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Home My WebLink About3610 SacramentoCalifornia Environmental Reporting System (CERSI Business Owner Operator NTURYTINK - SLO - SNTOCAOT CERS iD to438L74SACRAMENTO DR LUIS OBIS cA 93401 Status ? mitted on 2/22/2024bV Holly Ebright of Centurylink (Monroe, LA) wasAccepted; Processed on7/I9/2O24by Matheson 8/lssforSanLuisObispoCountyEnvironmental Health Communications Beginning Date Ending Date SIC Code 4813 Phone Business Phone Busines5 Fax 233-1973 (800) 244-1111 Dun & Rradstreet 6 0730909t7 Primary NAICs 5I73TL Facility/Site Mailing Address )O Box 1330 lamarillo, CA 93011 Emergency Contact Dwner :enturyLink Communications ',8OOl244-Lrf1 t00 CenturyLink Drive Vlonroe, LA7l2O3 Field Operations Phon e 24-Hour Phone Pagef Number tilling Contact {olly Ebright 80s) 233-1973 )O Box 1330 holly.ebright@lumen.com lamarillo, CA 93011 of Signer SiBner fitle Regional EHS Manager lll Document Preparer Holly Ebrightly Ebright lnformation ack Pollock cian, Field Operations s Phone 458-9183 De La Rosa 265-3785 24-Hour Phone Pager Number Emergency Contact Contact ly Ebright 233-1973 holly.ebright@lumen.com Box 1330 marillo, CA 93011 Owner Address Assessor Parcel Number {APN} or all of the following fields may be required by your local regulator(s) Fields Number of Employees 0 Facility lD CenturyLink CENTURYLINK - StO - SNTOCAOT 3610 SACRAMENTO DR, SAN LUIS OBISPO 93401 cERs rD 1O438L74 Facility lD status Submltted on 9:57 AM Chemical Location .rlName Business/Org. Annual Waste Amount EHS CAS No. Federal Hazard Max. DailyCommon NameCode/Fire Haz. Class NameCont. Quantities Unit Hazardous Components %wt Hazardous Materials And Wastes lnventory Matrix Report 8 - Corrosives (Liquids and Lead Acid Batteries CAS No Gallons 453 State StoraeeContainer Liquid Other I-YPg-. Mixture Days on Site: 365 4.5 453 P.essue.................. Ambient Igru9r?!-qI-e-... Ambient - Physical Flammable -W-as!-e_ code - Physical Explosive - Physical Corrosive To Metal - Physical Hazard Not Otherwise Classified - Health Carcinogenicity - Health Acute Toxicity - Heahh Reproductive Toxicity - Health Skin Corrosion trritation - Health Respiratory Skin Sensitization - Health Serious Eye Damage Eye I rritation - Health Specific Target Organ Toxicity - Health Hazard Sulfuric acid 30% J 7664-93-9 Printed on 3/5/20209:24 AM Page 2 of 3 Annual Waste Amount EHS CAS No. Federal Hazard Common NameCode/Fire Haz. Class NameMax.Unit Cont. Avg. Daily Hazardous Components %wt mixture Cu. Feet 10020 :!9!e* ge-C_"-.9_o$e!!"1--_.. Gas Cylinder I-vPP-.... 10020 - Physical pressue waste-cod-e' Flammable ;;il;;l- - PhysicalGas Under Pressure _r_9.n-P-g.nI-qI.e.-. Ambienton Site:365 Hydrogen Gas 7333-74-0 CAS No 2004 Pure 2.1 - Flammable Gases le Gas CenturyLink CENTURYLINK - StO - SNIOCAOT 3610 SACRAMENTO DR, SAN LUIS OBISPO 93401 CERS ID Facility lD Status LO438t74 Submltted on 21 261 202O 9:57 AM Chemi€al Location Name Business/Org. Hazardous Materials And Wastes lnventory Matrix Report Printed on 3/5/2020 9:24 AM Page 3 of 3 C' tc'fe San Luis Ubis c*rows oCi Fire De artment 2160 Santa Barbarh'Steet, San Luis Obispo, CA 93401, Ph # (805) 781-7380, Fax # (805) 543-8019 FINAL INSPECTION . COMMERICAL BUSINESS f Business Name Manager Business Address Properfy Owner Owner Address vn^J\n 3 dLY n !. %1 e*s {c Savt Emergency phone numbers -_-i ,{Ce Lltp '| At the time of the inspection those items marked in columns lr 2, or 3 below were found to be in violation of the California Fire Code and/or other Codes as adopted by the City of San Luis Obispo. Violations noted shall be corrected immediately. Please call (805) 781-7330 to request reinspection. Please allow a minimum of 24 hours notice. Items marked under NA or OK were either not applicable or were in REINSPECTION DATERECEIVED BYF'F'ICER #t tlatL #3 at the time of the a Shunt trip?v@c*@v,l l{ 4)\ (5lr zr&-Lls. I t Total Square Feet ofthe Occupancy load Bus. Type rw6 . Const. Type Gas Meter Location Elec. Disc. Reduced 8-112" x 11" - Site Plan Floor Plans Date Battalion Chiefs Notified PfV Location Subtotal Sq.Ft. .for Tenant FACp Location SiIP Sprinkler fuser Location Double Check Location General Hazards NA#t #2 #3CKand S 1. 2. 4. 5. 6. 1 8. 9. 10. ll. Install approved address identification. Minimum 5" high numbers visible from Complete fire caulking and seal penetrations of fuewalls, arealoccup. Separation street frontage. walls, and draft stops. ? ? ? 1 9 7 * Test fue and smoke dampers (minimum 10%). Label FIRE DAMPER ACCESS with 1" high minimum signage Coveringspn awnings shall be,made of flame proof or freated fabrics or shall be non-combustible. Provide {fno* box and/or rf current keys for access to all portions of building, pad-locks, & MPS Fire lane signage required with red striping at curbs with FIRE LANE NO PARKING Unless sprinkled basements shall be one-hr. const. with self-closing solid doors or 20 min. assemb. Storage and obstructions not allowed within aisles, corridors, or stairways. Storage is not allowed under stairs unless enclosed and protected with at least one-hour construction Clean class-l grease hood and/or provide inspection and tag (every 6 months). FINAL INSPECTION -OMMERICAL BUSINESS General #t #2 #3oK NAand S ecial Hazards 12. Provide baffle type grease filters on your class-l hood instead of the mesh type of frlters' 13. Maintain 30" cleiraice from combustibles to heat producing ap-pliances 14. Remove accumulation of waste material on exterior of the buildinc 15. M-intain a minimum of 24" to the ceiling within non-sprinkled building or 18" from spr' head' 16. Combustible storage not allowed within lxits, electrical, mcchanical, or boiler rooms' 17. provide 5, clear Uet*een un-sprinkled trash dumpster, building openings, combustible walls, and eaves' /-v!-- ,/ 7 uirementsElectrical #t #2 #3cK NA 18. Discontinue use of extension cords used in lieu of permanent wiring. OK to use plug stip with breaker 19. Temporary cord(s) shall not be attached or extended ttrough walls, ceilings,floors, under carPets or doors.- - - 20. Maintain 30" clearance at front of electrical Panels. 21 . Electrical main, sub-Panels,and individual breakers shall be labeled as to what they serve' 22. Coverplate required on all electrical outlets, switches, and junction boxes ?__23. Provide blank coverPlates at the electrical panel for open areas. 24. Labeldoor to "ELECTRICAL ROOM" with 1" high contasting lettering' vT/vz #t #2 #3 NA 25. Provide a minimum of:-l exit;2 exits; -3exits; .-4exits 26.A minimum of two exits are required for stories above the fust floor for >9 occuPants 27 A minimum of two exits are required for basements (exception service areas/mechanical rooms) 28. Exit doors shall oPen in the direction ofexit travel > 49 occupants 29. Double acting doors are not permitted for 100 or more occuPant load. 30. Exit doors shall be openable from the inside without the use of a keY or any special knowledge or effort. 31. Provide sign at front door where dead bolt used "This door to remain unlocked during business hours." 32. Remove all other locks or latches from doors when panic hardware is installed. 33. Stairways 44" or greater shall have handrails on both sides.Additional handrails are reqd. > 88" width' 34. Corridors shall be not less than 44 inches in width except when serving an occupant load of less lhan 49 35. Aisles with seats on one side shall be not less than 36" (applies only to non-fixed seating) 36. Aisles with seats on both sides shall be no less than44" (applies only to non-fixed seating) 37. Provide/maintain illuminated EXIT signs where 2 or more exits are reqd. to indicate direction of exiting 38. EmergencY lighting required for >100 occ' load. 7?/vz v(_ a.e 4I 7 #r #2 #3 NA ersFire 39. Provide with a minimum rating of 2A:10BC. Travel distance not to exceed 75' 40. Provide a tYPe "K" fue extinguisher at commercial kitchens. Exist. 40BC installed prior to JulY '98 OK'7-741 . Service and tag (by State licensee) each fue extinguisher(s) annually & after each use 42. Mount extinguishers where visible and unobstructed. 43. Mount kitchen fue extinguisher within 30 feet of the class-l hood. / -/ Fire #r #2 #3oK NA 44 45 46. 47 48. 49 50 51 52 53 54. 55 1 t_ 56 771n t 7',\ FINAL INSPECTION - COMMERICAL BUSINESS tr'ire #r #2 #3 0K NA 57. Provide caps at Fire Deparhnent 58. Exterior exposed piping painted u@, qts\,/__ / I7 -_t-v 59. Special Signage required at 60. Calculation plate mounted at sprinkler riser 61. Signage at -INSPECTORS TEST; -MAIN DRAIN 62. Remove making tape on sprinkler heads ^-63. Main drain test, .roi" - ,"ridoal pressure B5 pti; Static pressure ( 5 psi 64. Check for 2" clearance around sprinkler riser at concrete slab 65. Fire sprinkler heads are obstructed at the following locations 66. Light fxtures blocking sprinkler coverage at 67 68 69. Provide sprinklers under overhead obstructions, overhead doors ; Ducts >4' -; Decks Chain and lock on double check agsembly, Lock on Post Indicator Valve t/; Key in kev in Knox box ./ Knoxbox-( Key at FACP for alarm agency '/ ,/v,/7-vtt7-7 70. Sprinklerheadsprovidedatroqfoverhangsexceeding4' / ,, ,- -/ 7 I . C'onduct inspectors test, Checlzfor correct orifice size at test opening /; Splash block installe d? v 72. Localaudibie bell installed; y' Please adjust flow switch to activate between 45 seconds to 90 seconds Check #lFire Alarm #3 OK NA 73. Provide procedures for resetting the fire alarm panel and plan showing locations of devices at the FACP 74. Provide quarterly copies of maintenance & monitoring on fue alarm system and fire sprinklers 75. Post @ Alarm 800- 76. Fire PIV; 77 . Graphic annunicator Panel 78. The class-l hood shall be monitored for suppression activation by the fue alarm Panel. 79. Label door to the "FIRE ALARM CONTROL PANEL " with l" high contrasting lettering 80. Provide NFPA 72 Certification 81. Provide AS-BUILT plans, minimum 2 sets 82. Provide STOPPER style of cover over the manual pull station (MPS) 83. Verify that duct deteitors are monitored as supervisory or local unless otherwise notified. 84. provide keys to MPS, pad-locks, PIV or Dou61e Checks. Locate at FACP for alarm monitoring persorurel. 7 {-,/ v 7 vt T- Z Hazardous Materials Disclosure #t #2#3oK NA 85. Complete a Hazardous Materials Business plan and send it to the Fire Station address listed above' 86. provide Federal 704m ply carding (diamond) and signage for hazardous material locations.7--7a87. Manufacturers Material Data Sheets in folder at site at an acceptable 88. Provide double containment of hazardous materials ! Additional Violations and/or Requirements #t #2 #.3 0K NA vYb*89. 90. 91. 92. 93. 94. 3 -_qi/F t.' FORM S-SAIT OBISPO COUNTY CERTIFIEI) BUSII\IESS OWNEWOPERATOR IDENTIF'ICATION AGENCY 2 (f> management\Envron Health & Safety\Environ Affairs\CA HMBP\San Luis Obispo Cnty\SLO_3610 Sacramento\SLO_3610 Sacramento_BusOwnOpr Form.doc 1 Ol22l02 7tI ----- I. IDENTIFICATION I 100BEGINNING DATE 2002-10-22 ENDING DATE 2003-t0-225ry2/FACILITY ID# 102BUSINESS PHONE none NAME (S€rc ro fACILITY NAME or DBA - Doing Business As)BUSINESS TICommunications- San Luis BUSINESS SITE ADDRESS 3610 Sacramento Drive 103 CA 105ZIP CODE 93401 CITY San Luis Obispo 104 lo7SIC CODE (4 digit #) 4813 DI.]N & BRADSTREET t4-872-1t78 106 COUNTY San Luis Obispo 108 ll0BUSINESS OPERATOR PHONE (661\843-9727 . BUSINESS OPERATORNAME Qwest Communications CorP. 109 il. BUSINESS OWNER t12OWNER PHONE (303',672-2938 OWNERNAME Owest Communications Intl., Inc OWNER MAILING ADDRESS l80l California Street, Suite 1160 ll3 CITY Denver l\4 It5STATE CO il6ZIP CODE 80202 ilI. ENVIRONMENTAL CONTACT ll8CONTACT PHONE 206-346-7532 CONTACT NAME P. May Vichitkulwongsa tt'1 CONTACT MAILING ADDRESS 1600 7th Avenue, Room 2708 lt9 CITY Seattle t20 STATE WA 121 ZIP CODE 98191 122 ry. EMERGENCY CONTACTS -SECONDARy--PRIMARY- NAME UniCall t23 NAME Vince Link 128 TITLE Owest Emersency Notifi cation t24 TITLE Qwest Area Manager 129 BUSINESS PHONE (866) 864-22s5 BUSINESS PHONE rc6r\ 834-9727 130 24.HOUR PHONE PAGER # I CEI,I, PHONE #PAGER # / CELL PHONE # 24-HOUR PHONE ^-;5 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Basedonmyinquiryofthose individualsresponsibleforobtainingtheinformation, Icertifyunderpenaltyoflawthatlhavepersonallyexaminedand am familiar with the information submitted and believe the information is true, accurate, and complete. OR DESIGNATED REPRESENTATIVE DATE 2t.o4. n- 134 NAME OF DOCUMENT PREPARER Nancy Kahl, Env Proi Mgr 135 NAME ofslrnlER (print) Brian YJacobson 136 TITLE OF SIGNER Director of Environmental Affairs t31 of+ G:\risk FORM I - SAN LIJIS OBISPO COUNTY CERTIFIED T]NIFIED CIIEMICAL IIWENTORY 201 AGENCY (CUPA) CHEMICAL LOCATION neoo IorI,rrs Snrvsr 200 I. FACILITY INT'ORMA'TION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Qwest Communications Corp - San Luis Obispo TI CHEMICAL LOCATION CONFIDENTIAL EPCRA l-l ves R No 2V2 I MAP# (optioml)203 GRID# (oprionar) 2M FACILITY ID # il. CIIEIVIICAL INT'ORMATION TRADESECRET [-lYes ElNo If Subject to EPICRA, refer to instructions 206CHEMICAL NAME Petroleum Hvdrocarbon 205 20E EHS*DYes ElNoCOMMON NAME Diesel Fuel 2U *If EHS is "Yes", all amounts below must be in lbs.cAs# 68516-74-6 209 FIRE CODE HAZARD CLASSES (Complete if required by cUPA) Combustible - Class II zto E a. PURE El U. MIXTUNE E c, WASTE 2tl HAZARDOUS MATERIAL TYPE (Check one item only) LARGEST CONTAINER 4,000 Gallons 2t3 CURIES 2t5 E a. SOLID El t. IIQUIN E c. GASPHYSICAL STATE (Check one item only) 2t4 FED HAZARD CATEGORIES (Check all that apply)E a, FIRE E u. npecTlve E c. PRESSURE RELEASE El O, ECUTE HEALTH 8 e. CHRONIC HEALTH 216 220STATE WASTE CODE N/A 2t9ANNUAL WASTE AMOUNT 0 2t'1AVERAGE DAILY AMOUNT 12 Oin 2t8MAXIMUM DAILY AMOUNT 12.000 222DAYS ON SITE: 365 UNITS* (Check one item only) D u. cusrc pner D c. PoUNDS *If EIIS, amount must be in pounds. E o. ronsI a. GALLONS 22t I a. ABOVE GROUND TANK ! b. UNDERCROUND TANK E c. TANK INSIDE BUILDING D o. srBst- onuv 223 E r. OTHER E q. RAIL cAR E e. PLASTIC/NONMETALLIC DRUM fI m. GLASS BOTTLE trtrtrtrtrtrD p. TANK wAGoNE n. sn-o D i. ptsrn nRuv E j. BAG STORAGE CONTAINER k. Box I. CYLINDER n. PLASTIC BOTTLE o. TOTE BIN f. CAN g. CARBOY EI A. AMBIENT E U. ESOVC AMBIENT D C. BELOW AMBIENTSTORAGE PRESSURE 224 STORAGETEMPERATURE El A. AMBIENT E U. ESOVC AMBIENT E c. BELOW AMBIENT E a. cnvoceNtc 225 CAS #EHS%wr HAZARDOUS COMPONENT (For mixture or waste only) 229 68476-34-6 228 EYes XlNo 226t 99.5%Diesel Fuel 221 9t-20-3 233232 lYes ElNo2 0.5% 230 231 Naphthalene 236 ! Yes ElNo 237 None 234 J Petroleum Distillates 235 240 EYes nNo 24t238 4 239 2M EYes lNo 245243242 5 If more huardou conlnDetrts are prent at greater than 1% by weight if norercinogenic, or 0.1% by weight if qrcinogenic, attach additional sheeis of paper @pturiDg the required infomation, ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA. Please SislHer/ 246 3 G.\Risk ir4anageilleni\Eirvrcn lJealiir I Safetyi,Fnr'!r'on Affairsr'CA i'lltiiEP',-qan Luis Obis so C nty\S LC-361 3 Sacr:n.ie nioi,f r-t';t- i. tlcc 01,'3Er'02 Fage _2 Oi {- _ Boyle, Kerry From: Sent: To: Subject: Michael Monis <mmonis@ebiconsulting.com> Tuesday, March 18,2014 8:31 AM Boyle, Kerry Hazardous Materials Records Request 3610 Sacramento Drive, San Luis Obispo EBI Consulting is completing a Phase I Environmental Site Assessment. Please commence a records search for any aboveground storage tank and/or underground storage tank, hazardous materials storage records, any complaints, violations, incidents, permits, applications, hazardous material spills, and/or inspections that may have occurred at the following address(es): 1) Centurvlink Data Center 36L0 Sacramento Drive San Luis Obispo, CA APN:053-061-050 Please let us know what, if any, file exists and what the options are in obtaining copies. Thank you for your prompt attention to this matter. Please feel free to call me if any questions should arise. Respectfully, MichaelMonis Senior Scientist P: 805.236.1041 | F: 78L425.36L2 mmonis@ebiconsulting.com Visit our new website: www.ebiconsultinq.com#EBI Consulting erulronrrtn|ll ir*ginttnno I due dilr|endg PIease consider the environment before printing this emoil 1 ') FORM I - San Luis Obnpo CountyEazardous MaterialU Chemical Description Page . (sec insitnrctionpage iv) nifrcd Program Iaventory Fom trhoo EloeLerE EInEuse CHEMTCALLOCAnON (4) mAPr (5) BUSINESS t{AMe San Luis TI PAGE (2)oF (3) GR|Df (6)EB, F8, GB ," -I 2 a-v-- 3 I\IOSulfuric Acid CHEMICAL ts SUBJECTTO Battery Acid -15-1 EHS (11)Yes IFEHS 80X ltlY ar AMOUNTS Mt ST SE lN L8{t NA pCURIES 12 12 667 TRADE SECRET(TO)CHEII|ICALi{AMEO . coMMoN MME(E) cAs t(e) TYPE (12) PHYSICAL SrATE (13) }IAZARD CATEGORIES (16) STATEWASTE CODE (ln DAYSONSm0S) TARGEST.@rrANER(1e) STORAGE CONIANER (2'l) STOMGE PRESSURE (25) STORAGE TEMPEMTURE (26) %wr f.lv EZlx (15)RAD|OAGITVE0.l) HEATTII t{A uNtTs (20) 365 lf EHS rmolntr mJllbr h lb. AITIBIENT AIIIBIENT AIIIEIENT lflr rx r]Y MN NY EN l-JY flN r]Y EN " l,lA( OAILYAIIIT(21) AVGDAILYAftII(22) :: ::j. . '. .::Al{Nt At tlrAsilE AftlI (23) I 2 E I I h FT SJAGON ceR BIN sOTTLE EOTTLEDRUM GROUND TAI{K GROUIIOTAI{K ORUM ll{sl0E EUltDlNG DRUU 35 65 Sulfi:ric Acid Water 7664-q3-9- (31) ADOmOML LOCALLY COLLECTED INFORMATION 2 Mxcot'til{ot.{$,1.!\DocuN,IENTUK)EL\FoR.lls\oFFlcE97'FoRIts\FRI{.I'Docl0/6/l 996 I l:49 tu\{ I .\\ FORM I - San Luis Obisp.r)County Eszardous Meterial Uni6ct hogram Invcntory Fo'-- Chemical DescriPtion Page . (sec insnuction Page iv) ,1 PAGE (2)oF (3) !) CHEMICALLOCATION (4) MAPr (5) CHEMICALI{AMECt) I1 couMoN MME (E) cAsl(e)l lI wPE(12) I PHYSICALSTATE (13) i llAzARD CAIEGOR|ES (1 6) I STATEWASTE COOE (17) j DAYSONSm(18) r IARGEST.COIffANER(19) sToMGECONIAINER(21) I I ) BUSINESS }{AMe San Luis TT ts NOT TO I€ad 1r{ i1-1a-\ RADIOACrTVE(14) NlA UNrTS (20) 365 IEHS m6qnr mud bc ln b' 50 galr STORAGE PRESSURE (2O TEMPERATURE (26) GruDr(6)EB,F8,GB TRADE SECRET(10) EHS (11)No (15) 1 Mlrx oAlLYAllr(21) ..','. AVGOAILYAMT(22) -:.: A{NI'AL I'VASTE ATT (23) lFEtlsBOXlSY AIATTOUNTIi MIJSTAE N L8S pCURIES 255t000 0 r .l I J 1 -i ert-esB_ __ 3 tibL€ad FT AIYIBIENTAITBIENT CAR B1t{ EOTTIE EOTTLE ORUM GROUHDTAI{K GROUTIOTANK INSIDE EUItDING Dil'H ATIBIENTAI,lBIENT 95 5 I€ad Inert. / ftace rN EN- rv Eu_ llv l-'ln nY nN rr tr!_ (31) ADOmoML LOCALLY COLLECTED INFORMATTON I l i .J 2 l0l6llggE t l:'19 Atr{ J ') .") FORM I - San Luis obispo county Eazardous Material fJnifi6{ Program InventorT Fom Chemical DescriPtion Page (see ins;tnrction Page iv) PAGE (2)oF (3) BUSINESS }{AMe San Luis Obispo TI CHEMICALLOCATTON (4) MAP' (5)GRID f (6)99 tC9 rD9 4 l 2 Diese1 F\reIcHEMICALI{AMEC0 I',. COMMONtlAME(O) I cAsl(s) iI rvpe (tz) PHYSICAISTATE (13) l llAzARD CAIEGORIES (16) STATEWA'SrE COOE (ln DAYS ON Sm (r8) LARGEST.COiITAilER (1 e) SToRAGE CONTANER (21) STORAGE PRESSURE (2O TEMPERATURE (26) LOCATION CONFIOENT!qL NOT TO Diesel F\re1 t?9 rl-?t?- b.t- V RADIOACIT\E (14) NA uNrTs (20) TRADE SECRET(10)No EHS (11)No lF EHS 80x lsY ALT^IIOUNTTI MUSTEEIN L8S IiIA pCURIESnY FlN (10 355 f E'HS rtnoutts mt{tb.ln b' " MnX OAILYAII'IT(21) ' ."..'.' AVGDAILYAMTe2) :.':i: . ".:.:At{Nl#L tJvtsf,E A$r (23) 12 0 0 121000 AIIBIENT ATIBIENT I ), I L P J i I-i (31) ADOmoML LOCALLY COLLECTED INFORMATION 2 IVxCOlvtN.{oN$*'r:fJcuI{ENTUPOEL\FORtvlS\OFFICEg?',foR.\ts\FRI{'t'Docto/dl99E t l:49 Ajtl FT 4,000 CAR WAGOfl 8N BOTTLE EOTTLE GROUND TA!{K GROUTIDTANK INSIOE BUILDING DRI'M NYIBIEI.ITAltBIENT '100 Peb:oleum I'tid -f-V FIX NY NN NYEN- NY E]N l-lv trn QWEST COMMUNICATIONS CORPORATION CHEMICAL INVENTORY FORM 11 1 1/01/2000 1t200011 t2000 Y Y MSDS On Site or N) 000lbs. 319 667 lbs.12 Total Volume On Site Site lD#:Qwest Gode: 93403 GLLI Number: 3 336 cells 3 3 336 cells Number of Containers 166.5 758.9 lbs/cell 106.3 lons 37.7lbs/cell Container Size tn lnc.GNB lnc.B Vendor/Manufacturer State: CALIFORNIA oir Anti-Freeze tnSulfuric acid Lead uct Name #2 Diesel Fuel Address:ENTO DRIVE3610 SACRAM ity: SAN LUIS OBISPO Name LUIS OBISPO TI SITLSAN Date Entered on 1 t2000 ctty o[ san Luls oBtspo frne Oepantment Garret Olson, Fire Chief 2160 Santa Barbara Ave. San Luis Obispo, CA 93401 Phone: 805-781-7380 Fax: 805-543-8019 [ax covep sh€et To: EBI CONSULTING Attn: Mlchael Monl,s FfOm: Kerry Boyle Fax: (78r) 425-3612 Pages:12 Total Phone: i Date: March 18, 2or4 COMMENTS: IIi Mlchael: please see attachmentssto satlsfy your records request for Qwest Comrnunlcatlons facllity located at 3610 Sacramento Dr. ln S. L. O. The.Fire Dept. records are l-n regards to the,.lplan.check for new constructlon back l-n 2000 & 2001, wlth the Flnal ,Inspectl-on dated |/26/20AI. The last page of three includes }l the:,sectl.on for Hazdrdous Materlals Dlsclosure and the City of SLO.requlrments. Also paft of this FAX transml-ssLonr;is a HazY[at Business Plan from Octi:2002 as well as one for 2OOg. I didntt find any other references to unauthorLzed releases, SJ-te Investl-gatlons, USTs, etc. Let me know lf I,can be of any further asslstance. Thahk',-you, \, D. Kerry Boy The information contained in this FAX message is PRIVILEGED-CONFIDENT|AL I for the use of the individual or entity named above. lf the reader of this message is you are hereby notified that any dissemination, distribution or copy of this communication is strictly prohibited. lf you have received this communication in error, please immediately notify us by telephone and return the original message to us at 2160 Santa Barbara Ave., San Luis Obispo, CA 93401. not the intended recipient, F ION intended only \. HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM iclocs Mentber Agencies or where approved bv vour Local Jurisdiclion Cited: Health and Safeh, Code $25503.3(c): I9 CCR $2729.5(c) N CUPA San Luis Obis Goun and c Addressj PO Box 1489 San Luis Obispo, 93406 FAX 805-781-421',1 :. - Pursuant to Section 25503.3(c) of California Health and Safety Code (HSC), the Hazardous Materials Business PIan (HMBP) certification described below is hereby submitted for the following facility: Facility Name A"trsr Az'*tu./r fttan|Stltc 1,tza.*'nntle Aqencv 1r [" I'i" Agency Facility Street Address: 3oto Sncta*rae,pto City: fnu h,, Ofrtpo Date of Current HMBP 2 I that:(Check the appropriate box.) n I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certiSr that the HMBP is complete and accurate. (See bottorn oJ'page for details,) If this facility is subject to Federal Emergency Planning and Community Right to Know Act (EPCM) reporting requirements, I have submitted the following documents with this Certification Form: Unified Program Consolidated Form (UPCF) Business Activities page; UPCF Business Owner/Operator Identification page with current signature and date; Hazardous Materials Inventory Statement page(s) with an original signature, photocopy of an original signature, or signature stamp on each page for all Extremely.Hazardous Substances (EHS) handled at or above their Federal Threshold Planning Quantity (TPO or 500 pounds, whichever is less. or Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is complete and accurate and is being implemented. A copy of the revisions has been electronically submitted or is enclosed with this Certification along with a signed UPCF Business Owner/Operator Identification page and UPCF Business Activities page if the HMBP revision include changes to the Hazardous Materials Inventory Statement. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handlingof hazardous materials that would require updating of the HMBP. 4tnr.r,^ T t-<Title:Name of Owner/Operator (Print) Phone Signature Date: tf z*/"ort By checking the upper box on this form, you are certifying that: . The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and . There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; and. The facility has not begun handling any hazardous material in a HMBP reportable quantity that is not currently listed in the Hazardous Materials Inventory; and . The most recently submitted HMBP contains the information required by Section I1022 of Title 42 of the United States Code; and . There have been no substantial revision of the current HMBPin the S that would uN-039 - l/l www.unidocs.org WJr a\tfev'rororroz FullName Known As Phone Location Address Address Line 2 Gity State Zip Code Department Org Unit SEGUIN ROBIN 720-578-2006 BOULDER-1855 S FLATIRON CT 1855 S FLATIRON CT BOULDER co 803012839 EH&S&DISASTER RECOVERY 50O 1 7603-EH&S&DI SASTER RECOVERY Email robin.seguin@centurylink.com Extension Mobile i Fax Telephone Extension 303-391-2573 7205782006 Title LEAD ENVIRO SUSTAINABILITY & COMPLIANCE \ HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM For Use by Unidocs Member Agencies or where approved by your Local Jurisdiction Authority Cited: Health and Safety Code $25503.3(c); I9 CCR $2729.5(c) To: Agency Name San Luis Obispo County Environmental Health Services Agency Mailing Address PO Box 1489 San Luis Obispo,93406 FAX 805-781-4211 Pursuant to Section 25503.3(c) of California Health and Safety Code (HSC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: Qwest Gommunications Corp.- San Luis Obispo Tl Facility StreetAddress: 3610 Sacramento Drive City: San Luis Obispo Date of Current HMBP: 61112009 I certiff that: (Check the appropriate box.) n I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certifii that the HMBP is complete and accurate. (See bottom of page for details.) If this facility is subject to Federal Emergency Planning and Community Right to Know Act (EPCRA) reporting requirements, I have submitted the following documents with this Certification Form: Unified Program Consolidated Form (UPCF) Business Activities page; UPCF Business Owner/Operator Identification page with current signature and date; Hazardous Materials Inventory Statement page(s) with an original signature, photocopy of an original signature, or signature stamp on each page for all Extremely Hazardous Substances (EHS) handled at or above their Federal Threshold Planning Quantity (TPQ) or 500 pounds, whichever is less. or X Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is complete and accurate and is being implemented. A copy of the revisions has been electronically submitted or is enclosed with this Certification along with a signed UPCF Business Owner/Operator Identification page and UPCF Business Activities page if the HMBP revision include changes to the Hazardous Materials Inventory Statement. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials that would require updating of the HMBP. Name of Owner/Operator (Print): Thomas J. Pitts Title: Safety and Env. Manaqer Phone: I t2 Signature Date By checking the upper box on this form, you are certifying that: . The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and . There has been no change in the quantity of arty hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; and. The facility has not begun handling any hazardous material in a HMBP reportable quantity that is not currently listed in the Hazardous Materials Inventory; and. The most recently submitted HMBP contains the information required by Section 11022 of Title 42 of the United States Code; and . There have been no substantial in the that would revision of the current HMBP uN-039 - 1/1 www.unidocs.org Rev. 10/09/07 ,iliilililililtiilllllllll styo[sanluls oBtspo FIRE DEPARTMENT 2160 Santa Barbara Avenue r San Luis Obispo, CA 93401-5240 ' 805/781-7380 "Courtesy E Service" HAZARDOUS MATERIALS BUSINESS PLAN UPDATE FORM YEAR 2OO2 ADDRESS:3G tD S^."^*\rl'r, JUL I 6 t''.,? FACILITY N CONTACT PERSON: Annual Inventory Update (due each year) t I 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. D{ Additional Comments: Yearly Review and Recertification t ] 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 M Please incorporate the following information into Business Plan for this facility:-_---+*- I declare, under penalty of perjury, that the information provided herein is true and correct to the best of my knowledge. Sign Printed Name: Please Return to: City Fire Department, Attn. Molly Brown 2160 Santa Barbara Avenue San Luis Obispo, CA 9340L-5240 ffi ,n" City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities. @K-rLl feteconimunications Devic'e lor the Deaf (805) 781-7410. rl', l,oe Site Visit Packet 2t8t02 Facility lnformation Operator: Facility Name: Address Number: Address: Suite: CitY: zip: CrossStreet: Parcel No: Phone No: Facility Type: QWEST COMMU NICATIONS CORP QWEST COMMUNICATIONS CORP 361 0 SACRAMENTO DRIVE SAN LUIS OBISPO 93401- RICARDO (303) e92-1400 Corporation Permit No Facility Number: 60-0324 Status Permit Expiration Date Environmental Gontact Name: BRIAN JACOBSON Address: 1801 CALIFoRNIASTREE^T, orruven t co 80202- (303) 672-2938 i Underground Storage Tank Property Owner Name: Phone: Mailing/Street Address CitY: State zip: Owner Type: City: State: zip: Phone: fff fta s7 jaArv f /t'at'f ,1,6 tor{ikT l 11 &ta 1 fall (7f iscellaneous SIC Code Dun Bradstreet Business License Guarantor Number Current Balance: $0.00 a-c+rtu ?6a 6*uIs 3-L,y @ve- Mailing Address Name: Address: Care Off Address: City: State: zip: Phone: QWEST COMMUNICATIONS CORP 555 17TH STREET DENVER co 80202- (303) 992-1400 usiness Owner Name: Address: City: State: zip: Phone: CAProperty Owner Name: Address: City: State: zip: Phone: CA Emergency Contacts Primary Days Last Name First Name Title Business Phone 24 Hr Phone Pager M UNICALL 24 HOUR NOTTFICATION (800) 654-2525 (t LINK VINCE AREA MANAGER 1661], 834-9727 .2t #gfcc Plnnt ir unl'er \t,t+tof n-€rtT , d---" ) Hazardous Materials Business Plan - List of Ghemicals 324 FacilityPermit N EST COMMUNICATIONS Address:1O SACRAMENTO DRIVE, SAN LUIS OBISPO Maximum DailyAmt Units Physical State No Largest Container BATTERY ACID SULFURIC ACID 12667 GAL Liquid 50 LEAD BATTERY LEAD 225000 LBS Solid 50 DIESEL FUEL PET. HYDROCARBON DIESEL 1 2000 GAL Liquid 4000 Cornmon Name Name February 08, 2002 Page 1 of .\ ) Site Visit Packet 1t30to1 Permit No Facilitv Number: 60-0324 Facility lnformation Facility Name: QWEST COMMUNICATIONS CORP Operator: QWEST COMMUNICATIONS CORP Address Number: 3610 Address: SACRAMENTO DRIVE Suite: City: SAN LUIS OBISPO Zip: 93401- CrossStreet: RICARDO Parcel No: Phone No: (303) 992-1400 Facility Type: Corporation Property Owner Name: Address: City: State: zip: Phone: CA Underground Storage Tank Property Owner Name: Phone: Mailing/Street Address CitY: State zip: Owner Type: Status: Permit Expiration Date: Environmental Contact Name: BRIAN JACOBSON Address: 180'1 CALIFORNIA STREET, SUITE City: DENVER State: CO Zip: 80202- Phone: (303) 672-2938 Miscellaneous SIC Code Dun Bradstreet Business License Guarantor Number Gurrent Balance: $0.00 g M uNrcALL g g L|NK VINCE 24 HOUR NOTTFTCAT|ON (800) 654-2525 AREA MANAGER (661) 834-9727 '1 Mailing Address Name: Address: Care Off Address: City: State: zip: Phone: QWEST COMMUNICATIONS CORP 555 17TH STREET DENVER co 80202- (303) 992-1400 usiness Owner Name: Address: City: State: zip: Phone: CA Business Phone 24 Hr PhoneFirst Name Title mergency Gontacts Primary Days Last Name \ Common Name Chemical Name Amt Units Largest Container Grid No Hazardous Muterials Business Plan - List of Chemiculs Permit No: 60-0324 Facility: QWEST COMMLINICATIONS Address: 3610 SACRAMENTO DRIVE, SAN LUIS OBISPO Maximum Physical State SULFURIC ACID 12667 GAL Liquid 50BATTERY ACID 225000 LBS Solid 50BATTERY LEAD BATTERY LEAD PET. HYDROCARBON DIESEL 1 2000 GAL Liquid 4000DIESEL FUEL Tuesday, January 30, 2001 Page I ofl Environmental Health Services Division (80s) 781-ss44 P.O. Box 1489 2156 Sierua Way San Luis Obispq CA 93406 THIS PERMIT IS ISSUED FOR THE FOLLOWING: FACILITY: FA0005342 QWEST COMMIINICATIONS CORP 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 CERTIFIED T]NIFIED PROGRAM AGENCY Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispq CA 93401-5240 Clwo[ sari lrirs AUTIIORIZATION IS GRANTED FOR THE FOLLOWING: 0762 PROOOSOI6 SLO CITY-HAZARDOUS MATERIALS HANDLER 1-4 125I PROOO8O18 SLO CITY-AGT INSP/ADMIN/ANNUAL PERMIT OWNER: QWEST COMMI.]NICATIONS CO 1801 CALIFORNIA ST STE 1160 DENVER CO 80202 a VALID FROM DATE: 0ll0ll20l0 CURTIS A. BATSON, R.E.H.S. DIRECTOR, ENVIRONMENTAL HEALTH SERVICES VALID TO DATE: l2l3ll20l0 JOHN W. CALLAHAN, CHIEF CITY OF SAN LUIS OBISPO FIRE DEPARTMENT THIS AUTHORIZATION/PERMIT TO OPERATE IS NONTRANSFERABLE AND MUST BB POSTED ON-SITE IN A CONSPICUOUS PLACE. THIS OPERATING PERMIT WITH ALL CONDITIONS AND ATTACHMENTS,INCLI]DING MONITORING PLANS, SHALL BE RETAINED AT THE F'ACILITY AT ALL TIMES. QWEST COMMI-INICATIONS CORP Yage:. I Facility Identification Number: FAO005342 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) PERMIT CONDITIONS In order to maintain the Permit to Operate, the permit holder must comply with thefollowing provisions of related laws concerning mqnqgement of hazardous materials. Any violation of the conditions mqy be causefor revocation of the Permit/Aathorization to Operate: 4. Hazardous Materials Business Plan Program: California Health and Safety Codg Division 20, Chapter 6.95, Article I and Title l9 Califomia Code of Regulations. s. Hazardous Waste Generator Program: California Health and Safety Code, Division2},Chapter 6.5, Articles l-13, Section 25100 et seq., and Title22, California Code of Regulations, Chapter 20. e. Aboveground Petroleum Storage Tanks (AGT) Spill Prevention Countermeasure Control (SPCC) Plans: California Health and Safety Codg Division 20, Chapter 6.67 and40 CI \,.-,umber of AGT's authorized to operate: 3 BOE Identification Number: Date Volume Tank Record ID Installed Contents in Gallons TA0003135 DIESEL 4,000 TA0003136 DIESEL 4,000 TA0003137 DIESEL 4,000 The permittee must also observe the following specific conditions to maintain the Authorization to Operate an aboveground storage tank 1. An SPCC Plan must be reviewed and certified by a registered engineer every five years (40 CFR 112.5(b) 2. The SPCC Plan must be submitted for approval to the CUPA 3. The SPCC Plan must be maintained on.site or in nearest field office. 4. The permittee must perform periodic inspections of the storage tank in accordance with the SPCC and keep those records for a period of three years 5. The permittee must maintain the integrity of the secondary containment system of the tank facility and piping 6. The permittee must immediately report spills to the CUPA through emergency dispatch by callinpl l. Environmental Health Services Division (805) 781-ss44 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 THIS PERMIT IS ISSUED FOR TIIE FOLLOWING: FACILITY: FA0005342 QWEST COMMTINICATIONS CORP 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VALID FROM DATE: 01/01/2008 VALID TO DATE: 1213112008 ffi,tr"smilsffi CERTIFIED UNIFIED PROGRAM AGENCY Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo, CA 93401-5240 AUTHORIZATION IS GRANTED FOR THE FOLLOWING: 0762 PROOO8OI6 SLO CITY-HAZARDOUS MATERIALS HANDLER I-4 I25I PROOO8OIS SLO CITY.AGT INSP/ADMIN/ANNUAL PERMIT OWNER: QWEST COMMUNICATIONS CO 1801 CALIFORNIA ST STE 1160 DENVER CO 80202 I CURTIS A. BATSON, R.E.H.S. DIRECTOR, ENVIRONMENTAL HEALTH SERVICES JOHN W. CALLAHAN, CHIEF CITY OF SAN LUIS OBISPO FIRE DEPARTMENT THIS AUTHORIZATION/PERMIT TO OPERATE IS NONTRANSFERABLE AIID MUST BE POSTED ON-SITE IN A CONSPICUOUS PLACE. THIS OPERATING PERMIT WITH ALL CONDITIONS AND ATTACHMENTS, INCLIIDING MONITORING PLANS, SHALL BE RETAINED AT THE FACILITY AT ALL TIMES. QWEST COMMLINICATIONS CORP Facility Identification Number: FA0005342 Page: 2 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) PERMIT CONDITIONS In order to maintain the Permit to Operate, the permit holder must comply with the following provisions of related laws concerning mqnagement of hazardous materials. Any violation of the conditions may be causefor revocation of the Permit/Authorization to Operate: 2. Hazardous Materials Business Plan Program: California Health and Safety Code, Division 20, Chapter 6.95, Article I and Title l9 California Code of Regulations. s. Hazardous Waste Generator Program; California Health and Safety Code, Division20,Chapter 6.5, Articles l-13, Section 25100 et seq., and Title22, California Code of Regulations, Chapter 20. e. Aboveground Petroleum Storage Tanks (AGT) Spill Prevention Countermeasure Control (SPCC) Plans: California Health and Safety Code, Division 20, Chapter 6.67 and 40 Cl Number of AGT's authorized to operate: 3 BOE ldentifi cation Number: Installed Volume in Gallons Date Tank Record ID TA0003 I 35 4,000 TA0003 l 36 DIESEL 4,000 TA0003 1 37 DIESEL 4,000 The permittee must also observe the following specific conditions to maintain the Authorization to Operate an aboveground storage tank: l. An SPCC Plan must be reviewed and certified by a registered engineer every five years. (40 CFR I 12.5(b) 2. The SPCC Plan must be submitted for approval to the CUPA. 3. The SPCC Plan must be maintained on-site or in nearest field office. 4. The permittee must perform periodic inspections of the storage tank in accordance with the SPCC and keep those records for a period of three years 5. The permittee must maintain the integrity of the secondary containment system of the tank facility and piping. 6. The permittee must immediately report spills to the CUPA through emergency dispatch by calling 9l l. Contents DIESEL The Permit to Operate is to be maintained on-site and is valid for a period of one year Environmental Health Services Division (80t 781-ss44 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 THIS PERMIT IS ISSUED F'OR THE F'OLLOWING: FACILITY: FA0005342 QWEST COMMUNICATIONS CORP 3610 SACRAMENTO DR SAN LUIS OBISPO. CA 9340I VALID FROM DATE: 0110112004 VALID TO DATE: 1213112004 ffitff"o*s* CERTIFIED UNIFIED PROGRAM AGENCY Fire Department (805) 78r-7380 2160 Santa Barbara Avenue San Luis Obispo, CA 93401-5240 AUTHORIZATION IS GRANTED F'OR TIIE FOLLOWING: 0762 PROOO8OI6 SLO CITY-IIAZARDOUS MATERIALS HANDLER I-4 1251 PROOOSOIS SLO CITY-AGT INSP/ADMIN/ANNUAL PERMIT OWNER: QWEST COMMLINICATIONS CO 7430 DISTRICT BLVD SUITE D BAKERSFIELD CA 93313 \-w-XW cuRTrs A. BATSON' R.E.H.S. DIRECTOR EI\-WRONMENTAL HEALTH SERVICES ft( WOLFGANG KNABE, CIIIEF CITY OF SAN LTIIS OBISPO FIRE DEPARTMENT THIS 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 BE RETAINED AT TITE FACILITY AT ALL TIMES. QWEST COMMTINICATIONS CORP Facility Identification Number: FA0005342 Page: 2 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) PERMIT CONDITIONS In order to maintain the Permit to Operate, the permit holder must comply with the following provisions of related laws concerning management of hazardous materials. Any violation of the conditions may be causefor revocation of the Permit/Authorization to Operate: 3. Hazardous Materials Business PIan Program: California Health and Safety Code, Division 20, Chapter 6.95, 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, Section 25100 et seq., and Title22, California Code of Regulations, Chapter 20. e. Aboveground Petroleum Storage Tanks (AGT) Spill Prevention Countermeasure Control (SPCC) Plans: California Health and Safety Code, Division 20, Chapter 6.67 and40 Number of AGT's authorized to operate: 3 BOE Identification Number: Tank Record ID TA0003136 Date Installed Contents DIESEL Volume in Gallons 4.000 TA0003135 DIESEL 4.000 TA0003137 DIESEL 4,000 The permittee must also observe the following specific conditions to maintain the Authorization to Operate an aboveground storage tank: l. An SPCC Plan must be reviewed and certified by a registered engineer every five years. (40 CFR 112.5@) 2. The SPCC Plan must be submitted for approval to the CUPA. 3. The SPCC Plan must be maintained on-site or in nearest field office. 4. The permittee must perform periodic inspections of the storage tank in accordance with the SPCC and keep those records for a period of three years. 5. The permittee must maintain the integrity of the secondary containment system of the tank facility and piping. 6. ,The permittee must immediately report spills to the CUPA through emergency dispatch by calling 911. The Permit to Operate is to be maintained on-site and is valid for a period of one year