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HomeMy WebLinkAbout1050 Orcutt<<� • I '• Environmental Health Services City Of 44 P.O. Box 1489 SM WIS OBISPO 2156 Sierra Way San Luis Obispo, CA 93406 Fire Department (805) 781-7380 — 2160 Santa Barbera Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data Date: entry by: Time: U/Ll FACILITY NAME: AGENCY ❑ EHS CITY FIRE INSPECTION TYPE ❑ Routine ❑ Reinspection ❑ Complaint ❑ Other ADDRESS: PHONE: PROGRAMS INSPECTED: ❑Business Plan P-HW Generator ❑UST ❑AGT ❑CALARP REINSPECTION REQUIRED: NO ❑ YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑CALARP BUSINESS PLAN YES NO N/A, ❑ ❑ ' BP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ❑ ❑ BPO2 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑ ❑ ❑ BPO3 Site layouttfacility 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) ❑ ❑ TRO2 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 4 66265.53/54) ❑ ❑ ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of hazardous materials/waste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265.31-.43) ABOVEGROUND PETROLEUM STORAGE TANK ACT � ❑ ❑ ❑ ATOI SPCC Plan is reviewed and certified b a registered engineer within last 5 y regis ngin yrs. (40 CFR 112.5(b)) ❑ ❑ ❑ AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) to http://www.slopublichealth.orglenvironmentalhealdAazardous_materials.htm, to obtain forms t9 comply with 13P01-131`03, TR01 and ER01 ,�I . II rt f �f GPS Coordinates: Latitude: C.\DCCUM�--1\Repm\LOCALS--l\Templc.lotus. notes-daiall-inspection Form Page 1.doc 24-Jan-06 U�WCounty of San Luis Obispo '� Environmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 city q 3 san Buis OBISPOice•• Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Date: Time:,: - i s _ it - i „t,. EFW data entry by: FACILITY NAME: fr SPt)WV, T.!lC, AGENCY ❑ EHS ❑ AG DEPT ❑ CITY FIRE INSPECTION TYPE Routine ❑ Reinspection ❑ Complaint ❑ Other Result Code: 7080 _90 Action Code: _32 _37 _33 _31 ADDRESS: 1 t150 O ry wA- ftd ,.; ., ••. _ PHONE: PROGRAMS INSPECTED: ❑ Business Plan _F1/1 HW Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: `U NO ❑ YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑CALARP PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): BUSINESS PLAN �1 YES NO COS N/A. ❑ ❑ ❑ Q' BPOI 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 ❑ ❑ ❑, ' ❑ TR01 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 k�2 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 materials/waste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265.31- .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT ❑ ❑ ❑ AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ ❑ AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) 'COMMENTS Go http://www.slopublichealth.org/elivironmentalhealth/hazardous_materials.htm, forms BPOI TROI ERO1 to to obtain to comply with -BP03, and IhLr ...:;c.iJ..i_P.°� r ur.i;_Il:�s,� .h.x2,,.:.r.ctt,u • wa'-'rc in SjNI-1.:L u; ,it:i.t i:. _,. A.;> such it i)era17_i_ wi_.1.1 btc ti' (O r_d t b -wms ., dd.1l it iI I e 1 • g- L �,s ii ,,1. 4 6,4: 1 i. wi11 be re tlt.rod to tilt_ :mourn of ?3Is-0G E.aIch Oi )d'_.3F j7(ia"illlC:,_ {ii..,t11"C: Y3`, SV;..:L inU;_.t ;)C' prop-r-1',r fil_:1l'lgcd ra: i_tldi[- �I „rl t+---�— __. t, , tp. OT' i 7 IVN:;I:ii i_U1f.t:❑%'I'i?)." i':1°7r' ,D:.ti li .iOjr,2T'l, IiiCi <3 CVLir,�u r:.,.0 :1: !'IW. �_: rii1E'.d GPS Coordinates: Latitude: deg min decimal min Longitude: deg min decimal min INSPECTOR: FACILITY REP: FACILITY NAME: v SPORT, ADDRESS: HAZARDOUS WASTE GENERATOR Lbs or gals EPA ID NUMBER: Pending Total generated/month: L ILM 10 (average) Tiered Permit: LJCESW ❑CESQT FICA ❑PBR Waste oil: ...KX Solvents: Treatment Equipment: Antifreeze: Others: Oil YES NO N/A VIOL. # ❑ M ❑ GTOI ❑ ❑ ❑ GTO3 ❑ ❑ ❑ GTO4 ❑ ,. E] ❑ GTO5 ❑ ' ❑ ❑ GTO6 GTO7 ❑ ❑ ❑ GT08 ❑ ❑ No GM ❑ ❑ x❑ GT10 ❑ E] ❑ GTll XE]❑ ❑ GT12 v,© ❑ ❑ GT13 "tJ ❑ ❑ GT14 ❑ ❑ ❑ GT15 ❑ ❑ 5 GT16 ,Q ❑ ❑ GT17 ❑ X❑ ❑ GT18 ❑ X© ❑ GT19 ❑ ❑ ]�] GT20 ❑ ❑ )E] GT21 ❑ ❑ L GT22 ❑ ❑ :Q GT23 EPA ED NO/PERMITS 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 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (Title 22 CCR §66262.11) []own knowledge ❑analysis [-]other Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §251895, Title 22 CCR §66262.12) ❑milkrun ❑other Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42166262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS 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.) Xf ] 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days N 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(13,200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) 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 §66262.31, 66262.34) Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Title 22 CCR §66265.171/.191, 66265.177(c)) Containershanks/liners are compatible with waste stored or transferred Mde 22 CCR§66265.172) Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§66265.174) Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) , 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 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) 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) Spent lead -acid batteries are being properly stored and transferred offske under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) Solventstother recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating >12,000 kgJyr. of hazardous waste on site. Generator is subject to SB14 and has prepared and retained current source reduction•+documents or is able make them available to the inspector within (5) days. (HSC §25244.19, 25244.21) Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, profess description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lofus.notes.data\2_Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 FACILITY NAME: V SPORTS, INC. ADDRESS: J50 Orcui:t: Ro�id, Socr 1.11, VtL_P� ,-t, ivA SUMMARY OF OBSERVATIONS/VIOLATIONS No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations 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 corrective actions required, please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification 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. Re -inspections are scheduled during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. 1 2 M 4 4 VIOLATIONS DATE M S CODE CORRECTIVE ACTION Rli Ull El) CORRECTED COMMENTS: Inspected By: KYA Date: Uct ' C)12_ Facility Rep Name: Signature: Sign the certification below and mail this form to the CUPA inspector after all corrective actions have been completed. Retain a copy for your records. Certification: I certify under penalty of Iri that this facility has complied with the corrective actions listed on this inspection form. 5�E7� `� I u f 2 Signature of Owner/Operator: Title: Date: