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HomeMy WebLinkAbout1010 Orcutt UST Correspondence_...1 Division of EnvironttM.xtal Health z ty o f Sar'ii,ui s Obispo � (805) 781-5544 1. P.O. Box 1489 Fire Department (805) 781-7380 2156 Sierra Way *San Luis Obispo, CA 93406 2160 Santa Barbara Avenue Department of Agriculture/Measurement San Luis Obispo CA 93401-5240 'a l;�l - Standards (805) 781-5910 2156 Sierra Way Suite A •San Luis Obispo, CA 93401 Utilities Department • Luis Obispo, 879 Morro Street •San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data Date: l 0 / l © / 09- entry by: Time: (Q0 130 n FACILITY ID NO: AGENCY INSPECTION TYPE FACILITY NAME: V-4fiaAl G Gl-e 5 ❑ DEH Routine ADDRESS: 10 Or� rahI �a El AG DEPT ❑ Reinspection ❑ CITY FIRE ❑ Complaint VCITY UTILITIES ❑ Other PHONE: PROGRAMS INSPECTED: Business Plan HW Generator ❑ UST ❑ AGT ❑ Tiered Permitting REINSPECTION REQUIRED: NO ❑ YES ❑ Business Plan ❑ HW Generator I ❑ UST ❑ AGT ❑ Tiered Permitting PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance .with adopted codes. GRANTED BY (NAME/TITLE): BUSINESS PLAN YES ❑ N❑ BPOl Business plan is complete, current, &available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑ TROI Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ ❑ TR02 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) O'❑ ❑ 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: FACILTTY REP: Ponrn I nf)l —, i f1.1 M0"%/+t 1A ,I r'KM I. 16ltn- It)M1 Aloll....-- A.'- 9�.. IN 4nn • — r• PACJUTY NAME: DATE: INSPECTOR: HAZARDOUS WASTE GENERATOR EPA ID a _ mLbs o gl onNUMBER: GAJJ`000 5- �,Total generated l (average) Tiered Permit: ❑CESW ❑CESQT [:]CA ❑PBR Waste oil: Solvents: Ap _ Treatment Equipment: Antifreeze: Others: Yly 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) wn knowledge ❑analysis ❑other ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR 66262.40.(c)) DISPOSAL/TRANSPORTATION ❑ ❑ GTO5 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or .lull ization from DTSC (HSC 25189.5, Title 22 CCR 66262.12) tilkrnn service ❑other ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR 66262.20) ❑ ❑ 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 ❑ ❑ GTO8 Ilap4rdous 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 Ibs.)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 labelinglaccumulation time/55-gal or 1-qt limit) (Title 22 CCR 66262.34(c)) ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR 66265.176) ❑ ❑ GTl1 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) V,I❑ ❑ 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) ICJ ❑❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR 66265.173) GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR 66265.174) ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR 66265.195) ❑ ❑ r], 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 ❑ ❑ 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) ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 66266.3) repro 1183 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 SPECIFIED. 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 law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your facility may be reinspected any time 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 NE: IRE R MINOR MAJOR CORRECTIVE ACTION REQUIRED jU`er ll � ►`z r' + `� N o Lfxe')'e 5 Hmm age r� VisPrr n-F- Sri e?A/NA DAI q --i7;D Inspected By: Facility Rep Name:' ���}/ Date: ' ALTl Signature: repro 1127 rev 1 O:\DOCUMENT\Jeffp\FORMS\Inspection forms\CUPA inspection fon-,is.doc 10-Sep-01 MEMORANDUM MEMORANDUM t Of MEMORANDUM FIRE DEPARTMENT MEMORANDUM 748 Pismo Street . San Luis Obispo, California 93401 549-7380 TO: Dave Moran, Planning FROM: Spencer Meyer, Inspector/Plan-Checker SUBJECT: 1010 Orcutt Road - ARC 88-192 DATE: 19 December 1988 Access: As proposed, appears adequate. Access to building shall be via a lock -box (flush -mounted) with appropriate keys provided. Fire -Flow: The calculated fire -flow for this project is approximately 1,500 gpm. The distribution main on Orcutt Road appears adequate to serve this proposed project. Hydrant Location: Public hydrant (street) density is inadequate with reference to proposed land use and designated arterial roadways. An additional fire hydrant (commercial option: Mueller H-980K or Clow 2065) will be required at the project's entrance. SM:cb cc: Jerry Kenny, Engineering Bill Hetland, Public Works Fire Department Plan -Checker city of SAn lugs OBISPO Fire o..rtm�era�San tr'v�.�9v STORE, USE OR HANDLE MATERIALS, EQUIPMENT AS DESCRIBED BELOW: ALL REQUIREMENTS SHALL THIS PERMIT IS NON-TRANSF NOT BE REMOVED - BY OF) EXPIRATION DATE I.D. NO DATE:_ r� HAS PERMISSION TO MAINTAIN, TO CONDUCT PROCESSES, OR TO INSTALL PER THE UNIFORM FIRE CODE AND IT; RABLE. IT SHALL BE POSTED IN PUBLIC VIEW AND SHALL ER OF THE FIRE CHIEF. AMOUNT PAID: $ W FIRE MARSHAL M cn,<m /c, /C',, ez% ;ftO 2 —?14 �u c S /- z e�ry Address wW. eh�C) V , SOLD 13CASH C.O.D; Cu"o rne,:r3Ys Re, Order No. KEEP TMIS SLIP FOR RE; -'I aoi:n- SL250/01250 �Colt i Of SM IUIS OBISPO E MF Fire Department • 748 Pismo St.- San Luis Obispo,Ca.93401-549-7380 ]Pez*3= Zt ADDRESS: 1010 orcutt DATE: Negrant i ('ongtrtict ion HAS PERMISSION TO MAINTAIN, STORE, USE OR HANDLE MATERIALS, OR TO CONDUCT PROCESSES, OR TO INSTALL EQUIPMENT AS DESCRIBED BELOW: a ,, .� �.�r1-,unFi rlalnmab-l-r• LZifUli_i tom,-. i.t,-.fin 'Y7;f, �)i:T Article'irsctl:w1 IS Cyt the lJT]i C]Xftl Fire Deioartioont ion"t r•{7"= iT-va otit arid L , ink removal and j 1 r3 8 t ci I la t j r 7,{]:; . fr ALL REQUIREMENTS SHALL BE PER THE UNIFORM F I RE CODE AND ITS STANDARD . THIS PERMIT IS NON TRANSFERABLE. IT SHALL BE POSTED IN PUBLIC VIEW AND SHALL NOT BE REMOVED - BY ORDER OF THE FIRE CHIEF• Lr�Vcs1 �: -��-B�? AMOUNT OF PERMIT: $. EXPIRATION DAT �S.� �E_� - ,' B Y : I. D. NO. Fire Pr3t^�tct io I rl .—r Fire Department N Attach a plot plan showing: Location of all tank(s) and piping and their secondary containment Leak detection system Overfill protection system Scale North arrow Property line Nearest intersection or road Equipment summary Existing equipment and a ipment to be removed y 9-�z-$6 /'�Ipl 7ca 71 gnature Date FDP 269 q of 2 Time rn LE vu WERE OUT M of Phone Area Code Number Extension T RETURNED YOUR L Mrs5soge Operator �� TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT AMPAD 23-000 50 SHT. PAD , �JO EFFICIENCYO % 23'001 250 SHT- DISPENSER SOX f ��'c-��f -� 2 IS OBISPO CITY c�YVE DOUSFOR PERMIT MATERIAOLSASTORAGE TANK �ANDON .`f� 1 ndersigne for permit to abandon tank(s) in u f f KnC4- � - - - PART I o �C vV "4S Contact: bl'o pl4 c� S4,'te r � lle�rfu�a d SL�e��a� Oaks, CA- - gz6fl od� Q e42fi /y � contact: DI c-k -Nor- k' 12 � sca e✓o C4- 3YZ3 List previous owners and operators of the tank(s), if applicable: DATE N1,4 Attach a plot plan showing: OWNER/OPERATOR Location of all tank(s) and piping and their secondary containment Leak detection system Overfill protection system Scale North arrow Property line Nearest intersection or road Equipment summary Existing equipment and equipment to be removed ca gnature 9-lz-g6 Date FDP 269 bf 2 SAN LUIS OBIS PO CITY cz/V�C APPLICATION PERMIT O UNDERGROUND HAllARDOUSMATERIALSASTORAGE TANK Application is hereby made by the undersigneA for permit to abandon tank(s) in or on premises at:�QrGut+ 0—CIA LA " -3 PART I OWNER: Name of Company: olsoll FQV&-4-S _ Contact:- _Plz?ce y Mailing Address: NZl? Ue"+,4va d Sy;teSL,2✓�R� Oaks C,- Yi yz 3 Telephone: (8l8) `l8l - `%Z6r? —_ OPERATOR: Company: S LOCO _F_eo� . Q 42 P, /&jc, Contact : Dick LVoc Mailing Address: PO (3o x tyZ? I .A-�Cts cad evo l CA- 2_3qZ3 Telephone: ($OS) Syq- 8 D of 6- % 60 List previous owners and operators of the tank(s), if applicable: DATE N1P Attach a plot plan showing: FDP 269 OWNER/OPERATOR Location of all tank(s) and piping and their secondary containment Leak detection system Overfill protection system Scale North arrow Property line Nearest intersection or road Equipment summary Existing equipment and e L •j C� t- pment to be removed 9-/z -S6 Date PART II Date Tank Installed: _U,_ k,iowvl Materials stored i.n tank: DATE I L/1 Volume of Tank (Gallons) 550 MATERIAL Type of Primary Containment: ❑ Concrete ❑ Fiberglass [] Steel I❑ Fiberglass Coated Steel Q Other Piping/Materials of Construction: 0 Steel ❑ Fiberglass ❑ Other Type of Secondary Containment: ❑ Concrete Fiberglass ❑ Steel ❑ Fiberglass Coated Steel L] Other Was any part of system cathodical ly protected?� G1A k!t o w _ If yes, which part(s)? Describe leak detection system used, if any: WA kooW v1 Describe overfill protection system used: UPI %ch o wil What is approximate depth to groundwater? U!ak1'10W! ► _ Basis of determination: --- What is the final destination of the tank(s) for disposal? �.. Cyv m'rc k- De---Igl F' 40" 3 / Wes SfveC f�, 5a ;1 + O�- L.e � C ,4 � 3 4 5 C4 . FDP 269 2 of 2 P /04 P%a pl. - /010 ov-cu44 RoacA Oeau-4+ Roa of city of sAn hAis oBispo FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo, CA 93401 • 805/549-7380 .h March 7, 1986 H. & 0. Foods 1010 Orcutt Road San Luis Obispo, CA 93401 TO: Underground Tank Owner and/or Operator According to my records, as of this date, your underground tank has not been registered with the State of California or this office. Registration of the tanks is mandated by City Ordinance No. 999, which requires all underground tanks to be registered by March 1, 1986, and compliance by September 1, 1986 for monitoring devices. Contact me as soon as possible so I can assist you in compliance with the Ordinance: 748 Pismo Street, San Luis Obispo, 805/549-7380. Very truly yours, el eA �?Z� R. K. Miller Underground Tank Inspector RKM:cb RKM6 city of sAn tuis oaspo FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo, CA 93401 • 805/549.7380 April 3, 1986 Olson Brothers Egg Co., Inc. P.O. Box 5346 Sherman Oaks, CA 91413 TO: Underground Tank Owner and/or Operator According to my records, as of this date, your underground tank has not been registered with the State of California or this office. Registration of the tanks is mandated by City Ordinance No. 999, which requires all underground tanks to be registered by March 1, 1986, and compliance by September 1, 1986 for monitoring devices. Contact me as soon as possible so I can assist you in compliance with the Ordinance: 748 Pismo Street, San Luis Obispo, 805/549-7380. Very truly yours, R. K. Miller Underground Tank Inspector RKM:cb RKM6 OLSON INDUSTRIES, INC. I U 13400 RIVERSIDE DRIVE, SUITE 200 POST OFFICE BOX 5346 SHERN mmcao dN'i MESSA:C City of San Luis Obispo Fire Department 748 Pismo Street San Luis Obispo, CA 93401 RE: Permit Required Notific Addressed to: H.O. Fooc Dated: August 6, 1986 Gentlemen: We are in receipt of your ab Foods, and on behalf of H.O. this corporation, we are res] Please be advised that H.O. F San Luis Obispo in 1983-1984 taken over by Olson Farms, Ir. FOR TIME A.M. s - 3S PHONE wunneEFl rxTeti��nN Af-lEA cooE � TELEPHONED CAME TO SEE YOU WANTS TO SEE YOU RETURNED YOUR CALL PLEASE CALL WILL CALL AGAIN RUSH CPECIAL ATTENTION SIGNED I am by copy of this letter f U SIGNED W LJ S A to Olson Farms, Inc. at the a that you amend your records a TOPS 3002-P , - m� l sutw Thank you in advance for your assistance in this matter. Very truly yours, OLSON INDUSTRIES, INC. Maggie H. Earley Assistant Secretary MHE/KDG cc: Deanna Placey Vice -President Olson Farms, Inc. 14429 Ventura Blvd. Suite 117 Sherman Oaks, CA 91423 544-5350 OLSON INDUSTRIES, INC. 13400 RrvERSiDE DRIVE, SuITE 200 POST OFFICE Box 5346 SHERMAN OAKS, CAUTORNIA 91413-5346 (818)995-1238 August 28, 1986 ' RECEIVED"".,-, 1986 City of San Luis Obispo Fire Department 748 Pismo Street San Luis Obispo, CA 93401 RE: Permit Required Notification Addressed to: H.O. Foods Dated: August 6, 1986 Gentlemen: We are in receipt of your above notification addressed to H.O. Foods, and on behalf of H.O. Foods, a 50% owned subsidiary of this corporation, we are responding. Please be advised that H.O. Foods terminated its operations in San Luis Obispo in 1983-1984 and this operation has now been taken over by Olson Farms, Inc., a California corporation. I am by copy of this letter forwarding your Permit Notification to Olson Farms, Inc. at the address shown below and would request that you amend your records accordingly. Thank you in advance for your assistance in this matter. Very truly yours, OLSON INDUSTRIES, INC. Maggie 1-1. Earley Assistant Secretary MHE/KDG cc: Deanna Placey Vice -President Olson Farms, Inc. 14429 Ventura Blvd. Suite 117 Sherman Oaks, CA 91423 STATE ID NUMBER APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) 4 l ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) 1 I OWNER NAME(CORPOkAT N,INDIVIt)gJ L OR PUBLIC AGENCY) PUBLIC AGENCY ONLY 01 FED ( 1 02 STATE ( ) 03 LOCAL STREET ADDRESS CITY ST E II ..___1_gi/�9 env'u !1 a 1y� II FACILITY FACILITY NAME DEALER/FOREMEN/SUPERVISOR STREET ADOPESS NEAREST CROSS STREET later �►Q.�Lt _ o - -- - - - -- - - CIT COUNTY ZIP MAILING ADDRESS CITY STATE ZIP PHONE W/APEA CODE TYPE OF BUSINESS ( ) 01 GASOLINE STATION 'N) 02 OTHER NUMBER OF CONTAINERS RURAL AREAS ONLY 7 TOWNSHIP RANGE SECTION --- ---- J.- ---. .. ---- -- - - III 24 HOUR EMERGENCY CONTACT PERSON [DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE (NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER IV DESCRIPTION A .-**Q ) 01 TANK ( 1 02 OTHER: CONTAINER NUMBER B. MANUFACTURER (IF APPROPRIATE): \ IV YEAR MFG: C. YEAR INSTALLED ( ) UNKNOWN D. CONTAINER CAPACITY: GALLOf�i l UNKNOWN 1E. DOES THE CONTAINER STORE: ( ) 01 WASTE ( 1 02 PRODUCT F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): ( 1 01 UNLEADED ( l 02 REGULAR ( l 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER V CONTAINER CONSTRUCTION A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( 1 CM ( ) UNKNOWN B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON -VAULTED ( ) 03 UNKNOWN C. ( ) 01 DOUBLE WALLED ( l 02 SINGLE WALLED ( ) 03 LINED D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC ( l 12 UNKNOWN ( ) 13 OTHER: HSC04-070185 St " RECEIVED J PAGE 1 STATE ID NUMBER CONTAINER CONSTRUCTION E. ( ) 01 RUBBER LINED ( 1 02 ALKYD LINING ( ) 03 EPDXY LINING ( 1 04 PHENOLIC LINING ( ) 05 GLASS LINING ( ) 07 UNLINED ( •l 08 UNKNOWN ( ) 09 OTHER: F. ( I 01 POLYETHLENE WRAP ( ) 02 VINYL WRAPPING ( ) 03 CATHODIC PROTECTION ( ) 04 UNKNOWN ( ) 05 NONE ( ) 06 TAR OR ASPHALT ( ) 09 OTHER: VI PIPING A. ABOVEGROUND PIPING: ( ) 01 DOUBLE -WALLED PIPE ( ) 02 CONCRETE -LINED TRENCH ( ) 03 GRAVITY (CHECK APPROPRIATE BOX(ES) ( ) 04' PRESSURE ( ) 05 SUCTION ( ) 06 UNKNOWN ( l 07 NONE B. UNDERGROUND PIPING: ( ) 01 DOUBLE -WALLED PIPE ( ) 02 CONCRETE -LINED TRENCH ( ) 03 GRAVITY (CHECK APPROPRIATE BOX(ES) ( ) 04 PRESSURE ( ) 05 SUCTION ( ) 06 UNKNOWN ( ) 07 NONE VII LEAK DETECTION ( ) 01 VISUAL ( ) 02 STOCK INVENTORY ( ) 04 VAPOR SNIFF WELLS ( ) 05 SENSOR INSTRUMENT ( ) 06 GROUND WATER MONITORING WELLS _( ) 07 PRESSURE TEST ( ) 09 NONE ( ) 10 OTHER: VIII CHEMICAL COMPOSITION OF MATERIALS STORED IN UNDERGROUND CONTAINERS IF YOU CHECKED YES TO IV-F YOU ARE NOT REQUIRED TO COMPLETE THIS SECTION CURRENTLY STORED ( l 01 PREVIOUSLY STORED ( ) 02 DELETE ( ) 03 CASSR (IF KNOWN) CHEMICAL (DO NOT USE COMMERCIAL NAME) ( ) 01 ( 1 02 ( l 03 ( ) 01 ( ) 01 ( ) 02 ( ) 02 ( ) 03 ( ) 03 ( ) 01 ( ) 02 ( ) 03 ( l 01 ( l 02 ( l 03 ( ) 01 ( ) 02 ( ) 03 ( ) 01 ( ) 02 ( ) 03 ( ) 01 ( ) 02 ( l 03 ( )01 ( )02 ( )03I fIS CONTAINER LOCATED ON AN AGRICULTURAL FARM? ( ) 01 YES ( ) 02 NO THIS FORM HAS BEEN COMPLETED UNDER THE PENALTY OF PERJURY AND, TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. PERSON FILING (SIGNATURE) FOR LOCAL AGENCY USE ONLY (ADMINISTRATING AGENCY PHONE W/AREA CODE CITY CODE CONTACT PERSON DATE OF LAST INSPECTION IN COMPLIANCE PERMIT APPROVAL DATE ( l 01 YES ( l 02 NO PHONE W/AREA CODE COUNTY CODE TRANSACTION DATE ILOCAL PERMIT ID # HSC04-070185 PAGE 2 city of san luis oBispo FIRE DEPARTMENT o l o c� n.C.X _ -� ow �1 TO: Unde Aerator FROM: R. K. Miller, Underground Tank Inspector SUBJECT: Registration of Underground Tanks According.to my records, as of this date you have-not registered with this office. or the State of California. It is imperative that you contact me within 7 working days regarding this matter. It should be noted that "failure to file" penalties could range from $500-$5,000 per day. For falsification of records, you can be fined up to $20,000 each day the information is incorrect or has not been corrected (Section 25299, California Health & Safety Code, Division 20, Chapter 6.7, and Hazard Substances Storage Statement ^a-04 -4 s, Form) . P 135 882 a+r<02-71 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent 0 S N R a air ZIP Code d d cs f/1 7 it N co o) T m c Postm17s E 7 ° LL N a -,t Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return receipt showing to whom, Date, and Address of Delivery TOTAL Postage and Fees $ )mply, there will be no choice but to turn this :ity Attorney. 19-7380 to arrange for an appointment. Very truly yours, R. K. Miller Underground Tank Inspector 1 TO: FROM: city of sAn Luis oBispo FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo, CA 93401 • 805/549-7380 acr���ut- S o G o G. Unde perator R. K. Miller, Underground Tank Inspector SUBJECT: Registration of Underground Tanks According to my records, as of this date you have-not registered with this office,or the State of California. It is imperative that you contact me within 7 working days regarding this matter. It should be noted that "failure to file° penalties could range from $500-$5,000 per day. For falsification of records, you can be fined up to $20,000 each day the information is incorrect or has not been corrected (Section 25299, California Health & Safety Code, Division 20, Chapter 6.7, and Hazard Substances Storage Statement Official Registration Form). If you do not comply, there will be no choice but to turn this matter over to the City Attorney. Contact me at 549-7380 to arrange for an appointment. �Z, Very truly yours, R. K. Miller Underground Tank Inspector RKM : cb RKM2-2 city of sAn ILis oBispo FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo, California 93401 805/549-7380 1L6— FROM �2 K t� I I I'Kn- SUBJECT, DAT 9 G H 0 -,5FFIC W9voj�M,� [7i� 2� (7iENn.'A i�CA ~k t�cc► — lu(� Cc�p2 A-�i-�.u� �' ands rsAs on_ r r-L . \jeL -ti ?tc-oUit,4 L� oq'i MEMORANDUM THE PRYNTERS • 543-5939 o I FILE Uty Of SAn 1UIS OBISPO FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo,CA 93401 • 805/543-6046 -STREET NVNBE:R DIR. STREET NAME BLDG. NO. L L" L L I 1 1. BVSINESS NAME ONE JEACETWIEEN NAMES) ! Il� I `•• i L....I '�, !; I. I l� 1 1 1 I I ILL MANAGER _ HOME PH AREA CODE .1 LMfaGENC UBC OCCUPANCY YR.CONST STORIES MAX OCCUPANT La CONST. INSP TIME GRID CQ/PLAT #NEN INSP DATE ''r 1, rr r`r = EJ c� NOTICE OF FIRE & SAFETY HAZARDS: You are hereby notified that an inspection of your premises has disclosed the following fire safety hazards and/or are of the provisions of appropriate local or state codes: 1) Install - 2A10BC fire extin uisher(s). Extinguisher must be 1 mounted (height not to exceed 5' maximum or 3' minimum). 2) Service fire extinguisher(s). Extinguishers are to be serviced annually and after use. 3) Remove unapproved extension cords or multi -plugs (see below for r' � f � 1• Date Items/Non-Compliance Action Initial ORDER TO COMPLY : As such conditions are contrary to law, you are hereby required to correct said conditions immadlaWy doon receipt of this notice. An inspection to determine whether you have complied will be conducted on or before RElNSPECTION DATE Failure to comply with the foregoing order before the date of such reinspection may render you liable to the penalties provided by law for such violations. x x OCCUPANT INSPECTING OFFICER COMPANY PLATOON Original: To Business Yellow: Clearance - FPB Pink: To Station W 0 II FILE CM Ly Of Sdn tUIS OBISPO FIRE DEPARTMENT 748 Pismo Street • San Luis Obispo,CA 93401 • 805/543-6046 TREET NUMBER ❑IR. STREET NAME[— 1 �7 r ID i � c_ 'f j 'r ! J 1 '4 i 1 .1 If 1 A II iI') UBC OCCUPANCY YR.CONST STORIES MAX OCCUPANT LD. CONST INSP TIME GRID [ , 11 �/ I) r/ HOME PHONE AREA C DE (4 -1 ' 101 CO/PLAT. #fEN INSP DATE = FLI I /, /: NOTICE OF FIRE E SAFETY HAZARDS: You are hereby notified that an inspection of your premises has disclosed the following fire safety hazards and/ violations of the provisions of appropriate local or state codes: 1) Install - 2A10BC fire extin uisher(s). Extinguisher must be mounted (height not to exceed 5' maximum or 3' minimum). 2) Service fire extinguisher(s). Extinguishers are to be serviced annually and after use. 3) Remove unapproved extension cords or multi -plugs (see below for specifics). I r r' l rr i` r r:. r hr u f r Pr r i E fi Date Items/Non-Compliance Action Ini 1 L El92 E1-�D ORDER TO COMPLY : As such conditions are co,*cry to low, you are hereby required to correct said conditions immedlatelX u an receipt of this notice. An inspection to determine whether you hove Complied will be conducteld on or before REINSPECTION DATE Failure to comply with the foregoing order before the date of such remspac.�hon may render, you liable to the LLL ) 1 penalties provided by law for such violations, X _ ' X. OCCUPANT — INSPECTING OFFICER COMPANY PLATOON Original: To Business Yellow: Clearance - FPB Pink: To Station ",mhm !e (L A N (A T o _ �• m O• !bD 0 N d O ti T T T n � N w•Tm • T w.m�. CL rwo T C. 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