HomeMy WebLinkAbout2016 1150 laurelEnvironmental Health Services
(805) 781-5544
P.O.Box 1489
2156 Sierra Way Ste. B
San Luis Obispo, CA 93406
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Date:Time:11/08/2016
Fire Department (805) 781-7380
2160 Santa Barbara Avenue
San Luis Obispo CA 93401-5240
Inspection Type
ýRoutine
oReinspection
oChargeable Reinspection
oChange of Ownership
oComplaint
oSecondary Containment Testing
oChargeable Secondary Containment TestingFacility ID: FA0005141
Agency
oEHS
ýCITY FIRE
Phone: (805)544-8203
Site Address: 1150 LAUREL LANE
SAN LUIS OBISPO, CA 93401
Facility Name: ATOLL HOLDINGS CORPORATION
PROGRAMS INSPECTED:ýHazmat oHW Generator oUST oAGT oCalARP oTPE
REINSPECTION REQUIRED:oHazmat oHW Generator oUST oAGT oCalARP oTPE
PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
Title: Facility ManagerGRANTED BY (NAME/TITLE): Name: Clinton Harbers
Serial Number:DAAKIIGO3
YES NO N/A
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BP02
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Emergency response/contingency plan is complete, updated, and maintained on site (HSC
25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54)
Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of
hazardous materials/waste constituents to the environment. Maintains all required or
appropriate equipment including an alarm and communications system (Title 19 CCR 2731& 22
CCR 66265.31-.37, 66267.34 (d)(2), 40CFR 1 265.31)
Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22
CCR) 66265.16
Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16)
Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729)
Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729)
Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729)
EMERGENCY RESPONSE PLAN
TRAINING PLAN
BUSINESS PLAN
Secondary containment is installed and sufficiently impervious to discharges.
[CHSC 25270.4.5; 40 CFR 112.8(c)(2)]
FE01
GENERAL EH VIOLATIONS
Environmental Health fees paid. [CBPC 17200, Local Ordinance]
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GPS Coordinates: Latitude: 35.2630900000 GPS Coordinates: Longtitude: -120.6425900000
INSPECTOR:KERRY BOYLE FACILITY REP:Clinton Harbers
SUMMARY OF OBSERVATIONS/VIOLATIONS
No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were
discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your
facility.
Violations were observed/discovered as listed below. All violations must be corrected by implementing the
corrective action listed by each violation. If you disagree with any of the violations or corrective actions required,
please inform the CUPA in writing.
ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a
certification that compliance has been achieved. A false statement that compliance has been achieved is a violation
of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. 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.
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1150 LAUREL LANE
SAN LUIS OBISPO, CA 93401
ADDRESS: ATOLL HOLDINGS CORPORATIONFACILITY NAME:
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REQUIRED
INSPECTION COMMENTS:
A Hazardous Materials Business Plan will be updated and submitted electronically later today to the "EZ
Submit Portal". No changes to data or information. No violations noted during facility inspection.
Clinton Harbers
SIGNATURE OF FACILITY REP:
NAME OF FACILITY REP:
DATE: 11/08/2016
INSPECTED BY: KERRY BOYLE
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:
STATEMENT OF COMPLIANCE