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HomeMy WebLinkAboutSLOUNIFLOW_FS1 Admin iRC3926i Color_2543_001I Environmental Health Services j(805) 781-5544 :P.o.Box 1489 ;2156 Siena Wav Ste. B lsan Luis Obispo. CA 93406 : ,-lr crty o[ san Luls oBlspo FIRE DEPARllIEil' 2160 Sdta BarbaE Av{us'Sn Lu15 Obl6po'CA 93401-5240'{005) 781-7380 "Ctturtesy & SerYice" Dale'. 0810212024 GERTTFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: COUNTY.6 SAN LUIS OBISPO lnsoection Tvpe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment TestinlFacility lD: FA0005138 CERS lD: 1 0437427 Facility Name: CENTURYLINK - SLO - SNLOCAMO Phone: (720)888-1000 Serial Number: DACC4RZBA Aqencv trEHS trcrw FIRE Site Address'.775 Capitolio WaY San Luis Obispo, CA 93401 trCa|ARP DTPEtrAGTtrHW Generator trUSTBHazmatPROGRAMS INSPEGTED: trTPEtrAGTilCalARPtrUSTtrHazmattrHW GeneratorREINSPECTION REQUIRED: PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes YES tr tr tr tr n tr tr NO tr tr tr tr tr tr u N/A VIOL. # tr BP01 BPO2 BPO3 TROl TRO2 EROl ERO3 tr tr tr tr tr tr 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(a)(1)' 25506, 25508(axl), 19 CCR 2652,26s41 Site tayouU facility maps are accurate and submitted electronically (HSC 25505(a)(2)' 25508(aX1)' 19 CCR 26s21 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 (HSC 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25s05(aX3), 25508(aXl), 1gCCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270'4-5;40 CFR 112.8(cX2)I GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local OrdinanceltrtrtrFE01 GPS Coordinates: Latitude: 35.256761 0000 G PS Coord i n ates : Lo n gtitude : -1 20 .6452030000 INSPECTOR: MATHESON BLISS FACILITY REP: Mark Bucis FACTLTTY NAME: CENTU Itrur - slo - sNLocAMo ADDI'- -)s: ABOVEGROUND STORAGE TANK (AST) 775 Capitolio Way San Luis Obispo, CA 93401 tr tr tr tr u n tr tr n tr tr tr tr tr tr tr tr tr n tr tr tr tr tr tr tr tr tr tr tr tr tr tr YES NO N/A VIOL. # trtrtrArol trntrAT20 Ar21 ATO2 ATO3 Ar22 ATO6 ATOT ATOS ATO9 ATlO AT11 AT12 AT13 AT'14 AT15 AT16 AT1 8 A Prevention control and countermeasure (spcc) plan has been prepared and implemented at facility (Note: An SPCG Plan is required for single tanks t,320 gallons or greater or tanks/containers with a cumulative capacity of greater than 1,320 gallons of oil products; for farms, nurseries, construction sites: single tanks greater than 20,000 gallons or tanks with a cumulative capacity of greater than 100,000 gallons. (HSC 25270.4.5/REF. 40 CFR '112.1,112.3(dl' 112'61 SPCC plan has been reviewed and/or evaluated within the last 5 years and completion of the review has been documented (HSG 25270.4'5(allREF' 40 CFR 112.5(b)) SPCC plan has been amended for changes (HSC 25270'4'5(a)/REF. 40 CFR 112.5(a)) The Spill Prevention Control and Countermeasure Plan is maintained on site or at the nearest field office. (HSC 25270.4.51REF. 40 CFR 112.3(e )(1)) Secondary containment for the entire contents of the largest single tank, plus sufficient freeboard to allow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSc 25270.4.5/REF. 40 CFR 112.7(c ), 112.8(c)(2)) Secondary containment drainage restrained by valves/positive means and normally kept closed ( HSc 25270.4.5/RE F. 40 c FR 112.8(bl(21, 1 1 2.8(cX3)) Drainage of any uncontaminated rainwater from secondary containment is documented and recorded. (HSC 25270.4.5; 40 CFR 112.8(cX3Xiv)) Liquid level sensing device is present and tested regularly. (HSC 25270.4.5/REF.40 CFR 112.8(cX8Xv)) The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in non-operating or non-standby status. (HSC 25270.4.5/REF.40 CFR 112.7(g)) The master flow valve (i.e. gate valve, solenoid valve, etc.) and Emergency Shut-off switch are inspected and tested regularly, documented, and records are maintained for three years' (HSC 2527 0.4.'|REF.40 CFR 1 1 2.8(dX4)) Each aboveground tank is tested for integrity (if applicable) on a regular schedule and whenever material repairs are made. (HSC 25270.4.5/REF.40 CFR 112.8(cX6)) Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehicular departure before complete disconnect of flexible or fixed transfer lines' (HSC 2527 0.4.5 |REF.40 C F R 1 1 2.7 (hl(21, 1 1 2. 8(d X5 ) ) Guard posts or other approved means are being provided to protect storage tanks and connected piping, valves, fittings, and dispensers from vehicular damage. (HSC 25270.4.5/REF.40 GFR 112.7(a)(11,'t12.7ttl; CA FIRE CODE 5704.2.9'7.4) Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conducted and documented regularly, and maintained for three years. (HSC 25270'4.51REF.40 cFR 112.7( e), 112.8(d)(4)) There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSC 2527 0.4.iIREF.40 cFR 1 r 2.8(cXl 0)) Facility lighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSC 25270.4.5/REF.40 cFR 112.7(g)) FFacility is fully fenced and locked when facility is unattended. (HSC 25270.4.5/REF.40 CFR 112.7(g)) Spill prevention briefings for operating personnel covering the SPCC Plan are conducted and documented annually to assure adequate understanding of the SPCC Plan. (HSC 25270.4.5/REF.40 cFR 112.7(f)) Spill control equipment is maintained on site. (HSC 25270.4.5/REF.40 CFR 112.7(c)) tr E tr tr tr tr tr tr tr tr u tr tr tr tr tr tr tr AT17 Facility has documented spill history and corrective actions taken. (HSC 25270.4.51REF.40 CFR 112.7) AT19 tr tr \ SUMM,^,{Y OF OBSERVATIONSVIOL }IOITIS No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. SLO CUpA greagy 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. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinct ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA MUSt bE iNfOTMEd iN WTitiNg 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: CENTURYLINK - SLO - SNLOCAMO ADDRESS: 775 Capitolio WaY San Luis ObisPo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Facility in well-maintained condition. Thank you INSPECTED BY: MATHESON BLISS DATE: 08t]2t2024 NAME OF FACILITY REP: Mark Bucis SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has compl ied with the corrective actions listed on is inspection form. Sig nature of Owner/Operator:-Title:- Date COUNTY.6SAN LUIS OBISPO (805) 781-5544 f,a ) Environmental Health :,-. rices ctty o[ san Luls oBlspo FIRE OEPARIMENT 2160 3aila garbaB Avsuo' gao Lub Oblspo, CA 9340t'5240 ' {S05} 781-7380 "Courtesy & Service" GERTTFTED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time:Date: 1113012022 Facility Name: CENTURYLINK - SLO - SNLOCAMO Agency trEHS trctw FIRE lnsoection Type trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testing Site Address: 775 Capitolio Way San Luis Obispo, CA 93401 Phone: (720)888-1000 Facility lD: FA0005138 CERS lD:10437427 Serial Number: DARSCVQXE PROGRAMS INSPEGTED:trHazmat trHWGenerator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT trCa|ARP trTPE pERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NOtrtr trtr trtr trtr trtr trtr trtr BUSINESS PLAN Business plan complete, current, available during inspection and submifted electronically (HSC 25505, 25508(a) (1); 19 CcR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl), 25506, 25508(aX1)' 19 CCR 2652,26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2)' 25508(aXl), 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(aX4)' 25508(aXl), 19CCR 2659' 22CCR6626s.r6) 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(aX3), 25508(aXl), 1gCCR 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 GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.256761 0000 GPS Goord inates : Longtitude i -1 20.6452030000 N/A V|OL. # tr BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 trtrtrFE01 INSPECTOR: MATHESON BLISS FAGILITY REP: Mark Bucis FACILITY NAME: CENTUF^(IINK - SLO - SNLOCAMO ADDEIqFS: ABOVEGROUND STORAGE TANK (Au'r) 775 Capitolio Way San Luis Obispo, CA 93401 YES NO N/A VIOL. # trtrtr4T01 trtrtrAr2o AT21 ATO2 ATO3 AT22 ATO6 ATOT ATO8 tr tr tr tr tr tr EI tr E E tr E E tr tr tr tr tr tr u tr tr tr tr tr tr tr tr tr E tr tr tr tr tr u u u tr A Prevention control and countermeasure (spcc) plan has been prepared and implemented at facility (Note: An SPCC Plan is required for single tanks 1,320 gallons or greater or tanks/containers with a cumulat capacity of greater than 1,320 gallons of oil products; for farms, nurseries, construction sites: single greater than 20,000 gallons or tanks with a cumulative capacity of greater than 100,000 gallons. (HSG 25270.4.51REF. 40 CFR 112.1,112.3(d), 112.6) SPGC plan has been reviewed and/or evaluated within the last 5 years and completion of the review has been documented (HSC 2527O.4.5[aYREF. 40 CFR rr2'5(b)) SPGC plan has been amended for changes (HSC 25270.4.5(a)/REF. 40 CFR 112-5(all TheSpillPrevention Gontroland Gountermeasure Plan is maintained on site oratthe nearestfieldoffice. (HSc 25270.4.5/REF. 40 cFR 112.3(e Xl)) Secondarycontainmentforthe entirecontents of the largestsingletank, plus sufficientfreeboardtoallow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSG 25270.4.51REF. 40 CFR 112.7(c ), 112.8(cX2)) Secondary containment drainage restrained by valves/positive means and nomally kept closed (HSC 2527 0.4.5|REF. 40 C F R 11 2.8(bl(21, I r 2.8(c)(3) ) Drainage of any uncontaminated rainwater from secondary containment is documented and recorded' (HSC 25270.4.5; 40 CFR 112.8(cX3Xiv)) Liquid level sensing device is present and tested regularly. (HSC 25270.4.5/REF.40 CFR 112.8(cX8Xv)) The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in non€perating or non-standby status. (HSC 2527 0.4.5 |REF.40 c F R 112.7 (gll The masterflowvalve (i.e. gate valve, solenoid valve, etc.)and EmergencyShut-off switch are inspected andtested regularly,documented,and recordsaremaintainedforthreeyears.(HSC 25270.4.51REF.40CFR 1r2.8(dX4)) Each aboveground tank is tested forintegrity(if applicable) on a regularschedule and whenever material repairs are made. (HSC 25270.4.5/REF.40 CFR r12'8(c)(6)) Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehiculardeparture before complete disconnectof flexible orfixed transferlines. (HSC 25270.4.5/REF'40 cFR 11 2.7(h)(2), {r2.8(dX5)) Guard posts orotherapproved means arebeing provided toprotectstoragetanksand connected piping' valves, fittings, and dispensers from vehicular damage. (HSC 25270.4.5/REF.40 GFR 112.7(a)(11,112.7(tl; CA FIRE CODE 5704'2'9.7.4) Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conductedanddocumentedregularly,andmaintainedforthreeyears.(HSC25270.4.5/REF.40CFR112.7(el, 112.8(dX4)) There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSG 2527 0.4.5|REF.40 CFR r 1 2.8(cXr 0)) Facility lighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSC 25270.4.5/REF.40 GFR rr 2.7(g)) FFacility is fully fenced and locked when facility is unattended. (HSC 25270.4.5/REF.40 CFR 1f 2.7(g)) Facility has documented spill history and corrective actions taken. (HSC 25270.4.51REF.40 GFR {12.7) Spillprevention briefingsforoperating personnelcoveringtheSPGC Planareconductedanddocumented annually to assure adequate understanding of the SPCC Plan. (HSC 25270.4.5/REF.40 CFR 112.7(f)) Spill control equipment is maintained on site. (HSC 25270.4.5/REF.40 GFR 112.7(c)) tr rl tr tr ATO9 ATIO AT11 AT12 AT13 AT14 AT15 AT16 A 17 AT18 AT19 SUMM -RY OF OBSERVATIONSVIOI \TIONS tr No violations of underground storage tank, hazardous materials, or hazardous t*aste 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 the CUPA in writing ALL VTOLATIONS 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 GUPA from taking administrative, civil, or criminal action. FACILITY NAME: CENTURYLINK - SLO - SNLOCAMO ADDRESS: 775 Capitolio Way San Luis Obispo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: INSPECTED BY: MATHESON BLISS DATE: 1'113012022 NAME OF FACILITY REP: Mark Bucis SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE n: I certify under penalty of periury that this facility has complied with the corrective actions listed on is inspection form. ignature of Owner/Operato Title Date: , l') .Environmental Healt .-rvices l(805) 781-5544 jP.O.Box 1489 12156 Siena Way Ste. B lSan Luis Obisoo. CA 93406 ctty o[ $an Lurs oBrspo FIRE OEPARTMENT 2160 Santa Ba.ban Avilu6' San Luh Oblspo, CA 93401-5248 " {805) 741-?380 "Courtesy & Service" Date: 1111612021 CERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: COUNTY bSANLUIS OBISPO Facility Name: CENTURYLINK - SLO - SNLOCAMO Aoencv trEHS trCITY FIRE lnsoection Tvoe trRoutine [JReinspection uChargeable Reinspection uchange of Ownership uComplaint [lSecondary Containment Testing ElChargeable Secondary Containment Testinl Site Address: 775 Capitolio Way San Luis Obispo, CA 93401 Phone: (720)888-1000 Facility lD: FA0005138 Serial Number: DAAFOTTLO PROGRAMS INSPECTED:ElHazmat trHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT trCa|ARP trTPE PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES tr tr tr tr tr tr tr tr tr tr tr tr tr u N9 tr tr tr tr tr tr tr 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 layouU facility 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), 19CCR 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, submitted electronically, maintained onsite (HSG 25505(a)(3), 25508(aX1), 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 tl tl FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.256761 0000 G PS Coord i n ates : Lonqtitude : -120.6452030000 N/A VIOL. # tr BPO1 BPO2 BPO3 TROl TRO2 EROl ERO3 INSPECTOR: MATHESON BLISS FACILITY REP: Mark Bucis FACILITY NAME: CEN TU-trXLINK - ) A'rrOVEG SLO. SNLOCAMO ADDFT€S: ROUND STORAGE TANK (Au f) 775 Capitolio Way San Luis Obispo, CA 93401 YES tr NO N/A VIOL. # tr tr ATol trtrtrAT20 AT21 ATO2 ATO3 AT22 ATO6 ATOT ATOS ATO9 ATlO AT18 tr tr tr tr u tr B tr tr u tr E tr tr tr tr tr B tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr A Prevention control and countermeasure (spcc) plan has been prepared and implemented at facility (Note: An SPCC Plan is required for single tanks 1,320 gallons or greater or tanks/containers with a cumulative capacity of greater than 1,320 gallons of oil products; for farms, nurseries, construction sites: single tanks greater than 20,000 gallons or tanks with a cumulative capacity of greater than 100,000 gallons. (HSC 25270.4.5/REF. 40 CFR 112.1,112.3(d), 112.6) SPCC plan has been reviewed and/or evaluated within the last 5 years and completion of the review has been documented (HSC 25270.4.5(a)/REF. 40 CFR 112.5(b)) SPCC plan has been amended for changes (HSC 25270.4.5(a)/REF. 40 CFR 112.5(all The Spill Prevention Control and Gountermeasure Plan is maintained on site or at the nearest field office. (HSC 25270.4.5|REF. 40 CFR 112.3(e Xl)) Secondary containment for the entire contents of the largest single tank, plus sufficient freeboard to allow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSC 25270.4.5/REF. 40 cFR 112.7(c ), 112.8(cX2)) Secondary containment drainage restrained by valves/positive means and normally kept closed (HSc 25270.4.5/REF. 40 CFR {12.8(bX2), rr2.8(c)(3)) Drainage of any uncontaminated rainwater from secondary containment is documented and recorded. (HSC 25270.4.5; 40 CFR r12.8(cX3Xiv)) Liquid level sensing device is present and tested regularly. (HSC 25270.4.5/REF.40 CFR 112.8(c)(8)(v)) The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in non-operating or non-standby status. (HSC 25270.4.5/REF.40 CFR 112.7(g)) The master flow valve (i.e. gate valve, solenoid valve, etc.) and Emergency Shut-off switch are inspected and tested regularly documented, and records are maintained for three years. (HSC 2527 0.4.5|REF.40 CFR I I 2.8(d X4)) Each aboveground tank is tested for integrity (if applicable) on a regular schedule and whenever material repairs are made. (HSC 25270.4.5/REF.40 CFR f 12.8(c)(6)) Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehicular departure before complete disconnect of flexible or fixed transfer lines. (HSG 25270.4.5,IREF.40 CFR 112.7 (hl(21, I I 2.8(dX5)) Guard posts or other approved means are being provided to protect storage tanks and connected piping, valves, fittings, and dispensers from vehicular damage. ( HSc 25270.4.5/REF.40 C FR 1 1 2.7(a) (11, 112.7 $l; CA FIRE C.ODE 57 04.2.9.7.41 Spill prevention briefings for operating personnel covering the SPCC Plan are conducted and documented annually to assure adequate understanding of the SPGC Plan. (HSC 25270.4.5/REF.40 cFR 112.7(f)) Spill control equipment is maintained on site. (HSC 25270.4.5/REF.40 CFR 112.7(c)) tr tr tr ATlI AT12 AT13 Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conducted and documented regularly, and maintained for three years. (HSG 25270.4.51R8F.40 cFR 112.7( e), 1r2.8(dX4)) There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSG 2527 0.4.51REF.40 cFR 1r 2.8(c)(1 0)) Facility lighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSc 25270.4.5/REF.40 CFR r I 2.7(g)) FFacility is fully fenced and locked when facility is unattended. (HSC 25270.4.5/REF.40 CFR 112.7(g)) AT14 AT15 AT16 AT17 Facility has documented spill history and corrective actions taken. (HSG 25270.4.51REF.40 CFR 112.7) tr tr tr tr AT19 tr suMM-RY OF OBSERVAT|ONSVIOI,-T|ONS No violations of underground &torage tank, hazardous materials, or hazardous r{aste 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 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 GUPA from taking administrative, civil, or criminal action. FACILITY NAME: CENTURYLINK - SLO - SNLOCAMO ADDRESS: 775 Capitolio Way San Luis Obispo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: INSPECTED BY: MATHESON BLISS DATE: 1111612021 NAME OF FACILITY REP: Mark Bucis SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of periury that this facility has complied with the corrective actions listed on this inspection form. Signature of Title:- Date COUNTY bSAN LUIS OBISPO ^\ crty o[ san lurs onrspo FIRE DEPARlIilE}IT 2160 Sill. Barban Avmuo'se Lub obbpo,CA 93t0t-5210'(805) 78t-738{, "Courtesy & Service" Date: 10/30/2019 CERTTFTED UNIFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: CENTURYLINK - SLO - SNLOCAMO Aoencv trEHS trCITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint [lSecondary Containment Testing trChargeable Secondary Containment Testing Site Address:775 Capitolio Way San Luis Obispo, CA 93401 Phone: (720)888-1000 Facility lD: FA0005138 Serial Number: DACWIG3NU PROGRAMS INSPECTED:BHazmat EHW Generator trUST trAGT UCaIARP trTPE REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT trCalARP trTPE PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Mark Bucis Title: Field Technician YES NOEtr trtr Etr trtr trtr trtr trtr BUSINESS PLAN Business plan complete, current, available during inspection and submifted electronically (HSC 25505, 25508(a) (1); 19 ccR 2651) tnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl), 25506, 25508(a)(1), 19 CCR 2652,26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aXl), 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(aX1), 19CCR 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, submitted electronically, maintained onsite (HSC 25505(a)(3), 25508(aX1), l9CCR 2658, 2zCCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(c) (2)l GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.256761 0000 GPS Coord i nates : Lon gtitude : -120.6452030000 N/A VIOL. # tr BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 INSPECTOR: KERRY BOYLE FACILITY REP: Mark Bucis FACILITY NAME: YES NSI N/A V|OL. # tr tr tr Ar0,l trtrtrAr20 AT21 ATO2 ATO3 AT22 ATO6 ATOT ATOS ATO9 ATlO AT11 AT12 AT13 AT14 AT15 AT16 CENTLTI*1L|NK - SLO - SNLOCAMO ADD,'P-\S: A3OVEGROUND STORAGE TANK (AsT) 775 Capitolio Way San Luis Obispo, 94 93401 tr tr tr tr E tr E tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr A Prevention control and countermeasure (spcc) plan has been prepared and implemented at facility (Note: An SPCC Plan is required for single tanks 1,320 gallons or greater or tanks/containers with a cumulat capacity of greater than 1,320 gallons of oil products; for farms, nurseries, construction sites: single greater than 20,000 gallons or tanks with a cumulative capacity of greater than 100,000 gallons. (HSC 2527 0.4.5IREF. 40 CFR 112.1, 112.3(d), 1 1 2.6) SPCG plan has been reviewed and/or evaluated within the last 5 years and completion of the review has been documented (HSC 25270.4.5(allREF. 40 CFR 112.5(b)) SPCC plan has been amended for changes (HSC 25270.4.5(a)/REF. 40 CFR 1f 2.5(a)) The SpillPrevention Controland Countermeasure Plan is maintained on site oratthe nearestfieldoffice. (HSC 25270.4.5/REF. 40 CFR 112.3(e Xl)) Secondarycontainmentforthe entirecontents of the largestsingletank, plus sufficientfreeboardtoallow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSG 25270.4.51REF.40 CFR 112.7(c ), r12.8(cX2)) Secondary containment drainage restrained by valves/positive means and normally kept closed (HSG 2527 0.4.5 IREF. 40 C FR'11 2.8lbl(21, I 1 2.8(c X3)) Drainage of any uncontaminated rainwater from secondary containment is documented and recorded. (HSC 25270.4.5; 40 CFR 1r2.8(cX3Xiv)) Liquid level sensing device is present and tested regularly. (HSC 25270.4.5/REF.40 CFR f f 2.8(cX8Xv)) The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in nonoperating or non€tandby status. (HSC 2527 0.4.5|REF.40 CFR 112.7 (gll The masterflowvalve (i.e. gatevalve, solenoid valve, etc.)and Emergency Shut-off switch are inspected andtested regularly,documented,and recordsaremaintainedforthreeyears. (HSG 2527O.4.5|REF.40CFR 112.8(dX4)) Eachaboveground tank is testedforintegrity(if applicablelon a regularscheduleandwhenevermaterial repairs are made. (HSC 25270.4.5/REF.40 GFR 1r2.8(cXG)) Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehicutardeparture before complete disconnectof flexible orfixed transferlines. (HS,C25270.4.51REF.40 cFR 1r2.7(h)(2), 112.8(dX5)) Guard posts orotherapproved means are being provided toprotectstoragetanksand connected piping' valves, fittings, and dispensers from vehicular damage. (HSc 25270.4.5/REF.40 CFR 112.7(aX11,112.7$l; CA FIRE GODE 5704.2.9.7.4) Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conductedanddocumentedregularly,andmaintainedforthreeyears.(HSC25270.4.5/REF.40CFR112.7(el, 1r2.8(dX4)) There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSC 2527 0.4.51REF.40 CFR 1 1 2.8(cXl 0)) Facility lighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSC 25270.4.5/REF.40 cFR I I 2.7(g)) FFacility is fully fenced and locked when facility is unattended. (HSC 25270.4.5/REF.40 CFR 112.7(g))n tr tr tr tr tr tr tr AT17 Facility has documented spill history and corrective actions taken. (HSC 25270.4.51REF.40 CFR 112.7) ATIS Spillprevention briefingsforoperating personnelcoveringtheSPCCPlanareconductedanddocumented annually to assure adequate understanding of the SPCG Plan. (HSC 25270.4.5/REF.40 CFR f 12.7(0) AT19 Spill control equipment is maintained on site. (HSC 25270.4.5/REF.40 GFR f 12.7(c)) suM[r*Ry oF oBSERVAT|ONSV|O'"- (rtONS tr No violations of underground s -wrage 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. tr Violations were obseryed/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 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. FACILITY NAME: CENTURYLINK - SLO - SNLOCAMO ADDRESS: 775 Capitolio Way San Luis Obispo, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Facility is under permit for the AGT program and has completed/submitted an SPCC plan, all paperwork in good order. HMBP has been submitted electronically for CY 2019 via CERS database. No violations noted. INSPECTED BY: KERRY BOYLE DATE: 10t30t2019 NAME OF FACILITY REP: Mark Bucis 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 Owner/Operator:- Title:- Date:- ru!I t; Datez / Time: *,dT T i, -1 6r lrils ffiryoGounty of San Luis ObisPo Environmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 ,: Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401'5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by: o/w,'Xt/f FACILITY NAME Result Code: -70 -80 -90Action Code: _32 -37 -33 -31 Reinspection Other Routine Complaint AGENCYE EHsn nc DEPT , l-l- clty Flne . \, v , J,/ PHONE:I ffnor ncnlnnpI usr,Business Plan n xw GeneratorPROGRAMS INSPECTED: n usr ffio"'ncnr-nnpn Hw GeneratorBusiness Planofi'*o I YESREINSPECTION REQUIRED: and andlewtrevngcopyingphotographs,lngISSION TO INSPEGT: withrmt codes. GRANTED BY may involve YE ,n_Evfl La,F La', F,' IE IE,, NiAnnn !n n n cosnnn un tr T NOnnn nn tr ntr NTnn BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl A"I02 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (Hsc 25504, Title 19 ccR2729) Site layout/facility maps are accurate (HSC 25504' Title 19 CCR2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 66265.16\ EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (IISC 25504, Titte 19 CCR273I & 22 ccR s 6626s.s3ts4) Facitifo 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 equipmentincludinganalarmandcommunicationssystem(Title19CCR2731 &22CCR66265,31- .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT SpCC Plan is reviewed and certified try a registered engineer within last 5 yrs. (40 CFR 112.5(b)) SPCC Plan is maintained on site or nearest field office; (HSC 25270) to http://www materials.htm, to obtain forms to with BPO1-8P03, TRO1 EROl INSPECTOR: decimal min F'ACILITY REP: decimal minGPS Coordinates: Latitudel deg -min- COUNTY bSAN LUIS OBISPO '"1 Environmental H€:.,u r Services r(805) 781-5544 lP.O.Box 1489 i2156 Sierra Wav Ste. B l@ z-\,) crty o[ san Lurs oBlspo FIRE OEPAR'TMENT 2160 Sania Barbaa Avsuo' San Lub Obbpo, CA 93101-52{0 ' {81}5) 781-7380 "Cotvtesy & Servit:e" Date:0212212019 GERTIF|ED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: trCITYFlRE trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Facility Name: LEVEL 3 COMMUNICATIONS - SLO -trEHS Testi Phone: (720)888-1000 Site Address:775 Capitolio Way San Luis Obispo, CA 93401 lnsoection Tvoe trRoutine Facility lD: FA0005138 Serial Number: DAPCRCS2Q AAGT trCalARP trTPEPROGRAMS INSPEGTED:trHazmat trHWGenerator trUST UCaIARP trTPEREINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. Title: Field TechnicianGRANTED BY (NAME/TITLE): Name: Mark Bucis YES NOtrtr trtr trtr trtr Etr trtr trtr trtr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSG 25505, 25508(a) (1); 19 GGR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl), 25506, 25508(axl), 19 CCR 2652,26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aX1), 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(a)(1), 19CCR 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, submitted electronically, maintained onsite (HSG 25505(a)(3), 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(c) (2)l GENERAL EH VIOLATIONS tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel GPS Coordinates: Latitude: 35.256761 0000 G PS Coord inates : Lon gtitude : -120.6452030000 N/A VIOL. # tr BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 tr tr tr tr INSPECTOR: KERRY BOYLE FACILITY REP: Mark Bucis FACILITY NAME: YES NO N/A VIOL. # trtrtrAT01 trtrtrAr20 AT21 Am2 Am3 AT22 Am6 ATOT ATOS ATO9 ATlO AT11 AT12 AT13 AT14 AT15 AT16 LEV-'..3 COMMUNICATIONS - SLO - AP'\FESS: sNL''AbUqEGRouND sroRAGE rANK (ASr) 775 Capitolio Way San Luis Obispo, CA93401 tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr cl tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr A Prevention control and countermeasure (spcc) plan has been prepared and implemented at facility (Note; An SPGG Plan is required for single tanks 1,320 gallons or greater or tanks/containers with a cumulat capacity of greater than {,320 gallons of oil products; for farms, nurseries, construction sites: single greater than 20,000 gallons or tanks with a cumulative capacity of greater than 100,000 gallons. (HSC 25270.4.5|REF. 40 CFR 112.1, 112.3(dl, 112.61 SPCC plan has been reviewed and/or evaluated within the last 5 years and completion of the review has been documented (HSG 25270.4.5(allREF. 40 CFR 112.5(b)) SPCG plan has been amended for changes (HSC 25270.4.5(a)/REF. 40 CFR 1f 2.5(a)) TheSpillPrevention Controland Gountermeasure Plan is maintained on site oratthe nearestfieldoffice. (HSC 25270.4.5/REF. 40 CFR 112.3(e Xi)) Secondary containmentforthe entirecontents of the largestsingle tank, plus sufficientfreeboard toallow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSC 25270.4.5|REF.40 CFR 112.7(c ), 112.8(cX2)) Secondary containment drainage restrained by valves/positive means and normally kept closed (HS(, 2527 0.4.5 IREF. 40 c F R 11 2.8(bl(21, r 1 2.8(c X3)) Drainage of any uncontaminated rainwater from secondary containment is documented and recorded. (HSC 25270.4.5; 40 CFR 112.8(cX3Xiv)) Liquid level sensing device is present and tested regularly. (HSC 25270.4.5/REF.40 CFR f 12.8(cX8Xv)) The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in non-operating or non-standby status. (HSC 2527 0.4.5 t REF.40 C FR I 1 2.7 (gll Themasterflowvalve (i.e. gate valve, solenoid valve, etc.)and Emergency Shut-offswitch are inspected andtested regularly,documented,and recordsaremaintainedforthreeyears. (HSG 25270.4.51REF.40CFR r{2.8(dx4)) Each aboveground tank is tested for integrity (if applicable) on a regularschedule and whenever material repairs are made. (HSC 25270.4.5/REF.40 CFR 112.8(cXG)) Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehicular departure before complete disconnectof flexible orfixed transferlines. (H5C25270.4.5/REF.40 cFR 1 r2.7(h)(2), 1 r2.8(dX5)) Guard posts orotherapproved means are being provided to protectstoragetanks and connected piping, valves, fittings, and dispensers from vehicular damage. (HSc 25270.4.5/REF.40 GFR I I 2.7(a)( 11, 11 2.7 ltl; CA FIRE CODE 57 04.2.9.7 .41 Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conductedanddocumentedregularly,andmaintainedforthreeyears.(HSC25270.4.5/REF.40CFR112.7(el, 112.8(dX4)) There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSC 25270.4.'|REF.40 CFR I I 2.8(c)(r 0)) Facility tighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSC 25270.4.5/REF.40 CFR 1 1 2.7(g)) FFacility is fully fenced and locked when facility is unattended. (HSC 25270.4.5/REF.40 GFR 112.7(g)) tr tr tr AT17 Facility has documented spill history and corrective actions taken. (HSC 25270.4.51REF.40 GFR 112'7) AT,I8 Spillprevention briefingsforoperating personnelcoveringtheSPCC Planareconductedand documented annually to assure adequate understanding of the SPGC Plan. (HSC 25270.4.5/REF.40 CFR 1 12.7(f)) AT19 Spill control equipment is maintained on site. (HSC 25270.4.5/REF.40 CFR 112.7(c)) SUM-'-}ARY OF OBSERVATIONSVI. \.ATIONS tr No violations of undergrourid storage tank, hazardous materials, or hazarclous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. D 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 the CUPA in writing ALL VIOLATTONS 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 $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: LEVEL 3 COMMUNICATIONS - SLO - SNLOCAMO VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED ADDRESS: 775 Capitolio Way San Luis Obispo, CA 93401 INSPECTION COMMENTS: SPCC Plan is current and available on site. All paperwork and permits are in good order. HMBP to be updated electronically and submitted via CERS database for CY 2019. INSPECTED BY: KERRY BOYLE DATE:02222019 NAME OF FACILITY REP: Mark Bucis SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on is inspection form Sig natu re of Owner/Operator:- Title:- Date:- County of San Luis Obispo ,--\ cffvo[ sari hils ortspoEnvironmental Health Services (805) 781-5s44 P.O. Box'1489 2156 Sierra Way San Luis Obispo, CA 93406 Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by: FACILITY NAME Complaint n Otner Result Code: _70 _80 _90 Action Code: 32 37 33 31 Routine ReinspectionEHS AG DEPT TY FIRE PHONE n usr p/aer IcnnnegEf Business etan n |-lw GeneratorPROGRAMS INSPECTED: n Hw Generator n usr daer Icru-nneREINSPECTION REQUIRED:l,s*o tr YES Plan4fru"in""" PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and letermining compliance with adopted codes. GRANTED BY (NAME/TITLE): nx$aVlerr YES Ln. ffi H ua El/ ,H N/Antrn ntr n n cosnnu nu n n NOuntr nn BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory,of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layout/facilif maps are accurate (HSC 25504' Title 19 CCR2729) i TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504' Title 19 CCR273I & 22 ccR s 6626s.s3ts4) 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- .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) SPCC Plan is maintained on site or nearest field office. (HSC 25270) trInnnn COMMENTS Goto to obtain foms to with BP01 I andER0l TNSPECTOR: mrn FACILITY REP: GPS Coordinates: Latitude: deg min Longitude:_deg -min-decimal min /)44fl ld ';;{tic: f 7fr.5"; ",1,3)'- I .:q t COUNTY b SAN LUIS oEISPO .-\ I Environmental Health --rvices (805) 781-5544 P.O.Box 1489 2156 Sierra Way Ste. B San Luis Obispo. CA 93406 crty o[ -Jan tuls oBtspo FIRE DEPARIilEI'T 2160 Sala Barbac Avsuo' Sa Lub Obbpo, CA 93101-52,10 ' (8{E} 78t"7380 "Colfftesy & Service" GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date:0212212018 I 6' BUSINESS PLAN Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 ccR) 66265.16 EMERGENCY RESPONSE PLAN Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR S 66265.53/54) Facility is operated and maintained to prevenUminimize/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 CCR2731&22 ccR 66265.31-.37, 40CFR I 265.31) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5; 40 CFR 112.8(cX2)l GENERAL EH VIOLATIONS YES NO N/Atrtrtrtrtrtrtrtrtr trtrtrtrtrtr trtrtr trtrtr BPOl BP02 BPO3 TROl TRO2 EROl ERO2 trEtrER03 tr tl tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2567610000 GPS Coordinates: Lonqtitude. -120.6452030000 rl /V/T lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testint Facitity Name: LEVEL e coulvrlrrrrcnrfirtri"- slo 1\ SNLOCAMO V Phone: (720)888-1000 Aoencv trEHS trCITY FIRE Site Address 775 Capitolio Way San Luis Obispo, CA 93401 Facility lD: FA0005138 Serial Number: DAOGGSYSR trCa|ARP trTPEEHW Generator DUST trAGTPROGRAMS INSPEGTED:EHazmat trTPEtrHW Generator trUST trAGT trCalARPREINSPECTION REQUIRED:trHazmat PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. c RANrE D BY ( NAM E/rrrLE) : *"'"',ffiI/$rd),,.$Title: Field Technician INSPECTOR: KERRY BOYLE FACILITY REP: Mike Seiler FACILITY NAME:LEVEL'\OMMUNICATIONS-SLO- ADpr:=1SS SNLoAEdqEGRouND sroRAcE TANK (Au i) 775 Capitolio Way San Luis Obispo, CA 93401 YES tr tr tr tr tr tr tr tr B tr tr tr tr tr tr tr tr tr tr N9 a tr tr tr tr tr tr u tr tr tr tr tr tr tr tr u tr tr N/A VIOL. # tr ATOI A Spill Prevention Control and Countermeasure Plan (SPCC) has been prepared and certified either by a registered engineer or self-certified (if a qualified facility) within last 5 yrc. (Note: An SPCC Plan is required for single tanks 1,320 gallons or greater or tanks/containers with a cumulative capacity of greater than 1,320 gallons of oil products; for farms, nulseries, construction sites: single tanks greater than 20,000 gallons or tanks with a cumulative capacity of greater than lOo,ooo gallons. (HSC S25270.4.5)/(ref.40 CFR $112.1)/(ref.40 cFR $112.3(d)/(ref.40 CFR 5112.6) tr AT02 The Spill Prevention Gontrol and Countermeasure Plan is maintained on site or at the nearest field office. (HSG $25270.4.5)(ref.40 cFR S 1r2.3(e)) tr AT03 Secondary containment for the entire contents of the largest single tank, plus sufficient freeboard to allow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSc S25270.4.5)/(ref. 40 cFR Slr2.8(cX2)) tl AT04 Drainage from the secondary containment is restrained by valves or other positive means. (HSc 525270.4.5)/(ref. 40 cFR $r r2.8(c)(3)) tr AT05 Drainage valves installed in the secondary containment are normally closed. (Hsc S25270.4.5)/(ref. 40 cFR 5112.8(cX3Xi)) tl ATOG Drainage of any uncontaminated rainwater from secondary containment is documented and recorded. (HSC S25270.4.5)/(ref. 40 CFR $112.8(cX3)) tr AT07 Liquid levelsensing device is presentand tested regularly. (HSC 525270.4.5)/(ref' 40 CFR $112.8(c) (8Xv)) tr AT08 The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in non-operating or non-standby status. (HSC S25270.4.5)(ref. 40 cFR Srr2.7(gX2)) tr AT09 The master flow valve (i.e. gate valve, solenoid valve, etc.) and Emergency Shut-off switch are inspected and tested regularly, documented, and records are maintained for three years. (HSC $25270.4.5)/(ref. 40 cFR 5112.8(dX4)) tr AT10 Each aboveground tank is tested for integrity (if applicable) on a regular schedule and whenever material repairs are made. (HSC S25270.4.5/(ref. 40 CFR Sif 2.8(cXO)) tr AT11 Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehicular departure before complete disconnect of flexible or fixed transfer lines. (HSC S25270.a.5)/(ref. 40 cFR 5112.7(h)(2y(ref. 40 CFR S r12'8(dX5)) tr AT12 Guard posts or other approved means are being provided to protect storage tanks and connected piping, valves, fittings, and dispensers from vehicular damage. (HSc 525270.4.5)/(ref. a0 CFR $112.7(c))/(GA Fire Gode $3404.2.9.6.5)/ ref.40 CFR 5112.70))/(ref.40 CFR sr12.8(dx5))tr AT13 Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conducted and documented regularly, and maintained for three years. (HSG $25270'4.5)/(ref' 40 cFR $r 1 2.6(c)(4))/(ref. 40 CFR $1 12.7(e))/(ref. 40 cFR 51 I 2.8(dX4)) tr AT14 There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSC $25270.4.5)/(ref. 40 cFR $112.8(c)(10)) tr ATlS Facility lighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSc S25270.4.5)/(ref. 40 cFR 51 17.2(gX5)) tr AT16 FFacility is fully fenced and locked when facility is unattended. (HSC S25270.4.5)/(ref. 40 CFR $f 12.7(g (1 )) tr AT17 Facility has documented spill history and corrective actions taken. (HSG S25270.a.5)/(ref' 40 CFR sr12.7) tr ATIS Spill prevention briefings for operating personnel covering the SPGG Plan are conducted and documented annually to assure adequate understanding of the SPGG Plan. (HSC S25270.4.5)/(ref. 40 cFR S112.7(f)) tr AT19 Spill control equipment is maintained on site. (HSC S25270.4.5)/(ref. 40 CFR $112.7(c)) SUMM^RY OF OBSERVATIONSruIO'- \TIONS tr No violations of underground storage tank, hazardous materials, or hazar[ious waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to yot 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, olease inform the CUPA in writinq. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing w certification that compliance has been achieved. A false statement that compliance has been achieved is a violatior 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: LEVEL 3 COMMUNICATIONS - SLO - SNLOCAMO ADDRESS: 775 Capitolio Way San Luis Obispo, CA 93401 VIOL. NO ATOl VIOLATIONS CORRECTIVE ACTION REQUIRED PREPARE AND PROVIDE A COPY OF A SPILL PREVENTIOA/ CONIROT AND COUNTERMEASURE PLAN TO YOUR INSPECTOR WITHIN 60 DAYS OF THIS NOTICE. THE FINE FOR THIS VIOLATION /S 4N INITIAL PENALW OF $5,OOO PER DAY, PER VIOLATION AND/OR $1O,OOO PER DAY PER VIOLATION FOR EACH REPEAT OFFENSE. INSPECTION COMMENTS: Updated HMBP to be completed by 313112018 for CY 2018. Facility in good order and no violations noted during facility inspection. Need 5 year certification for SPCC Plan signed and stamped by a P. E. All else ok. INSPECTED BY: KERRY BOYLE DATE: 0?/222018 NAME OF FAGILITY REP: Mike Seiler SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE rtification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on is inspection form. of Owner/O Title: Date:- -) County of San Luis Obispo Environ mental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 " Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 'l'' cffypt- san luls -l CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPEGTION FORM EFW data entry by: o^r",71f;fr Time:1''' costrtrn nn ! n NOnnn tru tr tr YES ,n ffi d ,a E bd ,d.E N/A BUSINESS PLAN Business plan is completeo current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layout/facility maps are accurate (HSC 25504, Title 19 CCR2729) TRAININGPLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is completeo updated, and maintained on site (HSC 25504' Title 19 CCR273L & 22 ccR s 6626s.s3/s4) 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 appropiiate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265.31- .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT SPCC Ptan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b) SPCC Plan is maintained on site or nearest field office. (HSC 25270) u!trtr BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl ATO2 FACILITY NAME: ADDRESS: AGENCYn eHsn no DEPTn crTY F|RE Complaint n Otner Result Code: _70 _80 Action Code: 32 37 9033 31 Routine Reinspection J P'aar !cnmnp,dgusiness PIan I xw Generator n usrPROGRAMS INSPECTED: fl usr p"ear Icnmne,F'business Plan n lw GeneratorREINSPECTION REQUIRED:[g*o N YES PERMISSION TO INSPEGT: tnspections may involve obtaining photographs, reviewing and copying records, and determininq compliance with adopted codes. GRANTED BY (NAME/TITLE)r Go to http://www materials.htm, to obtain forms to comply with BPO1 TR01 andER0l INSPECTOR: mrn FACILITY REP I decimal minGPS Coordinates: Latitude: _deg ) Environmental Health Services (q05) 7815544 P.O.Box 1489 2156 Sierra Wav Ste. B San Luis Obispo, CA 93406 , t\ cltvOr aili lrfts ontspo Fire Department (80$ 7817380 2160 Santa Barbara Avenue Date: 1110712016 San Luis Obispo CA 934015240 GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: LEVEL 3 COMMUNICATIONS - SLO - SNLOCAMO Aoencv I]EHS trCITY FIRE lnspection Tyoe trRoutine ElReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing uChargeable Secondary Containment Testinl Site Address: 775 Capitolio Way San Luis Obispo, CA 93401 Phone: (720)888-0676 Facility lD: FA0005138 Serial Number: DAC9LIUUM PROGRAMS INSPECTED ElHazmat trHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED trHazmat trHW Generator trUST trAGT trCa|ARP trTPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Mark Bucis Title: Field Technician YES NO N/Atrtrtrtrtrtrtrtrtr BUSINESS PLAN Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 56265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 &22 ccR) 66265.16 EMERGENCY RESPONSE PLAN Emergency response/contingency plan is complete, updated, and maintained on site (HSG 25504, Title 19 CCR 2731 & 22 CCR S 66265.53/54) Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materials/raraste 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 (dX2), 40CFR 1 265.31) Secondary containment is installed and sufficiently impervious to discharges. lcHsc 25270.4.5; 40 CFR't 1 2.8(cl(2ll GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2567610000 GPS Coordinates: Lonstitude: -120.6452030000 BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ERO3 E tr u u tr tr tr D u u trtr INSPECTOR: KERRY BOYLE FACILITY REP: Mark Bucis FACILITY NAME: LEVEL 3 ,MMUNICATIONS - SLO - ADDR i sNLof,i$UVEGRouND sroRAGE rANK (Asr) YES 775 Capitolio Way San Luis Obispo, CA 93401 N/A VIOL. # tr ATOI A Spill Prevention Control and Gountermeasure Plan (SPCC) has been prepared and certified either by a registered engineer or self-certified (if a qualified facility) within last 5 yrs. (Note: An SPCC Plan is required for single tanks 1,320 gallons or greater or tanks/containers with a cumulative capacity of greater than 1,320 gallons of oil products; for farms, nulseries, construction sites: single tanks greater than 20,000 gallons or tanks with a cumulative capacity of greater than 100,000 gallons. (HSC S25270.4.5)/(ref.40 CFR $112.{)/(ref. 40 CFR 5r12.3(d)/(ref.40 CFR Srr2'6) tr AT02 The Spill Prevention Control and Countermeasure Plan is maintained on site or at the nearest field office. (HSC $25270.4.5)(ref.40 CFR $ 112.3(e)) tr AT03 Secondary containment for the entire contents of the largest single tank, plus sufficient freeboard to allow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSc S25270.4.5)(ref. 40 cFR 5112.8(cX2)) tr ATO4 Drainage from the secondary containment is restrained by valves or other positive means. (HSc S25270.4.5)/(ref. 40 cFR $1r2.8(c)(3)) tr ATO5 Drainage valves installed in the secondary containment are normally closed. (HSc $25270.4.5)(ref. 40 cFR 51{2.8(cX3Xi}) tr AT06 Drainage of any uncontaminated rainwater from secondary containment is documented and recorded. (HSC S25270.4.5)/(ref. 40 CFR $r12.8(c)(3)) tr AT0z Liquid level sensing device is present and tested regularly. (HSC S25270.4.5)(ref. 40 CFR $f 12.8(c) (8Xv)) tr AT08 The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in non-operating or non-standby status. (HSc 525270.4.511(ref .40 CFR 5112.7(gX2)) tr ATO9 The master flow valve (i.e. gate valve, solenoid valve, etc.) and Emergency Shut-off switch are inspected and tested regularty, documented, and records are maintained for three years. (HSC S25270.4.5)(ref- 40 cFR Sl 12.8(dX4)) tr AT1O Each aboveground tank is tested for integrity (if applicable) on a regular schedule and whenever material repairs are made. (HSC S25270.4.5)(ref.40 CFR Sf 12.8(cX6)) tr ATil Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehicular departure before complete disconnect of flexible or fixed transfer lines. (HSG $25270.4.5)/(ref. 40 cFR S{ 1 2.7(hx2y(ref. 40 GFR S 1 1 2'8(dX5)) tr AT12 Guard posts or other approved means are being provided to protect storage tanks and connected piping, valves, fittings, and dispensers from vehicular damage. (HSc 525270.4.5[(ref. 40 cFR Sl 12.7(c))/ (GA Fire Code $3404.2.9.6.5}/ ref. 40 CFR Sl 12.70])(ref. 40 CFR s112.8(dX5))tr AT{3 Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conducted and documented regularly, and maintained for three years. (HSC $25270.4.5)(ref. 40 cFR $r I 2.6(c)(4))/(ref. 40 cFR Sl 1 2.7(e))/(ref. 40 cFR Sl 1 2.8(dX4)) tr ATl4 There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSG $25270.4.5)/(ref. 40 cFR $1 12.8(cX10)) tl ATIS Facility lighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSc 525270.4.51t(ref .40 cFR 5117.2(gX5))tr ATtO FFacility is fully fenced and locked when facility is unattended. (HSC $25270.a.5)/(ref. 40 CFR 5112.7(g (r )) tr AT17 Facility has documented spill history and corrective actions taken. (HSC S25270'4.5)/(ref. 40 CFR sl12.7) tr ATIB Spill prevention briefings for operating personnel covering the SPCC Plan are conducted and documented annually to assure adequate understanding of the SPCG Plan. (HSC S25270.4.5[(ref, 40 cFR S{r2.7(0) tr AT19 Spill control equipment is maintained on site. (HSC S25270.4.5)(ref.40 CFR $1{2'7(c)} NO utr tr EI tr tr tr tr tr tr tr EI tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr SUMMA I OF OBSERVATIONS/VIOL. -.IONS tr No violations of underground storage tank, hazardous materials, or hazardous waste lawslregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to yot 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, olease inform the GUPA in writinq. ALL VTOLATTONS MUST BE CORRECTED W|THIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing w certification that compliance has been achieved. A false statement that compliance has been achieved is a violatior of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the GUPA from taking administrative, civil, or criminal action. FACILITY NAME: LEVEL 3 COMMUNICATIONS - SLO - SNLOCAMO VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED ADDRESS: 775 CaPitolio WaY San Luis Obispo, CA 93401 INSPECTION COMMENTS: Spill Prevention Control and Countermeasure Plan reviewed. Received copies of PE stamp and signature for 2009. No changes warranting an update. No violations noted. Hazardous Materials Business Plan has been updated and submitted electronically via CERS database. Facility in full compliance, no violations noted. INSPECTED BY: KERRY BOYLE DATE: 1110712016 NAME OF FACILITY REP: Mark Bucis SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE : I certify under penatty of perjury that this facility has complied with the corrective actions listed on is inspection form ignature of Owner/O Title:- Date ) Environmental Health Services (80$ 7815544 P.O.Box 1489 2156 Sierra Way San Luis Obispo. CA 93406 ,\ ctt;/1,a smlrrlsoBtspo Fire Deoartment (80$ 7817380 2160 Santa Barbara Avenue Date: 1211512015 San Luis Obisoo CA 9340tr5240 CERTTFTED UNTFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: trUST BAGT trCa|ARPtrHWGeneratorPROGRAMS INSPECTED: lExazmat trUST trAGT trCalARPtrHW GeneratorREINSPEGTION REQUIRED: lnHazmat Facili$ Name: LEVEL 3 COMMUNICATIONS Site Address: 77 5 CAPITOLIO SAN LUIS OBISPO, CA 93401 BPOl BPOz BPO3 TROl TRO2 EROl ERO2 trtrtrER03 Agency lnspection TyoetrEHS ERoutine trClry FIRE trReinspection trChargeable ReinsPection tlChange of Ownership trComplaint trSecondary Containment Testing tlChargeable Secondary Containment Testing Phone: (720)888-0676 Facility lD: FA0005138 Serial Number: DAlUHTCXB trTPE trTPE PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Michael Seiler Title: Technician BUSINESS PLAN Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) Training documentation is maintained on site for current perconnel (Title 19 CCR2732 & 22 ccR) 66265.16 EMERGENCY RESPONSE PLAN Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 &22CCR$ 66265.53/54) Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materials/rraste 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 (dX2), 40CFR I 265.31) Secondary containment is installed and sufficiently impervious to discharges. IGHSC 25270.4.5; 40 GFR I 12.8(cX2)l GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel GPS Coordinates: Latitude: 35.2567610000 GPS Goordinates: Longtitude= -120.6452030000 YES NO N/Atrtrtrtrtrtrtrtrtr tr tr tr tr tr tr tr tr INSPECTOR: KERRY BOYLE FACILITY REP: Michael Seiler FActLtTy NAME: LEVEL I'-T)MMUNICATIONS ADDTIS: ABOVEGROUND STORAGE TANK (AST) 775 CAPITOLIO SAN LUIS OBISPO, CA 93401 N/A V|OL. # tr ATot A Spill Prevention Control and Countermeasure Plan (SPGG) has been prepared and certified either by a registered engineer or self+ertified (if a qualified facility) within last 5 yrs. (Note: An SPCG Plan is required for single tanks 1,320 gallons or greater or tanks/containers with a cumulative capacity of greater than 1,320 gallons of oil produc6; for farms, nurceries, construction sites: single tanks greater than 20,000 gallons or tanks with a cumulative capacity of greater than 100,000 gallons. (HSC S25270.4.5)(ref. 40 CFR Sl 12.1)/(ref. 40 CFR Sr r 2.3(d)(ref. 40 tr ATO2 The Spill Prevention Control and Gountermeasure Plan is maintained on site or at the nearest field office. (HSC S25270.4.5)(ref. 40 CFR S 112.3(e)) tr ATO3 Secondary containment for the entire contents of the largest single tank, plus sufficient freeboard to allow for precipitation, has been installed and is sufficiently impervious to contain discharges. (HSC S25270.4.5/(ref. 40 CFR 5112.8(cX2)) E ATO4 Drainage from the secondary containment is restrained by valves or other positive means. (Hsc S25270.4.5)/(ref. 40 cFR 51 12.8(cX3)) tr ATO5 Drainage valves installed in the secondary containment are normally closed. (Hsc S25270.4.5)(ref. 40 cFR 5112.8(cX3Xi)) tr AT06 Drainage of any uncontaminated rainwater from secondary containment is documented and recorded. (HSC S25270.4.5)(ref. 40 CFR 5112.8(cX3)) tr ATOT Liquid level sensing device is present and tested regularly. (HSC S25270.4.5)(ref. 40 CFR $r r 2.8(c)(8)(v)) tr ATOS The master flow valve that will prevent direct outward flow of the tank's content to the environment is securely locked in the closed position when in non-operating or non-standby status. (HSC S25270.4.5)/(ref. 40 CFR Sr r 2.7(gX2)) tr ATO9 The master flow valve (i.e. gate valve, solenoid valve, etc.) and Emergency Shut-off switch are inspected and tested regularly, documented, and records are maintained for three yearc. (HSC $25270.4.5)(ref. 40 cFR Sr 12.8(dX4)) tr AT1O Each aboveground tank is tested for integrity (if applicable) on a regular schedule and whenever material repairs are made. (HSC S25270.4.5)/(ref. 40 CFR $1f 2.8(c)(6)) tr AT11 Appropriate warning signs are posted at the loading/unloading rack and at the fuel island to prevent vehicular departure before complete disconnect of flexible or fixed transfer lines. (Hsc S25270.4.5)(ref. 40 cFR Sr r2.7(hx2y(ref. 40 GFR S 112.8(dX5)) tl AT12 Guard posts or other approved means are being provided to protect storage tanks and connected piping, valves, fittings, and dispensers from vehicular damage' (HSC S25270.4.5[(ref.40 cFR Sl l2.7(c)[ (GA Fire Code $3404.2.9.6.5)/ ref.40 cFR 5112.7fi])/(ref. a0 cFR 5112.8(dX5))tr AT13 Visual inspections of tanks, valves, piping, and appurtenances storing petroleum products are being conducted and documented regularly, and maintained for three years. (HSG S25270.4.5y (ref. 40 cFR Sll2.6(cX4)/(ref.40 cFR $112.7(e)/(ref. 40 cFR Sr12.8(dX4)) tr ATi4 There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSC S25270.4.5)/(ref. 40 cFR $1 12.8(c)(r0)) tr AT15 Facility lighting is commensurate with the type and location of the facility, giving consideration to the discovery of spills occurring during hours of darkness both by operating personnel and non-operating personnel (i.e. general public, local police/fire) (HSc S25270.4.5)(ref. 40 cFR 5117.2(gX5))tr ATt6 FFacility is fully fenced and locked when facility is unattended. (HSC S25270.4.5)(ref. 40 CFR Sr 12.7(gXr )) tr AT17 Facility has documented spill history and corrective actions taken. (HSG S25270.4.5y(ref.40 CFR sr r2.7) tr ATlS Spill prevention briefings for operating personnel covering the SPGC Plan are conducted and documented annually to assure adequate understanding of the SPGC Plan. (HSC S25270.4,5y (ref.40 cFR 5112.7(f)) tr ATtg Spill controlequipment is maintained on site. (HSC S25270.4.5)(ref.40 CFR $1{2.7(c)) YES E tr tr tr EI E tr tr tr tr B tr tr tr tr B EI tr tr NA tr tr tr tr tr tr tr tr tr tr tr u tr tr tr tr tr tr tr SUMM RY OF OBSERVATIONS/VIO. ITIONS tr No violations of underground storage tank, hazardous materials, or hazbrbous waste lawslregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to you facility. tr Violations urere observed/discovered as listed below. All violations must be corrected by implementing the correctit, action listed by each violation. lf you disagree with any of the violations or corrective actions required, please infort the CUPA in writinq. ALL VTOLATTONS MUST BE CORRECTED WtTHtN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing wi 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: LEVEL 3 COMMUNICATIONS ADDRESS: 775 CAPITOLIO SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Hazardous Materials Business Plan needs to be updated and submitted on line before the end of the calendar year. All else ok, no violations noted. Facility in full compliance with SPCC requirements, spill kit staged adjacent to AGT. No violations noted during facility inspection. INSPECTED BY: KERRY BOYLE DATE: 1?/1512015 NAME OF FACILITY REP: Michael Seiler SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE I certify under penalty of perjury that this facility has complied with the corrective actions listed on is inspection form. ignature of Title:- Date:-