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HomeMy WebLinkAboutNotices of Violations_Incident Reportsf -a ... j; July 5, 1990 Michael Hoffman SLO Brewing Co. 1119 Garden Street San Luis Obispo, CA 93401 city of sAn luis oBispo FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo, CA 93401 • 805/549-7380 RE: Clean -Up of Petroleum Tainted Soils Dear Mr. Hoffman: This letter is in response to the unauthorized disposal of hydraulic fluid into the planter behind your business. During our discussion, you indicated that a ruptured water line had flooded the elevator shaft within your business. This water was then drained and disposed of into the back lot and planter area. Although it was an unforseen mistake that the hydaulic oil was drained out of the elevator shaft, you are still resposible for the proper clean-up. Because of the presence of a residual petroleum product within the water, the soils impacted will have to be removed. You have agreed to provide the labor for the task of soil removal, as well as the cost of having the material identified. It is estimated that the soil sample results will be ready by Friday, July 13. At that time, you will be contacted by this office regarding the proper disposal of the soils removed. Typically, the laboratory will not divulge any sample results until payment has been received. Please be advised that if this office does not receive the lab results by Tuesday, July 31, this office will take the appropriate action of having this material disposed of as a Hazardous Waste, and attach all incidental cost to you and your business. If you have any questions, please call me at the above number. Very truly Michael Smith Q Hazardous Materials Inspector cc: Larry Tolson, Parks Department Bob Neumann, Fire Marshal (: Recycled Paper G city of sAn luis oBispo FIRE DEPARTMENT E �'" �:E d' �E�'•" 748 Pismo Street • San Luis Obispo, CA 93401 • 805/549-7380 November 1, 1990 Tim Yale 2796 E. Miraloma Anaheim, CA 92806 Re: Fire Code Violations - 1119 Garden Street, San Luis Obispo Dear Mr. Yale: A Notice of Violation was issued to you on August 16, 1990. A re -inspection way conducted October 4 and October 23, 1990, which indicated the violation(s) has not been corrected. Be advised that a final inspection will be conducted 10 days from the date of this letter. Continued non-compliance will result in issuance of a Misdemeanor Citation pursuant to Section 3.101 of the Uniform Fire Code which states: "Unlawful Continuance of Fire Hazard - Any person operating or maintaining any occupancy, premises or vehicle subject to this Code who shall permit any fire hazard to exist on premises under his control or who shall fail to take immediate action to abate a fire hazard when ordered or notified to do so by the Chief or his duly authorized representative shall be guilty of a misdemeanor." The issuance of a Misdemeanor Citation will require a mandatory appearance before a judge or clerk of the San Luis Obispo County Municipal Court. If you have any questions regarding this matter, please contact Inspector Jerry James. RN:cb cc: Jerry James, Inspector Mail Certified Enclosures: Copy of Violation Notice Thank you, WoZbert e Fire Marshal 0" �; Recycled Paper FILE COPY City Of SAn luis OBISPO FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo, CA 93401 • 805/549.7380 NOTICE OF VIOLATION DATE: January 22, 1992 NAME: Michael Hoffman ADDRESS: 1119 Garden Street, San Luis Obispo, CA RE: 1119 Garden Street, S.L.O. Brewery YOU ARE HEREBY NOTIFIED THAT YOU ARE IN VIOLATION OF: Uniform Fire Code, Section 3.101 - Unlawful Continuance of a Fire Hazard Uniform Fire Code, Section 3.102 - Compliance with Order or Notice Uniform Fire Code, Section 10.302 (a) - Maintenance Of Fire Protection Systems and Appliances - All sprinkler systems, standpipe systems and other fire -protection or extinguishing systems or appliances shall be maintained in an operative condition at all times and shall be replaced or repaired where defective. Uniform Fire Code, Section 85.108 - Electrical Panel Access - A minimum of 30 inches of clearance shall be provided at all. times in front of electrical control panels for access. As a result of afire call on January 15, 1992, at the above -referenced address the previous violations were noted. The items in violation are as follows: 1) The Fire Department Connection at the front of the building shall have a breakaway cap. 2) The sprinkler head above the stairway at the front entrance stairwell shall have 3 inches of clearance from the "track -lighting" fixture. 3) The stove top cooking area shall be maintained in a clean and grease free condition in order to reduce the possibility of fire. . 4) The deep fat fryer shall be located so that in a horizonal section the outside edge of the deep fat fryer is not less than 6 inches from the inside lip of the hood system. 5) 30 inches of clearance shall be maintained at all times in front of the electrical control panel. (� Recycled Paper TO: Michael Hoffman RE: 1119 Garden Street January 22, 1992 Page Two YOU ARE HEREBY ORDERED TO CORRECT THESE VIOLATIONS IMMEDIATELY TO AVOID FURTHER ENFORCEMENT ACTION. FAILURE TO COMPLY IS A MISDEMEANOR, AND COULD REQUIRE AN APPEARANCE BY YOU IN COURT. A REINSPECTION SHALL OCCUR ON OR ABOUT FEBRUARY 6, 1992 Questions relative to these violations shall be directed to the San Luis Obispo Fire Department, Bureau of Fire Prevention, 748 Pismo Street. Phone Number: 781-7380. By: Matt Luchetta Fire Inspector cc: Ken McCool, Fire Marshal Tom Baasch, Building Official Rob Bryn, Zoning Investigator Jeff Jorgensen, City Attorney IIE �I E _ � cMY of sari WIS oBI sPo `„;::: FIRE DEPARTMENT 748 PISMO ST. SAN LUIS OBISPO CA. 93401 (805) 549-7380 RECORD OF FIRE INSPECTION NOTICE OF VIOLATION NOTICE OF FIRE & SAFETY HAZARDS: You are hereby notified that an inspection of your premises located at x I l N c=- •IIEK! , has disclosed the following fire safety hazards and/or violations of the provisions of appropriate local or state codes: CODE SECTION(S) VIOLATION(S) ctc 41-k �n n- T-1 A zr-x'� � " , o ��e f, �'- 1I0~ kA-?,;>R 0 ice" \0-- \,A,- eq ORDER TO COMPLY: As such conditions are contrary to law, you are hereby required to correct said conditions immediately upon receipt of this notice. An inspection to determine whether you have complied will be conducted on or about F- 1 Failure to comply with the foregoing order before the date of such reinspection REINSPECTION DATE may render you liable to the penalties provided by law for such violations. INSPECTOR'S SIGNATURE COMPANY - PLATOON DATE OF INSPECTION OCCUPANT -'.&SIGNATURE y E city of sAn luis oBispo Ja. R.-N... =F l41!' !;€;:III FIRE DEPARTMENT t'ER '4La.'�� 748 Pismo Street •San Luis Obispo, CA 93401 • 805/549 7380 March 2, 1989 Matthew Hainline 465 Pismo Street San Luis Obispo, CA 93401 Re: Notice of Violation - 1119 Garden Street Dear Mr. Hainline: During a routine fire -safety inspection, it was noted that the Fire Department connection (Garden Street alley) has been blocked. Apparently a vehicle has damaged the protecting barricade which, in turn, is now blocking access to this very important Fire Department connection. With respect to life -safety, the fire sprinkler connection is an item which cannot be compromised. This deficiency must be corrected immediately. Thank you for your prompt attention to this important matter. Very truly -yours, ' IN-V nccr Meyer nspector SM:cb city of SM Luis OBISPOF FIRE DEPARTMENT 2160 Santa Barbara Avenue • San Luis Obispo, CA 93401-5240 • 805/781-7380 "Courtesy & Service" July 10, 2008 Dear Business Owner: Recently, this department received a copy of an inspection report from your commercial fire sprinkler company stating they found some deficiencies with your system California Fire Code, Section 901.6 states, `Fire sprinkler systems shall be maintained in an operative condition at all times, and shall be replaced or repaired where defective." Additionally, California Fire Code, Section 901.7 requires these companies to report to the local fire department any deficiencies they find during their inspection, which shall occur every five years. Attached, please find a copy of the inspection report, dated June 30, 2008. Consider this letter as a Notice of Violation. A re -inspection shall occur on or about July 30, 2008 to determine if these deficiencies have been corrected. Failure to comply with this notice may result in the issuance of a misdemeanor citation, which requires an appearance by you in court. If you have any questions, please feel free to contact this office at 781-7381. SiFMadden, Ja Fire Inspector/Investigator Bureau of Fire Prevention O The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities. Telecommunications Device for the Deaf (805) 781-7410. Mid, Toast Fire Protectior Inc. 5507 Traffic Way + At:ascadero, CA + 93422-4262 Ph: 805/466-0211 + Fax: 805/466-0266 License #579499 June 30, 2008 Downtown Brewing Company ATTN: Jason 119 Garden Street San Luis Obispo, CA 93401 RE: Test, Inspection & Maintenance of Fire Sprinkler System dated June 30, 2008 Jason; We have completed the annual fire sprinkler test, inspection and maintenance on your building in accordance with NFPA 25/2006 California Edition and California State Fire Code Title 19. If the enclosed report has one or more boxes are marked "FAILED", you can find the explanations for these "FAILED" answers on the last page of the report. If the report is marked "Pass" there may still be comments on the last page of the report that should be addressed. We will follow up with a quote soon if one is not already included. The items listed are deficiencies found while performing the test, inspection and maintenance according to the Fire Sprinkler Code that was in effect at the time the building was built and NFPA 25/2006 California Edition. If improvements or remodeling has been done, the code that is used is the one that was in effect at the time of those improvements and/or remodeling. Some deficiencies may have been present since .he building was first built or remodeled and were either overlooked by the inspector or the inspector was not concerned with that deficiency at the time. Some deficiencies may be listed because some modification has taken place since the building was built or some repair is necessary to keep the system functioning properly. We do not require that your fire system be brought up to current code in order to pass this tes'_, inspection and maintenance. While we strongly suggest you have all deficiencies repaired to ensure the protection of life and property, we do not have the: authority to require it. It is up to the SLO Fire Department to determine which deficiencies we have listed will require correction. We would be happy to meet with you and the SLO Fire Department to discuss which deficiencies, if any, they will require to be repaired and/or corrected. We can then give you a quote for those repairs and corrections. We assume no liability for the work of your original fire sprinkler contractor and/or any deficiencies in their work. We also assume no liability if the Authority Having Jurisdiction has failed to notice those deficiencies. There may also be comments listed on the last page of the report. These comments are either suggestions or information you should be aware of. Thank you for choosing Mid -Coast Fire Protection, Inc. We look forward to working with you. If you have any questions or concerns, please do not hesitate to contact us. Best regards, �/� GfiiWi.CPii'iWX 'C9a4WAff&M;- Vincent Carattini, CEO Cc: San Luis Obispo Fire Dept. enclosure INSPECTION. TESTING, A' )MAINTENANCE OF WATER -BASED FIR' PROTECTION SYSTEMS 25-73 Property Information: Name: Downtown Brew Company Address: 1119 Garden St City: San Luis Obispo Zip: 93401 Contact: Steve/ Jason Telephone: 543-1843 / 235-5066 Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as ,amended by CCR, Title 19 Occupancy Use: LH Construction Type. Combustible No. Stories: 2 )'ear Constructed unknown Quarterly O Annual O 5-Year ✓ Contractor Information: Name: Mid Coast Fire Protection Address: 5507 Traffic Way _ City Atascadero _ State: CA Telephone: _805) 466-0211 CA License: C-16 579499 Job # Performed By: Ho Chon (Print) Note: Contractor information may be pre-printed Forms included with this report ✓ Automatic Sprinkler System 1 Number of System Risers Copy sent to: Owner ❑ Fire AHJ ❑ Contractor NOTES: Date:06/30/08 Date: Date: 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2002 Edition as amended by California Code of Regulations, Title 19 §901 to §906. 2) Inspection items may be performed by the owner in accordance with California Code of Regulations Title 19 §904.1(a) NFPA 25 Number of FommT NIA FAIL* Chapter ` 5 --- - � X ❑ Standpipe and Hose 5 seems 6 ❑ Private Water Supply System 7 L31 Fire Pump 8 ❑ Water Storage Tank 9 ❑ Water Spray stem 10 ❑ Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. Pass Annex B 25-79 Inspection Testing and 1NIaintenance Fire Sprinkler System NFPA 25, Chapter 5 as Amended By CCR, Title 19 Date of Inspection, Testing, Maintenance: 06/30/08 System Riser ID: I Property Information: Type of System: Name: _Downtown Brewing Company ✓ Wet Pipe ❑ Dry Pipe Address: 119 Garden St ❑ Preaction ❑ Deluge City: San Luis O Page 1 of 4 Main Drain Results: Abbreviation Key: Initial Static Pressure: I =Inspection 60 (psi) T = Test Residual Pressure: 50 (psi) M = Maintenance A-O = After Operation Restored Pressure 60 (psi) MI = Per Manufacture's Instructions Item Activity Frequency Description Preaction/Deluge Valves — Enclosure temperature NFPA 25 Reference Fail N/A Pass 1.1 I Daily Weekly 12.4.3.1 X 1.2 I Daily Weekly Dry Pipe Valves — Enclosure temperature 12.4.4.1.1 X 1.3 1 1 Quarterly Gauges (Dry, Preaction, Deluge Systems) 5.2.4.2 5.2.4.3 12.3.2.1 X X 1.4 Quarterly Control Valves Alarm Devices 1.5 1 Quarterly 5.2.6 X 1.6 1 Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 X 1.7 1 Quarterly Hydraulic nameplate 5.2.7 X 1.8 1 Quarterly Pipe and Fittings 5.2.2 X 1.9 1 Quarterly Sprinklers 5.2.1 X 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 12.7.1 X 1.11 1 Quarterly Fire Department Connections X 1.12 1 Quarterly Alarm Valves — Exterior Inspection `12.4.1.1 X 1.13 1 Quarterly Preaction/Deluge Valves — Exterior Inspection 12.4.3.1.6 X 1.14 1 Quarterly Pressure Reducing Valves 12.5.1.1 X 1.15 1 Quarterly Dry Pipe Valves — Exterior Inspection Backflow Preventers Buildings 12.4.4.1.4 , X 1.16 1 Quarterly 12.3.1 f. X , X 1.17 1 Annually 5.2.5 State Fire Marshal AES 2 March 21, 2006 Annex B 25-79 Inspection Testing and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as Amended By CCR, Title 19 Date of Inspection, Testing, Maintenance: 06/30/08 System Riser ID: I Property Information: Name: Downtown Brewing Company Address: 119 Garden St City: San Luis Obispo Item f Activity I Frequency 1.18 1 Annually T. 99 1 Annually 1.20 1.21 1 1 5 Year 5 Year 1.22 1 5 Year 1.23 1 5 Year 1.24 1 5 Year 1.25 1.26 1 I 5 Year 1 5 Year 1.27 1 1 1 5 Year 1.28 1 5 Year 1.29 1 5 Year 1.30 1 5 Year 2.1 T Annually 2.2 1 T I Annually 2.3 T Annually 2.4 T Annually 2.5 T Annually 2.6 T Annually 2.7 2.8 T T T Annually Annually 2.9 Annually State Fire Marshal AES 2 Descrir)tion Hangers Type of System: ✓ Wet Pipe ❑ Dry Pipe ❑ Preaction ❑ Deluge NFPA 25 Fail _Reference 5.2.3 Seismic Braces 5.2.3 Hangers (Accessible concealed spaces) 5.2.3.3 Seismic Braces (Accessible concealed 5.2.3.3 spaces) _ Pipe and Fittings (Accessible concealed 5.2.2.3 sus)_ — - Sprinklers (Accessible concealed spaces) 5.2.1.1.4 Alarm Valves — Interior Inspection 12.4.1.2 Alarm Valves - Strainers, filters, orifices 12.4.1.2 Check Valves — Interior Inspection 12.4.2.1 Preaction/Deluge Valves — Interior Inspection 12.4.3.1.7 Preaction/Deluge Valves - Strainers, 12.4.3.1.8 filters, orifices Dry Pipe Valves — Interior Inspection 12.4.4.1.5 Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 5.3.3 Alarm Devices (90 Sec) 12.2.7 12.2.6 Main Drain Test (Enter data on Page 1) 12.2.6.1 12.3.3.4 Antifreeze Test 5.3.4 Control Valve - Position 12.3.3.1 Control Valve — Operalion 12.3.3.1 Supervisory 12.3.3.5 Preaction Valve — Priming Water 12.4.3.2.1 Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 Preaction Valve — Full Flow Trip Test E 12.4.3.2.2 Page 2 of 4 N/A i Pass X X X X X X X X X X X X X X X X March 21, 2006 Annex B 25-79 Inspection Testing and D4aintenance Fire Sprinkler System Page 3 of 4 NFPA 25, Chapter 5 as Amended By CCR, Title 19 Date of Inspection, Testing, Maintenance: 06/30/08 System Riser ID: 1 Property Information: OF Type of System: ' 10 Name: Downtown Brewing Company ✓ Wet Pipe ❑ Dry Pipe t a Address: 119 Garden St ❑ Preaction ❑ Deluge •'%LA � City: -San- Luis Obispo Item 2.10 2.11 Activity Frequency Description NFPA 25 Reference Fail N/A Pass T T Annually Annually Dry Pipe Valve — Priming Water Dry Pipe Valve — Low Air Pressure Alarm Dry Pipe Valve — Quick -Opening Device 12.4.4.2.1 12.4.4.2.6 X X 2.12 2.13 T T Annually Annually 12.4.4.2.4 X Dry Pipe Valve — Trip Test 12.4.4.2.2 X 2.14 T Annually Backflow Preventer Assemblies Dry Pipe Valve — Full Flow Trip Test Gauges { Pressure Reducing Valve Fire Department Connection Backflush Sprinklers — Extra High Temperature Sprinklers — Corrosive environment or corrosive water 12.6.2 X 2.15 T 3 Years 12.4.4.2.2.2 X 2.16 T 5 Years 5.3.2 X 2.17 T 5 Years �12.5.1.2 X 2.18 T 5 Years 12.7.4 X 2.19 T 5 Years 5.3.1.1.1.3 X 2.20 T 5 Years 5.3.1.1.2 X 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 X 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 X 2.23 T 50 Years 75 Years Sprinklers 5.3.1.1.1. X 2.24 7T Sprinklers 75 years in service 5.3.1.1.1.4 X 2.25 T Sprinklers manufactured prior to 1920 — Replace 5.3.1.1.1.1 X 3.1 M Annually Control Valves 12.3.4 X 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 X 3.3 M Annually Annually Dry ev PipeValves/Quick-opening D Dry Pipe Valve — Low Point Drains 12.4.4.3.2 X 3.4 M 12.4.4.3.3 X 3.5 M Years Obstruction Investigation Chapter 13 X State Fire Marshal AES 2 March 21, 2006 Annex B 25-79 Inspection Testing and Maintenance Fire Sprinkler System NFPA 25, Chapter 5 as Amended By CCR, Title 19 Date of Inspection, Testing, Maintenance: 06/30/08 System Riser ID: I Property Information: Name: Downtown Brewin Com an Address: 119 Garden St — City: San Luis Obispo Page 4 of 4 � .I :D_V- CAL► Type of System: z ✓ Wet Pipe ❑ Dry Pipe ❑ Preaction� ❑ Deluge Deficiencies and Comments: Item Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: — — — — 2.1 Cannot hear the alarm bell ring. Monitoring company did receive the flow alarm. Notes: FDC check valve is not opening type. Due to location of check valve, cannot do backflush without risking water damage inside of building. Recommendations: Keep Riser access free from chairs and storage. Fire Department must have clear access to that area. Also, all piping should be free from cable/telephone wires. _ ❑ See Continuation Page(s) ❑ PASS 0 FAIL State Fire Marshal AES 2 (indicate the number of continuation pages) 9& Signawre 06/30/08 Date March 21, 2006 25-78 INSPECTION, TESTING, AT MAINTENANCE OF WATER -BASED FIRF "'ROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended by CCR, Title 19 Property Information: IREPAIII5 MADC 98/14/2008 - .W.VrEM Is:►.4SED of CA41, Name: Downtown Brew Company__ Occupancy Use: LH Address: 1 119 Garden St Construction Type: Combustible .. City: San Luis Obispo No. Stories: 2�� Zip: 93401 Year Constructed unknown Contact: Steve/ Jason Quarterly O Annual O Telephone: 543-1843 i 5-Year ✓ Contractor Information: Name: Mid Coast Fire Protection Address: 5507 Traffic Way City Atascadero State: CA Telephone: (805) 466-0211 CA License: C-16 679499 Job # Performed By: Ho Chon (Print) Note: Contractor information may be pre-printed 1 Number of System Risers Copy sent to: p Owner Iz Fire AHJ ❑ Contractor Date:08/15/2008 Date: 08/15/2008 Date: NOTES: 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2002 Edition as amended by California Code of Regulations, Title 19 §901 to §906. 2) Inspection items may be performed by the owner in accordance with California Code of Regulations Title 19 §904.1(a) Forms included with this report NFPA 25 Chapter Number of Forms N/A FAIL* Pass X ✓ Automatic Sprinkler System 5 5 ❑ Standpipe and Hose Systems 6 ❑ Private Water Supply System ❑ I Fire Pump 7 8 ❑ Water Storage Tank 9 ❑ Water Spray tem 10 ❑ Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. State Fire Marshall AES 1 March 21, 2006 Annex B 25-79 Inspection Testing and Maintenance Fire Sprinkler System Page 2 of 4 NFPA 25, Chapter 5 as Amended By CCR, Title 19 Date of Inspection, Testing, Maintenance: 06/30/08 System Riser ID: 1 Property Information: Type of System: aF enE10 Name: Downtown Brewing Company ✓ Wet w e Pipe •�� �'�: Address: 119 Garden StLJ ❑ Dry Pipe ' Preaction ❑ Deluge City: San Luis Obispo Item Activity Frequency Description NFPA 25 Fail N/A Pass Reference 1.18 l Annually Hangers 5.2.3 X 1.19 1 Annually Seismic Braces 5.2.3 X 1.20 1 5 Year Hangers (Accessible concealed spaces) 5.2.3.3 X 1.21 1 5 Year Seismic Braces (Accessible concealed 5.2.3.3 X _spaces) Pipe and Fittings (Accessible concealed 1.22 1 5 Year 5.2.2.3 X spaces) 1.23 1 5 Year Sprinklers (Accessible concealed spaces) 5.2.1.1 A X 1.24 1 5 Year Alarm Valves — Interior Inspection 12.4.1.2 X 1.25 1 5 Year Alarm Valves - Strainers, filters, orifices 12.4.1.2 X 1.26 1 5 Year Check Valves — Interior Inspection 12.4.2.1 X Preaction/Deluge Valves — Interior 1.27 1 5 Year Inspection Preaction/Deluge Valves - Strainers, 12.4.3.1.7 s X 1.28 1 5 Year 12.4.3.1.8 X filters, orifices 1.29 1 5 Year Dry Pipe Valves — Interior Inspection 12.4.4.1.5 X 1.30 1 5 Year Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 X 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 X 12.2.6 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6.1 X T Annually Antifreeze Test 12.3.3.4 2.3 5.3.4 X 2.4 T Annually Control Valve - Position 12.3.3.1 X 2.5 T Annually Control Valve — Operation 12.3.3.1 X 2.6 T Annually Supervisory Preaction Valve — Priming Water 12.3.3.5 12.4.3.2.1 X 2.7 T Annually X 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 X 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 X State Fire Marshal AES 2 March 21, 2006 Annex B 25-79 Inspection Testing and Maintenance Fire Sprinkler System Page 3 of 4 NFPA 25, Chapter 5 as Amended By CCI; , Title 19 Date of Inspection, Testing, Maintenance: 06/30/08 System Riser ID: 1 Property Information: Name: Downtown Brewing Company Type of System: ✓ wet Pipe ❑ Dry Pipe Address: 119 Garden St ❑ Preaction ❑ Deluge City: San Luis Obispo Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 X 2.11 T AnnuallyDry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 X 2.12 T T AnnuallyDry Annually Pipe Valve — Quick -Opening Device Dry Pipe Valve — Trip Test 12.4.4.2.4 X 2.13 12.4.4.2.2 12.6.2 X 2.14 T Annually Backflow Preventer Assemblies X 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 X 2.16 T 5 Years Gauges 5.3.2 X 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 X 2.18 T 5 Years Fire Department Connection Backflush 12.7.4 X 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 X 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 X 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 X 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 X 2.23 T 50 Years Sprinklers 5.3.1.1.1. X 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 X 2.25 T Sprinklers manufactured prior to 1920 — Replace Control Valves l 5.3.1.1.1.1 12.3.4 12.4.3.3.2 X 3.1 M Annually X X 3.2 M Annually Preaction/Deluge Valves 3.3 M Annually Dry Pip Valves/Quick-Opening 12.4.4.3.2 X 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 X 3.5 M Years Obstruction Investigation Chapter 13 X State Fire Marshal AES 2 March 21, 2006 Annex D ne nn Inspection Testing and Maintenance Fire Sprinkler System Page 4 of 4 NFPA 25, Chapter 5 as Amended By CCR, Title 19 Date of Inspection, Testing, Maintenance: 06/30/08 System Riser ID: 1 Property Information: Name: Downtown Brewing Company Type of System: ✓ Wet Pipe ❑ Dry Pipe Address: 119 Garden St -— - on ❑ DelugeLl City: San Luis Obispo Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: . Notes: FDC check valve is not opening type. Due to location of check valve, cannot do backflush without risking water damage inside of building. Recommendations. Keep Riser access free from chairs and storage. Fire Department must have clear access to that area. Also, all piping should be free from cable/telephone wires. ❑ See Continuation Page(s) (indicate the number of continuation pages) 0 PASS ❑ FAII, C .�& 08/15/2008 Signature Date State Fire Marshal AES 2 March 21, 2006 MEMORANDUM TO: File FROM: I Madd ��k DATE: September 9, 2003 RE: 1119 Garden, SLO Brew An annual inspection today revealed several small violations. I did not have a correction notice at the time. Of the items noticed were, fire extinguishers out of date, escutcheons on sprinklers, missing spare heads in sprinkler box, and a compromised inlet for the FDC. All items should be completed within two weeks. Recall on or about 9/23/03. MiZ;oast Fire Protectia Inc. , , 5507 Traffic Way ♦ Atascadero, CA ♦ 93422-4262 Ph:805/466-0211 ♦ Fax:805/466-0266 License #579499 June 26, 2003 City of San Luis Obispo Fire Department 2160 Santa Barbara Avenue San Luis Obispo, CA 93401 RE: Range Hood System Report dated 02/21/03 SLO Brewing Company 1119 Garden Street San Luis Obispo, CA All deficiencies were corrected on 06/19/03. The system was then tagged and certified. Vincent Carattini, CEO Mid -Coast Fire Protection, Inc. Ranges► Hood Systems Rfport SEHVIGE GUMF°ANY CUSTOMER Name r ! -0 Address - City L ) - Telephone 3 - k� 4 Store No Owner or Manager 1^1n11Vr0%1r_ ADOI IAnt/'C I nneT1nAic - ► FFT'rn Rlrl-IT 1. All appliances properly covered w/correct nozzles 2. Duct and plenum covered w/correct nozzles 3. Check positioning of all nozzles. 4. System installed in accordance w/MFG UL listing 5. Hood/duct penetrations sealed w/weld or UL device 6. Check if seals intact, evidence of tampering 7. If system has been discharged, report same 8. Pressure gauge in proper range (If gauged) 9. Check cartridge weight (If applicable) 10. Hydrostatic test date 11. 6 year maintenance date 12. Inspect cylinder and mount 13. Operate system from terminal link 14. Test for proper operation from remote 15. Check operation of micro switch 16. Check operation of gas valve 17. Clean nozzles 18. Proper nozzle covers in place 19. Check fuse links and clean COMMENTS: . DATE OF SERVICgE TIME A.M. P M ANNUL SEMI-ANNUAL ' RECHARGE INSTALLATION RENOVATION LOCATION OF SYSTEM CYLINDERS MANUFACTURER MODEL NUMBER WET DRY CHEMICAL CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE FUSE LINKS 360' F. PUSE LINKSk450- F FUSE LINKS 500' F OTHER FUEL SHUT-OFF ELECTRIC GASj SIZE SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE \,. 1I :- 4 . � MANUFACTURER'S MANUAL REFERENCE 1 PAGE NUMBER: DRAWING NUMBER: 20. Replaced fuse links 21. Check travel of cable nuts/S-hooks 22. Piping & conduit securely bracketed 23. Proper separation between fryers & flame 24. Proper clearance -flame to filters 25. Exhaust fan in operating order 26. All filters replaced 27. Fuel shut-off in on position 28. Manual & remote set/seals in place 29. Replace systems covers 30. System operational & seals in place 31. Slave system operational 32. Clean cylinder & mount 33. Fan warning sign on hood 34. Personnel instructed in manual operation of system 35. Proper hand portable extinguishers 36. Portable extinguishers properly serviced 37. Service & Certification tag on system NOTE DISCREPANICES OR DEFICIENCIES BELOW On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of NFPA 17, 17A, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above. SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. AUTHORITY HAVING JURISDICTION O Brooks Equipment Company, Inc *'`4z: • Division of Environmental Realth (805) 781-5544 P.O. Box 1489 2156 Sierra Way *San Luis Obispo, CA 93406 De artntent of Agriculture/Measurement Standards (805) 781-5910 2156 Sierra Way Suite A *San Luis Obispo, CA 93401 i city of San Luis Ob spo Fire Department (805) 781-7380 I jIf II 2160 Santa Barbara Avenue i San Luis Obispo CA 93401-5240pr,�i,� I ar Hqi � �� Utilities Department . (805) 781-7215 879 Morro Street • San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Date: / / Time: EFW data entry by: --- Pv l�/10j FACILITY ID NO: AGENCY ❑ DEH AG DEPT ElADDRESS: VITY FIRE ITY UTILITIES INSPECTION TYPE Routine ❑ Reinspeetion ❑Complaint ❑ Other FACILITY NAME: L1�+ -�(� , t'f �j; PHONE: PROGRAMS INSPECTED: PJBusiness Plan ❑ HW Generator ❑ UST ❑AGT El Tiered Permitting REINSPECTION REQUIRED: I eN0E:1 YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑ Tiered Permitting PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with ado ted codes. GRANTED BY (NAM WITLE): YES N1J N/A ❑ El9, TR01 ❑ ❑ d TR02 BPOl ❑ � ❑ BP02 BP03 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑ ❑ ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of hazardous waste to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265.31-.43) COMMENTS: INSPECTOR: FACILITY REP: Hnpro 1()(11 rgy 'i r)31100i Wf-'t'a-rt li-WmFni-4 Ar{'JhwanP.-1rr— :,,y.r,-t�, PP15 ir,c.,,,rrs..,-i WW., ,, .i.,, ri ,.. i I` A ll_ITY NAME: DATE. NSP'ECTOR: HAZARDOUS WASTE GENERATOR EPA ID NUMBER: Total generated/month: Tiered Permit: ❑CESW ❑CESQT ❑CA ❑PBR Waste oil: Solvents: Treatment Equipment: Antifreeze: Others: Lbs or gals (average) YES NO N/A VIOL. # EPA ID NO/PERMITS ❑ ❑ GTO1 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR 66262.12) If Not, Call (800) 618-6942 HAZARDOUS WASTE DETERMINATION ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR 66262.11) ❑own knowledge ❑analysis ❑other {—� J ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR 66262.40.(c)) DISPOSAL/TRANSPORTATION U ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC 25189.5, Title 22 CCR 66262.12) ❑milkrun service ❑other ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR 66262.20) n❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR 66263.42/ 66262,23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR 66262.34) ❑ 90 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR 66262.34(c)) ❑ ElGT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR 66265.176) ❑ ❑ GTI1 Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR 66262.34) ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Title 22 CCR 66265.171/.191, 66265.177(c)) GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 66265.172) ❑ ❑❑ Containers storing hazardous wastes are closed/sealed (Title 22 CCR 66265.173) ❑ ElGT14 GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted f` (Title CCR 66265.174) ❑ El_ �`J GT16 in Daily inspection of all tank systems is conducted and documented (Title 22 CCR 66265.195) ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR 66261.7 (f)) RECYCLABLE WASTE ❑ ❑ F2( GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.4) ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR 66266.130) ❑ ❑ GT20 Spent lead -acid batteries are transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR 66266.81) ❑ ❑ GT2I Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 66266.3) SUMMARY OR OBSERVATIONSNIOLATIONS ❑ No violations of underground tank, hazardous materials, inventory, and hazardous waste laws, regulations, and requirements were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or proposed action, please inform us in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIER. CUPA must be informed in writing certifying that compliance has been achieved. A false statement that compliance has been achieved is a violation of the taw and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your Facility maybe reinspected anytime during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or proposed corrective actions. The issuance of this Summary of Violations does not preclude CUPA from taking administrative, civil, or criminal action as a result of the violations noted or that have not been corrected within the time specified. VIOLATIONS NUMBER MINOR MAJOR G,�cI i d n *rr x7 x tz COMMENTS: A) CORRECTIVE ACTION REQUIRED i At J► ec 7-i6%1% r jt7l Q Inspected By: L T7jFacility Rep Name: t Date: ` Z ~� Signature: 6, repro 1127 rev I O:\DOCUMENT\Jeffp\FORMS\Inspection forms\CUPA inspection forms.doc 10-Sep-01 JC asan luis oBispo Ak FIRE DEPARTMENT -1 2160 Santa Barbara Avenue • San Luis Obispo, CA 93401-5240 • 805/781-7380 "Courtesy & Service" NOTICE OF VIOLATION Certified Mail — Return Receipt Requested DATE: June 8, 2001 Name: Michael Hoffinan Address: 1119 Garden Street, San Luis Obispo, CA 93401 RE: Violation of Hazardous Materials Business Plan Reporting Requirements SLO Brewing Company, 1119 Garden Street, San Luis Obispo, CA YOU ARE HEREBY NOTIFIED THAT YOU ARE IN VIOLATION OF: 1. California Health & Safety Code, Chapter 6.95, Sections 25501 and 25503.5 - Any business or self-employed individual that handles a hazardous material in a reportable quantity during the reporting year shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material. 2. Uniform Fire Code, Article 80, Section 8001.3.2a — When required by the chief, each application for a permit shall include a Hazardous Materials Management Plan. VIOLATIONS ARE TO BE HANDLED AS FOLLOWS: 1. Submit a completed Hazardous Materials Business Plan to the City of San Luis Obispo Fire Department by June22, 2001. YOU ARE HEREBY ORDERED TO CORRECT THESE VIOLATIONS NO LATER THAN JUNE 22, 2001 TO AVOID PENALTIES OR FURTHER ENFORCEMENT ACTION. Questions related to these violations should be directed to Molly Brown, Hazardous Materials Section, City of San Luis Obispo Fire Department, at 805-781-7383 or 805-781-7380. By: _ —K* &� Molly Brown Hazardous Materials Section ©The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities. Telecommunications Device for the Deaf (805) 781-7410. (9 city of sAn luis oBispo FIRE DEPARTMENT 2160 Santa Barbara Avenue • San Luis Obispo, CA 93401-5240 • 805/781-7380 April 23, 2001 "Courtesy & Service" Michael Hoffinan SLO Brewing Company 1119 Garden Street San Luis Obispo, CA 93401 Re: 1119 Garden Street, San Luis Obispo, CA SLO Brewing Company, Hazardous Materials Business Plan Request Dear Mr. Hoffman: Our records indicate that your business qualifies for the Hazardous Materials Business Plan Program. Business Plans are required per the California Health and Safety Code regarding the storage and use of hazardous materials. Information from Business Plans is provided to emergency response personnel, as well as to the public upon request, regarding storage, handling, and use of hazardous materials by businesses within our community. A new Business Plan must be submitted to the City Fire Department every 3 years and it should be reviewed yearly for any significant changes. Please find the enclosed Business Plan document, an instruction packet, and an example of a completed Business Plan. Also included in your packet is a chemical inventory form for each specific chemical at your business, including oxygen, nitrogen, carbon dioxide, nitrogen/carbon dioxide mix, and phosphoric acid, which qualify your business for the program. Please complete and return your forms to the City Fire Department by May 21, 2001. You should also keep a copy of your Business Plan on file at your business facility. There are annual fees associated with the Business Plan program that you will be billed for. These include a fee from both the SLO County Environmental Health Department and the City of San Luis Obispo Fire Department. If you have any questions or need assistance in completing your Business Plan please call me at (805) 781-7383. Thank you for your cooperation. Sincerely, -K4� bl,�5wy\— Molly Brown Hazardous Materials Section Please return forms to: City of San Luis Obispo Fire Department, Attn: Molly Brown 2160 Santa Barbara Avenue San Luis Obispo, CA 93401-5240 H:/ BP NEW RQST 1119 GARDEN SLO BREW 042301 OThe City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities. Telecommunications Device for the Deaf (805) 781-7410. / 1 08/07/01 Sa,i Luis Obispo Fire Department 269 1G:50 FIRE Incident Table: Page: 1 Incident Number: 01-02194 Nature: Hazmat Small Addr: 1119 GARDEN; SLO BREWING COMPANY Fire Zone: FZ1 fire zone 1, > City: San Luis Obispo St: CA Zip: 93401 Contact: RICK JANES/ +- Complainant:------------------------------------------------------+ Lst: Fst: Mid: DOB: f SSN: - Adr: Rac: r Sx: _ Tel: ( } - Cty: St: _ Zip: +------------------------------------------------------------------------+ Condition Codes: 84 _ Reported: 84 Observed: 84 Stats/Assignmts: -MISC Rspndg Personnl: Gomez, Ron MacDonald, John Vasquez, Mark Rspnsbl Cc Offc: Gomez, Ron Agency: SLFD Received By: Righetti, Kathy How Received: T Telephone CAD Call ID: 01-018234 When Reported: 19:47:39 07/21/01 Last RadLog: 20:03:09 07/21/01 CMPLT Occurrd between: 19:47:39 07/21/01 Disposition: COM Disp Date: 07/23/01 and: 19:47:39 07/21/01 Shift: A Ops: -FIRE STAFFING 3 ALS _ Narrative: (See below) + Supplement: _ INVOLVEMENTS: Type Record # Date Description Relationship CA 01-018234 07/21/01 19:47 07/21/01 Hazmat Small *Initiating Call FIRE Conditions Detail: Fire Condition Codes Seq Code 1 84 Hazardous Material Small. Amnt Fire Incident Circumstances: Contributing Circumstances Seq Code Comments 1 -MISC Not Classified Elsewhere FIRE Incident Responder Detail Responding Officers Seq Name Unit 1 Gomez, Ron 9191 2 MacDonald, John 9191 3 Vasquez, Mark 9191 paAk 7 Mz�, in Radio Log Table: Time/Date Unit 20:03:09 07/21/01 9191 20:03:04 07/21/01 9191 19:53:41 07/21/01 9191 19:53:31 07/21/01 9191 19:49:52 07/21/01 9191 19:48:49 07/21/01 9191 Fire M.O. Detail: Code Zone Agnc Description CMPLT FZ1 SLFD incid#=01-02194 Completed call ca I FZ1 SLFD MGR AT SLO BREW WITH HANDLE - ENG I FZ1 SLFD ANTIFREEZE AT CURB - CAN HANDLE ARRVD FZ1 SLFD incid#=01-02194 Arrived on scene ENRT FZ1 SLFD incid#=01-02194 Enroute to a call DISP FZ1 SLFD incid#=01-02194 Dispatched to Inc Modus Operandi Seq Factor 1 -FIRE STAFFING FIRE PERSONNEL RESPONDING Narrative: Date/Name:R Gomez/Mon Jul 23 11:26:46 PDT 2001 Method 3 ALS Conditions found:9191 found aprox 3 gallons of green anti -freeze in the street in front of SLO Brew. The liquid was contained to a small area in the curb with no storm drain near by. 9191 did respond to this same type call on May 30, 2001. The reason for the leak on may 30, 2001 was a freezer line had failed causing fluid to make its way to the street. Actions taken:9191 met with Tami Gallant (Manager) and she knew nothing about the fluid in the street. I informed her of our previous response and gave her option of recovering the fluid herself or have us do it for her. She was informed there may be a cost to the business if we recover the fluid. Mrs. Gallant decided to take care of the fluid herself. We gave her some options as to where to take the fluid once recovered and 9191 returned to station one. Follow up:9191 stressed the importance of seeing this problem get fixed for if this were to happen when it was raining we would have a much larger problem on our hands. Mrs. Gallant said she will see that her Boss is well aware of the potential problems associated with fluids making there way to the street. Possible cause: Notifications--> OSHA - Building Division - Newsline g/-7/ol (4,V, t" PKZ;e2_e_ L aj �ov4- r ro l Lit 5 I y c o ko Z 3, 2c)o I i r c �Q:✓ 3eq Pvet S (,U Co i 4 � l��V � s i ovu o �oz ✓ � �C�� � vie,'-�d'� 1 � � M t- 6-kb,� DATE: 01/15/92 COMPANY-E RUN R E P O T SAN LUIS OBISPO CITY FIRE DEPARTMENT ALARM INFORMATION LOCATION/COMMON PATNAME: 1119 ADDRESS1119 GARDENST ERINSLO RP:JOHNSON PAT ADDRESS:1119- GARDEN ST fSLO TIME OF DIAPATCH:1822 TYPE/INCIDENT: Fire, not elsewhere classified. UNITS and PERSONNEL RESPONDING RESPONSE CODE 3 UNIT NUMBER El IN SERVICE 1822 ON SCENE 1828 RETURN//AVAIL. 1840 IN QUARTERS 1843 Stepheson RESPONDING McCullough PERSONNEL Gomez Run #8-0083-92 Page 1 REPORT NO: 8-0083-92 GRID NO: BREWIPHONE.,( BREWIPHONE. ACTIVITTY T1 BC1 E2 S1 1822 1826 1823 1828 1840 1832 1840 1835 1843 Schmutz Redel Zimmerman Richards Veillette NARRATIVE Ill 543-1843 C�543-1843 DE: 8 2 E4 1825 1828 1831 1835 Parker Rutledg BC-1, E-1, E-2, and S-1 responded code three to the above address for a report of a kitchen fire. Upon arrival found a small grease fire isolated to the kitchen grill with the hood suppression system not activated. The kitchen area was evacuated by all employees and FF-1 used a dry chem extinguisher to quickly extinguish the fire. Occupants did try without success to extinguish the fire prior to our arrival. We checked for fire extension behind and above the grill, including outside on the roof and within the exhaust system for the grill. We found no sign of fire extension. We advised Pat Johnson (Manager) to withhold on serving any food for the evening or until a complete clean up of all the discharged dry chem is picked up. Pat called Wayco to overhaul the hood system and assure that it is working properly. All units returned to their stations. DUTY BATTALION CHIEF z REPORTING OFFICER 0 RANK STATION FF\Pj 1 PLATOON A Ent ties CmHained in (his rc purl are intended for the sole use of Ilse Slate Fire Marshal. Esllmations and evaluations made herein repre- sent "mail likely" aid "most prntlablp" C.TUSC and el tcC Any ren, escnlal Ion as 10 1 he va lldrly or accuracy of +e ported co rind 71 oUlside the State Fire Marshal's 0iffce, tS neither intended nor implied. 1 2 3 MRS CODE BOOK STATL OF E•LIr ORNI• OFFICE OF THE STATE FIRE MARSHAL FIRE INCIDENT REPORT IDC PArriw[NY•L USE$ ram/ INCIDENT 110 f r10 - FIRE DEPARTMENT 1 0 2E:] OCCUPANT NAME RELATIONSHIP ALARM \ O V E 1 Iv J(�I�J SOURCE T`-L !O. Pr•S VEPoaL P•c �t. OT wFP ADDRESS ROOM RAPT. NO. CITY ZIP TELEPHONE NO. (CALL SACKI OWNER NAME AODAESS CITY ZIP CENSUS PARCEL NO (_ A(R_ FOI aw mg UU, 0allsQ c . 3 0 MANAGER NAME ADDRESS CITY ZIP TELEPHONE NO. I 2 3 LI A. INFORMATION (PAGE17) , E IRE DE PT. 10 114CIDEIIT NO EXPOS URE 'TO TIME 14,34T'l DAY YEAR DAY COUNTv DIST OUT OF 11I4ISDICT ION I D O s /^ CO E 0 FIPQE EITY (� U 1 1 Z CHECK IF vC5 13. PROPERTY CLASSIFICATION IPAGE 19 1 C. PROPERTY TYPE (PAGE 41 ) CODE -YPE OF INCIDENa CONSTR DATE PROPER-v *AA%AGE+4CNT �VI1rU1rV� �511--L:, _ PRCT vast TT OVt FSP _ ATE COI1NTr CIr, UISTP i(1 rnwL�GN Or ..tP 1 I Z I 2 a a E e CDOC PROP{RTY CLA SS IF I[A-104 C110HPLEX) CODE 5TPUCTURE, 99ILDING OR VE141CLE - PPOPER•Y TYPE PL' 1NrS 2 vn rry �e •• 7 1! 111 ~ oIf_ N>06 •- MCI - CODE PROPERTY CLASSIFICATION (INDIVIDUAL) STRUCTURE, BUI LOING OR VEHICLE - CONSTRUCTION TYPE 3 �� ENT. WAIL INT. WALL rLOOR - P 01 IP[ PS.1D 3 I-, A c M I D. EXTENT OF DAMAGE (PAGE 45) F_ 1 nr_nTlnnl R, rallcF7 fmarc ao1 1 2 3 4 2 ] 4 I 6 CODE EXTENT OF DAMAGE - FIRE �i - 1 +- Nl'[E CODE EXTENT OF DAMAGE - SMOKE CODE EXTENT OF DAMAGE - WATER ESTIMATED LOSS- PROPERTY 7114ATED LOSS - CONTENTS R AGRII MDTC OIn a a. — — rraw_ CODE AREA OF ORIGIN CODE TYPE OF MATERIAL FIRST IGNITED o w— CODE FORM OF MATERIAL FIRST IGNITED A LJ:F1 CODE MAIN AVENUES SMOKE SPREAD G=^T C P'1-r— lonr-r1 1 lea.__ Dit CODE SPRINKLERS - TYPE CODE SPRINKLERS - EFFECTIVENESS CODE STANDPIPES - TYPE CODE STANDPIPES - EFFECTIVENESS CODE PORTABLE 9AIIJIGU1S8ERS - TYPE CODE PORTA9LE EXTINGUISHERS - EFFECTIVENESS J. MISCELLANEOUS (PAGE 109 ) FIREFIGHTER CIVILIANS 1 NO. INAIUP[D NO. OF�D DEATHS ONO. INNJURED© !1 OF DEATNS� CODE LEVEL OF ORIGIN CODE SOURCE OF HEAT CAUSING IGNITION CODE FORM OF HEAT CAUSI G IGNITION 7 hJ CODE ACT OR OMISSION CAUSING IdNITION At- C r ❑r Est WrA U.515 C CIopFAFT nC C111:11= loef_C 77% CODE MAIN AVENUES FIRE SPREAD CODE TYPE MATERIAL CAUSING SPREAD CODE FORM MATERIAL CAUSING SPREAD CODE ACT OR OMISSION CAUSING SPREAD 1 sift YCA+rf ��I u 2 3 4 z 3 4 S 6 7 B SFM FORM 60-1 SU7MITTEO FOR EACH DEATH 2 ICHECK BOX IF YES) SFM FORM GO-60 (71731 FIGURE 1, SHEET 1 of 2. FIRE INCIDENT REPORT SFM FORM GO-60 FRONT SIDE CODE PRIVATE 9RIGADE - TYPE CODE PRIVATE PRI )E - EFFECTIVENESS CODE SPECIAC. HAZARD PROTECTION - TYPE CODE SPECIAL HAZARD PROTECTION - EFFECTIVENESS CODE SIGNAL OR WARNING SYSTEM TYPE CODE EFFECTIVENESS CODE CODE SIGNAL WARNING SYSTEM - MEANS SIGNAL WARNING SYSTEM - TYPE OF ACTIVATION DETECTORS CODE WATCprAN EFFECTIVENESS CODE OTHER FACILITIES EFFECTIVENESS —3— �����rtrr�rr�rr��f tf IEEtll��li! �1�rr����i�r�l city of sAn ktis owsW FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo, CA 93401 • 805/549-7380 July 19, 1990 Michael Hoffman SLO Brewing Company 1119 Garden Street San Luis Obispo, CA 93401 RE: Soil Clean -Up Activities in Rear Parking Lot Dear Mr Hoffman: In regards to the soils removed from the planter behind your business, as well as the soils still remaining in place, this office has yet to receive any laboratory results that identifies this material for disposal purposes. As discussed with you during an earlier telephone conversation, discharging oil or its products onto the ground is a violation of Sec. 79.113 of the Uniform Fire Code. Also, persons responsible for such action may be held liable for all clean-up costs. Please make arrangements with the laboratory to have a copy of the sample results sent to this office for review. If you have any questions, please call me at the above number. Very trul yours, Michael Smith Hazardous Materials Inspector cc Larry Tolsen, Parks Department It: Recycled Paper Coast -to- .1!+1 751, S. Ke7.3.099 hu. Ste.A 1885 N. 'Kelly Rd. CaQst Anaxyticax ,Suburban ..,oad San Luis C kspo,,CA 934p1 Go7etp,:CA 93'17 Napa, (7�7) CA 94558 257--7211 SQr��Cvs (805) 543-.-'-53 ; . (•t3O5) 543-2685 FAX :, (8¢5) 964-7836 (805) 967-4386 FAX (707) 226-1001 FAX "SAMPLE CHAIN OF CUSTODY suer4171'ED 6Y: y CONTACT NAME f�^ COD'PANY �/� /��.. Yl DDF:ESS ?ROJE.CT PROJECT NAME D CeeelId� SAMPLER (Pri t Si �� 4 ��r rC � CCAS SAMPLE IDENTIFTCATXON DATE TIME # of PRESERVE LAB Jf (ID #, location, matrix) COLLECTED ITEMS _ LL gG e) 614. 40.�'ye SAMPL'; RE . 'QUIS,iED BY: WA 0 PHONE FZ35P'I�y3 ALYSIS REQUESTED n� WAN m- :: �r rP .`J CQC1 .WR1 f 86¢6 MEMORANDU6,.4 TO: FileTr JT . FROM: Ronald G. Hanson DATE: February 23, 1993 SUBJECT: 1119 Garden St., NOV inspection On this date I reinspected the above and determined that three items remain to be done as follows: 1. Provide fire sprinkler heads for spares only one head provided. 2. Black address letters do no contrast sufficiently with background color. 3. Min. 2A-10BC fire extinguisher required only 1A-5BC installed. Mike Hoffman was present during this reinspection and indicated that he would take care of the above items. I telephoned"Red Alert Plumb' g��and left a message that additional ire sprinkler heads were required at the above address.�-�.0� -V %69) Ice MAi L- SPRINK ,l AND HYDRANT INSTALLATION TRAC _.G SHEET /: o rec,,' �, Address: I�I Cf G� Project Name Field inspection(underground):_System Class Owner/Agent: Installer: Plans Submitted: Plans Approved [ ] Rejected [ ] By: Notes: I [ ] II [ ] III [ ] Phone: Phone: UNDERGROUND PRIVATE FIRE MAINS CERTIFICATION Date: Site/Facility Permit No.: Installer: a�me r: Material: [ ] Chlorine Titrate __ PPM Date: [ ] cteria _� Date: _a_ P "ssure Test Zv✓ PSI Date: G%)-%p-d- (Center Load, 50 psi inc ments-leakage) [`--'Flush Mains GA,,-- Date: T k- By: [ 4--1`hrusts/Rodding Sizes 7� [ -1--Backfill Depth_ 3, Bed Depth I Configuration: [ ] Anchoring "T" [ ] Tapping "T" Detector Check [ ] Double Check [ ] Street Valve Hydrants:_ _ Make: Hydrant Flush Duration: [ ] Clear? Supply Piping Clearance through/under Foundation Model: Flow: Accepted (date): By: SYSTEM 1. Hydrostatic Test (200 PSI. 2-Hrs.) Date:�/� [ ] Pass [ ] Fail Observed By: rYI 2. Riser Size: _ 3. Main Control Valve [ O.S.& Y. [ ] Butterfly Size: 4. Tamper Switch: [ Properly Mounted 5. Zone Control Valves: Zone_ Size - - - - —Type-- - - Zone Size -Type _ --` Zone _Si ze _ -- _- - _.Type�- Zone Size - -- ` - ---Type----- -- C. Final Inspection 1. Maindrain Test Date �'i By: (Minimum 20 seconds to a a Size (2" Minimum) [ ass [] Fail 2. Inspector's Test Valve [3--1" Gate Valve [1--Hydraulically Remote - - Locations: [Proper Orifice - - Size_ _ - []Proper Signs [J-0-ne' Per Zone [d_-94-scharge to Safe Area 1 I�isua1 [] Sight Glass Q 3, Auxiliary Drains S`�,-�Z-J� ������ r�s•`� _ 4. Hangers and EQB T 5. Head Temperature 2,( Orifice Size [ cations Satisfactory Coverage Satisfactory _ [] Unnecessary Pendants T 6. Main Control Valve @ Riser - - Size [a,N'o-. of Zones e,e- Zone Description Ems] Pressure Gauge ^[] rw Switch E.Allarm Valve [] [ T7cce per Switch []`1ssibi l ity; [] [ ai gnage [}—talc Plate [] P.I.V. ,— C] 7. F.D.C. 5, //j � S C ] [�ckValve [ Subject to Damage-� [] C­[:o�'cation 8. Spare Heads and Wrench [ Yes [] No Number: All Types Represented [gas [] No 9. Alarm Test -YCg Audible Date: By:� _ cote Date: By: [9-Zones Annunciated 0— - 10. Contractor's Material and Test Certificate EY-Gmpleted Date: r7 �� [] Copy to Department File 11. Annunciator Panel [] Clear and Readable [] Fully Operational Location: Function Description 11/09/05 San Luis Obispo Fire Department 280 19:25 FIRE Incident Table: Page: 1 Incident Number: 05-03528 Nature: Hazmat Small Addr 1119 GARDEN; DOWNTOWN BREW HAZ Area: FZ1 fire zone 1, d City: San Luis Obispo ST: CA Zip: 93401 Contact: FRANK SANDURG +- Complainant:-----------------------------------------------------+ Lst: Fst: Mid: I DOB: SSN: Adr I Rac: Sx: Tel: Cty: ST: Zip: ------------------------------- ------------------------------------------------+ Condition Codes: 84 Reported: 84 Observed: 84 Circumstances: -MISC Rspndg Officers: Gater, Jeff Parker, Larry King, Michael L Rspnsbl Officer: Gater, Jeff Agency: SLFD Received By: Steeb, Christin How Received: T Telephone When Reported: 16:51:53 11/09/05 Occurrd between: 16:51:53 11/09/05 and: 16:51:53 11/09/05 MO: -FIRE STAFFING 4 ALS Narrative: (See below) Supplement: INVOLVEMENTS: CAD Call ID: 05-030779 Last RadLog: 17:25:13 11/09/05 CMPLT Disposition: COM Disp Date: 11/09/05 Misc Entry: B Type Record # Date Description Relationship CA 05-030779 11/09/05 16:51 11/09/05 Hazmat Small *Initiating Call Geobase Address Alert: Geobase Address Alerts Seq Code Date Review Date 1 HAZ HAZARDOUS MATERIAL ON SITE 07/30/02 FIRE Conditions Detail: Fire Condition Codes Seq Code 1 84 Hazardous Material Small Amnt Fire Incident Circumstances: Contributing Circumstances Seq Code Comments 1 -MISC Not Classified Elsewhere FIRE Incident Responder Detail Responding Officers Seq Name Unit 1 Gater, Jeff T1 2 Parker, Larry T1 3 King, Michael T1 4 Larson, Jody T1 5 Rutledge, Bob BC2 Main Radio Log Table: Time/Date Typ Unit Code Zone Agnc Description 17:25:13 11/09/05 f BC2 CMPLT FZ1 SLFD incid#=05-03528 Completed call 17:25:13 11/09/05 f T1 CMPLT FZ1 SLFD incid#=05-03528 Completed call 17:06:32 11/09/05 f BC2 ARRVD FZ1 SLFD incid#=05-03528 Arrived on sce 17:03:58 11/09/05 f BC2 DISP FZ1 SLFD incid#=05-03528 Dispatched to 16:59:36 11/09/05 f Tl ARRVD FZ1 SLFD incid#=05-03528 Arrived on sce 16:54:55 11/09/05 f T1 ENRT FZ1 SLFD incid#=05-03528 Enroute to a c 16:54:04 11/09/05 f Tl DISP FZ1 SLFD incid#=05-03528 Dispatched to Fire M.O. Detail: Modus Operandi Seq Factor Method 1 -FIRE STAFFING FIRE PERSONNEL RESPONDING 4 ALS Narrative: Date/Name: Wed Nov 09 18:52:59 PST 2005, Jeff Gater Dispatched to: 1119 Garden, Downtown Brew, for an green substance, possibly anti -freeze in the curb/gutter. Conditions found: T-1 arrived on scene followed by BC-2 and Inspector Molly Brown to find 10-15 gallons of a clear green liquid mixed with rainwater in the curb/gutter running from in front of Downtown Brew to the storm drain at Garden/Marsh. The storm drain cover was lifted and it was confirmed that an unknown amount of the liquid had reached the storm drain. I went into Downtown Brew and met with Darren Smith, Chief Operating Officer of Compass Group, a company which owns the Downtown Brew business. He said Westpac owns the building. He said he was aware of the release and he said it was from a cooling system on the roof of 1119 Garden which was part of the brewery operation. He said a pipe had broken and released the coolant from the system. The coolant went down the roof drains to the curb and gutter where we found it. He said he had 2 employees working on repairing the piping, and they were at the hardware store getting supplies. He said he believed it was non -hazardous coolant. He went to the roof and obtained an empty 1 gallon container of the product he said was in the system. It was Sierra anti-freeze/coolant made by Peak. It was primarily propylene glycol. Molly Brown placed a call to Kerry Boyle, Haz Mat Inspector. Inspector Boyle confirmed the non -hazardous nature of the coolant. Boyle said no remediation of the product in the storm drain was needed. He also indicated that the premise (under previous owners) had experienced a similar release. The business was sold to Compass Group 2 months ago per Darren Smith. Inspector Brown and I gave Mr. Smith his options toward clean-up. He elected to have an employee clean the product up completely using a wet vac. The dike material could be disposed of via standard trash collection. He was going to dispose of the liquid via the household waste disposal program at Cold Canyon Landfill, and provide evidence/documentation of proper disposal to Inspector Boyle when this had occurred. Actions taken: The release was diked at the storm drain inlet to prevent further spread into the storm drain system. An employee of Downtown Brew used a wet vac to pick up the liquid, which he placed into a lined, rubber trash can. Follow up: T-1 became available and returned to quarters. A copy of this report and Mr. Smith business card was given to Inspector Boyle. Mr. Smith was told by me to expect a call from Inspector Boyle tomorrow on his cell phone T-1 picked up no product or HAM. Possible cause: failure of piping, accidental release Call: Nature: Hazmat Small Type: f Priority: 4 Address& 1119 GARDEN; DOWNTOWN BREW City: SLO Zones Alarm Number: Directions: K-09 SLO BREWING +- Complainant: -----------------------------------------+ x Lst: Fst: Mid: x x Adr DOB: x x Cty: ST: Zip: SSN: x x Tel: Sex: Prev Calls: Wants: Adr: x x Alrt: x +------------------------------------------------------------------+ Contact: FRANK SANDURG Tel: Address: Info: (See below) Calls: Dupl: Names: w/Alrts: Wants: Prem: Adr: How Rcvd: T Telephone Occurred between: 16:51:53 11/09/05 Rcvd by: Steeb, Christin and: 16:51:53 11/09/05 Hld Until: / / When Rptd: 16:51:53 11/09/05 INVOLVEMENTS: Type Record # Date Description Relationship FR 05-03528 11/09/05 Hazmat Small *Initiating Call Call Taker Comments: BRIGHT GREEN SUBSTANCE CAME FROM A DRAIN FROM DOWNTOWN BREW & WENT DOWN THE GUTTER. 16:54:25 11/09/05 - Steeb, Christin RP SAID AN EMPL OF DOWNTOWN BREW CAME OUT & SAID IT WAS OK, JUST CLEANER. 17:18:22 11/09/05 - Steeb, Christin AN EMPL FROM 745 HIG ADV THAT SOMEONE FROM THE TOP OF THE BREWERY OR THE WEDDING CENTER THREW DOWN A GAL OF ANTIFREEZE Sari Luis Obispo County Integrated Wastr nagement Authority P. O. Box 857 / San Luis Obispo, CA 9340, 357 Document Number 8051782-8530 CG L- CESQG DATA SHEET & WAIVER Business Information (please print) Company Name Company Representative (print your name) Street Address City / Zip Code Telephone Number Business Waiver State and federal hazardous waste laws limit the use of this type of hazardous waste collection program to those businesses that generate less than 100 kilograms (27 gallons or 220 pounds) of hazardous waste per month. Businesses that generate more than this amount are required to use a licensed hazardous waste hauler to manifest and transport their waste. Therefore, in order to participate in this program you must sign the following waiver of liability. We reserve the right to review your annual manifests or consult with the County Environmental Health Department to determine your eligibility for use of this program. Thank you. I certify that the business that I am representing generates no more than 100 kilograms (27 gallons or 220 pounds) of hazardous waste per month based on an annual average. Date Time Signature DO NOT WRITE BELOW THIS LINE INVENTORY (To be completed by Collection Personnel) Item Gallons Weight Containers Drum # RECEIPT Please make check payable to SLO County IWMA Check # Amount Date , Time Signature of Collection Personnel White Copy: SLO County IWMA yellow Con.. Gaoarator