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Home My WebLink AboutATTCalifornia Environmental Reporting System (CERS)Business Owner Operator ctRS iD 10852738 cA 93401 SE17F 150 Laurel Ln Luis bmitted on 6/2/2027by Sondy McPherson of PACIFIC BELI TELEPHONE COMPANY dba AT&T CALIFORNIA (San Ramon, CA) by submitter: annual inventory Beginning gata Lh/2021 Dun & grsdstreel 103401518 Ending Dat€ 12/37/2027 5lC Code 4813 Business Phone (800) s66-9347 Business Fax California 566-9347 Fhons P.imary NAIC5 51 taeitlfy$ite MdltogAddres* - , ,,' ,' 108 S. Akard St., 17th Floor )allas, TX 75202 @#*t5l68 P&%*S1Z ?T-o \+9,t b &T EH&S Hotline - Option #1 mental site Manager Phon€ z4-Hour Phone 566-9347 Pager l',lsmber EH&S Hotline - Option #1 Hour Emergency Service Phcne 24-Hour Phone Pager Nsmber 566-9347 EH&S Hotline - Option #1 ) 566-9347 943573@att.com S. Akard St., 17th Floor llas, TX 75202 or all of the following fields may be required by your local regulator(s) Addr€ss Assersor Psreel Number {,qPN} Nutrber 6f Employees Fa(ility It Bell Telephone Company dba AT&T California 464-7772 S. Akard St., 17th Floor rx75202 943573@att.com T&T EH&S 464-L772 S. Akard St., 17th Floor TX75202 of Signer Signer Tltle Oocument Proparer Peter Burnell, Sigma consultants, lnc.McGrue National EPCRA Manager information red under the direction of AT&T Services, lnc Printed on 7 /19/202110:26 AM COUNTY b SAN LUIS OBISPO ,,._) crty o[ san luls oBlspo FIRE DEPARIIIEI{T 2160 Sdta SarbaE Avnuo'Sar Luls oblspo. CA 93401'5240 ' {805} 781"7380 Dafe'. 1211612024 "Courtesy & Service" GERTTFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: AT&T - SE17F Aoencv trEHS trCITY FIRE Inspection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint [lSecondary Contain ment Testing trChargeable Secondary Containment Testinl SiteAddress: 1150 Laurel Ln San Luis Obispo, CA 93401 Phone: ((80)0) -566-9347 Facility lD: FA0015168 CERS lD: 10852738 Serial Number: DAMTSZPCW PROGRAMS INSPECTED:trHazmat DHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trlHW Generator trUST trAGT trCalARP trTPE pERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NO N/Atrtrtr trtrtr trtrtr vtoL. # BPOl BP02 BPO3 TROl TRO2 EROl ERO3 BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aX1); 19 CcR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl ), 25506, 25508(aXl), 19 CCR 2652, 26541 Site tayouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(a)(1), 19 CCR 2652) TRAINING PLAN Facitity has appropriate training program, submitted electronically (HSG 25505(a)(4), 25508(aXl), 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265'16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(a)(3), 25508(aX1), 19CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5i 40 CFR 112.8(cX2)l GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Goordinates: Latitude: 35.2637400000 G PS Goord i n ates : Lon gtitude : -120.6447 500000 tr tr tr INSPECTOR: MATHESON BLISS FACILITY REP: Unstaffed Facility S UM MARY OF OBS ERVATIONSVIOI,ATIONS No violations of underground s )ge tank, hazardous materials, or hazardou 'rste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq ALL VTOLATTONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your facility may be reinspected any time during normal business hours. you may request a meeting with the Program Manager to discuss the inspection findings 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: AT&T - SE17F ADDRESS: 1150 Laurel Ln San Luis Obispo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS INSPECTED BY: MATHESON BLISS DATE: 12t16t2024 NAME OF FACILITY REP: Unstaffed Facilitv SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE on: I certify under penalty of perjury that this facility has complied with the corrective actions listed on is inspection form. nature of Own Title:- Date:- COUNTY.6 SAN LUIS OBISPO ,-\ EnvironmentalHea, brvices i(805) 781-5544 iP.O.Box'1489 12156 Sierra Way Ste. B San Luis Obisoo. CA 93406 l ctty o[ san luls oBtspo FIRE DEPARTMENT 2160 Santa garbara Avnu6'San Lub Obbpo, CA 93101-5240 . {805) 791-73S0 "Courtesy & Seryit:e" Date: 1110812023 GERTTFTED UNtFtED pROcRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: AT&T - SE17F Aoency lnsoection TvpetrEHS trRoutine trClTY FIRE trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Contain ment Testing Site Address: 1150 Laurel Ln San Luis Obispo, CA 93401 Phone: (800)566-9347 Facility lD: FA0015168 CERS lD: 10852738 Serial Number: DAKMPET9R trChargeable Secondary Containment Testinl PROGRAMS INSPECTED:EHazmat trHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCalARP t]TPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES tr @ tr @ tr tr tr tr NO tr tr tr tr tr tr tr tr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 2SS0S, 25508(aXl); 19 CCR 2651) lnventory of hazardous materials is complete and submitted electronically (HSG 25505(aX1), 25506, 2s508(axl), 19 CCR 2652, 26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(a)(1), 19 CCR 26521 TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(a)(1), 1gCCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR6626S.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submifted electronically, maintained onsite (HSC 25505(aX3), 25508(aXl), l9ccR 2658, 22cCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cl(2ll GENERAL EH VIOLATIONS tr FEQ1 Environmental Health fees paid. ICBPC {7200, Local Ordinance] GPS Coordinates: Latitude: 35.2637400000 GPS Coord inates : Lon gtitude: -1 20.6447 500000 N/A VIOL. # tl BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 tr tr tr tr INSPECTOR: MATHESON BLISS FACILITY REP: Unstaffed Facility tr s u M IUARY oF oBS E RVATTON SVTOLATIONS No violations of undergrounr \rage tank, hazardous materials, or hazardou: rste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regutations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq 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. FACILITY NAME: AT&T - SE17F ADDRESS: 1150 Laurel Ln San Luis Obispo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS INSPECTED BY: MATHESON BLISS DATE: 11108t2023 NAME OF FACILITY REP: Unstaffed Facility SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the this inspection form. corrective actions listed on Date:Signature of Own COUNTY.6SAN LUIS OBISPO i\ :EnvironmentalHealtl. Vices :(805) 781-5544 lP.o.Box 1489i- :2156 Siena Wav Ste. Bt- iSan Luis Obisoo. CA 93406 t t crty ol Jan Lurs ortspo FIRE DEPARTMEI,IT 2160 santa garban Avouo* San Lul! Obbpo, CA 93401-52,10'(805) 781-7380 "Courtesy & Service" CERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time:Date: 1012012022 Facility Name: AT&T - SE17F Aoencv trEHS trctry FIRE lnsoectlon Type trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Contain ment Testing trChargeable Secondary Containment Testinl SiteAddress: 1150 Laurel Ln San Luis Obispo, CA 93401 Phone: (800)566-9347 Facility lD: FA0015168 CERS lD: 10852738 Serial Number: DAWQKSTZ1 PROGRAMS INSPECTED:BHazmat trHWGenerator trUST trAGT trCa|ARP trTPE REINSPECTION REQUIRED:EHazmat trHWGenerator trUST trAGT UCaIARP trTPE PERMISSION TO INSPEGT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES tr tr tr tr tr tr tr N9 tr tr tr tr tr tr tr tr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25s08(aXl); 19 CCR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(aX1), 25506, 25508(aXl), 19 CCR 2652,26il1 Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aXl), l9 CCR 2652',t TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(aXl), 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSG 25505(aX4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submifted electronically, maintained onsite (HSC 25505(aX3), 25508(axl), 19CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cX2)l GENERAL EH VIOLATIONS FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Goordinates: Latitude: 35.2637400000 GPS Coord inates : Lon gtitude : -120.6447 500000 N/A VIOL. # tr BPOI tr BPO2 E BP03 TROl TRO2 EROl ERO3 INSPECTOR: MATHESON BLISS FACILITY REP: Unstaffed Facility SUMMARY OF OBSERVATIONSVIOLATIONS No violations of underground r'-,age tank, hazardous materials, or hazardor'- 'vaste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and res .,htion" applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinc 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. FACILITY NAME: AT&T - SE17F ADDRESS: 1150 Laurel Ln San Luis Obispo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS INSPECTED BY: MATHESON BLISS DATE: 10t2012022 NAME OF FACILITY REP: Unstaffed Facility 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 Owne Title:- Date:- COUNTY.6 SAN I,UIS OBISPO (805) 781-5544 P.O.Box 1489 ,-) crty oF san Luls oBlspo FIRE DEPARIME}IT 2160 Silta Sarba6 Avilus'Sat Lub Obbpo, CA 93101-5240'{805) 781'7380 "Cotvtesy & Se'rvice" GERTIFTED UNTFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM ltme:Date: 0910712021 Facility Name: AT&T - SE17F Aqencv lnspection TvpetrEHS trRoutine BCITY FIRE trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl SiteAddress: 1150 Laurel Ln San Luis Obispo, CA 93401 Phone: (800)566-9347 Facility lD: FA0015168 Serial Number: DAPND4AGV PROGRAMS INSPECTED:trHazmat trHW Generator trUST trAGT trCa|ARP DTPE REINSPECTION REQUIRED:ElHazmat trHWGenerator trUST trAGT trCalARP trTPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NC! NIAtrtru BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505' 25508(aX1); 19 ccR 2651) lnventory of hazardous materials is complete and submitted electronically (HSG 25505(axl),25506, 2s508(aX1), 19 CCR 2652,26541 Site layouU facality maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aX1)' 19 CCR 26521 TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(aXl)' l9CCR 2659, 22CCR66265-16) Training documentation is maintained on site for current personnel (HSC 25505(aX4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submifted electronically, maintained onsite (HSC 25505(a)(3), 25508(aXi), 19CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(c)(2)l GENER.AL EH VIOLATIONS FE01 Environmental Health fees paid. ICBPG 17200, Local Ordinance] GPS Goordinates: Latitude: 35.2637400000 GPS Coord i nates : Lon gtitude = -1 20.6447 500000 vtol. # BPOl BPO2 BPO3 TROl TRO2 EROl ERO3 tr INSPECTOR: MATHESON BLISS FACILITY REP: Unstaffed Facility su M MARY O F OBS E RVATION SVIOLATIONS No violations of underground' )age tank, hazardous materials, or hazardo laste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinc ALL VTOLATTONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED GUPA 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 GUPA from taking administrative, civil, or criminal action. FACILITY NAME: AT&T - SE17F ADDRESS: 1150 Laurel Ln San Luis Obispo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Items marked N/A not reviewed during inspection INSPECTED BY: MATHESON BLISS DATE: 09t07t2021 NAME OF FACILITY REP: Unstaffed FaciliU SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE cation: I certify under penalty of perjury that this facility has complied with the corrective actions listed on inspection form. nature of Owner/Operator:-Title:- Date