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Home My WebLink AboutPRR24310 PetersonArmas, Sara From:FireRequest@enotify.visioninternet.com Sent:Wednesday, October 23, 2024 11:50 AM To:CityClerk; Timpano, Mika Subject: Follow Up Flag:Follow up Flag Status:Flagged This message is from an External Source. Use caution when deciding to open attachments, click links, or respond. Anewentrytoaform/survey hasbeensubmitted. FormName: FireRecord Requests Date & Time: 10/23/202411:49AM Response #: 349 Submitter ID: 1533 IPaddress: 71.212.11.8 Timetocomplete: 1min. , 7sec. Survey Details Page1 1. Contact Information FirstName Natasha LastName Peterson Agency RPS Address 2. Please provide detailed, specificinformation (date, time, event, location, incident number). Record Description Looking fordocuments related tohazardous material storageandgeneration fortheproperty locatedat184suburban road, sanluisobispo Ifyouprefer tocontact usinperson orUSmailand/orhave HIPAA documentation tosubmit insupport ofyourrequest, please download andusethefollowing form(s). FireIncident Request Form 1 HIPAA Release Form Deliver ormailto: CityofSanLuisObispo FireDepartment, 2160Santa BarbaraAvenue, SanLuisObispo, CA93401 YOUR REQUEST WILLBEPROCESSED INCOMPLIANCE WITH THEPUBLIC RECORDS ACT. California Government Code Section 6253 (c). Eachagency, uponarequest foracopyofrecords, shall, within10daysfromreceipt ofthe request, determine whether therequest, inwhole orinpart, seekscopies ofdisclosable public records inthepossession ofthe agency and shallpromptly notifytheperson making therequest ofthedetermination andthereasons therefore. In unusual circumstances, the timelimitprescribed inthissection maybeextended bywritten notice bytheheadofthe agency orhis orher designee totheperson making therequest, settingforth thereasons forthe extension andthedate onwhich adetermination isexpected tobedispatched. Nonotice shallspecify adatethatwould result inan extension formorethan 14days. Pursuant California Government CodeSection6254 (c) Personnel, medical, orsimilar files, the disclosure ofwhichwould constitute anunwarranted invasion ofpersonal privacy \[areexempt fromdisclosure\]. Withtheexception ofcertain records, report photocopies are40¢ perpage. Ifyouneedassistance withthisrequest or wishtoreviewtherecords onsite, please calltheCityFireDepartment inadvance at781-7380toschedule an appointment. Toaccess publicdocuments, contact theCityClerk'sOffice, CityRecordsProgram. Thank you. Thank you, CityofSanLuisObispo, CA This isanautomated message generated byGranicus. Please donotreplydirectly tothisemail. 2 t ctty o[ san Luls onl$Po NRE OEPANTUEI{T 2{6{l Srnta Brrban Avenue ' San Luis obbpo, GA 9i}tl0l-6210 ' HSftElJSS0 "Courtesy & Semice" 3t17t2021 SAUER BMNDS INC, SAUER BRANCS INC. 2OOO W BROAD ST RICHMOND,VA,23220 FaciliW lD: FA0005125 RE: SPICE HUNTER, THE 184 SUBURBAN RD, SAN LUIS OBISPO Conditiona lly Exempt Smal I Quantity Generator Self.Certification Form Facilitiesthatgenerate lessthan 27 gallons permonth of hazardouswaste (e.g. usedoil,waste antifreeze, solvent, speniphotographic chemiials, etc.)are requiredto provide the enclosed Certification Form and copies of waste disposal records for the previous year to this office. please complete the Conditionally Exempt Small Quantity Generator (cEsQG)Annual Self-Certification Form, attach copies ofyourwaste disposal recordsforthe previousyear and provideto this office within 30 days. ThisAgencyis requiredtoverifythat hazardous wastes are properly managed anddisposed of or recycled. This Agenry witl conduct a billable inspection at the subiect facility to verify compliance if the Self-Certification Form and disposal records are not received. lf you have questions, please contact this office at (805) 781-5544. Matt Callahan Certified Unifled Program Agenry (CUPA) APR 3 I ?021 i-:i fL The Cty of Ssn Luis Obispo is committed to hclurte the disabled in d[ of il.s service$, prograrE 6nd scitiviti€. Telecornmunicatione Device for the Deaf (S05) 78.lJ410' ..'l;'\r "er'Y FIRT 5 & CESC rpt 1 County of San Luis Obispo CUPA Hazardous Waste Small Quantity Generator An n ual Self Certification This form is for facilities that generate less than 27 gallons of hazardous waste per month (e.9. used oil, waste antifreeze, etc.). lf your facility qualifies to use this form, you will be exempt from an annual physical inspection and will be charged a reduced fee. Failure to complete and return this form along with copies of disposalor recycling documentation will result in an inspection being conducted and an increased fee. Faoility Name:rt,,ruV,l*",l"n+-28*72iDate: Facility Address:Contact Person: Title/Position: Type of Facility:Fooo I tb@<q lNa Phone Number: pz FAa005t2S Attach copies of all disposal and recycling records from the previous calendar year. Retain original receipts for your records. lzI Mailform to: San Luis Obispo County Environmental Health Certified Unified Program Agency P.O. Box 1489 San Luis Obispo, CA 93406 Questions? Call (805) 7815544 I certify, under penalty of perjury, that all hazardous wastes have been collected for recycling or disposal by the contractor(s) or at the collection facilities listed above and information is true and accurate. €" Name:Signature: Type of Waste Quantity (in gallons) Date of Service Disposal Contractor or Collection Facility ittb( 0 Position Date:4 -28-7t2.1 the above County of San Luis Obispo CUPA hNazardous Waste Small Quantity Generator Annual Self Certification /lr€o B?07g This form is for facilities that generate less than ?7 gallons of hazardous waste per month ie"g. used oil, waste antifreeze, etc.). lf your facility qualifies to use this form, you will be exempt from an annual physical inspeetion and will be charged a reduced fee. Failure to camplete and return this form along with copies of disposalor recyeling documentation will result in an inspection being conducted and an increased fee. Facility Name:Date 5.3-20 t1 Facility Address: ?ype of Facility: C*ntact Person: KN KAtfeP*J*6eJ TitidPosition. ftdhn <vp<ttltSqL Phone Number: (jn,) xZ'' - A?lZ Attach copies of all disposal and recycling records from the previous calendar year. Retain original receipts for your records. Mailform to: $an [-uis Obispo County Environmental Health Certified Unified Program Agency P.O. Box 1489 $an Luis Obispo, CA S3406 Questions? Call (805) 7815544 I certify, under penalty of perjury, that all hazardous wastes have been collected for recycling or disposal by the contractoris) or at the collection facilities I above and information is true and accurate. Name: I Date of Service Dispeisa! Gontractsr or Colle,ction Facility I Type of Waste Quantity {in gallons} E-l-nvf &p wpytv t itarDfrl{NOUZ o / F lty,tn,+-.--** f-8N ^,lt+ L{\1t409 IBqtfiltLt€-9 - Positian:L2\) $ignature:t the above t\l)t, t). lvly li)yrt!{t YY N0,Jl)u r, u1 UNIVERSAL WASTE AND USED OIL/LATEX PAINT INVENTORY AND CERTIFICATION FORM CompanY harne: The SPice Hunter Address: 184 Suburban Rd Phone number: 8055978972 Contact namei Kenneth Kreyenhagen . Cityr San Luis Obispo ZIP code: 93401 Fax numbe'1; 8055442253 E-rnail: kkreyenhagen@spicehunter.com .. f,Vpe..of Univerial Waste ' 1 'nl I '., ,.TO BE PLETED tb/eritem Household Batteries 150 No charge until further notice 0.00 Fluorescent lighting (4 foot and CFLs)B2 So.5o each 41.00 Fluorescent lighting (8 foot)0 $t oo each Sodium/metal hydride/halogen bulbs 31 51.00 each 31,00 Used oil and Latex Palnt i Quantlty of .:. , W4ste,., M PLETED.BY W MA STAFF Cosi 'Item,.Total CoSt Used oil (maximum acceptable amount: 55 gallons)0 No charge untll further notice Latex paint (rnaximum acceptable amount: 55 gallons)0 No charge TOTAL: Please make checks payable to SLO County IWMA PREFERRED SITE AND TIME - Please indicate which site and time you wotrld prefer. I CiricaSo Grade t-andfill, Templeton, Fridays 9am - 11am fl colO canyon.Landfill, San Luis obispo, wednesdays 9am - noon /ne.,t 0l , Nl4 I Morro Bay Household Hazardous Waste Facility, Morro Bay, Thursdays 9am - l1am I NiRomo Household Hazardous Waste Facilitv, Niporno, Thursdays 2pm - 4pm ! naso Robles Landfill, Paso Robles, Fridays lpm - 3pm FOR SAN LUIS OBISPO COUNTY IWMA STAFF ONLY Date Received: {-l .:p*g ef Slgnaturer Check Page t of 2 Credit Card prlnt Name, €-*_Sr, <_ L*C_[**-, ctf,y o[ san luls oBlspo I.D. # FIRE DEPARTMENT 2160 SANTA BARBARA AVE., SAN LUIS OBISPO, CA 93401 (805) 78I-7380 a. b. c. d. e. Fire, NOTICE OF'FIRE & You are hereby notified that an inspection of your premises located at: following fire safety hazards and/or violations. 1. Fire Extinguishers Due Six Year Service Due Provide#_ lRelocate Extinguisher/Provide Access [Mount on Wall 3'-5' Above Floor Sprinkler System lReplace Painted/Corroded Head flReplace Escutcheons EReduce Storage 18" Below Heads has disclosed the 6. Exits a. lRemove Key-Locking or Special Knowledge Hardware b. lchange Door Swing to Direction of Egress if >49 c. lProvide/Repair Illuminated Exit Signs with Back-Up Power d. lProvide Sign "This Door To Remain Unlocked..." Main Exit Only e. lRemove Storage/Obstructions to Aisles/Exit f. lProvide/Repair Emergency Lights if >2 Exits e. f]Provide Occupant Load Sign >49 h. lRepair/Replace Exit Door or Panic Hardware 7. Electrical lReplace/Repair/Provide Permanent Wiring Remove/Provide Approved Extension Cord/Multiplug Adapter Label Circuit Breakers, Shut-Off Mains/Provide Blanks 30" x 78" Clearance around Electrical Panel nProvide Cover Plates lProvide Sign for Electrical Room Door 1" Letters of 5' from Walls/Eaves lRemove Cut/Uncut Weeds/Grass/Vegetation [Storm Water Polution Prevention lRemove Storage 24" Below Ceiling if No Sprinklers lProvide Metal Container w/ Self-Closing Lid for Oil Rags lProvide Non-Combustible Trash Containers w/Lid if >40 gal. flMaintain Clearance between Combustibles and Ignition Sources lsecure Compressed Gas Cylinders EProvide Seismic Strapping/Maintain/Repair Water Heaters lProvide No Smoking Signs lRepair/lvtaintain Fire Rated Walls/Ceilings/Doors flProvide Flammable Liquids Storage Cabinet if >10 gal. nProtect/Permanently Mark Gas Meters as to Unit Served IProvide IProvide !Provide lProvide 5-Year Certifi cation nCnain and Lock Valves Open 3. Fire Alarm System a. [Annual Test Record Required Spare Heads/Wrench./Signage 3' Clearance for Riser/Control Valves Caps/Clearance for Fire Department Connection a. b. c. d. e. f. o h. a. b. c. d. e. f. 8. b c. lProvide Clearance/Accessto Components/Signage 4. I(tchen Hood System/Spray Booth/Clean Agent System a. lProvide 6 Month Service b. [Clean/Repair 5. Fire Lanes/flydrants/Access EPaint Fire Lanes lProvide Signage lProvide 3' Clearance around Hydrant [Maintain Access Ways [Provide Key Box./Keys flProvide Address/Unit Numbers flProvide Clearance/Signage Roof Access c. d. e. f. o h. i. j. k. L m. n. a, b. c. d. e. f. b. h.n Test/Maintain Private Fire This Record is an OF'VIOLATION and order to comPlY. The above noted conditions are violations of City Fire and Building Codes. Therefore, you must correct the noted immediately uponreceiptofthisnotice.Areinspectionofyourbusinesswillbecotrductedinapproximately-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. E fire Code Permit required for INSPECTION DATE CLEAR INITIAL f,.IRST unqfib SECOND ,I .,1. THIRD COMMENTS: Fees upon of na.ppr,v INSPECTIoN FEE ,a) crty o[ san luls onlspo(805) 781-5544 P.O.Box 1489 2156 Sierra Wav Ste. B San Luis Obisoo. CA 93406 FIRE OEPARNrcrT 2160 sata BarbaE A@ur'sd Lub oltbpq cA 93{lh-5210'(81}5) t8l-nm "Cotrtesy & Service" Date:0412612018 GERTTFIED UNIFIED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: COUNTY bSAN LUIS OBISPO Facility Name: SPICE HUNTER, THE Aoencv trEHS trCITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testint Site Address: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Phone: (805)544-4466 Facility lD: FA0005125 Serial Number: DAQHNXHQZ PROGRAMS INSPECTED:trHazmat trHWGenerator trUST trAGT trCa|ARP trTPE REINSPECTION REQUIRED trHazmat trHW Generator trUST trAGT trCalARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Ken Kreyenhagen Title: Facility Supervisor YES NO N/Atrtrtrtrtrtrtrtrtr tr tr tr tr tr tr tr tr BUSINESS PLAN Business plan is complete, current, available during inspection (HSC 25503.5' Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 ccR) 66265.16 EMERGENCY RESPONSE PLAN Emergency response/contingency plan is complete, updated, and maintained on site (HSG 25504, Title 19 CCR 2731 & 22 CCR S 66265.s3/54) Facility is operated and maintained to prevenUminimize/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 CCR273'l&22 ccR 66265.31-.37,40cFR 1 265.31) Secondary containment is installed and sufficiently impervious to discharges. [cHSc 25270.4.5; 40 CFR 112.8(cX2)] GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel GPS Goordinates: Latitude: 35.2440680000 GPS Coordinates: Longtitude: 120.6696870000 BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ERO3 INSPECTOR: KERRY BOYLE FACILITY REP: Ken KreYenhagen FACILITY NAME: SPICE i \TCN HC ADDI )S HMARDOUS WASTE GENERATOR 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 EPA tD CAL000293171 NUMBER: Total generated/month: Lbs or gals (average) Waste Oil:Solvents: Others:-Antifreeze: YES N9 N/Atrtrtr VIOL. # EPA ID NO/PERMITS GTOI Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCRS66262.12) lf not, Call (800) 618-6942 to obtain your CAL EPA lD number HMARDOUS WASTE DETERMINATION GTO3 Hazardous waste determination conducted (Title 22 CCR 566262.11) trown knowledge tranalysis trother GTO4 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR S66262.40.(c)) D I S P OSAL/TRAN S PO RTATI O N GT05 Hazardous wastes disposed of at an authorized location (HSC 5251 89.5 , Title 22 CCR 566262'1 2) GT06 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest fiitle 22 CCR 866262.20. HSC 825160/25163(a)l GTOT by generator for 3 years GTOS (Title 22 CCR 566262.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as follows (Title 22 CCR 566262'34) tr90 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) tr180 days if waste generated per month is less than 100 kg (see note) tr270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/Ss-gal or 1-qt limit) (Title 22 CCR 566262.34(c)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR 566265.176) 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 566262.31, 66262.341 Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (Title 22 CCR 566262.34 (dX2), Gontainers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR$ s66262.34 (dX2), 66265.1 72) Containers storing hazardous wastes are closed/sealed (Title 22 CCR 5566262.34 (dX2), 66265'1 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCRSS66262.34 (dl(21, 66265.1 74) Daily inspection of all tank systems is conducted and documented (Title 22 CCR 5566262.34 (dX2), 66265.1 95) 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 566261.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCRS 66266.13, HSC 525250.4) 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 CCRS 66266.13) Spent lead-acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (litle 22 CCR 565266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 ccR s66266.3) 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. (67100.7, 67100.8, HSC 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. (671 00.7. 67100.8. HSC Q25244.19) Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (Title 22 CCR 566265.51-.54) tr GT22 tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr n tr tr tr tr tr tr tr tr tr n tr tr GTO9 tr GTIO tr GT11 tr GT12 tr GT13 tr GT14 tr GT15 tr GT16 N GT,I7 tr GT18 tr GT19 tr GT2O tr cr21 tr GT23 tr GT24 SUMT! .;R,Y OF OBSERVATIONSruIC \TIONS tr No violations of undergiround storage tank, hazardous materials, or haza-fdous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to yot facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, olease inform the CUPA in writinq. ALL VTOLATTONS 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 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: SPICE HUNTER, THE ADDRESS: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED GT11 IMMEDIATELY BEGIN TO PROPERLY LABEL ALL CONTAIAIERS OF HAZARDOUS WASTE. IMPLEMENT A PROCEDURE IO EAISURE THAT ALL CONTAINERS OF HAZARDOUS WASTE ARE PROPERLY LABELED. THE FINE FOR THIS VIOLATION IS AN INITIAL PENALW OF UP TO $25,000, AND THEN AN ADDITIONAL TWO PERCENT OF THE INITIAL PENALTY PER DAY THEREAFTER. UWOs ALWAYS INDICATE THE START DATE FOR ACCUMULATION OF UNIVERSAL WASTE IO ENSURE THAT THE ONE YEAR ACCUMULATION TIME LIMIT IS NOT EXCEEDED. INSPECTION COMMENTS: Hazardous waste labels were faded and illegible - new labels were provided and filled in, then applied to the small containers. Hazardous waste accumulation storage times had been exceeded - Managers were advised to ship hazwaste at least every 270 days. INSPECTED BY: KERRY BOYLE DATE: O4126t2018 NAME OF FACILITY REP: Ken Krevenhaqen SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE I certify under penalty of perjury that this facility has complied with the corrective actions listed on inspection form. nature of Owner/O Title: Date:- County of San Luis Obispo SHtAtsoB*po .l ,f Environmental Health Services (805) 781-5544 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) HAZARDOUS MATERIALS INSPEGTION FORM EFW data entry by: ,*", q{Qttftg Time: FACILITY NAME: /lrhnrt /,{ADD Result Code: _70 _80 _90 Action Code: _32 _37 _33 _31 Routine Reinspection OtherComplaint ! f{u lrt/l t EHS AG DEPT FIRE pHtjNe:'' t'/ "- v L' -F-- ll,, n usr fl ecr ncnmnpn Business Plan HW GeneratorPROGRAMS INSPEGTED: rF'*Generator E usr E ncr ncamnp{No N YES ! Business PlanREINSPECTION REQUIRED: PERMISSION TO INSPEGT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): N/Atrcostrnn nn YEs' Notrntrntrn !Inn nntrn BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl AT02 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504' Title 19 CCR2729) Site layout/facility maps are accurate (HSC 25504' Title 19 CCR2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265,16) Training documentation is maintained on site for current personnel (Title 19 CCR.2732 & 22 CCR 6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCK-273I & 22 ccR $ 6626s.s31s4) 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 SPCC PIan is reviewed and certilied by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) SPCC PIan is maintained on site or nearest field office. (HSC 25270) trtrnn nn Go to http://www to obtain to with BP01-BP03, TR0l and ER01 mlnmin_decimalmin Longitude:- fl / INSPECTOR:FACILITY REP: mln P&./tu//r$i^l --\ 1 Environ:,.'-, rial'Health Services (80$ 7815544 P.O.Box 1489 2156 Sierra Wav San Luis Obispo. CA 93406 CIWCr*' san u,il$stsDo Fire Deoatment (80$ 78tr7380 2160 Santa Barbara Avenue San Luis Obisoo CA 9340!5240 Date: 1211212013 GERTTFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: 10:30 am Serial Number: DAJS4YZUS PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. Facility Name: SPICE HUNTER, THE Site Address: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Phone: (805)5444466 125 BPOl BPO2 BPO3 TROt TRO2 EROl ERO2 Aoencv lnspection TvoetrEHS trRoutine BClry FIRE trReinspection trChargeable ReinsPection trChange of OwnershiP trGomplaint trSecondary Containment Testing trChargeable Secondary Containment Testing OTPE trTPE BUSINESS PLAN Business plan is complete, current, available during inspection (HSG 25503.5, Title t9 CCR 2729) lnventory of hazardous materials is complete (HSC 25504' Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINiitG PLAN Facility has appropriate training program (Title l9 ccR 2732 &22 CCR 65265.16) Training documentataon is maintained on site for current personnel (Title tg CCR 2732 & 22 CCRI 66265.16 EMERGENGY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR2731 &22 ccR s 66265.53/54) Facility is operated and maintained to prevenUminimize/mitigate firc, explosion, or release of hazardous materiats/waste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title l9 CCR 27t1&22 CCR 66265'31'.37. 66267.34 (dX2),40CFR 1 265.31) tr tr tr tr tr tr tr NO tr tr tr tr tr tr tr YES tr tr tr tr tr tr tr N'A tr tr tr ER03 Secondary containment is installed and sufliciently impervious to discharges. ICHSC 2527 0.4.5; 40 CFR I I 2.8(cx2)l GENERAL EH VIOLATIONS tr tr tr FEgt Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2440680000 GPS Coordinates: tongtitude: 120.6696870000 trAGT trCa|ARPBHWGeneratortrUSTPROGRAMS INSPECTED: lEHazmat trAGT trCaIARPtrUSTtrHWGeneratorREINSPEGTION REQUIRED lon"tr"t INSPECTOR: KERRY BOYLE FACILITY REP FAGILITY NAME: SPICE H )ER, THE ADDR' J: HAZARDOUS WASTE GENERATOR EPA tD CAL0002931Z1 Total generatedlmonth: NUMBER: Waste Oi[ - Solvents: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Lbs or gals (average) Others:- YES NO N/A tr tr tr tr tr tr u tr tr n tr tr tr u E tr tr tr E E tr E a tr tr E tr tr E E VIOL. # EPA ID NO/PER|LiITS - GTOf Generator has an EPA lD numberto treat, store, dispose, transport ortransfer hazardous waste (Tltle 22CCRS66262.12) lf not, Call (800) 618-6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERi,i INATION GT03 Hazardous waste determination conducted (Tille 22 CCR S66262.f 1) Eown knowledge tranalysis trother GTM Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR $66262.40'(c) B GTOs tr GT06 tr GTOT tr GTOS D IS POSAL/TRANS PORTATI ON Hazardous wastes disposed of at an authorized location (HSC 525{89.5, Title 22 CCR 566262'12) Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (Title 22 CCR $66262.20, HSC S25160/25r63(a))ENmilkrun trother ll" " itest':mteteoreta CCR 566263.421 66262.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes ane accumulated on site as follows (Title 22 CCR 566262.34) tr90 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) tr180 days if waste generated per month is less than 100 kg (see note) tr270 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 6000k9(13,200 lbs) and no Hazardous waste "satellite" collection is managed properly (complete Iabelingraccumulation time/ss-gal or 1-qt limit) (Title 22 CCR $66262.34(c)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's prop€rty line (Title 22 CCR s66265.r76) Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS 1|VASTE," waste composition/physical state, hazardous properties, name/address of generator) (Iitle 22 CCR 566262.31, 66262.341 Containersttanks containing hazardous wastes are in good conditiory'handled to minimize the rclease or reaction (Title 22 CCR 566262.34 (dX2), 66265.171'.191,66265.177(c)) Containerc/tanks/liners are compatible with waste stored or transferred (Title 22 CCRS $66262.34 (dX2), 66265.1 72) Containers storing hazardous wastes are ctosed/sealed (Title 22 CCR S566262.34 (dX2), 66265.173) Weekly inspection of areas where hazardous waste containes are stored is conducted (Title 22 CCRS s66262.34 (dX2), 66265.1 74) Daaly inspection of atl tank systems is conducted and documented (Title 22 CCR 5566262'34 (dX2), 66265.195) Empty containerc or inner linerc greater than 5 gal has date when emptied and arc managed properly within one year of date emptied (Title 22 CCR 566261.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Iitle 22 CCRS 66266.13, HSG 525250.4) 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) (Iitle 22 ccRs 66266.13) Spent leadacid bafteries are being properly stored and transferred offsite under manifest or bill of lading for rccycling, reus6, or reclamation (Title 22 CCR S66266.8f ) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR s66266.3) SOURCE REDUCTION:For facilities generating >12,000 kg.fyr. of hazardous waate on Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the lnspector within (5) days. (67100.7, 67100.8' HSC S25244.19,25244.21, 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 S25244.19) tr tr u tr tr tr tr cl n E tr tr tr E GTOg tr GTIO u GTll tr GT12 tr GT13 tr GT14 tr GT15 tr GT16 tr GTIT E GT18 E GT'g E GT20 tr GT21 truBGT22 trtrtrGT23 suMM: )v or oBsERVATtoNsrulot 'trtoNs No violations of underground storage tank, hazardous materials, or hazardilus waste laws/regulations were diecovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. Violations were obserued/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation lf you disagree with any of the violations or corrective actions required, please inform the GUPA in writing. ALL VTOLATTONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. 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 GUPA from taking administrative, civil, or criminal action. FAGILIW NAME: SPICE HUNTER, THE ADDRESS: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED E tr INSPECTION GOMMENTS: Annual lnspection - facility will update change in management for Business Plan. New status as CESQG, will obtain a permit as hazwaste generator. Currently has an EPA lD Number. FACILITY TO UPDATE BUSINESS PLAN. INSPECTED BY: KERRY BOYLE DATE: 12t1a2013 NAME OF FACILITY REP: SIGNATURE OF FACILITY REP: STATEiilENT OF COiriilPLlANCE Certification: I certify under penalty of periury that this facility has complied with the corrective actions listed on inspection form. Signature of Title Date: "-) Gounty of San Luis Obispo Environmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 gHffi-ffiw rc Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by: FACILITY NAME: I nl /1 t Reinsoection othe; ftitWlil{,4/ Result Gode: _70 -80 -90Action Code: 32 37 33 31 E Routine Complaint n AGENCYfl EHs 0flrn,tz<11 AG DEPT FIRE PHoftEl v ' *' E usr E nor !cnmnePlan;P"Business p'fi* GeneratorPROGRAMS INSPECTED: ncnlnnpHW Generator n usr n rer! YESE',Nof Business PlanREINSPECTION REQUIRED INSPECT: tnspections may involve obtaining photographs, reviewing and copying records, andERMISSION with codes. GRANTED BY E n nF n n YES NO COS N/A,a ! n tr'tE n n n 'E n n il tr n tr n E" E- nn nnn n BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5' Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layout/facility maps are accurate (HSC 25504' Title 19 CCR2729) TRAINING PLAi\ Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 6626s.L6) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273I & 22 ccR $ 6626s.s3/s4) 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 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(bD SPCC Plan is maintained on site or nearest field office. (HSC 25270)F' COMMENTS to http://www nun .htm, to obtain forms to comply with BP01-BP03, TR01 and ER01 INSPECTOR:FACILITY REP: ,1,l?s FACILITY NAME EPAID . NIJMBER: Tiered Permlt: Treatment Equlpment: TE Lbs or gals (average)Total generated/mo$h: Waste oil: ,-l"t Antifreeze: Solvents: Others: YES -7 F,p ,Er 'fur n F, W {,6 W" nF W 8,,p' ! n cosm n u n trtr tr crostr N/A EI n tr n r n n nn { n n ! trn {fI ffi-n p''' f tr d n n n ! tr nn n tr ! tr tr D ntr D ! n n u n VIOL. # EPA ID NO/PERMITSGTot Generator has anEPAID number to treat, store, dlspose, transportor transfer hazardous waste (fiOe 22CCR 966262.12) If Not, CaIt (S00) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION GT03 llazardous wa$te determination'conducted (Title iz ccn $66262.11) Eown knowledge Eanelysls ilotherGT04 lfazardous warte rnolysis/test rocords are kept for rt leest 3 yeorr (Tltle 22 CCR $66262.40.(cD DISPOSAL/TRANSPORTATTON GT05 Hazerdous wastes were tronsported and/or disposed to a factlity wlth en EPA ID NO, and permit JZIrrrn "uo $251E9.5, Title 22 Eother ccR $66262.12)or outhorizetion from DTSC GISC GT06 Hezardous wostes are shipped with manlfest (Title 22 CCR'966262.20rr Menifests end/or recoipts are properly completed/retalned by generrtor for3 yearc (Tftle 22 CCR 96626t.421 66262.23' STORAGE AND MANAGEMENT OF CONTAINERS/TAI\IKS Ifrzardous wrstes are accumulated on sfte as followg (Tltle 22 CCR $6626234) El 9l) days if wrste gererated per month is greeter thon or equrl to I 00 kg (220 tbs.) El tSO Osys lfwoste generated per month ic less thrn 100 kg (see note) ,pf,iO arystf waste genertted per month ls less thsn llXl kg rnd trensported more thsn 200 mile$ s (see note) Note: Applles only lf hezardous wrste accumulrted on site never exceeds 6000 kg(13,200 lbs.)and no rcutely/extremely hazerdous waste oycr I kg (2.2 lbs.) ls held on slte for over 90 Hi".Ooo, waste (satellite' collection ls managed properly (complete labeling/accumulatfon time/S5-gril or 14t ltmlt) Ctltle 22 CCR $662623a(c)) Ignltoble or reactlve wastes are located 15 m (50 feet) from facllity's property line (title 22 CCR $66265.r76) Containen ofhazardous waste are properly labeled (lncludes sppropriste dater "IIAZARDOUS WASTE,' worte comporition/physical state, hazardous properties, name./address of generator) (Tltle 22 CCR S66262.31,66262341 Contaiiiers/trnkr contalnlng hazardous wastes are ln good condldon/handled to minimize relerse or reactlon (Tltle 22 CCR $66265.1711,191,66265.177(c) Containers/tanks/llners are comprtible wiah wrste rtored or tr.nsferrcd (Tttle 22 CCR$66265.172) Conteinerr storing hazardous wrsles are closed/serled (Tttle 22 CCR $66265.173) Weekly lnspectlon of areas where hazardous wrste cont.iners sre stored is conducted (Tltle 22 CCR$66265.174) Daily lnspection of all tank syslems is conducted rnd documented (Title 22 CCR $66265.f 95) Empty containcrs or inner liners grealer lhan 5 gal has date when emptled and are managed properly wlthin one year of dale emplhd (Tltlc 22 CCn S6626t.7 (D) RECYCLABLEWASTE GTO9 GTIO GTTl GTI2 GT13.( crt4 GTI5 GTI5 GTIT GTIE GTT9 GT2O GT2I GT22 Used oil ls mnaged as hazardous wasle untll recycled (includer properlabellng storage etc) (HSC $2s2s0.4) Used oll ttlterc for recycling ere managed properly (dreined offree tlowing liquid' stored in closed ralnproof container, labeled *drslned used oil liltersr' and trsnsferred for metal reclamation) (Tltle 22 CCR$ 66266.130) Spent lerd-ecld brtteries rre being properly stored and trsnsferred ofrslte under manlfert or bill of lading for recycling, reuse, or reclamotlon (fitle 22 CCR $66266.t1) Solvents/other recyclable materiols are manrged as hazardous wstes undl recycled (TiOe 22 CCR $66266.3) SOURCE REDUCTION: For feclllties generating >12,0110 kg./yr. of hazardous waste on rlte. Generator is subject to SBl4 and has prepared and retrined current source reductlon documents or ir eble meke thom evallrble to the inspcctor withln (5) deys. (HSC $25244.f9,23244,211 Source Reductlon Evrlurtlon and Phn contsins the followlng five elements: cerdficetion, rnpunts of westes generate4 Proccxrs dercrtptlon, block dlrgremc' end luplementetlon schedule of selected source reducdon m€$uret. (HSC S25244.19) t7 GT23 Environmental llealth Serrices (805) 781{s44 P.O. Box ItOO 2156 Sicrrr Wey Sen Luls Obispo' CA 9t{ll5 Gty san ot lrrs ffiiryo Flrt Dspartmcm (805) 781'7300 2160 Smtr Barbere Avlnuc Sen.Lule Obltpo CA 93.016241, Date: Time: ,,,i I (',/ CERTIFIED T]NIFIED PROGRAM AGENCY (CI'PA) HAZARDOUS MATERIALS INSPECTION FORM BUSINESS PL/I,N Bgsincss plen le conplete, currcnq & avelleble durirg inspecton (HSC 255035' Tltle 19 CCR' 2729) lnvcntorl of hrzardous mrterials is completc (ILSC 2li5{l4i fitle 19 c;CRruD Slte leyout/fedllty mtpe rrc rocurate (IISC 255114, Tlflc D CCR2|719) TRAINING PLAN Fecillty has approprlatc c.efinlng progpam 6ltte 19 ccR n32 &t2 CCR 56265.16) Trrlning doctmentafon ts mrintrined m ite for curr€nt Per$nncl (Tttle 19 CCR 2732 & 22C,CR (f,255.t5) ffi#f,ffiHffiH end mdntntned on stt€ orstc 255pr{, rttte le ccR n3t & t2 F$tlffitr'"- mdntlincd to prevcnthrintminhldgde firq crptoeion, or rclcrse of, fezrrdous mrleriek/wasilc offdhrcnts ao the cnvlrronnent Melntelnr dl rcquftcd or approprlafe equlpmcnt lncluding en darm,end commuriicrfions systcm (TlOc f9 CCn,2731 &X2CCRffii26531'.43) ABOVEGROT]IID PETROLET'M STORAGE TANK ACT SPCC Plrn ic Fvhwed rd certifted by a regbtered cngiaeer within lest 5 yrs (40 CFR fn SOD SpCC plen ls mdnteincd on sltc or ncrrcst lidd olhcc- (IISC 25210) YES NO N/AlElt]tr:ann'p tr tl :,-Elfltr",trnfl Bml BFO2 BPOS TROl 1R02 EROT ERO2 ATOT ATO2 ,-t'trtr ,*.E'n n trnDtr EFW data entry by:i,rffiNAiIE: tl ,*r,./" ,- -' , / " looneSS: t{V{4,,t.&o{l/'it E Reinspeabn ! =?,#'/&MN,,,,n,,,. Routlne AGENCY EI exs p" crrv Hne El usr E ecr Ecnr-lnpBudnclr Phn Er*ccncnetorPROGRAMS INSPECTED: Ef ear ElclrmpE xwcclElltol E usrElEurlnccPhntr No pa*esREINSPECTION REOUIRED: COMMENTS &rto Cmrdimtcs: Iatitude: FACILITYREP: toobuin forms aoconply BP0I.BP03, TRO! ard ER0l INSPECI1OR: 1 \Temp\c. lotus. notes.data\1 Form Page 1.doc 2+Jan-O6 nln t 1 i FACILITY NAM EPA ID NTIMBER: Tiered Perrnit: Treatment Equipment: ADDRESS: HAZARDOUS WASTE GENERATOR Lbs or gals (average) CESQT Total generated/month Waste oil: '"/' Antifre."": - MriSolvents: Others: YES NO COS N/AD n n ! Lr' ,F n n nn n nn tr n La ,o p' M' ,p' n vIoL. # GTOl GTO3 GT04 GTO5 GTOS GTOT GTO8 GTO9 GTIO GTl1 GT12 GT13 GTI4 GTT5 GTl6 GTl7 GTl8 GT19 GT2O GT21 GT22 GT23 EPA ID NO/PERMITS Generator has an EPA ID number to treato store, dispose, transport or transfer hazardous waste (Title 22CCR 966262.12) If Not, Call (800) 6f8-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION Hazardous waste determinationiconducted (Title 22 CCR 966262.11) Down knowledge flanalysis [other Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR $66262.40.(c)) DISPOSAL/TRANSPORTATION Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC $25189.5, Title22 CCR $66262.12) Eother,,,Elrnitl<run Hazardous wastes are shipped with manifest (Title 22 CCR $66262.20) Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR 966263.421 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TAI\KS Hazardous wastes are accumulated on site as follows (Title 22 CCR S66262.34) u m Oays if waste generated per month is greater than or equal to 100 kg (220 lbs.) E ftO days if waste generated per month is less than 100 kg (see note) ,FilO a^y"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 I ltgQ.2lbs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or l-qt limit) (Title 22 CCR $6626234(c)) Ignitable or reactive wastes are located l5 m (50 feet) from facility's property line (Title 22 CCR $6626s.176) Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARI)OUS WASTE,' waste composition/physical state, hazardous properties, nam€/address of generator) (Title 22 CCR $66262.3 t, 66262.34) Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Title 22 CCR $66265.1711.191,66265.177(c)\ Containers/tanks/liners are compatible with waste stored or transferred (Iitle 22 CCR$66265.172) Containers storing hazardous wasles are closed/sealed (Title 22 CCR $66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (Titte 22 CcR$6626s. I 74) Daily inspection of all tank systems is conducted and documented (Title 22 CCR S66265.195) Empty containers or inner liners grealer lhan 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR $66261.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous wasle until recycled (includes proper labeling storagg etc) (HSC s2s2s0.4) Used oil lilters for recycling are rnanaged properly (drained offree flowing liquid, stored in closed rainproof container, labeled "drained used oil filters,'o and transferred for metal reclamation) (Title 22 CCR$ 66266.130) , Spent lead-acid batteries are being properly stored and transferred offsite under mariifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR 566266.81) I Solvents/other recyclable materials are managed as hazardous wastes until recycled,(Title 22 CCR s66266.3) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. Generator is subject to SBl4 and has prepared and reteined current source reduction documents or is able make them available to the inspector within (5) days. (HSC 525244.19,25244.21) 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) n n u ,B'' ! tr n !nn !n n n F' ,p ,A'' n tr n n nnn uu u tr n tr tr n tr n ,.9 tr !nu un D ! n tr E' ,D"',E-ta /"n ,tr' ,.4 V- ,n i\ i\1 n n ,.i i\i i".i Environmental Health Services (8{r5) 781-5544 P.O. Box Itl8O 2156 Sierrr Way Sen Luis Obispo, CA 9:t4ll6 SHffsffi*po -g EFW data entry by: Ft]€ Oepsrtment (805) 78t-7380 2160 Stnta Barbara Awnuc san Lulc oblrpo cA 93.1{ll-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM f;ah.;i r ., i .i ,', Time: YES COMMENTS coto N/Atrnn tru n f, ntr NOtrnu utr n n utr nn n n nD Bml BPO2 BPO3 TROI TRO2 EROl ERO2 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is comphte (HSC 25504' Title 19 CCR2729) Slte layouUfacillty mape are accurate (HSC 25504, Title 19 CCR?19) TRAINING PLAN Facitig has appropriate training program oitle 19 ccR2732 & 22 CCR 66265.16) Training documentation is maintsined on site for current personnel (Title 19 CCR2732 & 22 CCR 66,255.t6) EMERGENCY RESPiONSE PLAN Contingencyplaniscomplete,updated,andmaintainedonsite(HSc25504'Title19ccR273l&22 ccR $ 56265.s3/s4) Facility is operated and maintained to prevenUminimizdmitigate firc, explosion, or release of hazirdous materialVwoste constituents to the environmenl Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 5626531'.431 ABOVEGROTJND PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR f f2.5(b)) SPCC Plan is maintained on site or nearest field ofrice. (HSC 25270) to obtain forms to comply with BP0l-8P03, TROI and EROl NAME: Rouline Reinspectlon IComplaint .. ,n Otner ,' r" il i ii r'l :' : AGENCYfl ensp ow nne -!, PHONE: E rcr EcaulnpEl xw Generator E usrBuainccs PlanPROGRAMS TNSPECTED: ! lcr flcnunpEI }lw ccnerator flusrE Businers Plantr NO trYESREINSPECTION REOUIRED: .'l'" i GPS Coordinates: Latitude, ,d"g ionimol min Longitude: deg--nfn----:--decimd min FACILITY REP: htn \Rbplo\LoCALS- INSPECTOR: E-1 1\Temp\c.lotus.notes.data\1 -lnspection Form Page 1 .doc 24'Jan-06 Environmental llealth Services (805) 781€544 P.O. Bor Itl8O 2156 Sicrra Way Sen Luls Obispo, CA 934116 otlrr sffiispo -5 Gty san Flr€ Department (805) 78t-7380 2160 Santa Barbara Avenue San Luis Oblspo CA 93'{11-5240 Date:d, Time: NO N/A trutrn ! n trn &w -7' CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Tltle 19 CCI!.272D') Inventory of hazardous materials is complete (HSC 25504' Title 19 CCR?29) Site layouUfacility maps arrc accurate (IISC 255114' Title 19 CCR 2729) TRAINING PLAN Facility hes approprlaie rraining program (Title 19 ccR n32 & 22 CCR 66265.16) Training documentatlon is msintained on site for current personnel (fitle 19 CCF 2732 & 22 ACR 65265.t6) EMERGENCY RESFONSE PLAN Contlngency plan ls complete, updated, and maintained on site (HSC 2551X' Title 19 ccR 2731 & 22 ccR $ ffi266,.s3lyt Facility is opcrated and maintained to prcvenUminimize/mitigate fire, exploaion, or rehase of hazardous materialVwaste constifircnts to the environment. Maintains dl requtttd or approprlate equipment including an alarm and communicatlons system (Title 19 CCR 2731 & 22 CCk 5626531- .43) ABOVEGROTJND PETROLEUM STORAGE TANK ACT SFCC Plen is reviewed end certified by a registered engineer within last 5 yrs. (40 CFR U2"5(b)) SPCC Plan is maintained on site or nearcat field ofrice. (HSC 25.n0l n u trnn YEY.Wulg d, w g/ W-, n D BPOI BPO2 BPOS TROI TRO2 EROl ERO2 ATOl AT02 entry by: EFW NAME: Routine Reinspection TYPE n otner FIRE ,r10 EHS ElcauaapE xw Ggnerator E usr E lcrPl.nPROGRAMS INSPEGTED: E usr EIrcr flcnunpE Businen Plan E Hwccneretortr YESREINSPECTION REOUIRED: Go to to obtain forms to with BP0l-8P03, TROl INSPECTOR: 1 \Temp\c.lotus.notes.data\1 -lnspeclion Form Page 1 .doc 24-Jan-06 ninminGPS Coordinatcs: Latitude: deg FACILITYREP: *"\.\.,]sffi 2156 Sierra Wav San Luis Obisp;, CA 93406 CIry pt luls oBtspo rlsan Date: Time:EFW data entfl by:NAME F 4u A D EHS CITY FIRE REINSPECTION PROG RAMS INSPECTED: REQUIRED:D YES ReinspectionComplar'4t /other fulrlti I trtr Routine HW Generator E usr E acr Ecnr-nnp Plan HW Generator E usr E acr nr n YES-m w,W dW d @a NO N/A BUSINESS PLAN BPOI BPO2 BPO3 Err ! TROl TR02 EROl ER02 ATOI AT02 COMMENTS Co to hftp://www dW to obtain forms to comply with BpO 1-8P03, TROI and ER0l GPS Coordinates;Latitude: min FACILITYREP: _t INSPECTOR: 1 \Temp\c.lotus.notes.data\1 nspection Form page 1.doe 24_Jan-06 min Environmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 r'l_ " '\''] swofiiliu,i't$st$po { 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 Date: 7 /{l i,r ,l EFW data entry by: * {' I Time: NO N/AYESZ, B.n W' E, ffirt $.4 r d tra* n n n W/, BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layouUfacility maps are accurate (HSC 25504' Title 19 CCR2729) TRAINING PLAN Facitity has appropriate training program (Title 19 CCRn32 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504' Title 19 CCR273I & 22 ccR s 6626s.s3154) Facility is operated and maintained to prevenUminimize/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 SpCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) SPCC Ptan is maintained on site or neatrest field office. (HSC 25270)tr n @/.tTIW FACILITY NAME: ADDRESS: Routine Reinspection n Otner AGENCYfl EHs N AG DEPT IVI CITY FIREfr,\ PHONE: !cnunen usr n ncrBusindss Plan HW GeneratorPROGRAMS INSPECTE n ncr !cn-nnen HW Generator n usrn Business PlanNO ! YESREINSPECTION REOUIRED: MISSION TO INSPECT: hspections rnay involve reviewing and copying records, andobtaining photograPhs, com iance with HTITLcodes. GRANTED BY Go to GPS Coordinates: Latitude: deg to obtain forms to comply with BP0I-BP03, TR01 and ERO1 FACILITY REP: mln INSPECTOR: C:\DOCU 1 \Temp\c.lotus.notes.data\1 -lnspection Form Page 1 .doc 1 3-Jun-05 mln DATE: HAZARDOUS WASTE GENERATOR htLctlilt13 t? t-n-cns\r' Icpser - t]cl Epsn i! .,t i tttt,l,(14 ! .,.1.\ti'\,-,,'t ( I Ut FACILITY NAME: EPA ID NUMBER: Tiered Permit: Treatment Equipment: Lbs or gals (average) I un E' T T T TTIdT I T w' a' a' D/e' E, T a' a/ @" @/8.,E'r-a' d Dt d @/ YES. NO N/AW E.E-vtoL.# GTOl GT03 GTO4 GTO5 GTO6 GTOT GTOS GTO9 GTlO GTl1 GT12 GT13 GT14 GT15 GT16 GTIT GT18 GT19 Gt20 GT2I GT22 GT23 Antifreeze Others: EPA ID NO/PERMITS Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (TiUe 22CCR966262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION Hazardous waste determigation conducted (Title22 CCR $66262.11) nown knowledge ,flanalysis nother Hazardous waste analj,sls/test records are kept for at least 3 years (Title 22 CCR $66262.40.(c)) DISPOSAL/TRANSPORTATION Hazardous wastes were transported and/or disposed to authorization from DTSC (HSC $25189.5, Title 22 CCRI f]milkrun , nother a facility with an EPA ID NO. and permit or Hazardous wastes are shipped with manifest (Title 22 CCR Manifests and/or receipts are properly completed/retained by s66263.421 66262.23) (Title 22 CCR STORAGE AND MANAGEMENT OF CONTAINERSITANKS Hazardous wastes are accumulated on siteas follows (Title22 CCR $66262.34) ! lp'Oays if waste generated per month is greater than or equal to 100 kg (220 lbs.) WttO days if waste generated per month is less than 100 kg (see note) I ZIO days if waste generated per month !s iess 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 lkg(2.2lbs.) is held on site for over 90 days. Hazardous waste "satellite" collection is rnanaged properly (complete labeling/accumulation time/55-gal or l-qt timit) (Title 22 CCR566262.34(c)) Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR s6626s.176) Containers of hazardous waste are properly Iabeled (includes appropriate date, "HAZARDOUS WASTE," waste compositior/physical state, hazardous properties, name/address of generator) (Title22 ccR $66262.3 l, 66262.34) Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Title 22 CCR $66265.17 ll.l9!, 66265.177 (c)) Containers/tanks/liners are compatible with waste stored or transferred (Title22 CCR$66265.172) Containers storing hazardous wastes are closed/sealed (Title22 CCR $66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (Titre 22 CCRS66265. 174) Daily inspection of all tank systems is conducted and documented (Title 22 CCR 566265.195) Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR $66261.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC $2s2s0.4) Used oil lilters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title22 ccR$ 66266.130) Spent lead-acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title22 CCR $66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR s66266.3) SOURCE REDUCTION: For facilities generating >120000 kg./yr. of hazardous waste on site. Generator is subject to SB14 and has prepared and retained current source reduction documents or is abfe make them available to the inspector within (5) days. (HSC t25244.19,25244.21) Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and imirlementation schedule ofselected source reduction measures. (HSC 825244.19) A:\CUPA inspection forms"doc'l 9-Sep-0?"/+ d Environmental Health Services (80s) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 Z^a*.a5 ;4dO -* r:i 3t) ofyof ) smtl'llssnspo ,i.$lt-i;isJ;ffi EFW data entry byr {,r[b Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240\.h,;tLs CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Date: Time FACILITY NAME:l-i- ^- ^AGENCYn ersn ac DEPT Ecrv rtne ne Reinspection. Gomplaint Other ADDRESS: j ?i 'li 1.^ l) r.. " f?'i -1 /:, (- u) PHONE: PROGRAMS INSPEGTEDI SBusiness Ptan n xw Generator n usr n aar ncnunp REINSPECTION REQUIRED:N NO NYES ! Business Plan n nw Generator n usr ! ncr ncrenp PERMISSION TO INSPECT: rnspections may involve obtaining photographs, reviewing and copying records, and determininq compliance with adopted codes.GRANTED BY (NAMUTITLE): YES,E'g M @'. B, V.g N/Antr NOnnn nnnn BPOl BPO2 BPO3 TROl TRO2 EROl E[02 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504' Title 19 CCR2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR2729) TRAININGPLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504' Title 19 CCR273L & ?2 ccR $ 6626s.s31s4) Facility is operated and maintained to prevenUminimize/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 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) SPCC Plan is maintained on site or nearest field office. (HSC 25270) B.w COMMENTS GPS Coordinates: Latitude: -deg min-decimal min Longitude:-des min-decimal min \ !-\ /r--.I U' 'FACILITY REP: \-/./ t4'-""1 t-n "-- INSPECTOR: C:\DOCUME-1\Hepro\LOCAL$-1\Temp\c.lctus.notes.data\1^lnspecticn Form Page 1.doc 20-Jul-04 l I , i : ,1 1 I I 1 i I i I i I i l T \ ) I SUMMARY OF' OBSERVATIONS/VIOLATIONS No violations of underground storage tank, hazardous materiars, or hazardous waste laws/regurations were discovered.slo cuPA greatlv appreciates v"";.ff;;A;;;-prv wirh "'ili;;;;d regurations appriiabre to your facirity. violations were observed/-discovered as listed below' All violations must be. corrected by imprementing the corrective action listedbv each violation' ffvou disagre. *lth;;;;Itti viorations;;;;;;r"";ctions ""qui""i,;i;'#;;"- the cupA in writing.ALL vroLATroNS MUsr BE coRREcrED wrr-HrN 30 DAYS oR AS SPECTFTED. cuPA must be informed in writing wirh a certification that compliance has been u"tti*"a" A false rt"[-..rt lrr]fiompriance h", b;;;;j;ved is a vioration of the raw andXllillilo|i# ;*if.:Jil1":":s trran $i'ooo'ii'-o"u ,ran gzspbo ioi'Ju"r,-oior"ri",,:- y;;;;;;iiity may be reinspected any time You may request a meeting with^the Program Manager to discuss the inspectionrindings and/or the proposed corrective actions.The issuance of this summary of violatititt al"t ""t preclude flre cupA irom taking administrative, civir, or criminar action. vtoLAT|ONSMINOR MA.IOR CORRECTIVE ACTION REQUIRED NUMBER COMMENTS: lnspected By: Date:Facility Rep Name Signature:iE'p?- - ''l -()\ Sign the certification below and mail this form to Certificatio_n: I certify under penalty inspection form. Title:Date: of perjury that this facility has complied with the corrective actions listed on thisSignature of Owner/Operator: the CUPA inspector after all corrective actions have been completed. Retain a copy for your records. c:\DocUME-1\Repro\LOCAL$-1\Teml\c lotul lotes"data\S -$ummary rnspection Form.doc 2-Nov-04 . ..--\ ) Division of Environme-ril Health (805) 781-5544 P.O. Box 1489 2156 Sierra Way.San Luis Obispo, CA 93406 Denartment of Asriculture/Measurement Standards (805) 781-5910 2156 Sierra Way Suite A .San Luis Obispo, CA 93401 " -ll -o 4- tb4s 'l7t{ /-). sryot smu,ffioB$ipo Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Date: Time 3O b. ll,.'rl'v-(' EFW data entry byr PROGRAM RECORD ID NUMBERS:AGENCYtr D-EHn nc DEPT FIRE CITY UTILITIES INSPECTION TYPE El-f,outine! Reinspection f] Gomplaintn otner FAGILITY NAME: 30ie l-l'-*&<-n- ADDRESS lqt S"* n,tbt" (6 4eO PHONE: PROGRAMS INSPEGTED:EfBusiness Plan n Hw Generator n usr n ncr REINSPECTION REQUIRED:{xo n YES ! Business Plan n HW Generator n usr n acr PERMISSION TO INSPECT ng records, and determininq comPliance with N tiWilr/A tvc{ ftrn Mrnnwn f,nnd n n NO N/A g BPOl RPO2 BPO3 TROl TRO2 EROl ERO2 ATOl AT02 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layouUfacility maps are accurate (HSC 25504' Title 19 CCR2729) TRAININGPLAN Facility has appropriate training program (Title 19 CCR2732 &22 CCR66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 66265.16',) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCRn3l &22 ccR s 6626s.s31s4) 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 CCR66265.3L' .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT SPCC Plan is prepared and certified by a registered engineer within last 3 yrs. (HSC 25270) SPCC Plan is maintained on site or nearest field office. (HSC 25270) COMMENTS INSPECTOR: mtn dcnimql FACILITY REP: GPS Coordinates: Latitude: -deg min Longitude: deg min decimal min lbt iwb*t 1""^'--'- tr4,k( Jsn,rp- l-14alt-r' ) t/ t/tv SUMMARY .> uO -1 I OR OBSERVATIONS/WOLATIONS CORRECTIVE ACTION REQUIRED (/-./f dYl o[-lo l-1 No violations of underground tank, hazardous materials, inventory, and hazardous waste laws, regulations, and requirements werer-J discovered. SLO CUpA greatly appreciates your efforts to comply with, all the taws and regulations applicable to your fecility. d Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. Ifyou disagree with any ofthe violations or proposed action, please inform us in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA MUSt bC iNfOTMCd iN WTitiNg CCTtifYiNg that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a line ofnotlesithan$2,000ormorethan$25,000foreachviolation. Yourfacilitymaybereinspectedanytimeduringnormalbusinesshours. you may request a meeting with the Program Manager to discuss the inspection findings and/or proposed corrective actions. The issuance of this Summary oiViot"tionr does not preclude CUPA from taking administrative, civil, or criminal action as a result of the violations noted or that have not been corrected within the time specified. VIOLATIONS NUMBER MINOR MAJOR TtZgT v/;\4 u b COMMf,,NTS: tl"o*7 T#7€Inspected By: Date:7--ll Facility Rep Signature: Name: r€pro 1127 rev 1 -o+ O :\DOC UME NT\Jeffp\F ORMS\l nspection fqrrns\CUPA irrspection forrns.doc 1 0-Sep-01 Division of Enviror -\q!a!_Heal!h (Eos) 78t-ss44 )- P.O. Box 1489 2156 Sierra Way .San Luis Obispo, CA 93406 Department of A griculture/lVleasurement Standards (8os)781-s910 2156 Sierra Way Suite A .San Luis Obispo, CA 93401 Iii"^?"pi -)nt(80$78r-73s0 'i i; f,)frl 3i:',:ll';"""1il1i;:lil,r.o,*$#., - l"i, Tat .l Sr'" l';t Ol.rl. "{,lffiFFi'+f,V+{ffi' Utilities Department r (805) 781-7215 879 Morro Street r Sah Luis Obispo, CA 93401 07 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 525503.5, Title 19 CCR $2729) Inventory of hazardous materials is complete (HSC $25504, Title 19 CCR $2729) Site layouVfacility maps are accurate (HSC 525504, Title 19 CCR$ 2729) TRAININGPLAN Facility has appropriate training program (Title 19 CCR $2732 & 22 CCR $66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR $2732 & 22 CCR $6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC $25504' Title 19 CCR $2731 & 22 CCR S6626s.s3/s4) Facility is operated and maintained to prevenUminimize/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 $66265.31- .43) Date: Time: 0tt9 o YE9 wa W t { NOTTT Ttr T N/A BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 COMMENTS: EFW data Qntry by: FACILITY ID NO: r.rCu,rrvNAME:fl!4 gPtZe thlrifl ,uADDRESS AGENCY! opnI acDEPrn crrv rrnn Mrcv UTILITIES Routine Reinspection Complaintfl ottt"" PHONE: E Tiered PermittingPlanWKsn"r,n uw Generator n usr n lcrPROGRAMS INSPECTEDI f] Business Plan f] uw Generator n usr fl ncr n tered PermittingREINSPECTION REQUIRED:t] NO N YES PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining :ompliance with adopted codes. GRANTED BY (NAME/TITLE): MI} A:\CUPA inspeclion lorms.doc 1 9-Sep-02 . FACI lrrl ruRue: EPA ID NUMBER: Tiered Permit: Treatment Equipment: ^t/ ft DATE: HAZARDOUS WASTE GENERATOR -'$NSPECTOR: Total generated/month:a!& Antifreeze: Solvents Others: Lbs or gals (average) Ecnsri;- t flcBser lcl Epnn Waste oil: YES NO NIA ,NL.#.E- E- V crol ,:r. EPA ID NO/PERMITS I Generator has an EPA ID number to treat, store, dispose, transport or transfer hatardous waste (Title 22CCR566262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (Title22 CCR S66262.11) Eown knowledge lanalysis nother Hazardous waste analysis/test records are kept for at least 3 years (Title22 CCR $66262.a0.(c)) DISPOSAL/TRANSPORTATION Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC 525189.5, Title 22 CCRS66262.12) flmilkrun Eother Hazardous wastes are shipped with manifest (Title 22 CCR $66262.20) Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR s66263.42t 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as follows (Title 22 CCR $66262.34) I gO aays if waste generated per month is greater than or equal to 100 kg (220 lbs.) n 180 days if waste generated per month is less than 100 kg (see note) JZIO 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 I 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 l-qt limit) (Title 22 CCR966262.34(c)) Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR s66265.176) Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title22 ccR $66262.31, 66262.34) Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (T itle 22 C C R $ 66265. I 7 I I .19 l, 66265.17 7 (c)) Containers/tanks/liners are compatible with waste stored or transferred (Title22 CCR$66265.172) Containers storing hazardous wastes are closed/sealed (Title22 CCR $66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (T itte 22 CCR$ 6626s. 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 ernptied (Title 22 CCR $66261.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 92s2s0.4) Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," atrd transferred for metal reclamation) (Title22 ccR$ 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 525244.19,25244.21) Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule ofselected source reduction measures. (HSC $25244.19) ttr' trVt GT03 GTO4 GTO5 GTO6 GTOT GT08 GTO9 GTlO GTl1 GT12 GT13 GT14 GT15 GT16 GT17 GT18 GTl9 GT2O GT2I GT22 GT23 I T T T ITr II u I T T T n Trr n TTI TI T T n T l T { {t {, tut/V {t { t A:\CUPA inspection forms.doc 1 9-Sep-02 e.I FACILITY ADDRESS: SUMMARY OF OBSERVATIONS/VIOLATIONS No violations of utrderground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. SLO CIJPA 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 CUTA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPI'CIFIED. CUPA must be"inf6rrped in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a vio{ation of the law and punishable by a line 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. NUMBER VIOLATIONS MINOR MAJOR CORRECTIVE ACTION REQUIRED COMMENTS:01 n Inspected By: Date: Facility Rep Signature: n/4 eName:N 07 Sign the certification below and mail this form to the CUPA inspector after all corrective actions have been completed' Retain a copy for your records. Certification: I certify under penalty of perjury that this facility has complied with the correctiYe actions listed on this inspection form. Signature of Owner/Operator:Title:Date: A:\CUPA inspectir:n iorms.doc 19-Sep-02 D ivtsiou_qt &yqq4eael rtd !_iEa llb (805) 781-ss44 P.O. llox 1489 2156 Sierra Way cSan I.uis Obispo, CA 93406 Department of Asric t Standards (Bos) ?8r-s9ro 2156 Sierra Way Suite A oSan Luis Obispo, CA 93401 File Departrnent (805) 781..7380 2160 Santa Barbara Avenue Sarr Luis Obispo CA 93401-5240 Utilities Department o (805) 781-7215 I EFW data entry by: Jit of San Luis po 879 Morro Street c San Luis Obispo, CA 9340I CERTIFIED UNIFIED PR.OGRAM AGENCY (CUPA) HMARDOUS MATERIALS INSPECTION FORM Date: Time: ? P'; to^ btt FACILITY ID NO:AGENCY I IDEHtr .tc DEPT l l crrv n'rnu Wcrrv urll.rrrEs INSPECTION TYPEm"t:tt* --I Iteinspection fl Connplaint FACILITY N,AME:t'v ADDRESS I othur, PFIONE: PROGRAMS iilrlSFEC Plan Td EINS PECTX(.IN REQ UIRED I"i{-} fl YES I I]usimess Plan tr Hw Gerrerator n usr n acr [-] Tiered Permitting l] uw Generator"n usr ! ncr l-l riereO Permitting PER.VIISSION T-(} II\SPECT: Inspectioxi.q inay involve obtaining ph:otographs, reviewing and copying recordso and detern,iiring cornpliance nith adopted codes. GR..A,I{TED BY (NAMXI/I'ITtr E): W L-l NO Ni,A BUSIhIIBSS PLAI.{ Busincrss plan is complete, currenf, & available during inspection (HSC 25503.5, Title 19 CCR,2729) hrventc*'y of hazardous materials is complete (HSC 25504, Title tr9 CCF. 2729) Site layorrt/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINTNG PLAN Iracility has appropriate training proglam (Title 19 CCR 2732 &. 22 CCF. 66265.16) Trailring documentation is rnaintained on site for current personnel (Title 19 CCF.2732 & 22 ccR 66265.16) EMERGENCV R.ESPONSE F,[,AN Contingency plan is cornplete, updated, and maintained on site (F{SC 25504, T'itle 19 CCit 2731, & 22 CCrd S 66265.53/54) Facility is operated and rnainfained tn prevent/minirnizeimitigate Iire, explosion, or release of hazardous waste to the environmeErt. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CClni. 2731 & 22 CCR 66265.31-.43) w BPOl EPO2 RPO3 TROl TRO2 EROl nlt02 COMMEI"]TS {:jj::gt:,:j:,.r_id!:,.1EE}+r:lj::g ::-]::*gir:$ir:1$ej@qi4iad.:Ejli€j,r::!:ig rry.]4q4::iaFjffi!rffi:c2}3 ii\rsPE{iT'r_}it: {,',ACff il-$/ lt(EtD: ri" t'a l'1ti al?rlo> i ;!$FECTOR:FAGI!.ITY NAME:DATE: HAZAR.DOUS WASTE GENERATOR EPA ID NUMBER: 'riered Permit: ncusw l-lcnsQr LJca LJpBn Treatrnent Equipment: Total generat *at *orrtn,h) O'\t'€Lbs or gals (average) Waste oil: Antifreeze: Solvents: Others: YES NO N/A/trr- E. M n D f n fn #il il/w d W Wd dil@tw, * dd VIOL. # GTOl GTO3 GTO4 GTO5 GTO6 GTOT GTOS GTO9 GTlO GTlI GTI2 GTI3 GTI4 GT15 GT16 GTIT GTtS GTI9 GX'20 GT2I EPA ID NO/PERMITS Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR66262.12\ If Not' Call (800) 618-6942 HAZARDOUS WASTE DETERMINATION Hazardous waste determination cond ucted (T itle 22 CCR. 66262" I 1) nown knowledge [analysis nother Hazardous waste analysis/test records are kept for at least 3 yeans (Title22 CCR 66262.40"(c)) D ISPOS.AN./TRANSPORTATIOI{ Hazardous rvastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC 25l89.5,Title 22 CCR 66262.n2) f]milkrun service nother Hazardous wastes are shipped with nnanifest (Title22 CCR66262.20) Manifests and/or receipts are propenly cornpleted/retained by generator for 3 years (Title 22 CCR 66263.421 66262.23) STORAGE AND MANAGEMENT' OF CONTAINERSITANKS llazardous wastes are accumulated om site as follows ('f itle 22 CCR 66262.34') n gO Oays if'waste generated per month is greater than or equal to 100 kg (220 lbs.) I tSO days ifwaste generated per rnonth is less than 100 kg (see note) JZIO days if waste generated per month is less than I00 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13200 lbs.)and no acutely/extremely hazardous waste over I kg (2.2|bs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (cormplete labeling/accumulation tirne/S5-gal or l-qt limit) (Title 22 CCR66262.34{c)'1 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, "IIAZARDOUS WASTE,' waste composition/physical state, hazardous properties, name/address of generator) (Title22 ccR 66262.34) Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reacti o n (T itle 22 CCR 66265. I 7 I I .19 l, 66265.17 7 (c\) Containers/tanks/liners are compatible with waste stored or transferred (Title22 CCR66265.172) Containers storing hazardous wastes are closed/sealed (Tille 22 CCR 66265.173) Weekly iirspection of areas where hazardous rilaste containers are stored is conducted (T itle 22 CCIi 66265.17 4\ 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 (Title22 ccR 66261.7 (0) R.ECYCLABI.E WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 2s2s0.4) Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproofcontainer, labeled "drained used oil filters," and transferred for metal reclamation) (Title22 ccR 66266.r30) Spent lead-acid batteries are transferred oftsite under manifest or bill of lading for recycling, reuse' or reclarnation (Title 22 CCR 66266.81) Solvents/other recyclable matenials nre managed as hazardous wastes until recycled (Title 22 CCR 66266.3',) u 6 n n n tr fnn ntl T n n u u n Ttrr un n T n t: d 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 achieved is a violation ofthe 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 lindings and/or proposed corrective actions. The issuance of this Summary of Violations does not preclude CUPA from taking administrative, civil, or criminal action as a result of the violations noted or that have not been corrected within the time specified. I{TJMBER VIOLATION9 MINOR MAJOR CORRECTIVE,ACTION REQUIRED f COMMENTS:u L"8 rt 2 ,!>0 lnspected By: Date: *&r Facility Rep lrlame: Signature: tr kre Prieloe repro ll27 rev 1 O:\DOCUtv1ENT\Jeffp\FORMS\lnspectiorr forms\CUPA inspectiorr fortns.doc 10-Sep-O1 7126123,9:44AM Tyler Technologies Gity of San Luis Obispo Fire Department 2160 Santa Barbara Avenug San Luls Oblrpo, CA 93'l0l 805ft8t-7380 Occupant Name: Address: City: $uite: Insp. Result sPrcE HUNTER (DM) 184 Suburban Road San Luis Obispo lnspectiorf Date: lnspectionType: lnspected'By: Parcel/Iax lD #: 2019 Califomia Fire Gode CHAPTER 5 FIRE SERVICE FEATURES 2019 Califomia Fire Code CHAPTER 6 BUILDING SERVICES AND SYSTEMS 2019 Califomia Fire Code CHAPTER 6 BUILDING SERVICESAND SYSTEMS 2019 Califomia Fire Code CHAPTER 50 HAZARDOUS MATERIALS-GENERAL PROVISIONS 6t9t2023 Annual Fire Business lnspection Mattie Bliss 805181-7383 mbliss@slocity.org 053-257-024 506.1 - Key box required 604.3 - Clearance around electrical service equipment. 604.3.1 - Electrical labeling forfirefighters 5004.2.2 - Secondary containment for hazardous material liquids and solids. Fail Pass Pass Pass Pass Pass Pass Pass Fail Fail l-ocation Code Set Code 2019 Califomia Fire Gode CHAPTER 1 SCOPE AND ADMINISTMTION 105.1.1 - Permits required. lnspector Comments: Submit permit application through Building Department for construction of mezzanine and work done to sprinkler system last year. Observed approximately 20 sprinkler heads added under mezzanine space and tied into existing riser at SE corner of North warehouse. 2019 Califomia Fire Code CHAPTER 5 FIRE SERVICE FEATURES 503.3 - Fire Lane Marking 2019 Califomia Fire Code CHAPTER 5 FIRE SERVICE FEATURES 505.1 - Address identification. 2019 Califomia Fire Code CHAPTER 50 HAZARDOUS MAIERIALS-GENEML 5003.4 - Safety Data Sheets. PROVISIONS Inspector Gomments: Ensure SDSs are readily available on the premises. lnclude hydrogen peroxide sanitizer in SDS binder Review with employees where binder is stored. 2019 Califomia Fire Code CHA'TER 53 COM'RESSED GASES 5303.5 - Secure compressed gas cylinders. 2019 Califomia Fire Code 1008.2 - Exit signs and emergency lights must be CHAPTER 10 MEANS OF EGRESS operational at alltimes. lnspector Comments: Replace tritium exit signs in warehouses. One sign observed to be due for replacement before 2019. Properly dispose of waste signs. Contact manufacturer or licensed radioactive hazardous waste hauler. 2019 Califomia Fire Code cHAprER 32 HtGH-plLED coMBUSTIBLE sromcE 3204'1- General' Inspector Gomments: Fire protection analysis records on file show NE comer of south warehouse is capable of storing jars and some boxed finished food products, class ll and class lll commodities, respectively. Observed wood pallets, pallets of unfilled plastic seasoning containers, in addition to finished food products stored in area today. Per facility representative, commodities are constantly moving in warehouse area. Store materials in accordance with existing warehouse storage layout or demonstrate with a cunent fire protection analysis that storage is in compliance with Fire Code and the warehouse supplies adequate fire protection for types of commodities stored. 2019 Califomia Fire Code CHAPTER 32 HIGH.PILED COMBUSTIBLE STORAGE 3206.10 - Aisles. Fail Fail https:/Arww.mobile-eyes.com/lnspectPortalViewReport.asp?file=1007423LO-1152135624&sum=N 112 7t26123,9:44 AM TYler Technologies'\ - \ Inspector Gomments: Obl );d pallets of materials and other stored items p. jlly or completely blocking aisles in south warehouse. lmmediately begin clearing aisles in accordance with chapter 32 of CFC and the warehouse guidelines submifted by Fulton Fire Engineering lnc. lnspector Gomments: Emp$ lot adjacent to Tank Farm Rd was mowed prior to June 1; however, weeds are retuming and will need abatement. One emergency exit flood light failed to illuminate when tested in upstairs offic,e area. Repair/replace. Racks throughout both warehouses do not appear to be bolted or strapped. Secure high piled storage racks in ac@rdance with fire and building code. lnspectorwilf return on or aller711712023 Thank you for your cooperation in keeping your business and our community safe! lf you have any questions, please contact us at 805/783-7775. Gompany Representative: lnspector: t.-9:!r4r' ,'/ ttArd g.ffi rdd6t ii dbjs&.*.b Ken Kreyenhagen 6t9t2023 .*,{.\fb- ri;tlaai2r' r?.-Atl *nffi vddmlt b db€ts3M.! Mattie Bliss 6t9t2023 Ref: 5624 hftps:/Amrrnrv.mobile-eyes.com/lnspectPortalViewReport.asp?lile=1007423LO-1152135624&sum=N a2 6/9/23, 9:04 AM Report Fire Department 2160 Santa Barbara Avenue San Luis Obispo, CA 93401 8051781-7380 Gity of San Luis Obispo G FIR F 5{) Occupant Name: Address: City: Suite: insp. Result Pass SPICE HUNTER 184 Suburban Road San Luis Obispo Inspection Date: lnspectionType: lnspected By: Parcel/Tax lD #: L#sation ecde Set 2019 California Fire Code CHAPTER 9 FIRE PROTECTION AND LIFE SAFEry SYSTEMS 2019 California Fire Code CHAPTER 3 GENERAL REQUIREMENTS 1t20t2022 Annual Fire Business lnspection Mattie Bliss 805/781-7383 mbliss@slocity.org 053-257-024 {]ode 903.1 - Automatic sprinkler system compliance Pass 315.3.1 - Ceiling clearance. No violations noted at this time. lf you have any questions, please contact our office. lnspector Gomments: Gontact SLO City Building Department for permit for work done to north mezzanine. Observed what appeared to be additions to fire sprinkler system. Replaceirepair emergency lighting at west exit from manufacturing area. Test all emergency exit signs/lighting to ehsure signs are operational on bJck-up pbwei. Analyze current methods for cleaning spices from machinery and facility. Per facility representative, forced air is used to clean off machinery. Per CFC 2203.4 accumulated combustible dust shall be collected by vacuum or other means that will not place dust into suspension in air. Clean accumulated dusUgrease from kitchen hood exhaust. Facility will be added to High Piled Combustible Stock Fire Permit Program. Gompany Representative r,,,. rnlt :f 1r.n::' -, r. tunalc vrd d! i. mtbaFsr*umnB Julia Fogel, EH &S Leader 1t20t2022 lnspector: q.du.a Yatdonr, rn ibbb€F!&!B.nn Mattie Bliss 1t20t2022 Ref:2828 hftps://www.mobile-eyes.com/MobileEyes3ffrackFire_Report_TabletReports.asp?Mode=Fire&Type=Full&FullText=F&lOlD=2828 1t1 COUNTYt SAN LUIS OBISPO \ Environmental t --rth Services (805) 781-5544 P.O.Box'1489 2156 Sierra Wav Ste. B San Luis Obisoo. CA 93406 l Date:0712712023 ctty o[ san Lurs oBlspo FIRE OEPARTMEI.IT 2160 santa Barba€ Avd!e * 94 Lub obt5po, cA 93401-5240 ' {005) 781'7380 "Cotrtesy & Servic:e" GERTTFTED UNIFIED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: Facility Name: THE SPICE HUNTER Agencv Inspection TyoetrEHS trRoutine ECITY FIRE trReinspection trChargeable ReinsPection EJChange of OwnershiP trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl SiteAddress: 184 SUBURBAN RD SAN LUIS OBISPO, CA93401 Phone: (805)5444466 Facility lD: FA0005125 CERS lD:10437349 Serial Number: DAYO3K4N2 PROGRAMS INSPECTED:BHazmat trHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT UCaIARP trTPE pERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NO N/AtrBtr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aX1); 19 ccR 26si) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(a)(1), 25506, 2s508(aXl), 19 CCR 2652, 26541 Site layouU facility maps are accurate and submifted electronically (HSC 25505(aX2)' 25508(aXl), l9 CCR 2652) TRAINING PLAN Facitity has appropriate training program, submifted electronically (HSC 25505(aX4)' 25508(aX1), 19CCR 2659, 22CCR66265.1 6) Training documentation is maintained on site for current personnel (HSG 25505(aX4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSc 25505(a)(3), 25508(aXl), l9CcR 2658, 22ccR 66265.52-.54) Secondary containment is instalted and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cX2)l GENERAL EH VIOLATIONS FEOI Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Goordinates: Latitude: 35.2447 379436 GPS Coord inates : Longtitude: -1 20. 66943 047 30 vtol. # BPOl BPO2 BPO3 TROl TRO2 EROl ERO3 tr tr tr tr tr tr tr u tr tr tr tr tr INSPECTOR: MATHESON BLISS FACILITY REP: Ken KreYenhagen S UIUMARY OF OBSE RVATIONSVIALATIONS No violations of undergro )storage tank, hazardous materials, or hazat ls waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. E Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq ALL VTOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. 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: THE SPICE HUNTER ADDRESS: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO BPOl CORRECTIVE ACTION REQUIRED IMMEDIATELY TAKE NECESSARY ACTION IO E/VSURE THAT THE 8US'A/ESS PIAN 'S COMPLETE, jIJBMTTTED ELECTRONTCALLy AND AVATLABLE (VlSlT CALIFORNIA ENVIRONMENTAL REPORTING SYSIEM - 'CERS", hftps//cers.catepa.ca.gov). IMPLEMENT A PROCEDURE IO ENSURE THAT THE PLAN /S UPDATED AS REQUIRED BY HEALTH AND SAFETY CODE SECI/ONS 25505, 25508(AN1) AND CALIFORNIA CODE OF REGULAIIONS SECTION 2651. FAILIJRE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED /N IHIS REPORT MAY RESULT IN CIVIL AND/OR CRIMINAL PENALTIES OF UP TO $2,OOO PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCR'BED IN THE CA HEALTH & SAFEW CODE SECTION 25515. INSPECTION COMMENTS: See initial inspection report comments. Failure to correct the noted items will result in elevated enforcement action including, but not limited to, Notice of Violation Lefter, Office Hearing, and Administrative Enforcement. INSPECTED BY: MATHESON BLISS DATE: o7t27t2023 NAME OF FACILITY REP: KCN KTEYCNhAgEN SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANGE n: I certify under penalty of perjury that this facility has complied with the corrective actions listed on is inspection form. ature of Title:- Date:- COUNTY '5sAN LUIS OBISPO Jices clty o[ san lurs orrspo FIRE DEPARTMENT ?160 Santa Barbara Avsle' San Luls Oblspo, CA 93401-5240 ' (805) 781-i380 "Courtesy & Service" Date:0610912023 GERTTFTED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name:THE SPICE HUNTER Aoencv lnsoection TvoetrEHS ElRoutine trClry FIRE trReinspection trChargeable Reinspection trChange of OwnershiP trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl SiteAddress: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Phone: (805)544-4466 Facility lD: FA0005'125 CERS lD:10437349 Serial Number: DAY\MYZH8P PROGRAMS INSPECTED:EHazmat BHW Generator DUST trAGT trCalARP NTPE REINSPECTION REQUIRED:trHazmat EHW Generator trUST trAGT trCalARP trTPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES tr tr tr tr B tr tr NO tr tr tr tr tr tr tr N/A VIOL. # tr BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aX1); 19 CCR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl), 25506, 25508(aX1), 19 CCR 2652,26541 Site layouU facility maps are accurate and submifted electronically (HSC 25505(aX2), 25508(aX1)' 19 CCR 26521 TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(a)(1)' 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(aX4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submifted electronically, maintained onsite (HSC 25505(a)(3), 25508(aXl), 19cCR 2658, 22CcR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cX2)I GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinance]trtrtrFE01 GPS Coordinates: Latitude: 35.2447 379436 GPS Coordinates : Longtitude: -1 20.66943047 30 INSPECTOR: MATHESON BLISS FACILITY REP: Leeann Hutcinson FACILITY NAME: THE SPICE HIITER vroL. # GTOl GTO3 GTO4 GTO5 GTO6 GTO9 GTlO GT11 GT12 GT13 GTl4 GT15 GT16 GT17 GT18 GT19 GT2O GT21 GT22 GT23 GT24 GT25 ERO2 "84 SUBURBAN RD ,\ru luts oBrsPo, cA 93401 ADDRESS: YES NO Mtrtrtr HAZARDOUS WASTE GENERATOR . EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 CCR 66262.12) lf not, Call (800) 618'6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (22 CCR 66262'111 Bown knowledge tranalYsis trother Hazardous wasie analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c)) D IS P OSA UTRA N S P O RTATIO N Hazardous wastes disposed of at an authorized location (HSC 25189.5' 25201(a1,22 CCR 66262'121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 251 60, 251 63(a) ; 22 CCR 66262'20, 66263.41 ) tr tr tr tr tr tr tr n tr n tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr E] tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr B tr tr tr tr tr tr tr trmil Elother EHS GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (22 CCR 66262'23, GTOS 66262.a0(a)) SToRAGE AND MANAGEMENT OF CONTAINERS/TANKg Hlzardous wastes are accr.rmulated on site as follows: ( HSC 25'123'3 (bX1y(dy(hxf ); 22 CGR 66262'34(d)) tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs') tr180 days if waste generated per month is less than 1000 kg (see note) tr220 days if waste generated 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over 1kg(2.2|bs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation timd55-gal or 1-qt limit) (22 CCR 66262.34(e)) tgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (22 CCR 66262.34(aX1)' 66265.176) Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE"' waste composition/physical state, hazardous properties, name/address of generator) (22 CCR 66262.31' 66262.34(fl) Co-ntainiisitanks containing hazardous wastes are in good conditiory'handled to minimize the release or reaction (22 CCR 66262.34 ; 22 CCR 66265'171-'179' 66265.1 77(c)) Containers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262;34i66265.1721 Containers storing hazardous wastes are closed/sealed (22 CGR 66262'34,66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34,66265]1741 Daily inspection of all tank systems is conducted and documented (22 GCR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(0) RECYCLABLE WASTE Used oil ',s ma"aged as harardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.41 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 ccRs 66266.130) Speni lea&acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 25244.191.211'22:'22 CCR 67100.7/'8) 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. (HSC 25244.191.21'22 CCR 67100'5/7/'8) Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. 66262.34(aX4), 66265.51 -.54) Employees'iralned upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(aX4), 66265.16) Facility is operated and maintained to prevenUminimize/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 (22 CCR 66265.31-37) (22CCR tr SUMM'O'{Y OF OBSERVATIONSVIOI ^ TIONS No violations of unA"riiounJ;.-.J;; tanf, frazaraous materials, or hazardous lste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writincr ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA MUSI bE iNfOTMEd iN WTitiNg 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 and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the GUPA from taking administrative, civil, or criminal action. FACILITY NAME: THE SPICE HUNTER ADDRESS: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO BPOl CORRECTIVE ACTION REOUIRED IMMEDIATELY TAKE NECESSARY ACTION IO ENSURE THAT THE 8US/NESS PLAIV /S COMPLETE, j]BMTTTED ELECTRONTCALLy AND AVATLABLE (VtStT CALTFORNIA ENVIRONMENTAL REPORTTNG SySIEM - 'CERS", hftps//cers.calepa.ca.gov). TMPLEMENT A PROCEDIJRE TO ENSURE THAT THE PIAN /S UPDATED AS REQU,RED BY HEALTH AND SAFETY CODE SECTIONS 25505,25508(AX1) ANDCALIFORNIA CODE OF REGULAIIOA/S SECTION 2651. FAILIJRE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED /N IHIS REPORT MAY RESULT IN CIWL AND/OR CRIMINAL PENALTIES OF UP TO $2,OOO PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCR/BED IN THE CA HEALTH & SAFETY CODE SECTION 25515. Revise contact information on Hazardous Materials Business Plan and resubmit through GERS by 7t9t23. Observed approximately 50 gallons of hydrogen peroxide sanitizer in Sgallon containers throuqhout faciliW. Recommend addinq to Ghem ical lnventoru and Facilitv site map. INSPECTION COMMENTS: Re-label waste ink container (currently says used oil) INSPECTED BY: MATHESON BLISS DATE:06t09t2123 NAME OF FACILITY REP: Leeann Hutcinson SIGNATURE OF FAGILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on inspection form Signature of Owner/Operator:-Tiil Date:_ COUNTY bSANLUIS OBISPO _ ,ervrces t: ) Environmental Hear (805) 781-5544 P.O.Box 1489 2156 Siena Way Ste. B San Luis Obispo. CA 93406 cffiy ot san lurs oBrspo FIRE DEPARIMENT 2160 Santa Barba€ Av.nu6' San Luis Oblspo, CA 93401-5210 ' (805) 781"7380 Date:0112012022 "Courtesy & Service" GERTTFTED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: THE SPICE HUNTER Aoencv trEHS trCITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Contain ment Testing trChargeable Secondary Contain ment Testinl Site Address: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Phone: (805)5444466 Facility lD: FA0005125 Serial Number: DAZZ9BTPE PROGRAMS INSPECTED:ElHazmat EIHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT trCa|ARP trTPE PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES tr tr tr tr tr E tr tr tr tr tr NO u tr tr tr tr tr tr tr N/A VIOL. # tr BPOI tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 tr FEO1 GPS Goordinates: Latitude: 35.2447 379436 BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aXl); 19 CCR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl ), 25506, 25508(axl), 19 CCR 2652,26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aX1), 19 CCR 26521 TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(aXl), 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(aX4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(aX3), 25508(aX1), 19CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cX2)l GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Longtitude: -120.6694304730 INSPECTOR: MATHESON BLISS FACILITY REP: Julia Fogle FACILITY NAME: THE SPICE''^(N TER ADDREST Y84 SUBURBAN RD ,SAN LUIS OBISPO, CA93401 YES tr tr E tr n n u N9 tr tr tr n tr tr tr tr tr tr tr tr tr N/A V!OL. #tr GTOI GTO3 GTO4 GTOs GTO6 GTOT GTOS GTO9 GTlO GT11 GT12 GTl3 GTl4 GTIs GTl6 GTIT GTl8 GTl9 GT2O GT21 GT22 GT23 GT24 GT25 ERO2 HAZARDOUS WASTE GENERATOR EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 CCR 66262.12) lf not, Call (800) 618-6942 to obtain your GAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (22 CCR 66262.1'll trown knowledge tranalysis trother Hazardous waste analysis/test records are kept for at least 3 years(22 GCR 66262.40.(c)) D IS POSA UTRA N S PO RTAT I O N Hazardous wastes disposed of at an authorized location (HSC 251 89.5, 25201(al, 22 CCR 66262.121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 25160. 25163(a): 22 CCR 66262.20.66263.41) trmi trother Manifests and/or receipts are properly completed/retained by generator for 3 years (22 CCR 66262.23, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as followsr ( HSC 25123.3 (bxly(dy(hxl); 22 CCR 66262.34(d)) tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs.) tr180 days if waste generated per month is less than 1 000 kg (see note) tr270 days if waste generated 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over 1kg (2.2 lbs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation timdSSgal or 1-qt limit) (22 CCR 66262.34(e)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (22 CCR 66262.34(aX1), 66265.176) Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (22 CGR 66262.31, 66262.34(R) Containers/tanks containing hazardous wastes are in good conditiory'handled to minimize the release or reaction (22 CCR 66262.341'22 CCR 66265.171-.179, 66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34,66265.1721 Containers storing hazardous wastes are closed/sealed (22 CGR 66262.34,66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34,66265.1 74) Daily inspection of all tank systems is conducted and documented (22 CCR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (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) (Iitle 22 ccRs 66266.130) Spent leadacid batteries are being properly stored and transferred offlsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 25244.191 .21/,.22:' 22 CCR 67'100.7/.8) 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. (HSC 25244.191.21,22 CCR 67100.5/7/.8) Haanraste Contingency Plan prepared, current, submitted to the GUPA, maintained onsite, (22CCR 66262.34(aX4), 66265.51 -.54) Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(aX4), 66265.1 6) Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materials/waste constituents to the environmenL Maintains all required or appropriate equipment including an alarm and communications system (22 CCR 66265.31-.37) tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr E E E tr tr tr tr tr tr tr tr tr tr tr tr tr tr D tr tr u tr tr tr tr tr E tr tr tr B tr tr tr tr tr tr tr tr tr suMtr- )Ry oF oBSERVATIONSVIC' '\TIONS No violations of undergroufld orot?ge 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' tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. tf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq ALL VTOLATTONS MUST BE CORRECTED W|THIN 30 DAYS OR AS SPECIFIED CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. 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, cival, or criminal action. FACILITY NAME: THE SPICE HUNTER ADDRESS: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Items marked N/A not reviewed during inspection. Facility is not generating hazardous waste and will be removed from Conditionally Exempt Small Quantity Generator Program. Send SDS of Lemon Oil to your inspector at mbliss@slocity.org. Remove "Hazardous Waste'label from north flammable cabinet. Update emergency contact information for secondary emergency contact (no longer Jesse) through the SLO County Portal. INSPECTED BY: MATHESON BLISS DATE: O1J2012022 NAME OF FACILITY REP: JUIiA FOgIE SIGNATURE OF FACILITY REP: STATEMENT OF GOMPLIANCE Gertification: I certify under penalty of periury that this facility has complied with the corrective actions listed on is inspection form Signature of Owner/Ope Title:- Date COUNTY ESAN LUIS OBISPO -'- .\ I Environmental Heai.,, - -..rices ;(805) 781-5544 lP.O.Box 1489 ;2'156 Sierra Way Ste. B San Luis Obisoo. CA 93406 i ) ctty o[ san lurs oBrspo FIRE DEPARTMENT 2'160 Santa BarbaE Avsu6' San Lub 0blspo, CA 93401-5240 ' {805) 781-7380 "Courtesy & Service" Date:0510212019 GERTTFTED UNtFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Phone: (805)544-4466 I lnsoection Tvne trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Contai nment Testing trChargeable Secondary Containment slrfl.- Facility Name: SPICE HUNTER, THE Testin trEHS trCITY FIRE Facility lD: FA0005125 Serial Number: DAWSNCODM SiteAddress: 184 SUBURBAN RD SAN LUIS OBISPO, CA93401 PROGRAMS INSPEGTED:f;ttazmat EIHW Generator trUST EAGT trCa|ARP trTPE REINSPECTION REQUIRED:EHazmat trHW Generator trUST trAGT trCa|ARP trTPE PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Ken Kreyenhagen Title: Facility Supervisor YES NOtrtr trtr trtr tru trtr trtr trtr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(a) (1); 19 CCR 2651) lnventory of hazardous materials is complete and submifted electronically (HSC 25505(a)(1), 25506, 25508(a)(1), 19 CCR 2652,26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(a)(1), 19 CCR 2652) TR.AINING PLAN Facility has appropriate training program, submifted electronically (HSC 25505(aX4), 25508(aX1), 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(aX4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(a)(3), 25508(aXl), 19cCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(c) (2)l GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel GPS Coordinates: Latitude: 35.2440680000 GPS Coordinates: Longtitude: 120.6696870000 N/A VIOL. # tr BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 INSPECTOR: KERRY BOYLE FACILITY REP: Ken Kreyenhagen I FACILITY NAME: SPICE HUf\" 1.'iHE ADDRES ' l SUBURBAN RD -"rN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GEN ERATOR YES tr tr tr tr tr tr tr N9 tr E tr tr tr tr tr N/A tr tr tr tr tr tr tr GTOl GTO3 GTO4 GTO5 GTO6 GTOT GTOS GTO9 GTlO GT11 GT12 vtoL. #EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 GGR 66262.121 lf not, Call(800) 618-6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (22 CCR 66262.11) Eown knowledge tranalysis trother Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c)) DISPOSAUTRANSPORTATION Hazardous wastes disposed of at an authorized location (HSC 25189.5, 22CCR66262.121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 251 60, 25163(a); 22 CCR 66262.20, 66263.41 )trmilkrun trother Manifests and/or receipts are properly com 66262.40(a)) by generator for 3 years (22 CCR 66262.23, STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (hX1)/(bX1); 22 CCR 66262.34) tr90 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) tr180 days if waste generated per month is less than 100 kg (see note) tr270 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over 1kg(2.2lbs.) 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) (22 CCR 66262.34(e)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (22 CCR 66262.34(aXl), 66265.1 76) Containers of hazardous waste are properly labeled (includes appropriate daIe,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (22 CCR 66262.31 ,66262.34(f)) Containers/tanks containing hazardous wastes are in good conditiorVhandled to minimize the release or reactior (22 CCR 66262.34;22 CCR 66265.171-.179, 66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34,66265.1721 Containers storing hazardous wastes are closed/sealed (22 CCR 66262.34, 66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34, 66265.1 74) Daily inspection of all tank systems is conducted and documented (22 CCR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(0) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.41 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 CCRS 66266.130) Spent leadacid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 25244.191.211.22;22 CCR 67100.7/.8) 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. (HSC 25244.1 9 1.21, 22 CCR 671 00.7/.8) Haanvaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (22CCR 66262.34(a)(4), 66265.51-.54) Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(aX4) 66265.1 6) Facility is operated and maintained to prevenUminimize/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 (22 CCR 66265.31-.37) tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr D tr tr tr tr tr tr tr tr tr tr D tr tr tr tr tr tr E tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr GT13 GT14 GT15 GT16 GT17 GT18 GT19 GT2O GT21 GT22 GT23 GT24 GT25 ERO2 SUM' Y OF OBSERVATIONSVI( :IONS tr 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. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform the CUPA in writing ALL VIOLATTONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. 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: SPICE HUNTER, THE ADDRESS: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Facility generates v. small quantities of hazardous waste which is also accumulated on an irregular basis. Waste containers are properly labeled and securely closed. Good record keeping of hazwaste. Facility in good order. INSPECTED BY: KERRY BOYLE DATE: O5|OZ2019 NAME OF FACILITY REP: Ken Krevenhaqen 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:- Environmental Health scrvices (805) 781-5544 P.O.Box 1489 2156 Sierra Wav Ste. B San Luis Obispo. CA 93406 ") crty o[ san Luls oBlspo FiRE OEPARTMEII] 2160 Silta BarbaBAviluo'sd Llb Obbpo,cA 93101-52,10'(8115) 781'7380 "Cottrtesy & Service" Date: O510212019 GERTTFTED UNIFIED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: COUNTY b SAN LUIS OBISPO trClTY FIRE trReinspection trChargeable Reinspection trChange of OwnershiP trComplaint trSecondary Containment Testing trChargeable Secondary Containment Facility Name: SPICE HUNTER, THE trEHS Phone: (805)5444466 SiteAddress: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 lnsoection Tvne trRoutine Facility lD: FA0005125 Serial Number: DAS0FGIUG DAGT trCa|ARP trTPEEHW Generator trUSTPROGRAMS INSPECTED:BHazmat trCalARP trTPEtrHWGeneratortrUSTtrAGTREINSPECTION REQUIRED:EHazmat PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Francisco Duarte Title: Safety Goordinator YES tr tr E E tr tr tr tr NO tr tr tr u tr tr tr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(a) (1); 19 cCR 2651) tnventory of hazardous materials is comptete and submifted electronically (HSC 25505(ax'l), 25506' 25508(a)(1), 19 CCR 2652,2654) Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2)' 25508(aXl)' 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submifted electronically (HSC 25505(a)(4)' 25508(aX1), lgCCR 2659' 22CCR66265.16) Training documentation is maintained on site for current personnel (HSG 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(aX3), 25508(aXl), 1gCCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4'5;40 CFR 1'12'8(cl (2)l GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinancel GPS Coordinates: Latitude: 35.2440680000 GPS Coordinates: Longtitude: 120.6696870000 tr N/A VIOL. # tr BP01 tr BPO2 tr BP03 TROl TRO2 EROl ERO3 FEOl tr tr tr tr tr INSPECTOR: KERRY BOYLE FACILITY REP: Francisco Duarte FACILITY NAME: SPICE HUNT THE ADDRESS: ,! SUBURBAN RD OAN LUIS OBISPO, CA93401 HAZARDOUS WASTE GENERATOR YES tr tr tr tr tr tr tr N9 tr tr tr tr n tr tr N/A tr tr tr tr tr tr tr vtol. # GTOl GTO3 GTO4 GTOS GTO6 GTOS GTO9 GTlO GT11 GT12 EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 GCR 66262.121lf not, Gall(800) 618-6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERMINATION Haza rdous waste determ i nati on cond u cted (22 CCR 66262. 1 1 ) trown knowledge tranalysis Eother Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c)) D ISPOSAUTRANS PORTATION Hazardous wastes disposed of at an authorized location (HSC 25189.5, 22 CCR 66262.121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr a tr B GT13 GT14 GT15 25160, 25163(a); 22 CCR 66262.20,66263.41) trmilkrun trother GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (22 CCR 66262.23, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazaraous wastes are accumulated on site as follows: ( HSC 25123.3 (hX1)/(bXl); 22 CCR 66262'34) tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs.) tr180 days if waste generated per month is less than 1000 kg (see note) tr270 days if waste generated 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over 1kg(2.2|bs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation timd5S-gal or 1'qt limit) (22 CCR 66262.34(e)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (22 CCR 66262.34(a)(1), 66265.176) Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (22 CCR 66262.3'1,66262.34(f)) Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (22 CCR 66262.34;22 CCR 66265.171-.179, 66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34, 66265.1721 Containers storing hazardous wastes are closed/sealed (22 GCR 66262.34,66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34, 66265.174) Daily inspection of all tank systems is conducted and documented (22 CCR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(0) 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 CCRS 66266.130) Spent leacl-acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266-81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 makt them available to the inspector within (5) days. (HSC 25244.19/.211.221'22 CCR 67100.7/A) 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. (HSC 25244.1 9/.21, 22 CCR 67 1 00.7/.8) Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (22CCR 66262.34(aX4), 66265.51-.54) Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(aX4) 66265.1 6) Facility is operated and maintained to prevenUminimize/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 (22 CCR 66265.31-.37) GT16 GT17 GT18 GT19 GT2O GT21 GT22 GT23 GT24 GT25 ERO2 SUMTI/ iY OF OBSERVATIONSVIOT |IONS tr 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. EI Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform the CUPA in writing ALL VIOLAT]ONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. 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: SPICE HUNTER, THE ADDRESS: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: HMBP to be updated for CY 2019. Rechargeable lead acid batteries are used on scissor lifts, fork lifts, and other equipment. Facility generates v. small quantities of hazardous waste which is also accumulated on,an irregular basis. Waste containers are properly labeled and securely closed. Good record keeping of hazwaste. Facility in good order. INSPECTED BY: KERRY BOYLE DATE: 051022019 NAME OF FACILITY REP: Francisco Duarte SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Gertification: I certify under penalty of periury that this facility has complied with the corrective actions listed on inspection form Sig natu re of Owner/Operator:-Title:- Date Gounty of San'rut" obispo --) OtVol ^ Saii trfis onrspoEnvironmental Health Services (805) 781-5544 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) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by: Date, S-/J,i 'ri Time: "' FACILITY NAME: Result Gode: _70 _80 _90 Action Code: _32 _37 _33 -31 n Complaint Routine Reinspection Other AGENCYn eHs tr AG DEPT I-'T"CITY FIREr- phb'ilf, 'i' '' p,tnw Generator n usr n ner Icnmne! Business PlanPROGRAMS INSPEGTED: n eor flcnnne'El'fiw Generator n usrn Business PlanREINSPECTION REQUIRED:l,r oo n YES PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, a determining compliance with adopted codes. GRANTED BY nd YES NO COS N/Atrn n !nr n nnn tr n ntr n!! n nn NT n nn BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (IISC 25504' Title 19 CCR2729) Site layout/facility maps are accurate (HSC 25504' Title 19 CCR2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273I & 22 ccR s 6626s.s3/s4) 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 CCR66265,31- .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b) SPCC Plan is maintained on site or nearest field office. (HSC 25270) Go to http://www materials.htm,to obtain forms to comply with BPOl -8P03, TR01 and ER01 _deg--min-decimal min INSPECTOR: : -deg mrn F'ACILITY REP: tun: 112812020 1 Faci FAo005125 Date: t1 N COUNTY OF SAN LUIS OBISPO Facility lnformation as of 1 t28t2020 Page #: 1 t I TNFORMATTON CHANGE t 1 CLOSE FACILITYAS OF: Date: I I OWNER FILE INFORMATION Owner lD: OW0005112 Owner Name: €-F:€mEFeE[!lfit{+. Owner DBA: OwnerAddress: 2000 W BROAD ST RICHMOND, VA 23220 Home Phone: Work Phone: Mailing Address: 2000 W BROAD ST RICHMOND, VA 23220 Care of: THE SPICE HUNTER 1[/IOWNERSH|PCHANGE: t lBusiness [ ]property [ ]Tankl*aUPD ATE BILLt NG I NFORMATTON [ ] UPDATE UST |NFO (sys, type, capacity, etc.) by: kboyle RD New Owner lD: NpW Name: New DBA: New,Addre.Fs: New Home Phone: New Work Phone: New Mailing Address: New Care of: FACILITY FILE INFORMATION Facility lD: FA0005t25 Facility Name: SPICE HUNTER, THE 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 phone: MailingAddress: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Care of: John Fiorenza New lD: New Name: New Site Address: New Phone; New Mailing Address: New Care of: New CERS tD: New GtS: PRIMARY FOR ALL BI NewAccount lD: oN-LLING AND PERMITTI CORRESPONDEN CERS lD: 10437349 GIS:35.24407 120.66969 ACCOUNTS RECEIVAB LE FILE INFORMATI Account lD: AR001 0425 Account Name: C. F. SAUERCOMPANY MailingAddress: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Care of: ATTN: WINKLE, pAT Account Balance as of 1 t28t2020: 90.00 NG LINKED PROGRAMS 0762. SLO CITY.HAZARDOUS MATERIALS HANDLER 1-4 Last Activity: OStO2tzO1 9 - REGULAR tNSpECTtON 0755 - SLO CIry- STATE SITE SURCHARGE Last Activity: No previous Activity SLO CITY-WASTE STREAM (DE MINIMUS) Activity: O5lO2t2O19 - REGUTAR tNSpECTtON NewAccount Name: New Mailing Address: New Care of: Mail lnvoices to: Account PROOO7533 EEOOOOSIO - KERRY BOYLE PR0007534 PROO1157O EEOOOO5IO - KERRY BOYLE Discount Code: Discount lnvoices?: y lnactive Transfer (Circle One) UST(s) Program to Activate/Change/l Linked New Owner? nactvate ActiveyNACt 1174 - Last Active YN YN ACt ACt I ] CREATE NEW FILE FOLDER I 1 UPDATE EXISTING FILE FOLDER LABEL UPDATE NEXT tNSpECTtON DATE: Date: I I Copy to: Fite Other: HAZARDOUS MATERIALS SPECIFIC: Number of Materials Number of Waste Streams PE Update cERS/HazMat portar? y N (rf yes, forward to cERS/porrar admin for update) [H:idr::l"ffiii:tl, Comments: Entered by:Date:c,q)y fl[rotz cxl-( T]-.^L( vf ./\{Crv,q , ) \ uatE run:trrl lrzulo 1:55:3t'PM f Run by: I Recor-i.ifiselecttonctitefia: Facil|lvlo: FA000000o COUNTYOF SAN LUIS OBISPO Facility lnformatbn as oJ 411112016 Repod#: MFF|I Page#: I Date:b RequesEd by: INFORMATION UPDATE UST INFO (sys, lype, capacity. etc.) CLOSE FACILITY AS OF: Date: -J-!-OWNER FILE TNFORMATION Orner lD: OrrmerName: Owner DBA: OrvnerAddress: /,{*ro"rLrrY REcoRD t lOt/vllERSHlPCl-tANGE: [ | Business I lProPerly I lTank S.{Qe o ar e B LLING r NFoRMAnoN . New O$rner lD: New Name: NewDBA: NewAddress:23no t t t a Home Phone: Not Specified Work Phone: Not Speciffed Mailing.Address: Care of iACILITY FILE INFORMATION Facility Name: Phone: MailingAddress: . NewHome Phone:' NewWork Phone: New Mailing Address: New Care of New lD: New Name: Neur SiteAddrEss: NEfl Phone: New Care of .SAnt LU tf A 6 ? i New Mailing Address: -SAML I CarE ot CERS ID: GIS: FILE INFORIIIATION Acoount lD:New Account lD: Mail lnvoices to:Mail lnvoices to: 'l.lta sPtct HdMrEn , t^rL AccountNams lB+ 5.rB vr{,bq ^tuSowr Lvtg Al"tsfo, cA q3+a I ogramrElement and Descrlplon Record lD Employee lD and Ndne Slalus UST(s) Link€d TralsGr Prggrarn io (Ckde One) Acfilreterlnactrrat I CREATE NEWFILE FOLDER I UPDATE EXFNNG FILE FOLDER I.ABEL ]PDATE NEXT INSPECTION DATE: DAIC: I I ;opy to: File Other: lpdate HazMat Porbl?Y N (lf yes, forward to portal administsator for update) HAZARDOUS MATERLALS SPEGIFIC: Number of MaEdals Number of Waste Stseams Number of Tanks (llst capacity/compartment) PE _ruJ, iomments: ntered by:Date:FP-/11'1 q,l,LM- f/(W q-a4fti1nfr f,l(, r:rlr;tr (h f- Pl//,rr4 W4 ,,4 /ul ) / 7L( fu1 a.;)i 3 BUSINESS OWNER/OPERATOR ID CATION F'ORM S- SAN LUIS OBISPO COUNTY I. IDENTIFICATION NAME (Same as FACILITY NAME or DBA - Doins Business As) SPICE HUNTER, THE BUSINESS PHONE 184 SUBURBAN RD SITE CA 93401 CODE SAN LUIS OBISPO BUSINESS 4."iZrrru Fic;ReN)ANAME II. BUSINESS OWNER OWNER LC. F. SAUER COMPANY NAME 2OOO BROAD 23220 CODETE VACITY RICHMOND Iil. ENVIRONMENTAL CONTACT 8PHONE --'-- 1 )f:gnntc:o {)uA frrp:CONTACT 184 SUBURBAN ROAD MAILING 93401 CODETE CASAN LUIS OBISPO IV. EMERGENCY CONTACTS -SECONDARY--PRIMARY- Ken Kreyenhagen NAME ..Jc,nrJ jri oAetrl *tlN Facility Supervisorfi t [-Ar.JT- MnU,qearl # / CELLAGER # / CELL - 't t. aLt (1., ADDITIONAL LOCALLY COLLECTED INFORMATION: 24-HOUR24-HOUR # -- fr #n '7t , ((*/ - responsible for the informationam farniliar with the information submitted and believe I have personally examined and is true, accurate, and comPlete. information, I certi! under penaltyindivon my OR DES Submitted via Public Portal TITLE OF REPRESENT NAME OF (print) Date run: 611912015 3:18:53PM Run by: kboYle Record Selection Criteria: Facillty.l'D: FA0005125 l couNTY oF sAN LUIS OBTSPO 'Facility lnformation as of 6/19/2015 Report #: MFRI Page #: 1 ate:il t t t ;{'tf Lt Requested bv: INFORMATION CHANGE UPDATE UST INFO (sys, type, capacity, etc.) CLOSE FACILITY AS OF: Date: I I [ ] NEW FACTLTTY RECORD t IOWNERSH|PCHANGE: [ ]Business [ ]Property []Tank [ ] UPDATE B|LLTNG TNFORMATTON New Owner lD: New Name: New DBA: New Address: OWNER FILE Owner lD: Owner Name: Owner DBA: Owner Address: Home Phone: Work Phone: Mailing Address: INFORMATION ow00051 12 C. F. SAUER COMPANY 2OOO W BROAD ST RtcHMONb, VA 23220 805-544-4466 2OOO W BROAD ST New Home Phone: New Work Phone: New Mailing Address: New Care of: RTCHMOND, VA 23220 Care of: THE SPICE HUNTER FACILITY FILE INFORMATION FacilitY lD: FA0005125 FacilitY Name: SPICE HUNTER' THE New lD: New Name: New Siie Address: New Phone: New Mailing Address: New Care of: APN: SIC Code: Phone: Mailing Address: Care of: CERS ID: Location Code: BOS District: 184 SUBURBAN RD sAN LU|S OBTSPO, CA 93401 805-544-4466 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 John Doyle 10437349 33 - CITY OF SLO ACCOUNTS RECEIVABLE FILE INFORMATION Account lD: AR00'10425 Mail lnvoices to: Account Account Name: C. F. SAUER COMPANY Account Balance as of 611912015: $0.00 Program/Element and Description New Account lD: Mail lnvoices to: Owner / Facility / Account (Circle One) Record lD Employee lD and Name Status Transfer UST(s)Program to (Circle One) Activate/lnactvatLinked 0762. SLO CIry.HAZARDOUS MATERIALS HANDLER 1.4 PROOO7533 EEOOOOS1O. KERRY BOYLE Last Activity: 1211212A13 - REGULAR INSPECTION 0755 - SLO CITY- STATE SITE SURCHARGE PROOO7534 Last Activity: No Previous Activity 1 174 - SLO Ctry-WASTE STREAM (DE MTNTMUS) PR001 1 570 EE000051 0 - KERRY BOYLE Last Activity: 1211212013 - REGULAR INSPECTION lnactive lnactive N N N Y Y A A Ttrltt It I 1 CREATE NEW FILE FOLDER I 1 UPDATE EXISTING FILE FOLDER LABEL UPDATE NEXT INSPECTION DATE:Date: I I HAZARDOUS MATERIALS SPECIFIC: Number of Materials Number of Waste Streams Number of Tanks (list capacity/com partment) PE4ryCopy to: Entered File Comments:;;,.'r; _,1 i!;j,, ,v Date: 'a \LI Jg .t1 ;-:l- + /- ail- q :l ,14/4/5,ff, tM f,u t;/ irrl:ty' t lV. /A h,//rx4/,4 W{ Date run: 6/1 5 3:18:53PM Run by: kboyle UNTY OF SAN LUIS OBISPO acility lnformation as of 611912015 Report #: MFR1 Page #: 1 Date:-b-t JL I'f Req uested bv: INFORMATION CHANGE UPDATE UST INFO (sys, type, capacity, etc.) CLOSE FACILITY AS OF: Date: I I NEW FACILITY RECORD OWNERSHIP CHANGE: [ ] Business [ ] Property [ ] Tank UPDATE BILLING INFORMATION New Owner lD: New Name: New DBA: New Address: OVVNER FILE INFORMATION Owner lD: OW0005112 Owner Name: C. F. SAUER COMPANY Owner DBA: Owner Address: 2000 W BROAD ST RrcHMONb, VA 23220 Home Phone: Work Phone: 805-544-4466 Maili4g Address; 2000 W BROAD ST R|CHMOND, VA 23220 Care of: THE SPICE HUNTER New Care of FACILITY FILE INFORMATION FacilitY lD: FA0005125 FacilitY Name: SPICE HUNTER' THE 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Phone: 805-544-4466 MailingAddress: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Care of: John DoYle CERS lD: 10437349 Location Code: BOS District: 33 - CITY OF SLO New Home Phone: New Work Phone: New Mailing Address: New lD: New Name: New Site Address: New Phone: New Mailing Address: New Care of: APN: SIC Code: ACCOUNTS RECEIVABLE FILE INFORMATION Account lD: AR0010425 Mail lnvoices to: Account Account Name: C. F. SAUERCOMPANY Account Balance as ol 611912015: $0.00 Program/Element and Description Record lD New Account lD: Mail lnvoices to: Owner / Facility / Account (Circle One) Employee lD and Name Status UST(s) Linked Transfer Program to (Circle One) Activate/lnactvat 0762. SLO CITY-HAZARDOUS MATERIALS HANDLER 1-4 Last Activity: 1211212013 - REGULAR INSPECTION 0755 - SLO CITY. STATE SITE SURCHARGE Last Activity: No Previous Activity 1174 - SLO CITY.WASTE STREAM (DE MINIMUS) Last Activity: 1211212013 - REGULAR INSPECTION PR0007533 PR0007534 PR001 '1570 EEOOOO51O - KERRY BOYLE EEOOOOslO - KERRY BOYLE lnactive Inactive lnactive YN YN YN AI A t 1 CREATE NEW FrLE FOLDER t ] UPDATE EXISTING FILE FOLDER LABEL UPDATE NEXT INSPECTION DATE:Date: I I Copy to: File Other: HAZARDOUS MATERIALS SPECIFIC Number of Materials Number of Waste Streams Number of Tanks (list ca pacity/co m pa rtment) PE Comments: /+,W Date: ?:U( Entered s /l Date run: Run by: kboYle 9:54:53AM COUNTY OF SAN LUIS OBISPO Facility lnformation as of 312312015 Report #: MFRI Page #: 1 [ ] Tank Date: t1 t1 t1 _A3_l2L-12-Ll5- Requested bY: @[ ] NEW FACILITY RECORD TNFORMATTONCHANGE tIoWNERSHIPCHANGE: []Business []Property UPDATE UST INFO (sys, type, capacity, etc.) [Od UPDATE BILLING INFORMATION ., 47 )r TEMeORARTLY TNACTTVATE AS OF: Date: t t [Od CLOSE FACILITY AS OF: Date: C! Vr-t l/d OWNER FILE INFORMATION Owner lD: OW0005112 OwnerName: C. F. SAUERCOMPANY Owner DBA: OwnerAddress: 2000W BROAD ST RICHMOND, VA 23220 Home Phone: 8C Work Phone: 805-544-4466 Mailing Address: 2000 W BROAD ST New Owner lD: New Name: New DBA: New Address: New Home Phone: New Work Phone: New Mailing Address: RICHMOND, VA 23220 Care of: THE SPICE HUNTER New Care of: Record Selection Criteria: Facility lD: FA0005125 FACILITY FILE INFORMATION FacilitY lD: FA0005125 FacilitY Name: SPICE HUNTER' THE New lD: New Name: New Site Address: New Phone: New Mailing Address: New Care of: APN: SIC Code: Phone: Mailing Address: Care of: CERS ID: Location Code: BOS District: 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 805-544-4466 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 ATTN:WINKLE, PAT 't0437349 33 - C|TY OF SLO ACCOUNTS RECEIVABLE FILE INFORMATION Account lD: AR0010425 Mail lnvoices to: Account Account Name: C. F. SAUER COMPANY Account Balance as of 312312015: $0.00 Program/Element and Description Record lD New Account lD: Mail lnvoices to: Owner / Facility / Account (Circle One) Employee lD and Name Status USr(s) Linked Transfer Program to (Circle One) Activate/lnactvat 0762 - SLO CITY-HAZARDOUS MATERIALS HANDLER 1-4 Last Activity: 121 1212013 - REGULAR I NSPECTION 0755 - SLO CITY- STATE SITE SURCHARGE Last Activity: No Previous Activity 1174 - sLo clry-wASTE STREAM (DE MINIMUS) Last Activity: 1 21 1 212013 - REGULAR I NSPECTION PR0007533 PR0007534 PR001 1 570 EEOOOO5IO - KERRY BOYLE EEOOOO5IO - KERRY BOYLE lnactive A A A N N NM-tr t 1 CREATE NEW F|LE FOLDER t 1 UPDATE EXISTING FILE FOLDER LABEL UPDATE NEXT INSPECTION DATE:Date: I I Copy to: File Other: HAZARDOUS MATERIALS SPECIFIC: Number of Materials Number of Waste Streams Number of Tanks (list PE mme Date:Entered ) I ENVISION INPUT/UPDATE FOn.i/l Master File Record lnformation CREATE NEW RECORD ll F|LE [] LABEL t)FACtLtTy NUMBER FA# 000s12s t 1 CHANGE OF OWNERSHTP Il TANK OWNER [] BUSTNESS OWNER PROGMM NUMBER PR# rEF UPDATE B|LLING |NFO PROGRAM ELEMENT PE# t I PERMANENTLY TNACTTVATE FACILITY AS OF: I I TEMPORARTLY TNACT|VE FACILITY AS OF: DATE OF NEXT SCHEDULED INSPECTION|Dpce-ho'r t2 - 2o1 tL RETURN TO INSPECTOR:rlxlYES I INO DESCRIPTION oF GHANGES: 11 Add Hazardous waste Generator, DeMlnlmus to perml-r and seni out an updated lnvolce for the addl-tlonal permlt fee. ( .v.*^ rA. n,\ac"\.{ (cn t--J NO OTHER CHANGES \ BILLING INFORMATION: Number of Materials: g, Number of Waste Streams:01 Number of Tanks (capacity/compartment): N/A THE SPICE HUNTERFacility Name: Site Address:184 SUBURBAN ROAD. SAN LUIS OBISPO. CA 93401 (ctTY, STATE, ZrP CODE) ___-=-_rrarmb-ef:(80s) s44-4466 1".:,il,Jgi{f,tfin., Dr?ect: AOS.SI7.8972 #;;:i:^;: ; ;;t ;:i : :,,, *, nd, VA 23220 i3i,,ilgir.g;f;i ffiiil.:;,h;-::,:T Date Requested:12/30/2013 Date Entered: C:\9ocu.ments and Seftings\kboyle\Local Settings\Temporary lnternet Files\Content-Outlookuw6l HlOH\MFR HAZMAT (2).DOC 16-Jan-13 1Nq0\tt - -(,-nncr,tL'. r\ StaK&s e C€ J^qar.Cery\ COUNTY OF SAN LUIS OBISPO ENVIRONMENTAL HEALTH SERVICES DIVISION 2156 SIERRA WAY PO BOX 1489 sAN LU|S OB|SPO, CA 93406 805-781-5544 ENVIRONMENTAL HEALTH SERVICES INVOICE Account lD ID Print Date AR0010425 TO RE SPICE HUNTER, THE ATTN: WINKLE, PAT 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 SPICE HUNTER, THE 184 SUBURBAN RD, SAN LUIS OBISPO, CA 93401 Please make checks payable to County of San Luis Obispo FAo0051 25 11312014 Your account information as of 11312014 Previous Balance $ ZSO.OO TotalAmount Due $ 230.00 Payment Due Date: 12131113 SLO CITY.HAZARDOUS MATERIALS HANDLER'I 4 Service Description (as applicable, for billable service activities only) Applied Date o1lo2l14 Amount $ 207.00 2 OR MORE PRGRAMS SLO CITY DISCOUNT Service Description (as applicable, for billable service activities only) Applied Date 01lo2l14 Amount $(7e.oo) SLO CITY- WASTE GENERATOR (1-5 waste streams) Service Description (as applicable, for billable service activities only) Applied Date 01t02t't4 Amount $ 207.00 SLO CITY- STATE SITE SURCHARGE Service Description (as applicable, for billable service activities only) Applied Date o1to2t14 Amount $ 35.00 slo crw-wAsTE STREAM (DE MINIMUS)Service Description (as applicable, for billable service activities only) Applied Date 01t03114 Amount $ 67.00 GoRRECTTON TO A CHARGE (CREDIT)Service Description (as applicable, for billable service aclivities only) Applied Date 01lo3l14 Amount $(207.00) lnvoice # 1N0090829- Original lnvoice Date | '121212013 lnvoice Amount Due: $230.00 5256.rpt Page 1 of 2 COUNry OF SAN LUIS OBISPO ENVIRONMENTAL HEALTH SERVICES DIVISION 2156 SIERRA WAY PO BOX'1489 sAN LUIS OB|SPO, CA 93406 805-781-5544 TO RE ENVIRONMENTAL HEALTH SERVICES INVOICE Account lD ID Print Date 4R0010425 SPICE HUNTER, THE ATTN:WNKLE, PAT 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 SPICE HUNTER, THE 184 SUBURBAN RD, SAN LUIS OBISPO, CA 93401 Please make checks payable to: County of San Luis Obispo We now accept !!!!, MasterGard and Discover over the phone and at our office. Bacteriological (Bac-T) water sample fees are for collection of samples only. Lab analysis fees will be mailed separately. FAo0051 25 1t3t2014 Your account information as of 1/3/201 4 Previous Balance $ TotalAmount Due $ Payment Due Date: 230.00 230.00 12t31t13 1 - 30 Days 31 - 60 Days 61 - 90 Days 91 - 120 Days 121 + Days Amount Due $ 437.00 $(207.00)$ 0.00 $ 0.00 $ 437.00 $ 667.00 To ensure proper credit, please return the bottom portion with your remittance Gounty of San Luis Obispo Environmental Health Services Division Phoner (805)781-5544 Fax: (80517814211*rNo090829230.00* AR001 0425 SPICE HUNTER, THE 184 SUBURBAN RD, SAN LUIS OBISPO, CA 93401 1t3t2014FA000512s $ $ 230.00 667.00 12131t13 Prinr Dare Previous Balance Total Amount Due Payment Due Date: 5256.rpt Page 2 of 2 \ ) UNIF'IED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of I. FACILITYIDENTIFICATION FACILITY ID # (Agency Use Only)F A 0 0 0 5 1 2 5 I EPA ID # (Hazaldous Waste Only) ca1000293171 2 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As)3 BUSINESS SITEADDRESS 184 SUBURBAN RD 103 BUSINESSSITECITY SAN LUIS OBISPO 104 CA ZIPCODE 93401 '* II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page. Does your facilify If Yes. please complete these pages of the UPCF A. HAZARDOUSMATERIALS Have on site (for any purpose) at any one time, hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for cotnpressed gascs (inclurle liquids in ASTs and USTs); or the applicable Federal threshcld quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or halrdle radiological materials in quantities for which an emersencv Dlan is required oursuant to I 0 CFR Parts 30, 40 or 70? I YES HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTIO}J B. REGULATED SUBSTANCES Have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the California Accidental Release prevention Program (CalARP)? ! ves Coordinate with your local agency responsible for CalARP. C. UNDERGROLTND STORAGE TANKS (USTs) Own or operate underground storage tanks?!vss UST FACILITY tFomerly swRcB Fom A) UST TANK (one page per tek) (Fomerly Fonn B) D. ABOVE GROUND PETROLEUM STORAGE Own or operate ASTs above these thresholds: Store greater than 1,320 gallons of petroleum products (new or used) itt aboveground tanks or containers. I vrs NO FORM REQUIRED TO CUPAS E. HAZARDOUS WASTE Generate hazardous waste? Recycle rnore than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)? Treat hazardous waste on-site? Treatment subject to financial assurance requirements (for Pemrit by Rule and Conditional Authorization)? Consolidate hazardous waste generated at a remote site? Need to report the closure/removal of a tank that was classified ?S hazardous waste and cleaned on-site? Generate in any single calendar month 1,000 kilograms (kg) (2,200 pounds) or more of federal RCRA hazardous waste, or generate in any single calendar rnonth, or accumulate at any time, l kg (2.2 pounds) of RCRA acute hazardous waste; or generate or accumulate at any time rnore than 100 kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste. Household Hazardous Waste (HHW) Collection site? S vrs ! ves ! yES ! yES !ves I vrs !YES ! ves EPA ID NUMBER - provide at the top of this page RECYCLABLE MATERIALS REPORT (one per recycler) ON-SITE HAZARDOUS WASTE TREATMENT FACILITY ON-SITE HAZARDOUS WASTE TREATMENT UNIT lonepageperunit) CERTIFICATION OF FINANCIAL ASSURANCE RT,MOTE WASTE / CONSOLIDATION SITE ANNUAL NOTIFICATION HAZARDOUS WASTE TANK CLOSURE CERTIFICATION Obtain federal EPA ID Nurnber, file Biennial Report (EPA Form 8700- 13A/B), and satisff requirements for RCRA Large Quantity Generator. See CUPA for required forms. F. LOCALREQUIREMENTS (You nray also be required to provide additional infonnation by your CUPA or local agency.) l5 UPCF Rev. (1212007) \ cltyo[san luls iUN 2 5 ii:;;i FIRE DEPARTMENT 2160 Santa Barbara Avenue . San Luis Obispo, CA 93401-5240 ' 805/781-7380 "Courtesy E Service" HAZARDOUS MATERIALS BUSINESS PLAN UPDATE FORM YEAR 2OOI FACILITY NAME:Thri Spice Hunter ADDRESS L84 Suburban Rd.PO Box 8110 San Luis Obisp o, CA CONTACT PERSON: Peter Priebe TELEPHONE:80 _ --0 Annual lnventory Update (due each year) f*No significant changes in inventory have occurred since the last Business Plan or inventory was submitted. New inventory forms are attached. [ ] Replace previous inventory with attached inventory. [ ] Replace only designated pages of inventory. I] Additional Comments: Yearly Review and Recertification ** I certify that the Business Plan has been reviewed and the information contained in the Business Plan is accurate and complete as of this date. Other Updates tl Please incorporate the following information into the Business Plan for this faciliiy' I declare, under penalty of perjury, that the information provided herein is true and correct to the know Signature:Date 2a o Printed N John Dovle,VP Ooerations Please Return to: Molly Browno Hazardous Materials Section City Fire Department 2160 Santa Barbara Avenue San Luis Obispo, CA 93401-5240 H:/BUSINESS PLAN UPDATE FORM MOLLY fifl ,n" City of San Luis Obispo is committed to include the disabled in all ol its services, programs and activities. Bt\-rvl Telecommunications Device lor the Deaf (805) 781-7410. .ry Hazardous Materials Facility lnventory and Emergency Contact lnformation Page Number : 1ffiit1l8lo3City of San Luis Obispo .l Date Run 2:27:22PM FACILITYOWNER FA0005125 SPICE HUNTER, THE 184 SUBURBAN RD SAN LUIS OBISPO, CA 93401 C. F. SAUBR COMPANY FACILITY PHONE (805) 544-4466 EPA ID # EXT EMERGENCY ACT INFORMATION PRIMARY SECONDARY DOYLE No Primary Emerg. rasv' -,sted No Secondary Emerg. Pager Listed *** Last Hazardous Materials lnventory Release Response Plan Date: NONE ON FILE RECORD ID COMMON NAME CHEMICAL NAME MAXIMUM DAILYAMOUNT LARGEST CONTAIN.ER ON SITE I yb €^u /- .Cfi a TOTAL NUMBER OFCHEMICALSON HAND: 1 -tl P-V t+' eF a/a; ln ',{ Site Visit Packet 2t8t02 Permit No Facility Number: Facility Information Operator: JOHN DOYLE Facility Name: SPICE HUNTER Address Number: 184 AddTess: SUBURBAN RD Suite: City: SAN LUIS OBISPO Zip: 93401- CrossStreet: Parcel No: Phone No: (805) 544-4466 Facility Type: Property Owner Name: Address: CitY: State: zip: Phone: LUCIA CLEVELAND 184 SUBURBAN RD SAN LUIS OBISPO CA 93401- (805) 544-4466 Underground Storage Tank Property Owner Name: Phone: Mailing/Street Address CitY: State zip: Owner Type: Status: Permit Expiration Date: usiness Owner Name: Address: City: State: zip: Phone: Environmental Gontact Name: Address: City: State: zip: Phone: Miscellaneous SIC Code Dun Bradstreet Business License Guarantor Number Gurrent Balance: $0.00 60-0271 ling Address Name: Address: Care Off Address: City: State: zip: Phone: SPICE HUNTER 184 SUBURBAN RD JOHN DOYLE SAN LUIS OBISPO CA 93401- (805) 544-4466 Primary cy Contacts Days Last Name First Name Title Business Phone 24 Ht Phone Pager M DOYLE JOHN VICE PRESIDENT, OPERATIONS (805) 597-8930 I M PRIEBE PETE ENVIRONMENTAL CONTACT (805) 597-8950 ) ,^) Hazardous Materials Business Plan - List of Ghemicals 184 SUBURBAN RD, SAN LUIS OBISPO Facil PICE HUNTERPermit No 1 Address Physical State Largest ContaineriChemical NameCommon Name Units Maximum Daily Amt No PROPANE PROPANE 300 GAL Liquid 500 Friday, February 08, 2002 Page 1 of r-)') Site Visit Packet 12t6t99 Facility Facility Name: Operator: Address Number: Address: Suite: CitY: Zip: CrossStreet: Parcel No: Phone No: Facility Type: SPICE HUNTER LUCIA CLEVELAND 184 SUBURBAN RD SAN LUIS OBISPO 93401 (805) 544-4466 Permit No Facilitv Number: 60-027'l Miscellaneous SIC Code Dun Bradstreet Business License Guarantor Number Status Permit Expiration Date Business Owner Name: Address: City: State: zip: Phone: Environmental Contact Name: Address: City: State: zip: Phone: Gurrent Balance: $0.00 Property Owner Name: Address: Care Off Address: City: State: zip: Phone: SPICE HUNTER 184 SUBURBAN RD LUCIA CLEVELAND SAN LUIS OBISPO CA 93401 (805) 544-4466 Operator Name: Address: City: State: zip: Phone: LUCIA CLEVELAND 184 SUBURBAN RD SAN LUIS OBISPO CA 93401 (805) 544-4466 Emergency Gontacts Primary Days Last Name First Name Title Business Phone 24 Hr Phone Pager M CLEVELAND LUCIA OWNER (805) 544-4466 M PRIEBE PETE (805) 544-4466 IHMMP Range: Not ApplicableTiered Permit(s):GaIARP: NoChemical lnventory ReportPermit No: 60-0271%WTSPICE HUNTER184 SUBURBAN RDSAN LUIS OBISPO, CA 93401ComponentsHazardous ComponentEHS12t6t99CAS#Chemical Name:CAS No:Avg Daily Amt:Type:PROPANE74-98-6Grid No:499Max Daily Amt:499UnitsPhysical State:Liquidt] EHSGALtrtrtr!n?)74-98-574-84-0106-974EPage 1 of 1 I Hazardous Materials Business Plan - List of chemicals Permit No: 60-0271 Chemical Facility: SPICE HUNTER Address: 184 SUBURBAI"I RD, SAN LUIS OBISPO Maximum PhYsical Largest Units No 499GALLiquid4WPROPANE Tuesday, Septcmber 28, 1999 Page I of I HazMat lnventory Report Facility Name: SPICE HUNTER Address: 184, SUBURBAN RD, SAN LUIS OBISPO Permit No: 600271 9t1t99 Business Name: Chemical Location: Map No: Chemical Name: Common Name: CAS NO: Fire Code Haz Class: TYPe: Physical State: Fed Hazard Categories: State Waste Code GAL Max Amt:Units: Radioactive C Days on Site: Avg Daily Amt: Largest Container: Annual Waste Amt: Pressure Storage ! Trade Secret n EHs CAS# Storage Container: Storage Temperature: o/o V"lT Hazardous Component EHS PROPANE ETHANE BUTANE n n n tr n 74-98-6 74-84-0 1 06-97-8 Grid No: PICE HUNTER E 74-98-6 ILMixture Liquid ! fire ! Reactive ! Pressure Release I Acute Health n Chronic Health 365 499 )aily Amt: | 499 4ee I Above AmbientAbove Ground Tank Ambient Page 1 of 1 @s#"Efb.@ ,T,:,1l,,TTffii,ou.,r,u,,,,uo ffiffiTl{i1,,,*TfucAer4o, California Environmental Reporti {cERS}SubmittalSummary THE SPIGE HUNTER (CERSID: 10437349) 2,2023 Submitted on7131t2023 6:09:17 PMby Kenneth Kreyenhagen of SPICE HUNTER, THE (SAN LU|S OBTSPO, CA) Submittal was Accepfed on 81212023 8:25'.23 AM by Matheson Bliss Comments by regulator: Thanks Ken. . Business Activities. Business Owner/Operator ldentification lnventory Submitted on7131t2023 6:09:17 PMby Kenneth Kreyenhagen of SPICE HUNTER, THE (SAN LUIS OBISPO,cA) Submittal was Accepted on 81212023 8:25:28 AM by Matheson Bliss . Hazardous Material lnventory (2) . Site Map (Official Use Only) " Spice Hunter Map (Adobe PDF, 655K8) Emergency Accepted Submitted on713112023 6:09:17 PMby Kenneth Kreyenhagen of SPICE HUNTER, THE (SAN LU rs oBrsPo, cA) Submittal was Accepted on 81212023 8:25:35 AM by Matheson Bliss . Emergency Response/Contingency Plan . Emergency Response/Contingency Plan (Adobe PDF, 998KB) . Employee Training Plan . Employee Training P/an (Adobe PDF, 530K8) Printed on3/ll2!24 8:15 AM California Environmental Repo (cERsl Business Activities ldentification SPICE HUNTER CERS ID SUBURBAN RD LU|S OBTSPO, CA 93401 10437349 EPA lD Number cA1000293171 Luis Obispo bmittal Status on 7/3I/2O23 by Kenneth Kreyenhagen of SPICE HUNTER, THE (SAN LU|S OBtSpO, CA) was Accepted; Processed on 8/2/2023 bV Motheson 8/iss for San Luis Obispo County Environmental Health Materlals your facility have on site (for any purpose) at any one time, hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 Yes bic feet for compressed gases (include liquids tn ASTs and USTs);or ts regulated under more restrictive inventory local reporting requirements below if present);or the applicable Federal threshold quantity for an extremely hazardous substance specified tn 40 CFR Part 3s5,Appendix or or ha ndle materials tn for which an ts to 10 CFR Parts 40 or 70? nderground Storage Tank(s) (USTI your facility own or operate underground storage tanks?No Flazardous Waste s your facility a Hazardous Waste Generator?Yes your facility treat hazardous waste on-site?No your facility's treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)?No your facility consolidate hazardous waste generated at a remote site?No Does your facility need to report the closure/removal of a tank that was classified as hazardous waste and cleaned on-site?No your facility generate in any single calendar month 1,000 ki lograms (2,200 pounds) or more of federal RCRA hazardous waste, or generate Noany single calendar month greater than Ikg 12.2 pounds) of RCRA acute hazardous waste; or generate more than 100 kg (2zo pounds) of spill materials contaminated with RCRA acute hazardous waste. s your facility a Household Hazardous Waste (HHW) Collection site?No and/or Exempted Materials your facility recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.21?No Petroleum Storate your facility own or operate aboveground petroleum storage tanks or containers AND:No have a total aboveground petroleum storage capacity of 1,320 gallons or more, OR have one or more tanks in an area? Substances your facility have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the California Accidental No lnformation additional comments Printed on3/7/2O24 8:15 AM California Environmental (cERsl Business Owner Operator SPICE HUNTER CERS ID SUBURBAN RD to4?7349 LUIS cA 93401 iubmittal Status iubmitted on7/31/2023by KennethKreyenhagen of SPICEHUNTER,THE(SANtUISOBISPO,CA) iubmittal was Accepted; Processed on 8/2/2O23 by Matheson 8/iss for San Luis Obispo County Environmental Health :omments bv regulator: Thanks Ken. Fiorenza Beginning Date Ending Date SIC Code Phone Business Phone Business Fax 597-8930 (80s) s44-4466 (8os) 344-22s3 Dun & Bradstreet Primary NAICS Facility/Site Maillng Address I.84 SUBURBAN RD iAN LUrS OBTSPO, CA 93401 Emergency Contact Manager Phone 24-Hour Phone Pager Number Cwner ;AUER BRANDS INC. "804l.342-8572IOOO BROAD ilcHMOND, V423220 Kreyenhagen Manager Phone 24-Hour Phone Pager Number s97-8972 Environmental Contact (enneth Kreyenhagen ',8051 597-8972 kkreyenhagen@sauerbrands.com T84 SUBURBAN ROAD ;AN LU|S OB|SPO, CA 93401 Fiorenza 744-8944 Emergency Contact Billing Contact ;AUER BRANDS INC, 805) 597-8931 cray@sauerbrands.com I.84 SUBURBAN RD ;AN LUtS OB|SPO, CA 93401 of Signer Signer Title Maintenance Manager Document Preparer Kenneth KrevenhagenKreyenhagen lnformation Fields or all of the following fields may be required by your local regulator(s). Property Owner thone vlailing Address Assessor Parcel Number {APNI Number of Employees Facility lD 220907_OO5t25 Printed on3/!/2024 8:15 AM sPtcE HUNTER, THETHE SPICE HUNTER184 SUBURBAN RD, SAN LUIS OBISPO 93401cEnsrD 10437349Facirity rD 22O9O7 _OOSLZ56:09 PMChemical LcatlonBusiness/Ort.NameStatus Submitted onAnnualWasteAmountHazardous ComponentsCommon NameHaz. ClassmixtureNameCont.QuantitiesMax.Unit%Wt EHS CAsNo.Fedeaal HazardCategoriesGallons_s.Ie!g._LiquidIYPg--Mixturepressue wastecode Not OthenviseA.dffii**" ----- *- - *ClassifiedF.nLe-!1!g!9_Ambient7664-98-976il-98-97664-98-97664-98-97664-98-9o%L%StoraPe ContainerLead Acid BafteryMap:01Liquid, Class lll-B10.974.2onOtherCAS No74.2Sulfuric AcidLeadO - PhysicalHazardous Materials And Wastes lnventory Matrix ReportPrinted on 3/7/2024 8:15 AMPage 1 of 2 SPICE HUNTER, THETHE SPICE HUNTER184 SUBURBAN RD, SAN LUIS OBISPO 93401cEnsrD 10437349Facility rD 220907_0051256:09 PMChemical LocationNameBusiness/Org.status Submitted onAnnualWasteAmountEHS CAS No.Federal HazardCommon Namecode/Fire Haz. classNameflrranfiiic<UnitMax, Daily Largest Cont. Avg.Hazardous Components%wt0.75 0 - Physical Organic Hydrogen peroxidepressue waste code Peroxideffidffi;-* Health AcuteToxicitylembetatufe" ralth SkinAmbient - ntCorrosionlrritation- Health SeriousEye Damage Eyelrritation- Health SpecificTarget OrganHydrogen Peroxide SolutionCAS No4.517722-84-L28% 7722-84-r!I_o.-r-?_c.S-_c.9-n-tdJl-!?-I...._..Plastic/Non-metalic DrumMixture Days on Site: 3655.2 - Organic PeroxidesPeroxide, Class IOxidizing, Class 2,Gallons-s.InlF--LiquidIvP.9_.Hazardous Materials And Wastes lnventory Matrix ReportPrinted on3/t/2O24 8:15 AMPage 2 of 2 \ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY _ CHEMICAL DESCRIPTION PageEADDEDELETEERrvrss I. FACILITYINFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) SPICE HUNTER, THE 3 201 GRID# (optional) FACILITY ID # 202CHEMICAL 203 01FAo005125 (optional) CHEMICAL LOCATION CONFIDENTIAL! vrs II. CHEMICAL INFORJVIATION 206TRADE SECRET ll ves IfSubject to EPCRA, refer to instructions CHEMICAL NAME Lead Acid Battery 205 ! ves 208 EHS*COMMON NAME Lead Acid Battery 207 *lf EHS is "Yes", all amounts below must be in lbs. 209CAS# FIRE CODE HAZARD CLASSES (completeif requiredby CUPA) Corrosive (CORR) 2|) CURIESRADIOACTIVE NYeS 2t2HAZARDOUS MATERIAL TYPE (Check one item only)Qa. runr @u. vrxrunr Qc. wAsrE 21t LARGESTCONTAINER 14.0 2t5 PHYSICAL STATE (Check one item only)Q a. soLID Qu. llqun Q c. GAS 214 ANNUAL WASTE AMOUNT 0.0 219 STATE WASTE CODE 2202taMAXIMUM DAILY AMOUNT 77.2 211AVERAGE DAILY AMOUNT 77.2 DAYS ON SITE: 365.0 zz2 UNITS* (Check one item onlv) @a.GALLONS Qu. cuetcreer O o PouNDS Qa.ror.rs 221 + [fEHS, amount must be in pounds. nb n". !a. UNDERGROUND TANK TANK INSIDE BUILDING STEEL DRUM [:. eac !t. eox !r. cvr-rNoen !m. GLASS BorrLE !n. PLASTIC BOTTLE !o. TOTEBIN [0. rANK wAGoN nq. RAII cen fi r. orHER Flooded Cell Battery PLASTIC/NONMETALLIC DRUM! i. FIBER DRUMSTORAGE CoNTATNER l_la. ABOVE GROUNDTANK I CAN g. CARBOY h. sll-o 223 @a. AMBTENT Qu. anovnnMBIENr Qc. BELOWAMBIENTSTORAGE PRESSURE 224 @a. AMBTENT QU. erOVeavueNr Qc. BELOWAMBIENT QO. CnvOCTNICSTORAGE TEMPERATURE EHS CAS #YoWT HAZARDOUS COMPONENT (For mixture or waste only) 2297664-98-9Yes228I 0.06 226 Sulfuric Acid 227 7439-92-1!ves 2322 0.64 230 231Lead 231n234J23s 241240!ves2384239 245244!v"'2425 243 components are present at gr€ater than l% by weight if carcinogenic, attach additionalor ADDITIONAL LOCALLY COLLECTED INFORMATION 246 FED HAZARD CATEGORIES. PHYSICAL FI,AMMABLE GAS UNDER PRESSURE EXPI.OSIVE SELF HEATING (checkallthatapplv) ! evnorHoRrc noxrDrzER nORGANTCPEROXTDE [selrREACrIVE !evnouonIccAS ncoRRosIVEToMErAL ! coNracr wATER EMrrs FLAMMABLE cAS IcoMBUSTABLE To DUST ! HAZARD Nor orHERwtsE cLASSIFIED FED HAzARD 6ATEGoRTES - HEALTH: flcencrcoNecrrv ! acure roxrcrrv ! nernooucrrvE roxrcrry n snn connosloN oR IRRITATION (check all that applv) ! nesernarroRy OR SKIN SENSTTTZATION n ,r*rOU, EyE DAMAGE OR EyE IRRIATTTON I SerCInlC TAGET ORGAN TOXICITY ! asernarror.r HAZARD ! cnnv cELL MUTAGENICITv ! sliurla aseHYxtANr ! Haznno Nor orHERwrsE cLASSTFTED FORM E SAN LUIS OBISPO COUNTY CERTIFIED LTNIFIED PROGRAM AGENCY (CI.JPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan 02t14t2020Date: SECTION I.A: BUSINESS IDENTIFICATION DATA BUSTNESS NAME SPICE HUNTER, THE SITE ADDRESS 184 SUBURBAN RD CITY ZIP CODE 93401SAN LUIS OBISPO FACILITY TJNIT TELEPHONE NIJMBER BUSINESS MAILING ADDRESS CITY ztP CODE l. Hazardous Materials UndergroLrnd Storage # 2. Hazardous Waste Generator # Ifyour business hos a license or permitfrom any ofthefotlowing agencies, plense inrlicote the document number. N/A 3.Air Pollution Control N/A 4. Responding Fire Dept & Permit #Store Hazardous MaterialsN/A Please provide the following information as it pertains to your business and its location. You are not required to notifu these companies in the event of an em ergency. Thi s i nformation i s provi ded for y our reference and t o assi st em ergency response personnel in respondi ng t o a hazardous materials emergency at your facility. List the name and phone number of the utility company. Electrical Service PG&E Telephone #(800) 743-5000 Gas Service Telephone #The Gas Company (800) 427-2200 Sanitation Telephone #SLO city 805-781-7133 Water District Telephone #Water - City of San Luis Obispo 805-781-7133 SECTIONT-B: owi\ERCERTIFICATION oFDATA (certiff either I or2) l. This is a CINnW nlan QIUPIATED Existing Plan. I have personally examined the information it contains and am familiar with the operation of the plan. (If you check either of the above two options, continue to complete the remainder of the Emergency Response / Contingency Plan). Z. n fnis plan requires no change and is on file with San Luis Obispo County Certified Unified Program Agency and does not need any change. (If you check this section, please proceed directly to Form T, the Training Program.) I certifi under penalty oflaw that the above information is true and accurate. PRINTNAME OF OWNER OR OPERATOR John Fiorenza SICNATURE Submitted via Portal DATE 02t14t2020 DOCIJ']!{ENTS PREPARED BY SICNATURE Submitted Via Portal DATE Francisco Duarte 02t14t2020 t_ ) I FORM I - SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY Eaon mate rial REVISEEDELETE I. FACILITY INFORMATION CHEMICAL LOCATION CONFIDENTIAL EPCRA EYES EJNO BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business At SPIC E H U NTER, TH E CHEMICAL LOCATION GRID#totu o 1FACILITY ID # (Agency use only) FA00051 25 II. CHEMICAL INFORMATION TRADE SECRET E Yes ENo IfSubject to EPCRA, refer to instructions .HEMICALNA*' PRoPAN E EHS*E ves E tlo coMMoNNAME PROPANE *If EHS is "Yes", all amounts below must be in lbs. CAS# FIRE CODE HAZARD CLASSES (complere if required by cuPA) Flammable Liquefied Gas (3.21) RADIOACTIVE Eves ENo CURIESHAZARDOUS MATERIAL TYPE (Check one itern only)E A. PURE E b, MIXTURE E C. WASTE LARGESTcoNTAt*.* 7.9PHYSICAL STATE (Check one itern only)E a. SOLID E b. LIQUID E c. GAS FED HAZARD CATEGORIES (Check all that apply)E A. FIRE E b. REACTIVE EI C. PRESSURE RELEASE EI d. ACUTE HEALTH E e. CHRONIC HEALTH STATE WASTE CODEMAXIMUM DAILY AMOUNT 39.5 ANNUAL WASTE AMOUNTAVERAGE DAILY AMOUNT 39.5 DAYSoN'ttu'365.0[t. cuuc rurr tr c. PoUNDS *lfEHS, amount must be in pounds. E d. roNS[la. GALLONS (Check one itern only) lJNITS* 1IcNolqveralLICDRUMEi.FlBERDRUMErn.GLASSBoTTLE b. UNDERGR0UNDTANK E I CAN c. TANKINSIDE BUILDING E g. CARBOY d. srEEL DRUM E h. stLo J. BAG K- BOX I. CYLINDER trtrtr n. PLASTIC BOTTLE o. iorE elNi p. TANK WAGON CONTAINER fl q. RAIL CAR I r. OTHER I a. AMBIENT El b. asove al\4etlNt E c. BELOW AMBIENTSTORAGE PRESSURE STORAGE TEMPERATURE [I A. AMBIENT EI b. ABOVEAMBIENT EI d. CRYOGENICE c. BELOW AMBIENT EHS CAS #V"WT HAZARDOUS COMPONENT (For mixture or waste only) fl ves I NoI lves [No2 lves [No3 Eves ENo4 fl ves I No5 Ifmore heardous components arc prtsent at greater than 17. by weight ifnon-carcinogenic, or 0.1 % by weighl ifcarcinogenic, attach additional sheets of paper caPturing the loquircd information. ADDITIONAL LOCALLY COLLECTED INFORMATION lf EPCRA, Please Sisn Here FORM E SAN LUIS OBISPO COUNTY CERTIFIED LINIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan 03t11t2015Date: SECTION I-A: BUSINESS IDENTIFICATION DATA BUSINESS NAME SPICE HUNTER, THE SITE ADDRESS 184 SUBURBAN RD CITY ztP CODE 93401SAN LUIS OBISPO FACILITY UNIT TELEPHONE NUMBER BUSINESS MAILING ADDRESS CITY ZIP CODE l. Hazardous Materials Underground Storage # 2. Hazardous Waste Generator # Ifyour business has a license or permitfrom any ofthefollowing agencies, please indicate the document number. 3. Air Pollution Control District # 4. Responding Fire Dept Store Hazardous Materials& Permit # Please provide the following information as it pertains to your business and its location. You are not required to notifi these companies in the event ofan em ergency. Thi s information is provided fory our reference and t o assist emergency response personnel in respondingto a hazardous materials emergency at your facility. List the name and phone number of the utility company. Electrical Service PG&E Telephone #(800) 743-5000 Gas Service The Gas Company Telephone #(800\ 427-2200 Sanitation SLO city Telephone #805-781-7133 Water District Water - City of San Luis Obispo Telephone #805-781-7133 SECTION I-B: OWNER CERTIFICATION OF DATA (Certiff either I or2) l. This is a ENEW ftan IUPDATED Existing Plan. I have personally examined the information it contains and am familiar with the operation of the plan. (If you check either of the above two options, continue to complete the remainder of the Emergency Response / Contingency Plan). Z. n mis plan requires no change and is on file with San Luis Obispo County Certified Unified Program Agency and does not need any change. (If you check this section, please proceed directly to Form T, the Training Program.) I certify under penalty of law that the above information is true and accurate. PRINT NAME OF OWNER OR OPERATOR John Doyle SIGNATURE Submitted via Portal DATE 03t11t2015 DOCUMENTS PREPAMD BY SICNATURE Submitted Via Portal DATE Kenneth E. Kreyenhagen 03t11t2015 1 blL<I. IDENTIFICATION tvz s-BUSINESS PHONE BUSINESS NAME (smc u FACILTTY NAME or DBA - Doing BusiK As) I BUSINESS SITE CA 40tztP Lv' l04 CITY lar COTJNTY L BUSINESS OPERATOR PHONE BUSINESS OPERATOR NAME r tr. BUSIhIESS OWNER OWNERPHONEOWNERNAME C. lll OWNER MAILING ADDRESS CODEl15 VA STATECITY A.) Itr. EIWIRONMENTAL CONTACT ll8PHONEDCONTACTNAME A<'rr/' l19 J" l.truCONTACTMAILINGADDRESSI ruzwSTA luv,bt 120CITYo Iv. EMERGENCY CONTACTS -SECONDARY-.PRIMARY- t23NAME V 4"+8- Lnnt \ t24TITLE v7. BUSTNESS PHONEd)5 5c)? TITLE v \e- NAME o\n"'t .5-D BUSINESS PHONE lz5 2+HOI]RPHOM / .. , ^^o<- \ r, 2/-HOI,JR PHONE (' PAGER# ICELL P}IONE#PAGER# I CELL # am familiar of those individuals I have personallY examined ardlawofthatIundcridormation,ccrtify penaltytheforobainingrcsponsible andthelsinforrnationaccurate,complete.mrcinformation submitted Based on my .'lP 135OFREPRESENTA MATERIALS BUSINESS PLAN FORM S- SAN LT}-,COUNTT AGET.ICY BUSINESS OWNER/OPERATOR IDENTTFICATION 'IAN 21 2OO3 tTltg3 t36 V L3\v 137 oCI 4fr t-< --'+-Eq 4 O:\DOCUMENTUeffp\FORMS\Business Plan Forms\FRM-S'DOC O8lOBl021sss7o762 Business Owner/Operatorldentificatior^ ) Please submit the Business Activities page, the Business Owner/Operator ldentification page (OES Form2730), and Hazardous Materials - Chemical Descriptionpages (OES Form 2731) for all bazardous materials inventory submissions. For the inventory to be considered complete this page must be signed by the appropriate individual. (Note: the numbering of the instructions follows the data element numbers that are on the UPCF (Unified Program Consolidated Form) pages. These data clementrrumbers arc used for clectronic submission and are the same as the numbering used in 27 CCR, Appendix C, the Business Section of rhe Unifred Frogram Data Dictionary.) Please number all pages of your submiual. This helps the Deparrnent of Toxic Substances Control (DTSC) identiS whether the submittal is complerc ard'if anypages are sepanted. 3. BUSINESS NAME - Enter the firll legal name of the business. l. BUSINESS PHONE - Enter the phone number, area code first, and any extension. 2. BUSINESS SITE ADDRESS - Enter the street address where the faciliry is tocated. No post ofFrce box numbers are allowed. This infomration musr provide a means to geographically locate the facility. 3. CITY - Enter the city or unincorporated area in which business site is tocated. 4. zIP coDE - Enter tlrc zip code of business site. The extra zt-digit zip may atso be added. 108. COUNTY - Enter the coutrty in which the business site is located. 109. BUSINESS OPERATOR NAME - Enter the mme of the business operator. ll0. BUSINESS OPERATOR PHONE - Enter business operator phone number, if different from business phone, area code first, and any extension. I I 1. owNER NAME - Enter name of business owner, if different from business opcrator. I12. OWNER PHONE - Enter the business owner's phone number if different from business phone, area code first, ard any extension. I13. OWNER MAILING ADDRESS - Enter the owner's mailing address if different from business site address. 114. OWNER CITY - Enter the name of the city for the owner's mailing address.ll5. OWNER STATE - Enter the z-character state abbreviation for the owner's mailing address. tl6. OWNER ZIP CODE - Enter the zip code for the owner's address. The exrra 4digit zip may also be added. I17. EI-{VIRONMENTAL COMACT NAME - Enter the name of the person, if different from the Business Owner or Operator, who receives all environmental correspondence ard will respond to enforcement activity. I18. CONTACT PHONE - Enter the phone number, if different from Owner or Operator, at which the environnental conact can be contacted, area code first, and any extension. ll9. CONTACT MAILING ADDRESS - Enter the mailing address where all environmental contact correspondence should be sent, if different from the site address. 120. CITY - Enter thc name of the city for the environmental contact's mailing address.l2l. STATE - Enter the 2-character state abbreviation for the environmengl contact's rrailing address. lT2. ZIP CODE - Enter the zip code for the environmental contact's rniling address. The extra 4{igit zip may also be added. 123. PRMARY EMERGENCY CONTACT NAME - Enter the name of a representative that can be contacted in case of an emergency involving hrzardous materials at the business site. The contact shall have FULL facility access, site familiarity, and authority to make decisions for the business regarding incident mitigation. lU. TffLE - Enter the title of the primary emergency contact. 125. BUSINESS PHONE - Enter the business number for the prinury emergency contact, area code first, and any extensions. 126. 24-HOUR PHONE - Enter a 24-hour phone number for the primary emergency contact. The 24-hour phone nurnber must be one which is ancrvsssd 24 [6us5 a day. If it is not the contact's home phone mrmber, then the service answering the phone must be able to immediately contact the individual sated above. 127. PAGER NLJMBER - Enrcr the pager number for the primary emergency oonract, if available, 128. SECONDARY EMERGENCY CONTACT NAME - Enter the name of a sccondary reprcsentative that can be contacted in the event that the primary emergency contact is not available. The contact shall have FULL faciliry access, site familiarity, and authority to make decisions for the business regarding incident mitigation. 129, TIIlLE - Enter the title of the secondary emergency contact. 130' BUSINESS PHONE - Enter the business rclephone number for the secoDdary emergency conact, area code first, and any extension. l3l . 2+HOIJR PHONE - Entar a 24-hour phone number for &e secondary emergency contact. The 24 hour phone number must 69 one which is answered Z hours a day' If it is not the contact's home phone number, then the scrvice answering the phone Eust be able to immediarcly conract the irdividual sated. 132. PAGER NUMBER - Enter the pager number for the secordary emcrgency contact, if available. 133. ADDHONAL LOCALLY COLLECTED INFORMATION - This space Eay tr used for DTSC to collect any additioml information necessary to meet rhe requirements of their individual programs. Contact DTSC, or your local agency for guidance. 134. DATE - Enter the date rhat rhe document was signcd. CyyyyMMDD) 135. NAME OF DOCTMENT PREPARER - Enrcr the frrll name of the person who prepared the inventory subminal infonnation. 136. NAME OF SIGNER - Enrcr the fult printed name of the person signing the page. The signer cenifies to a famitiarity with the information submiued ad rhat based on the signer's inquiry of those individuals responsible for obaini4g the information, alt the infonnation zubmitrcd is tnre, accurate and complete. SIGNATURE OF OWNER/ OPEMTOR OR DESIGNATED REPRESENTATIVE - Tbe Business Owncr/Opcrator, or offrcially designated represeffative. of the Owner/Operator, shall sign in the spcc provided. This signanue certifies that the signer is familiar with the information submitted and that bascd on the sigmr's inqriry of those idividuals rcsponsiblc for obtaining the information it is the signcr's belief tbat the submited information is true, accurate end complcte. 137. TITLE OF SIGNER - Entcr the title of the person signing the page. S.DOC 8-Aug-02 O:\DOCUMENTUeffp\FORMS\Business Ptan Forms\FRM- EoeLE:rE I. FACILITY INFORMATION BUSINFSS NAME (Same as FACILITY NAME or DBA -Doing Business As) CHEMICAL LOCATION CONFIDENTIAL EPCRA 2A GRID#203MAP# CHEMICAL IOCATION 201 FACILITY ID # (Agcry u* only) N. CHEII,IICALINT'ORMATION refer to instruc{ions 26Yes to NoTRADESECRET IfCHEMICALz DYes Ello 208 EHS*COMMONNAIVIE .If EES is (Yes', dl amounG below nust be in lbs. 209cAs# FIRE CODE HAZARD CLASSES (complcc if rcquircd bv CUPA) ztt CURIESRADIOACTIVE tr Vcs INO 212 HAZARDOUS MATERHLTYPE (Check onc itcm only)E a. PURE Au. ruxrune E c' wAsTE 211 LARGEST CONTAINER llpd 215 saaPHYSICAL STATE (Check orr item only)du. uroun E c. GAsE a. SOLID 2t4 FED HAZARDCATEGORIES (Check atl dnt app$$a. FrRE E b. REACTIVE $c. pRESSURE RELEASE [,0. ectrrE Uermr E e. CHRONIC HEALTI{ 2t6 STATEWWASTEAMOUNT2t9DAILY AMOUNT 2182t7DAILY LLN DAYS ON SITE:sE d. roNs$,a. GALLoNS rlf EIIS, amouat mu* be ln UNITSI onc itcat only) Eu.cuglcregr Ec.POUNDS b. UNDERGROUND TANK c. TANK INSIDE BUILDING d. STEELDRUM trtrtr f. CAN g. CARBOY h. stl trtrtr n. PLASIIC BOTTLE o. T0TEBIN p.TANKWAGON i. FIBER B j. BAG m. trtr e.e. ABOVEGROUNDSTORAGE CONTAINER E r. OTIIER E q. RAILcARk. BOX I. CYUNDER [u. eroveeuanlrr E c. BEISW AMBIENTE A. AMBIENTSTORAGE PRESSURE E A. AMBIEM E U. ASOVEAMSIENT H c.BELOWAMBIEM Ea.cnvocextcSTORAGE TEMPERATI'RE cAs #EHSHAZARDOUS COMPONENT (For mixture or waste only)VoWT 14-q8*U xtg EYes F*o? ln ^J.€. x26 71- &1*o B' DYes d*o 2E2 2 Atse BI 6 237,lEJtcs dNo 2X6 3 DYes ENo4 EYes ENo5 oPoocrts an prGclr st rrcd6 ihs! It rhdditiold tb..rsorrdsbtDOn ADDITIONAL IOCALLY COLLECTED INFORMATION 26 FORM I - SAr\ LUrs OBISPTO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CIIEMICAL II{I'VENTORY or O:\DOCUMENTUeffp\FORMS\Business Plan Forms\FRM-l'DOC 8-Aug-02 Form I - San Luis Obisl '?ounty Certified Unified Program / ncy - Chemicat lnventory You must complete a separate H'-ardous Materials lnventory - chemical Description page for each hazardous material (hazardous substances and hazardous waste) that the federal threshold planning quantity for Extremely Hazardous Substances, whichever isless. Also complete a page fdr each radioaclive materiai handled ouei qulntiu6s ' forwhichanemergencyplanisrequiredtobe.adoptedpursuanttol0CFRParts30,40,orTO. Thecompletedinventoryshouldreflectall reportrablequantitiesottrazarOJus and storage pressure. (Note: the numbering of the instruciions follows the data element numbers thatare ofl the UPCF pages. These dita element numbers are used forelecbonic submission and are the same as the numbering used in 27 CCR, Appendix C, the Business Section of the Unili'ed Progr.am Data Dic{ionary.) please number allpages of your submittal. This helps your CUPA or AA identiry whether the submittial is complete and if any pages are separated. ' 3. BUSINESS NAME - Enter the tull tegat name of the business. 200. ADD/OELET9 REVISE -.lndicate if the material is being added to he inventory, deleted fiom lhe inventory, or if the infomation previously submitted is being revised. NOTE: You may choose to leave this blank if you resubmit your entire inventory annually. 201. CHEMICAL LOCATION - Enter the building or outsider' adjacent area wtere the h"'rdous maierial is handled. A chemical that is stored at the same pressure and temperature, in muruple locations within a building, can be reported on a single page. NOTE: This information is not subject to public disdosure pursuant to HSC Sec{ion 25506. 202. CHEMICAL LOCATION CONFIDENTIAL - EPCRA - All businesses which are subjecl to the Emergency Planning and Community Right to Knoyv Act (EPCM) mustcheck Yes to keep chemical locatjon inbrmation confidential. tf the business does not wish to keep chemical location infoimation confidential cieck No. 203. MAP NUMBER - lf a map is induded, enter the number of the map on which lhe location of he ha'rrdous material is shofln. 204. GRID NUMBER - ]f grid coordinates are used, enter the grid coordinates of the map lhat conespond to lhe location of the h'ardous material. f applicable, multiple grid coordinates can be listed. 205. CHEMICAL IIAME - Enter the proper chemical name associated with the Chemical Abstract Service (CAS) number of the ha'ardous material. This should be the lntemational Union of Pure and Apglied Chemistry (IUPAC) name found on lhe Material Safety Data Sheet (MSDS). NOTE: lf the chemicat is a mixure, do not complete this field; complete the COMMON NAilE field instead. 206. TRADE SECRET - Check Yes if the information in tris seciion is declared a trade secret, or No if it is not State requirement: lf )€s, and business is not subjeci to EPCRA, disclosure of the designated trade seset inbrmation is bound by HSC Section 2551 1. Federal tequirement lf yes, and business is subject to EPCRA, disclosure of the desighated Trade Secret information is bound bi 40 CFR and Uie business must submit a Substantiation to Accompany Claims of Trade Secrecy form (40 CFR 350.27) to USEPA. 207. COMMON l,lAME - Enter the @mmon name or bade name of the hazardous material or mixture containing a he'ardous material. 208. EHS - Check Yes if lhe hazardous material is an Extremely Hnzardous Substance (EHS), as defined in 40 CFR, Part 355, Appendix A. lf the matedal is a mixture containing an EHS, leave this section blank and complete the sec{ion on he'ardous components belou/. 209. CAS # ' Enter the Chemical.Abstract Service (CAS) number for the ha.ardous material. For mixtures, enter the CAS number of the mixture if it has been assigned a number distinct fiom its components. lf the mlxture has no CAS number, leave this column blank and report the CAS numbers of the individual h.'ardous components in the appropriate section below 210. FIRE CODE FIAZARD CLASSES - Fire Gode Ha-ard Classes describe to firsl responders the type and level of h'Tardous materials which a business handles. This information shall only be provided if the local fire chief deems at necessary and requests the CUPA or AA lo collect it. A list of the he'ard classes and inslruc{ions on how to determine which dass a material talls under are included in the appendices of Article 80 of the Uniform Fke Code. lf a material has more than one applicable harard class, indude all. Contact CUPA or AA for guidance. 21 1 . HAZARDOUS MATERIAL TYPE - Check the one box lhat b€st describes the type of h'?ardous material: pure, mixture or waste. lf ryaste material, check only that box. lf mixture or waste, complete hazardous components seciion. 212. RADIOACTrVE - Check Yes if the haTardous material is radioac{ive or No if it is not 213. CURIES - lf lhe ha-ardous material is radioactive, use lhis area adivity in curies. 214. PHYSICAL STATE - Check the one box that best describes he 215. IARGEST CONTAINER - Enter the totalcapacity of the 216. FEDERAL - Check all lhe haTarclous average daily of of a matedal, in eactr or orJtside area. Calcuhtions shall be based on lhe previous yea/s the number of days the chemical will be on site. lf this is a materialthat has not project to be on hand during the course of the year. This amounl daily amount 218. ttlA"\tMUM DAILY AMOUNT - Enter the maximum amount of each hazardous material or mixture contraining a hazardous material, which is handled in a building or adjacenuoutside area at any one lime over the @urse of the year. This amount must contain at a minimum last )rea/s inventory of the material reported-on this page, wittl tie tefleclion of additions, deletions, or revisions projecled br the qjrent year. This amount should be consistent witr fre units reportid in box 221. 219. ANNUAL WASTE AMOUNT - lf the hetardous material being inventoried is a waste, provide an estimate of the annual amount handled. 220. STATE WASTE COOE - lf the hazatdous material is a waste, enter the appropriate Calilomia 3-digit hazardous waste code as tisted on the back of the Uniform Hazadous Waste Manifest. 221. UNITS - Check the unit of measure that is most approp.iate br $e material being reported on this page: gallons, pounds, antlic ftet or bns. NOTE: lf the material is aHerally defned Exlnemely Hazardous Substance (EHS), all amounts must be .eported in pounds. lf maGrial is a mixturc containing an EHS, report the units that the material is stored in (gallons, pounds, cubic €et, or tons). 222. DAYS ON SrTE - List fie total numb€r of days during the year that the materiat is on site. 223. STOMGE CONTAINER - Check all boxes that describe the type of storage containers in rvhich lhe hazardous material is stored. NOTE: lf appropriate, you may droose more $an one. 224. STORAGE PRESSURE - Checft the one box that best describes the p.essure at which the hiu rdous material is stored. 225. STORAGE TEMPERATURE - Check the one box that best describ€s the temperature at which the hazardous material is slored. 226.HAZARDOUSCOMPONENTSl-5(%BYWEIGIfI)-Enterthepercentageryeightoflheha-ardous@mponentinamixture. lfarangeofpercentagesisavailable, _!9lryrt $9 fiet]Ft percentage in $at range. (Repod tur componenb 2 though 5 in 230, 2U,23/3,, aN 242., 227. HIAARDOUS COMPONENTS t-5 ttlAME : When rcporting a hazardous material that is a mixture, list up to five cliemical names of hazardous components in that mixture by percent ureight (refer to MSDS or. in he case of trade secreb, .efer to manufacfurcr). All hazardous oomponents in the mixture present at grcater $an 1% by weight if non-carcinoge!9, or 0.1% by u,eight if carcinogenrc, should be Gported. lf more than fn e trazarbous components arc iresent above mesepercentages, you may attach an additional sheet of paper to capture the required infomation. When reporting waste mixlures,'mineEl and chemical composition should be listed. (Report for components 2 $rough S in 231, 235, Zg9, and 243., 228. TIAZARDOUS COMPONENTS l-s EHS - Chec* Yes if lhe component of $e mlxlure is considered an Extremely Hazardous Substance as detined in 40 CFR, Part 355, or No if it is not (Repon for components 2 through S in 292,236,240, and 2U., 229. FIAZARDOUS COMPONENTS 1-5 CAS - List he ChemicalAbstract Service (cAS) numbers as ielated to Sre tra'ardous @mponenb in the mixture. (Repeat for 2-s.) 246. LOCALLY COLLECTED INFORMATION - This space may be used by the CUPA or AA to colled any additional information necessary to meet the reguirernents of their individual programs. Contact the CUPA or AA for guidance. to report the activity in curies. You may use up to nine digits wilh a floating decimal point to report state in which he he"ardous material is handled: solid, liquid or gas. container in which the material is stored. 2'.t7 inventory of material repoded on this page. Total all daily amounts and divide Feviously been present at this location, the amount shall be the average daily should be consistentwith the units reporled in box21 and should not o(€ed amount you that of maximum PHYSICAL HAZARDS HEALTH HATARDS Flr€: Flammable Liquids and Solids, Combustible Liquids. pvroDhorics. Oxidizers Reactlve: Unstable Reaclive. Omanic Peroxides. Water Reactive. Radi:active Acute Health (lmmediate): Highly Toxic, Toxic, lritants, Sensitizers, ConosiveC, other hazardous chemicals with an adverse efieci wilh short term exbosure Pnessurr Release: Explosives, Compressed Gases, Blasting Agents Chronic Health (Delayed): Carcinogens, other hat rdous cheniicals with an adverse efiectwith long term exposure O:\DOCUMENTUefh\FORMS\Business Plan lnstruclions\Frm-i-in.doc 8-Aug-02 (1) I FoRMI ' 1 San Luis Obispo County rrazardous Material Inventory Form - unemical Description Page PAGE (2)oF (3)lnoo l-loelere ll REVISE BUSINESS NAME: cHEMTCAL LOCATTON (4)I i I C r d?drG- MAP#(s) | - r GR|D # (6)t 1 CHEMICAL LOCATION IS CONFIDENTIAL AND NOT SUBJECT TO PUBLIC DISCLOSURE cHEMTCAL NAME (7) coMMoN NAME (B) cAS # (e) TYPE (12) PHYSTCAL STATE (13) HMARD CATEGORTES (16) STATE WASTE CODE (17) DAYS ON S|TE (18) LARGEST CONTAINER (19) SToRAGE CONTATNER (24) SToRAGE PRESSURE (25) STORAGE TEMPERATURE (26) .I 100 ARGON ARGON 7440-37-',l Xpunr l-lvxrune EwRsre llsouo nuouro Xons RADTOACTTVE (14) IF EHS BOX IS "Y' ALL AMOUNTS MUST BE IN LBS pCURIES 80o cF 400 <l= CAS NUMBER 7440-37-1 TRADE SECRET (10) EHS (11) f)0 NO []v XN (1 5) N/* 9vf uNrTs (20) nonl Xcu nrllles l-lroNs MAX DAILY AMT (21) AVG DA|LY AMT (22) ANNUAL WASTE AMT (23) lf EHS amounts must be in lb. 1 2 3 4 5 ENT AMBIENT AMBIENT XR[leteNr Eneove AMBTENT Eeelow AMBTENT EcRYoeerutc HMARDOUS COMPONENT ARGON HEALTHHEALTHRELEASE BOX ANK WAGON L CARCARBOY tLo BIN C BOfiLE Xcvuruoen lemss BorrLE FIBER DRUM BAG nrnrux lNsrDE BUTLDTNG PLASTIC/NONMETALLIC DRUM TANK ANKT DRUM l-lY Xtt nv Eru llv lltt l-lY l-]ru nv fltt Adapted from OES Form 2730 08106102 (31) ADDITIONAL LOCALLY COLLECTED INFORMATION O :\document\j poelVorms\Argon.doc Wr{,f"APR 2 5 20m"o: FORMS-SANLIT^-COUNTY CERTIFIED LTNIFIED TR.OGRAM AGENCY of TDENTTFTCATTON Croocr. +L a:l tI FACILITY IDf ?F 5l L5 I BEGINNING DATE.100 l0lENDING DATE BUSINESS NAME (sme s FACILITY NAME or DBA - Doing Business As) The Spice Hunter 3 102BUSINESS PHONE 8 05- 544-4466 BUSINESS SITE ADDRESS 784 Suburban Rd. 103 CASan lLuis Obispo 104CITY DUN & BRADSTREET 002 0B- 2436 106 SIC CODE (4 digit#) 2099 105ZIP CODE l0? 9340r COUNTY San Luis Obispo 108 BUSINESS OPERATOR NAME John Doyle, Vice President Operations 109 ll0BUSINESS OPERATOR PHONE 805-597-8930 tr. BUSINESS OWNER n2OWNER PHONE aaA_?Eo_q?aA OWNER NAME n E' Serror (anrrn:nrr OWNER MAILING ADDRESS ?nnn TrTacl- Rrnrd q+ ll3 ll5STATE VA tt4 Richmond CITY lt6ZIP CODE 23220 III. ENVIRONMENTAL CONTACT u8CONTACT PHONE 805-597-8950 CONTACT NAME Peter Priebe u7 CONTACT MAILING ADDRESS PO Box 8110 ll9 San Luis Obispo tmCITY STATE CA tzt ZIP CODE 93403 ry. EMERGENCY CONTACTS -sECoNDARy-.PRIMARY- t23NAME Pet.cr Pri eloc tuNAME John Dovle Manr:f actrrri no Enoi neer 124TITLE Vi ee Presi dent, Ooerations t29TITLE BUSINESS PHONE 805- 597-8 950 t2s BUSINESS PHONE 805-597-8930 130 24-HOUR PHONE - al PAGER#tn 2+HOUR PHONE PAGER #t32 P,zlflztn, ADDTTIONAL LOCALLY COLLECTED INFORMATION:133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I cenifo under penalty of law that I have personally examined and am familiar with the information submined and believe the information is true, accurate, and complete. 1"tr/, /""TED REPRESENTATIVE 134SIGNA 135NAME OF DOCUMENT PREPARER Pptcr Pri pbc ER (prin0 SIGNER136 137 Envi:ia-r--- wtb z t - zo-ol A:\Frril-s.DOC 1 4-Feb-00 Wlr LP C1!'oD'cn& 5? .'.r r;. rt i (e,g Hazardous Materials Business Plan Reporting h-quirements San Luis,Obispo' Qity Fire Departrnent 2160 Santa Barbara Avenue San Luis Obispo, CA, 93401-5240 7383 55 Gallons 200 Cubic Feet 500 Pounds Liquids are reported in gallons. Gasses are reported in cubic feet, except for propane, which is reported in gallons. Solids are report€d in pounds. of Hazardous MaterialsReportable of hazardous waste. ifless that I TOTAL.includeto Ammonium N - P - K Fertilizer Exemption Oxygen, Nitrtgen and Nitrous Oxide are exempt if the total quantity of each gas on-site is 1,000 cubic feet or less and they are used Dentists and Podiatristsv Medical Exemption Lubricating Oil Exemption Exempr if the TOTAL volume of all types of lubricating oil handled at a single facility does not exceed 27 5 gallor.s. Lubricating oil is defined as any oil intended for use in an internal combustion crankcase, tansmission, gearbox, differential, or hydraulic system of an automobile, bus, truck, vessel, plane, heavy equipment, or other machinery powered by an intemal combustion or electric powered Agricultural FacilitY' Above and Motor vehicle fuel above and underground tanks at 1,100 gallons Business Plan reporting requirements once the inventory and site TOTAL volume of fuel is greater than 20,000 gallons at a single Underground Fuel Tank Exemption or less capacity would be exempt at agricultural facilities from the map has been submitted to the City Fire Departrnent. However, if the facility, this exemption would not apply. The One-Time Only fee is $50.00 Exempt under the following conditions: fertiltzer is applied no more than 4 times per year' with the application and storage period not to excled 7 consecutive days for each application, the quantity of fertilizer is less than 1,190 gallons at any one time, and the fertilizer Liquid Fertilizer Application container has a label the fertilizer/fertilizer mixture Remote Site ExemPtion A remote site is defined as an unstaffed facility located in an isolated, sparsely populated area. The facility is secured and not accessible to the public. Exempt if the hazardous material inventory is equal to or less than 500 cubic feet of compressed inert gasses, 500 gallons of combustible liquids used as a fuel source (diesel, firgl oil, kerosene), 200 gallons of electolytes in closed containers, 500 gallons of hi$,iicating and hy&aulic fluids, and 1,200 gallois rif flammable gas used as a fuel source (propane). The facility must submit a one-time Hazardous Materials Business Plan to the City Fire DeparEnen! complete a Remote Site Exemption form and pay a one-time only Remote Site Exemption fee of $50.00. Warning signs must be posted and maintained for hazardous materials pursuant to the California Fire Code. Please circle the letter that best describes the Ilazardous Materials at your business: A - No chemicals are used or stored in my business operations. B - Chemicals are used, handled or stored in my business, but not in disclosable amounts: 500 pounds of a solid, 55 gallons of a liquid or 200 cubic feet of a gas. My business does not use disclosable amounts of Acutely Hazardous Materials. My business does not use, handle or store any amounts of Hazardous Material that would fall into one of the following categories: Class "A" explosive, Class "A" poison, commercial grade pesticide, unsealed radioactive isotope or any legal carcinogen (pure chemical or component of a compound). Chemicals are used or sfored rn my business and I am submitting my Hazardous Material Business Plan Chemical Inventory and Emergency Plan. Business Name and Address: Business Owner/Operator Name (Print): Business Owner/Operator Signature: Date Signed:D Please return this form to the San Luis F ire H/: Business Plan Excmption Form ..'\ I ) FORM I - SAN LTIIS OBISPO COI.]NTY CERTIFIED TJNIFIED PROGRAM AGENCY (C[]PA) CIIEMICAL IT.IVENTORY material or zffi napn I. Eoplere FACILITY INT'ORMATION Enpvrse 3 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) The S ice Hunter LOCATION CONFIDENTI,AL EPCRAfl vns E No 202CHEMICALCHEMICAL LOCATION 201 a GRID# (optional) 204MAP# (optiona) ffiFACILITY ID # II. CIIEI\{ICAL INFORMATION rnaor.sBCnBr lYes nNo If Subject to EPCRA' refer 206 to instructionsCHEMICAL NAME PROPANE 20s FIRB CODE HAZARD CLASSES (Complete if required bv cuPA) 2082n7 cAs# 1 CURIESMDIOACTM fl Yes I NoE A. PURE El b. MIXTURE E C. WASTE COMMON NAME *If EHS is "Yes", all amounts below must be in lbs. EHS* HAZARDOUS MATERTAL TYPE (Check oIE item only) [Yes lNo 40o-,FO gaL.LARGEST CONTAINER 2t5 PHYSICAL STATE (Check one item only)E a. SOLID El b. LIQUID EI C. GAS 214 FED HAZARD CATECORIES (Check all that apPlY)El a. FrRE fl b. REACTM E c. PRESSURE RELEASE I d. ACUTE HEALTH E e' cHRONIC HEALTH iro I cr 216 annFSTATEWASTECODE 2201toANNUEI WESTE AMOUNT 0 218-Meltt'autta oetlY etttouNt 300 gal.217 g0')kd ga]-.-AVEMGE DAILY AMOUNT DAYS ON SITE:E d. ToNs 365EI a. GALLONS m. GLASSFEER DRUMI. b. c. d. E d. CRYOGENIC CAS # 221 e.trtru 224 n5 CONTAINER amount must be in UNTTS* one item only) E c. BELOW AMBIENTSTORAGE PRESSURE El c. BELOW AMBIENT EHSIIAZARDOUS COMPONENT @or mixture or waste only)%wr TANK 223 E r. OTHER E q. RAILcAR n. PTASTIC BOTTLE o. TOTE BIN p. TANKWAGON J. BAG k. Box I. CYLINDER f. CAN g. CARBOY h. srl-o E] b. CUBIC FEET E C. POUNDS E A. AMBIENT E b. ABOVEAMBIENT STORAGETEMPEMTURE E A. AMBIENT EI b' ABOVEAMBIENT UNDERGROUND TANK TANK INSIDE BUILDING STEEL DRUM 74-98-6 229 EYes EINo 228 PROPANE 226 1 233 74-84-0EYes 8No 732231 ETHANE 230 ., 106-97-8 2372i6 lYes [lNoBUTANE 235234 3 241240 [Yes ENo 239238 4 245244 EYes lNo243242 5 psper qptuiog therdditioul shre(sor 0.1% bywelght lfcomponcDts re prent 8t Sster than 196If Eorc ADDITIONAL LOCALLY COLLECTED INFORMATION A:\PROPANE.DOC 11-Feb-00 stYeSilf U,il$OBbFP.O. Box 14892156 Sierra WaySan Luis Obispo, CA 93406THIS PERMIT IS ISSIIED FOR THE FOLLOWING:FACILITY: FA0005125SPICE HUNTER, THEI84 SUBURBAN RDSAN LIIS OBISPO. CA 9340IVALID FROM DATE: 0110t12004VALID TO DATE: 1213112004CERTIFIED UNIFIED PROGRAM AGENCYFire Department (805) 781-r.-2160 Santa Barbara AvenueSan Luis Obispo, CA 93401-5240AUTHORIZATION IS GRANTED FOR THE FOLLOWING:0762 PROOO7533 SLO CITY.TIAZAR-DOUS MATERIALS HANDLER 14OWNER:C. F. SAUER COMPANYI84 SUBURBAN RDSAN LUIS OBISPO CA 9340IIcuRTrs A. BATSON, R.E.H.S.DIRECTOR EI{\4RONMENTAL HEALTH SERVICESft(eIwoLFGAllG KNABE, CHrEFCITY OF SAII LT]IS OBISPO FIRE DEPARTMENTTIIIS AUTHORIZATION/PERMIT TO OPERATE IS NONTRANSFERABLE AND MUST BE POSTED ON.SITE IN A CONSPICUOUS PLACE.THIS OPERATING PERMIT WITH ALL CONDITIONS AND ATTACHMENTS, INCLUDING MONITORING PLANS, SHALL BERETAINED AT TIIE FACILITY AT ALL TIMES. SPICE HUNTER, TI{EPage: 2Facility Identification Number: FA0005 1 25CERTIFIED T]NIFIED PROGRAM AGENCY (CUPA)PERMIT CONDITIONSIn order to maintain the Permit to Operate, the permit holder must comply with thefotlowing provisions of related laws concerning management of hazardous materials. Anyviolation of the conditions may be cause for revocation of the Permit/Authorization to Operate:a. Hazardous Materials Business Plan Program: California Health and Safety Code, Division 20, Chapter6.95, Article I and Title 19 California Code of Regulations.s. Hazardous Waste Generator Program: California Health and Safety Code, Division 20, Chapter 6.5, Articles l-13, S-ction 25100 etseq., and Title 22, California Code ofRegulations, Chapter 20.e. Aboveground Petroleum Storage Tanks (AGT) Spill Prevention Countermeasure Control (SPCC) Plans: Califomia Health and Safety Code, Division21,Chapter 6.67 and40The Permit to Operate is to be maintained on-site and is valid for a period of one year Environmental Health Services Division(80s) 781-ss44P.O. Box 14892156 Sierra WaySan Luis Obispo, CA 93406THIS PERMIT IS ISSUED F'OR TIIE F'OLLOWING:FACILITY: FA0005125SPICE HUNTER, THE'184 SUBURBAN RDSAN LTIIS OBISPO. CA 93401VALID FROM DATE: 01/01/2005VALID TO DATE: 1213112005cfipfrilll[ll$Olar*-AFat"fr.Fire Department (805) ?o.2160 Santa Barbara AvenueSan Luis Obispo, CA 93401-5240CERTIFIED T]NIF'IED PROGRAM AGENCYAUTHORIZATION IS GRANTED FOR THE F'OLLOWING:0762 PROOO7533 SLO CITY.HMARDOUS MATERIALS HANDLER I-4OWNER:C. F. SAUER COMPANY184 SUBURBAN RDSAN LUIS OBISPO CA 93401aCURTIS A. BATSON, R.E.H.S.DIRECTOR, ENVIRONMENTAL HEALTH SERVICESft(WOLFGANG KNABE, CHIEFCITY OF SAII LUIS OBISPO FIRE DEPARTMENTTHIS AUTIIORIZATION/PERMIT TO OPERATE IS NONTRANSF'ERABLE AND MUST BE POSTED ON-SITE IN A CONSPICUOUS PLACE.THIS OPERATING PERMIT WITII ALL COI\DITIONS AND ATTACHMENTS,INCLUDING MOI\TITORING PLAI\S, SHALL BERETAIIYED AT TIIE FACILITY AT ALL TIMES. Facility Identification Number: FA0005 I 25CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)PERMIT CONDITIONSIn order to maintain the Pertnit to Operate, the permit holder must comply with the following provisions of related laws concerning management of hazardous materials. Anyviolation of the conditions may be cause for revocation of the Permit/Aathorizttion to Operate:a. Hazardous Materials Busiriess Plan Program: Califomia Health and Safety Code, Division 20, Chapter 6.95, Article I and Title 19 California Code of Regulations.e. Hazardous Waste Generator Program: California Health and Safety Code, Division 20, Chipter 6.5, Articles l-i3, Siction ZitOO etseq., and Title i2, California Code ofRegulations, Chapter 20.e. Aboveground Petroleum Storage Tanks (AGT) Spitt Prevention Countermeasure Control (SPCC) Plans: Califomia Health and Safety Code, Division 20, Chapter 6.67 and40The Permit to Operate is to be maintained on-site and is valid for a period of one year UNIVERSAL WASTE AND USED OIL/LATEX PAINT INVENTORY AND CERTIFICATION FORM Company name: The SPice Hunter, lnc Address: lB4Suburban Rd Phone number: (805) 597-8972 Contact name: Ken KreYenhagen City: San Luis Obispo ZIP code: 93401 Fax number: (805) 544-607L E-mail: kkreyenhagen@spicehunter'com Type of Universal Waste Quantity of Waste TO BE COMPLETED BY IWMA STAFF Cost per lb/gal per item Total Cost Household Batteries I25 No charge until further notice .000 Fluorescent lighting (4 foot and CFLs)S0.50 each Fluorescent lighting (8 foot)St.oO each Sodium/metal hydride/halogen bulbs St.00 each TO BE COMPLETED BY IWMA STAFF Total CostCost per lbleal per item Quantity of WasteUsed Oil and Latex Paint 0.00No charge until further notice7 Ga[[ons(maximum acceptable amount: 55 gallons) Used oil No chargeLatex paint (maximum acceptable amount: 55 gallons) Please make checks payable to SLO County IWMA. TOTAL: PREFERRED SITE AND TIME - Please indicate which site and time you would prefer ! Ctricago Grade Landfill, Templeton, Fridays 9am - 11am [] ColO Canyon Landfill, San Luis Obispo, Wednesdays 9am - noon ! Vtorro Bay Household Hazardous Waste Facility, Morro Bay, Thursdays 9am - lLam ! NiRomo Household Hazardous waste Facility, Nipomo, Thursdays 2pm - 4pm I Paso Robles Landfill, Paso Robles, Fridays 1pm - 3pm FOR SAN LUIS OBISPO COUNTY IWMA STAFF ONLY Print Name:Signature: Date Received: Check Page 1 of 2 Credit Card Company Name: The Spice Hunter,lnc I certify that the following statements are true: 1) The business that I am representing will be responsible for any disposal costs incurred at the time of disposal. 2l The business that I am representing is in compliance with all hazardous waste rules and regulations. Signature: ffi Print Name: Kenneth E. Kreyenhagen Date: Jut 23,20LB Note: The San Luis Obispo County IWMA is not a regulatory agency and cannot advise you regarding hazardous waste regulations. lf you have questions about the applicable hazardous waste regulations, please call county Environmental Health at (805) 7BL-5s44 for assistance. V f CotO Canyon Landfill, on Wednesday Juty 2s,2or8 f Chicago Grade Landfill, on Friday Morro Bay HHW Facility, on Thursday Nipomo HHW Facility, on Thursday flPaso Robles Landfill, on Friday FOR SAN LUIS OBISPO COUNW IWMA STAFF ONLY APPROVED. Bring the inventoried waste to the Household Hazardous Waste Facility at between between between between between 9am - noon 9am - 11am 9am - 11am 2pm - 4pm 1pm - 3pm Please bring this form and a check made payable to the San Luis Obispo County IWMA or credit card. lf you need to change the above appointment, please contact us. NOT APPROVED for the following reason: Completed by: pattiToews Signature: *k Email: ptoews@iwma.com Page 2 of 2 Universal Waste and Ljsed Oililatex Paint lnventory and Certification Form Adobe Sign Document History 07t24t2018 Created: By: Status: Transaction lD: 07t23t2018 William Worrell, IWMA Manager (bworrell@iwma.com) Signed CBJCHBCAABAAnjTXDYzBbxEKEC_U6SfNUDyE 2fSONEv "Universal Waste and Used Oil/Latex Paint lnventory and Certifi cation Form" History fl wioget created by william worrell, twMA Manager (bworrell@iwma.com) 02107 1201 8 - 2:03'.46 PM MST fl wioget filled in by Kenneth E. Kreyenhagen (kkreyenhagen@spicehunter.com) 0712312018 - 10:38:22 AM PDT- lP address: 24.176.225.26 * Document emailed to Kenneth E. Kreyenhagen (kkreyenhagen@spicehunter.com) for signature 0712312018 - 10:38:23 AM PDT fl Document viewed by Kenneth E. Kreyenhagen (kkreyenhagen@spicehunter.com) 0712312018 - 10:38:35 AM PDT- lP address: 24.176.225.26 *cr E-signature verified by Kenneth E. Kreyenhagen (kkreyenhagen@spicehunter.com) 0712312018 - 10:38:51 AM PDT- lP address: 24.176,225.26 il, Document emailed to PattiToews (ptoews@iwma.com) for signature 0712312018 - 10:38:52 AM PDT fl Docrment viewed by PattiToews (ptoews@iwma.com) 0712412018 - 7:51:03 AM PDT- lP address: 75.128.4.177 ff Document e-signed by PattiToews (ptoews@iwma.com) Signature Date:0712412018 - 7:51:35 AM PDT - Time Source: server- lP address: 75.128.4.177 * SigneO document emailed to Kenneth E. Kreyenhagen (kkreyenhagen@spicehunter.com), patti Toews (ptoews@iwma.com) a nd william worrell, lwMA Manager (bworrell@iwma.com) 0712412018 - 7:51:35 AM PDT S naoue sign ( ,{ PLJI_i-S HAZ riaar F,TE Letter of Transmittal Date: t0: of, Attached Please Find February 13, 1998 Pam Ricci City of San Luis Obispo Re:The spice Hunter ttt Scxbvtbqn h'ints Originals Cotesfurulence Copies Dale 2t11 t9B 1 t24t89 1i 19/98 Remarks: Copy to: No. Sheets Arclitecture. Plann'ms & GraDhics 1401 Higuera Sh'eel San Luis )bisyn, C A 9340 I (805) 541.5604 Fax (805) 54 1-4 37 I Dewiption Site Plan Soils Report Tank Farm Pipeline lnvestigation Signed: Steven D. Pults, AIA I Unocal Corporation Diversified Businesses California Operaling Services 3201 Airpark Drive, #104 Santa Maria, California 93455 Telephone (805) 348-3100 UNOCAL@ January 19, 1998 Mr. F. DeMarco California Regional Water Quality Control Board Central Coast Region 81 Higuera Street, Suite 200 San Luis Obispo, CA 93401 Unocal Tank Farm Road Pipeline Groundwater Monitoring / Oil Recovery Report - Fourth Quarter 1997 Dear Mr. DeMarco; The enclosed report is in response to a July 25, 1989 Regional Water Quality Control Board letter request for quarterly groundwater monitoring. The letter is titled "Tank Farm Pipeline lnvestigation, San Luis Obispo". The report was prepared by Earth Systems Consultants. The next report is scheduled to be submitted by April 20, 1998. lf you have any questions or comments, please call me at (805) 348-3126. Sincerely, ),*tL t- John R. Ljung Senior Geologist enclosure: "Groundwater Monitoring Results, Fourth Quarter, December 1997, Tank Farm Road Pipeline, San Luis Obispo, California", January 15, 1998, Earth Systems Consultants, Doc. No. 9801 - 091.RPT.cc: Mr. M. Negrete, San Luis Obispo County Health Department Mr. M. Timm, TK Development Company Mr. S . Burrell, Sonic Cable Ms. L. Cleveland, SH lnvestments LLC Mr. M. Rendina, England & Associates Mr. W. Sharrer - Unocal, w/o enc It Earth Systems Gonsultants Northern Galifornia GROUNDWATER MONITORING RESULTS FOURTH QUARTER, DECEMBER 1997 TANK FARM ROAD PIPELINE sAN LUrS OBTSPO, CALTTORNTA I i I I t I ! ; Ij : Gonsulting Engi neers an d Geologists I GROUNDWATER MONITORING RESULTS FOURTH QUARTER, DECEMBER 1997 TANK FARM ROAD PIPELINE sAN LUIS OBISPO, CALIFORNIA prepared for Unocal Corporation, California Operating Services Division prepared by Earth Systems Consultants Norttrern California 4378 Sana Fe Road San Luis Obispo, Califomia 93/;0L Ianuary.15, 1998 Job Number: NGM 1007 6-02 Document Number: 980149 I.RPT Earth Systems Gonsultants Northern Galifornia January 15, 1998 4378 Santa Fe Road San Luis Obispo, CA 93401 (805) s44-3276 FAX (805) 544-1786 Project No.: NGM 1007 G-Az Mr. John Ljung Unocal Corporation California Operating Services Division 3201 Airpark Drive, Suite 104 Santa Maria, Califomia 93455 SUBJECT:&P|oBT OF QUARTERLY GROUNDWATER MONTTORTNGFOURTH QUARTER, DECEMBER 1997 TANK FARM ROAD PIPELINE MONITORING AREA SAN LUIS OBISPO COUNTY, CALIFORNIA DearMr. Uung: This document presents the results of quarterly groundwatbr monitoring for the fourth quafrer of 1997 at the above referenced site. Listed below are the figures, tables, and appendices accompanying this letter which illustrate this monitoring event's results, as well as compare tfre results of this event with those of the previous three quarters. A compilation of the results of monthly crude oil removal from several of the wells is also included with the reporl A narrative description of this monitoring event's results is presented tbllowing the lists. List of Figures MapFigure I Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Conto u rs on Upper Grou ndwater S u rface-Decem ber Map BN ::::::::::::::: ::. . .::.. ' "':' ' rPH concentrations in Groundwater .. BTEX Concentrations in Groundwater ... Crude Oil Thicknesses in Wells List of Tables Table I .-.---- ........Groundwaterand WellheadElevations: December lgglTable 2 . . .. . . -. .. . . crounawaterEi.*ti;;r-Thr;F ii;;Table 3 ........Table{.---.----- .........AnanicatG;G-TpHinGroundwaterTables --.----.-- ..... AnalyddiResults-B;nzenein crounawaterTable 6 .:----..-. ...........:....... enalytical n"rote-loio"ne in GroundwaterTable 7 ---- .....Analytrcal'Results-fuMb";;"ne in GroundwaterTable 8 ....... nnalytical nesuia_tot i xtGn; i, c;;il;il; Corporation List of Appendices Laboratory January 15, 1998 Procedures Documents Appendix A Appendix B Groundwater elevations in the monitoring wells were higher than those of the previous quarter, with increases of 3-69 to 8.10 feet since the previous monitoring event in Septembe r 1997 . Depth to groundwater ranged from 9.15 feet (SLOW-8) to 18.04 feet (OEW-I) below ground surface in the monitoring arca The groundwater flow direction calculated for December 1997 exhibited an overall south- southwest trend across the study area. The groundwafer surface calculated trom the December L997 data displays an average gradient of 0.009 in the eastem portion of the site, flattening to an average gradient of 0.002 in the western half of the site. Total petroleum hydrocarbons C[PH), with ur analytical range of C11 b C3z, were detected at concentrations of 0.14, 1.30, and 0.53 milligrams perliter (mgl1) in wells SLOW-16, OMW-1, and OMW-2, respectively. TPH was not detected in any ottrer wells sampled during this monitoring event. Benzene, toluene' ethylbenzene and xylenes @TEX) were not detected in any of the monitoring wells sampled' with a detection limit of 0.5 micrograms per liter (ug/L, or parts per billion). crude oil was presenr in wells slow-2, slow-s, oMw-4, oEw-l, ESB-I, ESB-2, ESp-2 and ESP-3. Crude oil thickness' ranged from a trace (less than 0.01 feer) to 4.76 feet. Conclusions TPH was detected in three wells this quarter, at concentrations ranging from 0.14 to 1.3 mgtL. Groundwater elevations are seasonally higher than in the summer and fall events. The groundwater gradient and direction are typical of those calculated in past events. Limitation This document has been prepared for the Unocal Corporation, regarding the Tank Farm Road petroleum pipeline monitoring area in San Luis Obispo County, California. The findings and 2NGMl0076-m 9801-091.RPT Corporation January 15, 1998 conclusions rendered in this report are based on laboratory testing of groundwater samples collected during ttris projecr This report does not reflect variations that may exist beyond or beween sampling points. The services performed by Eart6 Systems Consultants Northern California have been conducted in a manner consistent with ttre lerel of care and skill ordinarily exercised by members of our profession currently practicing under similar conditions in this arca of California. No other warranty is expressed or implied. If you have any questions or comments regarding this report, please contact the undersigned or Mr. John Ljung at Unocal Corporation at your convenience. Sincerely, Earth Systems Consultants Northern California D Timothy Conroy, C.E.G. Senior Geologist 698 * C-:ii. L >t t OG '$ S'c 3NGMl007602 9801491.RPT FIGURES I il il 'il I I I t t I l li il lt il I I I I f I t J ,l 'l Job No.Job Name Fioure NGM|00T6{2 Date JANUARY 1998 VICINITY MAP ft V J3 h.ltq, c a, I i ai t a Eg c. o 'ti't -^ry{r ( o (! € G G _f Itailer3 Well 3 tts W.ll (P ! a Itll a :tl a t Cr-{& .il'' -.b ;: ' e EraSobFc Sct t% t .J t 0 2000, tNss$s\sqa\qd Scale Earth systems consultants Northern Callfomla 4i178 Sarila Fe Road San trlb Otrispo, CA S4Ol Phone: (805)541€9€Kt Fan (8os)544{st1 Basc ilaps: U.S.AS. Z$minute qrndrangle nrapof San l.lrb Obispo and Pisrno Beach, Calilomh. 1965, photorerrlseid 1979 rd'-.-...- !ri,r+in ' Thcat . --rt 3 , I J90I -+ { I Ioilcr Pa.t i t t, %. 1 0 I@ ,% "ao ,d 0Fm '/. 15 : TAl.lK FARM ROAD PIPEUNE GROIJNDWATER i,|Of{TORTIG For UnocalCorporation San l,uis Obispo Countv. Calibmia 1 [f:tr|rlIr I h t htr T fI t I T I h T h Doto JANUAR/ 1998 NGMl 0076-02 lICTTtl XO. 2Project Numbcr Droftcr TC TANK FARM ROAD PIPELINE GROUNDWATER MONITORING For Unocol Corporotion Son Luis Obispo County, Colifornio WELL LOCATION MAP o UNOCi{L Propcrty UNOCAL Tonk Form sLow-1+o ti sLow-1o TANK FARM ROAD aN-2 oMw-2++ I tl slow9r o sLow-10 o DETAIL A SLOW_8 OUW-+ ESP-3 ESB_I9++o f ese-s osrcw-s + ESP-I ES8-2+ otJw-1s LEGEND o sLow-1o Q ouw-z ,S oat-z f esa-z Groundwatcr monitorlng rcll inatollcd by Brorn ond Coldwoll. Groundwotcr monitoring rdl inctollcd by Domcr ond Moora. o t60 0{xrlrl Approximotc Scole in Feet Extroctlon wcll inatolled by Domcs ond Moorc. + T-K Propcrty Sonic Coblc oMw-3s Tclcvieion Proporty sLo!v-9 o Spicc Huntcr Propcrty Groundwotor monitoring wcll inctollcd by Englond, Shohin ond Asrociotcs. Etf,tx :mml! oo|.lr.'rxnl rflTl6a *t.m fittt+#+irHHt FIr IT Il 't ffiit Dotc JANI,JARY 199E Prdect Numbcr NGMl 0076-02 Droftcr CONTOURS ON UPPER GROUNDWATER SURFACE o UNOCAL Propcrty 4 slow-14o1 (107.se) ,4, UNOC L Tonk Form DETAIL A 1(NM) (NM) 4 LEGEND FARM ROAD (111 sLow-10o (108.21) sLotv- 11 (11 2 (10s.41) osLow-16 (1os.r1) \ 1 1.39 oEvt-2 1 1 1.76)l fl 4 o (10s.78) + ESP-1 (NM) oMw-1+ (107.s1) ESB_2+ (NM) o sLow-lo $ ouw-z $ onv-z (1 1s.2s) 'Groundwatcr monitoring woll inatollcd b1r Brown ond Coldwcll. Groundwotcr monitoring woll inatollod by Domce ond Moora. B<troctlon woll inatollod by Domcs ond Moorc. Groundwoter elevotion in well,in feet msl. -102--Contour on groundwotcr aurfoco. ln fcot mrl. (NM) Not mcotursd duc to praecnccof crudc oil. 6{X) S ESS-Z Groundwotcr monitorlng wcll inatollcd by Englond, Shohin ond iigociotcs. Wells meosurcd on ooccmbor 2J. 1997 Approximotc Scole in Feet T-K Propcrty oMw-3s(107.72) slow-9 o (107.so) Sonic CoUc Tclevision Property Spico Hunter Propc.ty TC nqgEt xo- 3 TANK FARM ROAD PIPEUNE GROUNDWATER MONTORING For Unocol Corporotion San Luis Obispo County. Colifomio Frfltlt s6ta coltl,rnS l€illBl ctLFm I'lll;r Fl trF + * * * +++ r+ * H tI I; I I F BENZENE, TOLUENE,ETHYLBENZENE AND XYLENE CONCENTRATIONS IN sROUNDWATER UNOCAL Propcrty o sLow-14o (NA)slow-1o' UI{OC L Tonk Form (N0) DE"TAIL A TANK FARM ROAD oEvt-2 (ND) tl oMw-2+ slowgr 6 (ND)sLow-10 o (ND) sLow-8o (NA) ESP-1 (t.lA) (NA) oMw-1+ (ND) LEGEND o slow-1o $ ouw-z $ oew-z f esa-z Groundwotor monitoring roll instolled by Brown ond Coldwcll. Groundrotor monttorlng well lnatolled by Domoa ond Moora. Ertruction woll inatollcd by Domca ond Moorc. Groundwotcr monitodng well inatollod by Englond, Shohin ond Aseociotcs. All conccntrotionr. oxpreascd ln porte per billion (ppb). B - Bonzono T - Tolucno E - Ethylbcnzcno X - Xy'encs (ND) BID( not dctoctcd in groundwotcr, dctoction limito of <O.5 porta pcr billion. 250 600 Approximote Scole in Feet Dcccmbcr 23, 1997 (NA, Sonic Coblc Television Propcrty (ND) slow-9 oMw-3+ o (ND) Spica Hunter PropertyT-K Propcrty Dotc JANUARY 1398 NGMl 0076-O2Projcct Numbcr Droftcr TC TANK FARM ROAD PIPE| GROUNDWA]ER MONTTOfi For Unocol CorPorotit Son Luis ObisPo CountY, Crr6iq ErfiH SrsIEIt Collg.f,T^rr:i toRllEta clrtoRil 'ICI'E IYO. + (NA) Not Anolyzod Wclls TPH CONCENTRATIONS IN GROUNDWATER o UNOCAL Propcrty slow-l4o(M) UNOCAL Tonk Fcrm DETAIL A K FARM ROAD DETAJL sLow-1o SLOW9 [140] oEw-2 oMw-2d t53bl [<0.1]I E 16 sLow-10 o [<0.1] o (NA) sLow-8 o sLow-1o $ ovw-z $ oew-z O esa-z LEGEND oMw-l+ [1.roo] Groundwotcr monitoring rell instollcd byErorn ond Coldwcll. Groundwotcr moniton'ng welt lnctoltod b1rDornca ond Moors. Extroction wcll lnctollcd by Domcr ond Moorc. Groondwotcr monitorino wcll inrtollcd bvEnqhnd. Shohin ond Asaociotcs. [0.65] Sami-volotilo llydrocorbone by EpA Mcthod 8270 (onolyticol rongc Ca - C,o) (M) Not Anotyzed All rcsult! oxprarod in milligrcma pcr liter (mS/D. Welle sompled on Decomber 23, 1gg7 o tlo too Approximcto Scolc in Fect T-K Propcrty Sonic Coblc Tclcvieion Propcrty oMrt/-3-o [<o]rl slow-9 O [<0.1] Spicc Hunter Property Doto JANUAFT 1998 Projcct Numbcr NGMI 0076-02 Droftcr TC tgl[ ro- 5loFlrxfl cflton EIf,IH o*rrnm! TANK FARM ROAD PIPEUNE GROUNDWATER MONITORING For Unocol Corporotion Son Luis Obispo County, Colifomio CRUDE OIL THICKNESS IN WELLS o UNOCAL Propcrty I UNOC L Tonk Form DETAIL A ESB-I (0.01) + sLotv-5 (034)ES8-2 slow-14o (NM)SLOW-o FARM ROAD oEvt-2 oMw-2+ (NM)l slow9r o (Nn)sLow-10 o (NM) o (NM) slow-8 o sl0w-10 $ ouw-z $ orw-z $ rse-z OMW-.t+ ESP_3(4.76)+ +?nBi' ++ TANK FARM ROAD PIPEUNE GROUNDWATER MONITORING For Unocol Corporotion Son Luis Obispo County, Colifomio (troc.) o tro too Approximota Scoh ln Fact ElNm $m5 oanDlll r(lmxil cfl.Fm ESP_I (N0) ot/tv-l+ (N0) LEGEND Groundrotor monitoring well inetollcd by Brown ond Ccldwell. Groundrotor monitoring wall inatollod by Domoa ond Mooro. Extroction wcll inetollcd by Domcr ond Mooro. Crudc oil thickncss in wcll. in focL Crudo oil not dctcctcd in rill. Woll not mcorurod. Mcosuromcntc tokon on Dccor16o. 21, 1gg7 (r.oo) (N0) (NM) Dotc JANIJAF' 1998 Projcct Numbcr NGM10076-02 t'Er ro" 6 LOW- T-K Property Sonic Coblc Televieion Proporty slow-9 o (NM) oMw-3+ (NM) Spicc Hunter Propcrty n Gmundwotcr monitorlng well inctollod by Englond, Shohin ond Associotcs. Drofter TC IT T f f I I I I I I I I I I t I I I TABLES e TABLE 1. GROUNDWATER AND WELLHEAD ELEVATIONS December 23, L997 (all elevations in feet above mean sea level) Well No.Welltpad ' Elevation 1.otal Depth of Well Depth to Groundwater Groundwater Elevation sLow-1 LZz.2L 2I.00 I I.t4 I I I.39 sLow-2 122.16 I E.35 10.82 I II.34 SLOW-3 L22.62 20.50 Il.t3 t 11.49 SLOW-E t15.47.25.70 9. ts 106,08 SLOW-9 124.41 38.70 9.64 105.78 slow-r0 LZz-25 28.40 16.91 I07.50 SLOW-14.,;12t.76 24.65 13.77 t07.99 sLow-16 I I9.75 19.56 to.47 109.31 oMw-l 125-26 34.74 17.35 107.9r OMW-2 120.O2 20.30 I0.46 109.41 oMw-3 I25.0r 3r.22 17.29 1Q7.72 OMW-4 126.49 3t.52 t7.29 109.20 OIvIW-6 t2t.16 ZU.E4 9.45 I I1.76 oMw-7 120.55 22.OO 9-75 110.E0 oEw-l 126.E2 37.O5 I8.04 IOE.7E obw-2 t?I.t9 2r.30 9.E0 u 1.39 ESB-I tz6.E2 40.00 17.46 109.36 ESts-2 125.17 40.00 16.32 108.8s e TABLE 2 GROUNDWATER ELEVATIONS THROUGH TIME (all elevations in feet above mean sea level) Well No. December 1996 June 1997 September 1997 December t997 Change from previous eventsrl)w-t 1t2.24 l10.94 to7.34 r I1.39 +4.05 SLOW-2 I I4.E5 I10.81 r07.61 l l1.34 +3.73 sLOw-3 Lt4.t7 l10.97 to7.33 r r 1.49 +4.16 SLOW-E 108.21 r03.08 99.99 r06.08 +6.09 sr-ow-9 r r0.39 rc3-75 99-44 105.78 +6.34 SLOW.IO I l 1.10 r06.E5 10r.82 107.50 +5.68 sLow-14 t12.49 I03.85 100.87 LW.99 +7.12 t12.ts r08.29 LOz.99 1w.31 +6.32 l r0.51 10s.65 100.79 r07.91 +7.12()Mw-2 Lt2.5t r08.59 103.76 109.41 +5.65 oMw-3 r r0.67 I0/..T4 toO.t0 tm -72 +7.63 UMW-4 tt4.44 r06.63 100.93 ru).20 +8-27 OMW-6 r14.82 r 10.40 r06.99 LLL.76 +4.77 oMw-7 I t0. t4 106.09 I l0;80 +4.71 OEV/-I 105.58 100.9E 108.78 +7.80 115.24 r r 1.05 1O7.70 r I t.39 +3.69 ESB-I tt4.97 r06.90 r01.26 r09.36 +8.10 ESB-2 106.23 r01.25 108.85 +7 -6:O e TABLE 3 CRUDE OIL THICKNESSES DECEMBER 1997 (all measurements reported in feeQ ND:Oil NotDetected TRACE: Trace amount of cnrde oil (less rlran 0-0I feeO detected in monitoring well. Well Number Wellhead Elevation Depth to Product Depth to Water Total Depth of Well Product Thickness sLow-2 r22.16 10.79 10.E2 18.35 0.03 sLow-3 t22.62 ll.l3 20.50 None sLow-5 r25.23 r8.31 19. l5 30.09 0.84 oMw-4 t26.49 t7.29 r7.29 31.52 Trace oMw-7 120.55 9.75 9.75 22.00 None oEw-1 126.82 18.01 tE.03 37.05 o03 ESB-I 126.82 r7.45 17.46 40.0 0.01 ESB-2 t25.t7 t6.32 16.32 40.0 Trace ESP-2 124+16.32 16.32 40.0 Trace ESP-3 124+t7.24 22.0O 40.0 4.76 e TABLE 4 ANALYTICAL RESULTS FOR TPH IN GROUNDWATER all results in m Well No.Decbmber t996 June 1997 September t997 December 1997 Change from previous event NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA <0. I <0. I <0. I <0.1 <0. I <0. I <0. I <0. t NA NA NA NA <0. I <0. I 0.1l 0.14 +0.03 0.13 0.57 0.49 1.3 +U.EI NS+0.8 0.94 0.s3 -0.41 <0. I <0. I o.L7 <0. I +0.07 NA NA NA NA NA NA NA NA <0. I <0.1 <0. I <0.1 NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA TPH: <0.1: NA Total petroleu m hydrocarbons, anal ytical ran ge Cg-C4g Well was inaccessible for sarnpling during this event. Less than the detection lirnit stated, in parts per miltion. Not arnlyzed No change. e TABLE 5ANALYTICAL RESULTS FOR BENZENE IN GROUNDWATER (all results in micrograms per liter, pgll-) Well No. December 1996 June ta97 September t997 December 1997 Change from previous event SLOW-I NA NA NA NA SLUW-2 NA NA NA NA SIrOW-3 NA NA NA NA sLow-8 NA NA NA NA sLOw-9 <0.5 <0.5 <0.5 <0.5 NC SLOW-IO <0.5 <0-5 <0.5 <0.5 NC sLow-14 NA NA NA NA slow-16 <0.5 <0.5 <0.5 <0.5 NC OMw-l <0.5 <0.5 <0.5 <0.5 NC OMw-2 <0.5 <0.5 <0.5 <0.5 NC OMW-3 <0.5 <0.5 <0.5 <0.5 NC()Mw-4 NA NA NA NA OMW-6 <0.5 <0.5 <0.5 <0.5 NC OMW-7 NA NA NA NA OEW-1 NA NA NA NA oEw-2 NA NA NA NA ESB- 1 NA NA NA NA b,sB-2 NA NA NA NA e TABLE 7 ANALYTICAL RESULTS FOR ETHYL BENZENE IN GROUNDWATER (all resuls in micrograms per liter, pgll-) Method 8240/8260 Well No. December t996 June t997 Sentemher t997 December t997 Changs> from previou.s event sL0w-l NA NA NA NA SLOW-2 NA NA NA NA SIJOW-3 NA NA NA NA sLow-8 NA NA NA NA sL()w-9 <0.5 <0.5 <0.5 <0.5 NC sl.ow-10 <0.5 <0,5 <0.5 <0.5 NC SLOW-14 NA NA NA NA slow-16 <0.5 <0.5 <0.5 <0.5 NC OMW-I <0.5 <0.5 <0.5 <0.5 NC()Mw-2 <0.5 <0.5 <0.5 <0.5 NC OMW-3 <0.5 <0.5 <0.5 <0.5 NC()Mw-4 NA NA NA NA oMw-6 <0.5 <u.5 <0.5 <0.5 NC oMw-7 NA NA NA NA OEW-I NA NA NA NA oEw-2 NA NA NA NA ESB-I NA NA NA NA ESB-2 NA NA NA NA el I I I I I t I I I I I I I I I I I I TABLE 8 ANALYTICAL RESULTS FOR XYLENES IN GROUNDWATER (all resuls in micrograms per liter, trgl[.) Method E240ltt260 Well No. December 1996 Juhe t997 Seotember 1997 December 1997 Chanse trom orevious event sLow-t NA NA NA NA SLOW-2 NA NA NA NA SLOW.3 NA NA NA NA sL()w-8 NA NA NA NA sL()w-9 <0.5 <0.5 <0.5 <u.5 NC SLOW-IO <0.5 <0.5 <0.5 <0.5 NC SLOW-14 NA NA NA NA SLUW-16 <0.5 <0.5 <u.5 <u.5 NC OMW-I <u-5 <0.5 <0.5 <0.5 NC oMw-2 <0.5 <0.5 <0.5 <0.5 NC ()Mw-3 <0.5 <0-5 <0-5 <0.5 NC OMW.4 NA NA NA NA UMW-6 <u.5 <u.5 <0-5 <0.5 NC OMW-7 NA NA NA NA oEw-l NA NA NA NA oEw-2 NA NA NA NA ESB-I NA NA NA NA ESB.2 NA NA NA NA APPENDIX A STANDARD OPERATING PROCEDURES e WATER LEVEL MEASUREMENT PROTOCOL A Solinstru elecuic water level meter was used to measure the depth !o water.' Depths were measured to an accuracy of 0.01 feet from a designated point on the top of each well casing. Prior to rse at each monitoring well, the water sensing probe and a portion of the measuring tape were washed with TSPW (ti-sodium phosphate) and rinsed with clean tap water and deionized water to reduce the possibility of cross-contamination. The water lerel probe was lowered until ttre top of the water surface within ttre monioring well was detected. Once the water surface was detecte4 a continuous signal from the metet sounded. The depth to water measurcment was performed at least three times for each monitoring well to verify the initial measuement obtained. A final depth to water measurement w:ls recorded on a standard form. \ e GROUNDWATER SAMPLING PROTOCOL Purging and sampling equipment was disassembled, washed with a non-phosphate detergent solution, and rinsed with ckhn tap water and deionized water to reduce the possibility of cross- contamination- Prior to sampling, the groundwater monitoring wells were purged with a pre- cleaned bailer to remove stagnant water in the wells. During purging, key parameters including temperature, conductivi$, and pH were measured with a portable electronic meter and noted, The meter was calibrated daily prior to sampling. Purging continued until the key parameters stabilized. Approximately thnt to four well casing volumes of groundwater were removed from each well- The groundwater monitoring wells were sampled after water in the wells had recharged to approximately 80Vo of the original groundwater elevation. If during purging, the monitoring well was purged dry, purging was stopped for approximately five minutes to allow the well to recharge- If the well did not recharge at a sufficient rate !o continue purglng ttre three to four casing volumes, the well was purged dry two times and allowed to recharge until sampling. Following purging, groundwater samples were collected with pre+leaned Teflonw.bailers, and discharged with a non-aerating bonom emprying device into sterilized glass containers, capped with Teflonru sepca, labeled, and chilled in an ice chest for transport to a California Environmental Protection Agency certified laboratory certified for the analyses request€d. Water samples were handled and transported according to the U.S. Environmental Protection Agency (USEpA) protocol- Sample identification and chain of custody procedures were utilizedl for the samples to ensure sample integrity and to document sample possession from the time of collection to its ultimate destination. The sample labels identify the job number, sampler, date and time of collection and sample number unique to the sample. t APPENDIX B LABORATORY REPORTS AND CHAIN-OF.CUSTODY STIEETS Zvm"I envirotechnology REPORT OF ANALYTICAL RESULTS IOTAL PETROLEUM HYDROCARBONS Client Tim Conroy Earth Systems Consultants 437A Santa Fe Road San Luis Obis cA 93401 Lab Number: Collec'ted: Received: Matrix: See Below 12t23t97 12t23t97 Project:Tank Farm Road Pipeline Project Number:NGM 10076-02 Collected Mark M Sample Description Analyzed Method: See Below 12t30197 - 12t31t97 See Below U I r I I I t I I tt t t I t ; I I 12997-1 12997-2 1299V-3 12997-4 12997-5 12997-6 12997-7 12997-B sLow-g oMw-3 SLOW.lO sLow-16 OMW.2 oMw-6 oMw-1 Equipment Blank 100. 100. 100. 100. 100. 100. 100. 100. ND ND ND 140. 530. ND 1 300. ND N/A N/A N/A cl B-C28 cI2-C32 N/A c11-C32 N/A 89 96 90 80 BO 8B 73 77 LAB NUMBER SAMPLE DESCRIPnON RESULTIC us/L HYDROCARBON RANGE SURROGATE RECOVERY POL} ZymaX envirotechnology, inc. is certified by CA Department of Health Services: Laboratory #1717 *POL - Practical Ouantitation Limit t+Results listed as ND would have been reported if present at or above the listed POL. Note: Analyzed by GC/MS Combination. Note: Extracted by EPA 3510 on 12130197. Note: Analpical range is G8'G4O. Note: TPH quantitated against crude oil. Submitted by, ZymaX envirotechnology, inc. MSD #5 12997t.x|s JMMfigt/dzlln/rb MacMurphey Laboratory Director If.;, oiilpo, c"riro-ia e34or e-mail: zymax@ZymaXusacom fax 805.544.8226 tel 805.544.4696 Zvmq(envirotechnol ogy Client Tim Conroy Earth Systems Consultants 4378 Santa Fe Road San Luis Obispo, CA 93401 REPORT OF ANALYTICAL RESULTS Sample Description: sLow_g Andyzed: O1/O1/98 Me&od: EPA 8260 Lab Number: Co[ected: Received: Matix: 12997-1 12/23t97 1U23ts7 Project:Tank Frm Road Pipeline Project Number:NGM 10076-02 Mark MeekeCollec'ted CONSTITUENT RESULTTT Benzene Toluene Ethylbenzene Xylenes Percent Surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 99 U I I I I I I t I I I I I I t t T I ZymaX envirotechnology, inc. is cortified by CA Deparrnent of Hedth Servides: Laboratory #1717*POL - Practical Ouantitation Limit rrResults listed as ND would have been reported if present at or above the listed pOL. Submitted by, ZymaX envirotechnology, inc MSD #1 12997-1.xts JMM/igt/mh/ds hey Laboratory Director I e-mail: zymax@ZymaXusa.com Zaca Lane Luis Obispo, Califbmia 93401 fax 805.544.8226 tel 805.5,14.4696 ZY^"t envirotec h nology Client: Tim Gonroy Earth Systems Consultants 4378 Santa Fe Road San Luis cA 93401 Project:Tank Farm Road Pipeline Project Number: Collected by: NGM 10076-02 Mark Mgeks REPORT OF ANALYTICAL RESULTS Sample Description: oMw-3 Analyzed: 01/01/98 Method: EPA 8260 Lab Number: Collected: Received: Matrix: 12997-2 12123t97 12t23t97 Aqueous CONSTITUENT POLT ug& Benzene Toluene Ethylbenzene Xylenes Percent Surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 100 f, I t I T t I : I I t I i I I ll I t ZymaX envirotechnology, inc. is certilied by CA Department of Health Services: Laboratory #1717 *POL - Practical Quantitation Umit +*Results listed as ND would have been reported if present at or above the listed POL. Submitted by, ZymaX envirotechnology, inc. MSD #1 12997-2.xls JMM/ist/mh/ds acMurphey Laboratory Director l" "':. e-mail: zymax@ZymaXusa-com Zaca Lane Luis Obispo. Califromia 93401 fax 805.544.8225 tel 805.544.4696 ZY^I e nvi rotech nology Glient: Tim Conroy Earth Systems Consultants 4378 Santa Fe Road San Luis , cA 93401 Project:Tank Farm Road Pipetine Project Number:NGM 10076-02 Mark MeeksCollected REPORT OF ANALYTICAL RESULTS Sample Description: slow_10 Analyzed: 01/01/98 Method: EPA g260 Lab Number: Collected: Received: Matrix: 12997-3 12t23t97 12t23t97 CONSTITUENT t RESUL t ug/L Benzene Toluene Ethylbenzene Xylenes Percent Surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 98 ZymaX envirotechnology, inc. is certified by CA Department of Health Services: Laboratory #1717*POL - Practical Ouantitation Umit r*Results listed as ND would have been reported if present at or above the listed pOL. Submitted by, Zy maX envirotechnology, inc. MSD #1 12997-3.xls JMM{ist/mh/ds MacMurphey Laboratory Director I t Zaca Lane Luis Obispo. California 93401 e-mail: zymax@ZymaXusa.com fax 805.544.8226 tel 805.544.4696 ZY^"I e nvi rotec h nol ogY REPORT OF ANALYTICAL RESULTS Sample Description: sLow-l6 Analyzed: 01/01/98 Method: EPA 8260 Client:Tim Conroy Earth Systems Consultants 4378 Santa Fe Road San Luis cA 93401 Lab Number: Collested: Received: Matrix: 129974 12t23t97 12123197 Project:Tank Farm Road Pipeline Project Number:NGM 10076-02 Mark MeeksCollected POL'RESULT** L Benzene Toluene Ethylbenzene Xylenes Percent surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 101 I I I I t I I t I t I I I I I t t t ZymaX envirotechnology, inc. is certified by CA Department of Health Services: Laboratory #1717 iPOL - Prac'tical Ouantitation Limit rrResults listed as ND would have been reported if present at or above ths listed POL. MSD #1 129974.x1s JMMligt/mh/ds Submitted by, ZymaX envirotechnology, inc.hffir?'f Laboratory Direc'tor l^e-mail: zymax@ZymaXusa.com Zaca Lane Luis Obispo, Califomia 93401 fax 805.544.8226 tel 805.544.4696 | , Zymaf.envi rotech nology Client:Tim Conroy Earth Systems Consuttants 437a Santa Fe Road San Luis Obispo, CA 93401 Project:Tank Farm Road Pipeline Project Number:NGM 10076-02 Mark MeeksGollected REPORT OF ANALYTICAL RESULTS Sample Description: oMw-2 Analyzed: O1/O1/98 Method: EPA 8260 Lab Number: Collected: Received: Matrix: 12997-5 12J23t97 12i23t97 CONSTITUENT POLT ug/L RESULTI* us/L Benzene Toluene Ethylbenzene Xylenes Percent Surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 99 ZymaX envirotechnology, inc. is certifted by CA Department of Health Services: l,aboratory #1717 IPOL - Prac'tical Ouantitation Limit rrResults listed as ND would have been reported lf present at or above the listed POL. Submitted by, ZymaX envirotechnology, inc. MSD #1 12997-5.xls JMMligit/mh/ds acMurphey Laboratory Director I e-mail: zymax@ZymaXusacom Zaca Lane Luis Obispo. California 93401 fax 805-544.8226 tel 805.544.4696 ZY^"I envirotechnology REPORT OF ANALYTICAL RESULTS Sample Description: OMW-6 Andyzed: O1lO1/98 Method: EPA 8260 Client:Tim Conroy Earth Systems Consultants 437A Santa Fe Road San Luis cA 93401 Lab Number: Collected: Received: Matrix: 12597-6 12.i23t97 12/23t97 Project:Tank Farm Road Pipeline Proiect Number:NGM 10076-02 Mark MeeksCollected co POLT ULTT* ug/L Benzene Toluene Ethylbenzene Xylenes Percent Surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 100 ZymaX envirotechnology, inc. is certified by CA Department of Health Services: Laboratory #1717*POL - Practical Ouantitation Limit r*Results listed as ND would have been reported if present at or above the listed pOL. Submitted by, ZymaX envirotechnology, inc. MSD #1 12997-6.xls JMMligUmh/ds MacMurphey Laboratory Director l"Zaca Lane Luis Obispo, Califomia 93401 fax 805.544.8226 tel 8O5.544.4696 b-___'*-'-IL- e-mail: zymax@ZymaXusa.com nl Zy^"I envi rotec hnologY Client: Tim Gonroy Earth Systems Consultants 4378 Santa Fe Road San Luis Obis cA 93401 Project:Tank Farm Road Pipeline Project Number:NGM 10076-02 Mark MeekcCollected REPORT OF ANALYTICAL RESULTS Sample Description: oMw-1 Analyzed: 01/01/98 Method: EPA 8260 Lab Number: Collected: Received: Matrix: 12997-7 12123t97 12123197 Aqueous ENT POLT RESULTTT IL Benzene Toluene Ethylbenzene Xylenes Percent Surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 99 ZymaX envirotechnology, inc. is certified by CA Department of Health Services: Laboratory #17 17 *POL - Practical Ouantitation Limit t*Resutts listed as ND would have been reported if present at or above the listed POL. Submitted by, ZymaX envirotechnology, inc. MSD #1 1299'l-7.xls JMMfgt/mh/ds J MacMurphey Laboratory Director fax 805.544.8226 tel 805.544.4696lj"?:: bil*. cari{ornia e34or e-mail: zymax@ZymaXusa.com "Zymaf envi rotechnologY REPORT OF ANALYTICAL RESULTS Sample Description: Equipment Blank Analrzed: 01/01/98 Method: EPA 8260 Client:Tim Gonroy Earth Systems Consuttants 4378 Santa Fe Road San Luis O cA 93401 Lab Number: Collected: Received: Matrix: 12997-8 1?/23t97 12t23t97 Aqueous Project Tank Famr Road Pipeline Proiect Number:NGM 10076-02 Mark MeekeCollected +RESULTT* ug/L Benzene Toluene Ethylbenzene Xylenes Percent surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 99 ZymaX envirotechnology, inc. is certified by CA Department of Health Services: Laboratory 51717 iPOL - Practical Ouantitation Umit reResutts listed as ND would have been reported if present at or above the listed POL. Submitted by, ZymaX envirotechnology, inc. MSD #1 12997-8.xls JMMligUmh/ds Laboratory Director t e-mail: zymax@ZymaXusa.com Zaca Lane Luis Obispo, Califomia 93401 fax 805.544.8226 tel 805.544.4696 ['Zymaf.envirotechnology REPORT OF ANALYTICAL RESULTS Sample Description: Trip Blank Analyzed: 12131197 Method: EPA 8260 Client:Tim Conroy Earth Systems Consultants 4378 Santa Fe Road San Luis O cA 93401 Lab Number: Gollected: Received: Matrix: 12997-9 12t23t97 1U23t97 Project Tank Farm Road Pipeline Projec't Number: Collected by: NGM 10076-()2 Mark Meeks CONSTITUENT POLT RES * Benzene Toluene Ethylbenzene Xylenes Percent Surrogate Recovery o.5 o.5 o.5 o.5 ND ND ND ND 100 ZymaX envirotechnology, inc. is certified by GA Departrnent of Health Services: Laboratory #1717*POL - Practical Ouantitation Limit rrResults listed as ND would have been reported if present at or above the listed pOL. Submitted by, Zy maX envirotechnology, inc. MSD #1 12997-9.xls JMMligUmh/ds k acMurphey Laboratory Director l e-mail : zymax@ZyrnaXusa-com Tace Lane n 1_u;s Obispo, Califomia 93401 fax 805.544.8226 tel 805.544.4696 Rcmarkr.:'$.:lTurnaround Timeffil$ll 48hrlfflrar'.ffi zar,.ffi.0n.ffi rtdIococoo*QJP&xANATYSIS RTQUESTEDdI-6{<eExSignetunePriniCompanyDateTimcfnc:YbAiii.rurAfrr\otILI"{-ef3(eI(1^t(pno,ect fuGn \c{'}6 -OTi&rK r.r,€ekJDctc SomplcdProrcrvcMqtrixTimcrt x3- qrReceived by:SignaturePrintCompenyDatel!.TimeAtTime4rbYtRclinqulshedSigneturePrintCompenyDateSigneturePrintCompanyDete--- Timeby:guishodRclincomm6nls:{3i\\ .1c)trokn LTu,.ga UnocqlJf\\\JSAMPLE DESCR,TPTIONo w.qOnat^r- JSli tXVSLow-toq',30XXLow - lb1,'\otq'Tox(X10'.lf(Xtc)l3<lr\0lQoX(XOrr r^r-Or,r t^l- bO r.tt^lr\Qv\qnK\'\obq5\01o.43rsS"n Lu sZYt'7l Zoc<rLone SqnLuirObi:po CA9340l tehg05CusroJyChqin of'{.5q4.4696 tqxl g0S.S4A.t116** o"ror@ Quotenameneme/addasc/phqrcffiPo#:Billing tnfo:esbblishedn8Wseelscontainer [pesreccipt:intactcolduPonreceiyedreceivedplesSamplesSemSompleCustodyConrectemail: zymox@cqllqmer.com )'la rt SUBSURFACE 5OIL INVESTIGATION PROPOSED COCA-COLA FACILITY sAN LUIS OBTSPO, CALTFORNTA JOB NO. 2r,78J 466 WESTERN TECHilOLoolEsmc TtE@!!b/PtqL ARIZONA Ptrocnir 3737 East BroadwaY Road P.O. Box 21387 Ptroenir, Arizona 8505 (@21137-3737 Mclr 952 EastBaseline Road. No. 1O{ Mera, Arizona 852O4 (@2) 9262113 Sun Gty 172m North Dvsart Road, No. 13 P.O. Box 2431 Sun City, Arizona 85372 (@219712154 FLrnrfl 24{X) East Huntington Drive Flatstaff . Arizonl 86{D1 (@2ln{.{,76 bf6idc Routc 1,8ox 103O Laketidc, Arizona 85929 (602) 36&5568 Tucron 34€O South DodSe Boulevard Tucson, Arizona 85713 (@217&-2262 Sicrn Vittr 1827 South Parco San Luis Sicra Vi:u, Arizona 85635 (6021458436{ burhlin / Bullhced CitY 1510 Rivervierv Orivc, No. 5 Bullhead CiW, Arizona 864{2 (@2) 758-8378 COLORADO E!.ntlr 303 East 17th Avensc. No. 7ff) Dcrvcr, Colorado 80203 (3O3) 891-8327 NEWMEXICO Alboqucrquc 83O5 Washington Placc. N.E. Albuquerque, New Mexico 87113 (5O5) 823-4468 Frrminfton 4{[) South Lorena Avenuc Farmin8ton, Ner'v Mcrico 87rO1 (5o5) 327-{965 NEVADA LlVctrr 3511 Wcrt Tornpkins Avenue LasVcSas, Nevade 89103 (702) 798-8OsO g wEsrEnil TEEilOI.('GET lllc. 1737 East Broadway Road P.O. Box 21387 Phoenrr, Arizona 85O36 (ffi21437-3737 Coca-CoIa EnterPrises - West 1334 South Central Avenue Los AngeIes, California 90021 January 24, 1989 Job No. 2178J466 Investigation, Cat ifornia". This you on behalf of Attn: Mr. Matt Fe.noe Re: Dear Mr. Fenoe: Enclosed is our report titled "subsurface Soil Proposed Coca-CoIa FaciIity, San Luis Obispo' investigation was requested and authorized by Coca-CoIa Enterprises - West' testing be c consul tant . <--- Subsurface Soil Investigation Proposed Coca-Cola Facil itY San Luis ObisPo, Cslifornia The investigation found no total petroleum hydrocarbon (TPHC) or aromatic volatile organic compound (BTEX) concentrations above analytical detection limits in the analyzed soil and water samples with the exception of the soil sample at Boring 1 at the lS-foot depth (tz ppm). It is wTI's opinion that this TPHC value was due to cross-contamination of the split-spoon samples and does not represent subsurface contamination. Based on the limited subsurface exploration and analytical testing conducted by Western Technologies Inc., there does not aPPear to be TPHC concentrations exceeding soil action levels established by the san Luis obispo county Health Agency, Division of Environmental Health at the locations samPled' Analytical test results of a groundwater sample collected from beneath the site indicated a -gb,pmiuln concentration above current safe drinking water standards. Based on the fact that numerous domestic and,/or industrial wells are located in the area' it is glTI's opinion that excess chromium concentrations may be avoided throug'h the construction of deeper werls and proper development. 9trr recommends that aIl weII dri1ling, construction' development' and cted unde rthes a ter I f lr SUBSURFACE SOIL INVESTIGATION PROPOSED COCA-COLA FACILITY SAN LUIS OBISPO, CALIFORNIA JOB NO. 2r78J466 1.O INTRODUCTION At the reguest of l,{r. Matt Fenoe of Coca-Cola Enterprises - West, t{estern Technologies Inc. (WTI) has completed a subsurface soil investigation at the proposed Coca-Cola Facility in San Luis Obispo, california (Figure 1). Previous preliminary subsurface soil investigations conducted by Pacific Geosciences Inc. on properties adjacent to T'ank Farm Road found detectable concentrations of petroleum hydrocarbons. union oil of california (unocal) was notified of these findings by Pacific Geosciences Inc. Unocal operates a petroleum storage and pumping station north of Tank Farm Road and east of South Higuera Road. This facility is connected to other facilities via a group of underground petroleum pipelines located beneath Tank Farm Road. It iS suspected that a Unocal pipeline leak had occurred along Tank Farm Road and, therefore, is a possible source of the hydrocarbon contamination encountered by pacific Geosciences. Unocal contracted Brown and Caldwell (BC) to further investigate the petroleum hydrocarbon-affected area. BC sampled subsurface soil for analysis of total petroleum hydrocarbon concentrations and installed groundwater monitorinq wel 1s to monitor groundwater affected by the presence of petroleum hydrocarbons. BC found anomalous concentrations of total petroleum hydrocarbons in soil and groundwater samples along a narrow strip of land that roughly parallels Tank Farm Road. The purpose of WTf's subsurface soil investigation was to define the area of petroleum hydrocarbon concentrations on the proposed Coca-Cola Facility properLy. This report documents WTI's field procedures, test methods, analytical data, observations, conclusions and recommendations. a\g I -t TABLE OF CONTENTS 1.0 INTRODUCTION Z.O SITE DESCRIPTION 3. O SUBSURFACE EXPtOzuiTION 4.O SUBSURFACE CONDITIONS 5. O ANALYTICAL CHEI'{ISTRY PROCEDURES 6. o ANALYTICAL cHEvIISTRv TEST RESULTS 7.O DISCUSSION AND CONCLUSIONS Figure 1 Vicinity MaP nliure Z Site plan and Boring Location Diagram PAGE 1 2 2 3 * 4 5 Appendix A Appendix B Appendix C Appendix D Soil Boring Logs Cha in-of -CustodY Records QA/QC Procedures LaboratorY RePorts ,g 1 tt Coca-CoIa Enterprises 9fest Job No. 2L78J466 9fe have appreciated this opportunity to be of service to-you in this subsurface soil investigation. If you have any questions concerning this report, Please call us at (6021 437-3737 ' S incerely, WESTERN TECHNOLOGIES INC. d"9J Jerry 9faldner Staff Hydrogeologist Environmentat Engineering Services ,ftrr,-r6"-foty Steven M. MYers, R.G Senior Hydrogeologist Environmintal Engineering Services I\J /dL Attachments Copies to: Addressee (3) 2s t Coca-Cola Enterpri ses Itest Job No. 2178J466 Z.O SITE DESCRIPTION The project site is located in Lot 5, subdivision of Lot 3t' Harford and chapman subdivision, in Township 31 Souttr, Range L2 East of the MountDiabloBaseandMeridian(Figure1).AtthetimeofWTI,s investigation,thesite,wasarecentlycultivatedfieldofwheat. surface drainage of the site is relatively flat and appeared to be to the northeast. 3.0 SUBSURFACE EXPLORATION A total of eight borings were drilled at the site to dePths of 16'5- feet to 26.S-feet with a Mobile B-53 truck-mounted drilling rig using 6 and 8-inch hollow stem augers. Boring lOcations are 'shown on Figure 2. No borings we:ne situated north or west of Boring Number 8 due to inaccessibility as a result of inclement weather during our exploration. Geologic Iogs were maintained for each boring in general accordance with ASTM Method D-2487. Boring logs are presented in APPendix A' Beginning at a 1o-foot depth, representative subsurface soil samples were collected using a California modified 2-inch split spoon sampler in general accordance with ASTM Method D-1586 ' The sampler was driven a distance of 1g inches at the specified sanpling interval' soil samples were collected in brass sample tubes and capped with air-tight end caps. water samples were obtained by using a decontaminated tefton bailer and placed in 4o-ml voA vials and 1-gallon jars. All containers were air-tight and equipped with teflon sealed lids. -2- @ .1 Coca-CoIa EnterPrises Job No. ZL7AJ466 Wcs t To prevent potential cross-contamination of samples' Lhe spIiL-spoon sampler and bai Ier were decontaminated between samples by washing in Alconoxdetergentandrinsingindeionizedwater.Allsoilandwater sampleswereplacedonicefortransportationtogJTl,sanalytical laboratorY.Chain-of-custodyrecordsweremaintainedandaccompanied the lransfer of samples from lhe field geologist to laboratory personnel.Chain-of-custodyrecordsarepresentedinAppendixB. Duringthesubsurfaceexploration,S[attemptwasmadetodetect volati le organic compounds (vocs ) in the soil using an HI{LI Model PI 101 portable photoionization detector wiLh an LL'7 eV probe sensitive tovocs.Becausethismethodissuitedonlytogrossdetectionof VOCs, it is not a substitute for laboratory analysis. HNU readings were taken at each sample interval in all of the borings' No VOCs concentrationswereencounteredabovebackgrounddetectionlevels using the HMJ. Based on visual observations of the split-spoon samples,t|reredidnotaPpeartobecrudeoilcontaminationinanyof theboringlocations.HNUresultsarepresentedoneachoflhe boring logs in APPendix A' 4. O SUBSURFACE CONDITIONS The project site is located approximately 4 miles east of the Pacific coast in a fairly broad valley. Field observations and boring logs suggestafluvialdeposition.Thesedimentsencounteredinthe boringsconsistofinterbeddedclays,siltyclays,sandyclays, sands, and gravels. Boring logs are presented in Appendix A' A high energy envirorufient is inferred from the observations of gravels and cobbles interbedded with clay. The valley is filled with alluvial sediments with multiple abandoned stream deposits found in the clay matrix.Ttrestreamdepositsrangeinthicknessfrom(l-inchto several feet thick of gravelly sand and silty sand' A cross-section plotoftheboringlogsindicateirregularclaydeposits. -3-,A.a Coca-Cola EnterPrises Job No. 2I78J466 West Groundwater eras encountered in Borings B-1 through B-{ and B-7 at depths of 14.5 to 16-feer below ground surface and in Borings B-5, 8-6, and B-g at 2S-feet below ground surface. Groundwater levels in Borings B-5, 8-6 and B-8 rose in lhe borehole to 1s-feet below ground surface when the augers were removed. AII groundwater measurements were performed with a steel tape Lo the nearest tenth of a foot. gfater level measurements are presenled in the boring logs in Appendix A. 5 . o ANALYTICAL CHEI"{ISTRY PROCEDURES The soil samples were collected and analyzed in general accordance with U.S. Environmental Protection Agency Document S9t-846, "Test Methods for Evaluating Solid 9laste". Soil samples were analyzed for total petroleum hydrocarbons (TPHC; using EPA Method 418.1 (modif ied). gfater samples were analyzed for TPHC using EPA Method 8015 (modified) and for benzele, toluene, ethylbenzene and xylene (BTEX) using EPA Method 8020. Also, a water sample from Boring B'2 was analyzed for primary and secondary drinking water standards. WTI followed established analytical quality assurance/quality control (QA/QC) procedures. A copy of these procedures are presented in Appendix C. 6. O AIIALYTICAL CHB"IISTRY TEST RESULTS No total petroleum hydrocarbons (TPHC) or aromatic volatile organic compounds (BTEX) concentrations above analytical detection limits were found in the analyzed soil or groundwater samples with the exception of Boring 1 at the 15-foot depth (8-1-15). Sample 8-1-15 contained a TPHC concentration of 17 ppm. It is WTI's opinion that this TpHc.value was due to cross-contamination of the split-spoon sampler and does not represent subsurface contamination. Analytical laboratory reports are presented in Appendix D. -4-'A'. ata I tlCoca-CoIa EnterPrises Job No. 2L7AJ|66 l.le s t Analysis of a groundwater sample collected from beneath the site accordingtoprimaryandsecondarysafedrinkingwaterstandards indicatedachromiumcontentabovecurrentEPAmaximumcontaminant levels (MCLS). Bas6d on the fact that nulnerous domestic welIs are Iocated in the area, it is wTI,s opinion that excess chromium concentrations may be avoided through construction of deeper weIls and proper develoPmenC' 7.O DISCUSSION AND CONCLUSIONS Basedonthelimitedsubsurface.explorationandanalyticaltesting conducted by glestern Technologies Inc., there does not apPear to be TPHC or BTEX contamination exceeding soil action levels established by the San Luis Obispo County Health Agency' Division of Environmental Health at the locations sampled' Previous subsurface soil investigations by Pacific Geosciences and Brown and caldwell indicate possible Petroleum hydrocarbon concentrations above county action levels along the north boundary of the project site nearly parallel with Tank Farm Road' In WTI,s opinion, an adeguate domestic/industrial well can be completed on-site which will meet- aIl primary and secondary drinking water standards. wTI recommends that all well driIling, construction, development and testing be conducted under the supervision of a qualified groundwater consulttll' -5- @ t Coca-Cola EnterPrises'West San Luis ObisPo' California Vicinity Map Figure 1 @ IYIAP OF sA!{ tuti oBIsPo a uar,. Lrll o c ) PROJECT LOCATION i- I , a ;.1.J t ( a w. SHoIEFO. P.E WESTENN lllc. Thc PtopleArdl$l'lrN(WR I JOB NO.2178J466 (A NOT TO SCALE w. sr'ton€Fo. PE tllc MA)(WFLL Coc?-Cola EnterPrises-West San Luis OblsPo, California Site Plan & Boring Location Diagram Figure 2 TANK FARM ROAD Whost Fleld Proporty Llne r.'F C' 1.' rt! C'r.' or| €tro Pol.loct 32il' SIIBUREAN NOAD APPROX.SCALE OBORING LOCATIONS O PROPOSED BORING JOB NO. 2178J466 I 00' L CATIONS a 1'=150' I LOG OF BORING NO. B-I Prolect nn..r-Crrle San Lul-s Ob{spo Pronertv lob No ll7AtL (t Elevatron Not determined Datum NoF :nnl {cnhlp TvperSrze Bonng 6rr HqA Rig Type Vnh{'l R-i? Croundwater Condrtlons Crnrrnir.ratot anr6rri t ctaA t lA-5 Fpcr Date L2/14/88 1, 8lows, Foot c N.,R z c 9I3 :6)4 -. rOa\ !U>=25 U Descrrptlon SAI{DY CLAY; trace gravel, black, sEiff, some organics, htgh plasticity, daup CH grave t to st , solDe organlcs, Bedlun plasticlEy, moist less gravel I t-l) I I i iItol- I I I I very Eoist soEe inEerbedded gravel, brown SM GRAVELLY SAI:ID; with silt, brown, roediurn dense, Boring tenninated at 16.5 feet -1 9 N <5 :1 ) 20 25 -t I it_ : I : i I I Il- Itlo a i I . LOG OF BORING NO. B-2 prolest Coca-Cola San Luis obispo Propertv JobNo Elevatron Not determined g"1u- Not appllcable Tvper Size Borrng 6"HSA Rig Type Mobll B-53 CroundwaterConditions Groundwater encountErFd at l5'O f eet D","t2lr6l88 2178J466 lJ : :J ac Elowsr Foot NiR c gJ J6 6o s !0>:25 U Descrrptron CH SAIIDY CLAY; Erace gravel, black, organics, sEiff, hi lasticit sand,ac , some organics,ruq i CL dense, damp SANDY CLAY; some gravel, black, medium plasticity, ooisE i I I i IJ I I Ilro I brown, very moist nottled brown, olive, EtaY SAIIDY GRAVET.; crace silt, brown, mediuu dense, moisc sacuraEed Boring terminaEed at 20 feec 23 <5 GP 1 5 r8 '-N.l 5 -l I I .t5 ; I I I GRAVELLY SAI{D; with siLt, brown, medium dense, saturaEed sl! l0 l 2 Elevatron \nl'.lel-er.nlned Tvpez Srze Boring 6tr I{SA C roundwater Conditrons G ter encouncered a q'J 3J ,Y :6 n U s Q= !lJ3z 0, :J .!VI I t-i) ! I I IF- Ii20 8lows, Foot NrR 13 CH I CL I l0 5 l4 N 5 I I I t_ i 15 I 25 I I 30t A LOG OF BORING NO.B-3 Prolq(1 co.a-Col a San I u{ s Oh{ spo Property Job No ?17 .r466 Datum N6F 2n Itcehle Rrg Type Mnh{ 1 q? eet Date t2ltLlA8 Descrrptron SAI{DY CLAY; trace gravel, black, sone organics,' scif fhigh plasticiry, damg SAIIDY CLAY; sooe gravel, brown, sEiff , Eediunplasticicy, danp trace gravel, black, very stiff, organics, molst, Eottled browrr, gtay, olive, black nediuu Eo high plasticity solBe avel black or satura e Boring Eer:oinated at 16.5 feet Il I I I I I 1 I J I I-1 I1 ; LOG OF BORING NO.B-a la San Luis Obls Propercy Job No I 178J466 Proiect Coc Elevatton Not determ{ned ' Datum Nnl' rnn'l { c hlo Typez Size Bonng 6rr llsA Rig TYPe Mnh{ 1 R-q1 Crou ndwater Conditrons Gror rnrkrrfer e orrntered t 15 feet Date 12/LLl8 Yd lo ! c Nr'R t € 3 I3 8lows, Foot .c9\ € 1,'>8 U =Descrrptron SANDY CLAY; Erace gravel, brown' sEiff, damp' oediun plasticltY CLAYEY GMVEL; with sand, brown, oedium dense, dn-p CL GC i t I ! I ) -i I II I N <5 N <5 CL SMi SAI{DY CLAY; Erace gravel' black, sciff' organics' Eoist, medluro to high PlasticitY dark brown SILTY S ; some gravel, brown' mediuE dense, Boring teruinaEed at 16.5 feer 9 20 Il2s J i I J I I I-1 I I I I-t I II iI I i1 i 1 30 .2\- 'rv\r,-<)' J ,.'r I Lu -r ':) I r.\t\ - -'<v t'. : t LOG OF BORIN c No. B-,5 J:;C ra' I r Prolect .t:; ; 'Job No 7 l7n r/.A Elevatron Not deterrnined Datum Nnr aonl{nrh1a Rig Typg vohi 1a B-53 Dale L2/14/88Croundwater Conditions Groundwater eneountered at 25 fecr L7 Tvper Srze Borrng 6fr Hqa I Descrrptron CL SANDY CLAY; trace gravel, brown, sciff, slighrly aanpJ oedi,m plasrlcity I some gravel black organics, rooist, mediuu to high plastlcity rk brown, very stlff rown CH SILTY CLAY; sorne sand, brorn, very stlff , rnoist, highlasticity I SC PLAYEY SAND; tan, mediua dense, saturared I I ! I I I I i : i I I I I ) -l II I 10 5N I. 15 lt N 5 '20 I ! I ; I I It- I I I I 2 C 1, t ! s != ('t,3zoU 8lows, Foot NrR i q=Xl! l6 o t6 iN ring teminated aE 26.5 feet ,o^ . LOG OF BORING'*O. U:6 prolecg Coca-Cola San Luis Obispo Propercv lob No Elevatton Not deteruined Oatum Not applicable Tvper Size Boring 6''HSA Rig rvpe Yobil B-53 C roundwater Conditions G e te ,,Date r? l15l RR 1 t 78J466 e :'i € )a -o0\ {1,>= t,a ! N CH CL Blows, Foot R Descrrptron SAI{DY CLAY; trace gravel' black' very stiff, organlcs slightly damp, hlgh PlastlcitY SAIIDY CLAY; trace gravel, dark brown, sciff, slightly i damp, medir:m PlasticicY I I I I n ! I I i I i i I I ' i I I I F CH SANDY CLAY; sone gravel, black' very sEiff, organics damp, high PlasticirY trace gravel brown, moist Sll.fl CT.AY; some sand, moist' very sciff ' high o lasticitY6oEEiad b?own, Bra;y, olive ,l1 I I ! Il1s 23 20 <s (s { I IJ I I-1 I -j -.1 i -1 I IJ I ! -1 I.:j I! ii KN SA}TDY CI.AY brown, very stiff' saEurated, qedium Eo lor r8 5 CL Boring t,erminaEed at 26.5 feet a I I I I I i II I I 1 Loc oF BoRTNG No. B-,7 prolect Coca-Cola San Luis Obispo Propercv JobNo Elevatron llot determined Datum Nnt annl {er lc Typez Srze Bonng 4, ll tic a Rig Type Vnh{I e R-S1 Croundwater Condrtions Groundwater encountered a feet .,t 78.ra (t Date t2 t5/88 1, :, 'Jtc 8lows, Foot N/R L4 = c _s6)a .o -oo\ €(u3E U Descrrptron CL SAIIDY CLAY; trace gravel, black, srlff, organics, n9{igu_ co htgh plasricicysllghtly danp with gravel Erace gravel sttff to very srtff I !1 I J I -{ II I i I !I .j I I ! ) : I i I I - It10 I I I IL_ I : ! I I' 15 (s J .-t i I-t I ! 7 !' N (si:i SM iSILfi SA-I\D; t,race gravel, brown, loose co medium Boring tenotnated at 16.5 feec Ill Ilj I-li I- i l I 1 I I I Ii20 I r25 I I I I l0 .2\.- LOG OF BORTNG NO. B-8 la San Lu obisoo Prop ertv lob No 2 178J456ProtectCoc Elevatron Noc determlned , Tvpez Size Bonng 6" HsA Datum \at rnnl { aalrl o Rig Type Mnh{ 1 n-q? Croundwater Condltlon s t er encounteredGr t 25 feet Date [2/t5l88 - I i I c .9 E3 =*o 1J 3 I I I Ii5 I I I I I i Descnptron SAI{DY CLAY; black, organics, stiff, medium plasclcity slightly daEp soEe gravel, brown trace gravel very stiff SILTY Sfu\D: t,race gravel' brown, loose co nediuo dense, moist SILfl CLAY; some sand, brown, very sEiff' high plasticicy, uoist SAI.ID; brown, uedluo plastlclty, saturated I - It 10 [5 ijs .l I -{ I a ! 30 -iI I .,| I i L t_ I s ia 3E U 1' t (l tllows, Foot NrRc N CL (s SU <'s i_ji* Ig CB I L2 i*1.'scI 30 Borlng tenoinaE,ed at 26.5 feet .7^'\ z- CHAIN OF CUSTODY RECORD\\:\trr)\\\>\\ \\\zi9OEr<0dqotrqz<uJOSlGN rtfortcErvtD IYtoaoXxs MftE MEttloD|5(>()r)lrsb6II2-Irl,osc,ZHJt2?83Yat .t,t tt tl5grt,sa,t'u,pll1y.f.,,losAIlPtE LOCAnONtoaada-tuTITITItS<a Lu:sPROFCT r,AMt,o - Lr/attl.IlrltaIlrrlTE-5-- lo. J''lDB.B-SAMPI.EIOENNTrcAIIONSA}'{PTER5:(srGr{AruRE},t..,4,Itf.,lo8 No.gtVSx'lbbwEnEnilTlclllloloolE3rNc3737 EastBroadwaY RoadP.O. Box 21387Phoenix, fuizona 85036602437-3717rfM rIS(PHYSICA APPEARAT{CE, etc'}$,hlt}-T.r!| lrlo.rsY;Yell*{lrld5!np&.6 Flat-O.Furrn d rob flL vCHAIN OT CUSTODY RECORDlI{ rxs(PHYSICAL APPEAIIAI',ICE, dc.)rx^rxsNWETTERXTECHflOt OOTE!tltG3737 Ear;t Broadway RoadP.O. Box 21387Phoenix, Arizona 85036602-437-3737?s,>u\\4lt t(n,nq tt.t(t'vrro 9?,)\Qs< f.e r...r\a(ec \.-'g€-EN\Sltr3'6bt}\\31Pr?rt{Fi]* c.a'rr,<.}/,z&9or:3potr6,<&J6TTCErvtD !Y SrcNATLNOItcElvff) rY grcNArLnOc1 tt. t (,t"t IIlrvtfTl /tfrt tlLDAltOAIE,ni,(gr 1--J- La, L^..'.<,1k il,'u/rrb,lu))nl rt ca5n96,3 (r.')1fut "t" ' 4^.^ ^,,Or-'\.,\Ltr.lcn 9.I0u,ila.i.h, JJ ( t"' c"'^c-r { |t'r!1(Cr. .t^.[-Ct -: bu,**(' r-l silk "hr.a..z-- .lt?l (t"t),!;11t I ( tttot)Cc SJ Ct,,^,: bna,,rn;oshq4 \ leoaI r's.-e(rL^J.t-/-ttfluoclIUrtI\"/,'T,IID.QUTSHEO rY grcNArUtOffUNQUEHcO rY grcN^runos lrttc METHoDt?l\l^JItL:EHf?8CLr[GI\fiD FOT TABOTATORY TY3^ry{,\\,S!_R€CTI\trD IY FIGNAIUROffCtlWO IY oIGNAIUROlo'ta-tl)ll t{,, ?5,1l l.It rt ,r +5lJ€ zu S.llrrru- i f,^LNt.z Df'B.'.}-616 lo'IS,.frrrr2Stlt ? rr 19'l)al1SAlvlPtE ttrAnOlll0It00gTl {tTI,\,ICI$,ftfrDAIEP/takDAIEOAIflo00t00($ll40t3TIMT08oooS loo E30085f08550ito0qto011{,)I,)Qrr.. .(o[^ !* Lr,s 0b,rpo,PROFCT NAMEC^nJt f)/,,tIIt)/rfvl rti/r{plt{JDAIElqstvlt{I z/,fpfui14 'rrltuQusHfD lY grcN IURfltFj}euEHto rY E|GNATURq6'n'b'B 4 'ttB -X'-t<i4-8 -tu,^rct'vJ,il il*^R - z r),,.6.,trtlrNoursHto rY SlcN TUTOYryN{,n,B- 1- ,sI 1195 troL,o8 NO.SAA{PLERS:tsrcr.lrruntt /t^ fq-rr* /DJJ*-s^rwttrofintEATloNR-(r-10A-6 'lr3-e-zgB.-t - ro!dB ' l'(w"VrtluTerhj trboecy; Yrlbr{trHFtnlr-Orprytasr loS tlb QUAIITY ASSURAITCE PROCEDURES ,2.3 QUALI TY ASSURANCE PR€EDURES Oua!icy Control Progran 'io assure Cne hignest qual i Ey analyti.cal services, Wes tern TecnnoIogies Inc. adlteres to a cooPrehensive quali,ty control program which has been approved by t,he Arizona Departnent of HeaIch Services and has been presented to ehe U.S. Environmencal Procecr,ion Agency (Region IX). The basic eleoencs of tne qualiEy conE,roI progran are suntrarized in Exhibi e I. iiestern sampl es conEroI Technologies Inc. wiII also analyze duplicate and blind as provided or requesEed, in addition Eo roucine quatiey procedure:r. clienc shall, documenc the cttain of Cuscody receiver or Phococopies should be retained by chc client. t.he shipper shall The i'lesEern Tecnnologies Chenistry Laborat,ory also Bal(es part in exBernal quality conerol progratrl. Wetcern Technologies Inc. currenEly receives neBals, nuBriencsr p€sticide and herbici,de perforrnance checx sanples froo che Arizona Departncnc of tlealt,h Servrces, and receives volatile organics, purgeable organics, PCB, and pescicide perforoance checl< sanplea fron th€ Environnent,al Procect,on Agency. Chain of Cuscody Procedures wescern Technologies Inc. will provide a supply of tJ}taj,n of Cuscody Forns (Exhibi.e II) and data report forns (Erhibit, III). Chain of Custody procedure is outlined below. I Upon colleccion or receipt of sample, appropriat,e requested infornation on Eorm, including the signat,ure of Ene collec tor . A 2 3 .+ Upon shipping sanples to the laboratotfr sign off on Ehe Chain of Custody foru. Upon receipt of Ehe sanple at che l{estern laborat,ory, each receiver shall docunent Chain of Cuscody forn. Technologies Inc. receipe on the ?z 6 5 7 8. upon rece ipe a t tne gles cern . Tecnnorog i es r nc. rabora tat! tr,he sarnpre sharr be logged into a speciar sanpre tog-tesignaced fcr cllgnr sanples. The chain of cusrodi €ormsnall renain on file. rf recurn of cne sampres is requested, cne shipoene cf thesamples sharr .be docuuented on Ene c'lrain of cuicody forn.The forn snarr og. photocopiedr ood a copy reBurned wirh thesanples to Cne client. Upon receipt, of ret,urned sauplesr the receiver shaltdocument recaipc on che chain of custody forn. The formshall ehen be maint,ained on file. rf the sample is not returned, Hest,ern Technorogies rnc.personner wirr discard rhe sanple 30 days after Ehe reporrhas been released. The discard dace and person discardingthe sanpre shalr be noced on the chain of cuscody fornprior to pracing the foru in the western Technor6gies rnc.Pernanent file. Reporting The daca reporc foru presented in Exhibic rrr shall be used bywest'ern Technologies Inc. Agpropriaee units of Beasurenent andorher satrpte inf,ornat,ion wilr bc included on the typed reporE.copies of the final report and related docuuents siiff be nailedCo t,ne cliene as requested. vlestern Tecnnologies Inc. shall nodify reporc forns as requestedby the client to be3t serve Bheir needs. t^ - EXB I 8I TS ,g Exnibi c I ides cern Tecnnolog i es Inc . CHEMISTRY LAAORA'TORT QUAI.ITY ASSURANCE POLICIgS A. Progran Overview I Specificaeions of responsiblities, including eC duices areouclined €or ,alI Iaboratory personnel. Oucline of sampling technigues, preservacives (when necessary) and appropriaee containers for che desirecl analysesr dod outline of ene chain of cuscody prococol. Malntenance of an up Co date nanual of approved analytical nechods (st,andard l{ecnods, EPA, Asr}t} and quarity assurancep9licies @laboratory. 2 3 4 Means of assessing data for coupleteness and feedback and review).accuracy (data 5 ltaincenance of a preventative naintenance progran on alIIaboratory equipaenE. B. Laboratory records: I.Records containing aIl relevant and kept for a specified period Legible workbooks or worksheets work and calculagions. easily accessibledata areof t,ine. 2 3 Logbooks co identify sanple, collector, cine of colleccion and analysis, and the analysc are naintained. are naintained to recheck 4 Records are kept of all graphs and cnarts. C. General policier for cheoi!rCry neEhodss I. Hritten approved procedures for all analyses are enployed. Reagent,, calibracion st,andard, and conerol araEion are docuaented. solution prep-2 tz l operacional procedures for equiPnenB used, including sPe- ci.fic set, uP Ecr Part'icular analyses (i'e" wavelengttt' sIit, widtn, lamp LIet"nt, cllromatograpnic column, detecCor, Bemperatu!€3 r rpeci f ic gases, f low rate9, voIt,ages, ecc. ) are documenced. calculacion of resu!ts ( i.e., adjustnent for dilution or concenEratron, significant, figures, ProPer uniEs included i.n data and regults, etc. ) are verif ied. LiniCs of ,cleCecCion are idenCified for eacn Paramecer' r,JriCt,en gualit.y assurance policies are maint'ained and fol- lowecl co include tne f ollowing: a. b. Cross-clreck arithnetic calculat'ions. Analysis checks: (I) A sCandarci reagenc curve conposed of a nininun of a reagent/method blank and Chree calibraCion scan- dards covering cne concentracion range of Ene sam- ples is PrePared. lZ) iOf of atl sanptes are analyzed !o. spike recovery. itl IOt of atl s.rftes are analyzed in duplicace (Per- cent difference I precision in nethod). (4) Replicace deeerninltions on a standardr cOotrol or saiple are perforned throughout the run (percene difference ?ro" first detei'ination = Precision in' the run) . (5) In general, in the event that, a Particular run is "oui, of control", i.e., the spike or duplicace value is outside cne specified linitE for each Paranecer, the known cont,rol standard is re-run. if Ehis value is outtide specified lioits, a new calibralioncurveisobtainedbyrenakingscan- dards and/or recalibrating Bhe j.nstruDenc and again anaiyzing the control standard. specific inscructiois aie detailed in each soP (seandard o1>eracing Procedure) available for every ParaneEer anaIYzed. 4 5 6 D. Organic chenistrY: In addit,ion to t,he aPPIicable quali ty assurance under general cheni,scry meEnodsr Eh€ following policies given appry: A - t. Retention tines tor each organic componenC neasured (spec- i f y columns r rlas€9, f low rates, cemPeracuret and deteccorused) are recorded. 2. An appropriat,e internal standard where posnible is used ccnonitor ehe chromatograPnic syscen. External scandards arelsed for quantitation purposes. E. Prevencacive maintenance prograns Log and/or docunent,acion is kept for che following: I. Calibracion checks on analytical balances with Ctass Sreight,s. 2. Voluaetric checks on pipets (parcicularly nicropipers). 3. Thernomecer verificat,ion against NBS standard. 4. Log of gas cylinder changes. 5. tog of filcer and nolecular sieve changes on gas lines. 6. Record of service contracts on equipnent,. 7. Record of routine checks nade on equipnent on a daily,weeklyr moochlyr euittt€rly, seai-annual and annual basis. t,te ehods ( EpA-600 / 4-8o-o32, 133p ) a - I lA.. . oF - -s IC- . Rl_--Jll)I'XIIIBIT IIHt MAtrh5ll'll\"1( nl nl'l'l nl(nNl I llr t|lA l| l t^tllr^lt lr^ttRl I ll{lt,l\tll lrllr r\ll,NAllrt{l Ixl I lNrI tl\t ll l ,l]t l\tr .NA I t rxt ItrAlt, ilMl6f;&,2lll -o<tii3Itl.l tvt l|llr t\l..NAllrxl ,ril iivr lrrr r\l,iriii,iir i-Hl r I rvl il r ilr{ l Ail. tHA ll't{t lnt\tt.NAlill{l ,sAMPll- l.oc^iloNtoBuctoulr^ll.lrMltrAll ,ll^rltrAll.llAtllI IMLl,H(rlt.( I NAMLDAIIl{l I tr{.l{rt\||t l,|tr t\tt,NAltrxt Ir(l I lNlrlrt\lll lllll t\lt.NAltrl{l Il{t I rxll'l\lll Irlll t\tr:N lttl{l Il([r N(lSAMIII I RS:t\lr ,Nn I t tlal I5AMlrllIDLNI.I AtrIt)NUEgfERil t/ 17 I .tr ttruerJwey g,etrTECIIFIOOI.jI t' o tlor ,n 167nC. l'lxx.ntr. Arrrrxrr 0l{lltrl{l I I t\l l}trt t\il.NAllrxl ,l(l I I l\ | lrllt t\lr.r.Altrxl ,ill At^lah\ E.\HIBIT III LAIOiATOiY Rt'OiTt Clicnt Prolect Locatron Materralr Spccrmen Source fest Procedure r'esr-rIts ar'e lob No. Lab./lnvorce No Oate of Report Revrewed 8y Sampled By Submrttcd 8y Authonzed BV Oatc Datc Oata =arrto I e3 F.ert reee I vecl f ctrat t ached. iEtULTI ane I yr I t. Tht ana I yt l s rrlcth,:.ct s anct SAMtrLE I.IUI4FER CLIE}JT TDENTIFICA TON F.ARNFIETER RESULT./UN I TS E;'A ME THTJLT AT,'NL'i S I3 €;:.A mETHUD r"r-l'RESULT/UN I TS 'zN WI'TIFI TE}Tpl.oOE}rF. i:L-[eNT tioca-Co Ia Enterpri ses ALtn: i4att Fenoe l3J4 South Central Ave' i,os Anqeles, CA 'ioo21 37]7 Ea* Broadway Road P.O. Box 21367 Phocnrx, Arrzona 85O36 (ffi21437-3737 LAIORATOiY REPORT SAMPLE NO. : INVOICE NO.: trATE : REVIE9,JED BY: ?AGE : dts2111b zL78W46b-r L Z-27 -6aAefioF I .-LiENT :Al'iPLE le TAMPLE TYPC JAMPLE JUT-JRCE SAMPLED A'T JL'BMTT:ED B{ riC- L- L J ::" tdTIr S., Myers WTIzi. MYers AUTHORIZED BY: CCEzM. Fenoe CLIENT P.O. : -- SNV|PLE DATE .: L2-1-4-d8 SUBMITTED ON : L2'15-58 L7.mg/Kg R,UMARKs :4ETHOD: EPA Method 418.1 Modif ied OATE Of ANALYSi5: December t6, 1'9.88 ANALYST: J. Hrubant t t , t r r I i , , , , I t I i I * t t I I i t I * r * I * i I t * i t t t * t t t t I I t I t i t * * t * * t t t t I t t I t t I * t t t * t I DATA TABLE * ,l'httlt,',.,t.',-l.rlttiitfilr,tt***tlil*llt*tt*l-*tttt*ttltlt*ttttl*ttt*lt PARAMETER I [- RESULT -] [- uNrr -] Toea r Petro i eum i{Ydrocarbons t ! r Ctrpy tc Cl r eng a lrtttnilrrciloroollilc. CLIENT r--oca-Cola Enterprises ALtn: Matt Fenoe r334 South Central Ave. sos Anqeles, CA Yo021 1737 East Broadway Road P O. Box 21387 Phoenrr, Arizone 85O36 (fn,21437-3737 LATORATORY REPORT SAI'IPLE NO. : IIVVOICE NO. : DATE : REVTEWED EY:PAGE : 8821117 2178tr46b- i L2-27-88 dK{10F t -L.lErtiei-:r!IPLE SAMPLi :AI"iPLE fYt-c. SOURCE : D- 2-L5 : Soi I : --: ?fTLlS. : l{TLlS. L)AUTHORIZED CLIENT P. () bY: tlCE,zM. Fenoe SAMPLED B/ SUBMI?TED 8Y REMARKS METHUD:EPA Method 418.1 Modified DATE OF ANALYST: ANALYSI5: December 16, 1988 J. Hrubant rtttrt*t**t***rrtlii*ttirtit*llitttt*ti*ttit*ititrit*t-tit***tt*tflttt*i* r DATA. TABLE I Itrrrt*t*rrt*r.ttttr*t*itr**rttt*tt**lii***ttili-****tt*l*lt**l*t*itlAttl ?ARAMETER .--.----] t- RESULT -] I- UNIT -J 'foLa I Pegro reum Hydrocarbons <r0.mg/Kg Myers Myers SAMPLE DATE .: SUBMITTED ON : t2-1*-ad 1 2-15-88 (1, Copy io Clrent .72 rrcrlilol('o-s '-LiENT Coca-Co la EnterPrises ;Lrn: Matt Fenoe ri34 South Central Ave. Los Angeles, CA 90021 SAMPLE NO. : d821113 ;NVO.ICE NO. : 2L7a'r146b- IDATE : 12- 27jc5 R,EVIEWED BY t ft.K A K1PAGE , b1. oF I LAEORATORY REIORT : L2-14-88 z L2-i5-bB wurrEnil ilc. 3737 East Eroacjway Road P.O. Box 21387 Phocnrx. Arrzona 85036 (@21437-3737 CL.:dNT SAMPLE i'.1 : JAMPLA TYPE .....: S.uYP;E -.'-TURCE ...: SAMPLEIJ tsY ......: S:itsMrrr:o bt ....: 6-2 lWacer I Water $.JTLI5, Myers iiTizS. Myers AU?HORIZED BY: CCE/M. Fenoe IILIENT P. O. : -- SAMPLE E,ATE SUBMITTED ON F.CMARKS d02u B, T,;< \ EB !AfE' OF ANAL'/SI5: December 19, 19bB ArrlALY5T : Mr ice Eng I i sh *rttri*rrrt*rirtti.iitt**i*it*ittt*ititttttt*tllttllill*t**tllt*t*lltt**t r DATA TABLE , r.rrr***rrirrt.rti**t*t*,rrt**t**ir*ritttt*ttl*tttll*l*iltl*t*ltktt*ltliltlt i ------- PARAMETER 1 t- RESIJLT -i [- UNrr -] Benzene ;.ca'y I Benzene (0.2 (0.2 <0.2 (1.C sg/ L vg/ L \tg/L ug/Lio luene r.y r ene: r t r Lopy Lo Client a W-:UTEEi| TEC]fiOrJoOElilc. !-r : D-4 I Water l .:.:9Jater : tJTI/S. Myers: WTI /5.' Myer= )t )l la'a ua gouwcY ,\vos P O. Box 21387 Phocnrx, Arrzona 85036 (@21437-3737 LATORATORY REPORT .LiENf ioca-CoIa EnterprisesAttn: Matt FenoeiJJ+ South Cent,rar At/e. L,)s AngeIes, CA 9OOZf SAMPIE NO. : INVOICE NO.: f,A E : A.EVIEWED ZY:PAGE : d82111o 2L76144oo- i Lz-27-88 FT/ :.oF I .-LiENT s;uVPLE setvlPLE T'/PE JA}4PLE JOURCE JAMPLED BY : IJBMITTEtt B I AUTHOR IZEC CLIENT P -.) br: CCEztl. ienoe SAMPLE DATE .: SUBMITTED ON : 1 2- r +-a8 ld-15-ao l+ETYAkKS IJATE OF ANALYSIS: DECEMbCT 19, 1988 i rr r I r l * , * R * I t t t* ^ tt*t t rt il I tt * r It t I I r i if lt* tt**t* l* r* rt t i* t rl itt tt tti r x D ATA TABLE * ,r* f,riiit*ttrtttatriil**rrrt*tt*i***rttt*ttl*t*ll**lril*li***lt*t*tttlil t iocar Pecroleum tMociiiied dO15) PARAMETER -------- 1 Fuer Hydrocarbons . .: t- RESULT -] (1.0 t- UNIT -] mg/L (:l .-'ogy to Ctrent a e wltTEntl Ttclllol.ooEEllc, L)I a-r-15 : ior I : --: WTl,zS . : i'liIzS. 3737 East Eroadway Road P O. Bor 21387 Phocnrx. Arrzona 85036 (ff,21437-3737 LATORATORY REPORT -igNT Coca-CoIa EnterPrises Attn: Matt Fenoe l:s4 South Central' Ave. i-os Angeles, CA 9002i SAMPLE NO. 2 INVOICE NO. : DATE : REVIEWED BY:FAGE : 882i:.19 217ght+66-L L2-27-48 QA{lriFI ,:IENT JAMPLi :. MPLE TYPE i MPLE >OUR,jE : AJ'{PLED BY :; dM-lT'.'iD dY AUTHORIZED BY: CCE/M. Fenoe CLIENT P.O. : -- Myers Myers SAMPLE DATE SIJBMITTED ON (10 12-r4-88 r2-15-d8 mg /Kg :,c.rYARKS MET!{OD: EPA Method rt18.1 Modif ied JATE uF ANALYSIS: Decemoer 16, 1988 ANALYST: J. Hrubant irtrrrtrttttrrtr**trtt**itttitttrllr*tlttllt**titt*lttl*'k*lttt*titttttlt . I)ATA TABLE t r * I I r i t I t* t * I t.t tt i i t t t t * t * i * t**t tt tlt r* il* t* tlt t I l** * ll * * t t*t tl tl tt t i l* PAR,AMETER ] t- RESULT -] [- UNIT -] Totar PetrrJleum Hydrocarbons I i r Ccpy co ui ienr A'- wlgTEnilffi ftrc. -IENT Coca-CoIa Enterprises -qLrn: i4act Fenoe i334 South Cent.raI Ave. Los Angeles, CA 90OZt 3737 East Broadwav Road P O. Box 21387 Phocnrr, Arrzona 85036 (&21437-3737 LAIORATORY REFORT SAMPLE NO. INVO.TCE NO DATE REV;EWED PAGE : 882li2O ; 2L78W46d- i z l2-27-Au BY:Qsf: ICF I -iENT iA,"lPLE: PLE T'/PE:-:PLE SOURCE iMPLED BY . MiT?ED BY ii-4- 1 5 5or I $tTrls. WTI,/S. SAI'{PLE DATE SUBMITTED ON L2-L4-88 r2-15-88 LL)AUTHORIZE) CLIENT P.O BY: CCE/M. Fenoe Myers Myers ]MARKS METHOD: EPA Method 418.1 Modified DATE OF ANALYSIS: December i6, 1988 ANALYST: J. Hrubant frti*tr**ititr**ft*tttrtt*ittt*ttrtttlttttt*t*ltrttttitttttil*t**t**l** DATA TABLE T txt*tir*tt*r.r**tt*t*t**ttittrl*tlttt*lrt*t**tllt****itttl*ttltltrtltl** cARAI4ETER l RESULT -l [- uNrT -] ( 10 . mg/Kg:',)ta i Per-ro I eum Hydrocarbons t r I i .cpy tc Cirent 2 wltTEnil tlclfiot.ooESrF. -IHNT Coca-Cola EnLerprises Attn: Matt Fenoe 1"334 South Central Ave. Los AngeIes, CA 90021 3737 ea* BroadwaY Road P.O. 8ox 21387 Phoenrr, Arizona 65035 (ffi21437-3737 L.AIORATORY REPORT SAMPLE NO. iNVOICE NO. DATE REVIEWED EY PAGE 882It2L'2L79Vl+b6-'L L2- 27 -88,1{ 1 -OF I -;l.NT SAMPLE. 1PLE TYPE . '!PLE -q,-)URCE;MPLED bY ,.3MI TTEJ BY iD : B-5-15 ...: SoiI wTI/5. ?v'I'i / 5 . AL'THORiZED CLIENT P.O SAMPLE DATE SUBMITTED ON < 10. BY: CCE/M. Fenoe L2-L 4 -d8 t'z-!5-88 mg/Kg Myers Myers ]MARKS METHOD: EPA Meth,:d 418.1 Modif ieci DATE OF ANALYSIS: December 16, 1988 ANALYST: J. HrUbANt rt**tIri**tt*ttItI*t**iitti*t***tt*tttt*rt*itlttf*t*itit*tttt**I*tIttltt DATA TABLE I A .- * * * * .t I t* i r r* r t* r r* rl* * t** tt* t I t* t t* tt t t l***t* * t r * I t* *t i *i t* * I i r t i tt tt --------1 t- RESULT -l t- UNrr -'otai Petroieum PARA}4ETER Hydrocarbons ( f ) Copy to Cl ient 2z wlrrrnfl lECillOlOO-3rlc. B-5-25 50rl erTI/5. ,lTIl5. 3737 Easl Broadway Road P O. Box 21387 Phocnrr. Anzona 85O36 (&21437-3737 LAIORATOiY REPORT i-iENT Coca-CoIa Enterprises Attn: Matt Fenoe i334 South Central Ave Los Angeles, CA 90021 SAMPLE NO. : INVOICE NO.:DATE : REVIEWED tsY:PAGE : '38ZLLZ?2178W466-r tz- z7 -88 '?(r'10F i -.LICNT SAMPLE :D : ^MPLE TYPE : MFLA iOURCE :AMPLED BY TIJBMI?THD tsY AUTHORIZED CLIENT P.O BY: CCE/M. Fenoe Myers Myers SAMPLE DATE 5UBMITTED ON LZ-L 4-88 LZ-t 5 - a8 :.JMARKS METi{OD: EPA Method 418.1 Modif ied DATE OF ANALYSIj: December 16, L988 ANALYST: J. Hrubant rtr*i*ti***ri*iiitt*ti*ii*i*ttttt*tt*tttl*ttrtt*t*titlltl**ttllittittti* r DA'f A TABL E r * i** tt t I rt* * itt*i tt*r it****tittttt I i**l *tt i****l **tttitt t i* r* t, t t t t r li PARA|4ETER --------l t- RESULT -l [- UNIT -] !oLaI Pelroleum i{ydrocarbons < 10.mg/Kg (11 Copy to CIient A wElTEnil TEclrprooG3 nc. iaNT Coca-Cola Enterprises Artn: Matt Fgnoe iJ34 ioutlr Cenrral Ave Los AngeIes, CA 9002f J717 East Broadway Road P O. Bor 21387 Phoenrx, Arizona 85036 (&2t 437-3737 LATORATORY REPORT SAMPLE NO. : INVOICE NO. :DATE i ;{EVIEWED EY:PAGE : 862L1!3 2L78W46tt-i. L 2-27 -aB F:t(1()F : .:ENT J.{MPLE : 1PLE TYPE . 'IPLE 5.iuii,CU AJ.,iPLED BY.3MITTED BY senzene B-: ( WaLer i Water AUTHORIZED CLIENT P. O EY: CCEiM. i-enoeiIJ WTI /S . w'f I/s.Myers Myers 5AI'IPLE DATE SUBMITTED ON f2-f*-8a f2-15-iJd JMARKS 60z0 B,T ,X & EB trA'I'E OF ANALYciS: December L9, f 988 ANALYS'i: Mi ke Enq i i sh rlttl,ttittrlttlir*ttiti***t*tt*ttttt*tt*t*rt*it*ltrttt*tit*t*trtrrrr*tt UATA TABLE T , t I I * Iii ,t* *t t* t ,t * t Itl ti i** I I I *i*t i* * i tIti* * I rttit I*t* tt.r*t i i r tt I r t rt t t ?ARAMETER ---l t- RESULT -l t- uNrT _r :'r oy I 3enz ene - 'luene .\ / I eneS <0.2(0.2 (0.2 .. 1.0 ug/L ug /L ug/L vq/L ( r ) Copy to Cl ient t^ - e wr'rlnil rEc+rpl.ootEilc. iNT Coca-rlo Ia Enterpri ses Artn: Matt Fenoe fJJ+ :outh Centrai Ave Los Angeles, CA 9Ou2f 1737 East Broadway Road P O. Box 21387 Phocnrx. Anzona 85O36 (@21437-3737 LAIORATORY REPORT SAMPLE NO. : INVOICE NO. ;DATE : REVIE!{ED BY:PAGE : dE2112r zr7awE66-r LZ- 27-u8 trrK 1r)F : : 3-: lWaLefl: iiaLer AUTHORIZED CLIENT P.O SAMPLE DATE SUBMITTED ON BY: (--CEIM. b-enoe 1 2- 1 4-a8 L2-L 5 -uu WTIz'5 . ,i7i/J. Mye:is l4yers ARKS JATE OF. ANALYSIS: DECEMbET 19, T988 riirr.rr*rtrt*trrtttta*trttttltttiiitititttitft****llttll**rl*tllltti* UATA TABLE t -r*r..t.rti*ttttrtittttrit*ttti*llillttltttll**lil**t*ltlllilitttl*llial PARAMETER ] i- RESULT .] t- UNIT -] )ral Petroleun 4odrri.edaU15t F uei HydrocarDons <1.0 mg/ L ( i I coPy to cr tenr A -, @ wltilnil r!€lllOT.oO-S ItlC. )737 East Eroadway Road P O. Bor 21387 Phocnrx, Anrona 85036 (&21437-3737 LAIORATORY REPORT ,-IENT Coca CoIa Enterprises.qrtn: Matt Fenoe t334 S. Central Ave. Los AnqeIes, CA 90021 SA!4PLE NO. : :NVOICE NO.: DATE : R,EVIEWED 5T:PAGE : 8J21139 2r78W4bb L 2- 27 -EA!kfroF l AUTIiORIZED 5Y: CC:,/M. Fenoe CL.IENT P.O. : -- - -i. C.rV I .: qIvtPLE : .FIPLE 5..rMPLED tsY SAJ"jPLE i,;':':YPE.....: STJURCE...: j-b-z 5 5.:il WTI /J. frTt/; . Wa ldner ili i <ine r SAI"IPLE DATE 5UBMITTED ON 12-i5-88 L2-ib-6u:u8t"il'iiED =Y :-il4AitKS METHOD: EPA Methoci 418.1 Modif ied DATE CF ANAr,/S.S: December L7, i98.8 ANALYST: M. Sehnert ttt*ilti*t***tilr**trilrrtt*ittrt**tt*tt*tt**it*ti*iitt**i*trtttitt*ttti , I) ATA TABLE T r- rt rk * itl i I *it t I t t*it* lttlr*rr tt*t** tttr*t** ltttt ttti*****tt t*trtr tt* tr ti r------ PAa,AMETER --------l t- RESULT -1 L- UNIT -l r,)ta r Petro I eum Hydrocarbons <10.mg,/Kg I I r Copy Lo C1 rent ,2 wclTlnil TECfilOI.oOEI rrc. ;:eNT Coca CoIa EnterPrises Atcn: Matt Fenoe ir34 S. Central Ave. l.os AnqeIes, CA 9002f 3737 East BroadwaY Road P.O. Bor 21387 Phocnu, Arizona 85036 (@21437-3737 LABORATORY REPORT SAMPLE NO. : J.NVOI.CE NO.:DATE : REVIEWED BY: FAGE : r82t1*0 2173W4o6 L1 q -2 7-88 F{ i-'ffl< :i.IENT SAMPLE iLI MPLE TYPE ,-MPLE SOURCE JAMPLED BY ;6MIT?ED EY : 3-o ( wacer I : Water : WTL/J. t l4Tl/i. AUTHORIZED CLIENT P.O SAMPLE DATE SUBMITTED ON <0.2(0.2 <0.2(1.0 roF I BY: CCE/M. Fenoe 1 2- 1 5-d8 1 2-ib-88 vg /L uq/L ug/L vg/L 9.jd I dner l.la Idner -IvlAiiKS 8020 B,T,X & EB DAIE OF ANALYSIS: December 19, 1988 ANALYST: Mike English , .k r** r r I r r i.t I * * r * t* t *i *t *t ** t* trr i l*l t ii l**t *t t i:i*i *tlt*l t** ttl I tf t I *li . DATA TABLE I T a. k t I I t i uu rrt I I t t i ti*****t* ** l*tl t il**tt*itt* ttt*itl*ltli* l*lt* r tt* I i t i i PARAMETER ] I- RESULT -] [- UNIT -I Senzene . ct''y i Benzene o i uene .{,y I eneS r I I Copy t..r CI rene .7^ wltrlnillqiloroolsrc, --IENT Coca Cola Enterprises Attn: Matt Fenoe 1J34 S. Central Ave. Los AngeIes, CA 9002f )737 Eatl BroaowaY Roao P.O. Box 21387 Phoenrx. Arizona 85036 (&21437-3737 LAIORATORY REPORT SAMPLE NO. : INVOICE NO. : DATE : REVIE9{ED BY: PAGE : |3821i40 2178!^t466 L2-Z 7 - 88gf( i.. ftl< f oF 1 :nt"lPl.ED BY JUtsMI?TED BY iEMAS,KS JAIE Ob- ANALYSIS: DECEMbET L9, 1988 rrill*ti*ri-rlltftltitl*ltlatlllll*tlt**titl*tttlrtt*rrUtrttltll*itttt*l* r DATA TABLE i t , h r t l* t* r, t I r i t t I I I t t t t * I i I t lt I il I * i tt t t * * t r* *t t t* I i t* t * t t r * tttl* lttll -.L.IENT S;MPLE IT, : C,\,lPLE TYPE : ,rVrLE SOURCE 'otaI Petro Ieum ( Modifred 8015 ) B-o ( gJacer ) Water iitrt.wTi/i. AUTHORIZED CLIENT P.O 3Y : CCE,/M. Fenoe 9la Idner w'a Ioner SAMPLE DATE SUBMITTED ON RESULT .1 <1.0 L2-L 5-oB L'2-16 - 6 8 PARAMETER -------- ] FueI Hydrocarbons ..: t- UNIT mg/L l i1t CoPy ro CIient ,?z wEltrEnilrEgl.ol.oocsrlc. Coca CoIa EnterPrrses Attn: Matt Fenoe :-334 5. Central Ave. Los Angeles, CA 90021 1737 E.a5t uroaoway Koao P.O. Bor 21387 Phoenrx. Anzona 85O36 (ffi21437-3737 L.ATORATORY REPORT --iENT .L.:Ni sAMi.LE IU : 'uYPLE TYPE : ,MPLC iOL;RCi :AMPLED BY J:JAMI:TEf, JY | 3- i -'-5: 5or I z 'tlTI/J. : WTI /'.: . vJa Idner wb lcner AUTHORIZED CLIENT P.O SN'IPLE DATE SUBMITTED ON SAMPtE NO. ;NVOICE NO. CATE REVIE9.TED BY PAGE ud2ll*1 2 f 78W4b b L 2- 27 -88:?{1()F I tsY: CCEIM. Fenoe t L2-15-n8 z L 2- i b-88 -..EMARK5 i4ETHIJD: DAIE crf ANALYST EPA Method 418.1 Modified ANALYSiS: Decemoer ':7 , 1988 M. Sehnert rtt*rr*iitrt*ttrttitri*rt*tttttti**ttit*t**lliitttiltift*lttrttt*tttl**l, DATA TABLE ' r .r r r r r r rtttt it* u r*r t*t tit al*l!**t***tt*rlrt*t*li*ttt*****tttltl ttf,t t lrt* .'o t- a i Pe sro I eum PARATVETER -------- l Hydrocarbons .......: t- RESULT -l t- uNrr -l ( r0. mg/Kg ( 1 ) tioPY Lo ci ient ,A'- e WI'TENilrqilolooES rrc, )717 Easl EroadwaY Road P O. Box 21387 Phoenrx. Arizona 85036 (&zl437-3737 LA!ORATORY REPORT ,:ENT ljoca CoIa Enterpri ses Artn: Matt Fenoe i334 S. Central Ave. Los Angeles, cA 90021 SAMPLE NO. : iNVOICE .'JO. : DATE : REViEWED BY: PAGE : ,382LL +2 2 178W4b6 L2-27-88def10F 1 BY: CCE/M. Fenoe:i gNT . YPLE '4PLE SA.t4PLi TYPE SOURCE ts-8- r 5 SoiI iD AUTHORIZED CLIENT P.O AMPLED AY i;tsMiTTED BY .lMArtKS METHOD: EPA Method 418.1 Modified DATE CF ANALYSIS: DCCEMbET L7, i988 ANALYST: M. Sehnert <t***rtttttt*tttt**tittti*f**i***ltitl*t*titttl**tllilttttttitl*tilrt*tt DATA TABLE T r rt * I t t tt i i *.ttt*i t* t* t ** I t*tl*t*t**t*r*tt tit* it* tlt*l *l * I t ** tt t* I l*l ** t : WTI,/J . z VITI/ J . :otal Perroleum Hydrocarbons 7{a ldner wi t,Jner SAI,{PLE DATE SUBMITTED ON < 10. LZ-L 5 -88i2-ib-d8 mg /Kg PARAMETER ] i- R,ESULT .] [- UNIT -1 (r) Copy to CIient ,2 wrtTEnilIrctllolooclnc, 3-a- 2 5 Soi I wTl/J. WTT/J. )717 East Eroadway Road P O. Box 21387 Phoenrx. Arrrona 85O36 (@21437-3737 LA'IORATORY RtrPORT -TIENT Coca CoIa EnterPrises Attn: Matt Fenoe r334 S. CenLraI Ave- Los AngeIes, CA 90021 SAI,IPLE NO. : iNVOICE NO.: DATE : REVIEWED BY: PAGE : 8821143 2L78W466 L2-27 - 8 8a{10F 1 --:iENT .. \MPLE . ,.t'4PLE SAMPLE LD TYPE 5UuRce AUTHORIZED B1: CCE/M. Fenoe CLIENT P.O. : -- :atvlPLED BY SU8MIT'IEt' iY 9.la ldner wa loner SNV{PLE DATE SUBMITTED ON L2-L 5 -88 i'2- L b -86 .iEMARKS METHOD: EPA Method 418.1 Modified DATE OF ANALYSIS: December 17 , 1988 ANALYST: M. Sehnert rI*trItIrtiIrit*Itttt*t*ittt*it*ttlttr*tttt**tr*tttl*ti-tttttlti*t*i***lt , DATA TABL E i , i * * r*.l r I rlr**t *i t* t** * t t*t*t * t t t*l*t*lt t**t**t* *t**iltt* i*** ltt t* * * * t* PARAI"{ETER I t- RESULT -1 [- UNIT -] iotaI PeLroIeum HYdrocarbons ( 10.mg/Kg ( i) Lopy Lo Crient ,2.N EN':' - ENi' : AlYr/LE 4PLE TY; E 4FLE Sut-rRC: 4PLEb BY TMI |TED BY :nzene:nyi denzene : I uene -;Ienes .. WIATENilTErrbl'ooclrF. :9lTI/J z VITI/ j 3737 East Eroadway Road P O. 8ox 21387 Phoenrx, Arizona 85O35 (@21437-3737 LABORATORY REPORT (ioca CcIa Enterprises Artn: MatL Fenoe i3Jq S. Central Ave. Los AngeIes, CA 90021 SAMPIE NO. INVOICE NO. JATE REVTEWED BY PAGE 6,12 L i +4 2 17:JW4 6 b '-z- 27 -n8aKf $r rT( I,)F rJ : c-8 (Wate1 .. .: Water AUTHORIZED irY: CCE/M. FenoeCLIENT P.O. : -- 9Ja I dner 9.Ja - ciner SAMPLE DATE .: SUBMITTED ON : L2-L 5 -d812-16-ao 4ARKS }3020 B,T,X & EB DATE OF ANALYSIS: December 19, 1988 ANALYST: Mike English tr*ltttr*rrrtrtt*rtt*tttii*rt*tt*til*t*i*t**ttt**t**tat*itrrtri*tt**.lt DATA TABLE * (tlittt**tttlti*ti*tti*tt*tttt**tittlt*ittt*t*tt*tlt*rtt**rttit.tti*t*t PARAMETER --------l i- RESULT -l t- UNIT -j .:o .2 <o .2(0.2 (1.0 ugtL ug/L ug,/ L ug/ L ( r ) Copy to Cl ient A N n 01