HomeMy WebLinkAboutSLOUNIFLOW_FS1 Admin iRC3926i Color_2485_0017 / 2211-996
Issue Date
SAN LUIS OBISPO COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2156 Sierra Way o P.O. Box I4€|9 o San Luis Obispo, Cali{ornia 93406
TELEPHONE (805) 78t-ss44 o FAX (8O5) 78r-42rr
UNDERGROUND STORAGB TANK (UST) OPERATING PERMIT
THIS PERMIT TS ISSUED TO THE UST OWNER.
THIS PERMTT MUST BE KEPT AT THE UST LOCATTON AT ALL TTMES.
THIS PERMIT MUST BE RENEWED PRIOR TO EXPIRATION.
L/22/2007Expiration Date
PG&ESERVTCECENTER
PACTFIC GAS & ELEC. CO.
PACIFIC GAS & ELEC. CO.
Address 4325 S. HIGUERA ST., SAN LUTS OBTSPO, CA 934OL
Address 333 MARKET STREET. SAN FRANCISCO, CA 94106
Address 4325 S. HIGUERA ST.. SAN LUIS BISPO, CA 9340]-
TANK #1
2/88
4 0-ooo-17 60 1-oo6
5qn
WASTF OTT.
DOUBLE WALL FRP COATED STEEL
DOUBLE WALL FRP
UST FACILITY NAME
TANK OWNER'S NAME
TANK OPERATOR'S NAME
TOTAL NUMBER OF USTs
DATE INSTALLED
STATE UST ID NUMBER
CAPACITY (GALLONS)
HAZARDOUS SUBSTANCE
TANK TYPE
PTPTNG TYPE
TANK MONITORING
METHOD-CCR Title 23
PIPTNG MONITORING
METHOD-CCR Title 23
l"
2632(c\ (2) LEAK ALERT LA_04 ANNUAI, MONT.I.OR SYS TEM CERTIFICATION
6 5 ITOR SYS AL
THIS OPERATING PERI'{IT IS GRANTED SUBJECT TO THE FOLLOWING CONDITIONS:
2
The owner or operator agrees that the above agency, or their duJ-y authorized representatives, have the right to inspectionat any reasonable time.
The o\^rner or operator shaII comply with aIl applicable State UST requirements contained in the California Code ofRegulations, Title 23, Division 3, Chapters 16 and 18, the C:al-ifornia Health & Safety Code, Division 20, Chapters 6.7 and6.'15, and aII applicable local requirements.
The owner or operator must report any unauthorized releases to the environrreltt to the above agency within 24 hour{'afterthe release has been detected or should have been detected
Monitoring and maintenance records must be maintained on-site for 3 yearsThe owner or operator shall notify the above agency within 3O days of any changes to the permit or UST systems, unlessrequired to obtain approval before making such changes.
3
4
5
ISSUED BY
a-?
owNqli* P9&E se Center
SAN LUIS OBISPO COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEAIfH
2156 Siera \AIay o P.O. Box 1489 o San Luis Obispo, California 934O6' TELEPHONE (8Os) 78r-554 o FAX (8os) 78t42tt
UNDERGROUND STORAGE TANI( FACILITY
PERMIT TO OPERATE CONDITIONS
Auoust 13. 1991
Date issued
ADDRESS: 4325 So. Higuera
CITY: San Luis ObisPo, CA 93401
Has 6 Permit to operate 4 underground storage tanl(s
S tat el #Contents
FACILITY: PG&E Service Center
ADDRESS: 4325 So. Higuera
CITY: San Luis Obispo, CA 93401
1
2
4
5
6
40-000-1 7601 -003
40-000- 1 7 6Q1-OO4
40-ooo-17601 -oo5
40-000-1 7601-006
40-ooo-
40-000-
Gasoline
Gasoline
Diesel
Waste oil
Capacitv/Gals
4,000
4,000
6,000
550
Date lnstalled
pre 1984
pre 1984
10/84
2/88
1 . The permittee agrees that the local agency, or their duly authorized representatives have the right to
inspection at any reasonable time. Written records of all monitoring performed shall be maintained on-site
by the operator for a period of at least 3 years from the date the monitoring was performed. Monitoring
records shall include where appropriate, the date and time of all monitoring oi sampling; monitorin!
equipment calibration and maintenance records; the results of visual observations; the results of all sampl6
analysis performed; the logs of all readings of gauges or other monitoring equipment, and the results of
inventory readings and reconciliations.
2. The permittee shall report to the local agency any unauthorized release occurrences, and comply with
the reporting and recording requirements for unauthorized releases specified in Article 5 of calif ornia codeof Regulations, Title 23'
3. The permittee shall report to the local agency within 30 days after any changes in the usage of any
underground storage tank, including the storage of new hazardous substances.
Auoust 1 3. 1 996 -c
rmit ExPires
tanlcs\oPconit2'Pmt
ln 8/93
E nvlronme ntal H
A DEPARTMENT OF THE SAN LUIS OBISPO COUNTY HEALTH AGENCY
Specialist lll
t- I a / ^- (,.
Date 01-OL-94
EXPIRES L2-3I.9
SITE
'4 HEALTTI DEP,IRTMENT
DNISION OF EIWIROAIMENTAL HEALM
4 01-HEALTH
POST IN A CONSPICUOUS PIACE
23- L76O1-l
820.0
ECTOR
G&ESLOSERVI TER 23Counry of San Luis Obispo GAS STAT ATL
sAN LUIS oBISPo, CA 93101
RECEIPT
This receipt, when proporly countersigned. cortifies payment of tho amount shown above for the San Luis Obispo County Health Department
lnspection/Enforcem€nt Fee. No permit, expressed or implied, is granted by this documont. Tho recipient of this document must comply with all laws,
ordinances and are now or may horeaftor bo in force by tho Unitod States Government, the State of California and the County of San Luis
Obisg.o
/t,
to the business
G&ESLOSERVICE
4325 S HIGUERA ST
sAN LUIS OBTSPO, CA
NON.
8/r619r .-
- .^)eillh lncpGetlorn Fee \"
SAN TUIS OEISPO COUNTY
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TI{Ill HECEIPT; when
above for the San l":rrlis
GEORGEB.ROTV! ' ; f.il.:
CountyHealthOf,,' ,
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By
Fee Regwt ef 1085?{tA5 trcf0g145ffi cor'-j
l-01-4325 S HIGUERA ST
sAN LUTS.OBTSPO, CA 93401
{.
TANK # DESCRIPTION REFERENCE /AMOUNT$
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C* \oss
Department of public Health
219'1 JohnsonAvenue . p.O. Box 1489
San Luis Obispo, California 93406
(805) s49_ss0o
P.G.& E. SLO SERVICE CENTER4325 S HTGUERA ST
sAN LUrs oBrsPo, cA 93401
***** PAST DUE STATEMENT *****===::==:=::::=::=:::=:=::::=::::=:=::==:=::::::::::::::=:::::==::==::::::::::===
COMPUTER # rNVorcE # sTATEMENT DATE DUE DATE BTLLTNG pERroD23- 24835 23990105 07-08-91- 0 2-22-gL o'-oi--91 THR' a2-3r--91:==:::::=::::=::::=:=:::::=:::::::=:::=:==::::::=:::=::=::=:::=::=::::::=::=:==_
COUNry OF SAN LUIS OBISPO
P.G.& E. SLO SERVTCE CENTER4325 S HTGUERA STsAN LUIS OBTSPO, CA 93401_
t,
HEALTH AGENCY
STTE:
l_0r-
TANK # DESCRTPTTON REFERENCE AMOUNT$
- STTE -
STTE -- STTE -
3
4
5
ADJIIST
***** CHARGES #t***
UNDERGROUND TANK SrTE P.G.& E./ SLO SNT{VTCN CENTERHANDLER FEE' l- 4 .HEMS' p-c.& E. slo sERVrcE .ENTERHAZ. WASTE GENERATOR FEE P.G.& E. SLO SERVTCE CENTERUNDERGROUND TANK UNLEADED GASOLTNE (4OOO G)I.INDERGROLTND TANK UNLEADED GASOLTNE (4OOO G)UNDERGROUND TANK DTESEL (EOOO CI
***** PAYMENTS/ADJUSTMENTS *****LATE PAYMENT PENALTY 07-08-91
265 . OO
75. 00
50. 00
85. 00
85. 00
85.00
" RECEIPT***rp 50? HAS BEEN
YOUR ANNUAL FEE DUE
ENT.
AMOUNT PAST DUE $967.50
322.50
*** 136 DAYS PAST DUE ***
*** CONTINUES ON NEXT PAGE ***
R._A_H_EF
AIIG 1
FTr*'ir'
3 tg$t
l;zloCtj \o85
SAN LUIS OBISPO COUNry HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2156 Sierza Way o P.O. Box 14€19 o San Luis Obispo, California 93406
TELEPHONE (8O5) 78r_ss44 o FAX (805) 78t42rr
UNDERGROUND STORAGE TANK FACILITY
PERMIT TO OPERATE CONDITIONS
August 13. 1991
Date issued
OWNER: PG&E Service Center
ADDRESS: 4325 So. Higuera
CITY: San Luis Obispo, CA 93401
Has a Permit to operate 4 underground storage tanks
State ld#Contents cuouJifulcut"
FACILITY: PG&E Service Center
ADDRESS: 4325 So. Higuera
CITY: San Luis Obispo, CA 93401
1 . 40-000-17601-003
2. 40-000-1 7601-004
3. 40-000-17601-OOs
4. 40-OOO-17601-006
5. 40-000-
6. 40-000-
Gasoline
Gasoline
Diesel
Waste oil
4,000
4,000
6,000
550
Date lnstalled
pre 1984
pre 1984
10t84
2/88
1' The permittee agrees that the local agency, or their duly authorized representatives have the right toinspection at any reasonable time. Written records of all monitoring performed shall be maintained on-site
by the operator for a period of at least 3 years from the date the monitoring was performed. Monitoringrecords shall include where appropriate, the date and time of all monitoring or sampling; monitoring
equipment calibration and maintenance records; the results of visual observations; the resultJof all sampleanalysis performed; the logs of all readings of gauges or other monitoring equipment, and the results ofinventory readings and reconciliations.
2' The permittee shall report to the local agency any unauthorized release occurrences, and comply withthe reporting and recording requirements for unauthorized releases specified in Article 5 of California Codeof Regulations, Title 23.
3. The permittee shall report to the local agency within 30 days after any changes in the usage of anyunderground storage tank, including the storage of new hazardous substances.
Arrorrst 1 3. 1 996 C
Permit Expires
tanks\opconit2. pmt
ln B/93
En vrronmenta I Hea
A DEPARTMENT OF THE SAN LUIS OBISPO COUNTY HEALTH AGENCY
Specialist lll
Permit
Expires:
Heerlrh lnspection Fee
-'rLE coPl(,\
HEALTH DEPARTMENT
County of Son Luis O'bispo, Colifornio
PERNTT
?45
Fee Paid $ 5-5:,i0
a-:1 :./€J-r '. ,._ i: .
- r\.J ! .-r' / "
SAN LUIS OBISPO COUNTY
THIS RECEIPT, when properly countersigned, certifies payment of the sum shown
above for the san Luis obispo county Health Department Inspection Fee.
tij,r ;:iir' F+={{Et; W.J.#CRAVE
GEORGE B. ROW"AT{D, M.D., MPH.
CountyHealthOfficer
Nam,
D.B.r
TyP"
Addn
City i
:'9i :::,T^: ^:i.-i:i
rJ_.i .1,;_[.i.r.
liii : ii: a:'f4r -1
-f., !... -1._f.r ,:,
.This Is An
DATE: furil l_8, 1988
Name
D.B.A.
Type of Bus.
Address
Ciry & State
000l-76/LG. A, Backens
SIO SER\ITM CM{IM.
Undergror:nd Storage Tank Operator
4325 S. Higuera
San Luis Obispo, California
By
Ne 0310
Fee Paid $ 340.00
;;iti; ;: l3i1
Permit
Expires Decsnber 31, 1988
This permit may be suspended or revoked by the Health Officer for cause. This permit is granted on condition that
the person named in the permit will comply with the laws, ordinances and regulations that are now or may
hereafter be in force by the United States Government, the State of California and the County of San Luis Obispo
pertaining to the above mentioned business.
*{*tR
L{)\
c8d\ ,;;'"'-'
\"# p.':
* i,, /;\ _.:
'tt'1n 1
" "-a''\:.!.1.
. . GEORGE B. ROWI.AND, M.D., M.P.H.,' \CountyHealthOfficer POST
'N
A CONSP'CUOUS PLACE
Director of Enrtironmental Health
County of San Luis Obispo
C MEMoRANDUM
To : UST tr,i1e
Department of Public Health
Date January 24, 1989 l
Frorn KLm Dlckey
Suu;rcr : lggg pernits
This faclllty has pald for thetr tgSSrUnderground Storage Tank pernlt, but has notreceived a PERMIT. Due to insufficient infornation for permlt issuance.
s
County of San Luis Obispo,Department of Public Health
]\4EN{ORANDUI\{
To : UST Fil e
Kim DickeyFrom :
Date : March 14, 19BB
1987 Permits
Sun;rcr
This facility has paid for their 1987 Underground Storage Permit, but has not
received a PERMIT. Due to insufficient infornntion for perm'it issuance.
F0tiE illil{r J.lliliElii iE
5i0 $EEVI[tIE r:tNTtit
t'.0, F0I 7640
S:iN FRAllilS[0,[ri ?41?0
*: rjl-itllin r'I
CI], FEtr $l'iiil
STATT FEE: f?24
T0TAL FEt; {5i4 ' iril
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COUNTY OT SAN tUIS OBISPO NO. 2OOOO5
STATE OF CATIFONNIA
San Luis Obiopo, Calif.,,$tr1
RECEIVED OF 7 (l
the sum of 0 ^/L0(
On Account of 2-600 - e)34Oo 7 73-o 33/
tu
/.LTo be Credited to Cash
Fund checks V 4K ryA| D.pt./
PA.II
o7D/(?. (fr 0/
L-
properly credr
F'Gt't AT'lN; J, llal'ttli iE
510 SEF:VIIt[t [iNTt[
l. U, FDI i.q4il
5,rN FRAIICISl0, [A ?4I?i:r
l(c DI
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\r) dorrto '/
t your account please return this portion with your remittance.
*rririi.riini r / oooltUf Z-
cc, Fttr $.1iiir
STATI FEE:$?24 LO '
i0TAL FEt r $5i4, i:ri t T,{76
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