Loading...
HomeMy WebLinkAboutSLOUNIFLOW_FS1 Admin iRC3926i Color_2542_001COUNTY bSAN LUIS OBISPO i Environmental Health uervices l(805) 781-5544 lP.o.Box 1489 12156 Sierra Wav Ste. B lSan Luis Obisoo. CA 93406 I ctty o[ san lurs oBrspo FIRE DEPARTITEIIT 2160 seta 8arba6 Avfluo'sil lub obl6po, cA 9310!-5210' {805) 7Ol-7380 "Courtesy & Service" Dale 1110812024 GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: Facility Name: H5 DATA CENTERS Agency trEHS trCITY FIRE Inspection Type trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl SiteAddress: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Phone: (805)286-0831 Facility lD: FA0017599 CERS lD Serial Number: DA3KUVLYK PROGRAMS INSPEGTED:EIHazmat trHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHW Generator DUST trAGT trCalARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NO N/Atrtrtr 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, 2ss08(aXl ), 19 ccR 2652, 26s41 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)(a), 25508(a)(1), 19CCR 2659, 22CCR6626s.1 6) Training documentation is maintained on site for current personnel (HSG 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(a)(3), 25508(aX1), 1gccR 2658, 22ccR 66265.s2-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cX2)I GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] vtol. # BPOl tr tr tr tr n tr tr tr tr tr tr tr BPO2 BPO3 TROl TRO2 EROl ERO3 GPS Coordinates: Latitude GPS Coordinates de: INSPEGTOR: MATHESON BLISS FACILITY REP: Keith Meyers FACILITY NAME: YES NO N/A VIOL. # trtrtrAro1 ntrtrAT20 AT21 ATO2 ATO3 AT22 ATO6 ATOT ATOS ATO9 ATlO AT11 AT'12 AT13 AT14 AT15 AT16 H5 DATA CENTERS 4ppa.gss:\);.-OVEGROUND STORAGE TANK (rr$T) 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 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 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(allREF. 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 Countermeasure Plan is maintained on site or at the nearest field office. (HSC 25270.4.5|REF. 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 ( HSG 25270.4.5/REF. 40 cFR 11 2.8(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(c)(3)(iv)) Liquid level sensing device is present and tested regularly. (HSC 2527b.4.5/REF.4O 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.s/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.A.6IREF.40 CFR rl 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(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. (HSC 2527 0.4.5 t REF.40 C F R 11 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 CFR 112.7(a)(11,112.7Q1; 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)(a)) There are no visible leaks at tanks, pumps, master flow valve or aboveground piping. (HSG 2527 0.4.5|REF.40 cFR 11 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 112.7(g)) FFacility is fully fenced and locked when facility is unattended. (HSC 25270.4.5/REF.40 CFR 112.7(g))tr tr tr tr Af17 Facility has documented spill history and corrective actions taken. (HSC 25270.4.51REF.40 CFR 112.7) AT18 Spill prevention briefings for operating personnel covering the SPCC Plan are conducted and documented annually to assure adequate understanding of the SPCG Plan. (HSC 25270.4.5/REF.40 cFR 112.7(0) Spill control equipment is maintained on site. (HSC 25270.4.5/REF.40 CFR 112.7(c))AT19 SUMM'^-RY OF OBSERVATIONSVIO' \,TIONS No violations of underground s- -,Lge 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 observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq ALL 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 CUPA from taking administrative, civil, or criminal action. FACILITY NAME: H5 DATA CENTERS ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS CORRECTIVE ACTION REOUIRED IMMEDIATELY TAKE A/ECESSARY ACTION IO ENSURE THAT THE 8US/NESS PLAN /S COMPLETE, jUBMTTTED ELECTRONTCALLy AND AVATLABLE (VIS|T CALTFORNIA ENVIRONMENTAL REPORTTNG SySIEM - "CERS'i hftps//cers.calepa.ca.gov). TMPLEMENT A PROCEDURE TO ENSURE THAT THE PLAN /S U7DATED AS REQU/RED BY HEALTH AND SAFEry CODE SECTIONS 25505,25508(aN1) AND CALTFORNIA CODE OF REGULATIONS SECI/ON 2651. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED /N IHIS REPORT MAY RESULT IN CIWL AND/OR CRIMINAL PENALTIES OF UP TO $2,OOO PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCR/BED IN THE CA HEALTH & SAFEW CODE SECTION 2551 5. Prepare and submit a Hazardous Materials Business Plan through CERS (cers.calepa.ca.gov) by 1t2t25. lnclude Business Owner/operator information, chemical inventory, facility site map, response and employee trainin olan. VIOL. NO BPOl ATOl Demonstrate SPGG Plan has been prepared and regular visual inspections of the tanks/piping are being documented INSPECTION COMMENTS: Items marked N/a not reviewed during inspection. lnitial inspection after ownership change and addition of two diesel generators. INSPECTED BY: MATHESON BLISS DATE: 11t08t2024 NAME OF FACILITY REP: Keith MeYers 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 Sig natu re of Owner/Operator:Title: Date: COUNTY.bSAN LUIS OBISPO r-\ Environmental Health r,-,,lices {d05\ 781-5544 P.O.Box 1489 2156 Sierra Way Ste. B San Luis Obispo. CA 93406 crty o[ san luls oBlspo ) FIRE DEPARTMETIT 2160 Santa Sarban Avsu6' Sd Luh ObkPo, CA 93401'5240 ' (805) 781'?380 "Courtesy & Servit:e" Dale'. 1110812024 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time. lnspection Type trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl Facility Name: CENTURYLINK - SLO - SNLOCAOT Phone: (720)888-1000 Aoencv trEHS trCITY FIRE SiteAddress: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Facility lD: FA0005342 CERS lD 10438174 Serial Number: DALLC44TL trCalARP trTPEtrAGTtrHW Generator trUSTtrHazmatPROGRAMS INSPEGTED: trTPEtrAGTtrCalARPtrHW Generator AUSTtrHazmatREINSPECTION REQUIRED: pERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, a nd determining compliance with adopted codes. YES NO N/Autrtr vtoL. # BPOl BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aXl); 19 CCR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl), 25506' 2s508(ax1 ),'l I cCR 2652, 26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(aX1), 19 CCR 26521 TRAINING PLAN Facitity has appropriate training program, submifted electronically (HSG 25505(a)(4), 25508(aXl)' 1gCCR 2659, 22CCR6626s.16) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265'16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(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)l GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Longtitude: -120.6408330000 tr tr u u tr tr tr tr tr B tr tr BPO2 BPO3 TROl TRO2 EROl ERO3 tr FEO1 GPS Coordinates: Latitude: 35.2557730000 INSPECTOR: MATHESON BLISS FACILITY REP: Bob Fernandez tr suMMl sY oF oBSERVATIONSVIOL ^\TIONS No violations of underground s. ige tank, hazardous materials, or hazardou. lrste laws/regulations were discovered' SLO CUpA grealy appreciates your efforts to comply with all the laws and regulations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA MUSI bE iNfOTMCd 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 punishabie by a fine of not less than g2,000 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 - SNLOCAOT ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: Observed hazardous waste manifest dated 10116124 for waste refrigerant and small quantity of corrosives. The HMBP program will now be the responsibility of H5 Datacenters. Papenarork has been submitted to remove this facility from the program. INSPECTED BY: MATHESON BLISS DATE: 11t08t2024 NAME OF FACILITY REP: Bob Fernandez 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:_ t! COUNTY bSAN LUIS OBISPO .\ EnvironmentalHeat. lrvices t(805)?81-5544 'P.O.Box 1489 r2156 Sierra Way Ste. B ]San Luis Obisoo. CA 93406 j /'\ )crty oF san Lurs oBtspo FIRE OEPARTMENT 2160 Santa Barbaa Avsuo' San Luls 0bispo, CA 934015240 ' {805} 781-7300 "Cotvtesy & Service" Date: 1012512023 GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time. Facility Name: CENTURYLINK - SLO - SNLOCAOT Aoencv trEHS trCITY FIRE Insoection Tvpe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testing SiteAddress: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Phone: (720)888-1000 Facility lD: FA0005342 CERS lD:10438174 Serial Number: DAWQ9YBDS PROGRAMS INSPECTED:EIHazmat trHWGenerator trUST trAGT trCa|ARP trTPE REINSPECTION REQUIRED:trHazmat EHW Generator trUST trAGT trCa|ARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES tr tr tr u tr tr tr NO tr tr tr tr tr tr tr tr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(a) (1); 19 GCR 2651) lnventory of hazardous materials is complete and submifted electronically (HSC 25505(axl), 25506, 25508(a)(1), 19 CCR 26s2,26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(a)(1), 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submifted 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, submifted electronically, maintained onsite (HSC 25505(aX3), 25508(a)(1), 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)t GENERAL EH VIOLATIONS tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel GPS Goordinates: Latitude: 35.2557730000 GPS Goordinates: Longtitude: -120.6408330000 N/A VIOL. # tr BP01 BPO2 BPO3 TROl TRO2 EROl ERO3 tr tr tr tr tr tr INSPECTOR: MATHESON BLISS FACILITY REP suM |UARY oF oBSERVATTONSVTOLATTONS -Ef tlo violations of underground' )rage tank, hazardous materials, or hazard<f ),vaste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the raws 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 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 - SNLOCAOT ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE AGTION REQUIRED INSPECTION COMMENTS: Observed the nine compressed refrigerant gas cylinders and otherl-gallon to S-gallon containers of presumed hazardous waste stored outside on pallet during inspection of new aboveground diesel generator tanks at the back of the facility. lmmediately properly recover and dispose of/recycle wastes through a licensed hauler. Failure to properly dispose of wastes under manifeslby 11126123 will result in a Notice of Violation Office Hearing andor additional enforcement action including, but not limited to, Administrative Enforcement Order. lmmediately activate a temporary EPA lD number to properly dispose of the wastes. The following is currently in violation: Health and Safety Code (HSC) section: 25189.5, 2520'l(a); California Code of Regulations (CCR) Title 22 66262.12: Hazardous wastes disposed of at an unauthorized location. HSC 25123.3(bxly(dy(hx1); 22 CCR 66262.34(d): Hazardous waste are improperly accumulated on site, greater than 180 days. 22CCR 66262J2: Generator does not have an active EPA lD number to store or dispose of hazardous waste. HSC 25189: (e) A person who intentionally or negligently treats or stores, or causes the treatment or storage of, a hazardous waste at a point that is not authorized according to this chapter shall be liable for a civil penalty not to exceed seventy thousand dollars ($70,000) for each separate violation or, for continuing violations, for each day that the violation continues. INSPECTED BY: MATHESON BLISS DATE: 1o125t2023 NAME OF FAGILITY REP: 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 COUNTY.b SAN LUIS OBISPO l crty o[ san lurs oBtspo FIRE OEPARTMENT 2160 ganta BarbaE Avdu6'gan Lub 0blepo, CA 93401-5240'{805} 781-7380 "Cotrtesy & Service" Date:0110612023 GERTTFTED UNTFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: CENTURYLINK - SLO - SNLOCAOT Aoency lnsoection TyoetrEHS trRoutine trClTY FIRE trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Contai n ment Testinl SiteAddress: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Phone: (720)888-1000 Facility lD: FA0005342 CERS lD:10438174 Serial Number: DAROCNI9K PROGRAMS INSPECTED:EHazmat trHWGenerator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCa|ARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. N9 tr tr tr tr tr tr tr tr YES tr tr tr tr tr tr tr tr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aXi); 19 CcR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axf ), 25506, 25508(aXl), 19 CCR 2652,26541 Site layouU facility maps are accurate and submifted electronically (HSC 25505(a)(2), 25508(aXl), 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submifted electronically (HSC 25505(a)(4), 25508(aX1), 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22GCR66265.15) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(a)(3), 25508(a)(1), 19ccR 26s8, 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 tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Goordinates: Latitude: 35.2557730000 GPS Coordinates: Lonqtitude: -120.6408330000 N/A V|OL. # E BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 INSPECTOR: MATHESON BLISS FACILITY REP: Bob Fernandez suMM \Y OF OBSERVATIONSVIOLATIONS No violations of underground s Age tank, hazardous materials, or hazardour iste 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 GUPA in writina 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 houts. 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 - SNLOCAOT ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: Observed nine cylinders of dichlorotrifluoroethane(R-123, refrigerant) gas stored under AC units with foot rings of cylinders rusting through. Per facility representative, AC units have not been used in a long period of time. Properly recover refrigerant and dispose of cylinders. Send a copy of the manifesUreceipt once completed to mbliss@slocity.org. INSPECTED BY: MATHESON BLISS DATE: O1tOOl2O23 NAME OF FACILITY REP: Bob Fernandez 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. Signature of Owner/O Title:- Date COUNTY bSANLUIS OBISPO crty o[ san luls ontspo1(805) 781-5544 lP.O.Box t489 .2156 Sierra Wav Ste. B iSan Luis Obisoo. CA 93406 FIRE OEPARTMENT 2160 Santa 8arba6 Avfiu6'san Luis Obhpo, CA 93401-5240 " 1805) 781-7380 Date: 1111812021 "Courtesy & Service" GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: Facility Name: CENTURYLINK - SLO - SNLOCAOT Aoencv lnspection TvpetrEHS trRoutine trClTY FIRE trReinspection trChargeable ReinsPection trChange of OwnershiP trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl SiteAddress: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Phone: (720)888-1000 Facility lD: FA0005342 Serial Number: DAPWNS9KK PROGRAMS INSPECTED:EIHazmat trHWGenerator trUST EAGT trCa|ARP trTPE REINSPECTION REQUIRED:EHazmat trHWGenerator trUST trAGT trCalARP trTPE PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NOtrtr Etr Etr Etr trtr trtr trtr N/A VIOL. # tr BPO1 E BP02 tr BPO3 TROI TRO2 EROl ERO3 BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505' 25508(aX1); 19 CCR 2651) lnventory of hazardous materials is complete and submifted electronically (HSG 25505(axl), 25506, 25508(aXl), l9 CCR 2652,2654) Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2)' 25508(aXl), 19 CCR 26521 TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(aX1)' l9CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(aX4)' 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(aX3), 25508(aXl), l9CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270'4'5;40 CFR 112.8(c)(2)l GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinance]trtrtrFE01 GPS Goordinates: Latitude: 35.2557730000 GPS Coordinates: Longtitude: -120.6408330000 INSPECTOR: MATHESON BLISS FACILITY REP: Bob Fernandez su M MARY OF OBSERVATI ONSVIO'- -q,TlONS No violations of underground )age tank, hazardous materials, or hazardou- lraste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq ALL 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 - SNLOCAOT ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA93401 VIOLATIONS VIOL. NO BPOl CORRECTIVE ACTION REOUIRED IMMEDIATELY TAKE NECESSARY ACTION IO ENSURE THAT THE BUS/NESS PLAN /S COMPLETE, SUBM\TTED ELECTRONTCALLY (EZSUBMTTSLOGOV.ORG OR CERS) AND AVAILABLE. IMPLEMENT A PROCEDURE IO E'VSURE THAT THE PLAN /S UPDATED AS REQU'RED BY HEALTH AND SAFETY CODE SECI/ONS 25505, 25505(aX1) AND CALIFORNIA CODE OF REGULAIIONS SECTTON 2651. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED IN THIS REPORT MAY RESULT IN CIVIL AND/OR CRIMINAL PENALTIES OF UP TO $2,OOO PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCR/BED /N THE CAHEALTH & SAFETY CODE SECI/ON 25515. Revise and resubmit Hazardous Materials Business Plan through CERS by 1211812021. Revise primary emergency contact information (John Sharp no longer at facility), revise chemical inventory and site mao for hvdroqen (no lonqer stored at facilitv). INSPECTION COMMENTS: Items marked N/A not reviewed during inspection. INSPEGTED BY: MATHESON BLISS DATE: 11fiU2021 NAME OF FACILITY REP: Bob Fernandez 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. ignature of Owner/Operato Title:- Date COUNTY b SAN LUIS OBISPO Environmental Health {- ,Ces (805) 781-5544 P.O.Box 1489 2156 Siena Way Ste. B San Luis Obisoo. CA 93406 '^1 ctty o[ san Lurs oBtspo FIRE DEPARTMEIIT Date: 1012112019 2160 Santa Barbah Avmuo " San L!b Obkpo, CA 93401-5240 ' (805) 781-7380 "Courtesy & Service" GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: CENTURYLINK - SLO - SNLOCAOT Aoencv trEHS trCITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testing SiteAddress: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Phone: (720)888-1000 Facility lD: FA0005342 Serial Number: DAKV1MZ01 PROGRAMS INSPECTED:trHazmat trHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat EHW Generator trUST trAGT trCalARP trTPE PERMTSSION TO INSPEGT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: John Sharp Title: Lead Operations Technician YES NOtrtr trtr 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(a)(1), 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(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, submifted electronically, maintained onsite (HSC 25505(aX3), 25508(a)(1), 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 FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinancel GPS Goordinates: Latitude: 35.2557730000 GPS Coordinates: Longtitude: -120.6408330000 N/A VIOL. # tr BP01 tr BPO2 tr BPO3 TROl TRO2 EROI ERO3 tr tr D tr tr INSPECTOR: KERRY BOYLE FACILITY REP: John Sharp ^t SU M MARY OF OBS ERVATIONSVIOLATIONS tr No violations of underground s )ge tank, hazardous materials, or hazardou' )ste 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 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 - SNLOCAOT ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: HMBP is crrent and has been updated for CY 2019 via the CERS database. Good employee training program in place. INSPECTED BY: KERRY BOYLE DATE: 10t21t2019 NAME OF FACILITY REP: John Sharp SIGNATURE OF FACILITY REP: &^'iLn STATEMENT OF COMPLIANCE rtification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on is inspection form. nature of Title:- Date;- Gounty"of San Luis Obispo Or, luls oBtspo cty 8anEnvironmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo; CA 93406 Fire Department (805) 781-7380 21 60 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED TINIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by:.t/ """,tf lhll 11 I rme: FACILITY NAME: EHS AG DEPT CITY FIRE N ne Reinspection OtherComplaint Result Code: Action Code: 70 B0 9032 37 33 31 ADDRESS PHONE: PROGRAMS INSPECTED:Plan n Hw Generator n usr fl ecr !cnmne REINSPECTION REQUIRED:F'No N YES Business Plan n nw Generator ! usr n aor ncnnnp J YES VN ffi N/Atrnn nn n n costrntr NO tr!n BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.50 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) iTRAINING 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 6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273[ & 22 ccR $ 6626s.s31s4) 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 engineerwithin last 5 yrs. (40 CFR 112.5(b) SPCC Plan is maintained on site or nearest field office. (HSC 25270) 'ffi,E E tn F/ ln nnn n COMMENTS http to to comply with -BP03,TR01 andEROl GPS Coordinates: Latitude: -deg -min-decimal min INSPECTOR:FACILITY ) Environmental Heal{i, -rrvices (805) 781-5544 P.O.Box 1489 2156 Sierra Wav Ste. B San Luis Obisoo. CA 93406 ctty o[ san Luls oBtspo FIR€ DEPARTME}IT 2160 Silla BarbaE Avsue' Sil Lub Oblspo, CA 93401-5240 '(805) 781-7380 "Courtesy & Service" GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time:Dale:0412712018 COUNTY b SAN LUIS OBISPO Facility Name: QWEST COMMUNICATIONS CORP Aoencv trEHS trCITY FIRE lnsoection Tvoe BRoutine trReinspection trChargeable Reinspection uChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinr Site Address: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Phone: (720)578-2006 Facility lD: FA0005342 Serial Number: DAUBRYFOB PROGRAMS INSPEGTED:EHazmat 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. GRANTED BY (NAME/TITLE):Name: JohnrSharp tuvillfu4kln Title: Lead Operations Technician tw [*t.^ \ lr, ,n J u$$0 YES NO N/Atrtrtrtrtrtrtrtrtr trutrEtrtr trtrtr trtrtr BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 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 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 1 265.31) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5; 40 CFR 1 12.8(cX2)I GENERAL EH VIOLATIONS trtrtrER03 tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2557730000 GPS Goordinates: Lonstitude: -120.6408330000 INSPECTOR: KERRY BOYLE FACILITY REP: John SharP .l SUM MARY OF OBSERVATIONSA/IO' -qTIONS tr No violations of underg )d storage tank, hazardous materials, or ha, Jous 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, please inform the GUPA 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: QWEST COMMUNICATIONS CORP ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION GOMMENTS: HMBP will be updated for Calendar Year 2018. Facility in good order, no violations noted INSPECTED BY: KERRY BOYLE DATE: 04127t2018 NAME OF FACILITY REP: John SharP SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Gertification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on inspection form Signature of Owner/Ope Title:- Date .' I .\ Gounty of San Luis Obispo Environmental Health Services (805) 781-5544 I P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA93406 cffvo[ san luls oBtspo d- Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED T]NIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by: Date: l'' Time: It{/1 t' lni ,',,1 _.i i;' FACILITY NAME:AGENCY T EHS CITY FIRE DEPT Result Gode: _70 _80 _90 Action Code: _32 _37 _33 _31 n Complaint Routine Reinspection Other ADDRESS: PHONE:' I HW Generator n usr n ner !cnmnn,El'Business PlanPROGRAMS INSPECTED: n aer ncnmnpp'Business Plan n HW Generator E usrREINSPECTION REQUIRED [r'*o ! YES PERMISSION TO INSPECT: tnspections may involve obtaining photographs, reviewing and copying records, and determininq compliance with adopted codes. GRANTED BY (NAME/TITLE): YES N/A Dnn COSn!u ntr n n NOnn! !tr 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 CCR66265.I6) 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 $ 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 appropriate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265,31- .43) BPOl BPO2 BPO3 "tr tr'n TROl TRO2 EROl ERO2 A A ABOVEGROUND PETROLEUM STORAGE TANK ACT T01 SPCC Plan is reviewed and certi{ied by a registered engineer within last 5 yrs. (40 CFR 112.5(b) T02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) materials.htm,to obtain forms to comply with BPO1 TROl EROlGoCOMMENTS ;i GPS Coordinates: Latitude: _deg decimal min Longitude INSPECTOR:FACILITY Environmental Heal.,,.gC&CS (80$ 7815544 P.O.Box 1489 2156 Sierra Way Ste. B San Luis Obisoo. CA 93406 Clt!-t ,'sffrlursoBrspo Fire Deoartment (80$ 7817380 2160 Santa Barbara Avenue Date: 1010712016 San Luis Obisoo CA 934015240 GERTTFTED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: QWEST COMMUNICATIONS CORP Site Address: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 Agency trEHS trCITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinr Phone: (720)578-2006 Facility lD: FA0005342 Serial Number: DAJX60Z4P PROGRAMS INSPECTED:trHazmat flHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:EHazmat DHW Generator trUST trAGT trCalARP trTPE PERMISSION TO INSPEGT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: John Sharp Title: Lead Operation Tech -frf YES NO N/A BUSINESS PLAN tr tr tr BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) tr tl tr BP02 lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) tr tr tr BP03 Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN tr tr tr TROI Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) tr tr tr TR02 Training documentation is maintained on site for current personnel (Title 19 CCR2732 &22 ccR) 66265.16 EMERGENCY RESPONSE PLAN tr tr tr ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSG 25504, Title 19 CCR 2731 & 22 CCR S 66265.53/54) tr tr tr ERO2 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 -.37,66267.34 (dX2), 40CFR 1 265.31) tr tr tr ER03 Secondary containment is installed and sufficiently impervious to discharges. [cHSc 25270.4.5; 40 CFR 112.8(cl(2ll G E N ERAL EHIIIOLAI.IQNS tr tr tr FE01 Environmental Health fees paid. ICBPC {7200, Local Ordinance] GPS Goordinates: Latitude: 35.2557730000 GPS Coordinates: Lonqtitude: -120.6408330000 INSPECTOR: KERRY BOYLE FACILITY REP: John SharP SUMMARY OF OBSERVATIONSMOhATIONS tr No violations of undergt )d storage tank, hazardous materials, or ha ilous waste laws/regulations were discovered. SLO GUPA greatly appreciates your efforts to comply with a,,rtne 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, Dlease inform the CUPA in writinq. ALL VTOLATIONS 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: QWEST COMMUNICATIONS CORP ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: Hazardous Materials Business Plan will be updated and submitted electronically via "E Z Submit Portaf' Facility well managed, and good employee training program. One diesel generator on site with less than 1,320 gallon capacity so no need to submit Spill Prevention Control and Countermeasure. INSPECTED BY: KERRY BOYLE DATE: 1ot0712016 NAME OF FACILITY REP: John SharP SIGNATURE OF FACILITY REP: & STATEMENT OF COMPLIANCE : I certify under penalty of perjury that this facility has complied with the corrective actions listed on inspection form. nature of Owner/Ope Title: Date SUMMARY OF OBSERVATIONSA/IOI ATIONS tr No violations of underg ' ;nd storage tank, hazardous materials, or h tdous waste laws/regulations were discovered. SLO CUP/ -.batly appreciates your efforts to comply with ail the laws and regulations applicable to you facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the correctil action listed by each violation. lf you disagree with any of the violations or corrective actions required, please infort the CUPA in writinq. ALL VTOLATIONS MUST BE CORRECTED WITHIN 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 $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the GUPA from taking administrative, civil, or criminal action. FACILITY NAME: QWEST COMMUNICATIONS CORP ADDRESS: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Annual inspection, good employee training program and record keeping. No changes to chemical inventory. Hazardous Materials Business Plan has been updated and submitted electronicallyviaEZ Submit Portal. No violations noted during facility inspection. INSPECTED BY: KERRY BOYLE DATE: O7t2Ol2O15 NAME OF FACILITY REP: Patrick Tavlor SIGNATURE OF FACILITY REP: I?,-At"l €P-2 STATEMENT OF COMPLIANCE Certification: lcertify under penalty of periury that this facility has complied with the corrective actions listed on this inspection form. Signature of Title: Date *L\.\ Environrr"er rt!l Health Services (80$ 7815544 P.O.Box 1489 2156 Sierra Way San Luis Obisoo. CA 93406 $ts'fii"o**rc Fire Department (805) 7817380 2160 Santa Barbara Avenue Date: 0712012015 San Luis Obisoo CA 934015240 GERTTFIED UNTFIED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: trAGT trCa|ARPDHW Generator trUSTPROGRAMS INSPECTED: ltrnazmat trAGT trCalARPtrHW Generator trUSTREINSPECTION REQUIRED: lnHazmat Facility Name: QWEST COMMUNICATIONS CORP Site Address: 3610 SACRAMENTO DR SAN LUIS OBISPO, CA 93401 GRANTED BY (NAME/TITLE): Name: Patrick Taylor BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ERO3 lnsoection Type trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment TestinE trTPE trTPE Title: Lead Operations Technician Aoencv trEHS trCITY FIRE Phone: (720)578-2006 Facility lD: FA0005342 Serial Number: DAPOHTPY2 PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. \Pt---' 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 GCR 2732 & 22 CCR 66265.16) 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 (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 , 66267 .34 (dX2), 40CFR 1 265.31) Secondary containment is installed and sufficiently impervious to discharges' ICHSC 25270.4.5; 40 GFR 1 12.8(cX2)l GENERAL EH VIOLATIONS tr tr tl FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2557730000 GPS Goordinates: Longtitude: -120.6408330000 I?t"kt"l YES NO N/Atrtrtrtrtrtrtrtrtr u u tr tr u tr tr tr tr tr INSPECTOR: KERRY BOYLE FACILITY REP: Patrick TaYlor