"1E
ULLAGE
90% ULLAGE::
TC VOLUME
HEIGHT
WATER VOL
WATER
TEMP
2699 GALS
3301 GALS
2701 GALS
2649 GALS
44,21 I NCHE
o GALS
0,00 INCH'
86,0 DEG
4709 GAl
1291 Gf4
691 GÄLb
4609 GALS
70.31 INCHES
o GALS
0.00 INCHES
90.4 DEG F
1381 GALS
2619 GALS
2219 GALS
1360 GALS
30.93 INCHES
o GALS
0,00 INCHES
92.5 DEG F
M M M M MEND M M M M M