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HomeMy WebLinkAboutInspection Reports 2COUNTY SAN LUIS OBISPO Environmental Health Services (805)781-5544 P.O.Box 1489 2156 Sierra Way Ste. 13 San Luis Obispo, CA 93405 city of san Luis owspo FIE DEPARTEM 2160 Santa Barbara Avenue • San Luh Obkpo, CA 93401-SM 6 (M) 781-7380 "Courtesy & Service" CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 12/27/2017 Time: Facility Name: HANSON AGGREGATES Agency Inspection Type ❑EHS ©Routine Site Address: 131 SUBURBAN RD OCITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 []Chargeable Reinspection ❑Change of Ownership Phone: (805)543-2223 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testirn Serial Number: DAZGVAGY7 PROGRAMS INSPECTED: ©Hazmat ©HW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Ben Calo Title: Env. Geologist YES NIQ N/A BUSINESS PLAN © ❑ ❑ BP01 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 layouttfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN © 11 ❑ 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 & 22 CCR) 66265.16 EMERGENCY R,UPONSE PLAN © ❑ ❑ ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53164) 0 ❑ © ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of hazardous materialslwaste constituents to the environment. Maintains all required or - appropriate equipment including an alarm and communications system (Title 19 CCR 273% 22 CCR 66265.31-.37, 40CFR 1 266.31) 1@ ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑x ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Ben Calo FACILITY NAME: HANSON GREGATES ADDRL. 131 SUBURBAN RD SAN LUIS OBISPO. CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL000145291 Total generatedlmonth: NUMBER: YES -NQ WA ® ❑ ❑ © ❑ ❑ o ❑ ❑ ❑ ❑ o Fx] ❑ ❑ C] ❑ ❑ Waste Oil: Solvents: Antifreeze: Others: — Lbs or gals (average) VIOL• # EPA ID NOIPERMITS GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous wasteATftls 22CCR§66262.12) It not, Cali (8 00 1618-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) Down knowledge ❑analysis ❑other GT04 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR §66262.40.(c)) D I S P O SALIT RAN Fz PO RTAT I O N GT05 Hazardous wastes disposed of at an authorized location (HSC §25189.5, Title 22 CCR §66262.12) GT06 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shiDoed with a manifest (Title 22 CCR 666262.20. HSC 625160/25163(a)l ❑milkrun ❑other GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66262.23, 66262.40 (a)) STQRAGE AND MANAGEMENT OF CONTAINERSITANKS GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 1390 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) 0180 days if waste generated per month is less than 100 kg (see note) 0270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) ❑ ❑ 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 (60 feet) from facility's property line (Title 22 CCR §66266.176) ❑ ❑ GT11 Containers of hazardous waste are properly labeled (includes appropriate date;'HAZARDOUS WASTE," waste composition/physical state, hazardous properties, nameladdress of generator) (Title 22 CCR §66262.31, 66262.34) ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good conditionlhandled to minimize the release or reaction (Title 22 CCR §66262.34 (d)(2), ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§ §66262.34 (d)(2), 66265.172) ❑ ❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §§66262.34 (d)(2), 66265.1 ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§§66262.34 (d)(2), 66265.174) ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §§66262.34 (d)(2), 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 ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCR§ 66266.13, 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§ 66266.13) ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ❑ ❑ GT21 Solventsiother recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 466266.3) SOURCE REDUCTION:For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ ❑ GT22 Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (6) days. (67100.7, 67100.8, HSC ❑ ❑ GT23 Source Reduction Evaluation and Plan contains the following five elements:certification, amounts of wastes generated, process description, block diagrams, and implementationschedule of selected source reduction measures. (67100.7. 67100.8. HSC 625244.19) ❑ ❑ GT24 Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (Title 22 CCR §66265.51-.54) SUMM. N OF OBSERVATIONS/VIOG-MONS © No violations of underground storage tank, hazardous materials, or hazardous waste Iawsiregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to yoi 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, Dlease inform the CUPA in writina. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing w certification that compliance has been achieved. A false statement that compliance has been achieved is a violatior 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 andlor the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: HANSON AGGREGATES VIOLATIONS VIOL, NO CORRECTIVE ACTION REQUIRED ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 INSPECTION COMMENTS: Hazardous waste is properly labeled, managed, disposed of. No violations noted during facility inspection. HMBP is current and has been submitted on line via EZ Submit Portal. Good employee training program. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Ben Calo DATE: 12127/2017 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: pu0 Yp. ~ city of san tuts oBi Vpo I.D.# FIRE DEPARTMENT 2160 SANTA BARBARA AVE., SAN LUIS OBISPO, CA 93401 (805) 781-7380 NOTICE OF FIRE & SAFETY HAZARDS-/�_- You WW4&6N n6 Woiat;m ifs§ubctidYi'otavbuik&er4k§e'9NAM A tN 1J,1 A1?,VUM1411fW 91//V1/ has disclosed the a. mal it i an )ue ❑Remove Key Special Knowledge Hardware b. ❑Six Year Service Due a. b. -Locking or ❑Change Door Swing to Direction of Egress if>49 c. ❑Provide# Type C. ❑Provide/Repair Illuminated Exit Signs with Back -Up Power f d. ❑Relocate�xtinguisber/Provide Access d. ❑Provide Sign "This Door To Remain Unlocked..." Main Exit Only e.. ❑Mount on Wall 3'-5.' Above Floor e. ❑Rentove Storage/Obstructions to AisleslExit 2. Fire Sprinkler System f. ❑Provide/Repair Emergency Lights if >2 Exits a. ❑Replace Painted/Corroded Head g. ❑Provide Occupant Load Sign >49 b. ❑Replace Escutcheons h. ❑Repair/Replace Exit Door or Panic Hardware C. ❑Reduce Storage 18" Below Heads 7. Electrical d. ❑Provide Spare Heads/Wrench/Signage a. ❑Replace/Repair/Provide Permanent Wiring e. ❑Provide 3' Clearance for Riser/Control Valves b. ❑Remove/Provide Approved Extension Cord/Multiplug Adapter f. ❑Provide Caps/Clearance for Fire Department Connection c. ❑Label Circuit Breakers, Shut -Off Mains/Provide Blanks g. ❑Provide 5-Year Certification d. ❑Provide 30" x 78" Clearance around Electrical Panel h. ❑Chain and Lock Valves Open e. ❑Provide Cover Plates 3. Fire Alarm System f. ❑Provide Sign for Electrical Room Door 1" Letters a. ❑Annual Test Record Required 8. Storage/Housekeeping b. ❑Repair/Replace a. ❑Remove Combustible Storage c. ❑Provide Clearance/Access to Components/Signage h. [:]Relocate Dumpster a Minimum of 5' from Walls/Eaves 4. Kitchen Hood System/Spray Booth/Clean Agent System C. ❑Remove Cut/Uncut Weeds/Grass/Vegetation a. ❑Provide 6 Month Service d. ❑Storm Water Polution Prevention b. ❑Clean/Repair e. ❑Remove Storage 24" Below Ceiling if No Sprinklers 5. Fire Lanes/Hydrants/Access f. []Provide Metal Container w/ Self -Closing Lid for Oil Rags a. ❑Paint Fire Lanes g. ❑Provide Non -Combustible Trash Containers w/Lid if >40 gal. b. ❑Provide Signage h. ❑Maintain Clearance between Combustibles and Ignition Sources C. ❑Provide 3' Clearance around Hydrant i. ❑Secure Compressed Gas Cylinders d. ❑Maintain Access Ways j. ❑Provide Seismic Strapping/Maintain/Repair Water Heaters e. ❑Provide Key Box/Keys k. ❑Provide No Smoking Signs f. ❑Provide Address/Unit Numbers a 1. ❑Repair/Maintain Fire Rated Walls/Ceilings/Doors g. ❑Provide Clearance/Signage Roof Access in. ❑Provide Flammable Liquids Storage Cabinet if>10 gal. h. ❑Test/Maintain Private Fire Hydrant n. ❑Protect/Permanently Mark Gas Meters as to Unit Served Fa COMMENTS: This Inspection Record is an official NOTICE OF VIOLATION and order to comply. The above noted conditions are violations of City Fire and Building Codes. Therefore, you must correct the noted conditions immediately upon receipt of this notice. A reinspection of your business will be conducted in approximately days. PLEASE NOTE: If a third inspection is required due to non-compliance, a fire -inspection fee of $ may be charged for that inspection and every inspection thereafter until compliance is obtained. Failure to comply may result in a misdemeanor citation and an appearance by you in court. ❑ Fire Code Permit required for Fees payable upon receipt df iMm • L A r 1, INSPECTO S SIG TW/1DRECEIVED BY / TITLE i INSPECTION D TE CLEAR VIT L_ FIRST / , v� i X SECOND J THIRD Q \TWW7$XT N FEE Environmental He. •.0 Services + f840 781-55 9 s" J U 7 m1s � 14 Sierra Way Ste, B Sanpo Luis Obispo. CA 93406 Fire Depactment f$05L781-7380 I San 21 N Santa Barbara Avenue San Luis-0bisno-CA 93401-524Q CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 12/09/2016 Time; Facility Name: HANSON AGGREGATES Agency Inspection Type ❑EHS I]Routine Site Address: 131 SUBURBAN RD CITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 ❑Chargeable Reinspection ❑Change of Ownership Phone: (805)543-2223 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testirn Serial Number: DAV2DDICW PROGRAMS INSPECTED: NHazmat OHW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Steve Zacks Title: Enironmental Manager YES NO N/A BUSINESS PLAN 0 ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑x ❑ ❑ 131302 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑x ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN 0 ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑x ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN 0 ❑ ❑ ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) x❑ ❑ ❑ 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-.37, 66267.34 (d)(2), 40CFR 1 265.31) ❑x ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑X ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Steve Zacks SUMR, RY OF OBSERVATIONS/VIC 'NTIONS p 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 yoi 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 writina. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing w certification that compliance has been achieved. A false statement that compliance has been achieved is a violatior 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 andlor the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: HANSON AGGREGATES VIOLATIONS ADDRESS: 1-31-SU BU RBAWRD SAN LUIS OBISPO, CA 93401 INSPECTION COMMENTS: Shop well managed, all hazardous waste containers are properly stored, labeled, and good record keeping to document shipments. No violations noted. Good employee training program and record keeping. The Hazardous Materials Business Plan has been updated and submitted to EZ Submit Portal. Compressed gas cylinders are all securely restrained, and facility is in good order. No violations noted during inspection. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Steve Zacks DATE: 12/09/2016 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: i. Environmental Health Services 1 ,ti (805) 781-5544 P.O.Box 1489 San is olmspo 2156 Sierra Waate. B Fire Department ($05) 7817380 San Luis Obispo CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM DaW-12/09/2016 Time Facility Name: HANSON AGGREGATES Agency Inspection Type ❑EHS ZRoutine Site Address: 131 SUBURBAN RD 19CITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 ❑Chargeable Reinspection ❑Change of Ownership Phone: (805)543-2223 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testirn Serial Number: DAV2DDICW PROGRAMS INSPECTED: ❑x Hazmat I9HW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Steve Zacks Title: Enironmental Manager YES NO N/A BUSINESS PLAN ❑x ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑x ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) 19 ❑ ❑ BP03 Site layoutifacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑x ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑x ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN 0 ❑ ❑ ER01 Emergency response/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 materialstwaste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731& 22 CCR 66265.31-.37, 66267.34 (d)(2), 40CFR 1 265.31) ❑x ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑x ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Steve Zacks Fnvirow �tal Health Services CAtY 4.,r (805) 781-5544 �+ P.O.Box 1489 SM Us OEW.7PO 2156 Sierra Way Fire Department (605) 781-7380 San Luig Obispo CA 93406 2160 Santa Barbara Avenue San Luis Obispo -.CA 934015240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date. 07/02/2015 Tine' Facility Name: HANSON AGGREGATES Agency Inspection Type ❑EHS ORoutine Site Address: 131 SUBURBAN RD OCITY FIRE ❑Reinspection❑Chargeable SAN LUIS OBISPO, CA 93401 Reinspection ❑Change of Ownership Phone: (805)543-8100 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testinc Serial Number: DABQT1CPK PROGRAMS INSPECTED: I]Hazmat ❑x HW Generator DUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: I❑Hazmat ❑HW Generator ❑UST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Eric Riddiough Title: Concrete Division Manager YES NO N/A BUSINESS PLAN ❑x ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑x ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑9 ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑x ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑9 ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN ❑x ❑ ❑ ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑9 ❑ ❑ 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 273% 22 CCR 66265.31-.37, 66267.34 (d)(2), 40CFR 1 265.31) ❑x ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑X ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Eric Riddiough SUMM :Y OF OBSERVATIONS/V10' ;TIONS ❑x 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 you facility. Violations were observed/discovered as listed below. All violations must be corrected by implementing the correcti% action listed by each violation. If you disagree with any of the violations or corrective actions required, please infon the CUPA in writina. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing wi .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. 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 the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: HANSON AGGREGATES VIOLATIONS VIOL. NO CORRECTIVE ACTIQN RE C IJIREP INSPECTION COMMENTS: ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Facility Hazardous Materials Business Plann to be updated and submitted via E Z Submit Portal. Good employee training program with documentation and record keeping. Facility welll maintained and no violations noted. Hazardous Materials Business Plan to be updated and submitted. Minor updates needed in order to update facility contact information. Good employee training program along with documentation of training. No violations noted during annual inspection. Annual inspection, facility in good order. Good documentation of proper hazardous waste disposal as well as inspection checklists. No violations noted during facility inspection. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Eric Riddiouqh DATE: 07/02/2015 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: Environnnt ,.,al Health Services G �� �(805) 781-5544 {� P.O.Box 1489 SM WIS OBISVO # 2156 Sierra Way �+1 Fire_ Oepa rrtent (80.5] 781-73$0 San Luis_04li p_ CA_-9 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 12/16/2013 Time: 9:00-am Facility Name: HANSON AGGREGATES Agency Inspection Type 9EHS ORoutine Site Address: 131 SUBURBAN RD ❑CITY FIRE ❑Reinspection[]Chargeable Reinspection SAN LUIS OBISPO, CA 93401 ❑Change of Ownership Phone: (805)543-8100 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testinc Serial Number: DAVDH4DNW PROGRAMS INSPECTED: IoHazmat I ❑x HW Generator I DUST I ❑AGT I ❑CaIARP I ❑TPE REINSPECTION REQUIRED: I❑Fiazmat + ❑HW Generator I DUST I ❑AGT I ❑CaIARP I ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NO N/A BUSINESS PLAN ❑x ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 26503.6, Title 19 CCR 2729) 19 ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑x ❑ ❑ 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 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN ❑x ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 26504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑x ❑ ❑ 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 273% 22 CCR 66265.31-.37, 66267.34 (d)(2), 40CFR 1 265.31) N1 ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑ ❑ © FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: FACILITY NAME: HANSOP )GREGATES ADDR 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL00014ti29 Total generated/month: NUMBER: YES NO N/A 0 0 0 Waste Oil: Solvents: Antifreeze: Others: Lbs or gals (average) VIOL. # EPA ID NO/PERMITS GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste ('1 itle 22CCR§60262.121; If � Call iM 6'18-6"2 to obtain our CAL EPA ID number HAZARDOUS WASTE DETERMINATION GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) 17own knowledge ❑analysis ❑other GT04 Hazardous waste analysishest records are kept for at least 3 years(Title 22 CCR §66262.40.(c)) DISPOSALITRAN SPO RTATI ON GT05 Hazardous wastes disposed of at an authorized location (HSC §25189.5, Title 22 CCR §66262.12) GT06 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (Title 22 CCR §66262.20, HSC §25160/25163(a)) ©milkrun ❑other GT07 Manifests andlor receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42/ 66262.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 1990 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) 0180 days if waste generated per month is less than 100 kg (see note) 0270 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 6000kg(13,200 lbs) and no 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) GT71 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) GT12 Containers/tanks containing hazardous wastes are in good conditiorVhandied to minimize the release or reaction (Title 22 CCR §66262.34 (d)(2), 66265.171-.191,66265.177(c)) GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§ §66262.34 (d)(2), 66265.172) GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §§66262.34 (d)(2), 66265.173) GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§ §66262.34 (d)(2), 66265.174) GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §§66262.34 (d)(2), 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 GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCR§ 66266.13, 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§ 66266.13) GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) GT21 ❑ ❑ © GT22 ❑ ❑ ® GT23 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION:For facilities generating >12,000 kg./yr. of hazardous waste on 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. (67100.7, 67100.8, HSC §25244.19, 25244.21) Source Reduction Evaluation and Plan contains the following five elements:certification, amounts of wastes generated, process description, block diagrams, and implementationschedule of selected source reduction measures. (67100.7, 67100.8, HSC §26244.19) SUMM, .Y OF OBSERVATIONS/VIOI rIONS ® 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 agmphange 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 the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: HANSON AGGREGATES VIOLATIONS ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 INSPECTION COMMENTS: GOOD EMPLOYEE TRAINING PROGRAM AND RECORD KEEPING. HAZARDOUS WASTE PROPERLY MANAGED AND GOOD RECORDS OF WASTE DISPOSAL. NOTE: AN ABOVEGROUND STORAGE TANK WILL BE ADDED IN 2014, ADD TO HMBP AT THAT TIME. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: DATE: 12/16/2013 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: County of San Luis Obispo C:Ity o i y �> Environmental Health Services c *� �E (805) 781-5544 7AJ l OBIS PO P.O. Box 1489 2156 Sierra Way Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EFW dat HAZARDOUS MATERIALS INSPECTION FORM entry by: vA� Date: 12 / 15 / 2013 Time: 9:00 am — FACILITY NAME: gA ,. AGENCY ❑ EHS ❑ AG DEPT y-U CITY FIRE INSPECTION TYPE No Routine ❑ Complaint Result Cade: _70 Action Code: _32 ❑ Reinspection ❑ Other Annual _80 _90 _37 _33 _31 ADDRESS: San Luis 'Dbis a. CA PHONE: PROGRAMS INSPECTED: x:FLI Business Plan HW Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED:`hO OYES El Business Plan W WP ,r ❑ UST ❑ AGT ❑CALARP PERMISSION TO INSPECT: inspections may involve obtaining photographA,'WVi6ihV9n'd copying records, and determining compliance with adopted codes. GRANTED BY NAMEITITLE : BUSINESS PLAN YC NO COS N/A ❑ ❑ ❑ BP01 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 ❑ ❑ ❑ TROT 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) ❑ ❑ ❑ 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)) ❑ ❑ ❑ yD AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) COMMENTS Go to http://www.slopublichealth.org/environmentalhealth/hazardous_materials.htm, to obtain forms to comply with BPO1-BP03, TRO1 and ER01 a INSPECTOR: 5 FACILITY REP: decimal min D c tt EY7 V ACILITYNAME. HA.L SON AUG'FGATES ADDRESS: HAZARDOUS WASTE GENERATOR EPA IV Lbs or gals NUMBER: Total generotedhnonth: (average) Tiered Permit: CESW S CA ❑PBR Waste oil: lk Solvent: 1 Treatment Equipment: Antifreeze: Others: VV GTOI ❑ ❑ ❑ GT03 . —❑.. - _❑ ❑ GT04 [-1 GT05 ❑ GT06 ❑ ❑ GT07 ❑ ❑ GTO8 ❑ ❑ ❑ eK GT09 �' ❑ ❑ GT10 ❑ ❑ ❑ GTl1 ❑ ❑ ❑ GT12 �" ❑ ❑ GT13 ,e ❑ ❑ ❑ GT14 ❑ ❑ GT15 ❑ f GT1 El O �uj GT17 ❑ ❑ ❑ GT18 ❑ ❑ ❑ GT19 ❑ ❑ ❑ GT20 ❑ ❑ ❑ GT21 ❑ ❑ ❑ �/ GT22 ❑ ❑ ❑.: GT23 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) awn knowledge ❑analysis ❑other azardous waste analysis/test records are kept for at least 3 years (Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION Hazardous wastes were transported andlor disposed to a facility with an EPA ID NO, and permit or "horization from DTSC (HSC §25189.5, Title 22 C(;4 66262. ) ;Jmilkrun Pother f Hazardous wastes are shipped with manifest (Title 22ACCR §6626 Manifests and/or receipts are properly completed/retained by generator for 3 years (Tide 22 CCR §66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ZH rdons wastes are accrrnrulated on site as follows (Title 22 CCR §66262.34) 0 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(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)) 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) 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 dale 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 offslte under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating>12,000 kg./yr. of hazardous waste on site. Generator is subject to SDI 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, ampunts of wastes generated, process description, block diagrams, and Implementation schedule of selected source reduction measures. (HSC §25244.19) County of San Luis Obispo C:I 0� cot; 5" Environmental Health Services 5 1lS C)�il (805) 781-5544 P.O. Box 1489 2156 Sierra Way Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EFW data HAZARDOUS MATERIALS INSPECTION FORM entry by: Date: '' � FACILITY NAME: AGENCY INSPECTION TYPE / ❑ EHS ❑ Routine ❑ Reinspection. ! ADDRESS: i �/ ❑ AG DEPT ❑ Complaint ❑ Other . ❑ CITY FIRE . - Result Code: _70 _80 _90 PHONE; `+ el i Action Code: _32 �37 �33 �31 PROGRAMS INSPECTED: }'$usiness Plan I Q.,114WAGrerator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: O El YES ❑ Business Plan H en rat8r ❑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 YES NO COS N/A ❑ ❑ ❑ BP01 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 ❑ ❑ ❑ TROT 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 j❑ ❑ ❑ ❑ 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 % rjGo to lulp:IHnnvw.siopu/Jblichrta`i��llAll h.orIc��virunn�cr�t �lheahhRta�ardflus w n 7-4 V-111 - - - I ' - i to obtain forms to comply with BPOI -BP03, TRY and ER01 1j , FACILITY NAME: - ADDRESS: HAZARDOUS WASTE GENERATOR EPA ID /� G .) Lbs or gals NUMBER: vp �_ f �° Total generated/ onth: (average) Tiered Permit: y ❑CESW C + Q ❑ A ❑PBR Waste oil: Solvents: Yf Treatment Equipment: Antifreeze: Others: , YES NO COS N/A VIOL. # EPA ID NO/PERMITS ❑ ❑ ❑ GT01 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 ❑ ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) 1� Down knowledge ❑analysis ❑other �L I ❑ ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years ('Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION uQ ❑ ❑ ❑ 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) ❑faill&un ❑ot Itcr ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) Gp' ❑ ❑ ❑ 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 2 ❑ ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) P* 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 mgre than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 Ibs.)and no acutely/extremely hazardous waste over 1 kg (2Z lbs.) is held on site for over 90 days. ❑ ❑ ❑ ❑'f GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) n ❑ ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in (50 feet) from facility's property line (Title 22 CCR W — §66265.176) ❑ ❑ ❑ GT11 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) ❑ ❑ ❑ 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) ❑ ❑ ❑ CT14 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) ❑ ❑ ❑ 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) J❑ ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) P❑ ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ ❑ ❑ GT22 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) ❑ ❑ ❑ n GT23 Source Reduction Evaluation and Plan contains the following five elements: (T certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) ] ��. County of San Luis Obispo My Of Environmental Health Services �jj� ��• OBIS (805) 781-5544 SAS"? UL IS OBISS 10 y P.O. Box 1489 2156 Sierra Way Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EFW data HAZARDOUS MATERIALS INSPECTION FORM entry by: Date:t fl Time: FACILITY NAME: AGENCY IN PECtION 7YpE �r 1 I ,. ❑ EHS Z Routine ❑ Reinspection ❑ AG DEPT Complaint ❑ Other — CITY ADDRESS: I' / i ❑ El FIRE — Result Code _70 80 90 PHONE: Av I Action Code: _32 _37 _33 _31 PROGRAMS INSPECTED: ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑CALARP — REINSPECTION REQUIRED;14NO YES Business Plan ❑❑❑ HW Generator ❑UST ❑AGT ❑CALARP (PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determinina compliance with adopted codes. GRANTED BY (NAME/TITLE): BUSINESS PLAN YEr NO COS N/A ❑ ❑ ❑ BP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) 112 ❑ ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) 0 ❑ ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ej ❑ ❑ ❑ TROT Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) P ❑ ❑ ❑ 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) n ❑ ❑ ❑ ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of t7" 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 ❑ 0 ❑ AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ El0 ;t-_l-- AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) CO MENTS Go to http://www.slopublichealth.org/environmentalhealth/hazardous_muteria '.htm, to obtain forms to comply with BP01-BP03, TROT and ER01 t f "11 V-AH r { GPS Coordinates: Latitude: deg min decimal min Longitude: deg min decimal min C INSPECTOR: FACILITY REP:jV I 'I , ! V V r FACILITY NAME:? (DRESS: I f �- H QUS WASTE GENERATOR EPA ID �J Lbs or gals NUMBER: Total generated/month: (average) Tiered Permit: EICESW CESQT ❑CA ❑PBR Waste oil:` Solvents: Treatment Equipment: Antifreeze:_ Others: • f YES NO COS N/A VIOL. # V_ ❑ ❑ ❑ GTO1 ❑ ❑ ❑ GT03 �, ❑ ❑ ❑ CT04 ❑ ❑ GT05 ❑ ❑ GT06 9 p ❑ 0 GT07 4, Q ❑ ❑ GT08 ❑ GT09 ❑ ❑ ❑ GT10 ❑ ❑ GT11 �❑/ ❑ ❑ ❑ GT12 ❑ ❑ ❑ GT13 ,J�J^ ❑ ❑ ❑ GT14 �' ❑ ❑ ❑ GT15 ❑ ❑ ❑ GT16 ❑ ❑ ❑ GT17 ❑ ❑ GT18 I� r ❑P ❑ GT19 ❑ ❑ GT20 ❑ ❑ GT21 ❑ ❑ ❑ i 2- GT22 ❑ U ❑ 0 GT23 EPA ID 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) Down knowledge ❑analysis ❑other Hazardous waste analysis/test records are kept fui at least 3 years (Title 22 CCR §66262.40.(e)) DISPOSAL/TRANSPORTATION 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 CPR §66257/012 ❑mill run — t2letlter ." r c, — Hazardous wastes are shipped with manifest (Title 22 CCR §66262.2%. 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 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(13,200 lbs.)and no acutely/extremely hazardous waste over l 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)) 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) 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 (1)) 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 offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating>12,000 kg./yr. 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, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) - Environmental Health Services01 P.O. Box 1484 a7i.AA� WIS OBISW P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) i HAZARDOUS MATERIALS INSPECTION FORM EFW D� t' entry by: FACILITY NAME: r'. AGENCY ❑ EHS Q' CITY FI E i 7 INSPECTION TYPE ❑ Routine b Reinspection ❑ Com Taint ❑ Other ADDRESS: - • -i'- - - ,; Al PHONE- PROGRAMS INSPECTED: P'Business Plan P41W Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: 4 NO ❑ YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑CALARP BUSINESS PLAN YES NO N/A ❑- ❑ BPOI 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 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) ❑ ❑ TRO2 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 .CCR 66265.16) EMERGENCY RESPONSE PLAN ❑ ❑ EROI 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 ottice. (HSC 25270) COMMENTS Go to http://www.slopublichealth.org/environnwntalbealth/hazardous_materials.htm, to obtain forms to comply with BPOI43P03. TRO1 and ER01 GPS Coordinates: Latitude: deg min decimal min longitude: deg mitt decitrtai min INSPECTOR:?1442 FACILITY REP: - - C:\DOCUME~1�ReorolLOC:ALS--1\Temp\c.lotus. notes.data\1_Inspection Form Page 1.doc 24-Jan-06 ,1 � FACILITY NAME: ^ADDRESS: 1 l�l�Wl �i'Iil ��6,atoluS WASTE GENERATOR /j ,� �, D Lbs or gals EPA ID NUMBER: Total generated/manlli: (average) Tiered Permit: ❑CESW EICESQf CA ❑PUR Waste oil: Solvents: Treatment Equipment: Antifreeze: Others: ''YES NO NfA VIOL. # EPA ED NO/PERMITS ❑ ❑ ❑ GTlD1 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 ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) sown knowledge ❑analysis ❑other ❑ ❑ ❑_ GT04 Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR §66262.40.(c)) DISPOSALfI RANSPORTATION ❑ ❑ GT05 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) �Pmilkrun ❑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 §66263.42166262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑ ❑ GT08 Hazardous wastes are accumulated an site as follows (Titre 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(13,200 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 timeJ55-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 �' ❑ ❑ GTH §66265.176) Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, nameladdress of generator) (Title 22 ❑ ❑ GT12 CCR §6626231, 66262.34) Containers/tanks containing hazardous in wastes are good condition/handled to minimize release or reaction (Title 22 CCR §66265.17V.191, 66265.177(c)) ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) ❑ ❑ GT14 Containers storing hazardous wastes are closedisealed (Title 22 CCR §66265.173) i ® ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Titre 22 CCR§66265.174) ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) , Qi ❑ ❑ 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 ❑ ❑ GT19 §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) ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred oiisite 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) SOURCE REDUCTION: For facilities generating >12,000 kgJyr. of hazardous waste on site. ❑ ❑ ❑ GT22 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) ❑ ❑ ❑ GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\2_Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 City Of Environmental Health Services P.O. BOX 1489 A ! tuis LJ ww aft;,10 2156 Sierra Way San Luis Obispo, CA 93406 Fire Department (805) 781-7380 ---ter 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) J HAZARDOUS MATERIALS INSPECTION FORM Date: FACILITY NAME: l T AGENCY ❑ EHS ADDRESS: ®CITY FIRE PHONE: PROGRAMS INSPECTED: Business Plan I E EFW data --entry-by: - INSPECTION TYPE Routine ❑ Reinspection 0� ❑ ❑ Campl Other f HW Generator I ❑ UST I ❑ AGT I ❑CALARP REINSPECTION REQUIRED: I ZI NO ❑ YES I ❑ Business Plan I ❑ HW Generator I ❑ UST I ❑ AGT + ❑CALARP BUSINESS PLAN %� Y>IJ ❑ ❑ ❑ ❑ BPol BP02 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) ❑ ❑ BPO3 Site layouttfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑ ❑ TROT 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 d ❑ ❑ 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 ❑ ❑ ATOI 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) 'OMMENTS Go to http:/Iwww.slopublichealth.orWenvironnua,ItalbealihAarardous_matenals.htm, to obtain forms to comply with BP01-BP03, TRO1 and EROI GPS Coordinates: Latitude: deg min decimal min INSPECTOR: K , O/ MI{ — 6 (All FACILITY REP: '1,1I1-141 �4 & /' 1\ReprbjLCCALS---1\Temp\c.lotus.notes.data\1_Inspection Form Page 1 dedmal min 24-Jan-06 FACILITY NAME: ADDRESS: HAZARDOUS WASTE GENERATOR EPA ID NUMBER: Tiered Permit: ❑CESW Treatment Equipment: Lbs or gals Total generated/month: (average) ~❑CESQT ❑CA ❑PBR Waste oil: Solvents: Antifreeze: - Others: YES NO N/A VIOL. # EPA ED NO/PERMITS . ❑ GT01 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 1D number. HAZARDOUS WASTE DETERMINATION ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) down knowledge ❑analysis ❑other ❑ ❑ GT04 Iazardom waste analysis/test records are kept for at least 3 years (Title 22 CCR §66262.40.(c))- DISPOSAL/TRANSPORTATION 0 ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or au horization from DTSC (HSC §25189.5, Title 22 CCR §66 12) L4milkrun Mother - l❑d ° ❑ GT06 _ Hazardous wastes are shipped with manifest (Title 22 CCR §"262.20) ❑ 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 EJ ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 11.90 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(13,200 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)) ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) ❑ ❑ GT11 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) ❑ ❑ 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)) Q ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) ❑ ❑ 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) , �- " ❑ ❑ 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) 0 ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and 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) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ GT22 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) ❑ GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) C:\DOCUME—i\Repro\LOCALS~1\Temp\c.lotus.notes.data\2__Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 + a�, Environmenla; _ _ altit Services f r f805) 781-5544 i'.0.I3nx I489 SM US CSISPO ` 2156 Sierra Way 1'ire Dcparimcnt f .05) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 06/19/2007 Time: Facility Name: HANSON AGGREGATES Agency Inspection Type ©EHS ©Routine Site Address: 131 SUBURBAN RD ❑CITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 ❑Complaint Phone: (805)543-8100 Facility ID: FA0002505 PROGRAMS INSPECTED: ®Hazmat 19HW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Title: BATCHMAN Name: YES NO N/A BUSINESS PLAN ® ❑ ❑ BP01 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 ® ❑ Cl TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) 19 ❑ 0 TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN Cx7 ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) A ❑ ❑ 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 ABOVE GROUND PETROLEUM STORAGE TANK ACT ❑ ❑ iK AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ El ID AT02 SPCC Plan is maintained on site or nearest Veld office. (HSC 25270) COMMENTS Go to httpgtwww.slopublichealth.orglenvirenmentalheahh/hazardous matedals.htrn to obtain forms to comply with BP("-BP03, TR01 and ER01 GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: PETER HAGUE FACILITY REP: CARLOS GARCIA FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD ,l SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL000145291 NUMBER: Total generated/month: Waste Oil: Antifreeze: Solvents: Others: Lbs or gals (average) YES NO N/A VIOL. # EPA ID NO/PERMITS 3cU' p p GT01 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 ® ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) ©own knowledge ❑analysis ❑other ® ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORT-ATI' N ® ❑ ❑ 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 S�.L EN. PSC ❑other 19 ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) 10 ❑ ❑ 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) 1990 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) 0180 days if waste generated per month is less than 100 kg (see note) 0270 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 6000kg(13,200 lbs) and noacutely/extremely hazardous waste over lkg (2.2 lbs.) is held on site for over 90 days. IN ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or I-qt limit) (Title 22 CCR §66262.34(c)) IN ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in (50 feet) from facility's property line (Title 22 CCR 466265.176) ® ❑ ❑ GTH 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) © ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (Title 22 CCR §66265.1710.191,66265.177(c)) ® ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 466265.172) ® ❑ ❑ 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) ® ❑ ❑ 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 19 ❑ ❑ 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) p ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and 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 566266.3) INSPECTED BY: PETER HAGUE DATE: 06/19/2007 FACILITY NAME: HANSON F, }REGATES ADDRE 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR YES NO N/A VIOL. # EPA ID NO/PERMITS SOURCE REDUCTION:For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ ❑ ® GT22 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, ❑ ❑ ® GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementationschedule of s—el&W source reduction measures. (HSC'§Z INSPECTED BY: PETER HAGUE DATE: 06/19/2007 FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 SUMMARY OF OBSERVATIONSMOLATIONS Ixl 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. El 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 -vialation•of the -law ar�d ►unishaisle-by-a-fiu�ot iwt-less-than $2,000-or- mor"han•-S25,000-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 the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal -action FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS PE NO VIOL. NO VIOL. TYPE CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: INSPECTED BY: PETER HAGUE NAME OF FACILITY REP: CARLOS GARCIA DATE: 06/19/2007 SIGNATURE OF FACILITY REP: Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: Environmental Health Services Ci �� P.O.Box 1489 8051781 sAn W[Wit;oBisvo " 489 2156 Sierra Way San Luis Obispo, CA 934UG Fire De tarlmcnt 805 781-7380 > 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 06/15/2006 Time: 9:35 am Facility Name: HANSON AGGREGATES Agency inspection Type DEHS ORoutine ❑CITY FIRE ❑Reinspection Site Address: 131 SUBURBAN RD ❑Complaint SAN LUIS OBISPO, CA-93401 Phone: (805)543-8100 Facility ID: FA0002505 PROGRAMS INSPECTED: OHazmat x❑HW Generator DUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: OHazmat 19HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Title: EQUIP. MANAGER Name: YES NO N/A BUSINESS PLAN ❑ ❑x ❑ BP01 Business plan is complete, current, available during inspection(HSC 25503.5, Title 19 CCR 2729) ❑x ❑ ❑ BP02 Inventory of hazardous materials is complete(HSC 25504, Title 19 CCR 2729) ❑x ❑ ❑ BP03 Site layout/facility maps are accurate(HSC 25504, Title 19 CCR 2729) TRAINING PLAN N ❑ ❑ TRO1 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 19 © D ER01 Contingency plan is complete, updated, and maintained on site(HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) 0 ❑ Q ER02 Facility is operated and maintained to preveniminimize/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 ABOVE GROUND PETROLEUM STORAGE TANK ACT ❑ ❑ ❑x AT01 SPCC Plan is reviewed and certified by a registered engineer within last5 yrs. (40 CFR 112.5(b)) ❑ 0 0 AT02 SPCC Plan is maintained on site or near, -_ :O■ �r a lr COMMENTSGotohttp:1Jwww.alopubtichealth.orgronvlronmontalheal11411axardous naterial R"Hanson GPS Coordinates: Latitude: 35.2419670000 t INSPECTOR: SCOTT MILNER Rich Horton Equipment Manager Hanson Aggregates West Region 131 � rhan A ,ad San Luis Obispo, CA 93401 Rich.Horton@Han-sonAmerica.com Tel 805 543 5183 Fax 805 543 4941 Cell 805 331 4190 FACILITY NAME: HANSON AGGREGATES I ADDRESS: 131 SUBURBAN RD i SAN LUIS OBISPO, CA 93401 nr. HAZARDOUS WASTE GENERATOR EPA ID CAL000145291 Total generated/month: Lbs or gals (average) NUMBER: Waste Oil: Solvents: Antifreeze: Others: YES NO N/A VIOL. # EPA ID NO/PERMITS ❑x ❑ ❑ GTOI 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 nuerib r HAZARDOUS WASTE DETERMINATION ❑x ❑ ❑ GT03 Hazardous waste determination conducted(Title 22 CCR §66262.11) Mown knowledge ❑analysis ❑other ❑ ❑ x❑ GT04 Hazardous waste analysis/test records are kept for at least3 years(Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION ❑x ❑ ❑ 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) 19milkrun P C.SAFETY KLEEN ❑other ❑x ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) 17 ❑ ❑ 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 ❑X ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows(Title 22 CCR §66262.34) 990 days if waste generated per month is greater than or equal to100 kg. (220 lbs.) 0180 days if waste generated per month is less than 100 kg (see note) 1:1270 days if waste generated per month is less than100 kg and transported more than200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds6000kg(13,200 lbs) and noacutely/extremely hazardous waste over lkg (2.2 lbs.) is held on site for over90 days. 19 ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling(accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) 19 ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) p ❑ ❑ GTII 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) ❑p ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good conditiodhandled to minimize the release or reaction (Title 22 CCR §66265.1710.191,66265.177(c)) ❑x ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 466265.172) x❑ ❑ ❑ GT14 Containers storing hazardous wastes are closed'sealed (Title 22 CCR §66265.173) 19 ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted(Title 22 CCR§66265.174) ❑ ❑ M GT16 Daily inspection of all tank systems is conducted and documented(Title 22 CCR §66265.195) 19 ❑ ❑ GT17 Empty containers or inner liners greater than5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE ❑x ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) ❑p ❑ ❑ 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) 19 ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ❑p ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled(Title 22 CCR 466266.3) INSPECTED BY: SCOTT MILNER DATE: 06/15/2006 FACILITY NAME: HANSON ° 7_GREGATES ADDP S: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 SUMMARY OF OBSERVATIONSNIOLATIONS 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 requires] please inform the CUPA in writing. 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. 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 andor the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administratiWivil, or criminal action. FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS PE NO VIOL. NO VIOL. TYPE CORRECTIVE ACTION REQUIRED 0727 BP01 4 IMMEDIATELY TAKE NECESSARY ACTION TO ENSURE THAT THE BUSINESS PLAN IS COMPLETE AND AVAILABLE ON SITE. IMPLEMENT A PROCEDURE TO ENSURE THAT THE PLAN IS UPDATED AS REQUIRED BY HEALTH AND SAFETY CODE SECTION 25503.5 AND TITLE 19 CALIFORNIA CODE OF REGULATIONS SECTION 2729. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED IN THIS REPORT MAY RESULT IN CIVIL AND/OR CRIMINAL PENALTIES OF UP TO $2,000 PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCRIBED IN THE CA HEALTH & SAFETY CODE SECTION 25515. PROVIDE AN UPDATED BUSINESS OWNER/OPERATOR IDENTIFICATION FORM. THE EMERGENCY CONTACTS HAVE CHANGED. 0727 TR02 4 IMMEDIATELY PREPARE TRAINING DOCUMENTS ACCORDING TO TITLE 19 CALIFORNIA CODE OF REGULATIONS SECTION 2732 AND TITLE 22 CALIFORNIA CODE OF REGULATIONS SECTION 66265.16 AND LOCATE TRAINING DOCUMENTATION ON SITE. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED IN THIS REPORT MAY RESULT IN CIVIL AND/OR CRIMINAL PENALTIES OF UP TO $2,000 PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCRIBED IN THE CA HEALTH & SAFETY CODE SECTION 25515. PROVIDE COPIES OF RECENT EMPLOYEE TRAINING DOCUMENTATION FOR TRAINING COVERING THE EMERGENCY RESPONSE/CONTINGENCY PLAN AND HAZARD COMMUNICATION TO YOUR INSPECTOR. INSPECTION COMMENTS: THE ABOVEGROUND GASOLINE TANK WAS REMOVED TODAY BY PSC. THE TANK WILL BE DELETED FROM THE FACILITY'S INVENTORY AND SITE MAP. INSPECTED BY: SCOTT MILNER DATE: 06/15/2006 FACILITY NAME: HANSON Ar `f2EGATES ADDREF 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 INSPECTED BY: SCOTT MILNER DATE: 06/15/2006 inspection form. Signature of Owner/Operator: NAME OF FACILITY REP: RICH HORTON SIGNATURE OF FACILITY REP: has complied with the corrective actions listed on this Title: Date: Environmental He. -A Services (805)781-5544 P.O. Box 1489 2156 Sierra Way • San Luis Obispo, CA 93406 City of S__ _ ._Luis Obispo Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 ►:i �ai ►i a�8. � �� � r �1', r�� fit. Facility Name: &ASO Y) Date: Site Address: J 31 SA_.VV4_,,n—=:a City. Permit # 77- f 46 M 'Chs-joc Owner: /-)arlson Phone #: Scf 3 -sl 93 Contractor: PS Phone #: Yes No Application Received Fees Paid 4ovr/ Deleted from Inventory / V / I� Fire Agency Notified INSPECTION Yes No Tanks Emptied Prior to Removal Piping Removed Tanks Triple Rinsed Dispensers Removed Tanks inerted. Purged with dry ice or another inert as. Type: / ✓ Soil Sampled Under Pi ing and Dispensers LEL=O w/ OXYGEN @ 20.8 / Surface Staining Present V Soil Sampled Beneath Tank �7 'As'n ScconG(t/� Cahln►h }, COMMENTS: Permit # Applied to Tanks D.O.D. & Haz-Waste Manifest Received P:;Eg•1iF..ii_ C.omrioniC7C?CUfv7l iJ'I �Aaron,,A 1 REMOVAUBlank AS I rernoaal inspection report doc CUPA INSPECTOR• Date 6 /s' d� SITE PLOT PLAN SOIL SAMPLING NOTES: Number Location I—Depth_FOdors } •?? coy Crops r�t�ti_ Maintenance t.,� +� �Cill he 4 �8f� .� sg= Conveyier Fug Water cow t Tanks -J. sa . DrjvO y .8 to ;1 Cauwp� rCsanC ives 1. WRDA 64 1500 Gal. } 8stsitl j,y' 2. ADVA 100 500 Gal. 3. DCI-S 55 Gal. __. 4. Recover 55 Gal. SOLOMON COLORS 5. Eclipse Floor 275 Gal. A. CF908ST400 275 Gal. 6. AMEX 210 500 Gal. 13. CF920HP 275 Gal., 7. Polarset 1500 Gal. C. CF917HP 275 Gal; 8. Daravair 1000 500 Gal. D. CF413HP 275 Cal 9. ADVA CAST 540 500 Gal. E. CFI 15HP 275 Gal 10. MIRA 85 1500 Gal. F. CF413HP 275 Gal 11. ADVA CAST 540 275 Gal. G. CF115HP 275 Gal.: f=:sE,}i'tF'.'. i_CommonitiL�CUME�i'f`,r arpn'G��i NE.I' OVl LTIank A5T removal inspection report doc Environmer<tal Health Services city 0f ,_.._ (805) 781.5544 P.O. Box 1489 sAn WIS OBISPO � F - 2156 Sierra Way f ' ;' San Luis Obispo, CA 93406 Fire Department (805) 761-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Date: i II IO EFW data Time: entry by: FACILITY NAME: teo E SINSPECTION TYPE Routine ADDRESS: nAG DEPT ❑ Reinspection CITY FIREComplaint v ❑ Other PHONE: PROGRAMS INSPECTED:j2rBusinessPlan �JIAW Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED7 Pao ❑ YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑CALARP 'ERMISSION TO INSPECT. Inspections may involve obtaining photographs, reviewing and qvI in r s and stermining compliance with ado ted codes. GRANTED BY NAMEITITLE : f BUSINESS PLAN YES NO N/A ❑ 0 ❑ BP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ 21 ❑ 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 ❑ ❑ TROT 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 ❑ ❑ ER02 CCR § 66265.53/54) 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 0 ❑�� AT01 rr= 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 C:\DOCUME-I\Repro\LOCALS-1\Temp\c.lotus.notes: .fa ■ M.■ stlanson Flanson Aggregates Wyatt Pullen Mid -pacific, Inc. Shop Foreman 131 Suburban t � 9 0' 4-1 S"Luis Obispo, 1 e1� 805 543 8481 Fax 805 781 3032 FACILITY NAME: - fit•'I . 2 ADDRESS:— &ZA�RDF60US H WASTE GENERATOR b qe3 S 6S f 7 Lbs or gals EPA ID NUMBER: ��� �(%� 6 � � �� ��J Total generated/month: (average) Tiered Permit: ❑CESW ❑CESQT ❑CA ❑PBR Waste oil: Solvents: Treatment Equipment: Antifreeze: Others: YE O N/A VIOL. # EPA ID NO/PERMITS GTOI Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CUR §66262.12) if Not, Call (800) 618-6942 to obtain your CAL EPA 11) number. HAZARDOUS WASTE DETERMINATION ❑' ❑ GT03 H87JIrdous waste determination conducted (Title 22 CCR §66262.11) _Jzown knowledge ❑analysis ❑other GTO4 Hazardous waste analysis/test records are kept for at least 3 years (Titie•22 CCR•§6626ZA(L(c)) ❑ ❑ DISPOSAL/TRANSPORTATION [_� ❑ 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 ❑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 ❑ n ❑ 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(13,200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. - E] ❑ ❑ 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) f❑/ f ❑ ❑ GT11 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) ❑ ❑ 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) ❑ ❑ 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) , [ ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly l 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) p❑ ❑ 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 being properly stored and 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) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ ❑ J�T_ GT22 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) ❑ ❑ GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus, notes.data\2_Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 sb6w,L.O. 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-WDA-YSOR-AS-SPECIFIED. MPA-mustgwith 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 Une or not less taiz-$2;UUii' or more Fliai� $25;08U�for eaca a facili nxay xYiusliected'-any'iiiiie 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. NUMBER Inspected By: Date: VIOLATIONS MINOR MAJOR Sign the certification below Facility Rep Name: dNfll 1 Imo[ �-e/Df� Signature: I► �� mail this form to the CUPA Inspeely r all corrective actions have been completed. Retain a copy for your records. Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: A:\Summary Inspection Form.doc 23-Jun-04 ��•,u,,; . Division of Environmental Health (805) 781-5544 P.O. Box 1489 I 2156 Sierra Way •San Luis Obispo, CA 93406 pepartment of AericulturefMeasurement Standards (805) 781-5910 2156 Sierra Way Suite A •San Luis Obispo, CA 93401 Date: 3 / 1 `r /00 Time: 13oo FACILITY ID NO: FACILITY NAME: ADDRESS: PHONE: City of San Luis Obispo Fire Department (805) 781-7380 I ` 2160 Santa Barbara Avenue ANSIMMM■ San Luis Obispo CA 93401-5240 Utilities Department • (805) 781-7215 879 Morro Street • San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM 31 Syl /�f J nr7 Lv-.3 [JY71 P �r7 PROGRAMS INSPECT REINSPECTION REQUIRED: 19 NO ❑ YES )N TO INSPECT: Inspections may involve codes. GRANTED BY (NAME1TffLE)----j EFW data entry by: AGENCY INSPECTION TYPE X DEH ® Routine ❑ AG DEPT ❑ Reinspection ❑ CITY FIRE ❑ Complaint t, VC6 ❑ CITY UTILITIES ❑ Other W Business Plan 12 HW Generator I ❑ UST I ❑ AGT 1 ❑ Tiered Permitting ❑ Business Plan I ❑ HW Generator I ❑ UST I ❑ AGT I ❑ Tiered Permitting photographs, reviewing and copying records, and determining compliance BUSINESS PLAN YES NO N/A ❑ ❑ 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 ® ❑ ❑ TRO1 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 ® r] ❑ EROI 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: ■0■ cilan Han"n oil gtl� e—gL4 701- Ly Hanson Aggregates Roger Larsen Central Coast Maintenance Shop Foreman P.O. Box 71 805 543 6481 S n Luis Obispo, CA 93406 a 131 Suburban Road San Luis Obispo, CA 93401 Fax 8^5ata "'�22 INSPECTOR: FACILITY REP Wyatt Pullen Parts 805 781 3405 FACILITY NAME: 46. j y & gd 5 DATE: r5 ' '' INSPECTOR: z4t��_ HAZARDOUS WASTE GENERATOR EPA ID 6 13 'P 3 �9 7 Lbs or gals NUMBER: ciao coo6*&- �- SAD 733 �6 Total generated/month: LQ G (average) Tiered Permit: ❑CESW ❑CESQT ❑CA ❑PBR Waste oil: &,,*" Solvents: ✓ Treatment Equipment: Antifreeze: ,/ Others: YES NO N/A VIOL. # EPA ID NO/PERMITS ! ❑ ❑ GT01 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 ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR 66262.40.(c)) DISPOSAL/TRANSPORTATION ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with a EPA ID NO. and permit or authorization From DISC (HSC 25189.5,'I'itle 22 CCR 66262.12) �h-+r Kic iq 10mi1krun service &A-k (-,blA _TA,:h*sNother rdfcr Re.,,.- r�Q 4111.5rl' ® ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR 66262.20f ® ❑ ❑ 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) 0 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 labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR 66262.34(c)) ® ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in (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) F❑ ❑ 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) ® ❑ ❑ 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) ❑ ❑ 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 OBSERVATIONS/VIOLATIONS 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 acliieveaTellon of the fawand punishable by a dine of not less than $2,000 or more than $25,000 for each violation. Yourfacilitymayhe-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 viplati ns. doted or that have not bccn corrected within the time specified. VIOLATIONS NUMBER MINOR MAJOR t�Po i ✓ e TR oa 1_ GTo I COMMENTS: pr lid a SDi Il CORRECTIVE ACTION REQUIRED P Inspected By: Facility Rep Name: D [y.ij Date: m oa Signature: repro 1127 rev 1 O:\DOCUMENT\Jeffp\FORMS\Inspection forins\CUPA inspection forms.doc 10-Sep-01 Division of Environmental Health �• - P.O. Box 1489 2156 Sierra Way -San Luis Obispo, CA 93406 Dcpartment of Agriculture/Measurement ` Standards (805) 781-5910 2156 Sierra Way Suite A•San Luis Obispo, CA 93401 €:.gym€ . City of San Luis Obispo Utilities Departments (805) 781-7215 955 Morro Street• San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY HAZARDOUS MATERIALS INSPECTiONFORM Record ID Prog/Ele Svc Result Action Insp Min. Facility Violation CODES: (insert codes for above box using new Envision codes) ENVISION FACILITY ID NO: 1 5C.6 ?-. FACILITY NAME: 1,�1a111$0� ArCnQ &]Tm�s' BID j%F1G FACILITY LOCATION: 13 Out, 06j3AU Ab TEL. NO.(Site):pn1 �S f� �315 P� TYPE OF INSP: ❑ Routine 9 Re-insp. ❑Complaint INSPECTING AGENCY: DEH ❑ SLO CITY ❑ AG DEPT PROGRAMS INSPECTED: REINSPECTION REQUIRED: J J NO ❑ YES ❑ Business Plan ❑ Business Plan 2<111V Generator ❑ HW Generator ❑ UST ❑ UST ❑ AGT ❑ AGT CONSENT: Consent to conduct inspection which may involve obtaining photographs, review and copying of records, and determination of compliance with UST, AGT, and hazardous materials/waste handling requirements. Granted By (Name/Title): S ifg6CAS GENERAL REQUIREMENTS YES NO N/A VIOL. # TRAINING ❑❑ ❑ ❑TRO1 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) CONTINGENCY/EMERGENCY PLAN RA ❑ ❑ EROI 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) BUSINESS PLAN YES NO N/A VIOL. # INF-1 [—I BPOI Business plan is current & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑ ❑ 13P03 Site layouttfacility maps are accurate (HSC 25504, Title 19 CCR 2729) -a--y-r . 1CUPAINSP-DOC 1�J .Ir .y� Division of Environmental Health w • P.O. Box 1489 2156 Sierra Way -San Luis Obispo, CA 93406 Department of A riculturelMeasurement Standards (805) 781-5910 2156 Sierra Way Suite A•San Luis Obispo, CA 93401 111111 !1111111f I 1I 11�11 C# v_f San Luis Obispo - — _.— Utilities Department- (805) 781-7215 955 Morro Street* San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) Irate: q l le / DG RAZARDOUS MATERIALS Time In:INSPECTIOXFORM Record ID Prog/Ele Svc Result Action Insp Min. Facility Violation r T 1`7 CODES: (insert codes for above box using new Envision codes) ENVISION FACILITY ID NO: 1.]0-ZD3 FACILITY NAME Al EC C 1T 1 FACILITY LOCATION: —13 l U II AA1[1 � TEL. NO.(Site): _ C_:;g.'N ,L tj 1 S ('i,645Pn TYPE OF INSP: 1Z Routine Re-insp. Complaint 1-1 INSPECTING AGENCY: DEH El SLO CITY 0 AG DEPT PROGRAMS INSPECTED: REINSPECTION REQUIRED: NO ® YES Business Plan Business Plan ZjHW Generator HW Generator UST UST AGT AGT CONSENT: Consent to conduct inspection which may involve obtaining photographs, review and copying of records, and determination of compliance with UST, AGT, and hazardous materials/waste handling requirements. Granted By (Name/Title). STFI+FAI Z_A-Cj 7 GENERAL REQUIREMENTS YES NO N/A VIOL. # TRAINING 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 & 22 CCR 66265.16) CONTINGENCY/EMERGENCY PLAN © El ❑ 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) BUSINESS PLAN YES NO N/A VIOL. # BP01 Business plan is current & available during inspection (HSC 25503.5, Title 19 CCR 2729) ® H BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) El F1 BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) A:tCUPA1NSRD0C 19-Jan-00 HAZARDOUS WASTE GENERATOR EPA ID NO: CAD y 8 3 SgIO 3c17 Tiered Perri+:_ CES-'VV_CESQT CA ERR Treatment Equipment: 4 � A Total generated/mo:_ ihs ar- afS Waste Solvents: ?� Anti-freeze:--3 t Others: 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) ❑ G_ T0.2 Generator has a Kermit or authorization to conduct on -site waste treatment (Title 22 CCR 66270.1) HAZARDOUS WASTE DETERMINATION ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR 66262.11) ®own knowledge ❑analysis ❑other ❑ ❑ M GT04 Hazardous waste analysis/test records are kept for at least 3 years ('Title 22 CCR 66262.40.(c)) DISPO SAL/TRANPORTATION Z❑ ❑ GT05 Hazardous wastes were offered to transporter 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) Z ❑ ❑ GT07 Manifests 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 z 100 kg (220 lbs.) � s 180 days if waste generator per month is less than 1000 kg (See Note) ❑s 270 days if waste generator per month is less than 1000 kg and transported more than 200 miles (See Note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg and no acutely/extremely hazardous waste over 1 kg 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)) had ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in(50') 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) 21 ❑ ❑ 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) © ❑ ❑ GT14 Containers storing hazardous wastes are closed/scaled (Title 22 CCR 66265.173) © ❑ ❑ GT15 Weekly inspection of areas where haz. waste containers are stored is conducted/documented (Title 22 CCR 66265,174) ❑ ❑ ® GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR 66265.195) ❑ ® ❑ GT17 Empty containers or inner liners > 5 gal has date when emptied and managed properly within one year of date emptied (Title 2 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 manifestation 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) SUMMARY OR OBERVATIONSNIOLATIONS 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 minor violations must be corrected within 30 days or as specified. CUPA must be informed in writing certifying that compliance has been mWeved. A false s me nmil n�asEpeen ieved is a violation ion or the wand DunishAble bv a fine o notlis�st an or more than $25,000 for each violation. Your facillly may be reinspected at You may request a meeting With the rrogram manager to discuss ane inspection tindings and/or proposed corrective Action&. 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. NO. MINOR MAJOR CORRECIVE ACTION REQUIRED TRO ERO BPO GTO �� G�iNSd�YAZt@L WDO UTO ATO COMMENT: Insp. Agency Rep: Facility Rep: Date: !-,55.77 Title: 805-781-5544 COUI- Y OF SAN LUIS OBISPO HEALTH DEPA..,,MENT Routine Inspection Division of Environmental Health , / Reinspection No. P.O. Box 1489, San LUIS Obispo. CA 93406 V Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENER TOR a INSPECTION REPORTINOTICE OF VIOLATION Facility Name: I D ` � �' . Date:, --- Facility Address: � "�-fix / Contact Person: -,- HAZARDOUS MATERIALS (2185} (COMP H ] (CA H&S Code, Div. 20, Chap. 6.95) UNDERGROUND STORAGE TANKS {COMP p } r 0 `� (CA H&S Code, Div. 20, Chap. 6.7) •7 BUSINESS I.D. FORM ATL. rk_ GENERAL 1. Complete Com i Viol 20. Permit tooperate Com I Viol 2. Verity emergency hone number 21. Inventory reconciliation 3. Location of utilities _ 22. Precision tank test 4. INVENTORY 23. Leak detectors 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers & labeled ! _ 24, Permit a droved 25. TemporaryTeimpofary closure 6. Incom alibles not stored together 26. Removal/in lace abandonment Z Spill containment provided a Tanks purged PLOT PLAN b Tanks rinsed 8. Plot plan submitted 1 c Soil samples taken 9. Verify streets & adjacent buildings WASTE GENERATORS COMP N 10. Location of hazardous materials 27. EPA identification number f 11. Fire extinguishers/water source 28. Variances and/or exemptions " 12. Emergency shut-off switche:y 29. Manifests r-- 13. Location &verification of MSD5 ± : r 30. Waste oil receipt 14. Sewers stem and/or storm drains 31, Training program/records ] 15. Stafling area 32. Contingency Ian 16. Chan es/modifications in previous year 33. Material stored in proper containers & labeled t i EMERGENCY RESPONSE PLAN 17. Adequate emergency response pmcedures 34. Incompatibles nol stored together 18. Adequate evacuation procedures 35. Storage - 90 days 19. TRAINING PROCEDURES 36. Fire extin uishers 37. Spill containment The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMMENTS _ r [Fr C 74 C. �'IV ��'►�' c-a Inspector's Signature V IT Owner/Operator Signature NOTE: Signature indicates receipt document only and not an admission of the facts. Page of 805-781-55 COUIv I'Y OF SAN LUIS OBISPO HEALTH DEPARTMENT Routine Inspection _ Division of Environmental Health Reinspection No. P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION Facility Name: Facility Date: Contact Person: FCp$tr Title/Position:�� HAZARDOUS MATERIALS (2185) (COMP # } UNDERGROUND STORAGE TANKS (COMP # j (CA H&S Code, Div. 20, Chap. &95) (CA H&S Code, Div. 20, Chap. 6.7) BUSINESS I.D. FORM ATL. # GENERAL Com I Viol Com I Viol 1. Complete 20. Permit to operate 2. Verif emergency hone number ,ram- 21. Inventor y reconciliation ,r 3. Location of utilities 22. Precision tank test INVENTORY 23. Leak detectors )A 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers 24. Permit approved & labeled 25. Temporary closure 6. Incompatibles not stored together 26. Removal/in place abandonment 7. Spill containment provided a Tanks purged PLOT PLAN b Tanks rinsed 8. Plot plan submitted .r c Soil samples taken 9. Verify streets & 0 acent buildings WASTE GENERATORS COMP # 10. Location of hazardous materials v 27. EPA identification number �- 11. Fire extirr uishersMater source 28. Variances and/or exemptions 12. Emer en shut-off switches 29. Manifests PA 13. Location & verification of MSDS c- 30. Waste oil receipt 14. Sewers stem and/or storm drains All. Training rs ram/records ✓ 15. Staging area 32. Contingency lan 16. Chan estmodifications in previous year 33. Material stored in proper containers & labeled EMERGENCY RESPONSE PLAN 17. Adequate emergencyemwgency response procedures -- 34. Incom atibles not stored t elher �- 18. Adequate evacuation procedures 35. Storage - 90 da s . _- 19. TRAINING PROCEDURES y" 36. Fire extinguishers .� 37 Spill containment �- The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMMENTS "J 1' -� Inspector's Signature Owner/Operator Signature NOTE: Signature indicates receipt of this document only /d not anadmission of the facts. Page of 805-549-5544 COUMr 7 OF SAN LUIS OBISPO HEALTH DEPAR. MENT Routine Inspection Division of Environmental Health Reinspection No. P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION r I Facility Name: --L",; i t� t I 4t i �3 }ate:•. �.a IrF- F=111ty Address:`? ! `�^r ' ' C8ntact- fr . TittgiF�Ut3itiorr. HAZARDO 2 5 # (CA H&S Code, Div. 20, Chap. 6.95) UNDERGROUND.STORAGE TANKS (COMP # } (CA H&S Code, Diva 20, Chap. 6.7) BUSINESS I.D. FORM ATL. # GENERAL 1, Complete corn I Viol 20. Permit tooperate Com I Viol l` 2. Verity emergency hone number 21. Inventory reconciliation / a Location of utilities 22. Precision tank test INVENTORY 23. Leak detectors 4. Hazardous material & amounts listed TANK CLOSURE & Material stored in proper containers & labeled 24. Permit approved 25. Temporary closure a Incompatibles not stored together 26. Removal/in 21ace abandonment 7. $ ill containment provided a Tanks purged PLOT PLAN b Tanks rinsed 8. Plot plan submitted c Soil samples taken 9. Verify streets & adjacent buildings WASTE GENERATORS COMP # 10. Location of hazardous materials 27. EPA identification number 11. Fire extinguishers/water source 28. Variances and/or exemptions / 12. Emer en shut-off switches - 29. Manifests 13. Location & verification of MSDS r 30. Waste oil receipt 14. Sewers tern and/or storm drains 31. Trainin rogram/records 15. Staging area jis 32. Contingency Ian 16. Chan eafmodifications in provious ear 33. Material stored in proper containers & labeled EMERGENCY RESPONSE PLAN 17, Adequate emergency response procedures 34. Incompatibles not stored together 18. Adequate evacuation procedures 35. Storage - 90 days 19. TRAINING PROCEDURES 36. Fire extinguishers 37. Spill containment The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. �611�i10 Ctv1- 11 t ��1 -� 1��5 �11 1,�;A'i� J Cat' k Aft � � I {..,. .(, r�. � .��1: cl Inspector's Signature- Owner/Operator Signatur NOTE: Signature indicates receipt of th s docurit t only and not an admission of the facts. rr Page of 805-549-5544 COUNTY OF SAN LUIS OBISPO HEALTH DEPARTMENT Routine Inspection Division of Environmental Health Reinspection No. P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION Facility Name, ti s, % /IC4•r.[r�� Date: S !t Facility Address: Contact Person: Tltte(Pos tlon� HAZARDOUS MATERIALS (2185) (COMP # (CA H&S Code, Div. 20, Chap. 6.95) ] UNDERGROUND STORAGE TANKS (COMP # j (CA H&S Code, Div. 20, Chap. 6.7) BUSINESS I.D. FORM ATL. H GENERAL 1. Complete Com I Vior -211 'Asfirriit tooperate Com I Viol :- 2. Verify emergency hone number 21. Inventory reconciliation 3.. Location of utilities 22. Precision tank test INVENTORY 23. Leak detectors 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers & labeled 6. Incompatibles not stored together f 24. Permit approved 25, Tem ora closure 26. Removal/in place abandonment 7. Spill containment provided a Tanks purged i PLOT PLAN b Tanks rinsed 8. Plot plan submitted c Sail samples taken 9. Verify -streets & adjacent buildings WASTE GENERATORS COMP # 10. Location of hazardous materials 27. EPA identification number 11, Fire extinguishers/water source 28. Variances and/or exemptions:.�' 12. Emergency shut-off switches 29. Manifests 13, Location & verification of MSDS 30. Waste oil receipt r. 14. Sewers tem and/or storm drains .31. Training r ram/records r� 15. Staging area $2; CDntingen2y plan 16. Chan eslmodificalions in previous year 33. Material stored in proper containers & labeled v' EMERGENCY RESPONSE PLAN 17. Adequate emergency response procedures 34. Incom atibtes not stored together 18. Adequate evacuation procedures 35. Storage - 90 days 19. TRAINING PROCEDURES 36. Fire extinguishers 37. Spill containment The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMMENTS. ot'Fr;`A tub. TtF _ _ , - i- _ . �-.. _. ' Ie-: _thy "['��I�,�'s r}.S I �. ��rc.i '- l �c, I� .�,� (�_i:,::_.-� ,-, �.. , \•V'\I �� i�c�(_� �1�.� i �`�t `-,i�-!Z_. c-�_ ('ram,,;-, r�,rvF1r Inspector's Signature- Owner/Operator Signature Page of NOTE: Signature indicates receipt of this docUi3leW only and not an admission of the facts. 805-549-5544 COUN rY OF SAN LUIS OBISPO HEALTH DEPARTMENT Routine Inspection Division of Environmental Health Reinspection No. _ P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION Facility Name:��`�����'� = Date Facility Address: 5 '� ' _ Contact Person: Title/Position: HAZARDOUS MATERIALS (2185) (COMP # ) ` UNDERGROUND STORAGE TANKS (COMP # 1 (CA H&S Code, Div. 20, Chap. 6.95) J (CA H&S Code, Div. 20, Chap. 6.7) BUSINESS I.D. FORM ATL. #_ GENERAL 1. Complete Com I Viol 20. Permit to operate Cora I Viol 2. Verity emergency hone number 21. Inventory reconciliation 3. Location of utilities 22. Precision tank test INVENTORY 23. Leak detectors 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers & labeled 24. Permit approved 25. Temporary closure 6. Incompatibles not stored together 26. Removal/in place abandonment 7 Spill containment provided a Tanks purged PLOT PLAN bf Tanks rinsed 8. Plot plan submitted c Soil samples taken 9. Verify Streets & adjacent buildings WASTE GENERATORS COMP # O0 10. Location of hazardous materials 27. EPA identification number 11. Fire extln uishers/water source _ 28. Variances and/or exemptions 12. Emergency shut-off switches 29. Manifests r 13. Location & verification of MSDS 30. Waste oil receipt 14. Sewers stem and/or storm drains 31. Trainin ro ram/records 15. Staging area 32. Confingency plan 16. Chan es/modifications in previous year 33. Material stored in proper containers & labeled EMERGENCY RESPONSE PLAN 17. Adequate emergencyeme!gency response procedures i' 34. Incompatibles not stored together 18. Adequate evacuation procedures 35. Storage - 90 da s 19. TRAINING PROCEDURES 36. Fire extinguishers 37. Spill containment �- The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMMEN .4269 (dir- t L . LI Z Inspectors Signature- Owner/Operator Signature: - NOTE: Signature indicates receipt of this ument only and not an admission of the facts. Page of STATE OF CALIFORNII4 WATER RESOURCES CONTROL BOARD `M1`.•o: ; S auaeka p FORM A: UNDERGROUND STORAGE TANK PROGRAM SITE FACILITY/SITE INFORMATION and/or PERMIT APPLICATION Y '- _ ,►;= COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY T NEW PERMIT ❑ 3 RENEWAL PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 7 PERMANENTLY CLOSED SITE ONE ITEM 2 INTERIM PERMIT 4 AMENDED PERMIT ❑ 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) _EACIUTY.SIT NAME CAREAF.ADDRESSINF TlON�� �_ . ADDRESS NEAREST CROSS STREET ✓ ft *y *aw ❑ PARtNEgB)IIP ❑ STAT •ACiM J J wON © � A ❑ FEDERAL -AGENCY � STATE T`P E ITE PHONE n, WITH AREq CODE QITY CA BUSINESS: ❑ 2 DISTRIBUTOR 4' OCE&" ✓ Box if INDIAN EPA ID # # of TANK'S 1 GAS STATION � 3 FARM � 5 OTHER TRUST LANDS of ❑ AT THIS SITE EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) DAYS: N ME (LAST, FIRST) PHONE #/WITH AREA CODE DAYS: ME (LAST RST) PHONE 9 WITH AREA CODE L r* - t�R 0 r f9a ��.s �j S s _�,_ NIGi S: NA {LA$T, FIRST) PHONE # WITH AREA CODE NI HTS: NAME (LAS FIRST) PHONE # WITH AREA CODE II. PROPE144TY OWNER INFORMATION & ADDRESS - (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION MAILING or STREET ADDRESS / ✓ Box to indicate ❑ PARTNERSHIP ❑ STATE -AGENCY CORPORATION ❑ LOCAL -AGENCY ❑ FEDERAL -AGENCY ` fl�/7 INDIVIDUAL ❑ COUNTY-AGFNCY CITY NAME STAJ�) ZIIPP;CODE T P IONE# WITH REACODE III. TANK OWNER INFORMATION & ADDRES9 - (MUST BE COMPLETED) NAME � � CARE OF ADDRESS INFORMATION MAILING or STREET ADDRESS ✓ Box to indicate ❑ PARTNERSHIP © STATE -AGENCY ❑ CORPORATION ❑ LOCAL -AGENCY ❑ FEDERAL -AGENCY ❑ INDIVIDUAL ❑ COUNTY -AGENCY CITY NAME STATE ZIP CODE PHONE H, WITH AREA CODE IV. LEGAL NOTIFICATION AND BILLING ADDRESS CHECK ONE (1) BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR BOTH LEGAL NOTIFICATION AND BILLING: I. ❑ II. ❑ III. ❑ THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. APPLICANT'S NAME (PRINTED &SIGNATURE DATE r LOCAL AGENCY USE ONLY LI-Lc, JURISDICTION # AGENCY # FACILITY ID # I u( z ] # of TANKS at SITE LL=- AGENCY FACILITY ID # 1.5 APPROVED BY NAME PHONE # WITH AREA CODE [PERMITNUMBER PERMIT APPROVAL DATE PERMIT EXPIRATION DATE CENSUSTRACT# SUPERVISOR -DISTRICT CODE BUSINESS PLAN FILED YES ❑NO ❑PERMIT DATE FILED AMOUNT SURCHARGE AMOUNT FEE CODE RECEIPT # BY: 9 THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE TANK PERMIT FORM 'B' APPLICATION(S), UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY, FORM A (3-2-88) LOCAL AGENCY COPY