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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 i'i: I-l I tF'' ar" - ,r''!- t 'rF'- '\: 'l i I ; I I l i I .i. .? I+- Fel I TI{Ill HECEIPT; when above for the San l":rrlis GEORGEB.ROTV! ' ; f.il.: CountyHealthOf,,' , *rl...iI I I By Fee Regwt ef 1085?{tA5 trcf0g145ffi cor'-j l-01-4325 S HIGUERA ST sAN LUTS.OBTSPO, CA 93401 {. TANK # DESCRIPTION REFERENCE /AMOUNT$ :.i.ji; iri'. ': ! , r"r ;r-l iril ;Tygoof Eui Addre$* .o:Q$i&,&o.fo l'.ilrarue:o Et tailoo?0*'t ! D,F.A. 8tilrtglgilr*I,t325Idr8G fil 9310'tOHryo, iill. O)t,rii:r'r ol.rl,,(rl).rr.,,!r:il ,[r);(r j,D, ii T({riiil,]j, il,:?1. ::J. jl,,f,r):jl f:iJ( rl:lir li, ((j lii lrl t:jlllr, !._rl;lli{vij((clrl (cl;ililjl;lit //irl.rljj !:i llilJlr(l]jirli{i\ t:ilt l*\ll lrl.irll(,1 (t:r)lt.lr{0,/ (it i ?).t/lia)\l I ll n l,i;\ r,; rl I I I oj ri 1;;,,\l 1,1 1/,1 ! ::)ir11 1, ir illV[:j](:o)Ni (( r)i, IiIilN,li]K(,r,\jilvr\11|ilIt?,iI, IiI0f/,,!i ,riIiI{I ii)i l j rr t'ir\/ ( 0l iilt)r r I I j ir r li t [tiJ lji. 1 1 r,r Jii,l;' ti, lr,ii li)'li' [,i]:il'il,, J:r() lil,';i.rl 'rl, (r;lAI: rl(i it r,; I I"t N/'r ;,rl liIjLt l,Itylt ll,. I 1 (drNl, ll ii i l I ritl ril Itrl ;jil 'rrl) (ri r& rrll J.;111,1,1 iril.ri,jJriirvrr( rl rl (rf rr)Nrdlrr,iirrlil /t !,1,1';!,t' ; ,!r;j jijr. tr C:l:lr]j,ir,tlt,Jl\ li;j,litt, ; j,.'''\r ," , ,,,:r r /, j..:,,. ,. .tii)iit;t;rt;ii.,:aji'tasff iii;r;trroiii;,iott,zlitii;rI,:iirtiiitrll iiltt:t4tlililL l)4 ki u i r ;1 t i t,, t I ltt r.rliji i: La;,' 0,,'., r,lr',,.,(1..,,,r, ri il ilI ii)ri'!t)ilI' !i]iti,,\ilf:i,trlIv,r\:]llr, il ii ti tj 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 $l'iiil STATT FEE: f?24 T0TAL FEt; {5i4 ' iril I l!rf{l -: I ! 1 ut)vt tv/ /_ Lo. ' T,TT6 ffc Dn fu. fb - \r\ot)' ^t\e(, nl a/gv \ U,)rt,I t)1Tlr*L Ltb il' Fe ul C' utt, J :o lr lr o COUNTY OT SAN tUIS OBISPO NO. 2OOOO5 STATE OF CATIFONNIA San Luis Obiopo, Calif.,,$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 fu. fb TbrkL t lv il, . \,\t{tt)' qn' J\p' ^ i \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 {IA!'1lir4