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Home My WebLink AboutINSPECTIONSUNDERGROUND STORAGE ' · Bak*er~field Fi're Dept. · ' .... , "\ : Bakersfield, CA 93301 FACILITY NAME .~.,t:~-,~ ~ ~On~,,-n~,;4;~-~,. BUSINESS I.D. No. 215-000 FAClLI~ADDRESS ~J~ ~;ey~ J~ ; CI~ ~ ZlPCODE FACILI~ PHONE No. ~ ' ~ I~ ~ ~ '~;,.INSPECTION DATE I~'/~ G /~/ ' ~ ~ Pr~ ~E. IN ~:20 TIME OUT ~ :O~ ~ ~ i~G Ina ~le Inst INSPEGTION ~PE: ~ V~ [1~1 , I ~ ~/ / SEe S~ ROUTINE FOLLOW-UP REQUIREMENTS ~ no-~a y~ ~ Wa yes ~ Wa la. F~s A & B Subm~ lb. F~ C Su~ ./ ' " lc. O~mting F~ PaM .~ ,. ~ , ld. State Sum~rge~,Pai~ .,"'?' ~ le. State~0t o('F ~al. R~si~li~ Su~ ~' ~"~ lf. W~en~Contm~ ExiMs ~n ~er & O~ to O~te uST ~ / 2~ ~iid O~mting Pe~ff ~. Approv~ Wr~en Ro~ine Mon~oring Pr~ure / 2c. U~ho~ Relea~ Res~n~ Plan ~' ~. Tanklnt~T~tinLast12Months ~/t~ +~,'~ ~/~_ ~ ~. Pm~ur~ Piping Int~ri~ Test i~ast 12 Months 7/~_ ~/~ '4~ ~. Suction Piping ~ghtness Test in Last 3 Yearn ~. Gmv~ FI~ Piping ~ghtn~ T~ in ~st 2 Y~m ~. T~ R~u~s Subm~ Within ~ Da~ 3f. DaiN ~sual MonEoring of Su~i~ Pr~u~ Piping ~. Manual Invento~ R~cil~tion Each Month~ ~. Annual Invento~ R~iliation Statement Su~ ~. Metem Calibmt~ Annually ~ / 5. W~ Manual Tank Gauging R~ds for SmafiTan~ 6. Monthly Statisti~l ~nvento~ R~ciliation R~uEs 7. Month~ A~ti~Tank Gauging Resu~s 8. Ground Water ~n~odng .~ 9. ~r Mon~°dng 10. Continuous Intemt~ial MonAo~ing f~ Doubl~Wall~ Tan~ 11. M~hani~l Line Leak Det~om ~c~ / 12. El~tronic Line Leak Det~ 13. Continuous Piping Mon~ng In Sum~ 14. A~omatic Pump Shrift Ca~bil~ 15. Annual Maintenan~Calibmtion of Leak Det~ Equi~t / 16. Leak Det~tion Equipment and T~ Metes Li~ in LG-113 17. W~enR~ordsMaintain~onS~e ~ ~ ~'~./~d~. ~ ~ ~ ' 18. Re~A~ Changes in U~g~CondA~s to O~ti~~ Pr~ur~ of UST S~tem WAhin ~ Da~ 19. Re~A~ Una~h~ Relea~ W~hin 24 Houm ~. Approv~ UST S~tem Re.irs and U~md~ ., 21. R~rds s~ng Cath~ic Pmt~ti~ Ins~ ~ ~ ~. S~ur~ Mon~ng Wells ~ RE-INSPECTION DATE . , RECEIVED BY: INSPECTOR: FO 1~9 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILITY NAME ill}ex/ i~ollC tAOi~.l_0a~t/,'/{tS INSPECTION DATE J~[[ ~/Of~ ADDRESS ~111 ' ggt~ g~ PHONENO. ~l- ~- ~lqC' FACILITY CONTACT BUSINESS IDNO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section I: Business Plan and Inventory Program t~l Routine [~ Combined I~ Joint Agency ~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ~/ t / Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~ ! Verification of quantities Verification of location ~.,/ / Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate : L/ / Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand ~ ~/ C=Compliance V=Violation Any Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business S, ite ~sp/o.,~f,~e Party White - Env, Svcs. Yellow-Station Copy Pink - Business Copy Inspector: CITY OF BA~FIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD AT JOB SITE Address 0 I I ~')lJ"~eX..Jtls' ~_I/X¢ ~ Address INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. DO NOT cover work for any numbered group until all items in that group are signed offby the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL i s cT,ON I I Backfill of Tank(s) Spark Test Certification or Manufactures Method Cathodic Protection of Tank(s) PIPING SYSTEM Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan d,_,_loo SECONDARY CONTAINMENT, OVERFILL PROTECTION, LI Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Line Leak Detector(s) Leak Detector(s) for Annual Space-D.W. Tank(s) Monitoring Well(s)/Sump(s) ' H20 Test q/~, ~,/0' ~ Leak Detection Device(s) for Vadose/Groundwater Spill Prevention Boxes FINAL Monitoring Wells, Caps & Locks Fill Box Lock Authorization t'or Fuel Drop ~lX~.l 01,(_. q-I ~ '00 , CONTRACTOR fi ~ En4rr~,t~_~ UCENSE # Bakersfield Fire Dept. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed Business Name: j~~ _~k C-_~9:~,/,,~. aC~_;~i Location: r~ t t \ ,.~:L~p :~,,~, Business Identification No. 215-000 IoND ~-, (Top of Business Plan) Station No. ,')~p_ !'-')~.,~-."J'- ~ .- Shift Inspector Ardval Time: Departure'rT' ime: Inspection Time: Adequate Inadequate Adequate Inadequate Address Visable I:~"' _ I-I Emergency Procedures Posted ~ [] Correct Occupancy ~_, ...-~/'~' [] Containers Propedy Labled I:]],''/ [] Verification of Inventory Materials I:~'/ [] Comments: Verification of Quantities Dr' [] verification of Location ~/'~ [] Verification of Facility Diagram Er~/ [] Proper Segregation of Matedal ~ [] Housekeeping ~ El ~ Fire Protection ~ [] Comments: Electrical ~ [] Comments: /, Verification of MSDS Availablity ~ I-I Number of Employees: UST Monitoring Program ~ [] Comments: Verification of Haz Mat Training ~ [] Permits ~ [] Comments: Spill Control [~"'",,, [] Hold Open Device ~ [] Verification of / Hazardous Waste EPA No. Abbatement Supplies and Procedures llr5~ [] Proper Waste Disposal -~,/~ [] Comments: Secondary Containment [~r'/, i.-i Security ~ [] Special Hazards Associated with this Facility: Violations: . _ , All Items O.K ~ Business Owner/Manager PRINT NAME~ SIG/URE Correction Needed [] ~ ~ / White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy "