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Home My WebLink AboutInspection Reports 2L NTYAIv' LUIS OBISPO Date: 12/27/2017 Environmental Health Services (805) 781-5544 ,,, ,, city of san Luis owspo P.O.Box 1489 FWDEPARTEM 2156 Sierra Way Ste. B / "Courtesy & Service" 2160 Santa Barbara Avenue*Sm Luh Obkpo, CA 93401-SM6(M)781-7380 San Luis Obispo, CA 93406 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: HANSON AGGREGATES Agency Inspection Type ❑EHS ©Routine Site Address: 131 SUBURBAN RD OCITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 []Chargeable Reinspection ❑Change of Ownership Phone: (805)543-2223 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testirn Serial Number: DAZGVAGY7 PROGRAMS INSPECTED: ©Hazmat ©HW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Ben Calo Title: Env. Geologist .l YES NIQ N/A BUSINESS PLAN © ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) © ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑% ❑ ❑ BP03 Site layouttfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN © ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) © ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN © ❑ ❑ ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53164) I] ❑ ❑ ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of hazardous materialslwaste constituents to the environment. Maintains all required or - appropriate equipment including an alarm and communications system (Title 19 CCR 273% 22 CCR 66265.31-.37, 40CFR 1 266.31) 1@ ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑x ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Ben Calo FACILITY NAME: HANSON GREGATES ADDRL. 131 SUBURBAN RD SAN LUIS OBISPO. CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL000145291 Total generatedlmonth: NUMBER: YES NQ O ❑ Waste Oil: Solvents: Antifreeze: Others: _ Lbs or gals (average) WA VIOL. # EPA ID NO/PERMITS U- GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste(Title 22CCR§66262.12) It not, Call (800) 618-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) Downknowledge ❑analysis ❑other ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION ❑ GT05 Hazardous wastes disposed of at an authorized location (HSC §25189.5, Title 22 CCR §66262.12) x❑ GT06 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shiDoed with a manifest (Title 22 CCR 666262.20. HSC 625160/25163(a)l ❑milkrun ❑other ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66262.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 1390 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) 0180 days if waste generated per month is less than 100 kg (see note) 0270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labelinglaccumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (60 feet) from facility's property line (Title 22 CCR §66266.176) ❑ ❑ GT11 Containers of hazardous waste are properly labeled (includes appropriate date;'HAZARDOUS WASTE," waste composition/physical state, hazardous properties, nameladdress of generator) (Title 22 CCR §66262.31, 66262.34) ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good conditionlhandled to minimize the release or reaction (Title 22 CCR §66262.34 (d)(2), ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§ §66262.34 (d)(2), 66265.172) ❑ ❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §§66262.34 (d)(2), 66265.1 ❑ ❑ GT15 © ❑ ❑ GT16 ❑ ❑ GT17 ❑ ❑ GT18 ❑ ❑ GT19 ❑ ❑ GT20 ❑ ❑ GT21 ❑ ❑ GT22 ❑ ❑ GT23 ❑ ❑ GT24 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§§66262.34 (d)(2), 66265.174) Daily inspection of all tank systems Is conducted and documented (Title 22 CCR §§66262.34 (d)(2), 66265.195) Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCR§ 66266.13, HSC §25250.4) Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.13) Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) Solventsiother recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 466266.3) SOURCE REDUCTION:For facilities generating >12,000 kg./yr. of hazardous waste on site. Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (6) days. (67100.7, 67100.8, HSC Source Reduction Evaluation and Plan contains the following five elements:certification, amounts of wastes generated, process description, block diagrams, and implementationschedule of selected source reduction measures. (67100.7. 67100.8. HSC 625244.19) Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (Title 22 CCR §66265.51-.54) SUMM. N OF OBSERVATIONS/VIOG-MONS © No violations of underground storage tank, hazardous materials, or hazardous waste Iawsiregulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to yoi facility. Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, Dlease inform the CUPA in writina. 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 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 andlor 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: HANSON AGGREGATES VIOLATIONS VIOL, NO CORRECTIVE ACTION REQUIRED ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 INSPECTION COMMENTS: Hazardous waste is properly labeled, managed, disposed of. No violations noted during facility inspection. HMBP is current and has been submitted on line via EZ Submit Portal. Good employee training program. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Ben Calo DATE: 12127/2017 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: ` pp4_4 city of san Luis oBlspo I.D.# FIRE DEPARTMENT 2160 SANTA BARBARA AVE., SAN LUIS OBISPO, CA 93401 (805) 781-7380 NOTICE OF FIRE & SAFETY HAZARDS-,4- You 1.1 a. ' ❑MaiiitVIShcir Due b. []Six Year Servici Due C. ❑ ProvideH Type d. ❑Relocate minguisher/Provide Access e. ❑Mount on Wall 3'-5' Above Floor 2. Fire Sprinkler System a. ❑Replace Painted/Corroded Head b. ❑Replace Escutcheons C. ❑Reduce Storage 18" Below Heads d. ❑Provide Spare Heads/Wrench/Signage e. ❑Provide 3' Clearance for Riser/Control Valves f. ❑Provide Caps/Clearance for Fire Department Connectio g. ❑Provide 5-Year Certification h. ❑Chain and Lock Valves Open 3. Fire Alarm System a. ❑Annual Test Record Required b. ❑Repair/Replace C. ❑Provide Clearance/Access to Components/Signage 4. Kitchen Hood System/Spray Booth/Clean Agent System a. ❑Provide 6 Month Service b. ❑Clean/Repair 5. Fire Lanes/Hydrants/Access a. ❑Paint Fire Lanes b. ❑Provide Signage C. ❑Provide 3' Clearance around Hydrant d. ❑Maintain Access Ways e. ❑Provide Key Box/Keys f. ❑Provide Address/Unit Numbers a g. ❑Provide Clearance/Signage Roof Access h. ❑Test/Maintain Private Fire Hydrant has disclosed the a. ❑Remove Key -Locking or Special Knowledge Hardware b. ❑Change Door Swing to Direction of Egress if>49 C. ❑Provide/Repair Illuminated Exit Signs with Back -Up Power d. ❑Provide Sign "This Door To Remain Unlocked..." Main Exit Only e. ❑Remove Storage/Obstructions to AislestExit f. ❑Provide/Repair Emergency Lights if >2 Exits g. ❑Provide Occupant Load Sign >49 h. ❑Repair/Replace Exit Door or Panic Hardware 7. Electrical a. ❑Replace/Repair/Provide Permanent Wiring b. ❑Remove/Provide Approved Extension Cord/Multiplug Adapter n C. []Label Circuit Breakers, Shut -Off Mains/Provide Blanks d. ❑Provide 30" x 78" Clearance around Electrical Panel e. ❑Provide Cover Plates f. ❑Provide Sign for Electrical Room Door 1" Letters 8. Storage/Housekeeping a. ❑Remove Combustible Storage b. ❑Relocate Dumpster a Minimum of 5' from Walls/Eaves C. ❑Remove Cut/Uncut Weeds/Grass/Vegetation d. ❑Storm Water Polution Prevention e. ❑Remove Storage 24" Below Ceiling if No Sprinklers f. ❑Provide Metal Container w/ Self -Closing Lid for Oil Rags g. ❑Provide Non -Combustible Trash Containers w/Lid if>40 gal. h. ❑Maintain Clearance between Combustibles and Ignition Sources i. ❑Secure Compressed Gas Cylinders j. ❑Provide Seismic Strapping/Maintain/Repair Water Heaters k. ❑Provide No Smoking Signs 1. ❑Repair/Maintain Fire Rated Walls/Ceilings/Doors in. ❑Provide Flammable Liquids Storage Cabinet if>10 gal. n. ❑Protect/Permanently Mark Gas Meters as to Unit Served This Inspection Record is an official NOTICE OF VIOLATION and order to comply. The above noted conditions are violations of City Fire and Building Codes. Therefore, you must correct the noted conditions immediately upon receipt of this notice. A reinspection of your business will be conducted in approximately days. PLEASE NOTE: If a third inspection is required due to non-compliance, a fire -inspection fee of $ may be charged for that inspection and every inspection thereafter until compliance is obtained. Failure to comply may result in a misdemeanor citation and an appearance by you in court. ❑ Fire Code Permit required for Fees payable upon receipt i � --N INSP CTO S SIG Tlhk 1 RECEIVE BY / TITLE INSPECTION PATE CLEAR FIRST , SECOND J THIRD 1^ \Twwr N FEE Environmental Fie of Services Cf t�/ �f (805) 781-5544 .7 r � P.O.Box 1489 SAn Us omspo 2156 Sierra Way Ste. B Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis QbiSpQCA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 12/09/2016 Time, Facility Name: HANSON AGGREGATES Agency Inspection Type ❑EHS I]Routine Site Address: 131 SUBURBAN RD CITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 ❑Chargeable Reinspection ❑Change of Ownership Phone: (805)543-2223 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testirn Serial Number: DAV2DDICW PROGRAMS INSPECTED: EHazmat OHW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Steve Zacks Title: Enironmental Manager YES NO N/A BUSINESS PLAN 0 ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑x ❑ ❑ 131302 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑x ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN 0 ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑x ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN 0 ❑ ❑ ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) x❑ ❑ ❑ ER02 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-.37, 66267.34 (d)(2), 40CFR 1 265.31) ❑x ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑X ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Steve Zacks SUMIN, RY OF OBSERVATIONS/VIC 'NTIONS p No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to yoi facility. ❑ Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writina. 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: HANSON AGGREGATES VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED ADDRESS: 1-31-SU BU RBAWRD SAN LUIS OBISPO, CA 93401 INSPECTION COMMENTS: Shop well managed, all hazardous waste containers are properly stored, labeled, and good record keeping to document shipments. No violations noted. Good employee training program and record keeping. The Hazardous Materials Business Plan has been updated and submitted to EZ Submit Portal. Compressed gas cylinders are all securely restrained, and facility is in good order. No violations noted during inspection. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Steve Zacks DATE: 12/09/2016 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: ------Dater12/09/2016 Environmental Health Services Cf �y O (805) 781-5544 P.O.Box 1489 san LUIS OBISPO 2156 Sierra Way Ste. B Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM —Time: Facility Name: HANSON AGGREGATES —Agency Inspection Type ❑EHS DRoutine Site Address: 131 SUBURBAN RD I]CITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 ❑Chargeable Reinspection ❑Change of Ownership Phone: (805)543-2223 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testirn Serial Number: DAV2DDICW PROGRAMS INSPECTED: ❑x Hazmat I9HW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Steve Zacks Title: Enironmental Manager �I__ YES NO N/A BUSINESS PLAN 0 ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) 0 ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) 0 ❑ ❑ BP03 Site layoutifacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN 0 ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) 0 ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN Z ❑ ❑ ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑ ❑ ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of hazardous materialstwaste 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 (d)(2), 40CFR 1 265.31) 0 ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS 0 ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Steve Zacks -Date. 0-7/02/201-5 Environr tal Health Services aq Lr P.O.Box1489 2156 Sierra Way Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo -CA 934QL5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time Facility Name: HANSON AGGREGATES Agency Inspection Type ❑EHS ORoutine Site Address: 131 SUBURBAN RD OCITY FIRE ❑Reinspection❑Chargeable SAN LUIS OBISPO, CA 93401 Reinspection ❑Change of Ownership Phone: (805)543-8100 ❑Complaint ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testinc Serial Number: DABQT1CPK PROGRAMS INSPECTED: I]Hazmat ❑x HW Generator DUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator DUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Eric Riddiough Title: Concrete Division Manager YES NO N/A BUSINESS PLAN ❑x ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑x ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑9 ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑x ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑9 ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN ❑x ❑ ❑ ER01 Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑9 ❑ ❑ ER02 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 273% 22 CCR 66265.31-.37, 66267.34 (d)(2), 40CFR 1 265.31) ❑x ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑X ❑ ❑ FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: Eric Riddiough SUMM :Y OF OBSERVATIONS/V10' ;TIONS ❑x No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to you facility. Violations were observed/discovered as listed below. All violations must be corrected by implementing the correcti% action listed by each violation. If you disagree with any of the violations or corrective actions required, please infon the CUPA in writina. ALL VIOLATIONS 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 CUPA from taking administrative, civil, or criminal action. FACILITY NAME: HANSON AGGREGATES VIOLATIONS INSPECTION COMMENTS: ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 Facility Hazardous Materials Business Plann to be updated and submitted via E Z Submit Portal. Good employee training program with documentation and record keeping. Facility welll maintained and no violations noted. Hazardous Materials Business Plan to be updated and submitted. Minor updates needed in order to update facility contact information. Good employee training program along with documentation of training. No violations noted during annual inspection. Annual inspection, facility in good order. Good documentation of proper hazardous waste disposal as well as inspection checklists. No violations noted during facility inspection. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: Eric Riddiouqh DATE: 07/02/2015 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: I ,w• ,, Environnnt ,.,al Health Services (805) 781-5544 P.O.Box 1489 2156 Sierra Wav -• San Luis Obispo, CA 93406 Cityoj- SM WIS OBISVO Fire DePa ment (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 12/16/2013 Time: 9:00-am Facility Name: HANSON AGGREGATES Agency Inspection Type❑p EHS I]Routine Site Address: 131 SUBURBAN RD ❑CITY FIRE ❑Reinspection[]Chargeable SAN LUIS OBISPO, CA 93401 Reinspection ❑Change of Ownership ❑Complaint Phone: (805)543-8100 ❑Secondary Containment Testing Facility ID: FA0002505 ❑Chargeable Secondary Containment Testinc Serial Number: DAVDH4DNW PROGRAMS INSPECTED: OHazmat 17HW Generator DUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED:I❑Fiazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES NO N/A BUSINESS PLAN ❑x ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 26503.6, Title 19 CCR 2729) 19 ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) 19 ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN © ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) © ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN ❑x ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 26504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑x ❑ ❑ ER02 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 273% 22 CCR 66265.31-.37, 66267.34 (d)(2), 40CFR 1 265.31) ❑O ❑ ❑ ER03 Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4.5; 40 CFR 112.8(c)(2)] GENERAL EH VIOLATIONS ❑ ❑ © FE01 Environmental Health fees paid. [CBPC 17200, Local Ordinance] GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: KERRY BOYLE FACILITY REP: FACILITY NAME: HANSOP )GREGATES ADDR 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL000145291 Total generated/month: NUMBER: YES NO N/A 0 0 0 Waste Oil: Solvents: Antifreeze: Others: Lbs or gals (average) VIOL. # EPA ID NO/PERMITS GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste Tl ilia 22CCIt§s6262.121, if not, Call (800) 6184942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) ©own knowledge ❑analysis ❑other GT04 Hazardous waste analysishest records are kept for at least 3 years(Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION GT05 Hazardous wastes disposed of at an authorized location (HSC §25189.5, Title 22 CCR §66262.12) GT06 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (Title 22 CCR §66262.20, HSC §25160/25163(a)) ©milkrun ❑other GT07 Manifests andlor receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42/ 66262.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 1990 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) 0180 days if waste generated per month is less than 100 kg (see note) 0270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000kg(13,200 lbs) and no GT09 Hazardous waste "satellite" collection is managed properly (complete labelinglaccumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) GT71 Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste compositionlphysical state, hazardous properties, name/address of generator) (Title 22 CCR §66262.31, 66262.34) GT12 Containers/tanks containing hazardous wastes are in good conditioNhandied to minimize the release or reaction (Title 22 CCR §66262.34 (d)(2), 66265.171-.191,66265.177(c)) GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§ §66262.34 (d)(2), 66265.172) GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §§66262.34 (d)(2), 66265.173) GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§ §66262.34 (d)(2), 66265.174) GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §§66262.34 (d)(2), 66265.195) GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCR§ 66266.13, HSC §25250.4) GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.13) GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) GT21 ❑ ❑ © GT22 ❑ ❑ ® GT23 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION:For facilities generating >12,000 kg./yr. of hazardous waste on Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (67100.7, 67100.8, HSC §25244.19, 25244.21) Source Reduction Evaluation and Plan contains the following five elements:certiflcation, amounts of wastes generated, process description, block diagrams, and implementationschedule of selected source reduction measures. (67100.7, 67100.8, HSC §26244.19) SUMM, .Y OF OBSERVATIONS/VIOI rIONS ® No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. ❑ Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: HANSON AGGREGATES VIOLATIONS VIOL, NO CORRECTIVE ACTION REQUIRED ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 INSPECTION COMMENTS: GOOD EMPLOYEE TRAINING PROGRAM AND RECORD KEEPING. HAZARDOUS WASTE PROPERLY MANAGED AND GOOD RECORDS OF WASTE DISPOSAL. NOTE: AN ABOVEGROUND STORAGE TANK WILL BE ADDED IN 2014, ADD TO HMBP AT THAT TIME. INSPECTED BY: KERRY BOYLE NAME OF FACILITY REP: DATE: 12/16/2013 SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: County of San Luis Obispo City of � r�' Environmental Health Services L+ � A1 ! h U ("a7�Jtic� 7a7 � P.O. Box 1489 2156 Sierra Way Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EFW dat HAZARDOUS MATERIALS INSPECTION FORM entry by: Date: Lizo ( r.v L i VA Time: 9:00 am — FACILITY NAME: HANSON AaGgECATES AGENCY ❑ EHS ❑ AG DEPT CITY FIRE INSPECTION TYPE :;0. Routine ❑ Reinspection ❑ Complaint ❑ Other Anniinl Result Code: _70 _80 _90 Action Code: _32 _37 _33 _31 ADDRESS: San Luis Obl soo, CA PHONE: PROGRAMS INSPECTED: y ] Business Plan )ff HW Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: ,12`hO ❑ YES ❑ Business Plan W t i ❑UST ❑AGT ❑CALARP PERMISSION TO INSPECT: Inspections may involve obtaining photographA,'WV1&vihV9ncopying records, and petermining compliance with adopted codes. GRANTED BY (NAME/TITLE): BUSINESS PLAN YE$ NO COS N/A s,❑ F'j❑ .❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ BP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN r-1 ❑ TROT Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN ❑ ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑ ❑ ❑ ER02 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 ❑ ❑ ❑ AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ ❑ ;,Q AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) COMMENTS Go to http://www.slopublichealth.org/environmentalhealth/hazardous_materials.htm, to obtain forms to comply with BPO1-BP03, TRO1 and ER01 ACILITY NtAME. HAN SON AGGREGATES ADDRESS: 131 SUBURBAN ROAD HAZARDOUS WASTE GENERATOR EPA ID NUMBER: MY" Total generated/month: Tiered Permit: LJCEgw [yC'f1Sa` CA ❑PBR Waste oil: Treatment Equipment: Antifreeze: GTOI ❑ F� ❑ GT03 GT04 ❑ GT05 ❑ GT06 ❑ ❑ GT07 ❑ ❑ ❑ GTO8 ❑ ❑ ❑ GT09 �' ❑ ❑ GT10 ❑ ❑ ❑ GTl1 ❑ ❑ ❑ GT12 �" ❑ ❑ GT13 ,e ❑ ❑ ❑ GT14 ❑ ❑ ❑ GT15 ❑ f GT1 El O �uj GT17 � ❑ ❑ ❑ GT18 ❑ ❑ ❑ GT19 P' ❑ ❑ ❑ GT20 ❑ ❑ ❑ GT21 ❑ ❑ ❑ �/ GT22 ❑ ❑ ❑.: GT23 I/ �I Lbs or gals i (average) Solvents: ) _ Others: Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR §66262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION Hazardous waste determination,'conducted (Title 22 CCR §66262.11) own knowledge ❑analysis ❑other / arardous %aste analysis/test records are kept for at least 3 years (Title 22 CCR §66261.40.(c)) DISPOSAL/TRANSPORTATION Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO, and permit or authorization from DTSC (HSC §25189.5, Title 22 CCR §66262.12) ❑ndlkrun ❑other 4V Hazardous wastes are shipped with manifest (Title 22 CCR §66262 0) e Manifests and/or receipts are properly completed/retained by generator for 3 years (Tide 22 CCR §66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ZH rdons wastes are accumulated on site as follows (Title 22 CCR §66262.34) 0 days If waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR §66262.31, 66262.34) Containers/tanks containing hazardous wastes are in good condidon/handled to minimize release or reaction (Title 22 CCR §66265.171/.191, 66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§66265.174) Daily inspection of all tank systems is conducted and documented ('Title 22 CCR §66265.195) Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emplied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) Spent lead -acid batteries are being properly stored and transferred offslte under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating>12,000 kg./yr. of hazardous waste on site. Generator is subject to SDI and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC §25244.19, 25244.21) Source Reduction Evaluation and Plan contains the following five elements: certification, ampunts of wastes generated, process description, block diagrams, and Implementation schedule of selected source reduction measures. (HSC §25244.19) UAW, County of San Luis Obispo City 0[ Environmental Health Services S� 1 i ' IC ^�fc P.O. Box 14 9 Al , Ill 7 `1 a7�0 a a P.O. Box 1489 2156 Sierra Way Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue Date: / yi FACILITY NAME: �. PHONE: San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EFW data , HAZARDOUS MATERIALS INSPECTION FORM entry by: INSPECTION TYPE ;❑ Routine ❑ Reinspection ❑ Complaint ❑ Other Result Code: 70 80 _90 Action Code: 32 37 33 31 PROGRAMS INSPECTED: P'13usiness Plan UMWpenerator ❑ UST ❑AGT ❑CALARP rlovvREINSPECTION REQUIRED: O ❑ YES ❑ Business Plan H en ratir ❑ UST ❑ AGT ❑CALARP PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and Oetermining compliance with adopted codes. GRANTED BY (NAME/TITLE): AGENCY ❑ EHS f ❑ AG DEPT yQ" CITY FIRE BUSINESS PLAN YES NO COS N/A ❑ ❑ ❑ BPO1 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑ ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑ ❑ ❑ TROT Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN j❑ ❑ ❑ ❑ ERO1 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑ ❑ ❑ ❑ ER02 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 ❑ AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) COMMENTS Go to htip://w%vw.slopubliclicahlt.ovcnvironmentalhcalthAiavardous malcrials.htm, to obtain forms to comply with BPOI -BP03, TRQI and ER01 / e lj , FACILITY NAME: + ADDRESS: HAZARDOUS WASTE GENERATOR EPA ID �y G Lbs or gals NUMBER: ° f Total generated/rgonth: (average) Tiered Permit: ❑CESW C Q ❑ A ❑PBR Waste oil: Solvents: Treatment Equipment: Antifreeze: Others: 17� YES NO COS N/A VIOL. # EPA ID NO/PERMITS ❑ ❑ ❑ GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR §66262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) Down knowledge ❑analysis ❑other 1� �L I ❑ ❑ ❑ GC04 Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION uQ ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §25189.5, Title 22 CCR §66262.12) ❑milkrun --Qotwer �� ❑ ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) ❑ ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR Gp' §66263.42/66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑ ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) '00 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported mgre than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 Ibs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) n — ❑ ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in (50 feet) from facility's property line (Title 22 CCR W §66265.176) ❑ ❑ ❑ GT11 Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR §66262.31, 66262.34) ❑ ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Title 22 CCR §66265.171/.191, 66265.177(c)) ❑ ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) ❑ ❑ ❑ CT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) ❑ ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted ' (Title 22 CCR§66265.174) ❑ ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) ❑ ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE ❑ ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) ❑ ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) J❑ ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) P❑ ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ ❑ ❑ ❑ GT22 Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC §25244.19, 25244.21) ❑ ❑ ❑ ❑ GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) ` County of San Luis Obispo CIS/ Of V";I11iM Environmental Health Services �+'� 1 i ' IC �'C (805) 781-5544 JA1 , IJLI a7 Jp0 K P.O. Box 1489 2156 Sierra Way Fire Department (805) 781-7380 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) EFW data HAZARDOUS MATERIALS INSPECTION FORM entry by: Date: /t � f/ Time: , � (: ' FACILITY NAME: _ J a/ AGENCY ❑ EHS ❑ AG DEPT [] CITY FIRE INSNECI ION I YPE ' Routine ❑ Reinspection ❑ Complaint ❑ Other Result Code: _70 _80 _90 Action Code: _32 _37 _33 _31 C/ ADDRESS:."?% PHONE: ��' 1 l PROGRAMS INSPECTED: [}ibusiness Plan HW Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: t ANO ❑ YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT - ❑CALARP IPERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determiningcompliance with adopted codes. GRANTED BY (NAME/TITLE): BUSINESS PLAN YEr NO COS N/A ❑ ❑ BP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) 112❑ ❑ ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) 0 ❑ ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ej ❑ ❑ ❑ TROT Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) P ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN ❑ ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) n ❑ ❑ ❑ ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of t7" 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 ❑ 0 ❑ ❑ AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ ❑ ❑ AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) CO MENTS Go u,http://www.slopublichealth.org/environmentalhealth/hazardous_matcnalti.htm, to obtain forms to comply with BP01-BP03,TR01 and ER01 I Glli �n r'.�,r'1!T" ,Lt�ti1 /�./lYl ,�f/Lf Ohl � ,r.9,s� ,�i /�ilri _.f/Yl fi . ,s:.l.Gf � �• ! 'i. GPS Coordinates: Latitude: deg min decimal min Longitude: deQ min decimal min INSPECTOR: ' FACILITY REP: II "t -t- FACILITY NAME: n /'{/ DRESS: 1V HAZARDOUS WASTE GENERATOR EPA ID Lbs or gals NUMBER: /t a Total generated/month: (average) Tiered Permit: ❑CESW CESQT CA 011B11 Waste oil: Solvents: Treatment Equipment: Antifreeze: _ Others: !;� YES NO COS N/A VIOL. # EPA ID NO/PERMITS iX 1 ❑ ❑ ❑ GTO1 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR §66262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION �❑ ❑ ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) ❑own knowledge ❑analysis []other V` ❑ ❑ ❑ ❑ GT04 Hazardous waste analysis/test records are kept fui at least 3 years (Title 22 CCR §66262.40.(e)) DISPOSAL/TRANSPORTATION ❑ ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §25189.5, Title 22 C R §6626232 - - - r.©nulkrun -❑other ��, j i �- ❑ ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20)` 9 ❑ ❑ ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR l� §66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS t,o ❑ ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 90 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ ❑ �'' GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) ❑ ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) pff ❑ ❑ ❑ GT11 Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR §66262.31, 66262.34) � r. ❑ ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Title 22 CCR §66265.171/.191, 66265.177(c)) ❑ ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) ❑ ❑ ❑ ❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) ❑ ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§66265.174) or ❑ ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) ❑� " ❑ ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed h properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE ❑ ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) ❑ ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) Fj ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ❑ ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating>12,000 kg./yr. of hazardous waste on site. ❑ ❑ ❑ �' GT22 Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC §25244.19, 25244.21) ❑ ❑ ❑ GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) city q I Environmental Health Services c'„ 1 ` P.O.)Box 1489 S ! ■J►� I S OBISW 2156 Sierra Way San Luis Obispo, CA 93406 Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Oblapo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW Date: f entry by: Time: FACILITY NAME: /�; n,� ,;, AGENCY ❑ EHS ECITY FIFE V v 'u � INSPECTION ( ❑ ❑ ❑ TYPE Routine Reinspection Complaint Other �' ADDRESS: / " j / PHONE: 6, PROGRAMS INSPECTED: �� Buslnesa Plan [ 1iW Generator ❑UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: __jq NO ❑ YES ❑ Businasa Plan ❑ en HW Gerator ❑ UST [I❑ AGT CALARP BUSINESS PLAN YES NO N/A ❑- ❑ BP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ❑ BPO2 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑- ❑ ❑ BPO3 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑ ❑ TROI Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ ❑ TRO2 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 .CCR 66265.16) EMERGENCY RESPONSE PLAN ❑ ❑ EROI Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) �� ❑ ❑ ER02 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 ❑ ❑ AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ ' AT02 SPCC Plan is maintained on site or nearest field ottice. (HSC 25270) COMMENTS Go to http://www.slopublichealth.org/environnwntalbealth/hazardous_materials.htm, to obtain forms to comply with BP01-BP03. TRO1 and ER01 GPS Coordinates: Latitude: deg min decimal min Longitude: deg thin decimal min INSPECTOR: FACILITY REP: C.1•.D000ME~l\Repro'LOCAt_S-1\Templc.lotus.notes.data\i_Inspection Form Pagel doc 24-Jan-06 6 11 r/ FACILITY NAME:(TAA^ O ADDRESS:- 0 S WASTE GENERATOR EPA ID NUMBER: L(a a gals 1 /� '� 'Total generated/month: (average) Tiered Permit: CESW CESQTt!i CA PBR Waste oil: �' Solvents: Treatment Equipment: Antifreeze: _ Others: YES NO N/A VIOL. # EPA ED NO/PERMITS ❑ ❑ GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR §66262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) own knowledge ❑analysis ❑other �� ❑ ❑_ GT04 Alazardo -a waste analysls/test records are kept for at least 3 years (Tide 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION m ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §25189.5. Title 22 CCR §66262.12) Qmakrun ❑other ►� ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42166262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) ❑ 90 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1.qt limit) (Title 22 CCR §66262.34(c)) ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR a❑ ❑ GTH §66265.176) Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, nameladdress of generator) (Title 22 ❑ ❑ GT12 CCR §6626231, 66262.34) Containers/tanks containing hazardous in wastes are good condition/handled to minimize release or reaction (Title 22 CCR §66265.171/.191, 66265.177(c)) ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) ❑ ❑ GT14 Containers storing hazardous wastes are closedisealed (Title 22 CCR §66265.173) ®i ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Titre 22 CCR§66265.174) ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) , 12 ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE 10"' ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC ❑ ❑ GT19 §25250.4) Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred oiislte under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating >12,000 kgJyr. of hazardous waste on site. ❑ ❑ © GT22 Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC §25244.19, 25244.21) ❑ El GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\2_Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 NHnij: Environmental Health Services (805) 781-55" P.O. Box 1489 F t� 2156 Sierra Way San Luis Obispo, CA 93406 city of san Luis osispo 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 Date: - entry by: e Time: / i -- FACILITY NAME: 7 Tawo AGENCY ❑ EHS (� CITY FIRE ` �� 6 INSPECTION J4 L] ❑ ❑ TYPE Routine Reinspection Compl Other ADDRESS: / 14M' PHONE: PROGRAMS INSPECTED: Business Plan HW Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: 0 NO ❑ YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑CALARP BUSINESS PLAN YES�'NO N/A E HP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) 0 0 BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) BP03 Site layouttfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN TROT Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) !. TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) EMERGENCY RESPONSE PLAN d ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR $ 66265.53/54) ER02 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 ❑ ❑ U . AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ V]l AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) :OMMENTS . Go to hitp://www.slopublichealth.org/environniciltalbealth/hazardous_umtenals.htm, to obtain fonns to comply with BP01-BPO3, TRO1 and ER01 GPS Coordinates: Latitude: deg min decimal min INSPECTOR: N , YM/(/V _ KWI' FACILITYREP: �`% •� �G ��f �1�� /�/ min C:\DOCUVE-1\ReprbyLOCALS-1\Temp\c.lotus. notes. data\i_Inspection Form Page 1.doo 24-Jan-06 FACILITY NAME: ADDRESS: HAZARDOUS WASTE GENERATOR EPA ID NUMBER: _ Tiered Permit: Lf CESW Treatment Equipment: Lbs or gals Total generated/month: (average) UCESQT ❑CA ❑PBR Waste oil: Solvents: Antifreeze: - Others: YES NO N/A VIOL. # EPA ED NO/PERMITS ❑ ❑ ❑ GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR §66262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA 1D number. HAZARDOUS WASTE DETERMINATION ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) ❑own knowledge ❑analysis ❑other ❑ ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years (Tide 22 CCR §66262.40.(c))- DISPOSAL/TRANSPORTATION ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §25189.5, Title 22 CCR §66 12) J a� ilkrun [other rA. a- ❑'` ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) ❑' ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑' ❑ ❑ GT08 hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) ❑ 90 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) ❑ ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) ❑ ❑ GT11 Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR §66262.31, 66262.34) Q❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or - reaction (Title 22 CCR §66265.171/.191, 66265.177(c)) ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) ❑ ❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) ~ ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted - (Title 22 CCR§66265.174) ❑'" ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) , ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly _ within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) ❑' ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) ❑ ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ❑ ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ GT22 Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC §25244.19, 25244.21) ❑ ❑ ❑ GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) C:\DOCUME—i\Repro\LOCALS~1\Temp\c.lotus.notes.data\2__Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 l nvironmenta; _ .,;alth Serviecs city Vr 4 �: (805)781-5544 P.0.13ox 1489 Us owspo �,,� t • S 1 2156 Sierra Way Fire I)cLrtmcnt 781-7380 �" 18051 San Luis Obispo, CA 93406 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 06/19/2007 Time: Facility Name: HANSON AGGREGATES Aqency Inspection Type ©EHS ©Routine Site Address: 131 SUBURBAN RD ❑CITY FIRE ❑Reinspection SAN LUIS OBISPO, CA 93401 ❑Complaint Phone: (805)543-8100 Facility ID: FA0002505 PROGRAMS INSPECTED: ®Hazmat 19HW Generator OUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: ❑Hazmat ❑HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Title: BATCHMAN Name: YES NO N/A BUSINESS PLAN ® ❑ ❑ BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) ® ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) 0 ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ® ❑ ❑ TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) 19 ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN txl ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) X ❑ ❑ ER02 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 ABOVE GROUND PETROLEUM STORAGE TANK ACT ❑ ❑ M AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ 9 AT02 SPCC Plan is maintained on site or nearest rield office. (HSC 25270) COMMENTS Go to httpgtwww.slopublichealth.orglenvirenmentalhaahh/hazardous matedals.htrn to obtain forms to comply with BP("-BP03, TR01 and ER01 GPS Coordinates: Latitude: 35.2419670000 GPS Coordinates: Longtitude:-120.6725000000 INSPECTOR: PETER HAGUE FACILITY REP: CARLOS GARCIA FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD ,l SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL000145291 NUMBER: Total generated/month: Waste Oil: Antifreeze: Solvents: Others: Lbs or gals (average) YES NO N/A VIOL. # EPA ID NO/PERMITS 3cU' p p GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR§66262.12) If not, Call (800) 618-6942 to obtain your CAL EPA ID number IIAZARDOUS WASTE DETERMINATION ® ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR §66262.11) ©own knowledge ❑analysis ❑other ® ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORT-ATIO N ® ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §25189.5, Title 22 CCR §66262.12) ®milkrun SAI:ETYKLEEN. PS(: ❑other 19 ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) ® ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ® ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) 1990 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) 11180 days if waste generated per month is less than 100 kg (see note) 0270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000kg(13,200 lbs) and noacutely/extremely hazardous waste over lkg (2.2 lbs.) is held on site for over 90 days. IN ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) IN ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in (50 feet) from facility's property line (Title 22 CCR 466265.176) 19 ❑ ❑ GTH Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR §66262.31, 66262.34) © ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (Title 22 CCR §66265.1710.191,66265.177(c)) IN ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 466265.172) M ❑ ❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) ® ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§66265.174) ❑ ❑ ® GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) ® ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE 19 ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) ® ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) p ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ® ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 566266.3) INSPECTED BY: PETER HAGUE DATE: 06/19/2007 FACILITY NAME: HANSON F, }REGATES ADDRE 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR YES NO N/A VIOL. # EPA ID NO/PERMITS SOURCE REDUCTION:For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ ❑ ® GT22 Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. QISC §25244.19, ❑ ❑ ® GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementationschedule of s—eliM source redufflon measures. (IISC §25244.19) INSPECTED BY: PETER HAGUE DATE: 06/19/2007 FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 SUMMARY OF OBSERVATIONSMOLATIONS No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less (Ilan S.2,000 or more than $25,000 for each violation. Yuan• 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: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS PE NO VIOL. NO VIOL. TYPE CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: INSPECTED BY: PETER HAGUE NAME OF FACILITY REP: CARLOS GARCIA DATE: 06/19/2007 SIGNATURE OF FACILITY REP: V 1 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: � ,.. Environmental Health Services Clty o� (805)781-5544 ;J P.O.Box 1489 s-mi Luis oBispo '� �`i• y�r 2156 SiW r�►1 Sierra Dire Department (805) 781-7380 Krti San Luis Ohisl�o, CA 93406 2160 Santa Barbara Avenue San Luis Qbisi)o CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 06/15/2006 Time: 9:35 am Facility Name: HANSON AGGREGATES Agency Inspec Ionype DEHS ORoutine ❑CITY FIRE ❑Reinspection Site Address: 131 SUBURBAN RD ❑Complaint SAN LUIS OBISPO, CA-93401 Phone: (805)543-8100 Facility ID: FA0002505 PROGRAMS INSPECTED: OHazmat NHW Generator DUST ❑AGT ❑CaIARP ❑TPE REINSPECTION REQUIRED: OHazmat 19HW Generator OUST ❑AGT ❑CaIARP ❑TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Title: EQUIP. MANAGER Name: YES NO N/A BUSINESS PLAN ❑ 0 ❑ BP01 Business plan is complete, current, available during inspection(HSC 25503.5, Title 19 CCR 2729) 19 ❑ ❑ BP02 Inventory of hazardous materials is complete(HSC 25504, Title 19 CCR 2729) 0 ❑ ❑ BP03 Site layout/facility maps are accurate(HSC 25504, Title 19 CCR 2729) TRAINING PLAN 0 ❑ ❑ TRO1 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ ❑ TR02 Training documentation is maintained on site for current personnel(Title 19 CCR 2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN O ❑ ❑ ER01 Contingency plan is complete, updated, and maintained on site(HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) 17 ❑ ❑ ER02 Facility is operated and maintained to preveniminimize/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 ABOVE GROUND PETROLEUM STORAGE TANK ACT ❑ ❑ ❑x AT01 SPCC Plan is reviewed and certified by a registered engineer within last5 yrs. (40 CFR 112.5(b)) ❑ ❑ 0 AT02 SPCC Plan is maintained on site or near, -_ u�a COMMENTS Go to http://v.slopublictiealili.orglenvironmentaltioaltIVIiazardous_material •"Hanson GPS Coordinates: Latitude: 35.2419670000 c Rich Horton Hanson Aggregates INSPECTOR: SCOTT MILNER Equipment Manager West Region 131 suburban A ,ad San Luis Obispo, CA 93401 Tel 805 5435183 Fax 805 543 4941 Rich.Horton@HansonAmerica.com Cell 805 331 4190 FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD I i SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA ID CAL000145291 NUMBER: Total generated/month: Waste Oil: Solvents: Antifreeze: Others: Lbs or gals (average) YES NO N/A VIOL. # EPA ID NO/PERMITS px ❑ ❑ GT01 Generator has an EPA ID number to treat store, dispose, transport or transfer hazardous waste (Title 22CCR§66262.12) If not, Call (800) 618-6942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETERMINATION ❑x ❑ ❑ GT03 Hazardous waste determination conducted(Title 22 CCR §66262.11) Mown knowledge ❑analysis ❑other ❑ ❑ x❑ GT04 Hazardous waste analysis/test records are kept for at least3 years(Title 22 CCR §66262.40.(c)) DISPOSAL/TRANSPORTATION ❑x ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §25189.5, Title 22 CCR §66262.12) 19milkrun PSC.SAFETY KLEEN ❑other ❑x ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) 17 ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑X ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows(Title 22 CCR §66262.34) 990 days if waste generated per month is greater than or equal to100 kg. (220 lbs.) 0180 days if waste generated per month is less than 100 kg (see note) 1:1270 days if waste generated per month is less than100 kg and transported more than200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds6000kg(13,200 lbs) and noacutely/extremely hazardous waste over lkg (2.2 lbs.) is held on site for over90 days. 19 ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling(accumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) 19 ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) p ❑ ❑ GTII Containers of hazardous waste are properly labeled(includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name(address of generator) (Title 22 CCR §66262.31, 66262.34) ❑p ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good conditiodhandled to minimize the release or reaction (Title 22 CCR §66265.1710.191,66265.177(c)) ❑x ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 466265.172) x❑ ❑ ❑ GT14 Containers storing hazardous wastes are closed'sealed (Title 22 CCR §66265.173) 19 ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted(Title 22 CCR§66265.174) ❑ ❑ M GT16 Daily inspection of all tank systems is conducted and documented(Title 22 CCR §66265.195) 19 ❑ ❑ GT17 Empty containers or inner liners greater than5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE ❑x ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) ❑p ❑ ❑ GT19 Used oil filters for recycling are managed properly(drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) 19 ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ❑p ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled(Title 22 CCR 466266.3) INSPECTED BY: SCOTT MILNER DATE: 06/15/2006 FACILITY NAME: HANSON ° 7_GREGATES ADDP S: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 SUMMARY OF OBSERVATIONSNIOLATIONS No violations of underground storage tank hazardous materials, or hazardous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions requires] 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 andor the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrativrecivil, or criminal action. FACILITY NAME: HANSON AGGREGATES ADDRESS: 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 VIOLATIONS PE NO VIOL. NO VIOL. TYPE CORRECTIVE ACTION REQUIRED 0727 BP01 4 IMMEDIATELY TAKE NECESSARY ACTION TO ENSURE THAT THE BUSINESS PLAN IS COMPLETE AND AVAILABLE ON SITE. IMPLEMENT A PROCEDURE TO ENSURE THAT THE PLAN IS UPDATED AS REQUIRED BY HEALTH AND SAFETY CODE SECTION 25503.5 AND TITLE 19 CALIFORNIA CODE OF REGULATIONS SECTION 2729. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED IN THIS REPORT MAY RESULT IN CIVIL AND/OR CRIMINAL PENALTIES OF UP TO $2,000 PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCRIBED IN THE CA HEALTH & SAFETY CODE SECTION 25515. PROVIDE AN UPDATED BUSINESS OWNER/OPERATOR IDENTIFICATION FORM. THE EMERGENCY CONTACTS HAVE CHANGED. 0727 TR02 4 IMMEDIATELY PREPARE TRAINING DOCUMENTS ACCORDING TO TITLE 19 CALIFORNIA CODE OF REGULATIONS SECTION 2732 AND TITLE 22 CALIFORNIA CODE OF REGULATIONS SECTION 66265.16 AND LOCATE TRAINING DOCUMENTATION ON SITE. FAILURE TO CORRECT THIS VIOLATION BY THE DATE SPECIFIED IN THIS REPORT MAY RESULT IN CIVIL AND/OR CRIMINAL PENALTIES OF UP TO $2,000 PER DAY PER VIOLATION, AND/OR THE PENALTIES DESCRIBED IN THE CA HEALTH & SAFETY CODE SECTION 25515. PROVIDE COPIES OF RECENT EMPLOYEE TRAINING DOCUMENTATION FOR TRAINING COVERING THE EMERGENCY RESPONSE/CONTINGENCY PLAN AND HAZARD COMMUNICATION TO YOUR INSPECTOR. INSPECTION COMMENTS: THE ABOVEGROUND GASOLINE TANK WAS REMOVED TODAY BY PSC. THE TANK WILL BE DELETED FROM THE FACILITY'S INVENTORY AND SITE MAP. INSPECTED BY: SCOTT MILNER DATE: 06/15/2006 FACILITY NAME: HANSON Ar `f2EGATES ADDREF 131 SUBURBAN RD SAN LUIS OBISPO, CA 93401 INSPECTED BY: SCOTT MILNER DATE: 06/15/2006 NAME OF FACILITY REP: RICH HORTON SIGNATURE OF FACILITY REP: Certification:-) 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: ' Environmental He. -A Services (805)781-5544 P.O. Box 1489 +� 2156 Sierra Way • San Luis Obispo, CA 93406 t?t'rC City of S. Luis Obispo Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 ��iuilllllllllllj1°IIIIIII ...gin ABOVEGROUND STORAGE TANK AND PIPING REMOVAL INSPECTION Permit # �� _ x 7?-) 46 M Facility Name: 144ASO Y) Date: Ic//s/od Site Address: / 3 J Sv rJ/1Dun—i? City: Sa,,, to-s- Owner: /-ja,nsa rt Phone #: Contractor: Psc Phone #: L?'? Is Yes No Application Received Fees Paid 4ovr/ / V Deleted from Inventory / I� Fire A ency Notified INSPECTION Yes No Piping Removed Dispensers Removed Tanks Emptied Prior to Removal / ✓ Tanks Triple Rinsed / V Tanks inerted. Purged with dry ice or another inert gas. Type: / ✓ Soil Sampled Under wing and Dispensers LEL=O w/ OXYGEN @ 20.8 / V Surface Staining Present / V Soil Sampled Beneath Tank — 457 'As 'n Permit # Applied to Tanks SCC'0Y) t Coh+41n►h COMMENTS: D.O.D. & Haz-Waste Manifest Received P:kEWE}i C.ommon',E)OCUfv EN I �Aaron,,A 1 REMOVAUBlank AST rernoaal inspection report doc CUPA INSPECTOR l -o �J Date 6 1 dK, SITE PLOT PLAN SOIL SAMPLING NOTES: Number I Location I Death I Odors OW Crops he p p ..:°� � '•��:� .a, >.• • . , N' <" L-j 0 Maintenance `s; 1 Shop — f L— Map 11 i r PEll, ... Ovcrhead C D Conveyer Fw Water f 1 M ,caw Tanks E Drive�a 4 jdlyes 1. WRDA 64 1500 Gal. 2. ADVA 100 500 Gal. 3. DCI-S 55 Gal. —_ 4. Recover 55 Gal. SOLOMON COLORS 5. Eclipse Floor 275 Gal. A. CF908ST400 275 Gal. 6. AMEX 210 500 Gal. 13. CF920HP 275 Gala 7. Polarset 1500 Gal. C. CF917HP 275 Gal. 8. Daravair 1000 500 Gal. D. CF413HP 275 Gal. 9. ADVA CAST 540 500 Gal. E. CFI 15HP 275 Gal 10. MIRA 85 1500 Gal. F. CF413HP 275 Gal 1 11. ADVA CAST 540 275 Gal. G. CF115HP 275 Gal.: l l I f.":kEH%-.''.H Common,C)0CUMEN1 Aaron';AST i;i".tv7i)VA i_18lank AST removal inspection reporUoc a Environmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 SN LWS OBISpO Fire Department (805) 761-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Date: i Time: FACILITY NAME: /� �,�h �1_o�,f AGENCY ADDRESS: PHONE P-EHS ❑ AG DEPT ❑ CITY FIRE EFW data entry by: INSPECTION TYPE kF Routine ❑ Reinspection ❑ Complaint ❑ Other _ PROGRAMS INSPECTED: ,❑i "Business Plan ,�iW Generator ❑ UST ❑ AGT ❑CALARP REINSPECTION REQUIRED: ,D'NO ❑ YES ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑CALARP 'ERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and? in rec s and eterminin compliance with adopted codes. GRANTED BY NAME/TITLE : V BUSINESS PLAN YES NO N/A ❑ ❑/ ❑ BP01 Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ❑ ❑ TROT Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ /� EMERGENCY RESPONSE PLAN ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 2r❑ ❑ ER02 CCR § 66265.53/54) 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 ❑ ❑ AT01 SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)) ❑ ❑ AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) COMMENTS GPS Coordinates: C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes cl: Wyatt Pullen Shop Foreman ■■■aa■ ...Hanson Hanson A99r0gates Mid -Pacific, lnc. 71 131 Suburbs^ Road, P.O. B San Luis Obispo CA 93406 Tel 805 783 8481 Fax 805 FACILITY NAME: 441,1 ADDRESS: � H("A�S OUS WASTE GENERATOR EPA ID NUMBER: Tiered Permit: Treatment Equipment: 4 v�J b qe3 S 6S f 7 Lbs or gals 6 - _� Total generated/month: (average) ❑CESW ❑CESQT ❑CA ❑PBR Waste oil: Solvents: Antifreeze: Others: E_� NO N/A VIOL. # EPA ID NO/PERMITS ❑ ❑ GTOI Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CUR §66262.12) if Not, Call (800) 618-6942 to obtain your CAL EPA 11) number. HAZARDOUS WASTE DETERMINATION ❑ GT03 Ha rdons waste determination conducted (Title 22 CCR §66262.11) )own knowledge ❑analysis ❑other ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR §66262.40.(c)) FzK ❑ ❑ GT05 DISPOSAL/TRANSPORTATION Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or authorization from DTSC (HSC §25189.5, Title 22 CCR §66262.12) ❑milkrun ❑other ❑ U GT06 Hazardous wastes are shipped with manifest (Title 22 CCR §66262.20) ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR §66263.42/66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑ �� ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR §66262.34) ❑ 90 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 lbs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labelinglaccumulation time/55-gal or 1-qt limit) (Title 22 CCR §66262.34(c)) ❑ ❑ GT10 Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR §66265.176) ! J ❑ ❑ GT11 Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR §66262.31, 66262.34) ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or - reaction (Title 22 CCR §66265.171/.191, 66265.177(c)) ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR§66265.172) ❑ ❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR §66265.173) ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR§66265.174) ❑ ❑ GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR §66265.195) , ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR §66261.7 (f)) RECYCLABLE WASTE ❑ ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC §25250.4) ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed ILJ rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR§ 66266.130) ❑ ❑ GT20 Spent lead -acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR §66266.81) ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR §66266.3) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. ❑ ❑ J2' GT22 Generator is subject to SB14 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC §25244.19, 25244.21) ❑ ❑ E' GT23 Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule of selected source reduction measures. (HSC §25244.19) C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\2__-Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 sb6w Z' 0, SUMMARY OF OBSERVATIONS/VIOLATIONS ❑ No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL —VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS-SPECIFIED.—CUPA must be informed in writing wither certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and pis to > e by a ne or no ess thin -$2,000--6r more'than $25,00036r eac-- TvioTa on. Your ac may reins- pecied —suiy 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. NUMBER C o/ Inspected By: VIOLATIONS MINOR Nl:1'Iol2 Facility Rep Name: Date: 7Y/Si nature: I 1� �( Sign the certification below and mail this form to the CUPA inspector of �r sill corrective actions have been completed. Retain a copy for your records. 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: A:\Summary Inspection Form.doc 23-Jun-04 I)ivision ofyn%ironmental Health (805) 781-5544 V�� i P.O. Box 1489 z 2156 Sierra Way •San Luis Obispo, CA 93406 Ucuartment of ;k rictilture/Mcasurement Standards (805) 781-5910 2156 Sierra Way Suite A •San Luis Obispo, CA 93401 Date: 3 / 1 `r /00 Time: 13oo FACILITY ID NO: FACILITY NAME: ADDRESS: PHONE: City of San Luis Obispo Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 �l Utilities Department • (805) 781-7215 879 Morro Street • San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM 3 1 1/ NA L rL Frn L-V i 3 Qb i V3 L)c) PROGRAMSI AGENCY DEH ❑ AG DEPT ❑ CITY FIRE 4 11 yq5 ❑ CITY UTILITIES REINSPECTION REQUIRED: 19 NO ❑ YES )N TO INSPECT: Inspections may involve codes. GRANTED BY (NAME/ rrLE): j EFW data entry by: INSPECTION TYPE ® Routine ❑ Reinspection ❑ Complaint ❑ Other W Business Plan 12 HW Generator I ❑ UST I ❑ AGT I ❑ Tiered Permitting ❑ Business Plan I ❑ HW Generator I ❑ UST I ❑ AGT I ❑ Tiered Permitting photographs, reviewing and copying records, and determining compliance BUSINESS PLAN YES NO N/A ❑ ❑ BPOI Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ® ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑ ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN ® ❑ ❑ TRO1 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) COMMENTS: EMERGENCY RESPONSE PLAN ❑ EROI Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑ ER02 Facility is operated and maintained to preventhninimize/mitigate fire, explosion, or release of hazardous waste to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265.31-.43) — now s vc 24 ,r ::Hanson a78 701'5-6b-1 Hanson Aggregates Roger Larsen Central Coast Maintenance Shop Foreman P.O. Box 71 805 543 6481 S n Luis Obispo, CA 93406 a 131 Suburban Road San Luis Obispo, CA 93401 Fax 83--� ata "'�22 INSPECTOR: FACILITY REP, Wyatt Pullen Parts 805 781 3405 FACILITY NAME: 41oi5r) DATE: INSPECTOR: ='v V HAZARDOUS WASTE GENERATOR EPA ID 6 13 'P 3 q �9 7 Lbs or gals NUMBER: C/�L coo6*&- �- cAD `83 S96 Total generated/month: LQ G (average) Tiered Permit: ❑CESW ❑CESQT ❑CA ❑PBR Waste oil: Solvents: ✓ Treatment Equipment: Antifreeze: ,/ Others: YES NO N/A VIOL. # EPA ID NO/PERMITS ! ❑ ❑ GT01 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR 66262.12) If Not, Call (800) 618-6942 IIAZARD01IS WASTE DETERMINATION ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR 66262.11) t9own knowledge ❑analysis ❑other ❑ ❑ GT04 Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR 66262.40.(c)) DISPOSAL/TRANSPORTATION ❑ ❑ GT05 Hazardous wastes were transported and/or disposed to a facility with 8,V EPA ID NO. and permit or authorization from DTSC (HSC 22 CCR 66262.12) j25189.5,I'Citle [Qmilkrun service f) f„t f( l� tii✓.Sh7K�other fj�ky �Nc.yc�i`n� Svc.. �l ry . ' ,k ® ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR 66��—�— ® ❑ ❑ GT07 Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR 66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ® ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR 66262.34) 0 90 days if waste generated per month is greater than or equal to 100 kg (220 lbs.) ❑ 180 days if waste generated per month is less than 100 kg (see note) ❑ 270 days if waste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13200 Ibs.)and no acutely/extremely hazardous waste over 1 kg (2.2 lbs.) is held on site for over 90 days. ❑ ❑ ® GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR 66262.34(c)) ® ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in (50 feet) from facility's property line (Title 22 CCR 66265.176) ❑ ❑ GTI1 Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR 66262.34) F❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Title 22 CCR 66265.171/.191, 66265.177(c)) ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 66265.172) ® ❑ ❑ GT14 Containers storing hazardous wastes are closed/sealed (Title 22 CCR 66265.173) ® ❑ ❑ GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR 66265.174) ❑ ❑ ® GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR 66265.195) ❑ ❑ GT17 Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR 66261.7 (f)) RECYCLABLE WASTE fUl ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.4) ❑ ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR 66266.130) ❑ ❑ ® GT20 Spent lead -acid batteries are transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR 66266.81) ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 66266.3) repro 1183 SUMMARY OR OBSERVATIONS/VIOLATIONS No violations of underground tank, hazardous materials, inventory, and hazardous waste laws, regulations, and requirements were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or proposed action, please inform us in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN IQ DAYS OR AS SPECIFIED. CUPA must be informed in writing certifying j that compliance has been achieved. A false statement that comp lance fins been ach eved Is a violatlon of the law and punishable by a fine ore than $25,000 for each violations Yonrfacility 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 proposed corrective actions. The issuance of this Summary of Violations does not preclude CUPA from taking administrative, civil, or criminal action as a result of the yiolAtions noted or that have not been corrected within the time specified. VIOLATIONS NUMBER MINOR MAJOR t�Po i ✓ e TR oa 1_ GTo 1 COMMENTS: t fr,✓id a n so; Il CORRECTIVE ACTION REQUIRED Inspected By: Facility Rep Name: O 6eA /-,-0, 27 yeeV Date: sh',/oa Signature: repro 1127 rev 1 O:\DOCUMENT\Jeffp\FORMS\Inspection forins\CUPA inspection forms.doc 10-Sep-01 Division of Environmental Health P.O. Box 1489 2156 Sierra Way -San Luis Obispo, CA 93406 Department of Agriculture/Measurement Standards (805) 781-5910 2156 Sierra Way Suite A•San Luis Obispo, CA 93401 City of San Luis Obispo Utilities Departments (805) 781-7215 955 Morro Street• San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS Record ID I Prog/Ele I Svc I Result I Action I Insp Min. I Facility Violation CODES: (insert codes for above box using new Envision codes) ENVISION FACILITY ID NO: 1 5a 6 TYPE OF INSP: ❑ Routine 9 Re-insp. ❑Complaint FACILITY NAME: ANSt1^l fa�� i5' M ID -�/4EL!G FACILITY LOCATION: /3 Su v 4AA/ Ab INSPECTING AGENCY: �g TEL. NO.(Site): �/ iS 0;1/SPA DEH ❑ SLO CITY ❑ AG DEPT PROGRAMS INSPECTED: ❑ Business Plan I 2gHW Generator ❑ UST ❑ AGT REINSPECTION REQUIRED: J J NO ❑ YES I ❑ Business Plan I ❑ HW Generator I ❑ UST I ❑ AGT CONSENT: Consent to conduct inspection which may involve obtaining photographs, review and copying of records, and determination of compliance with UST, AGT, and hazardous materials/waste handling requirements. Granted By (Name/Title): S 7"L�70C,u Z/4CIX25' GENERAL REQUIREMENTS YES NO N/A VIOL. # TRAINING ® ❑ ❑ TRO1 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ® ❑ ❑ TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) CONTINGENCY/EMERGENCY PLAN ® ❑ ❑ EROI Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) M ❑ ❑ ER02 Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of hazardous ``�' lj 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) BUSINESS PLAN YES NO N/A VIOL. # ❑ ❑ BPOI Business plan is current & available during inspection (HSC 25503.5, Title 19 CCR 2729) ❑ ❑ BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) ❑ ❑ 13P03 Site layouttfacility maps are accurate (HSC 25504/, Title 19 CCR 2729) 7 C 1CUPAINSP.DOC 19 J: Division of Environmental Health P.O. Box 1489 2156 Sierra Way -San Luis Obispo, CA 93406 Department of AlLriculture/Measurement Standards (805) 781-5910 -- 2156 Sierra Way Suite A•San Luis Obispo, CA 93401 Date: 4 / /0 / 40 Time In• 3&j ��ii«IIIIIIIIIIi�"1Q�IIIIIII _City of San Luis Obispo Utilities Department- (805) 781-7215 955 Morro Street* San Luis Obispo, CA 93401 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Record ID Prog/Ele Svc Result Action Insp Min. Facility Violation GT 1� CODES: (insert codes for above box using new Envision codes) ENVISION FACILITY ID NO: l 5"ZO5 FACILITY NAME d/ C FACILITY LOCATION: /3 / 0AIM M TEL. NO.(Site):pn_i� ,L��/S /��3�SPn TYPE OF INSP: Routine Re-insp. Complaint INSPECTING AGENCY: DEH El SLO CITY AG DEPT PROGRAMS INSPECTED: REINSPECTION REQUIRED: NO ® YES Business Plan Ej Business Plan HW Generator UST HW Generator UST AGT AGT CONSENT: Consent to conduct inspection which may involve obtaining photographs, review and copying of records, and determination of compliance with UST, AGT, and hazardous materials/waste handling requirements. Granted By (Name/Title):_rj7'ryjW ZACJ<s GENERAL REQUIREMENTS YES NO N/A VIOL. # TRAINING TR01 Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) ® TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR 66265.16) CONTINGENCY/EMERGENCY PLAN © El ❑ ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR § 66265.53/54) ❑ ER02 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) BUSINESS PLAN YES NO N/A VIOL. # ® BP01 Business plan is current & available during inspection (HSC 25503.5, Title 19 CCR 2729) ®n BP02 Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) El F ❑ BP03 Site layout/facility maps are accurate (HSC 25504, Title 19 CCR 2729) A:tCUPA1NSP.D0C 19-Jan-00 HAZARDOUS WASTE GENERATOR EPA ID NO: C AD 18 3 SgIO 3%7 Total generated/mo:lbs or als 'Tiered PermiL•_ CESNN' CESQT =.CA_ PSR Waste Oil:- Solvents: 4 Treatment Equipment: i _ Anti-freeze:f9 Others: YES NO N/A VIOL. # EPA ID NO/PERMITS ❑ ❑ GTO1 Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR 66262.12) ❑ ❑ ES GT02 Generator has a permit or authorization to conduct on -site waste treatment (Title 22 CCR 66270.1) HAZARDOUS WASTE DETERMINATION M ❑ ❑ GT03 Hazardous waste determination conducted (Title 22 CCR 66262.11) ®own knowledge ❑analysis ❑other ❑ ❑ M GT04 Hazardous waste analysis/test records are kept for at least 3 years ('Title 22 CCR 66262.40.(c)) DISPO SAL/TRANPORTATION ❑ ❑ GT05 Hazardous wastes were offered to transporter and/or disposed to a facility with an EPA ID No. and permit or authorization from DTSC (HSC 25189.5, Title 22 CCR 66262.12) ®milkrun service ❑other ® ❑ ❑ GT06 Hazardous wastes are shipped with manifest (Title 22 CCR 66262.20) Z ❑ ❑ GT07 Manifests are properly completed/retained by generator for 3 years (Title 22 CCR 66263.42/ 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS ❑ ❑ GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR 66262.34) ❑<90 days if waste generated per month is z 100 kg (220 lbs.) � s 180 days if waste generator per month is less than 1000 kg (See Note) ❑s 270 days if waste generator per month is less than 1000 kg and transported more than 200 miles (See Note) Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg and no acutely/extremely hazardous waste over 1 kg is held on site for over 90 days. ® ❑ ❑ GT09 Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/55-gal or 1-qt limit) (Title 22 CCR 66262.34(c)) had ❑ ❑ GT10 Ignitable or reactive wastes are located 15 in(50') from facility's property line ('Title 22 CCR 66265.176) ® ❑ ❑ GTI1 Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR 66262.34) 21 ❑ ❑ GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction ('Title 22 CCR 66265.171/.191, 66265.177(c)) © ❑ ❑ GT13 Containers/tanks/liners are compatible with waste stored or transferred ('Title 22 CCR 66265.172) © ❑ ❑ GT14 Containers storing hazardous wastes are closed/scaled (Title 22 CCR 66265.173) © ❑ ❑ GT15 Weekly inspection of areas where haz. waste containers are stored is conducted/documented (Title 22 CCR 66265,174) ❑ ❑ ® GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR 66265.195) ❑ ® ❑ GT17 Empty containers or inner liners > 5 gal has date when emptied and managed properly within one year of date emptied (Title 2 CCR 66261.7 (f)) RECYCLABLE WASTE ® ❑ ❑ GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.4) ® ❑ ❑ GT19 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 CCR 66266.130) ® ❑ ❑ GT20 Spent lead -acid batteries are transferred offsite under manifestation for recycling, reuse, or reclamation (Title 22 CCR 66266.81) ❑ ❑ GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR 66266.3) SUMMARY OR OBERVATIONSNIOLATIONS No violations of underground tank, hazardous materials, inventory, and hazardous waste laws, regulations, and requirements were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. ® Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or proposed action, please inform us in writing. All minor violations must be corrected within 30 days or as specified. CUPA must be informed in writing certifying that compliance has been acfiieve�A 1'sTse-s-faiement that compliance has been achievedU-a violation of the law and punishable by a the o not less than $2.000 or more than $25.000 for each violation. Your facility may be reinspected at anv time. You may request a ffieeffin—gwith the Program Manager to discuss the inspection findings and/or proposed corrective actions. e issuance of this Summary of Violations does not preclude CUPA from taking administrative, civil, or criminal action as a result of the violations noted or that have not been corrected within the time specified. VIOLATIONS. NO. MINOR MAJOR CORRECIVE ACTION REQUIRED TRO ERO BPO GTO �� G�iNSd�YAZt@L WDO UTO ATO COMMENT: •rWiPT-FAWIMM Insp. Agency Rep: Facility Rep: Date: ,d _55s7 Title: 805-781-5544 COUI- Y OF SAN LUIS OBISPO HEALTH DEPA..,,MENT Routine Inspection ✓ Division of Environmental Health , / Reinspection No P.O. Box 1489, San Luis Obispo, CA 93406 V Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENER TOR INSPECTION REPORT/NOTICE OF VIOLATION Facility Name:_ _ ^ _ Facility Address: �"'�"�-_ Contact Person `P`�^IY�Ct` l dle/Nosdion! HAZARDOUS MATERIALS (2185) (COMP p ) (CA H&S Code, Div. 20, Chap. 6.95) UNDERGROUND STORAGE TANKS (COMP N (CA H&S Code, Div, 20, Chap. 6.7) f t :> 0 3 BUSINESS I.D. FORM ATL. 8_ _ GENERAL 1. Complete Com I Viol 20. Permit tooperate Com I Viol 2. Verify emergency hone number 21. Inventory reconciliation^ 3. Location of utilities 22. Precision tank test_ 4� INVENTORY 23. Leak detectors jy 4. Hazardous material & amounts listed _ TANK CLOSURE 5 Material stored in proper containers & labeled 24. Permit approved 25. Temporary closure 6. Incompatibles not stored together 26. Removal/in place abandonment 7. Spill containment provided a Tanks purged PLOT PLAN b Tanks rinsed 8. Plot plan submitted c Soil samples taken 9. Verify streets & adjacent buildings WASTE GENERATORS COMP N-_ 10. Location of hazardous materials 27. EPA identification number 11. Fire extinguishers/water source 28. Variances and/or exemptions ✓ 12. Emergency shut-off switches 29. Manifests .-- 13. Location & verification of MSDS 30. Waste oil receipt 14. Sewers stem and/or storm drains 31. Training program/records 15. Staging area 32. Contingency Ian 16. Chan es/modifications in previous year 33. Material stored in proper containers & labeled EMERGENCY RESPONSE PLAN 17. Adequate emergency response procedures ' 34. Incompatibles not stored together 18. Adequate evacuation procedures 35. Storage - 90 days 19. TRAINING PROCEDURES 36. Fire extinguishers 37. Spill containment The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMMENTS Inspector's Signature Owner/Operator Signature - Page Of-, NOTE: Signature indicates receipt of this document only and not an admission of the facts. 805-781-55 COUIv I'Y OF SAN LUIS OBISPO HEALTH DEPARTMENT Routine Inspection Division of Environmental Health Reinspection No. P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION Facility Facility Address: Date: -- ` - `/ Contact Person: Kb2 Title/Position: HAZARDOUS MATERIALS (2185) (COMP # ) (CA H&S Code, Div 20, Chap. 6.95) UNDERGROUND STORAGE TANKS (COMP -# ,) J (CA H&S Code, Div 20, Chap. 6.7) BUSINESS I.D. FORM ATL. # GENERAL Com I Viol 20. Permit to operate 1. Complete Com I Viol 2. Verify emergency hone number ,ram 21. Invento reconciliation , r 3. Location of utilities 22. Precision tank test INVENTORY 23. Leak detectors AA 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers & labeled 24. Permit approved 25. Temporary closure 6. incompatibles not stored together 26. Removal/in place abandonment 7. Spill containment provided a Tanks purged PLOT PLAN b Tanks rinsed 8. Plot plan submitted .r c Soil samples taken 9. Verify streets & adjacent buildings WASTE GENERATORS COMP N 10. Location of hazardous materials v 27. EPA identification number �- 11. Fire extinguishers/water source 28. Variances and/or exemptions 12. Emergency shut-off switches 29. Manifests PA 13. Location & verification of MSDS 30. Waste oil receipt 14. Sewer system and/or storm drains 31. Training program/records ✓ 15. Staging area 32. Contingency Ian 16. Changes/mod if icat ions in previous year 33. Material stored in proper containers & labeled EMERGENCY RESPONSE PLAN 17. Adequate emergency response procedures -- 34. Incompatibles not stored together �- 18. Adequate evacuation procedures 35. Storage - 90 days . _- 19. TRAINING PROCEDURES y" 36. Fire extinguishers .� 37. Spill containment �- The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. n�1 nn COMMENTS N Inspector's Signature Owner/Operator Signature (A /At t, I ttaPage of NOTE: Signature indicates receipt of this document only a d not an ac(mission of the facts. 805-549-5544 COUMr 7 OF SAN LUIS OBISPO HEALTH DEPAR. MENT Routine Inspection Division of Environmental Health Reinspection No. P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION cam'• Facility Name:_ �Gc 11 +k I _, '�._ I I I- r N U Itcltlty-AddrM. t � �� Date: r, Itle/PosMon-- HAZARDOUS MATERIALS 5 # ) UNDERGROUND STORAGE TANKS (COMP # ) (CA H&S Code, Div. 20, Chap. 6.95) (CA H&S Code, Div. 20, Chap. 6.7) BUSINESS I.D. FORM ATL. # GENERAL - 1. Complete Com I Viol 20. Permit to operate Com I Viol / 2. Verify emergency hone number 21. InventorV reconciliation / 3. Location of utilities 22. Precision tank test INVENTORY 23. Leak detectors / 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers & labeled 24. Permit approved 25. Temporary closure 6. Incompatibles not stored together 26. Removal/in place abandonment 7. Spill containment provided a Tanks purged / PLOT PLAN b Tanks rinsed 8. Plot plan submitted c Soil samples taken 9. Verify streets & adjacent buildings WASTE GENERATORS COMP # 10. Location of hazardous materials 27. EPA identification number 11. Fire extinguishers/water source 28. Variances and/or exemptions / 12. Emergency shut-off switches 29. Manifests 13. Location & verification of MSDS r f 30. Waste oil receipt 31. Training program/records 14. Sewer sWem and/or storm drains 15. Staging area s 32. Contingency Ian 16. Changes/modifications in previous year 33. Material stored in proper containers & labeled EMERGENCY RESPONSE PLAN 17. Adequate emergency response procedures 34. Incompatibles not stored together 18. Adequate evacuation procedures 35. Storage - 90 days i 19. TRAINING PROCEDURES 36. Fire extinguishers / 37. Spill containment The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMMENTS �_�-U' r.:: l• l t-�i. V--C-`�:., �'-' �� u. Inspector's Signature Owner/Operator Signatur _ NOTE: Signature indicates receipt of th s docu t only and not an admission of the facts. _1/ Page of 805-549-5544 COUNTY OF SAN LUIS OBISPO HEALTH DEPARTMENT Routine Inspection Division of Environmental Health Reinspection No. P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION Facility Name: _ Date: Facility Address: 7 _<..,� r.��.v r, Contact Person. Title/Pos tlon: HAZARDOUS MATERIALS (2185) (COMP # ) (CA H&S Code, Div. 20, Chap. 6.95) UNDERGROUND STORAGE TANKS (COMP # ) (CA H&S Code, Div. 20, Chap. 6.7) BUSINESS I.D. FORM ATL. # GENERAL 1. Com I Viol 120. Permit to operate Com I Viol 2. Verify emergency hone number 21. Inventory reconciliation �- 3. Location of utilities 22. Precision tank test +- INVENTORY 23. Leak detectors 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers & labeled ` " 24. Permit approved 25, Temporary closure 6. Incompatibles not stored together 26. Removal/in place abandonment i 7. Spill containment provided a Tanks purged I PLOT PLAN b Tanks rinsed 8. Plot plan submitted r- c Soil samples taken 9. Verity streets & adjacent buildings WASTE GENERATORS COMP # 10. Location of hazardous materials 27. EPA identification number 11. Fire extinguishers/water source 28. Variances and/or exemptions " 12. Emergency shut-off switches 29. Manifests 13. Location & verification of MSDS 30. Waste oil receipt 14. Sewer system and/or storm drains 31. Training program/records = 15. Staging area 32:, Contingency Ian ' 16. Changes/modifications in previous year 33. Material stored in proper containers & labeled v' EMERGENCY RESPONSE PLAN 17. Adequate emergency response procedures 34. Incompatibles not stored together r/ 18. Adequate evacuation procedures 19. TRAINING PROCEDURES 35. Storage - 90 days✓ 36. Fire extinguishers 37. Spill containment The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMMENTS 1' ct fi,=A �ktiJC -(T-W vK 1-1 IC e-~_tk� U I�I� r}-S i. ��rcJ - e ( �, t' _i:,._-.-� \•1'\I �.� i c�(_a 01 JtLL Inspector's Signature Owner/Operator Signature - NOTE: Signature indicates receipt of this document only and not an admission of the facts. Page of 805-549-5544 COUN rY OF SAN LUIS OBISPO HEALTH DEPARTMENT Routine Inspection Division of Environmental Health Reinspection No. P.O. Box 1489, San Luis Obispo, CA 93406 Complaint Investigation HAZARDOUS MATERIAL/UNDERGROUND STORAGE TANK/WASTE GENERATOR INSPECTION REPORT/NOTICE OF VIOLATION Facility Name: Date . Facility Address: / %.' �i- f`%�� r Contact Person Title/Position: HAZARDOUS MATERIALS (2185) (COMP # ) UNDERGROUND STORAGE TANKS (COMP # ) (CA H&S Code, Div. 20, Chap. 6.95) (CA H&S Code, Div. 20, Chap. 6.7) BUSINESS I.D. FORM ATL. # - GENERAL 1. Complete Com I Viol 20. Permit to operate Com I Viol s ' 2. Verity emergency hone number 21. Inventory reconciliation 3. Location of utilities 22. Precision tank test INVENTORY 23. Leak detectors 4. Hazardous material & amounts listed TANK CLOSURE 5. Material stored in proper containers & labeled 24. Permit approved 25. Temporary closure 6. Incompatibles not stored together 26. Removal/in place abandonment 7. Spill containment provided a Tanks urged PLOT PLAN b Tanks rinsed 8. Plot plan submitted c Soil samples taken 9. Verify streets & adjacent buildings WASTE GENERATORS COMP 10. Location of hazardous materials 27. EPA identification number 11. Fire extinguishers/water source 28. Variances and/or exemptions 12. Emergency shut-off switches - 29. Manifests 13. Location & verification of MSDS 30. Waste oil receipt 14. Sewers stem and/or storm drains 31. Training program/records 15. Staging area 32. Contingency Ian 16. Changes/modifications in previous year 33. Material stored in proper containers & labeled EMERGENCY RESPONSE PLAN 17. Adequate emergency response procedures i' 34. Incompatibles not stored together 18. Adequate evacuation procedures 35. Storage - 90 days 19. TRAINING PROCEDURES 36. Fire extinguishers 37. Spill containment The above marked items represent violations of the California Health & Safety Code and the California Code of Regulations and must be corrected. COMME ;1� /4,,1/( 1, 1 i 74:> - i �-tf./e>.0 -J 1 f"'-�' *yj,,r C , 7" Inspector's Signature- Owner/Operator Signature - Page of NOTE: Signature indicates receipt of this document only and not an admission of the facts. STATE OF CALIFORNhI, WATER RESOURCES CONTROL BOARD FORM A: UNDERGROUND STORAGE TANK PROGRAM _�'�i t� SITE FACILITY/SITE INFORMATION and/or PERMIT APPLICATION 'Ry r� e � COMPLETE THIS FORM FOR EACH FACILITY/SITE '"FOR 1p, MARK ONLY ❑ T NEW PERMIT ❑ 3 RENEWAL PERMIT © 5 CHANGE OF INFORMATION 7 PERMANENTLY CLOSED SITE ONE ITEM ❑ 2 INTERIM PERMIT (� 4 AMENDED PERMIT ❑ 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS — (MUST BE COMPLETED) FACILITYISITENAME _ _CAREAF.ADDRESSI /` - /BSc>� / l .. v ADDRESS NEAREST CROSS STREET 8%10WiCatf ❑ PARTNEgSFtlP ❑ STA7 •AGENCY CWMnM Q 1�� ❑ FEDERAL -AGENCY CITY NA STATE ZtPjCWE ITE PHONE #, WITH AREA CODE .1ri�s i CA TYP OF BUSINESS: ❑ 2 DISTRIBUTOR VfROCESSOR ✓Box if INDIAN EPA ID # # of ❑ 1 GAS STATION ❑ 3 FARM 5 OTHER TRUST LANDS TION or ❑ AT THIS SITE HIS SI EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) DAYS: N ME (LAST, FIRST) PHONE # WITH AREA CODE DAYS: ME (LAST IRST) PHONE H WITH AREA CODE Id _� I- n�irs _ NIG S: NA (LAST, FIRST) PHONE # WITH AREA CODE NI HTS: NAME (L.AS FIRST) PHONE # WITH AREA CODE �/ � II. PROPE14TY OWNER INFORMATION & ADDRESS — (MUST BE COMPLETED) NAME /s CARE OF ADDRESS INFORMATION MAILING or STREET ADDRESS / lol✓ Box to indicate ❑ PARTNERSHIP ❑ STATE -AGENCY LOCAL❑ FEDERAL -AGENCY ❑IDUAL `fl�/7 ❑ NDNORATION ❑ G0LJNAGENCY CITY NAME ^ STAT ZIP CODE P ONE p WITH REA CODE III. TANK OWNER INFORMATION & ADDRES6 — (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION S MAILING or STREET ADDRESS ✓ Box to indicate ❑ PARTNERSHIP ❑ STATE -AGENCY ❑ CORPORATION ❑ LOCAL -AGENCY ❑ FEDERAL -AGENCY ❑ INDIVIDUAL ❑ COUNTY -AGENCY CITY NAME STATE ZIP CODE PHONE H, WITH AREA CODE IV. LEGAL NOTIFICATION AND BILLING ADDRESS CHECK ONE (1) BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR BOTH LEGAL NOTIFICATION AND BILLING: I. ❑ II. ❑ III. ❑ THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S NAME (PRINTED & SIGNATURE DATE ' -Z2 , zxg, lrs per- z ' LOCAL AGENCY USE ONLY COUNTY # JURISDICTION # AGENCY # d CURRENT LOCAL AGENCY FACILITY ID # /S__�cb3 PERMIT NUMBER I PERMIT APPROVAL DATE FACILITY ID # APPROVED BY NAME 110 • [11A `G v`. � PERMIT EXPIRATION DATE I LOCATION CODE I CENSUS TRACT # I SUPERVISOR -DISTRICT CODE CHECK # I PERMIT AMOUNT I SURCHARGE AMOUNT ll (- .00 BUSINESS PLAN FILED YES NO FEE CODE I RECEIPT # # of TANKS at SITE PHONE # WITH AREA CODE DATE FILED BY: r THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE TANK PERMIT FORM 'B' APPLICATION(S), UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (3-2-88) LOCAL AGENCY COPY