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HomeMy WebLinkAbout202 tank farm_Redacted[INR'TED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION P e I. IDENTIFICATION FACD.ITY DX/ IAOIO O lS^ L 3^ lYJ[^ I BBGWMIN Mn Im FNDINGDAM III Bll9RJE99 NA618(ew..eAcmrtPRenmuOBA-OayBlll.ler.l0 3 RUSINBS9 PHON8 IN WAGNERS IMPORT SERVICE CENYER 8055419472 BUSMSS SITE ADDRESS i IN BUSH &FA INe 202 TANK FARM RD STE A I BUSINESS SIR CITY IN ZIP CODE IN COINTy IN SAN LUIS OBISPO �^ 93401 DUN&BRADSTRBET '—'°^ PRDefARYSIC PR0. yNAIC9 BU MSSMAILINGADDRE39 202 TANK FARM RD STE A 3MKI ESS MAILWGCIW IOW 91'Am 1Ne mcom INa SAN LUIS OBISPO C_A 93401 BUS SOPERATORNAME IN 8 IN HAZARDOUS MATERIALS COMPLIANCE , H. BUSINESS OWNER OWMERNA 1 Nq WAGNER, CHARLES OWNER MA=G AODITM 202 TANK FARM OWNER MA WG CITY '• SPATE II ZB'CODH 110 SAN LUIS OBISPO CA 93401 III. ENVIRONMENTAL CONTACT CONTAC wN In IN WAGNER, CHARLES CONTACT MAILING ADDRESS 119 Ilw 202A Tank Farm Rd CONTACT MAILING CITY IN STATE 121 WCODE IN San Luis Obispo CA 193401 -PRIMARY- IV. EMERGENCY CONTACr3 -SECONDARY- WAGNER, CHARLES KARIWAGNER N N OWNER OWNER `� BUSYNESS PHONE IN BUSINESS PHONEIle 8055419472 8055419479 IJyL CELLI PAGM# In CELLIPAGERM uI ADDI'DONAL LOCALLY COLLECTED MCITION: Celhflcwirm: Buell IN my inquiryoflhow iregviduele l onoible for obmNing the foformotion, I wiify lmdw"odtyoflewlbel l have PN fiy esemimoi end m Dmiliar with dw lion eubmined andhelieve lheiNmmetilw ie true, ecnmle, and campltle. e SiIXAWUOFOW OP2 TMORDESIGNAT60REMSEWAJIVb N OPDOCUMENT PRPPAPPR 11] Charles Wa ner SIONOI (pMp NAdIBOPrles Chaa ner Owner W 10/11121, 5:17IM San Luis Obispo Online Fortes ® Chemical Common Name w location 13 Waste Motor Oil/ Filters 13 Automatic Transmission Fluid 0 Waste Antifreeze 13 Motor Oil I Largest A. Maximum Daily ,` Container 7 Amount 55.0 250.0 120.0 44X i 2-+�, 55.0 100.0 120.0 .-1" I —" ✓ h"Jtwww.ersubmftlogov.org/serAeUsearr-h t /t UNIFIED PROGRAM CONSOLIDATED I �M FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACII=ri g 01010181312181111 O O ^ ^ ^ L ^ 1f21 I BEGINMNG DATE I^° ENDMG DATE '°I BGSINESSNAME(auart aFACRv N. ft,r DSA- DmytNy(,w,A BUSMP.SS PFIONE '°a WAGNERS IMPORT SERVICE CENTER 8055419472 EGSINESS SITE ADDRESS Im susm99 FAX 102, 202 TANK FARM RD STE A BU 114ESS SITE CITY �^ ZIP CODE Im COIINPY l09 SAN LUIS OBISPO 93401 DIM&BHADSMEET Im PRIMARYMC Im I PRIMARY NMCS to, BOSMESS MAH.MG ADDRESS 10 202 TANK FARM RD STE A Husmss MAILING CITY 19r STATE 1990 ZIPCODE load SAN LUIS OBISPO CA 93401 BOSMESSOPERATORNAME tw BDSMESS OP WK PHONE "9 HAZARDOUS MATERIALS COMPLIANCE 8055419472 II. BUSINESS OWNER OWNER NAMF, GI Ili WAGNER, CHARLES owNERNwLING ADDRESS 11J 202 TANK FARM oWNBRNWI,MGCRY IN STATE. la ZIPCODE It6 SAN LUIS OBISPO ICA 193401 IIL ENVIRONMENTAL CONTACT CONTACT NAME uT eta WAGNER, CHARLES CONTACTMAILINGADDBESS 119 IIM 202A Tank Farm Rd CONTACT MATLMG CIFF Iaa S'[AlE 121 ZIP CODE IR San Luis Obispo CA 93401 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME W NAME lag WAGNER, CHARLES I KART WAGNER nmE lW, I TITLE lap OWNER JOWNER 130 i CELL IPAGER9 RI CELL IPAGEEA lax EMAR EMAB. ADDITIONAL WCALLY COLLECTED BJFORMATION: Cedifico n. Bred on my inquiry of dome individuals responsible far Obinining the infmmali°n,IMifytmdor Malty of law Slat I have Moonally examined and am ratil with the infommadon submitted and behove too mro malim is mu:, accureh, and complete. SIGNANRE OFOWNP PERATORORDESWNATEO RtiYRESENTATNE DATE 'HI OAm80FD VmENTPRVAASR 135 09/21/2020 1 Charles Wagner NAME OF SIGNER op..* Ds TI ILE OP SIGNER 'ar Charles Wagner lOwner Irva (Rev. MOO?) e114 021 ♦ ..� emicel Common Name ♦ location 0 Waste Motor Oil/ Filters 0 Waste Antlfree 0 Motor Oil 0 Automatic Transmission Fluid San Luls ObWW County Online Fygis Largest . Maximum Daily ♦ Contslner ♦ Amount 55.0 250.0 55.0 100.0 120.0 10.0 120.0 10.0 bl�aJrteww.enuamldloaw.ay9arvlatha6na tit 1}RTED PROGRAM CONSOLIDATED PO FACILITY INFORMATION BUSINESS ACTIVITIES PaeIof L FACBITY IDENTIFICATION PACILITYIDN t AL000Il4993 Wale Only) a. Daly> F A 0 0 0 8 3 2 8 cnL000aasssa (AgmeyDm , Waitress NAME(SIM a PaniloyNanr afDBa-DowBlloindasAa) WAGNERS tMPQBTSERVICE CENTER lei ausl sass am Dtlsss 202 TANK FARM RD STE A auslNEsssrrB seer SAN LUIS OBISPO a CA zwcoos. 01 'a EL ACTIVITIES DECLARATION NOTE: If you check YES to soy part of this Bail Please submit the Business Owner/ senior Identification nee. Dosayourfacifity., If Yea lease corm lesethem softheUPCF.... A. HAZARDOUS MATERIALS Have cm site Sormy purpose) at any one time, hazardous materials at or above RAZARDOUS MATERIALS 55 gallons for liquids, 500 pounds for solids, m200 cubic feet for compreued ® YFs INVENTORY - CHEMICAL gores (include liquids in ASTs and USTs); ort o applicable Federal threshold DESCRIPTION quantity for an commonly hmartbue substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials at quantities for which an onveradoGy plan is required anti to 10 CPR Parts 30, 40 or 707 B, REGULATED SUBSTANCES Have Regulated Substances stored onsire is quanttn grew than &a threshold quantifies established by the California Accidend Release ❑Pas Cao,dinatawithyoalooal+g<ary Ireveotiov Program(CdARP)? relp isible fan CaIARP. C. UNDERGROUND STORAGE TANKS LASTS) USTFACILITYQ%m ySWLCaP A) Own or operate underground storage tanks? YES UST TANKI®.s.hepnmh)1Pw,e.area^a) D. ABOVE GROUND PETROLEUM STORAGE You may and to wbatm Own or operate ASTs above theft thresholds: ABOVEGROUND PETROLEUM STORAGE TANK FACILITY Store greater than 1,320 gallons ofIlmoleum Products (new or used) m O Ygg STATEMENT. Clockfirdeuta aboveground tab or cmminas. E. HAZARDOUS WASTE Generale hazardous waste? ® EPA IDNt1MBER-movideal the top of Nis pear Recycle more than 100 kg/month ofwrcluded or exempted recyclable ❑ems RECYCLABLEMATPAIALSnEPORT materials (per HSC 25143.2)? a.aR.�xles Treat hazardous wute on -site? ❑ YES ONSITSRAZARDOUSWASTE TREATMENT -FACILITY ONSGE RAZARDOUS WASTE TREATMENT-I11,71' (umsy were Treatment subject to firuncial anamence requirements (for Permit by Rule and CERTIFICATION OF FINANCIAL Conditional Authorization)? ❑ yES ASSURANCE Consolidate hazardous waste generated at a remote site? ❑�S REMOTE WASTE/ CONSOLIDATION SITEANNUALNOTRICATION Need to report the cloame/removal of a fork nor was classified as ❑YES HAZARDOUSWASTETANK hazardous waste and cleaned onnite7 CLOSURECERTIPICATION Generate in any single calendar month 1,000 kilograms (kg) (2,2110 pounds) or Obtain federal EPA ID Number, file more of federal RCRA harardous waste, or generate in my single calendar ❑ YES Biennial Report(EPA Form 8700. month, or accumulate at my time, 1 kg (2.2 pounds) of RCRA acute hazardous 13A/E), ad satisfy requirements for waste; or goner e or mcumularo at my time more than 100 kg (220 pounds) of RCRA Large Quantity Gemmator. spill cleanup materials contaminated with RCRA acute hazardous Waste. Household Hazardous Waac(HM Collection site? ❑YES See CUPA for requiem Ponrns. F. LOCAL REQUIREMENTS IIh" it (Yovnuy hbo be,ryoaM to EleaWin omuua byyowCllPA orbW eatery] UPCF Nev. (IM007) UN IM PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY —CHEMICAL DESCRIPTION me,Y bWNm nem []ADD ❑DELETE ❑REVISE xm Pelle_of_ I. FACILITY INFORMATION BI131NBSSNAFBI(Sm nFACILIITNA Or DBA-Doing Bol &M) 1 WAGNERS IMPORT SERVICE CENTER C M(CAL LOCATION m' CHEMICAL LOCATIONCONPm@lf1A1.EPCRA ba - ❑ YES ' MAPIf Iw,wd) ORB)#(.Pim.E Be FAC¢ITY ID F A 0 0 0 S 3 2 g Ui II. CHEMICAL INFORMATION CHEMICALNAME ad TRADESKUT UyW be N eJjal m PPun..enr w DumFtiou mhfMONNAme M7 as EBe• ❑ Ye. Automatic Transmission Fluid CAS# *If 8H8 iv w,.^,all .mpne below m,ebe m le.. ME CODE HAZARD CUSSES ICE MHn%: IBCUPA) 210 Combustible Liquid. Class III-B 213 HA2AR000S MATBRNL TYPE (CMekareinnmty) . PEEBa Ob.AM[NIIB xlx V❑IDal MM CNfiSOeWASTE 13 SICALSTATE 2sRGPSAMER1200(Cwwlnnnty) ORWLMOb.UQM Oe. aAs . FED HAZlm CATBOOR®S-PHYSICAL UFLAMMABLE UGASUNOb&PRESSMUs UB%PLOSNa USELFN M443 (c kalllMryply) ❑PYROPHORIC ❑OBoaBR ❑ORGAMCPE oMe ❑SELFReACINB ❑PYRONONCOAS ❑CORROSNBTOMBTAL ❑CONTACPWATBRBMITg PLAMMABLEGAS ❑C%Am A6LETODUST ❑NA]ARUNOTOTID:RWISe CLAWWED FEDNAZAeDCATEGOR®S-HEALTH: ❑CARCWONECCN ❑AC=TWUCITY ❑REPRODUCHY8T0%ICVN ❑SKMCORROSIONORDRITATION (ehak ill RN eppIY) ❑BBSpRATN)RYORSBBsbNSRI moT ❑S8NOU99Ya DAMAGR OR BYEDWAll10N ❑SPWITICTAGEIOKGANTOMCn ❑A GIATIONHA2.IRD ❑GERMCELLMUTAGENICEN ❑61MPLEASPHYXIANT ❑HAZARDMITOIHFAWISECWSSHRBD AVBRAOEDA YAMOUNT iD b1AATMUMDALLY AMOIMI' 218 ANNUALWASTEAMOONP 219 STATBWASIECODE 2.0 10.0 I • b. Guar YUHT POUNDS d. TON3 DI 11M'1E' � GALLONS 0 O e. O DAVSONSITB: TA .'jB$.D hwkmeilemonl evmmlmu.[be i. nb. STORAGE OyABOV6 GROUND TANK❑ePLASTICNONMBTALUCORUb1❑I.FMERORUM ❑m.GLAMBOTTLE ❑,. RAd CAR CONTAMBR BAG BOITLE ❑cOIHER l.YT,I C�OY BCYLMDBR �P iANKWAO1. EBUILDNO Rg.g. I'yL ON STBEL HTANKMURa STORAGE PRESSURE O, AMBuocrpJ Ob. AEOVB,IAIDNNT 0GG. suLmv AMa m oaAGb TBMPBLAII)Be O.. AMBN'NP Ob. ABOVEA BNMT Oo. BELOW AMBIENT 03. CIIYOGBb C S2S %WT HAZARDOUS COMFONENT(For miKNa arw„l9 only) ENS CAS# 1 226 227 ❑Yn VI Z a, 231 [-]Yn Eu Hx 3 OS 233 ❑ m d as D9 ❑Y9s Mo 241 3 23z xH ❑Yn Ms EE...rh..ud.nm.r..m.......me+mn.1,..2%b,�a2e...arw.Fm�s4s.2%uyw�avm.w®w,.aeb.dnn.wn.,ery.r.r.ym�Rw ryamlwi..u. s ADDITIONAL LOCALLY COLLF.CTD INFORMATION UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION aeYbJ Sol EIADD ODBLETE oiuivi E zee 1. FACILITY INFORMATION BMMESS NAME (Same w PACILIT)rNAWIrr DBA—Doing BmbJeee As) WAGNERS IMPORT SERVICE CENTER CFICM1OCAC LOCA'FWN wl CHAAIICAL LOCATION CONPmENTW.EPCRA -- ❑YES I MAPN Ial9ana) us GRNN(mma) � FACLL=M# F A 0 0 0 8 3 2 8 01 U. CHEMICAL INFORMATION f36MfCALNAMC Iw TRADBSECRET LJ Yes ff&N xm elCgM Nft' W Mavavp m COMMONfAM6 EIS• ❑ Vm WBsle Antifreeze % w •IfHH3 is Rw'", ell emouMR below maul be m Is. 710 FIRE CODE NAZARDCLASSES ICwylmv,yJvey(ulA) Toxic (Tax)ll&Z z 1 TYPB&KBKXJoR Enlw� QL PGRE(> bo=oste Oi r. wAs'tB al xADloAcme ❑rm vz cuPms ,is WIYSICAL STA'1E rz (Clues ou ikm only) OLsp.SU Ob. uQ511D Oc GAB LARGBgI'CONTADICR 55.0 FGD NAZARDGTP.GOMB4-PNYBTAL PI.AMMABLE GA5UNDERMWURB UB%FLOSIVB SBLP S®AT1NG (ebvk aB lSJeppb) ❑ PYAOPBORIC ❑O=0 or ❑ORGAMCPEROMI)E ❑MlPR0AC51VC ❑PYBOB IiAo ❑C0sIIIW EKIMBPAL ❑CONrACI'WATEREMRS FLAMMABLB GAS ❑COL50USTABIENDUST ❑DA]ARDNOT OD®IwWe CLAS9IPD'➢ PED NAZARDCATEOORQ�B-B9ALTN: ❑CARCWONSCTf ❑ACG'f6 T0%ICffY OR WDUCl1Vgl'OM(:DY ❑SI@ICORAOS[ON Ofl RRPCATION (c alMJgg1Y) ❑A03PDIATprAY0RS1(MSED?9=ATI0N ❑IrMWSEWDAMAOEOREYBWIIATDON ❑ypvrmr•TAOETOROAN TOXICITY ❑ASPBUTMNRALARD ❑OBIfM CP1L MU'PAGRNICDV ❑SIINPLBASPB'(]DANI' ❑HAZARD NUf OTACRWISECLA331E1ED AVEAAGEDAD.YAb1011NT gU blAxlsAumuAB.YAM011N1' 113 ANM WAITEAss5 119 STATIRWASTBCODE 110 1.0 100.0 400.0 1 u) DAYS ON SttE: NBTS' Qn. akt, NS Qb.0 wPBET Qo.PO5MD8 Oa TONS 365.0 QaR one immml •IfERS ummtmm51g5n oddv. 1''l OIlB6FA ❑e,ABOVE OROVNDTANK ©e.PLASTICMONMBPALLICDRU []i.MERDRU [IMGLASSBOITLE ❑q. HAD. CAR UNDERGROUND TANA SCAN n1•BAG no PLASTICBOTPLE ❑r. MBDR �b. u.TA :MSIDE BUILDMM [.CARBOY Y. BOX ILYcl �BBM IFLL�gJJ d STEKDAGM h. SD.O LCYLMDER P, TAIMWAGON In mm(IE PRE%URE O L AS®IEM' O b. "0W AsdBmw O a BELOW M.®IEN'r rN SNMGCTCn@ER.4TIMB QL A66B®IV! Ob. ABOVEAAIBD:NT Oe. BALOWAMBD Od CRYOGENIC 225 %Vrr HAZARDOUS COMPONENT (For mixblre or waste oorlY) ENS CAS # 1 w6 ID C'��ly� LJ'w 9L ID T u 231 ❑Ya5 25: 233 S yw 355 ❑ 236 DS A no z dyes no LL❑JIVev wl S n3 x ma sD BmrnLYu1W uspeMrrnllaOl MpNYs I%bXJ9w VemevamRear.rr0.1%bYXaISINa¢L6RrJirlm'!•6•IbaJrMYrlpm�ep4M(Yrrgrbr6lYlmrllan. N ADDIf10NAL LOCALLY COLLBCTEO MFORMATION FORME SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan Date, 07/11/2019 SECTION I -A: BUSINESS IDENTIFICATION DATA aUS114FS9 NAME WAGNERS IMPORT SERVICE CENTER SnEAooes9 cnT ZIP COOe 202 TANK FARM RO STE A SAN LUIS OBISPO 93401 PAmrrconmP ru Hom tnmmes aUSfflrls UNGAnnaPS9 CnT W CODE I. Ileaudous Maen'als 3. ak Ibaudw Cgahol UndopawdSbr+Be# Dimict# L Haaerdom Wane 6 Responding Fire Door (ieaemnorp &Pvmitp Please provide the following information Wit pCm1i119 to yourbasiness and its location. You arc not required to notify these companies in the event of an era ergency. Thi s information is provided for y ou reference and to assist emergency response personnel in responding to a hazardous materials emergency at youfacility. List the name and phone number of the utility company. PG&E Telephone # SAN LUIS GARBAGE Water District SLO CITY UTILITIES ITelephone # SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either I Dr 2) 1. This is a [ONEW Plan OUPDATED 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). 2. ❑ This plan requires so 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 one and accurate. PEPR NAa�OPOWNa0.00.0mRPm0. SIGNATURE DAM Owner Submitted via Portal 07/11/2019 pDCUn@NRPa9PAM1®aV 91QIANa9 DATE Chares Wagner Submitted Via Portal 07/11/2019 1 E. If you have mutely haardous m ala above threshold planning quantities, lis( 'name and address) adjacent neighboring businesses and residences, schools, hospitals, we. Include sensitive facilities (schools, hospitals and rest homes) within 1,000 feet (straight-line distance from your property line). List telephone numbers for all businesses; for apartment buildings, list manager's phone. Do not list telephone numbers for private residences. N/A F. Briefly describe your standard operating procedures in the event of a release or threatened release of hazardous materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures may be referenced and attached to this document. 1. Prevention --Describe the accident potentials associated with the hazardous materials present at your facility. What actions would you business take to reduce accident potentials? Include description of safety, storage, and containment procedures. Waste/ Product is ;nd all containers are securely closed 2. Egnipment -- List the emergency mapoose equipment at your facility lcg. fire extinguishing systems, spill control equipmeal, decontamimdon equipment). _ Item Use Location Maintenance procedure Fire Extinguisher Small fire Annual Service Floor Sweep Small spill Refill as needed First Aid Kit Minor Injury Refill as needed 3 Evacuation Describe how 3w will'mmed'tl to yaw facility. Where are the designated meeting locations? 3. Indicate frequency and duration of training for employees that work with or corn iota contact with hazardous mffierielvhezerdous waste. Annually 4. Describe how your employees access Gaining materials.(E.g., bulletin board, employee ncwelcka, Staff meetiugs,etc.) B Gat persoo(s) In charge of training and Indicate their qualifications to conduct the training. Charles Wagner C. Indicate where training records are kept (Records must document the type of training, duration, completion dates, comes and positions of employees receiving training and the name ofinstruetor/trainer.) I SFIED PROGRAM CONSOLIDATED FOF FACILITY INFORMATION BUSINESS ACTIVITIES PameIof 1. FACILITY IDENTIFICATION FACILITYID4 (Ag:ncy UseDaly) F A 0 0 0 8 3 2 8 EPA ID (Ha Gw Waste Only) a �prCAL000349934 ROSINESS NAME(Saae as Facility Nama of DBA-DoingBui(aev As) ¢VAGNERS IMPv" BUSINESS SITE ADDRESS 202 TANK FARMM RDSTE A 'm BUSINESS SITE CITY SAN LUIS OBISP 'N CA ZIP CODE 93 1'°' R. ACTIVITIES DECLARATION NOTE: If you check YES to any pert of this list, lease submit the Business Owner/O erater Identification page. Does ourfaidEi it Yes, leas: cam [ae these i es efts: UPCF.... A. HAZARDOUS MATERIALS Have on Site (for any purpose) at any one time, hazardous materials at in above HAZARDOUS MATERIALS 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed © YES INVENTORY - CHEMICAL gases (include liquids in ASTs and USI's); or lee applicable Federal threshold DESCRIPTION quantity for an extremely hazardous substance specified in 40 CFR Pan 355, Appendix A or B; or handle radiological materials in quantities for which an caricanaboy plan is regained pursuant to 10 CFR Pans 30, 40 or 70? B. REGULATED SUBSTANCES Have Regulated Substances stored ensile in quantities greater than the threshold quantities established by the California Accidental Release ❑YES Coordsoo: with your local agency prevention Program (CaIARP)? responsible for CaIARP. C. UNDERGROUND STORAGE TANKS (US 'rs) UST FACILITY q, ,ry 8WRCE1 Fa,r.,y Own or operate underground storage ranks? ❑YES UST TAN K(+,p or u.0 ffemuav pm„m D. ABOVE GROUNDPETROLEUM STORAGE You our need In submit an Own or operate AST¢ above these thresholds: ABOVEGROUND PETROLEUM STORAGE TANK Stare greater than 1,320 gallons of petroleum products (new or wed)in ❑ YES EACILI'IT STATF.MENT.Cfk Radial]b' aboveground tanks or containers. E. HAZARDOUS WASTE Generale hazardous waste? ® YL5 EPA ID NUMBER- provide at the tap of this page Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT materials; (per HSC 25143.2)? ❑YES Wa xro*00 Treat hazardous waste on -site? (:]YES ONS ITS IIAZARDOUS WASTE TREATMENT-FACIL I'rY ON -SITE HAZARDOUS WASTE 'CREATMENT-UNIT (m,prmpar.do Treatment subject to financial assurance requirements (for Permit by Rule and CERTIFICATION OF FINANCIAL Conditional Authorization)? ❑YES; ASSURANCE Consolidate hazardous waste generated at a remote site? []YES REMOTE WASTE I CONSOLIDATION SHE ANNUAL NO TIFICATION Need to report the closure/removal Of a tank that was classified BS ❑YES IUVAROOUSWASTETANK hazardous waste and cleaned on -site? CLOSURE CER3'I FICATION Concrete in any single calendar month 1,000 kilograms (kg) (2,200 pounds) or Obtain federal EPA ID Number, File more of federal RCRA hazardous waste, or generate in any single calendar ❑YES Biennial Report(EPA Form 8700- month, or accumulate many Lane, I kg (2.2 pounds) of RCRA acute hazardous 13AAN, and satisfy requirements for wade; in generate or accumulate at any time more than 100 kg (220 pounds) of RCRA Large Quantity Generator. spill cleanup materials contaminated with RCRA acute hazardous waste. Household Hazardous Waste(HHW) Cal [action site? ❑YTS See CUPA her required(brms. /y/I//, F. LOCAL REQUIREMM- S I (You our ale be Monte to prhv'W. diaMuup (tansy ourCUPApr Lnissaloy.) UPCF Rev. I2n00]) UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY —CHEMICAL DESCRIPTION 1w1wnIV an. "MID EIADD CIDFLEIE OREVISE no POae _ of_ 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business AS) WAGNERS IMPORT SERVICE CENTER CHEMICAL LOCATION III CHEMICAL LOCATION CONFIDENTIAL EPCRA 'AR ❑ YES I MArPC,,M1) �) ORIDN (oeywp ma FACILI rY IDd P A 0 0 0 8 l 2 8 01 IL CHEMICAL INFORMATION CHEMICALNAME 205 TRADE SECRET U Yes Irs,bi=Imo-oak "armiaam�t�on. COMMONNAME P0T ExS" Yes ❑ Automatic Transmission Fluid CASk DUELS is "Yes", all amounts holow mmy be in lbs. 210 FIRE CODE HAZARD CLASSES Icmmgmavamollnbl ctRnl Combustible Liquid, Class III-B 2 12 TYPERDOUS MAe�MJ Oe. l'IIRG Ob. MIXI'IIRP Oc. WASTE 211 MDIOACRY, ❑Yu ➢ CURIES 6 PHYSICAL STATE 2 (Chwk one ikm only) Oa. SOL IDOb. LIQ1HD OeGA$ LARGEST CONTAINLR 'IZD.D 122D HAZARD CATEGORIES - PHYSICAL FLAMMAaLFLj GAS UNDER PRESSURE Lj E%PLOSIVF, u NELF HEATING VF OM (ehaknll Illy aOplY) OPYHRAZAJD IZLAMER OOLE ❑SfABLE OPYROCONTTACT WATER ENU SORIC NOT OTO WISF. CLASSIFIEDBTAI. GAS C]COMUUIDE TO DUST PRO HAZARD CATEGORIES - HEALTH'. ❑CARCIGONFFrtY ❑ACUTE TOXICITY ❑REPRODUCIVETOXICITY ❑SRN CORROSION OR IRRITATION (olmdMIthulapPly) ❑RESRRATIORT OR SKIN SENSITIZATION ❑SERIOUS EYE, DAMAGE OR EYE R(RIATIION ❑SPECIFICTAGEr ORGAN TOXICITY ❑ ASPIRATION LAZARD ❑ACUTE TOXICffY ❑SIMPLE ASPHYXIANT ❑ HAZARD NOT OTHERWISE CLASSIFIED AVCRAOF.DAILYAMOUNT 217 MAXIMUMDAILYAMIXIT la 1 ANN(ALWASTEAMOUNT 219 STATE, ASTBCUDE 220 2 0 10.0 1 As, DAYS ON SITE: 222 UNITS' Oa (IALLONS QR C110IC FEET O 0.POU aS OIL TGNS 380.0 'If F.fIS wlgvlmW btu UMULvmml COURAGE AgOVH GROUND' DANK PLASTICMONMCYALI.IC GREW I FIBERURUMOM GLASS BOTTLE ❑y. RAIL CAR b. UNDERGROUND LANK. ❑fCAN J. BAG a PLASTIC BOTTLE ❑�-O'ffIER IILCr1,.-Ir1ICONTokTNTA c'TANK NSIDE BUILDING ❑RCARHOY k. BOX a TOTEBIN d STEEL DRUM ❑1%SILO HI. CYLINDER p'I ANK WAGON 221 STORAGE PRESSURE Q a. AMBIENT O In. AROVE AMBIENT Q u BELOW AMBIENT 224 STORAGE TEMPFRA1OLLi On AMBIENT On ABOVEAMBIF.NT or BELOW AMBIEN IQE. CRYOGENIC 22i %COT HAZARDOUS COMPONENT (For mixture or WOW Only) F.HS CAS N 22 [Yes vn 220 2 2)0 z ❑Yea 2 2 } 2) ❑YCS 216 222 4 20 z [Yes 240 2 N 42 24) :Yes 2 IfmmkvxMweneponenkaw Prvml a"IV tan l%bY.^01yk11n neaMmpa4.w0.1%M^tlakJrmMaeamk.nlxebxay4lntl.nemNpgreapwrTF ve eAulrvJ lNbrmulen. 246 ADD["IIONAL I.00ALLYCOLLECTED INFORMATION UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION malmot NYICI v []ADD []DELFTE []RENTSE zup I age_oP 1. FACILITY INFORMATION BUSINESS NAME (Same as FACIE[ rY NAME or DBA— Doing Buginzas As) 1 WAGNERS IMPORT SERVICE CENTER CHEMICAL LOCATION E CHEMICAL LOCATION CONFIDIiNT1AL EPCEh Z0 ❑ YES I MAPM towlm.) DNDU (cpswn0 xna FACILITY ID F A 0 0 0 8 E 2 8 I 01 H. CHEMICAL INFORMATION CHEMICALNAME mf IRA DESECRE'F Ye If SNa, m PTCRA, mlaNile"Iims COMMON NAME $e' EIISa Yu ❑ Waste Antifreeze CAS# 9F EHS is "Yes", all amounts below must be in Ibs. Im FIRECODE HAZARD CLASSES (Cnmpmir,,q,lmg h Cwq Toxic (TOKj 1 HAZARDOUS MATFRIAL III TYPF.(CRek one hem only) Qe.PURF ONMIXTEUM Oc WASTE RADIOACTIVE ❑Yw v CURILS 1 PHYSICAL STATE nl< (Cbeo- om lrenonly) Qa.sa.lG Ob uV1110 Qc. GAS LARGES'T CONIANER 55.0 PEO HAZARD CA IEUORIES-YIiY51CAL FLAMMADLE Ll GAS UNUFR PRESSURE LJEXPLOSIVE Li SLLF HEA71110 Rhack WlllvapplY) ❑PYROPHORIC []OXIDIZER [-]ORGANIC PEROXIDE ❑SF.LFRF.ACTIVF ❑PYRGHORICGAS ❑CORROSIWTOMPSAL ❑ CONTACTWAfER EMITS FLAMMABLI, GAS ❑COMBUSTARIETO DUST ❑ HA2ARO NOT UTHERWISF CLASSIFIED FED LAZARD CATEGORIES - HEALTH ❑CARCIGOMiCITY ❑ ACUTE TOXFCI'TY ❑RRRODUCI'IVETOXICRY []SKIN CORROSION OR IRRITATION obacksll NONPIy) ❑RESPIRATIWYORSKNSF.NSITIZATFON ❑ sFwouSEYF DAMAGE OR EYE IRJUAT110N []SPECIFIC EACH ORGAN TGUCIIY ❑ ASPIRATION IIALARD El ACUTE IDXICOY ❑SIMPLE ASP{YXIANT ❑ LAZARD NOT OTHERWISE CLASSIFIED AVERAGE DAILY AMOUNT DT UNIDABYAMOUT 110ANNA0LWrA111I I STATWASTRCODE Iia 1MAX.0M 1.0 00 I nI OAYSON RITf:: RI UNITS' Qw GALLEONS QACUBIC I'EET Qe. For QJ. TONS 385.0 2r enra Wa;mn and 'LFBDs.PmPnnl bta STORAGE CONTAINER ❑n. ABOVE GROUND' TANK Oe.P1.A-MCINONNEI'ALLICDRUM❑i. FIDLRDRUM❑mOI,A581YO-ILE ❑ERAILCAR UNDF.RGROINDTANK ❑T. CAN []I.[]I.BAG Fja PLASTIC90'ITIT ❑r. OTHER gF e TANK INSIDE BUILDING ❑g. CARBOY ❑k_90X o. 'DOTEDIN Ill. STEELORUM ❑11 SILO ❑I. CYLINDER ❑b-'TANK WAGON ZD STORAGE PRESSURE Oa. AM➢ILNIQb. ABOVE AMBIENT Q o, BELOW AMBIENT 211 SIORAGE IEMPLRATURF Ou. ANNILm Qb. ABOVEAM➢TENT Qw BELOW AMBIP.N I' Or. CRYOGENIC 225 %W'F HAZARDOUS COMPONEN'C(For El orwasbe only) F,HS CASH a ❑YCf va Go IlL Des z 233 p4zg E ❑YO; Z36 ZI7 nP ❑Yes Iw ECJ ❑YCi MS vpeeen mRen vlb lxhwelptlreo Meiuryewe.o %h�rYnBnrXapra. vn..xwJluNlsnvurwvva .ins ae^RmNn.rvWn 546 ADDITIONAL LOCALLY COLLECTED INFORMATION _1 FORM E ") SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan Date, 07/19/2018 SECTIONI-A: BUSINESS IDENTIFICATION DATA BUSINPSSNAME WAGNERS IMPORT SERVICE CENTER SITEADDRESS CITY MP CODE, 202 TANK FARM RD STE A SAN LUIS OBISPO 93401 1 ACnrtYUNIT ON 'IMONE NUMBER BUSINESS MARANO ADDRESS COY ZIP (ODI: I. Haaardous Materials 11. Air Pollution Control Undaremuud Storage# District# 2, l lazardo,u Waste 4, Responding Fire Ikpt ceneralor# I s Rani# Please provide the following information as it pertains to your business and its location. You are out required to notify these companies in the event of an era ergency. Thi s information i s provi ded for y our reference and t o assist am ergency response personnel i n responcii ug to a hazardous materials emergency at your facility. List the name and phone number of the utility company. Electrical Service PG&E Telephone# Gas Service Telephone # Sanitation SAN LUIS GARBAGE Telephone # Water District SLO CITY UTILITIES Telephone # SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either 1 or 2) I. This is a #NEW Plan [)UPDATED 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). 2. ❑ This 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 For T, the Training Program.) f certify under penalty of law that the above information is true and accurate. PRIMNAME OF OWNER OR OPERATOR SIONATORE DATE Owner 911h hrrad via Portal 07119/2018 DOCUMENTS M WARIM BY SIGNAnIRF UA Ir Chares Wagner Submitted Via Portal 07119/2018 1 E. tryout have acutely hazardous no 'als above threshold planning quantities, list name and address) adjacent neighboring businesses and residences, schools, hospitals, era. Include sensitive facilities (schools, hospitals and rest home) within 1,000 feet (straight-line distance from your property line). List telephone numbersfor all businesses; for apartment buildings, list moraines phone. Do not list telephone numbers for private residences. N/A F. Briefly describe your standard operating procedures in the event of release or threatened release of hazardous materials. Emergency response procedures must comply with all federal, some and local regulations. Existing emergency response procedures may be referenced and attached to this document. 1. Prevention — Describe the accident potentials associated with the hazardous materials present at your facility. What actions would your business take to reduce accident potentials? Include description of safety, storage, and containment procedures. Waste/ Product is stored inside and all containers are securely closed 2. Equipment -- List the emmgeacy response equipment m your facility (e.g. fin extinguishing systems, spill control equipment, decontamination equipment). Item Use Location Maintenance Procedure Fire Extinguisher Small fire Annual Service Floor Sweep Small spill Refill as needed First Aid Kit Minor Injury Refill as needed 3 Evacuation Describe how you ill immediately evacuatey fail'ry. Where the designated meeting locetions7 3. Indicate frequency and duration of training for employees that work with or come into can= with hazardous materials/hazardous waste. 4. Describe how your employees access training materials. (E.g., bulletin board, employee newsletter, staff meetings, etc.) B. List person(s) in charge of training and indicate their qualifications to conduct he training. Charles Wagner C. Indicate when training records are kept (Records must document the type of training, duration, completion dates, names and positions of employees receiving training and the name of instructodtramer.) )MED PROGRAM CONSOLIDATED FO FACEL YINFORMATION BUSINESS ACTIVITIES Page I of I. FACELITYIDENTEFICATION FACILrM1'mg A 0 0 0 8 3 2 8 1 EPAID41nme"up Westa Only) z (Agency On Only) F CAL000349934 BUSINESS NAME(sama as Facility Name oJOBla Basuun Ad WAGNERS IMPORTS ousinums sm"artim 202 TANK FARM RD STE A 101 Busmass1TE= SAN LUIS OBISPO '" Cw zB CODE 1 1Af 11 ACTIVITIES DECLARATION NOTE: If you check YES to any part of this Eat, lease submit the Business Owner/ erntor Identification ge. Does you facility. IfYes them oflhe UPCF.... A. HAZARDOUS MATERIALS Have m site (for any purpose) at any one lime, hazardous materials at or above EA}AROpU3 MATERIALS 55 gallons for liquids. 500 pounds for solids, or 200 cubic feetforcompressed 71�clate vasINVENTORY — CHEMICAL gams (include liquids in ASTa and USTm); or the applicable Federal threshold DESCRIPTION quantity for an comemely hazmdos substance specified in 40 CFR Part 355, Appendix A or B; or handle mdalogwRl materials in quantities far which an creargemsy plan is required pursuer to 10 CFR Puts 30, 40 or 707 B. REGULATED SUBSTANCES Have Regulated Substances stored ostte in quantities amount dent the threshold quantities established by the California Accidental Release ❑YES Commustc with your beat agency prevention Program (CalARP)? raroomible forcelARP. C. UNDERGROUND STORAGE TANKS (USTs) UST PACILITYryw...arswecaw,,. as Cem or operate underground storage tanks? YF9 UST TANK(ae,wcr�ma)oa�Irroi..m D. ABOVE GROUND PETROLEUM STORAGE Yea mayomd to mba t m Own or operate ASTa above these thresholds: AROVEGROIIND PETROLEUM Store greater than 1,320 gallons of petroleum produces (new or need) ire ❑ yes STORAGE TANK PACILDY STATEMENT.Cliak brtletaile aboveground tanks or customers. E. HAZARDOUS WASTE Gmuate hazardous waste? ®yEs EPA m NUMBER-provide"Wetop of this me Recycle mare than I00 kg/mmth of excluded or exempted recyclable RECYCLABLE MA1YUATSREPORT materials (par HSC 25143.2)? ❑YEs Owwma=) Treat hazardous waste am -site? ❑ ygg ONSITE HAZARDOUS WASTE TREATMENT-FACH.TY ONSITEF ARDOUSWASTE TREATMENT-Utfrr (me"mum Treatment subject to frsomiui assurance requirements (for Permit by Rule and C KDRCATIONOF FAIANC Conditional Autharizationr WE ASSURANCE Consolidate hazardous wane generated at a remote min? ❑�S REMOTE WASTE CONSOLIDATION SITBANNUALNOUFICATION Need W report the closutc/temeval of a tank that was classified as ❑yms IIATARDOUSWASTETANK hazardous wore and clemed on -site? CLOSURE CERTIFICATION Generate in any single calendar search 1,000 kilograms (kg) (2,2D0 pounds) or Obtain federal EPA ID Number, file mom of federal RCRA hazardous waste, m generate in my single calendar ❑YEs Biennial Report (EPA Fount 87W month, or accumulate at my timq 1 kg (2.2 pounds) of RCRA more hazardous 13AB). and satisfy requicemema for waste; or generate or aceumulate at my time more than 100 kg (220 pounds) of RCRA Large Quantity Generator. spill cleanup materials contaminated with RCRA mote hazardous waste. Household Hazardos Wow(HHW) Collation site? ❑yEs gee CUPA for requhaafomm. F. LOCAL REQUIREMENTS 1 " (yoa �.imtomaaaaeto umam nMyowcwAwtowosmar.) UPCF eaa. (IM007) UMFIED PROGRAM CONSOLIDATED FOkfd HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY — CHEMICAL DESCRIPTION maM bN OADD ❑DELETE [3REVME nw_91_ 1. FACILITY INFORMATION BUSINESS NAME(Same u FACILITY NAME or DBA-Doan euieeu As) 3 WAGNERS IMPORT SERVICE CENTER CID3MICAL LOCATION lel CHCMICALLOCATION CDNPNBNTIAL WCItA IDS - ❑YES I MAPk lwd.ml iu OIDDM(weoae in PACR.ITYE)# F A O O O S 3 2 E pt IL CHEMICAL INFORMATION CHEMICAL NAME 'mi TRAD83ECRBT ya >� Il SA¢ b BPLM, rtee ro uAemn.. COMMOtt NAME im ❑Yee Automatic Transmission Floodexs• CAS# w9 •If 8H9 h "Yu'", tll Neowb below mwl be a roe. FxtBCODBHAZ CLASSES (coapiealRyaIM6YCINA) il9 Combustible Liquid, Class III-B 113 IIAZABOOUS MATENAL WK(L coeeikmonly) a.PURB OkAaX'nM8 Oe WASTE BADKSACf1Ya Ova 112 CUBIPS v PBYSICAI.STATE n9 (C6akaw ilmwlY) Qe.SOLw Ob. Ugllm OO.OAS I.Aaoasrc AB`BB 720.0 P®1A CAT BIESUPLAMMABLe uaAsONOe mmosuvx UEJDNDSIYB USUFFIEKMO (Lbxk&u6d@PH) ❑PYBOPBOMC 00%ID12BR ❑O0.0AMCPBBOME ❑BBUMACRVE ❑PYBONOAICMS ❑COWIOSMTOM AL ❑CQYPACTWAIPR EMITSPLMM1ABLe 0A3 ❑COAIDUSIABLBTO DOfiT ❑NAZARDNOT OTNGRWI6BCLA63wDN PBDeAZABU CAIP.00BIE3-NWLTX: ❑CABCIOONBCnY ❑ACTH£TO#C[I'Y ❑BPPROWCIIVe TOXICnY ❑SKD Moto MOKGO IAnON (ohed dlWaepllY) ❑R08POU1100Y 00.3KD1 %N41'IIZA]IWi ❑SEBIOWE0 DAMAOEOKBYe WUATUON ❑SPEU'kICTAOBf00.O"WeOaW ❑ASPIXAt10N HAZAFD ❑080MCEUWTAGBNM ❑SU EA6PNY W ❑SIAZARONOTOTIIEBWISEC SHIED AVENAOBDNLY AMOVMf ill tdAKIMIIM DAB.YAMOf T US I ANNUALWAMAMOUM 219 STATBWASTSCODa An go 0.0 rn UIBTS• OR a GALLONS Ob. CUBIC mar Qa.PoUN➢S Od. TONS DAYS ONSITE: 3E5.0 It HN6 mnW mmdeu y�pBd.�meime CONTMJEM1 ❑X c. ABOVE GBOUN➢TANK ❑aPLAMT ONMMAWCDSUM❑i.FMERDBIIM❑MGW63BOTTLO ❑9. BAB.CAB h UNDERG&OUNDTANK LCAN S. BAG PM BOTTLE ❑OTNPA a. RF OARBOy k.WX 11aLA 9. =BDI �1, �t.TANKW3UlEBUD.DPIO d STEELD&UM 6b.SR4 CYIRUIBe, ❑p. TAWWAGON 33 STORAGE Fsxnfi NQ .. AMBGB T O b. ABOVE AMBIEM Q c BEDW AAIB mm va SI'ORAGCTBMPERATURB @a. AMBIENT' Ob. ABOWAMB®1T 0C,BELOWAM5flnT O& MYOGEMC no %WT HAZARDOUS COMPONENT (Fm IniRUNe orRvte only) EHS CAS # 1 no R1 ❑ya no 23 2 me 9I []Yam w on 3 a on ❑ no vl d no 38 [-]yea Na uI 3 ME w ❑yes VA Me NaeaemY•uaoFl•aM1maMaINNSW Yr I%byatlpt V wwrtboNd40r0.1%braablllNawYapaRl Nheb •dXtlerl,ree>Papa Npbuas De�quW bYmWm. N6 ADDITIONAL LOCALLY COLLECTED INFORMATION UigMED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ❑ADD ❑DELETE QREVISE I. FACILITY FACILITY INFORMATION BI181NE33 NAME (Seven as FACILr1'Y NAMB vrDBA—DviegBmireu As) 6 WAGNERS IMPORT SERVICE CENTER Ch WCALLOCATION m I LTIEWCALLOGT[INI COIVFlOHMIAI. EPCRA mi — ❑� MAPI{(•paoval ma UmWLapm") PAC WM# F A 0 0 0 8 3 2 8 01 IL CHEMICAL INFORMATION Say CIIIiMICALNAME TRADE SECRET uys Sm N S+N W b evCIK wrn ro iswe'un COMMON NAME EHS• ❑Yee Weete ArlStreez CAB# W *If WE is "Yes", all amowle below mvalbe in Its. 10 PIKE CODE HAZARD CLASSES ID,. ffym dbr c"N a Toxic(Tox) fil�9 U TYPB(L'hedme items mlh) D'EunB Q0.A6C1'11R8 Qe p.WA318 all PADIOACr1VE❑Yw al CURDS 215 PNYSICALSTATE 114 (rA.d<my aempaly7 0&WLm Qb. Llqum OeGAS LARGE WNTAWBR 55.0 FED PHYBIGL UFLAMMABI.E LJGASIINDERllWSfflJFE LJEEFWElFs.EFEArD;G (ehwk dl That apply) ❑PYROMoW ❑O] Mtt []OHO ECPEROME ❑SELFRBACINE ❑FYROHORICOAS ❑CORROSR2l'O MB'IAL ❑CONTACTWATBREMTSPLAMMABLFGAS ❑COMBUSLABIEWDUSF ❑HAZARD NOT O'Il®tW19E CLAS36® pEp IrA9ARD GTEGORffF-IIDALTN; ❑CARCIGONECICF ❑ACUTETOXHC ❑REPRODUC➢VETO%ICITY ❑SHIN CORROSNN OR IXArIAT10N (ehmk JlBW epp'ry) ❑RESPBUTORYORMONSENSITIZATION ❑SERIOUSEYEDAMAGEOREYEDULIATUON ❑WECD'ICTAOBIORGANTOXICITY ❑ASPW.➢ONNA]aRD ❑O®tMCELLMII'1'AOPNICITY ❑RIMPLEASPINXIA" ❑HAFAR➢NOTD11B1RWISECLASSIFQEW AVERAGEDAB.YAMOUNT SI> MA Uhl DAMYAMOUW 210 ANNUAL WASIEAMOIRif 1t9 SI'ATBWASTEMDE a20 1.0 1 100.0 400.0 a DAY80N 93TB: 1JND3• QcOALLON8 Qa. Pons 365.0 Chwk wcilmael. If BNB empmUVBthem STORAGE CONTANPR ❑•, ABOVE GROUNDTANX ©e.PLASTTCMONMEI'ALLICDRUN❑i. MERDEUM m.4LASSBOTIIE ❑aRA6CAR EltGWTWD TANK GCAN j.Mo v. PLASI'ICBDRLB ❑r. BU }Cella TANKLYSIDEBUMBEIG {.CARBOY Y. BOS o. lU'IBBw �ASELO ❑d STEELDRUM 1. CYLLVDER p. TANK WAGON rU STORAGE PRESSURE O a, A&4161 T Q b. AHOVBAMBUSMI Q e BELOW ANI]i %1T SI'OEAOETeMPE Mltll Oe AMBIOVF Ob. AIRMAlli Qa. BBIAWAMBIEM' Qd CRYOGENIC ES %WT HAZARDOUS COMPONENT(FormiaRaaemwasteonly) ENS CAS# I 91 ❑Ym aM am 2 zm 91 []Yes 92 a» 3 N V 136 91 9 339 aV ❑Ym NI S RTa ur ❑Yea V manhamWaewbpaW uepr®IJpntrlau I%Eywtlpl V aaortlnpJ4 s0.1%ar wtl{atY<YeYarylq Mttlb MdawJrYwbNppwpwh{0• quIM1eM®Iba. W ADpIT10NAL LOCALLY COLLECT®INFORMATION FORM E SAN LUIS OBISPO COUNTY CERTTFIBD UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan Date; 07/11 /2019 SECTION I -A: BUSINESS IDENTIFICATION DATA auswass nAss WAGNERS IMPORT SERVICE CENTER sne,mDaesa Cav zip CODE 202 TANK FARM RE) STE A SAN LUIS OBISPO 93401 EACMDT n ra RPHONE N ACHER asuweae rdAaom AODwsa Cnr nP COoc I. lle se Materials ]. Ar Palluliw Cweol Underraoaxt sunapb rennet# 2 Hazrtdau Wine t ReVeedilg Pde Dept Cenemar# &Pmnit# Please provide the following information as itpenaias to your business and its location. You are not mqu red W notify Were companies in the event of an era ergency. This information is provided Ray our reference and t o assist emergency response personnel in respons irtg to a hazardous materials emergency at your facility. List the more and phone number of the utility company. Electrical Service PG&E Telephone # Gas Service Telephone # Sanitation SAN LUIS GARBAGE Telephone# Wzterlhstrrct SLO CITY UTILITIES Tel hone# � SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either I or 2) 1. This is a ANEW Plan UPDATED Existing Plan. I have personally examined the information it contains and am familiarwith the operation of We plan. (If you check either of the above two options, continue to complete the remainder of the Emergency Response! Contingency Plan). 2. ❑ This plan requires no change and is on file with San Luis Obispo County Certified Unified Program Agency and does not aced any charge. (If you check this section, please proceed directly to Form T, the Training Program) I certify under penalty of law Wet the above informatiou is truss and accurate. PRLYfNPn®OPOWNE&OR OPMA'RXl a1GNA'n1Ra DATE Owner Submitted via Portal 07111/2019 oaCUMEMI3 PM1FPPP¢DaY aSNATIRE DAW Charms Wagner Submitted Via Portal 07/11/2019 1 E. If you have acutely hazardous m lals above threshold planning quantities, ligi )name and address) adjacent neighboring businesses and residences, schools, hospitals, etc. Include sensitive facilities (schools, hospitals and rest homes) within 1,000 feet (straight-line distance from your property fine). List telephone numbers for all businesses; for apatracut buildings, list managers phone. Do act list telephone numbers for private residences. N/A F. Briefly describe your standard operating procedures in the event of a release or threatened release of hazardous materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures rosy be referenced and atmched to this dochunem. 1. prevention --Describe the assadcmpotatials associated with the hazardous materials present at your facility. What actions would your business take to reduce accident potentials? Include description of safety, storage, and comm musem procedures. Waste/ Product is stored inside and all containers are securely closed 2. Equipment— List the enrorgency, response equipment at your futility (e.g. foe extinguishing systems, spill control equipment, decontersdnation equipment). Item Use Location Mamemmce Procedure Fire Extinguisher Small fire Annual Service Floor Sweep Small spill Ref II as needed First Aid Kit Minor Injury Refill as needed 3 EvacuatiDescribehow you will immediately connscom Yow incilytZ. Where are the designated meeting locations? 3. Indicate frequency and duration of training for employees that work with or come into contact with hazardous materials/hazardous waste. Annually 4. Describe how your employees access training materials.(E.g., bulletin board, employee newsletter, staff meetings, etc.) 6. List persons) In charge of training and indicate their quatifieadoas to eonduetthe trataing- Charles Wagner C. Indicate where training records are kept. (Records must document the type of training, duration, completion dates, names and positions of employees receiving training and the name ofinshuctor/train(r.) I' 'FLED PROGRAM CONSOLIDATED FOE FACILITY INFORMATION BUSINESS ACTIVITIES Page I of L FACILITY IDENTIFICATION FACILITY IDH F A 0 0 I EPA IDH(Hazardous Wom Only) a 0 8 3 2 8 cALoaosass3a (Agency Use0aly) ' BUSINESS 'NAME (Same azFxiliry Nameof DOA-W1ng Business As) WAUNt�IWVK_LULRV&LE NIhK BUSINESS SITE ADDRESS ZUZ TANK FARM RD STEA 'a' BUSINESSSITE CITY S NLUIS OBISPO CA ZIP CODE Itm [I. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/ O erector Identification 109e. Does your REClll If Yes, Imsecom lete these pages of the UPCP.... A. HAZARDOUS MATERIALS Have on site (for any purpose) at any one time, hazardous materials at or above HAZARDOUS MATERIALS 55 gallons for liquids, 500 pounds for solids, or 200 cubic feel for compressed © YES INVENTORY - CHEMICAL gases (include liquids in ASTs and USTs); or the applicable Federal threshold DESCRIPTION quantity for an extremely hazardous substance spaciEN in 40 CPR Pan 355, Appendix A or B; or handle radiological materials in quantities for which on ambearassaw, vim is required Panama to 10 CFR Parts 30. 40 or 709. B. REGULATED SUBSTANCES Have Regulated Substances slowed ormite in quantities greater than the threshold quantities established by the California Accidents[ Release ❑YES kate CaIARhyour ocal agency respovible for WIARP. responCoordsible prevention Program (CaIARP)7 C. UNDERGROUND STORAOF. TANKS (USTa) UST FACILITY (Tommy MMB mom A) Own or operate underground storage tanks? ❑YES USTTANK(o.epueamoglno..wyvom al D. ABOVE GROUNDPETROLEUMSTORAGE You may need to submitm Own at operate ASTs above these ihresho[ds: AROVEGROUND PETROLEUM STORAGE TANK FACILITY Stare greater than 1.320 gallons of Inundation products (new or used) in ❑ ygg STATEMENT_ Click far Jetmli aboveground tanks or containers. E. HAZARDOUS WASTE Generale hazardous waste) YES EPA IDNUMBER -provide el as top of this page Recycle mole than 100 kg/month of excluded or exempted recyclable ❑ YES RLCYCE-ABLEMATERIALS REPORT materials (per HSC 251412)? somprnsyded "front hazardous waste on -site []YES ONSITE HAZARDOUS WASTE TREATMENT -FACILITY ONSITF HAZARDOUS WASTE TREATMENT-kMET {mrarypruma Treatment subject m financial assurance requirements (for Portrait by Rule and CERTIFICATION OF FINANCIAL Conditional Aulhwization)? ❑YES ASSURANCE Consolidate hazardous waste generated at a remote site? ❑ YES REMOTE WASTE I CONSOLIDATION SITE ANNUAL NOTIFICATION Need to report the closurGremoval of a tank that was classified as ❑YES lIAZAROOUS WASTE TANK hazardous waste and cleaned on -site CLOSURE: CERTIFICATION Generate in any xubrle calendar month 1,000 kilograms (kg) (2,200 pounds) or Obtain federal EPA ID Number. file more of federal RUKA hazardous waste, or generate in any single calendar ❑YES BimmalRepon(EPA Form 8700- month, or common Inc .a any time, 1 kg (2.2 pounds) of RCRA acute hazardous 13A/B), and satisfy requirements for waste; or generate or accumulate at any time more than IN as (220 pounds) of RCRA large Quantity Generator. spill cleanup mamrials Contaminated with RCRA acute hazardous waste. Household Hazardous Waste(FIHW) Collection site? OYES Sm CUPA but required tomn. F. LOCAL REQUBIRIVEN'f5 ,� �Wjly//� to VN1;)I' (Too may also eemluiretllo T- dilvNn m(nnnuon byywr CUPA or mad ¢yeoey) UPCF Rev. (12@001) FORM 1—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one Rose ourmoorRl parWildin or arms ❑AUO ❑DELETE] REVISE L FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Define RNsiness As) WAGNERS IMPORT SERVICE CENTER CHEM EAL LOCAT'IOFl� C❑TIYMSCAL I. OATION CONFIDENTIAL EPCRA FACII.I'TY ID of FA0008328 MAPN of LIEN (nu. nyl 11. CHEMICAL INFORMATION CHEMICAL NAM[. TRADE SECRET 0 We No ITSubjeet W EPCR t. refer an instructions COMMON NAME Automatic Transmission FlDld ENS* ❑ Yea ❑ No Wit 'if exs.a •Ym^, Ml.mp.a below must be in ma. FIRE CODE HAZARD CLASSES @.anwblrwtuinfbr CllPAI Combustible Liquid, Class III-B HA2AItDOUSMATFRALTYM sla.VURE 13b.M1OKILRE 13 c. WASTE RADIOACTIVE 0Yes (]No CURIES (Chock am nem any) FHYSICALSTATE 0a. SOLID mb. LIQUID 13 c. GAS LARGEST CONTAINER .120.0 I (CM1xk one exam only) FED HAZARD CATEGORIES ®y FIRE ❑b. RLACTIVE [3 u. PRESSURE RELEASE ❑d.ACUTF.HEALTH ® e. CHRONIC HEALTH (Clackellthatopply) AVF.'RAOEDALLY AMOUNT MAXIMUM DAILY AMOUNT ANNUALWAMAMOUNT STAL WASTE. CODE 2.0 10.0 UMIS. @a, GALLONS Qb, CUMCFEET (]a. POUNDS ❑d. TONS DAYS ON STIE: 365.0 3 ICM1nYooe item only) 9T ENS. amount must M is pounds. ST(MAGS u, ABOVECAtOUND TANK eP1:A5TICllpNML-fALI.IC DR' 's FOUR RUM ,n. DLA55 BOTTLE Cis RAG ❑ n. PLASGC BIIT'FLL Oq. FAR, CAR CONTANER O Is UNDERGROUND TANK ❑[CAN ❑ e. I ANK INSIDE BUILDING Cln CARBOY ❑k. BOX ❑o. TOTEBIN ❑r MURK O d. STEEL DRUM clM1 SILO ❑1 CYLINDER Op -TANK WAGON STORAGE PRESSURE IB s. AMBIENT 13 b. ABOVE AMBIENT O%RFLOWAMBIHNT STORAGETEMPERATURE ®o. WRIEST ❑ b. ABOVE AMBIENT I] c. BELOW AMBIEN I ❑d CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste Only) ENS CASM I ❑Yes ®No i ❑ Yes ® No ❑Yes ONO 0 []Yes []NO ❑ Yes ❑ No iwrclmerawaxpeemn ue pexnlu ane¢rtheO lYr ne(Alifnen<e er0.lM bYwHghlRnrtnepet.YleebetltlXbYl Meu JpaperelpleAgbe rtgeWJlofnmrlbn ADDIrriONAI. LOCALLY COLLECTED INFORMA'I ION IP 'RA Plasee RV •Ilea FORM I—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one page per ronedtl per buildingor OADD ODBI.ETE REVISE L FACILITY INFORMATION BUSINESS NAME (Same m FACILITY NAME or USA— Doing Business As) WAGNERS IMPORT SERVICE CENTER CHEMICAL LOCATION LOCA PION CONFIDENTIAL HPCRA OYES ❑YES ONO FACILITY ID FA0008328 MAW Dal GRID# InH.mr.mnmr) I IL CHEMICAL INFORMATION CHEMICAL NAME TRADE SECRET 0 Yes 0NIo If Subjem to EPCRA, refer to instructions COMMON NAME Waste ADt11FBezB EHS* 0 Yee ❑ NB CAS# If EHS is "Yes", all [mount[ bebn most be in IbM FIRE CODE HAZARD CLASSES tco.ploba,nNwa nymp, Toxic (Tox) NI E000S MA'rEniAL IYPE Dy PURE 13b. MIXTUWi IBu WAsfF RADIOACI'IW Oyft ONu CURIES (Clock we lum only) PHYSICAL STATE De,SOLID Mb.LIQUID Ce GAS LARGEST CONTAINER 55.0 (Cbl oneilemmly) FED HAZARD GIEGORIES (]I FIRE ❑b REACTIVE ❑ C. PRESSURE RHEASE Md ACUTEHFAI.TN D e. CHRONIC HEALTH (Cbe@ml lM[ppy) AVERAGE DAILY AMOUNT MAXIMUM DAUYAMOIIM ANNUAL WASTLAM9UNT STATB WASTF.CODG 1.0 100.0 400.0 UNITS' O&CALLONS OL.CUBmvis" Da. POUNDS ❑dICES CA" ON SITE: 365.0 (check one lux" only) 'If EHS. amount must be N p mda. SL ORAGF. Uo,ABOWGROUND TANK 0 e. PLAS'l ICINONMFGALLIC DRUM Q iFIBER DRUM U n.QLASS BOTTLE CONTAINER O b UNDERGROUND I ANK Of CAN DL RAG O A. PLASTIC WT ILE ❑p. RAILCAR 0g�CARBOY ❑k. SON ❑o. TOI L DIN ❑r OTHER O wTANK INSIDE BUILDING O d STEEL DRAM Ob. SILO OLCnMOER Op. TANK WAGON STORAGE PRESSURE ®u AMBIENT DIn ABOVE AMBIENT Du BELOW AMBIENT SI'OMOETEMIRRArURE Ii a. AMBIENT Cl b. ABOVE AMBIENT Da BELOW AMBIENT Od CRYOGENIC %W'Y HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 ❑ Yes ONO _ ❑ Yes ® No 3 ❑Yes ❑No 4 ❑ Yen ❑ No 5 ❑ Yes ❑ No rt mory n.ugnn nmronub nre pmml rl eruln Inu t x N ^Nnt inron.e..elrvpnk. nraJ %ev nN[[l If ertYwmlM1 uumva0111eal+ne W of rypm eµlurinp lb enulep Inmrnrllm. ADDO'IONAL LOCALLY COLLECTED INFORMATION IY NA PI[1H[ Mae Here l FORM E 1 SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan Date. 05/04/2017 SECTION I -A: BUSINESS IDENTIFICATION DATA BUMNF:SSNAME WAGNERS IMPORT SERVICE CENTER \READDRESS CITY LIP LOOP 202 TANK FARM RD STE A SAN LUIS OBISPO 93401 FACILITY UNIT TUEPNONI, NOMMA BWINEEF MAILING ADDRESS CITY ZIP CODE I_ Heraraaue Materials 3, Air Pollution Control Undnaround Storure k Dealer 2. tlundous wade 4. Resgmding FireDept Generator &Veltnitq Please provide the following information as it pertains to your business and its location. You are not required to notify these companies in the event of an am ergency. Thi s i of rrmation is provi ded for y our reference and t o assist emergency response personnel i n responding to a hazardous materials emergency at your facility. List the name and phone number of the utility company. Electrical Service PG&E Telephone# Gas Service Telephone # Sanitation SAN LUIS GARBAGE Telephone # Water District SLO CITY UTILITIES Telephone If SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either I or 2) I. This is a JENE W Plan ®UPDATED 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). 2. ❑ This 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 Farm T, the Training Program.) 1 certify under penalty of law that the above information is true and accurate. PRINf NAME OF OW14A OR OPSMIOR SIGNATURE OAfE Owner Submitted via Portal 05/04/2017 OOCUMWr9 PREPAREDRV SONA'RRF DATE Submitted Via Portal 05/04/2017 Chares Wagner 1 E. If you have acutely hazardous an Iin6 above threshold planning quantities, lis'. name and address) adjacent neighboring businesses and residences, schools, hospitals, etc. Include sensitive facilities (schools, hospitals and rest homes) within 1,000 feet (straight-line distance from your property line). List telephone numbers for all businesses; for apartment buildings, list managers phone. Do not list telephone numbers for private residences. N/A F. Briefly describe your standard operating procedures in the event of a release or threatened release of hazardous materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures may be referenced and attached to this document. 1. prevention— Describe the accident potentials associated with the hazardous materials present at your facility. What actions would your business take to reduce accident potentials? include description of safety, storage, and containment procedures. Waste/ Product is stored inside and all containers are securely closed 2. Equipment --List the emergency response equipment at your facility (e.g. fire extinguishing systems, spill control equipment, decontamination equipment). Item Use Location Maintenance Procedure Fire Extinguisher Small fire _ Annual Service Floor Sweep Small spill Refill as needed First Aid Kit Minor Injury Refill as needed 3 Evacuation Describe how yen will' d' tely evassume your facilk where ate the designated meeting locations? 3. Indicate frequency and duration of training for employees that work with or come tom contact with hazardous material"azardous waste. Annually 4. Describe how your employees access training materials. (E.g., bulletin board, employee newsletter, staff meetings, arc.) File. B. List persou(s) in charge of training and indicate their qualitkations to conduct the training. Charles Wagner C. Indicate where training records are kept. (Records must document the type of training, duration, completion dates, names and positions of employees receiving training and the name of instructor/trainer.) Lr IED PROGRAM CONSOLIDATED FOR FACILITY INFORMATION BUSINESS ACTIVITIES Paolo 1. FACILITY IDENTIFICATION FACILITY top EPA ID a Dlazardous Wane Only) ° (Agency Use only) F A 0 0 0 8 3 2 8 CAL000349934 BUSINESS NAME (Same as Facility Nams ofDDA-Doing Business AU yygGNERS IMPO T E ICE CENT ' BUSINESS SITE ADDRIss 202 TANK FARM RD STEA t01 BUSINESSIUYECBY SAN L IS OBISPO tw CA l.IP CODE 9 101 11. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this IISt, ease submit the Business Owner/O erator Identification page. Does you fscil' ... If Yes, [sass sum late these fouggsofthe UPCF.... A. HAZARDOUS MATERIALS Have can site (for any purpose) at any one time, hazardous materials at or above HAZARDOUS MATERIALS 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed E YES INVENTORY - CHEMICAL gases (include liquids in ASTs and USTs); or the applicable Federal threshold DESCRIPTION quantity for an extremely hazardous substance specified in 40 CIE Pan 355, Appendix A or B; or handle radiological materials in quantities for which an careargetacy plan r9 roquired pungent to 10 CPR Parts 30, 40 or 709 B. REGULATED SUBSTANCES Have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the Cali forme Accidental Release ❑YES Coordinate with your lout agency prevention Program (CaIARP)'? responsible for CAARP. C. UNDERGROUND STORAGE TANKS (US I's) UST FACILITY Pantry swace loss, q Own or operate underground Storage (ank? YES UST TANK Imevrea err, eA) sl`edy ran to D. ABOVE. GROUND PETROLEUM STORAGE You may treed to submit an OW rt or operate ASTs above these thresholds: ABOVEGROUND PETROLEUM STORAGE TANK FACILITY Store greater than 1,320 gallons of petroleum products(new or used) in ❑ YES C S'TATEMENT.0 kfmtlolant aboveground tanks of Containers. F. HAZARDOUS WASTE Generate hazardous waste? RYES EPA EDD NUMBER- provide at the sup of thay Me Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MAMMAS REPORT materials (per HSC 25143.2)? ❑YES tm.s.rmyam) Treat hazardous waste on -site? []YES ONSITE HAZARDOUS WASTE TREATMENT -FACILITY ON81T'E HAZARDOUS WASTE TREATMENT -UNIT (... NmcmuniO Treatment subject to financial assurance relulrements(for Permit by Rule and CERTIFICATION OF FINANCIAL Conditional Authorisation)? ❑ YES ASSURANCE Consolidate hazardous waste generated al a remote site? []YES REMOTE, WASTE) CONSOLIDATION SITE ANNUAL NOTIFICATION Need to report the closlue/romoval of a lank that was classified as ❑YFS HAZARDOUS WASTE TANK hazardous wams and cleaned on -site? CLOSURE CERTIFICATION Generate in any single calendar month 1,000 kilogram; (kg) (2,200 pounds) or Obtain federal EPA ID Number, file more of federal RCRA hazardous warm, or generate in any single calendar ❑ YES Biennial Report (EPA Form 8700- month, or accumulate at any limo, I kg (2.2 pounds) of KCRA acute haz�rdeus BAIR), and satisfy requirements for waste; or genemm or awn J1muC at any tore mere ttmo 100'<g (220 pounds) of RCRA Large Quantity Generator. spill cleanup materials eoNaminated Adh RCRA tunic na/ardeus waste. Iiouseehold Hazardous Wrote (HE Collection site? []YES SeeCUPA for rebound fnmaF is P. LOCAL REQUIREMENTS (You may tits be respond to povide Wdil abate lion by tour CllPM1 urlmle9enry) UPCF Rev. (13120011 FORM 1—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY va mmerinl rbuildin orn<n OADD QOELETE M1EVISG 1. FACILITY INFORMATION BUSINESS NAME (Remo as FACER IT NAME or DNA- Ming Business AS) WAGNERS IMPORT SERVICE CENTER CHEMICAL LOCATION CFIEMICAI. LOCATION CONFIDEiN'I JAL EFCRA ❑ YES ONO FACI1A TV ID FAI008328 MAF#O,� uxmro IAneeyu..mlH IL CHEMICAL INFORMATION CHEMICAL NAME Motor Oil I ADESUCIIET Yes No Lmlruebena If Subject to EPCRA, refer By COMMON NAME Motor Oil FHSr ❑VM []NO CA$p 9f ENS le "Vm^, all vmouuh below mmt M in Iba FIRE CODE HAZARD CLASSES <o.ngeu urwuu<e ry CUPA) Combustible Liquid, Class III-B HAZARDOUSMATFRIALTVPL El a, PURE Ob MIXTURE ❑t WA51'! RADIOACNVF ❑Ya (]No CURIES (Cbcok One Ban rely) RHYSICAL STATE ❑ a. SOLID M b. LIQUID ❑ a GAS LARGEST' CONTANER .ILn0.0 I (Cryeok one item only) FP.DHAOIROCATEGORIES ©a. FIRE I]b. REACTIVE ❑ c. PRESSURE RELEASE ❑d ACUTE HEAL IIT ®<. CHRONIC HEALTH (Cook all lM1U Reply) AVERABi DAILY AMOUNT MAXR.NM DAILY AMOUNT ANNUAL WA.STHAMOUNE STATE. WARM COOS 2.0 10.0 SITE'.^ WITS, ®a. GALLONS ❑NCUDICFEff ❑c. POUNDS ❑d.TONS DAYS ON 65.0 S (LTeekou iNmonly) •If BHS, amom unt et bRln Peuntla STOROI Mrn BOVE GROUND TANK aN.ASTIf:MONMBfALLIC DRUM U I. FIDERDRUM U m. GLASS BOTH£ CONTAINER ❑ p UNDERGROUND TANK OCCAN ❑j. BAD ❑ R. PLASTIC BOTTLE CI IF RAIL. CAR ❑a CARBOY Ok. BOX Du. TOTE PIN 000TIER ❑ e. TANK INSIDE BUILDING ❑nSTEEL DRUM (36 SIIA 13I. CYLINDER TANK WAGON STORAGE PREESURF. ©a.AMBILN'1C b. AROVF AMBIENT' ❑e BELOWAMBIENT STORACETEMPLRATJRE ®a. AMRIRNI ❑b. ABOVE AMBIEN"r Oc BELOW AMBIENT' OB CRYOGENIC %WT HAZARDOUS COMPONEM'(Foy mixture or waste Only) EHS CAS# []Yes ONO Z ❑Yes [3No B Oyer ❑No J ❑ Yes ❑ NO ❑Val ❑No ITmon nvNw, ennponeMrrn rynema lower IN, )% lay ^rlW lr,martlgrduor dL%byvrW,,lrr.re annk.More eJ6,1e^tl,Ynr Jso, rpOn^N<ae equiMkbrmrlbn. ADDITIONAL LOCALLY COLLECTED INFORMA PION Ir EPCIIA piosseRhoofirm FORM I—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY 1. FACILITY INFORMATION OYES ❑ FACIUTY1D' F 1) X328 MAIM 01 (19mnYwuvnl>I IL CHEMICAL INFORMATION COMMON NAME rtSubject to EPCRA, rare to ine !ruction Waste Antifreeze EHS ❑ Yes ❑ NO CASN *If EHS in •Yea", all amnunta helow most in in go PIREfODEI#A%ARDCLARRER IcampmRwaueycpoq Toxic (Tox) HAGJI MATERIAL'TYPE (Chuk am Non mly) ❑a. PURE ❑b Morrum ®a, WASTE. RADIOACTIVE OYn❑No CURIES PHYSICAL STATE (Coeck one now only) pa SOLID 0b, LIQUID 13 e, GAS LARGEST CONTAINER 55.0 FF.D HAZARD CATEGORIES (Clsok A) low apply) ❑a FIRE OR REACTIVE ❑. PRESSURE RELFASE El . ACUTE MALIN nvao aee n,.....I'. ._._ ❑ e CHRONIC HEALTH 1.0 _.---....i66--. 100.0 ANNUAL WASTI yer STATE -WASTE. ODE 4U (Cuba®a GALLONS (rnmk one Gain Only) ❑b. CUR[C LLET ❑c POUNDS ❑d. TONS DAYS ON SITE:^^5 smn a v< HWUNDTANK b wa I 0 CONTAINER Qb. UNDIAGROUND TANK UN PL STI [ tqT 1 CDR 1M ❑!'.CAN nN"InK➢RUM in. LASS ❑ d, TANK E3R. CARDOY Ob SAO QIC On. LASUIIDOTt➢ L[ ❑n. RAIL CAR sum Pilots O d. SItiLL DRUM ❑ESILO RO% ❑LCYLINDEK ruTfyCROTI ❑a. IUTC WA ❑c OTHER �P WAGO N VN STORAGE PRESSURE IN a, AMBIENT ❑E. MOVE ANWIENT ❑ a REIAW AMRIFN I' S'TOMGETEMPERATURL ®a. AMRILNT ❑b ABOWAh RILNT ❑c. BELOW AM9PENT OdARYOGENIC %WT HAZARDOUS COMPONENT (For mixture It waste only) EHS I CA5q ❑Yes ONO I ❑ Yes ❑ Nu ❑ Yes ❑ NO ❑ ycs ❑ NO ❑Yea ❑No COLLECTED \ FORM E SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan Date; 11129/2016 SECTION I -A: BUSINESS IDENTIFICATION DATA BUSINESS NAM!, WAGNER$ IMPORT SERVICE CENTER slut. ADDRESS Cn'Y zlr coin: 202 TANK FARM RD STE A SAN LUIS OBISPO 93401 YACI I.ITY LED TELEri NUMBER BUSINESS MNLDBG ADDREA CITY LIP CODE rn......e...v....v....n...o.... ro,mlr fmm.... rob, &1lM w,avenges. P@melnINmH the Joaumenrnumber. L HaMdoes Materials S. Air Pollution Control Underground Storage M Dural N 2. Hazardous Watt a. Responding Pine Depr Genemtork @ Beirut Please provide the following information as it pertains to your business and its location. You are not required m notify these companies in the event of an em ergency. Ili s i nf'ormation i s provi ded for y our reference and t o ass! st emergency response personnel in respondi ng to a hazardous materials emergency a[ your facility. List the name and phone number of the utility company. Electrical Service PG&E Telephone Gas Service Telephone # Sanitation SAN LUIS GARBAGE Telephone # Water District SLO CITY UTILITIES Telephone # SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either I or 2) I. This is a D .NEW Plan ❑UPDATED 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). 2. ❑ This plan requires no change and is on file with San Luis Obispo County Certified Unified Program Agency and does net need any change. (if you check this Section, please proceed directly to Form T. the Training Program) 1 certify under penalty of law that the above information is true and accurate. PRINT NAME OF OWNER OR OPERI SIGNATURE DAIF Owner Submitted via Portal 11129/2016 DLCUMLNTS PREPARED BY sioNArou DA III Chares Wagner Submitted Via Portal 11/29/2016 1 E. If you have acutetyhanrdous me ,Issbovethreshold plan niugquantities,list s ,anreand address) adjacent neighboring businesses and residences, schools, hospitals, can. Include sensitive facilities Isehook, hospitals and rest homes) within 1,000 feet (straight-line distance from your property line). List telephone numbers for all businesses; for apartment buildings, list manager's Phone. Do not list telephone numbers for private residences. N/A F. Briefly describe your standard operating procedures In the event of a release or threatened release of hanrch us materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures may be referenced and attached to this document. I. Prevention -- Describe the accident potentials associated with the hazardous materials present at your facility. What actions would yom business rake to reduce accident potandals? Include description of safety, storage, and containment procedures. Waste/ Product is stored inside and all containers are securely closed 2. Equipment-- List the emergency response equipment at your facility (e.g. fan extinguishing systems, spill control equipmenq decontamination equipment). Item Use Location Maintenance Procedure Fire Small fire Annual Service Extinguisher Floor Sweep Small spill ; Refill as needed First Aid Kit I Minor Injury I Refill as needed 3. Evacuation-- Describe how you will jusundistaly evacuate your facility. Where are the desinmed meeting locations? 3. Indicate frequency and duration of training for employees that work with or come into contact with hazardous materialvItamdous waste. Annually 4. Describe how your employees access training materials. (E.g., bulletin board, employee newsletter, stuff meetings, etc.) B. List person(s) in charge oftraining and indicate their qualifications to conduct the training. Charles Wagner C. Indicate where training records are kept (Records must document the type of training, duration, completion dates, names and positions of employees receiving Mining and the name of instructor/trainer.) Environmental Health Service Division (805) 781-5544 P.O. Box 1499 2156 Sierra Way San Luis Obispo, CA 93406 citySan . jof %w spo Fite Department (805) 781-73M 2160 Santa Barbara Avenue San Luis Obispo, CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) PERMIT CONDITIONS WAGNERS IMPORT SERVICE CENTER THIS PERMIT IS ISSUED FOR THE FOLLOWING: FACILITY: FA0008328 WAGNERS IMPORT SERVICE CENTER 202 TANK FARM RD SAN LUIS OBISPO, CA 93401 VALID FROM DATE: 01/01/2014 VALID TO DATE: 12/31/2014 FACILITY ID NUMBER FA0008328 AUTHORIZATION IS GRANTED FOR THE FOLLOWING: 1176 PRO010362 SLO CITY- WASTE GENERATOR (1-5 waste streams) OWNER& WAGNER, CHARLES 202 S TANK FARM RD STE A SAN LUIS OBISPO CA 93401 CURTIS A. BATSON, R.E.H.S. DIRECTOR, ENVIRONMENTAL HEALTH SERVICES GARRET OLSON, CHIEF CITY OF SAN LUIS OBISPO FIRE DEPARTMENT THIS AUTHORIZATIOMPERMIT 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 THE FACILITY TIMES. The Permit to Operate is to be maintained on -site and is valid for a period of one year. Gr order to molnmrn the Permit to Operate, the perwir holder mull comply wirh the following provisions of relntcd laws concerning rnanageoernt of ha ardour raarerials violation of the conditjons may be cause for revocarion ofthe pmtut/ Any a. Hazardous Materials Business Plan Program: Ca11fOmia Hcelt� Saf�C-od proron 20, Chapter 6.95, Article I and Title 19 California Cody sf Reguiatiens b California Accidental Release prevention Program (Cal -ARP) Califomia Health and Safety Code, Division 20. Chapter 6.95, Article 2 and Title 19, California Code of Regulations a RegiddoHazardous Waste t 20. or Program' California Health and Safety Code. Division 20, Chaplet 6.5. Articles 1.13. Section 25I00 et sal}, and Title 22. Califomia Code of Regul�iosWasteu 20. d. Tiered Permit O"ite Hazardous Waste Treatment_ California Health and Safety Code, Division 20, Chaptcr 6.5 Article 9, and Tide 22 Califomta Code of Rcgulauons, Chapter 20. e. Aboveground Petroleum Storage Tanks (ACT) Spill Prevention Countermeasure Control (SPCC) Plans Cdifomia Health and Safcty Code, Division 20, Chapter 6.67 and 40 CFR 1 lz MkEnvironmental Health 4grvaxs r' 5'� IS05178155" , 1 city of Sdn LU)S owspO PO Box 1459 F I RF OFPLR„e., an nu.mo' I8e9 anon 2156 Sierra Way Ste, Is [. urtcsl S Se"fce" San Luis ObispoCA93406 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 08/05/2024 Time: Inspection Type Facility Name: WAGNERS IMPORT SERVICE DENS OEHS ®Routine QrNTER OOCITY FIRE ❑Remspection Site Address: 202 TANK FARM RD STE A ❑Chargeable Reinspection SAN LUIS OBISPO, CA 93401 ❑Change of Ownership OComplaint Phone: (805)541-9472 ❑Secondary Containment Testing Facility ID FA0008328 CERS ID: 1D439871 ❑Chargeable Secondary Containment Testing Serial Number: DA60YQWIL PROGRAMS INSPECTED: wHaxmat I NHW Generator OUST OAGT OCaIARP OTPE REINSPECTION REQUIRED: 1 OHazmat I OH W Generator OUST OAGT OCaIARP UTPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. yU NQ ULA VIOL # BUSINESS PLAN ❑O ❑ ❑ Sp01 Business plan complete, current available during inspection and submitted electronically HSC 26505, 25608pp1); 19 OCR 2651) ❑O ❑ ❑ BP02 Inventory of hazardous materials is complete and submitted electronically (HSC 26606(a)(1), 25500, 25508(a)(11. 19 CCR 2552.2654) OO ❑ ❑ BP03 Site layoug facility maps are accurate and submitted electronically(HSc 25505(aH2), 26609(a)(1), 19 OCR 2652) © ❑ ❑ TRAINING PLAN TR01 Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25608(a)(1 I.19CCR 2659,22 CR66265A6) ❑ ❑ ® TR02 Training documentation is maintained on site for current personnel (HSC 25605(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN 0 ❑ ❑ EROI Emergency responsercontlngency plan complete, current, submitted electronically, maintained onsite (HSC 25505(a)(3), 26508(a)(1), 19CCR 2655, 22CCR 66265.52-.64) © ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5; w CFR 112.e(e)(2)] GENERAL EH VIOLATIONS 19 ❑ ❑ FEW Environmental Health fees paid [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: GPS Coordinates: Longtitude: INSPECTOR: MATHESON BLISS FACILITY REP: Chuck Wagner FACILITY NAME: WAGNERS IMI �,,RT SERVICE CENTER ADDRESS: ,02 TANK FARM RD STE A 6AN LUIS OBISPO, CA93401 HAZARDOUS WASTE GENERATOR YU NQ M VIOL. # EPA 10 NOIPERMITS Z ❑ ❑ GTOI Generator has an EPA lD number to beat, store, dispose, transport or transfer hazardous"sti (22 CCR 66262.12) If not, Call (800) 6164942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION Z ❑ ❑ GTO3 Hazardous waste determination conducted (22 CCR 66262N) Down knowledge ❑analysts Comer ❑ ❑ Z GW4 Hazardous Waste analysishmsl records are kept for at least 3 years(22 CCR 66362AO.(c)) D ISPOSA LITRANS PORTATION Z ❑ ❑ GTO5 Hazardous wastes disposed of at an authorized location(HSC 26189.5, 25201(al, 22 CCR 96M2.12) ❑ ❑ Z GTOS Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest INSC 251 So. 251631al: 22 CCR 66262.20. 66263.41) Dmllkmn Cloth it Z ❑ ❑ GTUT Manifests andfor receipts are properly completed ratetned by generator for 3 years (22 CCR 6626223, 66262A9(a)) STORAGE AND MANAGEMENT OF CONTAINERS^ANKS Z ❑ O GTOS Hazardous Wastes are accumulated On Site as follows: ( HSC 25123.3 (b)(t lfldp(hl(t); 22 CCR 66262.34(d)) 090 days if waste generated per month Is greater than or equal to INN kg. (2200 lbs.) 0180 days if waste generated per month is less than 1000 kg (sae note) U270 days if waste generated per month Is less than 1 ON kg and transported more than 200 miles (see note) NOW; Applies only if hazardous waste accumulated on site never exceeds 6000kgll 3.200 Me) and no acutely/extremely hazardous waste over tkg(2.2165.) is held on Site for over 90 days ❑ ❑ Z GTO9 Hazardous waste'balel0te" collection is managed property (complete labelinsaccumulation 6mw55-gal or 1-ql limit) (22 CCR 66262.34(ep ❑ ❑ Z GT10 Ignitable or reactive wastes are located 15 m(50 feet) have facility's property line (22 CCR 662623gagl), s8205.1T6) Z ❑ ❑ GT11 Containers of hazardous waste are properly labeled (includes appropriate dare,"HAZARDOUS WASTE," waste eomposigon/physlcal alarm, hazardous properties, namaladdresa of generator) (22 CCR 66262.31. 66262.341fil Z ❑ ❑ W12 Conminerananks containing hazardous wastes are in good condltioNhandled to minimize me release or reaction 122 CCR 66262.34; 22 CCR 66265A 71-179, 66265.1 TT(c)) Z ❑ ❑ W13 Contsineradankalliners are compatible with waste stored or transferred (22 CCR 66262.64, 66265.172) Z ❑ ❑ GT14 Containers among hazardous wastes are closeNsealed(22 CCR 66262.34,$6265.173) ❑ ❑ ® GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34, 66265.174) ❑ ❑ Z GT16 Daily inspection of all tank systems b conducted and documented (22 CCR 6625234, 66265.195) Z ❑ ❑ GT1 T Empty containers or inner liners a 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(f)) RECYCLABLE WASTE Z ❑ ❑ GT16 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc)(HSC 25250.4) ® D ❑ GT19 Used oil filters for recycling are managed properly (drained afiee flowing liquid, stored in dosed rainproof container, labeled "drained used oil filtsrop and transferred for metal reclamation) (Title 22 CCR§ 66266.130) Z ❑ ❑ GT20 Spent leaci batteries are being properly stored and transferred oNaite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 86266.81) ❑ ❑ Z GT21 Solventefomer recyclable materials are managed as hazardous wastes unfit recycled (22 CCR 66266.2) SOURCE REOUCTION:For facilities generating A2,000 kg.Nr. or hazardous waste on site. ❑ ❑ Z GT22 Generator is Subject to S514 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days MSC 252"A 9121122: 22 CCR 67100.71.8) ❑ ❑ Z OT23 Source Reduction Evaluation and Plan contains the following five elemermccerlification, amounts of wastes generated, process description, block diagrams, and implementatlonschedule of selected source reduction measures IHSC 26244.191.21. 22 CCR 67100.5Rf.01 ❑ ❑ Z GT24 Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained omile. (22CCR 66262.34(a)(4), 66265.51-A41 ❑ ❑ (9 GT25 Employees trained upon him, annually; training records maintained at facility as required (22CCR 66262.34(a)(4), 66265A 6) p ❑ ❑ ER02 Facility is operated and maintained to prevenfiminimizr2mttigato fire, explosion, or release of hazardous materialshesste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (22 CCR 66265.31-37) SUMM LY OF OBSERVATIONS1VIOl RIONS 12 No violations of underground storage tank, hazardous materials, or hazardous waste lawalregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. O Violations "to obso"adidiscovered 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 th CUPA in writing ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your facility maybe reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the Inspection findings andfor 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: WAGNERS IMPORT SERVICE CENTER ADDRESS: 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL, NO CORRECTIVE ACTION REQUIRED. INSPECTION COMMENTS: Business Plan update in progress. INSPECTED BY: MATHESON BLISS NAME OF FACILITY REP: Chuck Waqner DATE: 00/051202a 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 OwnertOperator: Title: Date: cou Tr 'C SAN LIIIS OHISPO `son Luis oslspo „ ._. CouY[esyrfesy __ me"&Service" CERTIFIED UNIFIED PROGRAM AGENCY(CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 04/25/2023 Time: Facility Name: WAGNERS IMPORT SERVICE OEHS ❑CIT Insoutinen ivce CENTER ©CITY FIRE OReinspeodon OReinsp Site Address: 202 TANK FARM RD STE A ❑Chargeable ection SAN LUIS OBISPO, CA 93401 Ownership ❑Change of Owwnership ❑Complaint Phone: (805)541-9472 OSeoondary Containment Testing Facility ID: FA0008328 CERS ID: 10439671 OChargeable Secondary Containment Serial Number: DABVOOBWU Testing PROGRAMS INSPECTED: I EHumat ®HWGenerator OUST OAGT OCIIARP QI E REIP I OHW Generator OUST MOT OCaMP OTPE PERMISSION TO INSPECT: Inspections may Involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. y_U KQ NIA VIOL, N BUSINESS PLAN © ❑ ❑ BP01 Business plan complete, current, available during Inspection and submitted electronically IHSC 25505, 25508(a) (1); 19 CCR 2651) © ❑ ❑ BP02 Inventory of hazardous materials is complete and suhmlttad electronically (HSC 25505(a)(1), 25505, 26508(a)(1), 19 CCR 2652. 26K © ❑ ❑ EIP03 Site 187oub facility maps am accurate and submitted electronically(HSC 25505(a)(2), 25508(a)(1), 19 CCR 2652) TRAINING PLAN RI ❑ ❑ TROT Facility has appropriate Mining progress,( R2659, 22CCR66265.16) ❑ ❑ 0 TR02 Training documentation is maintained op site for current personnel ( HSC 25505fap4), 22CCR65255.16) 99 ❑ ❑ ER01 EMERGENCY RESPONSE PLAN Emergency roapommCoMingeney plan complete, current, su (HSC 25505(a)(3), 25508(a)(1), 18CCR 2658, 22CCR 66265.52-.54) ® ❑ ❑ ER03 Secondary containment is installed and sufficiently Impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c) (2)] GENERAL EH VIOLATIONS 99 ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinancel CPS Coordinates: Latituds: GPS Coordinates:' INSPECTOR: MATHESON BLISS FACILITY REP: Chuck Wagner FACILITY NAME: WAGNERS IMPORT SERVICE CENTER ADDRESS: 202 TANK FARM RD STEA �'SAN LUIS OBISPO. CA 93401 HAZARDOUS WASTE GENERATOR XIM NQ NIA VIOL. # EPA ID NO/PERMITS M ❑ ❑ GTOi Generator has an MID number o tree, sore, dispose, transport or transfer hazardous wears (22 CCR 66262.12) If not, Call (800) 618-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION g§ ❑ ❑ GT03 Hazardous waste detemination conducted (22 CCR 66262.11) Mown knowledge Oanaryeis DOWN ❑ ❑ 0tl OT04 Hazardous waste analyslallast records am kept for at least 3 yeam(22 CCR 66262AO.(c)l p ❑ ❑ DISPOSAUTRANSPORTATION GTn5 Hazardous wastes disposed of at an authorized location (HSC 26189.5. 25201(a), 22 CCR 6626112) © ❑ ❑ GTO6 Facility utillzes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 25160, 251631a); 22 CCR 6626MO, 66263.41) MmilkmalES Owner, 0p ❑ ❑ GTOT k nit andfor receipts am properly eomplemelfretalned by generator for 3 years (22 CCR 66262.23. 66262.40(a)) ❑ ❑ STORAGE AND MANAGEMENT am Wb(IHESRCS2fT51A2NiK3 (Sbj(1111dV1hN1); 22 CCR 88282.3/(tlH© GTs Hazardous wastes are accumulated ON days If wants generated Par month Is greater than or equal W ON kg. (22001bs) MIN days If waste generated per month Is teu than 1000 kg (inn; mze) OVO days g waste generated per month is less than 1000 kg and transported more Man NO Miles (see note) Nob: Applies only If hazardous waste accumulated on site name exceeds 600UkgI13,200Ills) and no acutely/extremely hazardous waste over Ikg (2.21ha) Is held on site for over 90 days ❑ ❑ M GT09 Hazardous waste "satel6W' collection is managed property (complete Iabe irpaccumulaWn thrmig gal or 1-qt limit) (22 CCR 6626234(e)) ❑ ❑ M GT10 Ignitable or reactive wastes are located 15 an IN hag from facility's property line (22 CCR 66262.34(a)(1h M ❑ ❑ 66266.1T6) GT11 Containers of hazardous wants are property labeled (Includes approprlaW drta,"HAZARDOUS WASTE." waste composition phyalwl state, hazardous Properties, nam✓addreae of generator) (22 CCR 66262.31, 69262.34(t)) M ❑ ❑ GT12 Containersaanks containing hazardous wastes are in good coMltioNhandlad to minimize Me Mae" or reaction 122 CCR HU2.34; 22 CCR 66265.171-179, 65265177(c)) g0 ❑ ❑ GT13 Contamem6anks0imrs am compatible with wash stored or transferred (22 CCR 66262.34, 66260.172) M ❑ ❑ GT14 Containers storing hazardous wastes are closedeaaled (22 CCR 66262Aq 662WAT3) ❑ ❑ M GT15 Weekly inspection of areas whale hazardous wade containers are stored is conducted (U CCR 6626Z34, 56256.1174) ❑ ❑ M GT16 Daily Inspection of all tank systems is conducted and documented (22 CCR 50262.34, 662651951 M ❑ ❑ GT17 Empty containers or inner plane > 5 gal ban data when emptied and am properly managed within one year of dateempped (22CCR66281.7(t)) ® ❑ ❑ RECYCLABLE WASTE GT16 Usedoilis managed as hazardous waste until recycled(Includes proper labeling, stowage, eto)(HSC 26250A) M ❑ ❑ OTIS Wed oil Spain for recycling am managed Property(dmimd of free flown liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal MCI m Uon) (Title 22 CCR§ 66266.130) ❑ ❑ M GM Spentlea"cid bananas are being property stared and transferred oflslG under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.61) ❑ ❑ al GT21 Solventwother recyclable materials are manager) as hazardous wastes until recycled (22 CCR 66266.2) SOURCE REDUCTIONTor facilities generating>12,000 kgJyr. of hazardous waste on sib. ❑ ❑ M GM Generator is subject to 5814 and has prepared and retailed current source reduction documents or Is able main them available to the inspector within (5) days. (HSC i52Hd9111/22; 22 CCR 67100.7/8) ❑ ❑ IE GT23 Source Reduction Evalwhon and Plan contains the following gva ebmente:certllication, amounts of Waster generated, process desedpNon, block diagrams, and implemenbUonschadule of selected source reduction measures. (HSC 25244.191.21, 22 CCR 67100.WIS) ❑ ❑ X) GT24 Hazvraste Contingency Plan prepared, current, submitted to the CUPA, maintained onsile.(22CCR 66262.34(a)(4), ❑ ❑ IM 66265.51-54) G126 Employees trained upon him, annually: training records mairrtalned at facility as required(22 CCR 68262.34(a)(4f 66255.16) 19 ❑ ❑ ER02 Facility is operated and maintained to preventinummustnutigate am, explosion, or release of hazardous materielslwaste constituents to Me arwlronment Maintains all required or appropriate equipment Including an alarm and communications system (22 CCR 66266.3147) SUMMARY OF OBSERVATIONSVIOI ATIONS g7 No violations of undergroum wage tank, hazardous materials, or hazards waste lawdregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. D Violations were obse vedrdiacovered 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 informs the CUPA in writing ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA must be informed In writing with a certification that compliance has been achieved A false statement that compliance has been achieved Is a violation of the law and punishable by a firm of not less than $2,000 or more than $25.000 for each violation. Your facility may be reinspected anytime during normal business noun. You may request a meeting with the Program Manager to discuss the inspection findings andior the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: WAGNER$ IMPORT SERVICE CENTER ADDRESS: 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL, NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: Items marked WA not reviewed during inspection. Hazardous Materials Business Plan updated during inspection. Contact waste hauler to determine p used absorbent can be placed Into same container as waste paper filters or provide another labeled container for used absorbent. Schedule a waste pick up and have waste hauler remove some oil from secondary containment of drums during pick up. INSPECTED BY: MATHESON BLISS NAME OF FACILITY REP: Chuck Warmer DATE: 04125/2023 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has compiled with the corrective actions listed on this inspection form. Signature of Owner/Operetor: Title, Date: Environmental (805171-55,1Healib - city of San Luis OBISpo 2156Sierra way / noean can .courtev Vk P O Box 1189 aesp.vnwwuenymnnauo 10 >, S6Serm Wav SeB mA" gr[eSy&Servit'e" cool As0histo CA 93406 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 11/17/2021 Time: Facility Name: WAGNERS IMPORT SERVICE ❑EHS 11EHS Inspection Type ®Routine CENTER ©CITY FIRE ❑Reinspection Site Address: 202 TANK FARM RD STE A ❑Chargeable Reinspection SAN LUIS OBISPO, CA 93401 ❑Change of Ownership ❑Complaint Phone: (805)541-9472 ❑Secondary Containment Testing Facility ID: FAD008328 ❑Chargeable Secondary Containment Testing Serial Number. DASOQOZ9F PROGRAMS INSPECTED: ®Hazmet anon Generator ousT ❑AGT OCSIARP OWE REINSPECTION REQUIRED: OHazmal OHW Generator DUST OA(5f Ocamp OWE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. M NQ NIA VIOL, # BUSINESS PLAN ® ❑ ❑ BP01 Business plan complete.current, available during inspection and submitted electron lcally(HSC 25505. 265011(a)(1); 19 CCR 2651) © ❑ ❑ OP02 Inventory of hazardousmaterlds is completeendsubmlttedelectronically(HSC 25505(a)(1), 25506, 255081aN11. 19 CCR 2552. 2654) ® ❑ ❑ BP03 Slw layout/ fecillty maps am accurate and (HSC 25505(a)(2),25500(a)(1), 19 CCF 2021 © ❑ ❑ TR01 TRAINING PLAN Facility has appropriate training program, q (NW 25605p1(41, 25506(a)(1), 19CCR 209, 22CCR66265.16) ❑ ❑ 07 TR02 Training documentation is maintained on Sim for current personnel ((SC 256051a)(4), 22CCR66265.181 EMERGENCY RESPONSE PLAN 0 ❑ ❑ ER01 Emergency responselcontingency plan complete, cunent su0mitted electronically, maintained onalle (NSC 2550Nap3L 2660Ra)(1), 19CCR 2658, 22CCR 68265.52-.54) ® ❑ ❑ ER03 Secondary containment la installed and sufficiently impervious to discharges. ICHSC 25270A.5; 40 CFR 112.8(c)(2)1 GENERAL EH VIOLATIONS 90 ❑ ❑ FE01 Environmental Health fees paid. tCBPC 17200, Local Ordinancel GPS Coordinates: Latitude: 35.2473683101 GPS Coordinates: Longtitude:-120.6684301090 INSPECTOR: MATHESON BLISS FACILITY REP: Chuck Wagner FACILITY NAME: WAGNERS IM"IRT SERVICE CENTER ADDRESS: '92 TANK FARM RD STE A AN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR X0 NQ NIA VIOL. x EPA ID NO/PERMITS m ❑ ❑ GT01 Generatorhas an EPA lD number to treat,store, dispose, transport or transfer hazardous waste (22 CCR 66262.12) M not, Call (BOO) 619-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION m ❑ ❑ =3 Hazardous waste determination conducted(22 CCR 682621t) ®own knowledge Danalysis ❑other ❑ ❑ m GTO4 Hazardous waste analysistest records are kept for at least 3 years(22 CCR 66262.40.(c)) DISPOSAUTRANSPORTATION m ❑ ❑ GT05 Hazardous wastes disposed of at an authorized location (HSC 29199.5, 25201(a), 22 CCR 66202.12) m ❑ ❑ GTOe Facility utilizes a registered hazardous waste transporter, and hazardous annual shipped with a manifest OPEC 25160, 25163(a): 22 CCR $6262.20.66263,411 mmilkrun Owner comer m ❑ ❑ G167 Manifests andror receipts are properly complebdrameed by generator for 3 years (22 CCR 6626123, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS m ❑ ❑ GTOO Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (b)(ilf(dN(M(1); 22 CCR 6OW2.24(d)) 090 days if waste gonerabd per month is greater Man or equal to ION kG (2200line) 01 ED days if waste genamted per month b laws Man 1000 kg (see note) 0270 days t mob generated Per mprHh is leas than 1000 kg and transported more than 20 miles (ace note) Nob: Applies only if hazardous waste accumulated on ate never exceeds BOOOkg(13,200 Ilan and no acublyfeztrerrary hazardous mate over I lig (2.2 Ma) is held on site for over 90 days ❑ ❑ m GTa9 Hazardous waste "satsllW collection Is managed properly (complete labelingraeeemulation fimefd"al or Iqt limit)122 CCR 66262.34(e)) ❑ ❑ m GT16 Ignibilde or reach"wasma; am located 15 m(60 final fromfaclllty's property line (22 CCR 66262.34(a)(1), 66265.1761 m ❑ ❑ GTI1 Containers of hazardous waste are properly labeled (includes appropriate dats;'HAZARDOUS WASTE." waste compositioNphysical vale, hazardous properties, namdeddress of generator) (22 CCR 66262.31, 66262.34ff11 m ❑ ❑ GT12 Comainerakanks containing hazardous wastes are in good condltiodhandled to minimize the release or reaction (22 CCR 66262.34; 22 CCR 66265.171-.179, 66265A77(c1) OR ❑ ❑ OT13 Conbinematanka0inere are compatible with waste stored or transferred (22 CCR 66262.34, 662SLI 721 m ❑ ❑ GT14 Containers stoned hazardous waetss are closed eraled (22 CCR 0262.34, 611265.173) ❑ ❑ an GT15 Weekly Inspection of areas where hazardous waste containers are stored Is conducted (22 CCR 66262.34. 66265.1 74) ❑ ❑ m OT15 Daily inspection of all tank systems is conducted and documented (22 CCR 66262.34, 66266.195) m ❑ ❑ GTIT Empty containers or Inner Unem s 5 gal has dab when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(g) RECYCLABLE WASTE ® ❑ ❑ GT1a Used oil a managed as hazardous waste until recycled (includes proper labeling, storage, MCI (I 25250.4) m ❑ ❑ GT19 Used oil Sltsre for recycling am managed property (drained of free flowing liquid, shred In closed rainproof container, labeled "drained used oil filtsm," and transferred for meal reclamation) (Title 22 CCR§ 66266.130) m ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred oftsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 68266.a1) ❑ ❑ m GT21 SolvarmloMar recyclable matsdals are managed as hazardous wastes until recycled (22 CCR 66266.2) SOURCE REDUCTION:For facilities generaUng z12,000 kglyr. of hazallous web on ails ❑ ❑ m GT22 Generator is subject to SE14 and has prepared and retained current source reduction documents or is able make them available to the inspector within 45) days. (HSC 252N.191.21f12; 22 CCR 67100.712) ❑ ❑ m GT23 Source Reduction Evaluation and Plan contains the following five elemenWonfificatlon, amounts of wastes generated, process description, block diagrams, and implemonbtionsehedule of selected source reduction measures. (HSC 26244AW21. 22 CCR 57100.&712t ❑ ❑ m GT24 Hazweste Contingency Plan prepared, current, submitted to the CUM, maintained crane. (22CCR 66263.34(04), 66265.51-.54) ❑ ❑ ® GT25 Employees trained upon him, annually; training records maintained at facility as required (22 CCR 66281.34(a)(4),66265.16) ® ❑ ❑ ER02 Facility is operated and maintained to prevenbminimizafmitigab fire, explosion, or release of hazardous materizldwaste constituents to the envimmnam. Maintains all required or appropriate equipment Including an alarm and communications system (22 CCR 66265.31-37) SUMM 1Y OF OBSERVATIONSVIOI TIONS M No violations of underground a,, rage tank, hazardous materials, or hazardous caste lawsiregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. D Violations were observeddiscovered 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 th CUPA in writine, ALL VIOLATIONS MUST BE CORRECTED WITHIN 00 DAYS OR AS SPECIFIED CUPA must be informed In writing with a certification that compliance has been achieved. Afalse 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 maybe reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the Inspection findings andlor the proposed corea five actions. The Issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: WAGNERS IMPORT SERVICE CENTER ADDRESS: 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL.NO CORRECTIVEACTION REQUIRED INSPECTION COMMENTS: Items marked NIA not reviewed during inspection. INSPECTED BY: MATHLSON BUSS NAME OF FACILITY REP: Chuck Wagner DATE: "11i2021 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 OwnarlOperator: Title: Date: Environmental Health SnMms (8051781-5544 city Of San Luis OBISpo P O adx 1489 7 '.21 rA Se Way Ste iw s.nn mm re.• m wP si vn Milli- am nmr Vk s t Coure> 'eon Luls Ob'seo cw 994e6 y Rr Service"" CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 07/11/2019 Time. Facility Name: WAGNERS IMPORT SERVICE DEHS Inspection Tvge ❑CIT ®Routine CENTER ®CITY FIRE ❑Chang Site Address: 202 TANK FARM RD STE A able ction OChargeable SAN LUIS OBISPO, CA 93401 Ownership ❑Change of Ownership ❑Complaint Phone: (805)541-9472 ❑Secondary Containment Testing Facility ID: FA0008328 OChargerable Secondary Containment Serial Number: DALICQCJO Testing PROGRAMS INSPECTED: taHezmel 56Hw Geneator puST OAGT OCaIARP OTPE REINSPECTION REQUIRED: OHazmat OHW Generator OUST OAGT OCeWRP DTPE PERMISSION TO INSPECT: Inspections may Involve obtaining photographs, reviewing and copying rocorde, and determining compliance with adopted cod". GRANTED BY (NAMEITITLE): Name: Chuck Wagner Title: Owner ygg SQ IA VIOL,0 BUSINESS PLAN 19 ❑ ❑ Ell Business plan complete, current, aaallable during Inspection and submitted electron ically( HSC 25505, 25506(s) (11: 19 CCR 2651) ® ❑ ❑ SP02 Inventory of hazardous materials is complete and submitted electronically (HSC 25505(a)(11, 25506, 25506(a)(1), 19 CCR 2652, 2654) 17 ❑ ❑ BPgs Site layout facility maps are accurate and submittetl electronically (HSC 25505(a)(2), 265061a1(t), 19 CCR 2652) TRAINING PLAN IFI ❑ ❑ TR01 Facility has appropriate training Program, submitted electronically (HSC 25505(a)(4), 25509(a)(1), 19CCR 2659. 22CCR66265.16) 07 ❑ ❑ TR02 Training documentation Is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN M ❑ ❑ EROi Emergency Mponsrdcontl ngency pla n corn plats, current, pull fitted electronically, malntal nod onsite(HSC 25506(a)(3), 255e6(aI(1), 19CCR 2556, 22CCR 66265.5254) ® ❑ ❑ ER03 Secondary contalnmenl is Installed and suelclently lmpervlous todlscbarges.(CHSC 25270.4.5; 40 CFR112.6(c) (2)1 GENERAL EH VIOLATIONS ❑ ❑ FEW EBVlmnmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: GPS Coordinates: Longitude: INSPECTOR: KERRY BOYLE FACILITY REP: Chuck Wagner FACILITY NAME: WAGNERS 1ORT SERVICE CENTER ADDRESS. 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR M y4 hyA yKIL. # EPA ID NO/PERMITS 19 ❑ ❑ GTOI Genera orhas an EPA ID number to treat, store, dispose,transport or transfer hazardoue waste (22 CCR 66262.12) If not. Call (800) 618.6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION E ❑ ❑ GT03 Hazardous waste determination conducted (22 CCR 66262.11) Down knowledge Danalysis Mother pa ❑ ❑ GT04 Hazardous waste analyslagast records am kept for at least 3 yeam(22 COR 66262.40.(c)) ® ❑ ❑ DISPOSA LITRANS PORTATION GT05 Hazardous wastes disposed of at an authorized location (HSC 25189.5, 22 CCR 66262.12) ❑ ❑ M One Facility utll✓es a registered hazardous waste transporter, and hazardous wash shipped with a manifest(HSC 25160, 25163(a); 22 CCR 66262.20, 56263.41) Omllkrun Mother ® ❑ ❑ GTOT Manifests and'or recelpts am properly compleW&re fined by generator for 3 years (22 CCR 66Z62R3, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERSITANKS ® ❑ ❑ GTO8 Hazardous wastes are accumulated on site as fellows: ( HSC 25123.31h)11)/(bk1); 22 CCR 55252.34) ❑SO days Ifwaste generated par month is greater than or equal to 100 kill. (22016s.) MIN days if waste generated per month Is leas than 100 kg (see note) 0270 days If waste generated per month Is bee than 100 kg and transported mom than 200 miles (see note) Nob: Applies only If hazardous wash accumulated on site never exceeds 6000kg(13,200 Its) and me acutelyteztremely hazardous waste over 1kg (2.21bs) is held w alb for ever 90 days. IN ❑ ❑ GT09 Hazardous waste "satellite" collection Is managed properly (complete labeling'accumulatlon timaY66gal or I-qt limit) (22 CCR 66252.34(o)) 09 ❑ ❑ GTIO Ignitable or reactive wastes are located 15 in IN fesg from facility's property line (22 CCR 66262.34(axl), 06265.176) 19 ❑ ❑ GT11 Commons of hazardous waste are properly labeled (includes appropriate daw,"HAZARDOUS WASTE," waste composltloNphysical state, hazardous properties, nams/address of generator)122 CCR 66262.31, 66262.34(f)) ® ❑ ❑ GT12 Conlalrlersdanks Containing hazardous wastes are in goad cundlllobhandled to minimize the release or mactlaa (22 CCR 66262.34; 22 CCR 6626A171-179, 60265.1TTjc)) g0 ❑ ❑ GTI3 ContaineMankslimem are compatible with waste stored or transferred (22 CCR 66262.34, 66266.172) ® ❑ ❑ GT14 Conferrals storing hazardous wastes am closeNsealed(22 CCR 6626234, 66265.173) gg ❑ ❑ OTIS Weekly inspection of areas where hazardous waste containers am stored Is conducted (22 CCR 56262.34, 66265.174) is ❑ ❑ OT16 Daily Inspection of all mask systems is conducted and documented (22 CCR 66262.30, 66266.195) 69 ❑ ❑ GTIT Empty containers or Inner Grant> 5 gal has dab when emptied and am property managed within one year of data emptied j22 CCR 56261](f)) Im ❑ ❑ RECYCLABLE WASTE GTI6 Used oil is managed as hazardous waste until recycled (Includes proper labeling, storage, tic) (HSC 25260A) p ❑ ❑ GT19 Used oil Blltare for recycling are managed property ldralneci of free flowing liquid, stored in closed rainproof container, labeled "drained used oil 0ltere," and transferred for metal reclamation) (Title 22 CCR$ "N6.130) IR ❑ ❑ GT20 Spent lead-acid✓aberies are being properly stored and transferred offslte under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 6626641) ® ❑ ❑ GT21 Solveatsfother recyclable materials was managed as hazardous wastes last recycled (22 CCR 66266.2) SOURCE REDUCTION:For facilities generating M2,000 kgJyr. of hazardous waste on site. 0g ❑ ❑ GT22 Generator Is subject to 8814 and has prepared and retained current source reduction documents or Is able main them available to the Inspector within (5) days. (HSC 25244.191.211.22; 22 CCR 67100.718) ® ❑ ❑ OT23 Source Reduction Evaluation and Plan contains the following five se rmid :eereNcation, amounts of wastes generated, process description, block diagrams, and implementatiormchedule of selected source reduction measures. (HSC 25244.19/.21, 22 CCR 67100.714) © ❑ ❑ GT24 Hazweste Contingency Plan prepared. current, submitted to the CUPA, maintained onsib.(22CCR 68262.34(a)(41, 6S285.51-94) ® ❑ ❑ GT25 Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 65262.34(a)(4).. 66266.16) ® O ❑ ER02 Facility Is operated and maintained to prevent/minimize/mitigate fire, eaploalon, or miss" of hazardous materlalalwasta constituents to the environment. Maintains all required or approprbte equipment including an alarm and communications system (22 CCR 66266.31-37) SLIML..;RY OF OBSERVATIONSVIOLATIONS all No violations of underground storage tank, hazardous materials, or hazardous waste lawefregulaticns were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. O Violations were observaddiscovered as listed below. All violations must be connected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved Is a violation of the law and punishable by a fine of not lees than $2,000 or more than $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the Inspection findings andor the proposed corrective actions. The Issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: WAGNERS IMPORT SERVICE CENTER ADDRESS: 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL_ NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: HazWaste is properly managed. New nemesis labels were provided to owner for future use. No violations noted. HazMat Business Plan has been updated for CY 2019 and submitted electronically. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Chuck Wagner DATE: 07/ty2019 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: 1 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: IlkEnvironmental "'a' Health se"las (505e c" of San Luis osispo 651751-56aa PO aoleaa9•r-les y& Service",ee erne 2156 Slerta Wav Sle. B w,or "C'aurtery &Service" San Luis Ob soo CA 93A06 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 07119/2018 Time: Facility Name: WAGNERS IMPORT SERVICE 9gtggy ❑EHS Inspection Type IlRouBne CETER FIRE ❑Reinspection Site Address:202 TANK FARM RD STE A ❑Chargeable Reinspection❑Change SAN LUISIS O®CITY BISPO, CA 93401 of Ownership Phone: (805)541-9472 ❑Complaint ❑Secondary Containment Testing Facility ID: FAD008328 ❑Chargeable Secondary Containment Testin, Serial Number: DAEENVDBK PROGRAMS INSPECTED: BHazmm NHW Generator OUST 13AGT OCSARP DTPE REINSPECTION REQUIRED: OHazmel OHW Generator OUST OAGT OCHARP OTPE PERMISSION TO INSPECT: Inspections may Involve obtaining photographs, revlewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAMErTITLE): Name: Chuck Wagner %Owner Title: yE% NQ WA BUSINESS PLAN (111 ❑ ❑ Spot BuNnees plan is ocmplme, current, avalkbN during Inspection IHSC 26603.6, This 19 MR 2729) E ❑ ❑ BP02 Inventory of hazardous materials is eomplao(HSC 25504, Title 19 MR 2729) E ❑ ❑ OP03 she, IayouVemility maps are accurate tHSC 2504, Title 19 MR 2T28) TRAINING PLAN E ❑ ❑ TR01 Facility has approprlHe training progmas (This 19 MR 2732 It 22 MR 06266.16) E ❑ ❑ TR02 Training documentation Is maintained on site for current personnel (Title 19 MR 2732 Is 22 CCR) 66265.16 E ❑ ❑ ER01 Emergency respomsfeontingency plan is complW, updated, and maintained on sale tHSC 25504, This 19 MR 2131 a 22 MR 156266.63/EA) E ❑ ❑ ER02 Facility is opened and maintained to inevardfminlmluymltlgale Ore, aaploclon, or relaase of hazardous matarlsis^aaab ommtlNente to the envlrenment. Nowdens all required or sppropristo equipment Including an time and communications system (Tdile 19 MR 273% 22 MR 662663147, 40CFR 126631) E ❑ ❑ ER03 secondary containment is installed and sufficiently Impervious to discharges. [CHW 25270A.5; e0 CFR It 2.8(c)12R GENERAL EH VIOLATIONS E ❑ ❑ FE01 Envirominental Hsslee fees pall [CBPC 17200. Leval ONlnaricel GPS Coordinates: Latitude: GPS Coordinates: Longgtude: INSPECTOR: KERRY BOYLE FACILITY REP: Chuck Wagner FACILITY NAME: WAGNE, IMPORT SERVICE CENTER ADDR. n: 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 ' HAZARDOUS WASTE GENERATOR EPA ID CAL000349934 Total generatedlnordh: Lire or gale (awrage) NUMBER: Waste Oik Solvents: Antifreeze. ahem: `¢a$ NQ NIA VIOL. # F_PA ID NOIPERMITS all ❑ ❑ Wall Generator has an EPA ID number to treat, Store, d16PMR. bans Pon or transfer hazardous waste (Take 22CCR§66283.12) If not, Call (800) 610-6942 to oblaln your CAL EPA ID number ® ❑ ❑ GT03 ® ❑ ❑ GT04 111 ❑ ❑ GT05 ❑ ❑ g2 Was ® ❑ ❑ Way © ❑ ❑ GTOS ❑ ❑ GT09 ❑ ❑ OT10 ❑ ❑ Will ❑ ❑ GT12 ❑ ❑ GT13 ❑ ❑ OT14 ❑ ❑ OT16 ❑ ❑ WIG ❑ ❑ Cry ❑ ❑ GT18 ❑ ❑ GT19 ❑ ❑ OT20 ❑ ❑ GT21 ❑ ❑ GT22 ❑ ❑ W!3 19 ❑ ❑ GT24 Hazardous waste deferminat on conducted (Title 22 CCR §66262.11) Oown knowledge ❑anatyais ❑other Hazardous waste anelysisRest records are kept for at least 3 yeam(TOIe 22 CCR §66262.411#)) DISPOSAL/TRANSPORTATION Hazardous wastes disposed of at an authorized location (HSO §28159.5. Title 22 CCR §66262.12) Facility utilizes a registered hazardous wasto transporter, and hazardous wastes shi peed with a manifest ITItfe 22 CCR 06262.20. HSO 426160126163tall Dindown ❑other Manitests atelier receipts are properly completed'retalmid by generator for 3 years (T16a 22 CCR §S8262.23, Gal IS) STORAGE AND MANAGEMENT OF CONTAINERSITANKS Hazardous wastes are scours ulefed on site as follows (Title 22 CCR §66262.34) 090 date if waste generated per month Is greater than or equal to 100 kg (2201 be) DIN days if waste generated per month is lace than 100 kg (see note) 0270 days If waste generated par month Is leas than 100 kg add transported more than 200 miles (see note) Hazardous waste "satellite" collection is managed properly (complete labeiingraccumulation timW55 gal or tat limit) (Title 22 OCR §86252.34(c)) Ignitable or reactive wastes are located 16 in (60 feet) from facility's property line (Title 22 CCR §66265.176) Containers of hazardous waste are properly labeled (Includes appropriate dato;'HAZAROO US WASTE," waste com Posit oNphysical stole, hazardous properties, nam eladdreas of generator) (Title 22 CCR §66262.31, 56262.34) Contalrommainks contol ding hazardous wastes are In good conditioNhandled to in inim its the release or reaction (Title 22 CCR §65262.34 (d)(2), Comair areltenuldiners are core pal with waste stored or transferred (Tide 22 CCR§ §66252.M(d)(2). 68265.172) COMalnem storing hazardous wastes are closecidi sled (Title 22 CCR §§55262.34 (d)(2), 65265.1 Weekly Inspection of areas where hazardous waste containers am stored Is conducted (Title 22 CCR§§fiS262M (1112). 66265.174) Daily Inspection of ail lank systems Is conducted and datum anted (Title 22 OCR §§66262.34 (dl(2), 66266.195) Empty conies oars or Inner (more greater than 5 gal has data when am plead and are managed RECYCLABLE Van of data emptied (Tine 22 CCR §66261.T (ff Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCR§ 66266.13, MSC §25250.4) Used oil filters for recycling are managed properly (drained of Rowing Ilqu Id. stored in closed rainproof container, labeled " drained used all fillers;' and transferred for metal reclamation) (Tine 22 CCR§ 66266.13) Spent lee6acld ballades are being properly stored and transferred o f 11 under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §6626681) Solventslolher recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §661 SOURCE REDUCTION:For taclllllea generating>12,000 tolyrof 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], 67100.0. HSG Source Reduction Evaluation and Plan contains Me following five olaments:cedihcation, amounts of wastes generated, process description, block diagrams, and im plementatlonschad use of selected source reduction measures. (67100], 67100.8. HSC 426244.19) Hazwasle Contingency plain prepared, current, submitted to the CUPA, maintained credits. (Title 220CR§86385.51-541 SUMMs ..:Y OF OBSERVATIONSNIOL.. MONS © No violations of underground storage hunk, hazardous materials, of hazardous waste lawsiregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to yoi facility. Violations were observed'discovered as listed below. All violations must be corrected by Implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, classic inform the CUPA in writino. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing w certification that compliance has been achieved. A false statement that compliance has been achieved is a vielallor 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 an llor the proposed corrective action& The Issued" of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: WAGNERS IMPORT SERVICE CENTER ADDRESS: 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL, NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: HMBP has been updated for CY 2018 and submitted eleceonically via'EZ Submit Portal" No violations noted. Hazardous waste is properly managed, and good record keeping for disposal. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Chuck Wagner DATE: 07119/2018 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 Services Cityll 100 Roo 1 8 sAn Luis owspo P O.Box 14A9 J L �.J�J 2156 8 ens way Ste 8 Fire Department (805) 7017380 San LUIS Obispo CA 23406 2160 Santa Barbara Avenu -- S.ell Luis—Qbispo.CA 97401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 0510412017 Time Facility Name: WAGNERS IMPORT SERVICE Apencv Inspection Tvoe ❑EHS ®Routine CENTER ®CITY FIRE ❑Reinspac5on Site Address: 202 TANK FARM RD STE A ❑Chargeable spection SAN LUIS OBISPO, CA 93401 Ownership ❑Change of Ownershipip Phone: (805)541-9472 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0008328 ❑Chargeable Secondary Containment Testin, Serial Number: DAOZGEDNO PROGRAMS INSPECTED: 99Hazmat ®F1W Gerlsrnor OUST DAGT OCaARP DTPE REINSPECTION REQUIRED: m f]lilaet OHW Generator DUST DAGT OCaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY(NAMETTITLEI: Name: Chuck Wagner Title: Owner G>� gQ NIA BUSINESS PLAN ® ❑ ❑ SP01 Overreach plan Is Gomplete, current, available during inepactlon(HBC 2661 Tide 19 CCR 2729) ® ❑ ❑ SP02 Inventory of hmardous materials is complete (HSC 25504, Tide 19 CCR 2729) ® ❑ ❑ 13P03 Site layourttacillty maps are aecurate(HSC 25604, TIde19 CCR 2729) TRAINING PLAN 0 ❑ ❑ TRIM Facility has appropriatetrainingprogram(Tide19CCR2732a 22CCR66265.16) © ❑ ❑ TR02 Training documentation is maintalrad on aft for current pereonrul (Ties 19 CCR 2732 a 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN ® ❑ ❑ ER01 Emertienry responWoontingency plan Is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 a 22 CCR $ 66266.SNU) © ❑ ❑ ER02 Facility is operated and maintained to pravendminimizarmitlgate fire, explosion. or release of hazardous materlalswasta conedtuente to Me environment. Melntalra all required or appropriate equipment Including an alarm and communications system (Tide 19 CCR 273%22 CCR 66266 31-.37, 40CFR 1266.31) ® ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.111 1] GENERAL EH VIOLATIONS ® ❑ ❑ FE01 En erommenlal Heath fees Paid [Cape 17200, Local Ordinance) GPS Coordinates: Latitude: GPS Coordinates: Longlitude: INSPECTOR: KERRY BOYLE FACILITY REP: Chuck Wagner Des or gals (average) \Total generate(fmantte � EPA ID CA] 000349934 NUMBER: Waste OIL' solvents:AfOifraei Others: yo tit NA VIOL. # ^PAID NOIP REMITS or trarrelr hazardous PA IV number be to obalo Your CAL EPA 10 number © ❑ ❑ GT01 wase(Title 22CCR§082U 12)it Am,�lIsooro,dMpose.trenapoR Call (800) 6184942 • TF f3ETERMINATION bass" notion conducted I its 22 CCR§66262.11) ® ❑ ❑ GT03 Hazardous wadhAZARPDMe Down knowledge Oanelysta author 22 CCR §86262.40.(c) kept of atleas[]ydarelTitie p ❑ ❑ OT04 Hazardous waste analysisimst records are eNSPORTATION authorized location 'MSG §281e9.S, Title 22 CCR 98628T.121 p ❑ ❑ GTUs GT06 Hazardousdisposed of at an n6f68ewaeas registered hazardous Waste izerR1HS0616012fell ❑ ❑ ® ahlooetlwith manifest U22 CC Oolher Omllkruq��� rs mumnsaanal receipts are PrOoll Y comPlmed'realned by generolr f Yea te anal ® ❑ ❑ OT07 (Title 22 CCR 660262.23. 86262.40 (a) 6.FhT OF GONTAINERSRANKS ❑ ❑ GTOB STOR CR sa62a2.341 Meaartlouswasaaamaccumulaaoonaitro "ma��^norequ _ man or equal to 100 kg. 12201be.1 ® ago days If waste eenemed per month Is greaten Is lees than 100 kg (sea note) 0180 days If waste generated per month 027o days It waste generated Par month Is less than 100 leg and trenaported mom then 200 miles (sea note) ❑a ❑ ❑ Gi09 on is managed property (�01" IAt lim6)(Tide 22 CCR§00262841c11 abelinlaccumuaren dre rid6-9al air are located 16 Or(60 set) from feaddlys property line (This p ❑ ❑ GT10 ignitable orreactivewastes 22 CCR 4nsiddra"approp Let m"0 p0005 hazardous Woods ares, © ❑ ❑ Gf11 hazardostart us prepare", mmaledd WASTE." Waal wmpocltociphysesl sealContainrs, of generator) (Title 22 CCR §66262.31, 66262.34) are in good condilloNhandbdo p ❑ 0 U12 Conllreroanks remaining hazardous wastes (Title 22 CCR §66262.34 (d)(21. minimize the release or reaction Genelmre'tenkWllnerq arts compatible with waste tripled or M1ansamd(TIHe 22 GCR§ p ❑ ❑ GT13 466262.34 (d)(21. 86265.1121 Conalrem storing hazardous wastes are cossdaealad lisps 22 CCR §§66282.]41tl1121.56265.t ® ❑ ❑ Gft4 Weekly Indirection of areas whom hazardous waste conainem are stored is conducted Tide ® ❑ ❑ GT15 22 CCR§§68292.34 (d)(2). 66266.1r4) Celly inspee0on of a6 Unit systems is contractstl and documented (Title Y4 CCR §46626234 (dp21, p ❑ ❑ GT16 ❑ ❑ OT17 65265.195) Empty containers or Inner lineal greeter Man 5 gal dra date when emptied and are managed p proCd wl�lBn on emptied (Mile 22 CCp §86281]I0) ❑ GT19 LyeAerTfdal Used all is managed as hazardous waaa ung,recycled (included proper labeling, storage, etc) IN ❑ (Title 22 CCR§ 66265.13, MSG §25260.4) for re ycli glarbelede managed ter l In frial kt Use p ❑ ❑ Will oil dfor metaI loprs uend ogralned Nsala�and tMn$f closraclam Lion) (ritle 22 CCR§ 66266.13) Spent aadacid baraph s are being Property sated and tmndlrrael phase under memfest Or p ❑ ❑ GT20 bill of lading for recycling, reuse, or reclamation (Tide 22 CCR §66266,811 smears until recycled (Tide 22 p ❑ ❑ em SolvendshMer recyclable instance are managed as hazardous CCR 466296.3) SOURCE REDUCTIONFor facilities generatln8>12,000 kglyr. of hazardous Waste on site. ® ❑ ❑ 0722 Generator Is Subject he SS14 and has pmpmmd and relined current source reduction (5) days. N7100.7, 67100.8, HSC dodumene or le able make them available to the Inspector wiMa Sea stsmene:ceMlocation,amounts ® ❑ ❑ GM Source Reduction Evaluation and Plan contains the ollowing process descdPOOn, black diagrams. add Inglemer at onschedula 0 of wastes generated, seactod some reduction m"Sums. (6710D.]. 67100.8. HSC 625244.191 Contingency Plan prepared, curenm, stanchest to MG CUPA, malnalnad onslte. (TRIO ® ❑ ❑ GTys Hazwaste 22 CCR §66266.51-A4) SLIMMr X OF OBSERVATIONSNIOL PIONS is No violations of underground storage tank, hazardous materials, or hazardous waste lawafregulatlons were discovered. SLO CUPA greatly appreciates your efforts to comply with all the Iowa and regulations applicable W ym facility. Violations were observeNdiscovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in whine. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing or 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 leas than $2,000 or more than $26,000 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 snorer she proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal sell= FACILITY NAME: WAGNERS IMPORT SERVICE CENTER ADDRESS: 202 TANK FARM RD STE A SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL, NO CORRECTIVE ACTION RFOUIRFO INSPECTION COMMENTS: Hazardous Materials Business Plan has been updated and submitted on line via the "E Z Submit Portal' web based database. No violations noted during facility inspection. Empty drum outside rear exit is full of rein water due to bung missing. Please handle according to contents of drum and keep all empty containers stored updside down or securely closed to prevent this from happening Also, 17 waste tires need to be shipped off site via a fire recyder. All else ok - good hazardous waste disposal documentation. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Chuck Wapner DATE: 05/04,2017 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: 1 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: m.omT SERVICE CENTER ADDRESS' SAN UIS OBIISPO. CA 93401 2yAs, Environmental H Services �vI- c 781.55 PO Box 48148 sa a�„W'J omspo .9 2156 Sierra Way Ste B Fire Deoartmenl (805) 781.7380 S Ob' CA 01d0S 2160 San1e Barbara Avenue 4 San LWs_ODI9p9 CA93iKMZ 0 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 11/29/2016 Time: Facility Name', WAGNERS IMPORT SERVICE CIEHS Inspection Tvoe ❑CIT ®Routine T R OCITY FIRE ❑Chang Site Address: 202 TANK FARM RD able action ❑Chargeable SAN LUIS OBISPO, CA 93401 Ownership ❑Change of Ownership Phone: (805)541-9472 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0008328 ❑Chargeable Secondary Containment Testin! Serial Number: DAUPEKESZ PROGRAMS INSPECTED: mHazmat Mm Generator OUST DAGT DGdwRP OTPE REINSPECTION REQUIRED: OHaamat OHW Generator DUST DAGT OCaIARP OTPE PERMISSION TO INSPECT: Inspections may Involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAMEITITLE): Name: Chuck Wagner Title: Owner �V) k2.% I& NQ NA BUSINESS PLAN ® ❑ ❑ BPgi Business plan is complete, cunanl, available during inspection (HSC 25111 Title 19 CCR 2729) ® ❑ ❑ 131302 Imentory of hazardous materials Is compete (HSC 25504, Title 19 CCR 2729) ® ❑ ❑ BP03 Site layoutifacilily, maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN © ❑ ❑ TR01 Facility has approvals training program (Ties 19 CCR 2732 & 22 CCR 66265.161 O ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCRI 66265.16 EMERGENCY RESPONSE PLAN O ❑ ❑ ER01 Emergency responsa/contmngency plan is complete, updated, and maintained on alto (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53r64) © ❑ ❑ ER02 Facility is operated ant maintained to prevsnUminimM/mitigate fire, explosion, or release of hazardous materaddiessm constituents to She amironmenl Maintains all required or appropriate equipment Including an alarm and communications system (Title 19 CCR 2731& 22 CCR 66265.31-417, 6626T.34 (d)(2), 40CFR 1 265.31) ® ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270A.5; 40 CFR 112.6(c)12g GENERAL EH VIOLATIONS ® ❑ ❑ Feel Environmental Health fees paid. [CBPC 17200, Local Ordinance[ GPS Coordinates: Latitude: GPS Coordinates: Longtitude: INSPECTOR: KERRY BOYLE FACILITY REP: Chuck Wagner FACILITY NAME: WAGNF IMPORT SERVICE CENTER ADDrI)S: 202 TANK FARM RD SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA 10 CAL000349934 Total generatadmonth: Lbs or gals (average) NUMBER: Waste Olt Solvents: Antifreeze: Others: $ UQ jA VIOL, it EPA ID NO/PERMITS © ❑ ❑ GT01 Generatorhas an EPA ID number to treat store, dispose, transportor transfer hazardous wash ITitle 22CCR§66262.12) If not, Call (NO) 518-6942 to obtain your CAL EPA 10 number HAZARDOUS WASTE DETERMINATION 19 ❑ ❑ GT03 hazardous waste determination conducted (Title 22 CCR§66262. 11) Down knowledge Oanalysis Colmar ® ❑ ❑ GT04 Hazardous wash anatysioneal records are kept for at mast 3 yeam(Title 22 CCR §N262.40.(c)) O ❑ ❑ GTO5 DISPOSALlrRANSPORTATION Hazardous wastes disposed of at an sunorWd location (HSC J25169.5, Title 22 CCR 11662412.12) ❑ ❑ ❑s GTO6 Facility utilizes a registered hazardous wash transporter, and hazardous wastes shipped win a manifest (Title 22 COR 666262.20. HSC 625160I26163(all Gmilkrun Omee 99 ❑ ❑ GT07 alanlfestaandor recaipeare property completed'mtal nod by generator for 3 years (Title 22 CCR §66263.42166162.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS N ❑ ❑ Gne Hazardous wawa are accumulated on site as follows (Title 22 CCR 988262.34) 090 days it waste generated Per month is greater than or equal to top kg. (220 the.) 0180 days If waste generated par month is less Man 100 as (am note) 0270 days If waste generated per month is less Man 100 kg and transported mom Man 200 miles (see rate) ® ❑ ❑ GT09 Hazardous wasts "satellite" collection Is managed property (complete labeling'accumulation time/5"al or 1-qt limit) (rifle 22 CCR §66262.34(c)) 0 ❑ ❑ GT10 Ignitabb or reactive wales are located 15 In 150 most from facIIIWs pmperty, line (Title 22 CCR §36265.176) ® ❑ ❑ 3711 Containers of hazardous waste are properly labeled (includes appropriate dales '11A2ARDO1IS WASTE;' waste eomppellioniphysieal state, haardous properties, namemddress of generator) (Title 22 CCR §66262.31, 61 99 ❑ ❑ GTI2 Cordamemanks containing hazardous wastes are in good conditloNhandled to minimize the release or reaction (Title 22 CCR 166262.34 (d)(2), ON ❑ ❑ GT13 Contalnsrehnblliners an compatible with waste scored or transferred (Title 22 CCR§ §66263.34 (d)(2), 6620,172) 09 ❑ ❑ GT14 Connemara storing hazardous wastes are closaNsealed (Title 22 CCR W6262.34 (da2t 66265.1 ® ❑ ❑ GT15 Weekly inspection of areas wham hazardous waste containers am secured! Is conducted (Title 22 CCR§§86262.34 (d)(2), 66266.1T4) © ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §§66262.34 (d)(2), 66265.196) 9 ❑ ❑ GT17 con wnem o�ryinner liners greaterthan 5 gal has date whan emptied and are managed pEmpty WASTE are emptied (Title 22 CCR §66261.7 (f)) ® ❑ ❑ GT16 RECYCLABLE Used oil is managed as hazardous weeks until recycled (includes proper labeling, storage, ens) (Title 22 CCR§ SOUS8.13, HSC §26260.4) 0§ ❑ ❑ GTi9 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled'drained used oil filrere," and transferred for motel reclamation) (Title 22 CCR§ 66286.13) 0 ❑ ❑ W20 Spent toad -acid batteries are being properly stored and transferred cable under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR 5662158.81) 0 ❑ ❑ GT21 Solvents/oMer recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 466266.3) SOURCE REOUCTION:For facilities generating >12.NO kg.tyr. of hazardous water on site. 0 ❑ ❑ 6122 Generator is subject to SS14 and has prepared and retained current source reduction documents or Is able make them available W IN Inspector within (51 flays. (67100.7, 47100.8, MSC © ❑ ❑ GM Source Reduction Evaluation and Plan contains the following five olemerrts:cortificaton,amounts of wastes generated, process description, block diagrams, and Implemenhtionbchedule of selected source reduction measures. 167100.7. 67100.8. HSC 626244A 91 ❑• ❑ ❑ GT24 Hazwasts Contingency Plan prepared, current, submitted to the CUPA maintained mmite. (Title 22 CCR §96265.51-.541 dddilllllh�Envh- enl H alth erv' s City0f -5544 OBISpO P O Box Id89 san Luis 2156 Sierra Way qW F' D art r �380 San Luis Ob' CA 93406 2160 Sto Barbara Ave Aven me San Luis ObiCA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 01/082007 Time: Facility Name: FERRELL'S AUTO REPAIR Ag2ney Inspection Type MEHS ®Routine OCITY FIRE ❑Reinspection Site Address: 202 TANK FARM RD ❑Complaint SAN LUIS OBISPO, CA 93401 Phone:(805)543-8982 Facility ID: FA0002347 PROGRAMS INSPECTED: 1014azalot NHW Genemtor MUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: 01-mmat ❑HW Genemtor OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Title: OWNER Name: YES NO N/A BUSINESS PLAN 0 ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) 0 ❑ ❑ BPO2 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ® ❑ ❑ BPO3 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN m ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ 0 ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN ® ❑ ❑ ER01 Contingency plan Is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ® ❑ ❑ ER02 Facility b operated and maintained to preventlmmimize/mitigate fire, explosion, or release of hazardous materials/waste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731& 22 CCR ABOVE GROUND PETROLEUM STORAGE TANK ACT ❑ ❑ N ATOI SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ N AT02 SPCC Plan is maintained on sift or nearest field office. (HSC 25270) COMMENTS no to nuns.,...zaar•es=n..nn.y..a...m.wm.aum.,..e..._mn.xn..mm to mamroaaa to comns.nn amt.nroa. Ta01 Ind ERe1 GPS Coordinates: Latitude: GPS Coordinates: Longtltude: INSPECTOR: PETER HAGUE FACILITY REP: BILL FERREL FACILITY NAME: FERRELL'S AUTO REPAIR ADDRESS: 202 TANK FARM RE) SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL000008801 Total generated/month: NUMBER: Waste Oil: SOlvenls: Antifreeze: Others: - or gals (average) YES NO N/A VIOL. # EPA ID NO/PERMITS B ❑ p CT01 Generator has an EPA ID numberto treat, store, dispose, transport or transfer hazardous waste (Title 22CCR§66262.12) If not, Call (800) 618-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION ❑p ❑ ❑ GT03 Hazardous waste determination conducted(Title 22 CCR§66262.11) ©own knowledge ❑analysis ❑other ❑x ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION © ❑ ❑ GT05 Hazardous wastes were transported anchor disposed to a facility with an EPA ID NO. and permit or antkerization from DISC (HSC §25189.5, Title 22 CCR §66262.12) Mmalkruq EVERGREEN ❑other ❑a ❑ ❑ GT06 Hazardous wastes are shipped with manifest(Tllle 22 CCR§66262.20) ® ❑ ❑ GT07 Manifests anchor receipts are properly complettelrehined by generator for 3 yea m(Title 22 CCR §66263.42166262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ® ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 090 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) ©180 days if waste generated per month is less than 100 be (see note) ❑270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000kg(13,200 His) and noacutely/extremely hazardous waste over Ikg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ © G1709 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation lime/55-gal or I-qt limit) (Title 22 CCR §66262.34(c)) ❑a ❑ ❑ GTIO Ignitable or reactive wastes are located 15 as (50 feet) from facility's property line (Title 22 CCR §66265.176) p ❑ ❑ GTII Containers of hazardous waste are properly labeled(includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Tide 22 CCR §66262.31, 66262.34) 99 ❑ ❑ CT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (Title 22 CCR §66265.I710.191,66265.177(c)) IN ❑ ❑ GTI3 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 466265.172) ❑ IN ❑ CT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) ❑ ❑ 99 GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§66265. V4) ❑ ❑ ® CT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) 0 ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CUR §66261.7 Hit RECYCLABLE WASTE 99 ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250A) p ❑ ❑ CT19 Used oil filters for recycling are managed properly (drained of free Bowing liquid, stored in closed rainproof container, labeled "drained used oil fillers," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) ® ❑ ❑ CT20 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) ❑ 99 ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 466266.3) INSPECTED BY: PETER HAGUE DATE: 01/08/2007 FACILITY NAME: FERRELL'S AU f0 REPAIR ADDRESS: 202 TANK FARM RD SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR YES )4 N/A VIOL. # EPA ID NO/PERMITS SOURCE REDUCTION:For facilities generating>12,000 kg./yr. of hazardous waste on site. ❑ ❑ ® GT22 Generator is subject to Stilt and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC §25244.19, ❑ ❑ © GT23 Source Reduction Evaluation and Plan contains the following five elementsmertifscation, amounts of wastes generated, process description, block diagrams, and implementationschedule of selected source reduction measures. (RSC §25244.19) INSPECTED BY: PETER RAGUE DATE: 01/08/2007 FACILITY NAME: FERRELUF -ITO REPAIR ADDRE 202 TANK FARM RD SAN LUIS OBISPO, CA 93401 SUMMARY OF OBSERVATIONSNIOLATIONS ❑ No violations of underground storage lank, hazardous materials, or hazardous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. ® Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more then $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: FERRELL'S AUTO REPAIR ADDRESS: 202 TANK FARM RD SAN LUIS OBISPO, CA 93401 VIOLATIONS PE NO VIOL. NO VIOL. TYPE CORRECTIVE ACTION REQUIRED 1126 GT14 3 IMMEDIATELY CLOSE AND SEAL ALL CONTAINERS HOLDING/STORING HAZARDOUS WASTES. IMPLEMENTA PROCEDURE TO ENSURE THAT ALL HAZARDOUS WASTE CONTAINERS WILL BE KEPT TIGHTLY CLOSED AND SEALED. THE FINE FOR THIS VIOLATION IS AN INITIAL PENALTY OF UP TO $25,000, AND THEN AN ADDITIONAL TWO PERCENT OF THE INITIAL PENALTY PER DAY THEREAFTER. AFTER CORRECTION, CONTACT INSPECTOR FOR A REINSPECTION TO VERIFY COMPLIANCE. PLEASE KEEP WASTE OIL CONTAINERS SEALED WHEN NOT IN USE. 1126 GT21 3 IMMEDIATELY BEGIN MANAGING SOLVENT AND OTHER RECYCLABLE MATERIALS AS HAZARDOUS WASTES UNTIL THEY ARERECYCLED. IMPLEMENT A PROCEDURE TO ENSURE THAT THESE MATERIALS ARE BEING PROPERLY MANAGED. THE FINE FOR THIS VIOLATION IS AN INITIAL PENALTY OF UP TO $25,000, AND THEN AN ADDITIONAL TWO PERCENT OF THE INITIAL PENALTY PER DAY THEREAFTER. AFTER CORRECTION, CONTACT INSPECTOR FORA REINSPECTION TO VERIFY CORRECTION. PLEASE CONTRACT TO HAVE WASTE SOLVENT PICKED UP BY WASTE DISPOSAL FIRM. 1126 TR02 IMMEDIATELY PREPARE TRAINING DOCUMENTS ACCORDING TO TITLE 19 CALIFORNIA CODE OF REGULATIONS SECTION 2732 AND TITLE 22 CALIFORNIA CODE OF REGULATIONS SECTION 66265.16 AND LOCATE TRAINING DOCUMENTATION ON SITE. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED IN THIS REPORT MAY RESULT IN CIVIL AND/OR CRIMINAL PENALTIES OF UP TO $2,000 PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCRIBED IN THE CA HEALTH S, SAFETY CODE SECTION 25515. PLEASE INSTITUTE PERIODIC (YEARLY) TRAINING OF ALL EMPLOYEES. CREATE A SIGN OFF SHEET AND KEEP ON FILE. INSPECTION COMMENTS INSPECTED BY: PETER HAGUE DATE: 01/08=07 FACILITY NAME: FERRELUS / ''0 REPAIR ADDRESS 202TANKFARM RD SAN LUIS OBISPO, CA 93401 INSPECTED BY: PETER HAGUE DATE: 01/08/2007 NAME OF FACILITY REP: BILL FERREL SIGNATURE OF FACILITY REP: Certification: t 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, Inc. Analytical & Remedlation Services Mr. Roger W. Briggs, Executive Officer California Regional Water Quality Control Board 81 Higuera Street, Suite 200 San Luis Obispo, CA 93401 Subject: 202 Tank Farm Road Property in San Luis Obispo, CA October 5 , 1995 �C, �S 9 Ocr r Dear Mr. Briggs: CIRRUS Environmental, Inc. (CIRRUS), on behalf of Mid -State Bank, has prepared the following information as requested in the Regional Water Quality Control Board's (RWQCB) September 21, 1995 letter concerning Cook Industrial Park. Cook industrial Park is located at 202 Tank Farm Road in San Luis Obispo, California. It is our understanding that Mid -State Bank became the owner of record of four of the units (3, 5, 6&9) a. As part of the Subsequent resale of these units, Mid -State contracted with CIRRUS to conduct a Phase I investigation of those specific units. That report was followed by a subsequent Phase 11 sampling and testing report of the septic tanks and leach fields by CIRRUS. Those results indicated that the contents of the septic tanks did require removal and disposal (this was done) and the septic leach fields required possible remediation depending on the required action levels established for the reported metals. Additional data was requested in the Water Board's September letter concerning the background metal levels for the parcel along with other information concerning the status of some of the other units located on the property. The following information is furnished in to satisfy the requested information: 1. Background Samples, which were requested in determining the action levels, were taken at the locations noted on the attached Figure at the direction of Mr. Charles Teri of the San Luis Obispo County Environmental Health Services. Four locations were selected along the eastern property boundary at areas which were not believed to have been impacted by potential contaminants from the property (i.e. leach fields or maintenance shops). 3130 Skyway Drive, Suite 403 • PO. Box 7439 • Santa Maria. CA 93456-7439 • Phone (505) 346-1766 • FAX (805) 346-1767 Water Bond Response October 5,1995 The results of that sampling reflect a fingerprint of metals very similar levels to those reported in the leach fields reported previously. Barium, chromium, cobalt, copper, nickel, vanadium and zinc were all reported at levels essentially the same as the leach fields. Thus, it is our opinion that the leach fields are not contaminated based on the data developed and no further work is required in these areas at this time. 2. The septic tank and associated leach field which serves units 7&9 were not part of CMRUS's scope of work during either of the earlier reports. To the best of my knowledge, they are owned by someone other than Mid -State Bank. The sumps associated with San Luis Radiator (unit 4) is not part of the Mid -State project and is being bandied directly with San Luis Radiator and Mr.Tenburg of San Luis Obispo County. An initial soil assessment of that area has been made. Additional recommendations for further investigation including the groundwater in the immediate area of concern will be made to the property owner now that the background levels and associated action levels are known. By way of clarification, the method 6010 detection limits noted in item 2 (page 2) of your letter are water detection limits and not soil. There is a dilution factor involved of 50 with the preparation of a soil sample for this method. Thus, the soil detection limits are 50 x the detection limits noted in your letter. Wat"Bl dltcspmw Outotcr 5,1995 We consider that all investigation and remediation required for these units (3, 5, 6&9) are complete and no further work is required at this time. Unit 4 will be addressed in future submittals as San Luis Radiator and not Mid -State Bank. If there are any questions please call me at (805) 346-1766. Sincerely, CIRRUS Environmental, Inc. P Daniel Ringstmeyer, P.E. cc: Frank DeMarco, RWQCB Kathi Main, Mid -State Bank Charles Tenburg, SLO Health Dept. TABLE 1 202 TANK FARM ROAD PROJECT BACKGROUND/LEACH FIELD METAL RESULTS September 25, 1995 METAL %1CL (mq:!) STLC TTLC Back4rourd ".fetal Resurts ( 11 Unit 119: L. Field" Unit ZrI L. Field" Ucit 415:5: L Field" B-1-12' B-2-24- B-324' B 4 18" ('Mean Variance Std.Cev STLC TTLC STLC TTLC STLC TTLC I ! ( Ar:iimcn - 151 5C0 ND ND I ND I ND ND - - I+C ND ND Arsenic 005 51 5C0 ND Nil NO ND ND - - I ND _ NO ND Barium 1 100 10.000 140 160 170 140 152.5 168.75 12.99 170 ND ND 88 160 Ser Ovum - 0.75 75 NO NO NO ND ND — — 02 0.3 — 0.00 Cadmium 001 1 10C NO, ND NO, ND ND — NO NO Chromium ' 005 5 2 500 110 110 110 110 110 0 120 97 Nn 150 Cobalt 80 8 000 19 21 20 15 18.75 5-19 2.28 24 14 22 I I COocer 1 25 2,500 32 41 39 34 36.50 1325 364 3-3 13 I 34 Lead 0 OS 5 1.000 NO ND 12 NO 3.00 27.00 5.20 I ND ND I ND Mo bdenum 35 3.500 NO ND NO ND ND — — NO ND ND Mercury 0.002 021 20 NO ! ND NO NO ND — — NA ND ND N,ckei 201 2000 200 ( 210 I 200 I 210 205.00 25.00 I 5.00 ! 200 84 I 27 230 Saieriurr 0.01 1 100 NO NO NO NC ND — — NO NO NO S Iver 0.05 51 500 NO ND ND ND NO — — NO NO ND Thallium 7 700 NO NO NO ND NO — 33 ND NO Vanadium 24 24.000 1, 44 52 39 I 49 4600 2450 4.95 1 68 45 68 Zinc 5 250 5.000 63 82 I 79 54 69 50 13225 11.50 i 60 18 67 I I Chromium soluble levels determined by TCLP e)draction procedures July 18.1995 sampling results Environmental, Inc. Analytical & Remediation Services Mid -State Bank September 29, 1995 1026 Grand Avenue Arroyo Grande, CA 93420 ATTN: Kathi Main Report of ICP Analysis for TOTAL METALS Reference: U.S.EPA SW-846 (Method 3050/6010) Lab ID Number: 95-0651-1 Sample ID: B-1-12" Matrix: Soil Project: 202 Tank Farm Road Date Sampled: 09/25/95 Date Received: 09/25/95 Date Digested: 09/25/95 Date Analyzed: 09/28/95 Results given in milligrams per kilogram: DETECTION STLC• TTLC' METAL LIMIT RESULTS (mq/i) (mq/kg) Antimony 5 NO 15 500 Arsenic 10 ND 5.0 500 0.3 140 100 lo,000 Barium Beryllium 0.1 ND 0.75 75 Cadmium 0.5 NO 1.0 100 Chromium 1 110 5** 2,500 Cobalt 2 19 80 81000 Copper 0.5 32 25 21500 Lead 10 ND 5.0 11000 Molybdenum 5 ND 350 3,500 Nickel 1 200 20 2,000 Selenium 10 ND 1.0 100 Silver* 1 ND 5 500 Thallium 15 ND 7.0 700 Vanadium 1 44 24 2,400 Zinc 0.5 63 250 5,00o STLC: Soluble Threshold Limit Concentration. TTLC: Total Threshold Limit Concentration. Cal. Code of Reg., Title 22 NO = Not Detected ** If the TCLP soluble Cr is less than 5 mg/l, and the Cal W.E.T. equals or exceeds 560 mg/l the waste is non-RCRA hazardous. * Analyzed by Method 7760 Approved California Certification No. 1544 3130 Skyway Drive, suite 403 • P.O. Box 7439 • Santo Maria, CA 9345 -7439 • Phone (805) 346-17a F (805) 346-1161 Environmental, Inc. Analytical & Remediation Services Mid -State Bank September 29, 1995 1026 Grand Avenue Arroyo Grande, CA 93420 ATTN: Kathi Main Report of ICP Analysis for TOTAL METALS Reference: U.S.EPA SW-846 (Method 3050/6010) Lab ID Number: 95-0651-2 Sample ID: B-2-24" Matrix: Soil Project: 202 Tank Farm Road Date Sampled: 09/25/95 Date Received: 09/25/95 Date Digested: 09/25/95 Date Analyzed: 09/28/95 Results given in milligrams per kilogram: DETECTION STLC* TTLC* METAL LIMIT RESULTS (mq/1) (mg/kg) Antimony 5 ND 15 500 Arsenic 10 NO 5.0 160 100 500 10,0o0 Barium 0.3 ND 0.75 75 Beryllium 0.1 ND 1.0 100 Cadmium 0.5 110 5** 2,500 Chromium 1 21 80 8,000 Cobalt 2 0.5 41 25 21500 Copper 10 ND 5.0 1, 000 Lead Molybdenum 5 ND 350 31500 Nickel 1 210 20 2,000 Selenium 10 ND 1.0 100 Silver* 1 ND 5 500 Thallium 15 ND 7.0 700 vanadium 1 52 24 2,400 0.5 82 250 5,000 Zinc STLC: Soluble Threshold Limit Concentration. TTLC: Total Threshold Limit Concentration. Cal. Code of Reg., Title 22 ND = Not Detected ** If the TCLP soluble Cr is less than 5 mg/l, and the Cal W.E.T. equals or exceeds 560 mg/l the waste is non-RCRA hazardous. * Analyzed by Method 776D Approved California Certification No. 1544 3130 Skyway Drive, Sidle 403 . PO. Box 7439 • Santa Maria. CA 93456 7439 1 Phone (8M) 346- 1766. F : (8U6) 346-I16 Environmental, Inc. Analytical & Remediotion Services Mid -State Bank September 29, 1995 1026 Grand Avenue Arroyo Grande, CA 93420 ATTN: Kathi Main Report of ICP Analysis for TOTAL METALS Reference: U.S.EPA SW-846 (Method 3050/6010) Lab ID Number: 95-0651-3 Sample TD: B-3-2411 Matrix: Soil Project: 202 Tank Farm Road Date Sampled: 09/25/95 Date Received: 09/25/95 Date Digested: 09/25/95 Date Analyzed: 09/28/95 Results given in milligrams per kilogram: DETECTION STLC' TTLC' METAL LIMIT RESULTS (ma/i) (ma/k4) Antimony 5 ND 15 500 Arsenic 10 ND 5.0 170 100 500 10, 000 Barium 0.3 NO 0.75 75 Beryllium 0.1 1.0 100 cadmium 0.5 ND 110 5** 21500 Chromium - 1 20 80 e, 000 Cobalt 2 0.5 39 25 2, 500 Copper 10 12 5.0 1, 000 Lead 5 ND 350 31500 Molybdenum 200 20 21 000 Nickel 1 10 ND 1.0 100 Selenium ND 5 500 Silver* I 15 NO 7.0 700 Thallium 39 24 2,400 Vanadium 1 0.5 79 250 5, 000 Zinc ' STLC: Soluble Threshold Limit Concentration. TTLC: Total Threshold Limit Concentration. Cal. Code of Reg., Title 22 NO = Not Detected *+ If the TCLP soluble Cr is less than 5 mg/l, and the Cal W.E.T. equals or exceeds 560 mg/1 the waste is non-RCRA hazardous. * Analyzed by Method 7760 Approved California Certification No. 1544 3130 Skyway Drive. Suite 403 • PO. Box 7439 • Sonta Mute, CA 9345 7439 • Phone (80.5) 346 176tG-FA: (605) 346-1767 -.--- Environmental, Inc. Analytical & Remediation Services Mid -State Bank September 29, 1995 1026 Grand Avenue Arroyo Grande, CA 93420 ATTN: Kathi Main Report of ICP Analysis for TOTAL METALS Reference: U.S.EPA SW-846 (Method 3050/6010) Lab ID Number: 95-0651-4 Sample ID: B-4-1811 Matrix: Soil Project: 202 Tank Farm Road Date Sampled: 09/25/95 Date Received: 09/25/95 Date Digested: 09/25/95 Date Analyzed: 09/28/95 Results given in milligrams per kilogram: DETECTION STLC6 TTLC* METAL LIMIT RESULTS (mg/1) (ma/ka) Antimony 5 ND 15 500 Arsenic 10 ND 5.0 500 Barium 0.3 140 100 10,000 Beryllium 0.1 ND 0.75 75 Cadmium 0.5 ND 1.0 100 Chromium 1 110 5** 2,500 Cobalt 2 15 80 8, 000 Copper 0.5 34 25 21500 Lead 10 ND 5.0 11000 Molybdenum 5 ND 350 31500 Nickel 1 210 20 21000 Selenium 10 ND 1.0 100 Silver* 1 ND 5 500 Thallium 15 ND 7.0 700 Vanadium 1 49 24 21400 Zinc 0.5 54 250 5,000 STLC: Soluble Threshold Limit Concentration. TTLC: Total Threshold Limit Concentration. Cal. Code of Reg., Title 22 ND = Not Detected ** If the TCLP soluble Cr is less than 5 mg/l, and the Cal W.E.T. equals or exceeds 560 mg/l the waste is non-RCRA hazardous. * Analyzed by Method 7760 ApprovedLR-Y California Certification No. 1544 3)30 Skyway Drive, Suite 403 . P.O. Box 7439 . Santa Maria, CA 93466-7439 . Phone (606) 346-V66 . PA; (80. 1 346-Vb] Environmental, Inc. Analytical & Remediotion Services Mid -State Bank Cal Cert No. 1544 1026 Grand Avenue Attn: Kathi Main Arroyo Grande CA 93420 ICP Sample Spike Recovery Analysis Date: 9-28-95 Instrument ID: ARL 3410 Sample ID: Batch 95-0651 Analyst: Maness Amount (mg/L): 5 Matrix, Soil Analyse Sample (mg/L) Spike (mg/L) °/R Spike Dup (m�/t 1 %R RPD Sb 0.00 3.12 62.44 3.08 61.50 1.52 As 0.00 5.10 101.90 5.25 104.94 2.94 Ba 3.37 7.40 80.62 8.66 105.72 26.94 Be 0.00 5.00 100.04 4.69 93.78 6.46 Cd 0.00 5.05 100.98 4.93 98.68 2.30 Cc 0,17 4.09 78.52 5.10 98.74 22.81 Cr 0.59 4.69 81.88 5.84 104.94 24.69 Cu 0.60 5.28 93.62 5.27 93.54 0.09 Pb 0.32 4.81 89.90 4.83 90.18 0.31 Mo 0.00 3.88 77.54 4.90 98.06 23.37 Ni 0.93 4.54 72.12 5.50 91.32 23.49 Se 0.00 5.35 106.96 5.06 101.22 ' 5.51 TI 0,00 4.33 86.68 4.77 95.38 9.56 Zn 1.70 6.82 102.40 6.79 101.84 0.55 QC Acceptance Criteria: Percent Recovery C/9R) for MS/MSD: 70-130 Pass Relative Percent Difference (RPD} +/- 30 Pass Sb and Ag (%R): 60-140 Pass, (RPD): +/- 40 Pass Approved (UAL- 4 3130 Skyway Drive, Sidle 403 . PO. Box 7439 1 Sonta Marla, CA 934M 7439 . Phone (905) 346-1766 • FAX (805) 346-1767 Environmental, Inc. Analytical & Remediotion Services Mid -State Bank September 2701995 P.O. Box 580 Arroyo Grande, CA 93402 ATTN: Kathi Main Report of AAS Analysis for TOTAL METALS, MERCURY Reference: U.S.EPA SW-846 (Method 7471) Date Sampled: 09/25/95 Date Received: 09/25/95 Date Digested: 09/25/95 Date Analyzed: 09/26/95 Matrix: Soil Results given in milligrams per kilogram: LAB SAMPLE DETECTION STLC' TTLC' I.D.# I.D. LIMIT RESULTS (mg/1) (ma/ka) 95-0651-1 B-1-12" 0.1 ND 0.2 20 95-0651-2 B-2-24" 0.1 ND 0.2 20 95-0651-3 B-3-24" 0.1 ND 0.2 20 95-0651-4 B-4-18" 0.1 NO 0.2 20 ND = Not Detected STLC: Soluble Threshold Limit Concentration. TTLC: Total Threshold Limit Concentration. Cal. Code of Reg., Title 22 r Approved California Certification No. 1544 3130 Skyway 0rlve, Sulle 403 . P.O. Box 7439 • Santa Marla, CA 93456-7439 • Phone (SM) 346-7M • FAX (805) 346-1767 Environmental, Inc. Analytical & Remediation Services Mid -State Bank September 27, 1995 P.O. Box 580 Arroyo Grande, CA 93402 ATTN: Kathi Main Report of AAS Spike Recovery Ref: SW-846 Method 7471 Lab ID Number: Batch 95-0651 Matrix: Soil Spike Amount (p9/l): 10 Date Sampled: 09/25/95 Date Received: 09/25/95 Date Analysed: 09/26/95 Sample Spike Sample, Spike, Percent Dupl., Percent Analyte P9/1 p9/l Recovery p9/1 Recovery RPD Mercury 0.00 10.12 101.15 9.92 99.23 1.92 QC Acceptance Criteria: Percent Recovery for MS/MSD: 50-150 $ Relative Percent Difference: < 20 % Approved California Certification No. 1544 3130 Skyway Drwe. Suite 403 • P.O. Box 7439 • Santo Maria, CA 93456-7439 . Phone (305) 346 17M • FAX (805) 346-1767 Mt� CALENDARYEARBEO)NNDIG (1) BUSINESS NAME (4) E,(? SITE ADDRESS (6) crrY m DUN & BRADSTREET (lq OPERATOR NAb1E (1z) OVINERNAbIE (14) OwNERNIAanvG ADDRESS CnY an CONTACT NAME (20) (23) ENDING(Z) I DEC 3L 199r, I (3) PAGE 1 OF Bl!SBJESS STATE (a) CAI z'P(9) L SIC CODE (4 D(GlT 9) (11) OPERATOR PHONE(13) FA r ,'T /"T.!•�iA .. SPATE (I8) w (19) STATE (24) w NAME(26)l NAME (3I) l Zjie L ZZ- i_ I TITLE tm.E Pz> BUSINESS PHONE (2S) BUSINESS PHONE P3 1 _ 2aHOURPHONE P9) z4-HouI PHONEPq) PAGER0 (30) PAGERd (35) ACITMYHAZ OWMATERLALSOW ��p= aaheet ofl EawfE nn ON SITE AIM(36) Yes No pmosamd"*w ryboipmrn't ADDITIONAL LOCALLY COLLECM MORMATION JUN CertiBmdou: I mrdty under peoWty 4 believe Wemfor Wnutrne== Print Name of TMamcem Prepner (38) Sop Of Omnea'Opemmr(39) C)qj %/ 0:4 J ^ NJ 3 s`dowmmu,rv�nte�m,unicepr.,dmn'sa.c r va 6-'Z�CA`1 Gc."%t° co 1� 191 FORM I - San Luis Obispo County Hazardous Material Unified Program Inventory Form L Chemical Description Page (see instruction page iv) (1)FIADD QDSLETE REVISE PAGE(2) ® OF BUSINESS NAME:._.i CHEMICAL LOCATION (4) MAP*(5) GRID IF -3 CHEMICALNAME(T) COMMONNAME(S) CAS1(9) TYPE(12) PURE =m PHYSICAL STATE(13) O110 QUID RADIOACTIVE (14 IAZAIiD CATEGORIES (16) EgE MRFACIrvE RE RELEASE H FT STATE WAS� � TE CODE (M UNITS (2% NS DAYSONSITEHS) ® ■EHSminn Wmm. LARGEST CONTAINER (19) ;S STORAGE CONTAINER (24) STORAGE PRESSURE (M STORAGE TEMPERATURE (2T1 %vdr (28) HAZAR 1 2 3 4 5 TRADE SECRET (10) EHS (11) IF EN630%ISY ALLPNDUN(3 MJSTBEMLBS (16) PCURIES PALTH RonL: HEALTH �ZD MAX DAILY AMT(21) AVG ONLY AMr CM I I i® ANNUAL AIASfEAMr(23) (31) ADDITIONAL LOCALLY COLLECTED INFORMATION AdapOW from OES Fam r30051IV98 4 a: Aoi®fiwdll�`a4ice9T:tomel9m-I.tlov 4' 3 Ck )�i ... _ _. _ - APPENDIX C __ ____ __ _ San Luis Obispo Count ?azardous Material Inventory Form ':hemical Description Page -I=-P (1) 1 MADD DELETE REVISE PAGE (2) 10 OF (3) BUSINESS NAME: CHEMICAL LOCATION (4) MAP Y (5) u GRID * (6) CHEMICAL NAME(T) I I TRADE SECRET(10) 1r I COMMON NAME (8) WASTE SOLVENT EMS (11) IF EMS BOX IS W' CAB k (9) ALLAMOUNTS MUST BE IN LBS TYPE (12) 71PURE RIMIMPE MWASTc PHYSICAL STATE (13) FISOUO (QUID GAS RADIOACTIVE (14) F�; M7N (15) = RCURIES HAZARD CATEGORIES(18) FIRE ORIEhGTNE OPRESSURE RELEASE 54ACUTE HFALTI RCHRONIC HEALTH STATE WASTE CODE (17) UNITS (20) cu cu Er 1 1 LBS I ITONS j MAX DAILY AMT (21) 5 DAYS ON SITE(18)O K ENS amounb mug im in lb. y AVG DAILY ANIT(22). P LARGEST CONTAINER (19) = ANNUAL WASTE AMT (23) STORAGE CONTAINER (24) L}ASOVE GROUNO TANK I—IBELDW GROUND TANK STORAGE PRESSURE (25) STORAGE TEMPERATURE(W) (2T) %WT 1 90 2 10 3 4 5 4.-)iN:N (31) ADDITIONAL LOCALLY COLLECTED INFORMATION AAaphE firm OES I = 2730 "07198 O:\documenAjp IW0ms\w"ce I. ac APPENDIX C San Luis Obispo Count `Wardous Material Inventory Forn- -`Chemical Description Page (1) DD RDELIETE REVISE PAGE(2) 1�1 OF Ej BUSINESS NAME: — 160p-- n CHEMICAL LOCATION(4) MAP # (5) GRID # (6) CHEMICAL NAME (7) I ETHYLENE GLYCOL+ OTHER GLYCOLS TRADE SECRET(10) COMMON NAME(8) WASTE ANTIFREEZE EHS (11) IF ENS BOX 15 "Y' GAS #(9) 107211 ALL AMOUNTS MUST BE IN LBS TYPE(12) PURE MIXTURE ASTE PHYSICAL STATE (13) FlSOLID MUGUIG FGAS RADIOACTIVE (14) Y 7MN (15) = ECURIES RE REACTIVE PRESSURE RELEARF RZIACHTF HFAI TH F ICHRONIC HEALTH HAZARD CATEG00.1E5 (16) Fl GAL FT STATE WASTE CODE (17),I UNITS (20) 1 rJUBS nTONS DAYS ON SITE (18) � It EHS armunts must es in It. LARGEST CONTAINER(19) O STORAGE CONTAINER(24) ABOVE GROUND TANK CAF BELOW GROUND TANK CAF TANK INSIDE BUILDING SIL( STORAGE PRESSURE (25) STORAGE TEMPERATURE(26) (2 0AWT 28HAZAR 1 50 ETHYLENE 2 3 4 5 DRUM MAX ONLY ANT(21) $� AVG DAILY ANT (22) ANNUAL WASTE AMT (23) BOX ANK WAGON )CYI INDER RAILCAR 29) EMS (31) ADDITIONAL LOCALLY COLLECTED INFORMATION Adapted ftm OES Form 2730 0,120I98 09document\jpoeKfarms\waumntLd0C FORM E - Page._ of /,;I' SAN LUIS OBISPO COUNTY HAZARDOUS MATERIALS UNIFIED PROGRAM AGENCY . EMERGENCY RESPONSE PLAN (seeinsmrctronpage�tj Or Hazardous Waste Contingency Plan Date: 5- SECTION 1-A: BUSINESS IDENTIFICATION DATA wreancasse arr ' r�y� ma�wxEma�aEn 5.LW GersS C/d0e:S�17 ,t �°'�/�-i &19fB8WAM6PL�E48 - QIY 3ID C.%IE Nwur bimnees has a Oeeese WP~ iml MY Of00 Ifoipwble syaMea, Phe lrrAeam M dxmnmrt number. 1. Haardam MateriM 3.Air PoMldl donor r l,wamm,�,n cm.�..es DiStW O 2. Harardoue Wa 14. ReepwUne Flre Dept Generalvri aPmndi Please provide the knowing information as it pertains to your business and its location. You are not required to notify these companies in the event of an emergency. This information is provided for your reference and to assist emergency response personnel in responding to a hazardous materials emergency at your fealty. List the name and phone number of the ubldy company. E3ectric Service )� Telephone#. Gas Service / Telephoner# Sanitatcn �/ 1 C—�h��P.+r Telephone# Water District --L �r`�r � �"-1��� Telephone* 4' SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either 1 or 2) _ t. This is a J�NEW Plan []UPDATED Existing Plan. 1 have personalty examined the information it contains and am familiarwith the operahonofthe plan. (If you check eitherof the above two options, continue to complete the remained ef:+e Emergency Responsel CorlGngency Plan). 2. ❑ This plan requires no change and is on file with San Luis Obispo County Hazardous Materials Unified Program Agency and does not need any change. ofyou check this section, please proceed drectlyto Form T, the Training Program I certify under penalty o:11221,92 Page. - of SECTIONH: EMERGENCY RESPONSE PLANS AND PROCEDURES Nate: CcaWIeR aQ seCiore of Ms Fmeegency Respoisse PteceCure bNcw. Use of a s s such w TWA- (Nat AppEable) wll not se acspt ` A. FIRE, SPILL OR RELEASE: The fire code requires immediate notification through dialing 911, by whoeverfrrst sights the incident in the event of release or spill of hazardous materials,you must also notify: 1. San Luis Obispo County Hazardous Materials Unified Program Agency during business hours Q 805-781- 5544. After business hours dial 911. 2. The State Office of Emergency Services - (800) 852-7550 or (916)262.1621. List the individuals responsible far verifying that these call have been made and also Indicate the position in yourcompany. FOR VERIFYING THE DIALING OF 911: Wpte P09nCM onsiblefor calling San Luis Obispo County HazanfousMaterials Unfied ProgramPgency and the State Office of rw.e e!vrro,rr & List the local emergency medical fadGtiesthatwi0 be used by your businessin the eventofan accident or injury caused ayarelease orthreatened relesseofhazardous materials. nn WY.E 1 / IIDIS.99 CRl PWfE xuc .rmrmss rn - Pxat� C. Listthe Emergency Coordinator(s)at your facility WS jlnE yMIQMS IY.Y@ ww PNGIB PM J Secondary de- r IW.e TRL WBQESe RptE Yr M2R1CeE PnGIIi9 D. Does your business have an cn-site emergency response team? []Yes 2No if yes, describe procedures your business will follow to notify your an -site emergency response team in the event of a release or threatened release of hazardous materials. iL 457�c� OaL�ONIpPilt�:]noel\f0-J'J%\Offl C9i\fOim6lf'�'0'e 1/22j 38 Environmental Health Services Division ,..... (805) 781-5544 " P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 CERTIFIED UNIFIED PROGRAM AGENCY THIS PERMIT IS ISSUED FOR THE FOLLOWING: FACILITY: FA0002347 FERRELL'S AUTO REPAIR 202 TANK FARM RD SAN LUIS OBISPO. CA 93401 VALID FROM DATE: 01/01/2004 VALID TO DATE: 12/31/2004 city of san Luis o5ispo Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo, CA 93401-5240 AUTHORIZATION IS GRANTED FOR THE FOLLOWING: 1126 PR0002347 WASTE GENERATOR (1 - 5 waste streams) OWNER: FERRELL, MICHAEL 2832 COSTA PL SANTA MARIA CA 93454 CURTIS A. BATSON, R.E.H.S. DIRECTOR ENVIRONMENTAL HEALTH SERVICES 4&xb5 zzz�l WOLFGANG KNABE, CHIEF CITY OF SAN LUIS 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 THE FACILITY AT ALL TIMES. �N t Environmental Health Services Division (805) 781-5544 z P.O. Box 1489 > 2156 Sierra Way San Luis Obispo, CA 93406 CERTIFIED UNIFIED PROGRAM AGENCY THIS PERMIT IS ISSUED FOR THE FOLLOWING: FACILITY: FA0002347 FERRELL'S AUTO REPAIR 202 TANK FARM RD SAN LUIS OBISPO, CA 93401 VALID FROM DATE: 01/01/2005 VALID TO DATE: 12/31/2005 city of san Wis owspo -- _Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo, CA 93401-5240 AUTHORIZATION IS GRANTED FOR THE FOLLOWING: 1126 PR0002347 WASTE GENERATOR (1 - 5 waste streams) OWNER: FERRELL, MICHAEL 2832 COSTA PL SANTA MARIA CA 93454 CURTIS A. BATSON, R.E.H.S. DIRECTOR, ENVIRONMENTAL HEALTH SERVICES WOLFGANG KNABE, CHIEF CITY OF SAN LUIS 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 THE FACILITY AT ALL TIMES. 8130/22, 4:40 PM San Luis Ob!spo Oniine Forms AL Largest A Maximum Daily A Common Name F Chemical location • Container V Amount r 13 Acetylene 114.0 228.0 13 Oxygen - 249.0 498.0 13 Propane 25.0 150.0 0 Diesel Fuel 100.0 100.0 0 Unleaded Gasoline 30.0 30.0 0 Waste Oil/Oil Filter 110.0 110.0 13 Waste Antifreeze 55.0 55.0 r .J htfnc /I,snnnu a7ci ihmifclnnnv nrnlcarvlat/cparr`h ill u NIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES PaRcIof I. FACILITY IDENTIFICATION FACILITY IDp 8 9 6 6 EPA M 4(Hazardous Wore Only) f (Agency Use Only) F A 0 0 0 CAL000379575 BUSINESS NAME (Same ar Facility Name ofDSA-Doing Business AS) Rk= N I AL DEVIL)T INC ' BUSUsESS SITE ADDRESS 202 TANK FARM RE) H-1 as BUSINESSSITECITY SAN L IS OBISPO " CA ZIPCODE 93401 If. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, (ease submit the Business Owner/O eratorldentification page, Does your facility... If Yes, Please Cont late thew Pages of the UPCF..... A. HAZARDOUS MATERIALS Have on site (for any purpose) at Frey one time, hazardous materials at or above HAZARDOUS MATERIALS 55 gallons far liquids, 500 pounds for solids, or 200 cubic feet for compressed YES INVENTORY - CHEMICAL gases (include liquids in ASTs and USTd; or the applicable Federal threshold DESCRIPTION quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emergency Ian is required pursuarat to 10 CFR Pans 30 40 or?0? B. REGULATED SUBSTANCES Have Regulated Substances stored onsite in quantities greater than the threshold quantifies established by the California Accidental Release ❑ YES Ceom inatewtth your load agency prevention Program (CaIARP)? responsible Far CeIARP. C. UNDERGROUND STORAGE TANKS (USTS) UST FACILITY fvv�ay onm a Fort A) Own or operate underground =one tanks? EYES UST TANK(oo.. P.ge Petw){Poaw+r Fore, a) D. ABOVE GROUND PETROLEUM STORAGE You may need an submit an Own or operate ASTs above these thresholds: ABOVEGROUND PETROLEUM Store greater than 1,320 gallons of petroleum products (new or used) in ❑ YES STORAGE TANK F y details STATEMENT. ClinkPalls aboveground taNcs or containers. E. HAZARDOUS WASTE Generate hazardous waste? YES EPA ID NUMBER -provide au the tap of this Page Recycle more than 100 kg/month of excluded or exempted recyclable ❑ YES RECYCLABLE MATERIALS REPORT materials (per HSC 25143.2)? rmo ara.nlan Treat hazardous waste on -site? ON -SIT[ HAZARDOUS WASTE []YES TREA IMINT -FACILITY ONSIT1, HAZARDOUS WASTE TREATYID:NT-UNIT (mv Pae,Pmvrem Treatment subject to financial assurance requirements (fur Bennit by Rule and ON Or FPnNCIAI. Conditional Authorization)? ❑YES ASSURANCE Consolidate hazardous waste generated at a remote site? YES REMOTEWASI'- CONSOLIDATION SHEANNUALNrn'lukl ION Need to report the closumemmoval of a tank that was classified as ❑YES HAZARDOCSWASTP IANK hazardous waste and cleaned sa i4? CLOSURE C R flnicA[,ON Generate in any single calendar month 1,000 kilograms HE) (2,200 pounds) or Obtain .` deml EPA 1D Number, file more of federal RCRA hazardous waste, or generate in any single calendar ❑ YES Biennia: Report (EPA Form S i00- month, or accumulate at any time, I kg (].2 pounds) of RCRA acute hazardous 17A/B), and satisfy requirements for waste; or generate or accumulate at am time more than 100 kg (220 pounds) of RCRA Large Quantity Generator. spill cleanup materials contaminated With RCRA acute hazardous waste. Household Hazardous Waste(HHW) Collection site? See CORA for required farms. y^ r,((�❑YES is 4 / F. LOCAL REQUIREMENTS V £✓ e/ (You may also b, mluirtd to P"a alistand m ounl qn by nor NPA or Issue eyanry.) UPCF Rev. (tt/2007) FORM S—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY BUSINESS OWNER/OPERATOR IDENTIFICATION 1. IDENTIFICATION BUSINESS NAME D,,, is FAQi NNNE of DDA -uNag Daiwa Ay BUSINESS PHONE RENTAL DEPOT, INC 8055490311 BUSINESS SITE ADDRESS 202 TANK FARM RD H-1 CITY zlecoBE SAN LUIS OBISPO CA 93401 COUNTY an Luis RIISINESS OPERATOR PHONE. llSI SSW ERATOR NAME I�ay mood IL BUSINESS OWNER OWNERNAME OWNER PHONE RENTAL DEPOT, INC OWNER MAILING ADDRESS 202 TANK FARM CITY STATE ZIPCODE SAN LUIS OBISPO CA 93401 Ill. ENVIRONMENTAL CONTACT CONTACTNAME CONTACTPHONE Ray Smoot 8055490311 CONTACT MAILING ADDRESS 202 Tank Fan Rd. CITY STATE ZIP CODE San Luis Obispo CA 93401 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME NAME Ray Smoot Adam Boes TITLE TITLE Manager Manager (Paso Robles) BUSINESS PHONE BUSINESS PHONE 8055490311 8052379915 PAGER I CELL PHONE PAGER I CELL PHONE# ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Baud an my inquiry ofthose individuals responsible for obtaining live information, I certify under penalty of law that I have Personally examined and am familiar with the inform&ion submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE NAME OF DOCUMENT PREPARER Submitted as Public Portal 02/012018 Ray Smoot NAME OF SIGNER Isis) TITLE OF SIGNER RAY SMOOT Branch Manager FORM 1—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (env page per material per building or area OADD []DELETE REVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME Or DDA -Doing BusinessAS) RENTAL DEPOT, INC CHEMICAL LOCATION LOCATION CONFIDENTIAL EPCRA ❑ MESCAL 0 FACILITY ID FA0008966 MAP"01 cRlra (AamuY use only) H. CHEMICAL INFORMATION CHEMICAL NAME TRADE SECRET ❑ Yes ❑ No Acetylene If Subject to EPCRA, Wer to Instructions COMMONNAME A6etyle De EHS ❑Yes No CAS# 74-86-2 *ITEM in -Yes-, all amounts below must be in lbs. FIRE CODE HAZARD CLASSES IComgme B,mwma by CIIPAI Compressed Gas (CGas) HAZARDOUS MATERIAL TYPE ®n PURE Qb. MIXTURE Qc WASTE RADIOACTIVE QYn ONO CURIES (CLrckane iWn only) PHYSICALSTATE QaSOLID 13KLIQUID ®'GAS LARGESTCONTAMER 114.0 (OmA,xcaunmly) FED HAZARD CATEGORIES 'FIRE ❑K REACTIVE IV' PRESSURE RELEASE ❑d ACUTE HEALTH ❑e, CHRONICHEALTH (LTeck all dual VPH) AVERAGE DAILY AMOUNT MA % IMUM DAILY AMOUNT - ANNUALWASTEAMOUM TEWASTECODE 114.0 228.0 EDAYS UNITS' OaGALLONS OO S. CUBIC FEU Oc. POUNDS 13d TONS ONSITE:^^5.O 3sb (CM1eck one ircm only) ' If IRS, amount must be in punN. STORAGE ❑ a. ABOVE GROUND TANK c. RLASTICMONMETALLICDRUM ❑i. FIBER DRUM 0 m. GLASS BOTTLE ❑jBAD O' PLASTIC BOTTLE ❑%EDGE CAR CONTAINER ❑ h UNDERGROUND TANK ❑f CAN ❑ c TANK INSIDE BUILDING [3 & CARBOY ❑ S.BOX O o TOTE BIN ❑ n OTHER ❑d STEEL DRUM ❑RSILO BL CYLMDER ❑R TANK WAGON STORAGE PRESSURE ❑aAMB1ENT ®b.ABOVEAMBIENT CI c, BELOW AMBIENT STORAOETEMPERATURE ®e. AMBIENT 13 S. ABOVE AMBIENT O'BELOW AMBIENT Od CRYOGENIC %DOT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS W I []Yes ® No C [:]yes ® NO 3 ❑Yes []NO 4 ❑Yes ❑No S ❑ Yes ❑ No wrtM1mNemmnpnnnere pre,ml e�yunrlbnsi%aYne naartluopWe.se0.1%byvafN�ireertlneamw,mmM1 WN1oNI WeuefmPa•[aPmmi N,gWeetl inMmWun. ADDITIONAL LOCALLY COLLECTED INFORMATION If ERC Please Si nHem FORM 1—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one pone per material per building or area ❑ADD []DELETE EIREVUSE 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) RENTAL DEPOT, INC CHEMICAL LOCATION - CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑YES ❑NO FACILITY ID FA0008966 MAPgOI GRIDM Uerwrm 'D H. CHEMICAL INFORMATION CHEMICALHAME Petroleum Hydrocarbon TRADE SECRET I] Yes No I, Subject to1PCRA,refer toinstructions COMMONNAME Diesel Fuel EHS" El Vim []No CASA 68476-34-6 •I! BITS is 'Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES NoMm,d aymm by CUKU Combustible Liquid, Class III-B HAZARDOUS MATERIAL TYPE Cis PURE 0RMIXTURE ❑a WASTE (Chick one item only) RADIOACTIVE Oy,, ON, CURIES PHYSICAL STATE On, SOLID ®R LIQUID De GAS LARGESTCONTAINER 100.0 (Chick one hem only) FED HAZARD CATEGORIES Be.FIRE ❑IsREACTIVE ❑ e PRESSURE RELEASE pg. ACUTE HEALTH O e. CITRON IC HEALTH Clock ell Lou apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUALWASTEAMOUNT STATE WASTE CODE 75.0 100.0 UNITS' MI GALLONS 0RCUBIC FEET ❑sPOUNDS C&TONS DAYSONSITE.365.� (Check civics, Silly) EH y) 'IT S, anm oumast be in proton. STORAGE Oe ABOVE GROUND TANK e.PLASTICMONNIETALLIC DRUM 0 i. FIBER DRUM 0 aGLASS BOTTLE CONTAINER ❑ b UNDERGROUND TANK ❑ I CAN ❑j. BAG ❑ n. PLASTIC BOTTLE ❑ p RAIL CAR On TANK INSIDE BUILDING ❑&CARBOY ❑k. BOX Do. TOTE BN ❑t OTHER ❑ d STEEL DRUM ❑ N SILO ❑ 1. CYLINDER O P. TANK WAGON STORAGE PRESSURE ®c AMID [ENT ❑ b. ABOVE AMBIENT Oc BELOW AMBIENT STORAGETEMPERATURE 10, AMBIENT ❑R ABOVE AMBIENT Oc BELOW AMBIENT O1. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or wastre only) EHS CASA I 99.5 diesel fuel ❑Yes HI No 68476-34-6 2 0.5 napathalene ❑Yes ®No 91-20-3 ❑Yes ❑No 4 ❑Yes ❑No ❑ Yes ❑ No ursm"hne,awe wmparmnew pose.rn ae.Ier Us" l% orwms rmwmemcmic,•o.lxb..e ter nttmrk.nmm rmMtr.lnub,n•m Mason me ws•lms mrerwmee. ADDITIONAL LOCALLY COLLECTED INFORMATION HEPCRA Please Stan Here FORM 1—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (one e per materiel pmriladin o am QADD []DELETE URIH.HSE L FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAMEur DBA— Doing Business Sam RENTAL DEPOT, INC CHEMICAL LOCATED CHEMICAL LOCATION CONFIDENTIAL EECRA ❑YES ❑NO FACIE" IDM FA0018966 MAPS 0 CRfDk (AWWy,I 1 11. CHEMICAL INFORMATION CHEMICALNAME TRADE SECRET 0 Yes NO Oxygen If Subject N EPCRA, other In iastreetlom COMMON NAME Oxygen ENS* ❑Yes No CASH 7782-24-7 *If EHS is 'Yes', all amounts below most be in lbs. FIRE CODE HAZARD CLASSES ICcmplue U,cwws by CUEM Compressed Gas (CGas) HAZARDOUS MATERIAL TYPE ILn PORE Ob MIXTURE (]a. WASTE RADIOACITVE QYee QNo CURIES (Cberk one Item Only) PHYSICAL STATE Qa SOLID 13K LIQUID ®s GAS LARGEST CONTAINER 249.0 (Check mF it", only) FED HAZARD CATEGORIES Da FIRE ❑b. REACTIVE ® c PRESSURE RELEASE ❑d ACUTE HEALTH D e CHRONIC HEALTH (Cheek all um apply) AWHWOE DAILY AMOUNT MAXIMUM DAILYAMOIMT ANNUAL WASTEAhpUNT STATEWASTECODE 249.0 498.0 UNITS' Oa GALLONS OOhCUBIC FEET GePOUNDS GI. TONS ON SITE DAYS 65.0 3 3 (ChoA'w only) *If ENS.. um mot be in ambada. nem: STORAGE a ABOVE DESIGN D TANK E3 e. PLASTICMONMETALMC DRUM LFIBER DRUM E3 m.GLASS BOTTLE CONTAINER ❑ 6 UNDERGROUND TANK 0F. CAN ❑j, BAG ❑ nPLASTIC BOTTLE ❑% RAIL CAR INSIDE BUILDING E3 CARBOY O k Box ❑ a TOTE BIN ❑ c OTHER ❑ c. TANK a ❑ 1 STEELDRUM 0 b, SILO 01. CYLINDER ❑ R TANK WAGON STORAGE PRESSURE ❑a. AMBIENT ME ABOVE AMBIENT 13 BELOW AMBIENT STOILGETEMF£RATURE W&AMB1ENT O b. ABOVE AMBIENT Ou BELOW AMBIENT [I I. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixUlte or Waste only) EHS CASk ❑Yes ®No 2 ❑Yes ENO 3 ❑Yes ❑No 4 ❑ Yes ❑ No ❑ Yes ❑ No If m monsmmamminomn no, mown A ,,,ba"am I%aywnbM1lHlprveRYµnk.wn.l%gwtlWiruNeupvlu YWbapNtbnJ lrtnulpryerevplu,NalY mryion inlvmaYu. ADDITIONAL LOCALLY COLLECTED %FORMATION IrEPCRA PICWI Uvre FORM I—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICALINVENTORY I. FACILITY INFORMATION (Sumem FACILITY NgME °r DBA—puing Business As) RENTAL DEPOT, FACILITY to # FA000891i1i .. W i— INt""ryuimlyi MAPM 01 IL CHEMICAL INFORMATION um hydrocarbon BADE SECRET ❑Y No "Subject to EPCRA, refer 10 instruction, soline ENS" ❑ yes ° No "Ir ENS is "Yes", all umounh below must be in INS. Flammable Liquid, Class 1-A (3.3I-A) HAZARQOUS.MATERIgL TYPE (CFecF wninm anlY) 1J e. PURE ®b. Ml%1'URE 1]a, ryq$TE PNY$ICAL STATE RADIOACTIVE ❑Yes 1]Na NRIES (CM1ck oa ilem only) []c.$OLID 06. LIQDID �cGq$ LARGESTCONTAINER 30.0 PED HAEARDCATEGORIES (CM1ck all,Fm fitly) I. FIRE CI . REACTIVE ❑ePRESSURE RELEASE ❑d ACUTE HEALTH AYEItAGE GAILY AMUIINT ❑nCHRONIC HEALTH 20.0 MA,•{IryIUM pAILY AMOL,NT ANNUAL WASTE AMOUNT STATE WASTE COOS uNITs T QQ aGALLONS QbCUBIFEET C❑c. FOUNDS (CM1edan"hmany) De. TONS OAY9vN S)TE vTEHB,.moue, must be In STORg11 mAeOYEOROUNOTANK CONTAINER -365.0 LICO ❑b UNDERGROUNDTANK ❑`PLAANSnCNONMEigLLICORUhI i. PIRER [N(L'M mGLq$g BOTTLE ❑ c TANK INSIDE BUILDING ❑is CARBOY 8 d STEEL DRUM DI'BAG ❑ k. Box ❑ n. PLASTIC BOTTLE ❑ 0. RAIL CAR Oh51L0 ❑I. CYLINDER �°. TOTE BIN ❑c OTHER ❑ P. TANK WAGON $TOR"Ut PRESSURE fie. AMBIENT 13b. ABOVE AMBIENT 13cRELGW AMBIENT STORgGETEMPERATURE IB a. AMBIENT D I. ABOVE AMBIENT ❑ e BELOW AMBIENT %WT HAZARDOUS COMPONENT (For in ❑ d CRYOGENIC xrumor Wnste only) PHIS 14.0 CAS k xylenes ❑yes ®ND 1330-20-7 9,0 toluene ❑Yen ®NO 108-88-3 5.0 ethyl benzene ° Yes ONO 100-41-4 5.0 1,2,4 Mmethyl benzene ° y" ONO 95-63-6 67.0 Aromatic Hydrocarbon 0 yes 0 No FORM 1-SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY (out page per material per building or area) QADD []DELETE ORIEVISE 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA— Doingismimss As) RENTAL DEPOT, INC CHEMICAL LOCATION - - - LOOCATION CONFIDENTIAL EFCRA [CATION FACILITY ID FA0008966 MAP. 01 CRIDM money uecnly) IL CHEMICAL INFORMATION CHEMICAL NAME Waste Antifreeze TRADESECRET Dyes Otto IfSub)ectio EPCEA,mfertoinvnnctions COMMON NAME Waste Antifreeze EHS• ❑Yes ❑No CASH 'If EHS Is "Ye', all amounts below must M in III. FIRE CODE HAZARD CLASSES by CUPA) HAZARDI MATERIAL TYPE (]a PURE Oh MIXTURE MQWASTE RADIOACTIVE 0Y"[INc CURIES (ClockDrynen only) PHYSICALSTATE DaSOL1O QpLIQU1D (]uGA3 LARGEST CONTAINER 55.0 (CTa4 Outit= only) FED TOMIRD CATEGORIES O a FIRE [11, REACTIVE ❑ It PRESSURE RELEASE M It ACUTE HEALTH ❑ a CHRONIC HEALTH (Clock ill All aPF'1Y) AVERAGE DAILY AMOUNT MAXIMUMOMLY AMD4NT ANNUAL WASTE AMOUNT STATE WASTE CODE 25.0 55.0 UNM' @o. GALLONS Oh CUBIC FEET 13, POUNDS Od TONS DAYS ON SITE: 365•0 3 d (Cbeeneilemmly) •If Ellum,nunt moat be in ouoN. STORAGE u a ABOVE GROUND TANK U a PLMUCMONMEfALLIC DRUM U,FIBER DRUM 0 "GLASS BOTTLE CONTAINER ❑ s UNDERGROUND TANK ❑ E CAN O j. BAG ❑ n PLASTIC BOTTLE O q RAIL CAR ❑ 1, BOX ❑ n TOTE BIN r. OTHER ❑ c TANK INSIDE BUILDING 0 R CARBOY 0 d STEEL DRUM O k SILO Cl I. CYLINDER ❑ p TANK WAGON STORAGE PRESSURE ®a. AMBIENT Cl E. ABOVE AMBIENT 13 c BELOW AMBIENT SNMGETEMPERA M ®a AMBIENT Cl Is ABOVE AMBIENT 13 It BELOW AMBIENT [I IF CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture Or Waste only) EHS CASE! 1 60.0 antifreeze ❑ Yea @ No 2 40.0 water ❑ Yes ® No ❑Yes No G []Yes ❑ No 5 []Yes []NO Itmmm,ommu"mpwymsm•pmea sawnw.th•al%by wino mn<nubwaewPwo!% h;70iifnNaapY[,e a iinnal ahuM1Npwcr"Insist Me newly Mbrmatio, ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRAI Plnae Stan Hem FACILITY ID N FORM 1—SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY L FACILITY INFORMATION a IL CHEMICAL INFORMATION If Subject to EPCRA, reftr to intlraefions EHS' ❑ Yes No •Pr EHS h Eyes', oil amounts below must he in IRA BAZAR MATERIAL TYPE (CM1rokoln ilon unlYl On. PURE 13 N MDcrukE ®a. WASTE RADIOACFIVE DYee CURIES PHYSICALSTATE ONo (Check one ium only) Da30LID ®b. LIQUID ❑c GAS LARGEST CONTAINER FEO HALARDCATEGORIFS 1 110.0 (Check al rbnl ®PIyJ OaFIRE ❑b. REACTIVE ❑c PRESSURE RELEASE AVERAGE DAILYAIOUNT 10 d. ACUTE HEALTH 450 MARIMDMDAILYAh10UNE ANMIALWASIS 110 0 'Check one ium only) O LL S (�N CUBIC FEET Do PoUNOS •IfENR,emnum muarhe in 13a TONS fTORAO¢ a ❑b UNDEERRABDGROUND TAGROL'NDT ANK Po11 _ONTAINER NK e' PLASTICMONMRTr\LLIC IC DRUF-0 r. FIBEp ❑f CAN v TANK INSIDE BUILDING Oo peonn.. 131 BAG STORAGE PRESSURE ®e. AMBIENTv ❑ b. ABOVE AMBIENT STORAGE TEMPERgIURE Ba. AMBIENT ❑ e. BELOW AMBIENT 01, ABOVE AMBIENT (] c BELOW gpIB1EM %WT HAZARDOUS COMPONENT (For mixWre orwams Only). EHS 100.0 petroleum hytlrocartion ❑ Yes ®No ❑ Yes ® No ❑ Yes ❑ No ❑ Yes No ..m NvunimenmPumu,,eomrmi.r....ram��....._. ..... El�No INFORMATION 365.0 m GLASS Bpi Tn;E� n. PLASTIC BOTTLE ❑q RAIL CAR u TOTE BM ❑ r. OTHER n TANK WAGON Eld CRYOGENIC CAS# 64741-44-2 FORM E SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan SECTION I -A: BUSINESS IDENTIFICATION DATA BDSINESS NAME RENTAL DEPOT, INC SITE ADDRESS C,Ny 202 TANK FARM RD H-1 FACILrrY I1M7 TELEPHONE BUBMESS MATING Across CITY aura VCenre I. Hemrdous Mamnals UDJuT Writ Slmagea 2. Heerdous Waste Gcnmamrp 02/01/2018 nP CODE SAN LUIS OBISPO 83401 NUMBER ZIP CODE I(oning arenCin,plemn hrP bathe AaCunrenr numbee. 3. Air Pollwan Cannel Dlsmaa 4. Rossinc ing Fire Dept Peril a Please provide the following Information as it pertains to your business and its location. You are not required to nod ty, these companies in the event of an on ergeney. This information i S provided fury our reference and t o mist emergency response personnel in respondi ng to a hazardous materials emergency at your facility. List the time and phone number of the mintycompamy. ";11I Gas Service southern cal gas company Sanitation san luis garbage Water District Telephone SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either 1 or 2) 1. This is a ®NEW Plan I UPDATED Existing Plan. I have personally examined the information it contains and am familiar with the opemtionofthe plan. (Ifyou check either of the above two options, continue to complete the remainder of Me Emergency Response/ CominThis P Plan). 2- This 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 Fonn T, the Training Program.) I certify under penalty of law that the above information is true and accurate. PRINTNAMEOFOWNERMC Ray Smoot DocuMENTS PREPARED BY Ray Smoot SIGNATURE DATE Submitted via Portal 02/01/2018 SIGNATURE DATE Submitted Via Portal 02/01/2018 1 SECTION_. EMERGENCY RESPONSE PLANS AND .AOCEDURES Note: CompletedlsectiosaofNis Em Tce Response Pmeedurebelow. Use oftelms A. FIRE, such as"NlA"(Nor gppt�reyte)will not beaunepNd. SPILL, OR RELEASE: The fire code requires immediate notification through dialing 911, by whoever first sights the incident. In the event of release or spill ofhazardous materials, you must also notify: I. San Luis Obispo County Certified Unified Program Agency during business hours @ 805-781-5544. After business hours dial 911. 2. The California Emergency Management Agency (CAL EMA)-(800) 852-7550. Lost the individuals responsible for verifying company. that these calls have been made and also indicate their position in your FOR VERIFYING THE DIALING OF 911: NAME Ray Smoot roMnoN Store Manager Individual responsible for calling San Luis Obispo County Certified Unified Fro gram Agency and CAL EMA: (Normally the Emergency Coordinator ofyour business), Nu E Ray Smoot PosrrloN B. Listthe local emergency medical facilities that wit be usedb Store Manager or threatened release ofhazardous materials. YYour business in the even[ ofan accident or injury caused by a release mE AnaRE95 CnY Med stop PHONE 140 rasa at san luis Obispo Nurse npoREss clry paoNE C. List the Emergency Coordinators) at your facility; PRIMARY C xFMsEw C1R's NgME RE Ray Smoot BIla1NESE pNpNE EI HR p{IpNE store manager 8055490311 PACER. SEEONn1RY QURONATORS NAME ml.E ausnvEss Prrorve Adam Bass xHa PHONE p�csax Store manager (Paso Ri8052379915 D. Doesyourbusiness havean on -site em the event of release or threatened relea eeo hazardous masay response terials Dyes CQ)No Describe procedures your business will follow in N/A E. Ifyou have acutely harartlQua materials above threshold planning quantities, list (by nsme and address) adjacent neighbodng businesses and residences, schools, hospitals, etc. Include sensitive fneilifies (schools, hospitals and rest homes) within 1,000 feet (straight-line distance from your property line). List telephone numbers for all businesses; for apartment buildings, list manager's phone. Do not list telephone numbers for private residences. N/A F. Briefly describe your standard operating procedures in the event of a release or threatened release of hamrdous materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures may be referenced and attached ro this document. 1. Prevention-- Describe the accident potentials associated with the hazardous materials present at your facility. What anions would Your business take to reduce accident potentials? Include description of safety, storage, and containment procedures. 55 gallon drums could spill or leak and gas cylinders could explode. Secondary containment is provided for the 55 gallon drums and gas cylinders are secured to a cart rack 2. Equipment-- List the emergency decontamination equipment). 7extinguisher Use control control or injuries response equipment m your facility (e.g. fire extinguishing systems, spill control equipment, Location Maintenance procedure yearly service as needed and restock twice per year 3. Evacuation -- Describe how ou will immediate) evacuate our facili .Where are the designated mcentas locations? environmental]F He: mces (805) 781-5...e city OSin Luis OB)SjJO rim P O Box 148g mue� A..,., 9M us os•Pe.cuxo.euP nane.rW Vk 2156 Sena Way Ste B 10 tsn s. "Courtesy & Sery ice" Scn l ,fie nKSeo CA 93406 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 12/1112023 Time: Auency Ingusa on TVoe Facility Name: RENTAL DEPOT, INC ❑EHS ®Routine OCITY FIRE ❑Reinspection Site Address: 202 TANK FARM RD H-1 ❑Chargeable Reinspection SAN LUIS OBISPO, CA 93401 ❑Change of Ownership ❑Complaint Phone: (805)549-0311 ❑Secondary Containment Testing Facility ID: FA0008966 CERS ID: 10438711 El Chargeable Secondary Containment Testin( Serial Number: DA8011IG7 PROGRAMS INSPECTED: ®Hazmat ®HW Generator DUST OAGT OCaIARP GTPE REINSPECTION REQUIRED: ®H9=at OHWGenemtor DUST OAGT DCaIARP OTPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. ❑ NQ O I VIOL, a BP01 BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, ❑ 25508(a)(1); 19 CCR 2651) 17 ❑ ❑ SP02 Invemory of hazardous materials is complete and submitted electronically (HSC 25505(a)(1), 25606, 25508(a)(1),19 CCR 2652, 2654) 19 ❑ ❑ 1 Site layout/ facility maps are accurate and submitted electronically (HSC 25505(a)(2),25508(a)(1), 19 CCR 2652) TRAINING PLAN 0 ❑ ❑ Ti Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(a)(1), 19CCR 2669,22CCR66265A(l) . ❑ ❑ IR Ti Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN ® ❑ ❑ li Emergency responsacontingency plan complete, current, submitted elachronically, maintained onsite (HSC 25505(a)(3), 25508(a)(1), 19CCR 2658, 22CCR M265.52..54) ❑ ❑ © ER03 Secondary containment is Installed and sufficiently Impervious to discharges. (CHSC 25270.4.5; 40 CFR 112.8(c)(2)I GENERAL EH VIOLATIONS 0 ❑ ❑ FE01 Environmental Health fees paid. ICSPC 17200, Local Ordinance] GPS Coordinates: Latitude: ; GPS Coordinates: Longtitude: INSPECTOR: MATHESON BLISS FACILITY REP: FACILITY NAME: RENTAL DE^^T, INC ADDRES? 202 TANK FARM RD H-1 SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR YES N4 NJA VIOL, If EPA ID NOIPERMITS to ❑ ❑ GTOi Generator has an EPA ID number to treat. stone dispose, transport or transfer hazardous waste (22 CCR 66262.12) If not, Call (800) 618-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION ® ❑ ❑ GT03 Hazardous waste determination conducted (22 CCR 66262.11) Nown knowledge ❑analysis ❑other ❑ ❑ 07 GT04 Hazardous waste analysl9ltest records are kept for at least 3 yeam(22 CCR 66262.40.(c)) D ISPOSAUTRA NSPORTATION 99 ❑ ❑ GT05 Hazardous wastes disposed of at an authorized location (HSC 25189.6, 25201(a), 22 CCR 66262.12) ❑x ❑ ❑ GTO6 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest lHSC 25160. 36163(a): 22 CCR 6626120. 66263.41) ❑milkrun Mother S f NKI on 19 ❑ ❑ GT02 Manifests andor receipts are properly completedmitained by generator for 3 years (22 CCR 66262.23, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERSlTANKS g7 ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows: (HSC 25123.3 gn(1)f(dyMX1); 22 CCR 66262.34(d)) 090 days if waste generated Per month Is greater than or equal to 1000 kg. (2200Ill 0180 days N waste generated per month is less than 1000 kg (see note) E270 days if waste generated per month is less than 1000 kg and transported more Nan 200 miles (see note) NOW: Applies only if ha ardous waste accumulated on site never exceeds 6000kg(13,200 fell and no acutely/extremely hazardous waste over tkg (2.2 Me) is held on site for over 90 days. ❑ ❑ 19 GTa9 Hazardous waste "satellite" collection is managed properly (complete labeling(accumulation time1559al or 1-qt limit) (22 CCR 66262.34(e)) ❑ ❑ 99 GT10 Ignitable or reactive wastes are located 15 m(50 feet)from facility's Property line (22 CCR 66262.34(a)(1), ❑ © ❑ 66265.176) GT11 Containers of hazardous waste are properly labeled (I ncludes appropriate data;'HAZARDOUS WASTE," waste composltioNphysical state, hazardous properties, nametaddress of generator) (22 CCR 66262.31, gg ❑ ❑ 66262.34(0) GT12 Contalnersitanks containing hazardous wastes are in good conditioNhandletl to minimize Me release or reaction (22 CCR 66262.34; 22 CCR 66265.1 ]1-.1T9, 66265.177(c)) IS ❑ ❑ GT13 Contal nersttankslimers are compatible with waste stored or transferred (22 CCR 66262.34, 66265.172) © ❑ ❑ GT14 Containers storing hazardous wastes are closedsealed(22 CCR 66262.34, 66265.173) ❑ ❑ IN OT15 Weekly Inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34, 66265.174) ❑ ❑ IH GT15 Daily Inspection of all bank systems Is conducted and documented (22 CCR 66262.34, 66265.195) ❑ ❑ 99 GT17 Empty containers or inner linem> 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 862611D) RECYCLABLE WASTE 19 ❑ ❑ GT18 Used all is managed as hazardous waste until recycled (includes proper labeling, storage, etc)( HSC 25250.4) 19 ❑ ❑ Off 9 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil falters;' and transferred for metal reclamation) (Title 22 CCRS 66266.130) ❑ ❑ 99 GT20 Spent lead -acid batteries are being property stored and transferred oHaite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.81) ❑ ❑ 19 GT21 SolverMpother recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) SOURCE REDUCTION:For facilities generating >1 2,000 kg.tyr. of hazardous waste on site. ❑ ❑ N GT22 Generator Is subject to S514 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days, (HSC 26244.191.21122; 22 CCR 67100)1.8) ❑ ❑ ID GT23 Source Reduction Evaluation and Plan contains the following five elements:certification, amounts of wastes generated, process description, block diagrams, and implementatlonschodule of selected source reduction measures. (HSC 26244.191.21, 22 CCR 67100.WIA) ❑ ❑ ❑x GT24 Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained ensile. (22CCR 66262.34(a)(4), 66265.51 �.54) ❑ ❑ OO GT25 Employees trained upon hire, annually; training records maintained at facility as required (U CCR 66262.34(a)(4), 66265.16) 19 ❑ ❑ ER02 Facility is operated and maintained to preventiminerizatmitigate fire, explosion, or release of hazardous materialslwaste constituents to the environment Maintains all required or appropriate equipment including an alarm and communications system (22 CCR 66265.31-37) SUMP"\RY OF OBSERVATIONSVIC' ATIONS ❑ No violations of underground-.urage tank, hazardous materials, or hazardo.._ waste lawslregulations were discovered SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. ® Violations were observedldiscovered 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 th CUPA in writino ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED, CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation 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 andror 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: RENTAL DEPOT, INC ADDRESS: 202 TANK FARM RD H-1 SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL, NO CORRECTIVE ACTION REQUIRED BP01 IMMEDIATELY TAKE NECESSARY ACTION TO ENSURE THAT THE BUSINESS PLAN IS COMPLETE, SUBMITTED ELECTRONICALLY AND AVAILABLE (VISIT CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM --CERS", httpsWmrs.calepa.ca.gov). IMPLEMENT A PROCEDURE TO ENSURE THAT THE PLAN IS UPDATED AS REQUIRED BY HEALTH AND SAFETY CODE SECTIONS 25505, 2550e(3x1) AND CALIFORNIA CODE OF REGULATIONS SECTION 2551. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED IN THIS REPORT MAY RESULT IN CIVIL ANDAJR CRIMINAL PENALTIES OF UP TO $2,000 PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCRIBED IN THE CA HEALTH & SAFETY CODE SECTION 25515. Create an account through CERS (cem.calepa.ca.gov) and reviewlreviselsubmit hazardous materials business plan by 1111124. Reduce quantities of compressed gases. Increase max. daily amount of waste oil. Reconcile difference in reported suite on business plan (H1) and suite noted on building (H3IH4) GTll IMMEDIATELY BEGIN TO PROPERLY LABEL ALL CONTAINERS OF HAZARDOUS WASTE. IMPLEMENT A PROCEDURE TO ENSURE THAT ALL CONTAINERS OF HAZARDOUS WASTE ARE PROPERLY LABELED. MUST INCLUDE APPROPRIATE DATE, "HAZARDOUS WASTE', WASTE COMPOSITIONIPHYSICAL STATE, HAZARDOUS PROPERTIES, NAME/ADDRESS OF GENERATOR, THE FINE FOR THIS VIOLATION IS AN INITIAL PENALTY OF UP TO $70, 000, AND THEN AN ADDITIONAL TWO PERCENT OF THE INITIAL PENALTY PER DAY THEREAFTER. Properly label waste containers as stated in violation text. Send documentation to mblissftslocity org once complete Properly dispose of old/off-spec oils. INSPECTION COMMENTS: Items marked N/A not reviewed during inspection. INSPECTED BY: MATHESON BLISS NAME OF FACILITY REP: DATE: 12/112023 SIGNATURE OF FACILITY REP: FACILITY NAME: RENTAI ^EPOT, INC ADD�'SS: 202 TANK FARM RD 11-1 SAN LUIS OBISPO, CA 934D1 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 OwnerlOperator: Title: Date: Environmental Has .ervice (805)781-5544 s u°P°�"�sa..s W .Se1n Luis OBIS}�O Mk San PO Box 1489 ,,,,a.. .. 9Wuoou,.WcAUN'oo imima+a 2156 S'e a Way Ste 8 "0 Gnvtesy & Service" I uis Obispo A 406 CERTIFIED UNIFIED PROGRAM AGENCY(CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 08/30/2022 Time: Inspection Tvoe Facility Name: RENTAL DEPOT, INC EHS ❑EIEHS ERou[ine ECITY FIRE ❑Reinspecgon Site Address: 202 TANK FARM RD H-1 ❑Chargeable Reinspection SAN LUIS OBISPO, CA 93401 []Change of Ownership ❑Complaint Phone. (805)549-0311 ❑Secondary Containment Testing Facility ID: FA0008966 CERS ID: 10438711 []Chargeable Secondary Containment Testin! Serial Number: DAODMOLY5 PROGRAMS INSPECTED: ©Hazmet ©Hw Generator DUST OAGT OCdIARP OTPE REINSPECTION REQUIRED: I OHazmat OHWGaneretor OUST OAGT OCeIARP [Tri PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NO NA VIOL. BUSINESS PLAN E ❑ ❑ Spot Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(a)(1); 19 CCR 2651) E ❑ ❑ BP02 Inventory of hazardous materials is complete and submitted electronically (HSC 25505(a)(1), 25506, 25508(a)(1), 19 CCR 2652, 2654) © ❑ ❑ BP03 Site lay oub facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(a)(1 I, 19 CCR 2652) E ❑ ❑ TRAINING PLAN TR01 Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25501 19CCR 2659, 22CCR66266.16) ❑ ❑ E Ti Training documentation is maintained on site for current personnel (HBO 255051a)(4), 22CCR88265.16) E ❑ ❑ EMERGENGY RESPONSE PLAN ER01 Emergency responselconbngency plan complete, current, submitted electronically, maintained onsite (HSC 25505(a)(]I, 25508(a)(1), 19CCR 2658, 22CCR 66265.52-54) E ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.6; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS E ❑ ❑ FE01 Environmental Health fees paid. [CBPC 1i200, Local ordinance] GPS Coordinates, Latitude: GPS Coordinates: Longtitude: INSPECTOR: MATHESON BLISS FACILITY REP: Darren Stamey FACILITY NAME: RENTAL DEr`^T, INC ADDRESS- 202 TANK FARM RD H-1 SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR YES NO NNJA VIOL. # EPA ID NOIPERMITS 9 ❑ ❑ GTO1 Generator has an EPA ID number to West, store,dispose, transport or transfer hazardous waste (22 CCR 66262.12) If not, Call (800) 618-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION p ❑ ❑ GT03 Hazardous waste determination conducted J22 CCR 66262.11) ©ownknowledge Donalysis Mother ❑ ❑ © GT04 Hazardous waste analysis/lest records are kept for at least 3 years(22 CCR 66262AO.(c)) DISPOSALRRANS PORTATIO N © ❑ ❑ GTOS Hazardous wastes disposed of at an authorized location (HSC 25189.5, 25201(a), 22 CCR 66262.12) 19 ❑ ❑ GTOB Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 26160, 26163(a): 22 CCR 66262,20, 66263 41) Mmilkrun Mother Darren Stanley 09 ❑ ❑ GTOT Manifests anchor receipts are property core pleledlretained by generator for 3 years (22 CCR 66262.23, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS © ❑ ❑ GTO6 Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (b)(1)l(MI(h)(1); 22 CCR 66262.34(d)) 090 days If waste generated per month is greater Nan or equal to 1000 kg. (MOO lbs.) 0180 days if waste generated per month is less than 1000 kg (see note) 0270 days if waste generated per month is less than 1000 kg and transported more man 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000kg(13,200 lost and no acutely/extremely hazardous waste over 1kg (2.2Ibs.) Is held on site for over 90 days ❑ ❑ © GTO9 Hazardous waste"satellite" collection is managed properly(complete labeling'accumulation timdmga1 or tgt limit) (22 CCR 66262.34(e)) ❑ ❑ 99 GT10 Ignitable or reactive wastes are located 15he(50 faet)from facility's property line (22 CCR 66262.34(a)(1), 19 ❑ ❑ 66266.176) GT11 Containers of hazardous waste are properly labeled (Includes appropriate data,"HAZARDOUS WASTE," waste composltlodphysical state, hazardous properties, m undaddress of generator) (22 CCR 66262.31, 99 ❑ ❑ 66262.34(f)) GT12 Conte lnershanks containing hazardous wastes are In good conditionihandled to minimize the release or reaction (22 CCR 66262.34; 22 CCR 66265.171-.1 T9, 66265.1 TT(c)) 19 ❑ ❑ GT13 Centel neraxankellinem are compatible with waste stored or transferred (22 CCR 66262.34, 56265.172) 19 ❑ ❑ W14 Containers storing hazardous wastes are closedsealed(22 CCR 66262.34, 65265.1 73) ❑ ❑ 19 OTIS Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34, 66265.174) ❑ ❑ M GT15 Daily Inspection of all tank systems Is conducted and documented (22 CCR 66262.34, 66265.195) ® ❑ ❑ GT17 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 ® ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.4) Is ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Tito 22 CCR§ 66266.130) ❑ ❑ © GT20 Spent lead -acid batteries are being properly stored and transferred offmte under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.31) ❑ ❑ © GT21 Solventalother recyclable materials are managed as hazardous wastes until recy clod (22 CCR 562611 SOURCE REDUCTION:For facilities generating s1I,000 kgJyr. of hazardous waste on site. ❑ ❑ 99 GT22 Generator is subject to 51314 and has prepared and retained current source reduction documents or is able make them available to the inspector withln(5) days. (HSC 25244.191.211.22; 22 CCR 67100.712) ❑ ❑ 19 GT23 Source Reduction Evaluation and Plan contains Me following five elemendwcertification, amounts of wastes generated, process description, block diagrams, and implementationschedi le of selected sou rco reduction measures. NSC 252".191.21, 22 CCR 6I100.51]I.6) ❑ ❑ Z GT24 Mazwasts Contingency Plan prepared, current, submitted to the CUPA, maintained create. (22CCR 66262.34(a)(4), 66265.51-.54) ❑ ❑ 17 GT25 Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(a)(e), (6265.16) © ❑ ❑ ER02 Facility is operated and maintained to prevendminimizdmitigatefire, explosion, or release of hazardous materialslwaste constituents to Me environment Maintains all required or appropriate equipment including an alarm and communications system (22 CCR 56265.31-37) SUMP '.RY OF OBSERVATIONSVIC' 4TIONS © No violations of underground ILorage tank, hazardous materials, or hazardo,, waste lawslregulations were discovered SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. D 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 th CUPA in writino ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less man $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: RENTAL DEPOT, INC INSPECTION COMMENTS: Hazardous Materials Business Plan updated during inspection. ADDRESS: 202 TANK FARM RD H-1 SAN LUIS OBISPO, CA 93401 INSPECTED BY: MATHESON BLISS NAME OF FACILITY REP: Darren Stamey DATE: 08I302022 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: Envro51-554l Hear a city of son Luis osispo 2150S8rra Way Mk San P O B 1489 51 se Sierra Wav Ste e � 1 Luis Oburpo CA 93 N CERTIFIED UNIFIED PROGRAM AGENCY(CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 07/28/2021 Time: Inspection Type Facility Name: RENTAL DEPOT, INC EJEHS ❑EHS ORoutine 99CITY FIRE ❑Reinspection Site Address : 202 TANK FARM RD H-1 ❑Chargeable Reinspection SAN LUIS OBISPO, CA 93401 ❑Change of Ownership ❑Complaint Phone: (805)549-0311 ❑Secondary Containment Testing Facility ID. FA0008966 []Chargeable Secondary Containment Testing Serial Number. DAXKQKAGI PROGRAMS INSPECTED: ©Hazma[ ®HWGenerator DUST OAGT OCOARP pTPE REINSPECTION REQUIRED: I OHazmat OHWGenemtor OUST 0AGT DratARP pTPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. yU ys I VIOL. # BUSINESS PLAN © ❑ ❑ Ent Business plan complete, current, available during inspection and submitted electronically IHSC 25505, 26508(a)(1); 19 CCR 2651) 0 ❑ ❑ SP02 Inventory, of hazardous materials is complete and submitted electronically (HSC 15505(a)(1), 25505. 25508(a)(1). 19 CCR 2662. 2654) 0 ❑ ❑ B1303 Site layout/ facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(a)(1), 19 CCR 2652) TRAINING PLAN OO ❑ ❑ TR01 Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(a)(11. 19CCR 2659, 22CCR66265.16) ❑ ❑ [A TR02 Training documentation is maintained on site for current personnel (HSC 266131 22CCR6626546) EMERGENCY RESPONSE PLAN © ❑ ❑ ER01 Emergency responselconlingency plan complete, current, submitted electronically, maintained ensile (HSC 25505(a)(3). 25WB(a)(1), 19CCR 2658, 22CCR 66265.52-414) 0 ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS O ❑ ❑ FEW Environmental Health lees paid. [CBPC 17100, Local Ordinance] GINS Coordinates: Latitude: GPS Coordinates: Longtitude: INSPECTOR: MATHESON BLISS FACILITY REP: Darren Stamey