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HomeMy WebLinkAboutSLO Motorsports HMBP 1ENVISION INPUT/UPDATE FORM Master File Record Information [ } CREATE NEW RECORD FACILITY NUMBER FA# 0005087 [ ] FILE [ ] LABEL [ ] CHANGE OF OWNERSHIP PROGRAM NUMBER PR# 0007432 [ } TANK OWNER [ ] BUSINESS OWNER PR# 0007433 [ ] UPDATE BILLING INFO. PROGRAM ELEMENT PE#0762 PE# 1176 TUF PERMANENTLY INACTIVATE FACILITY AS OF: DATE OF NEXT SCHEDULED [ ] TEMPORARILY INACTIVE INSPECTION: FACILITY AS OF: RETURN TO INSPECTOR: AYES [ ] NO DESCRIPTION OF CHANGES: A Facility is closed; effective Jan. 1, 2014 B) If permit fees are delinquent please write them off and close the account. C) Property is now vacant with plans submitted for demolition and new construction. BILLING INFORMATION: Number of Materials: N/A Number of Waste Streams: N/A Number of Tanks (capacity/compartment): N/A Facility Name: San Luis Motor Sports Site Address: 6 Higuera St. , San Luis Obispo, CA 93401 (CITY, STATE, ZIP CODE) Facility Phone Number: Cell Phone (805) 543-4152 Owner Name: Steve Myrick Postal Address: N/A (CITY, STATE, ZIP CODE) Requested By: Kerry Bode �,�Date Requested: March 27, 2014 Entered By: �y I ���c: -S ��". Date Entered: � z ? C:\D000ments and SettingAboyIMI-ocal Settings\Temporary Internet Files\Content Outlook\JW61 HIGH\MFR HAZMAT (2) DOC 16-Jan-13 01/06/2010 15:06 545578: PAGE 01 HAZARDOUS MATERIALS BUSINESS PLAN CE11�ffIFICATION FORM For, U,sc hl' Unidoc:s Member Agencies or- tvJ ere approved in your 1 deal ,hurisdiction Authoritl, Cited: Health and Sa/trl1, Code §25SO3.3(c); 19 CO' § 729.5(c) To: Agency Name: CUPA for San Luis Obispo County and City Agency Mailing Address: PO Box 1489 San Luis Obispo, 9340E FAX 805-781-4211 Pursuant to Section 25503.3(c) of California Health and Safety Code (1:ISC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted lfor the following facility: Facility Name: A-Vn !-.. L,t` g L_SAC-r' � 1 Q Facility Street Address:: City: Date of Current I certify that: (Check the appropriate box.) ave personally reviewed the Hazardous Materials Business Plan currwntly on file with your agency and certify that the HMBP is complete and accurate. (See borturn ofpage,f ,r details.) If this facility is subject to Federal Emergency Planning and Community Right to Know Act (ETCRA) reporting requirements, i have submitted the following documents with this Certification Fonrn: Unified Program Consolidated Form (UPCF) Business Activities page; UPCF Business Owner/Operator Identification page with current signature and date; Hazardous Materials Inventory Statement page(s) with an original signature, photocopy of an original signature, or signature stamp on each page for all Extreinlely Hazardous Substances (EHS) handled at or above their Federal Threshold Planning Quantity (TPQ) or 500 pounds, whichever is less. or ❑ Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is complete and accurate and is being implemented. A copy of the revislcus has bi.en electronically submitted or is enclosed with this Certification along with a signed UPCF Business Cwner/Operator identification page and UPCF Business Activities page if the HMBP revision include changes to the Hazardous Materials Inventory Statement, OWNER/OPERATOR CERTir.ICATION: i hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information r.ported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised RMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials that would require updating of the HMBP. Name of Owner/Operator (print):. 1 �I— Title - Phone: - -61::2D Signature: Date. By checking the upper box oil this form, you are that: • The information contained in the RMBP most recently submitted is complete, accurate, ani I up-to-date; and • There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; anti • The facility has not begun handling Any hazardous material in a i•IMBP reportable: quantity that .is not currently listed in the Hazardous Materials Inventory; and • The most recently submitted 1-IMBP contains the information required by Section 11022 of ',[ itle 42 of the United States Code; and • There have been no substantial char es in the facility's operations that ►yould require revis cin of the current HMBP. LIN-039 - 1/1 ww W .un idncy,org Rev. 1 o/09/07 s1lsloa Site Visit Packet Permit No 60-0094 Facility Number: Facility Information Operator: STEVE MYRICK O Facility Name: SAN LUIS HONDA Address Number: 6 Address: HIGUERA ST Suite: City: SAN LUIS OBISPO Zip: 93401- CrossStreet: Parcel No: 004-511-016 Phone No: (805) 541-2200 Facility Type: Property Owner Name: Address: City: State: Zip: Phone: Underground Storage Tank Property Owner Name: Phone: Mailing/Street Address City: State Zip: Owner Type: :mergency Contacts Primary Days Last Name First Name ARNOTT BRAD ❑�/ �i MYRICK STEVE Status: Permit Expiration Date: 3/21 /02 Mailing Address Name: SAN LUIS HONDA YAMAHA Address: 6 HIGUERA ST Care Off Address: STEVE MYRICK City: SAN LUIS OBISPO State: CA Zip: 93401- Phone: (805) 541-2200 Business Owner Name: Address: City: State: Zip: Phone: Environmental Contact Name: Address: City: State: Zip: Phone: Miscellaneous SIC Code 5571 Dun Bradstreet Business License 77748 Guarantor Number CAL000071031 Current Balance: $185.00 Title _ SERVICE MANAGER OWNER Business 24 Hr Phone _ _ Phone _ (805) 541-2200 (805) 541-2200 (000) 000-0000 Hazardous Materials Business Plan - List of Chemicals Permit NJ 60-0094 } J Facility: SAN LUIS HONDA Address: 6 HIGUERA ST, SAN LUIS OBISPO Maximum Physical Largest Common Name Chemical Name __fDaily Amt Units State Container Grid No 'WASTE OIL , 'WASTE OIL 200 GAL I Liquid 200 Thursday, March 21, 2002 1 1 Page 1 of r-A ,�606 7 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) G. CHEMICAL INVENTORY (one page per material per 54ADD ❑DELETE ❑REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL C) -+%tom St-wo EP YES 10 NO FACILITY ID # I" CHEMICAL NAME ETHYLENE GLYCOL + OTHER GLYCOLS COMMON NAME CASE/ 107211 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) HAZARDOUS MATERIAL TYPE ❑ a. PURE ❑ b. MIXTURE (Check one item only) [ding or area) Page _ of _ 3 202 1 MAP# (optional) 203 1 GRID# (optional) 204 CHEMICAL INFORMATION 205 TRADE SECRET ❑ Yes ® No 206 If Subject to EPCRA, refer to instructions zoo 208 EHS* ❑ Yes ['No 209 *If EHS is "Yes", all amounts below must be in lbs. 210 211 212 213 ® c. WASTE RADIOACTIVE [I Yes E No CURIES 214 PHYSICAL STATE ❑ a. SOLID E b. LIQUID ❑ c. GAS reseal LARGEST CONTAINER 1 55 215 (Check one item only) 216 FED HAZARD CATEGORIES ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 SS 5 '� UNITS* ® a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS 221 DAYS ON SI/TE: v (Check one item only) *If EHS, amount must be in pounds. STORAGE ❑ a. ABOVE GROUND TANK ❑ e. PLASTICINONMEFALLIC DRUM i. FIBER DRUM ❑ j. BAG 0 m. GLASS BOTTLEE 223 ❑ n. PLASTIC BOTTLE ❑ r. OTHER CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN ❑ q. RAIL CAR Ad. STEEL DRUM ❑ h. SILO ❑ 1. CYLINDER ❑ p. TANK WAGON 224 STORAGE PRESSURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 1 50 ETHYLENE GLYCOL 2.� ❑ Yes ® No 107211 2Z9 230 231 ❑ Yes ❑ No 732 z33 2 234 235 ❑Yes [-INo � 237 3 238 239 ❑ Yes ❑ No 240 241 4 242 243 ❑ Yes ❑ No 244 245 5 lr at ter dum 1% b we[thl If non-carehmeeak or 0.1% by weitht it earciooteuk, attach additional sheets of paper cupturhst the required tofnrmatlou, If nacre bare—W compooeu amp 9 y ' 246 ADDITIONAL LOCALLY COLLECTED INFORMATION pt a M t girvw Jpo 14 / 0 4 ItI;P RA ease i iere A:\WASTANTI.DOC 11-Feb-00 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one a e er material per building or area) 200 DD ❑DELG"['E []REVISE Page — of — I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 S6L*% L," 3 iw4 +b r g 9 c-V �' CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL tax OwfS, a� EPCRA YES V1 NO ID # 11"IH T"I I I It MAP# (optional) 20 GRID# (optional) 204 FACILITY I I I - IF. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ❑ Yes No 206 11 Fh1 W"7 a otoo- ti l If Subject to E1'CRA, refer to instructions COMMON NAME 207 1� Ste- � L, e � _ / W ` Tv_ r"�- 208 EHS* ❑ Yes ` d No -- 209 CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE [I a. a. PURE b. MIXTURE c. WASTE ❑212 RADIOACTIVE Yes No 213 CURIES (Check one item only) PHYSICAL STATE 214 ❑ a. SOLID �rb. LIQUID ❑ c. GAS 215 LARGEST CONTAINER (Check one item only) 716 FED HAZARD CATEGORIES tea. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE �Fd. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 ZZO Z 7-C> 1 22t UNITS* a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS 222 3� ON SITE: r (Check one item only) *If EHS, amount must he in pounds. STORAGE ❑ a. ABOVE GROUND TANK ❑ e. PLASTICINONMLTALLIC DRUM ❑ 1. FIBER DRUM [3m. GLASS BOTTLE 223 CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ❑ r. OTHER ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN © q. RAILCAR mod. STEEL DRUM ❑ h. SILO ❑ 1. CYLINDER ❑ p. TANK WAGON 224 STORAGE PRESSURE ,®.a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 225 STORAGE TEMPERATURE Sra. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 227 229 1 ❑ Yes ❑ No 2M 231 232 233 Z ❑ Yes ❑ No 234 3 235 236 ❑ Yes ❑ No 237 238 239 240 241 4 ❑ Yes ❑ No 242 243 244 245 5 ❑ Yes ❑ No rf more ha rdous compooeuu an prueat at greater than 1% by weight U mn-carcinogenic, or 0.1% by wtighl Ir earciwrgtak, attach additional sheets of paper capluring the required iuforn7atran. 246 ADDITIONAL LOCALLY COLLECTED INFORMATION h�- Q If EPCRA Please Si n here A:\Chemical Inventory Business Plan.DOC 14-Feb-00 FORM I - SAN LUIS OBISPO COUNTY CERTa-MD UNIFIED Y..OGRAM AGENCY (CUPA) CHEMICAL INVENTORY (otle P e pe r materiai per building or area) VIADD ❑DELETE ❑REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 fLan LwiS .af'oY 5 0 we � S CHEMICAL LOCATION gal CHEMICAL LOCA110N CONFIDENTIAL 2o2 EPCRA ❑ YES 12�NO FACILITY ID # i"` 1 MAP# 203 GRID# 264 (Agency use only) a. CHEARCAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ❑ Yes 'ja No 206 Wad+P_ 7, 19f" ke— 1'L� (,+ ph Oil If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* ❑Yes 9 No CAS# 209 *If EHS is "Yes", all amounts below mast be in Ibs. FIRE CODE HAZARD CLASSES (Complete if rcquircd by CUPA) 210 HAZARDOUS MATERIAL TYPE (3 a. PURE 211 [I b. MIXTURE C.WASTE 212 RADIOACTIVE ❑ Yes IS No 213 CURIES (Check one item only) PHYSICAL STATE ❑ a SOLID 214 lab. LIQUID ❑ c. GAS LARGEST CONTAINER 215 SS (Chock one item only) „b FED HAZARD CATEGORIES ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2t9 STATE WASTE CODE_ 220 5s 5s UNITS* ❑ a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS 221 DAYS ON SITE: 222 (Che& one kem only) *9 EHS, amatmt must be In pods. 3 G STORAGE ❑ a. ABOVE GROUND TANK 0 e. PLASTICINONMETALLiC DRUM 0 L FIBER DRUM !] m GLASS BOT LE 223 CONTAINER ❑ b. UNDERGROUND TANK ❑ E CAN © j. BAG ❑ n. PLASTIC BOTTLE ❑ r. OTHER 0 c. TANK INSIDE BUILDING (] g. CARBOY 0 L BOX ❑ o. TOTE BIN ❑ q. RAIL CAR ffl:d. STEEL DRUM ❑ h. SILO ❑ L CYLINDER ❑ p. TANK WAGON I mORAGE PRESSURE 134. AMBIENT O b. ABOVE AMBIENT O a BELOW AMBI NT zzs STORAGE TEMPERATURE K4. AMBIENT O b. ABOVE AMBIENT O a BELOW AMBIENT O d: CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS _ CAS # zze I zzf ❑ Yes: zzs [INo 229 2 230 231 ❑ YeS ❑ No 232 233 zit 3 z3s ❑Yes [INo z37 4238 239 zoo ❑ Yes [I No u1 uz S � � ❑ Yes fl No � r.w r trad.s eurprur[s are rrw.t .e y�arcr aaw 1'Ir h ■ r ••�-o.�..6 1" «ea s 4r "OrcU lta ad tlomd AMU r p.p.eu;—w Q We ;jZod WWOM «t. us ADDITIONAL LOCALLY COLLECTED INFORMATION P24- 1"l. g►�a►,n... 10/ if FPCRA, OemtAm 0:%D000MENT%Jefrp%FORMS%Buslness Plan FOrmsTRM-LDOC Mug-02 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PRuGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one pge per material per buil aI) ❑DELETE ❑REVISE 20o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) SovA LL%iS Moao�S owtS CHEMICAL LOCATION 201 CHEMICAL LOCATIO CONFIDENTIAL ❑YES MNO (Agency ose MAP# 203 GRID# FACFACILITY'FACILITY' ID # (Agonly) v'r II. CHEMICAL INFORMATION or area) 3 202 204 CHEMICAL NAME "b 'e ( eAA Ac id 205 TRADE SECRET ❑ Yes LW No If Suhjert to EPCRA, refer to instructions 206 COMMON NAME 5+e- �, en.rJ�_A L. AO Ct �0.'ff a✓1 C. S zm Yes glSs ❑RNo zos CAS# 209 =If EHS is "Yes", all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (complete if requbcd by CUPA) 210 HAZARDOUS MATERIAL TYPE ❑ a. PURE 211 ❑ b. MIXTURE ® c. WASTE 212 RADIOACTIVE ❑ Yes N No CURIES 213 (Chock one item only) 215 PHYSICAL STATE na. SOLID 214 Kb. LIQUID ❑ c. GAS LARGEST CONTAINER Z (Check one item only) 216 FED HAZARD CATEGORIES ❑ a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE mod. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Cheek all that apply) AVERAGE DAILY AMOUNT '_17 MAXIMUM DAILY AMOUNT 213 WASTE AMOUNT 2!9 ANN7[3--]d. STATE WASTE CODE 220 5 • IINIIS• xa. GALLON ❑ b. CUBIC FEET ❑ a POUNDS 221 TONS DAYS ON SITE: 222 (Chock ow item only) STORAGE a. ABOVE GROUND TANK •I[ EM. amotmt must be In poauds. e. PLASTICINONNMTALLIC ]DRUM 0 L FIBER DRUM m. GLASS BOTTLE OTHER 223 CONTAINER El b. UNDERGROUND TANK ❑ c. TANK INSIDE BUE DING 0 E CAN ❑ g. CARBOY [Ij. BAG (3n. PLASTIC BOTTLE r. ❑ k. BOX ❑ o. TOTE BIN ❑ q. RAIL CAR ❑ d. STEEL DRUM © b. sQA ❑ L CYLINDER ❑ P. TANK WAGON STORAGE PRESSURE )Wa. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBEM STORAGE TEMPERATURE ,)T. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixixire or Waste only) EHS CAS # tab zn � ❑Yes ❑ No 229 l �0 231 Z32 E] Yes 0 No Z:i3 2 234 235 236 ❑Yes ❑ No ; 237 3 238 239 ❑Yes Q No � 241 4 _ 242 2u 2u Yes ❑ No 245 S ^s H awan i+e.d..a w.p.enet are I ae Pda tbm 1s by wded Ifs000velmWak, or ILL by rslgt Ii aclaspsle. @Mae% additlsrar sboWs al Ppw o�I� tre arlird i.r«..el.. x<a ADDITIONAL LOCALLY COLLECTED INFORMATION pier Irl t Pi►�*►'�- .. +� i:i' ;'u.r: ..(,: i.�.,,:i ,....�, ..�+c:0.i1J ...tt:i�! i, .;•;11�,.,5�:1DgCUMEM1Jef(p1FORMS�Business Plan Forr sTRWWC 8-Aug-02 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one pap per material pr building or urea) [-]DELETE ❑REVISE 200 Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA fdq ✓ 5ho ❑ YES Q�x0 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ❑ Yes Q'No 206 WASTE SOLVENT If Subject to EPCRA, refer to instructions 208 COMMON NAME 2tn EHS* ❑Yes WNo WASTE SOLVENT 209 CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 211 212 213 HAZARDOUS MATERIAL TYPE ❑ a. PURE E b. MIXTURE ❑ c. WASTE RADIOACTIVE ❑ Yes ® No CURIES (Check one item only) 214 PHYSICAL STATE El a. a. SOLID ® b. LIQUID ❑ c. GAS LARGEST CONTAINER 215 (Check one item only) J 216 FED HAZARD CATEGORIES ® a. FIRE ❑ b. REACTIVE ❑ c. PRESSURE RELEASE ® d. ACUTE HEALTH ® e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 5-5-ss 1 UNITS' ®a. GALLONS ❑ b. CUBIC FEET ❑ c. POUNDS [I221 d. TONS DAYS O SITE: N 3 222 (0teck one item only) +If EHS, amount must be in pounds. 1ps STORAGE U a. ABOVE GROUND TANK 0 e. pLASTiC1NONMETALLIC DRUM i. FIBER DRUM ❑ j. BAG ❑ In. GLASS BOTTLE ❑ n. PLASTIC BOTTLE ❑ I. OTHER 223 CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k. BOX ❑ o. TOTE BIN ❑ q. RAILCAR j4d. STEEL DRUM ❑ h. SILO ❑ I. CYLINDER ❑ p. TANK WAGON 224 STORAGE PRESSURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE ® a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 1 90 WASTE SOLVENT 227 ❑ Yes E No 2n N/A 22S 2 10 PETROLEUM HYDROCARBON 231 El Yes E No x32 N/A 233 � 235 ElYes ❑ No 236 237 3 239 239 ElYes ❑ No 240 241 4 242 243 [:1Yes [:1No 244 24' 5 If more hazardous components are present at greater than 1% by weight if non<archwgenk, or 0.1% by weight if carcinogenic, mach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION � p� 1 'r M t 6 rOw� f O l (4 /0 4' If EPCRA. PI a —Si 111M A:\WASTESOL.DOC 11-Feb-00 � �a�1,a I Site Visit Packet Permit No 60-0094 Facility Number: Facility Information Facility Name: SAN LUIS HONDA Operator: STEVE MYRICK 0 Address Number: 6 Address: HIGUERA ST Suite: City: SAN LUIS OBISPO Zip: 93401- CrossStreet: Parcel No: 004-511-016 Phone No: (805) 541-2200 Facility Type: Property Owner Name: Address: City: State: Zip: Phone: Underground Storage Tank Property Owner Name: Phone: Mailing/Street Address City: State Zip: Owner Type: (Emergency Contacts Primary Days Last Name 0 0 ARNOTT ® MYRICK First Name BRAD STEVE Status: Permit Expiration Date: 6/26/01 Mailing Address Name: SAN LUIS HONDAYAMAHA Address: 6 HIGUERA ST Care Off Address: STEVE MYRICK City: SAN LUIS OBISPO State: CA Zip: 93401- Phone: (805)541-2200 Business Owner Name: Address: City: State: Zip: Phone: Environmental Contact Name: Address: City: State: Zip: Phone: Miscellaneous SIC Code 5571 Dun Bradstreet Business License 77748 Guarantor Number CAL000071031 Current Balance: $185.00 Business 24 Hr Title Phone Phone SERVICE MANAGER (805) 541-2200 (>. OWNER (805) 541-2200 (8C-. (000) 000-0000 Pager Hazardous Materials Business Plan - List of Chemicals Permit No: 60-0094 Facility: SAN LUIS HONDA Address: 6 HIGUERA ST, SAN LUIS OBISPO Maximum Physical Largest Common Name Chemical Name nails Amt Units State Container Grid No WASTE OIL IWASTE OIL 200 GAL I Liquid 200 Tuesday, June 26, 2001 Page I of 1 Site Visit Packet Permit No 60-0094 Facility Number: Facility Information Facility Name: SAN LUIS HONDA Operator: STEVE MYRICK O Address Number: 6 Address: HIGUERA ST Suite: City: SAN LUIS OBISPO Zip: 93401- CrossStreet: Parcel No: 004-511-016 Phone No: (805) 541-2200 Facility Type: Property Owner Name: Address: City: State: Zip: Phone: Underground Storage Tank Property Owner Name: Phone: Mailing/Street Address City: State Zip: Owner Type: Emergency Contacts Primary Days Last Name 0 ARNOTT MYRICK ❑ 0 First Name Title BRAD Status: Permit Expiration Date: 1/16/01 Mailing Address Name: SAN LUIS HONDA YAMAHA Address: 6 HIGUERA ST Care Off Address: STEVE MYRICK City: SAN LUIS OBISPO State: CA Zip: 93401- Phone: (805)541-2200 Business Owner Name: Address: City: State: Zip: Phone: Environmental Contact Name: Address: City: State: Zip: Phone: Miscellaneous SIC Code 5571 Dun Bradstreet Business License 77748 Guarantor Number CAL000071031 Current Balance: $185.00 SERVICE MANAGER STEVE OWNER Business 24 Hr Phone Phone (805) 541-2200 (P--' kouo) 041-ccuu (000)000-0000 Pager Hazardous Materials Business Plan - List of Chemicals Permit No: 60-0094 Facility: SAN LUIS HONDA Address: 6 HIGUERA ST, SAN LUIS OBISPO Maximum Physical Largest Common Name Chemical Name Daily Amt Units State Container Grid No WASTE OIL WASTE OIL 200 1 GAL 1 Liquid 1 200 Tuesday, January 16, 2001 Page 1 of I