HomeMy WebLinkAbout2025-04-09 7 Eleven MarshEnvironmental 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:04/09/2025
Inspection Type
ýRoutine
oReinspection
oChargeable Reinspection
oChange of Ownership
oComplaint
oSecondary Containment Testing
oChargeable Secondary Containment TestingFacility ID: FA0013578 CERS ID: 10466806
Agency
oEHS
ýCITY FIRE
Phone: (805)543-1331
Site Address: 692 Marsh St
San Luis Obispo, CA 93401
Facility Name: 7-ELEVEN #27835
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.
Serial Number:DA7WXU7PK
YES NO N/A
BP01
BP02
BP03
TR01
TR02
ER01 Emergency response/contingency plan complete, current, submitted electronically, maintained onsite
(HSC 25505(a)(3), 25508(a)(1), 19CCR 2658, 22CCR 66265.52-.54)
Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16)
Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(a)(1), 19CCR
2659, 22CCR66265.16)
Site layout/ facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(a)(1), 19 CCR
2652)
Inventory of hazardous materials is complete and submitted electronically (HSC 25505(a)(1), 25506,
25508(a)(1), 19 CCR 2652, 2654)
Business plan complete, current, available during inspection and submitted electronically (HSC 25505,
25508(a)(1); 19 CCR 2651)
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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ER03ooý
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VIOL. #
GPS Coordinates: Latitude: 35.2780900000 GPS Coordinates: Longtitude: -120.6641900000
INSPECTOR:MATHESON BLISS FACILITY REP:Kumer Sawn
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.
ý
o
692 Marsh St
San Luis Obispo, CA 93401
ADDRESS: 7-ELEVEN #27835FACILITY NAME:
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REQUIRED
INSPECTION COMMENTS:
Training documentation not reviewed during inspection. Ensure all employees are familiar with new CO2
detection/alert system.
Kumer Sawn
SIGNATURE OF FACILITY REP:
NAME OF FACILITY REP:
DATE: 04/09/2025
INSPECTED BY: MATHESON BLISS
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