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HomeMy WebLinkAbout645 Tank Farm #FCity of San Luis Obispo Fire Department tnspection- I nformation ld_number Address 645-F Tank Farm Road Assignment KerrY BoYle Business Star Automotive Business Phone 543-7827 Business type Time spent lnspection Frequency Responsible party Brian Wampler Phone 5$-7BZl Emergency phone Property owner Address City, State, Zip No Lock Box Location Last clear date Next lnspection Hood test Sprinklers Location No Alarm Location No Clean Agent Location No Stand pipes FDC Location Self-inspection cycle Manager )Empl€{ee Last inspection date Gas Shutoff: Side lnspector 1B NFIRS Code Not specified # of buildings # of units 0 0 FDC loc Fire flow Construction type Stories Building Area Occupancy area Occupancy load Occupancy UFC Year Critical locations Main Elecrrical Shurof f : Side Preplan hazard N6tes Repair Garage - /d /hrr;t ouNA' fuX7utf$fa lw^a^ ^) ,' r''fu -"'l'"(t) F'ORM S - SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED BUSINESS OWNER/OPERATOR IDENTIFICATION PROGRAM AGENCY I. IDENTIFICATION ENDINGDATE/?'3t'o? 1011BEGINNING DATE 7-tz"o? 100FACILITY ID# BUSINESS PHONE fo 5, sl;zfe 7/9u BUSINESS NAME (same os '70 o NAME or DBA - Doing Business As) BUSINESS SITE ADDRESS 7 So Fpn nlers 4lr 103 CA ZTPCODE 73qo t 105 sn"l /us 0815/0 104CITY SIC CODE (a digit #)107 DUN & BRADSTREET t06 108 COUNTY 110B USINESS OPERATOR PHON EA^/ ( BUSINESS OPERATOR NAME /'brtu,tl h/rrrn fc rrc 109 II. BUSINESS OWNER Bn ui^ h,/.r"-lct7q 111OWNER NAME STATE lt5 C/+ t"to?3 ro z-1t6 OWNERPHONE tlt I ADDRESSOWNER CITY , LOS o.fas III. ENVIRONMENTAL CONTACT illtCONTACTPHONESnar ns d f t17CONTACTNAME ll9 CONTACT MAILING ADDRESS ZIP CODE121STATEt20CITY ry. EMERGENCY CONTACTS -SECONDARY--PRIMARY- {r1r/t' Ur/lt*fzZa 128NAMEBrt*, d,Jn-/r t t r23NAME TITLE I cJruev- r29 TITLE /ctftruts Pc/tJr-Z 124 BUSINESS PHONE Yo t" tY"7 .'7/) 7 130 BUSINESS PHONE lo f, f13, '7 F) 7 125 13124-HOUR PHONE'ta524-HOUR PHONE 126 / PAGER # / CELL PHONFI # L t32 PAGER # / CELL PHONE #t2'1 ADDITIONAL LOCALLY COLLECTED INFORMATION t33 penalty of law that I have examined andIinformation,the certifyindithosevidualsonBasedresponsibleCertification:my andandsubmittedthebelieveaccurate,rs true,informationfamiliaralnthewithinformation complete. t34DATEvlrz/al NAME OF DOCUMENT PREPARER 135 SnrOR DESIGNATEDSIGNATURE NAME OF SIGNER (prirtr tsri,^t t36 f,7\ 7 Paoe C:\l]*{1LJfu'lf;- 1 ,ki:;::;rl*'rlr}*Ai,.l}- 1 ,."i'*r*p\-l*fi'lFi}ritiy illilecl*ry 5 i#r *lJ FA l-il* -Perci'l**eril l.;iiicrrp*'rfoi'**\FRM-$. tlqx) i]?i'I I'109 FORM I - SAN LIIIS OBISPO COLNTY CERTIFIED UNIHED PROGRAM AGENCY (CIJPA) CHEMICAL IIWENTORY ormaterial Page _ of _!ner-nre EnevIsn K ,flaru,'t I. FACILITY INFORMATION (Same as ,4" 3 vlE BusinessorNAMEDBA As)FACILITY DoingNAMEINESSBUS CHEMICAL LOCATION CONFIDENTIAL EPCRA NOYES CHEMICAL GRID# (optiooat)MAP# FACILMY ID # tr. CIMMICAL INFORMATION TRADE SECRET If Subject to EPCRA, refer to instructions 206Yes GLYCOL + OTHER GLYCOLS 245 CHEMICAL NAME fl Yes Ft'to 208 EHS* 20't COMMON NAME *If EHS is (Y€s", all amounts below must tle in lbs'cAs# 210 FIRE CODE HAZARD CLASSES (Crmplete if required by CUPA) 2t3 CURIES 212 RADIOACTIVE EYCS EINOHAZARDOUS MATERIAL TYPE (Check one item only)E a. PURE E u. t'llxrunE El c. WASTE {O Grtzza,,/fLARGEST CONTAINER 215 PHYSTCAL STATE (Check one item only)E a. SOLID EI b. LIQUID E C. GAS FED HAZARD CATEGORIES (Check all that aPPIY) Ea.FIREfIb.REACTIVEEc.PRESSURERELEASEEd.ACUTEHEALTHEe.CHRONICHEALTH 216 STATE WASTE CODE 220ANNUAL WASTE AMOUNT /oo 64L/a'u, 219 {o Gnuo^rs AMOUNTMAXIMUMAVERAGE DAILY ) S 6ftuoo'5 222DAys oN tnu'7 6 SUNITS+ (Check ore item only) fl d. roNSEI a. GALLONS EHS, amotnt must be in Eu. custcFEsr Ec. FOUNDS Dtrn b. UNDERGROUND TANK c. TANK INSIDE BUILDING d. STEEL DRUM utrtr f. CAN g. CARBOY h. SILO tri. Ek. trr. n. PLASTIC BOTTLE o. TOTE BIN p. TANKWAGON m. GI-ASSTANKa. ABOVE CONTAINER DRUM CYLINDER BAG BOX r. OTHER q. RAIL CAR E A. AMBIENT E b. ESOVE EMSIENT E C. BELOW AMBIENT STOMGE PRESSURE 224 STORAGETEMPERATURE El A. AMBIENT Eb. ABOVEAMBIENT E C. BETOW AMBIENT E d. CRYOGENIC 225 CAS #EHSIIAZARDOUS COMPONENT (For mixture or waste only)%wr t072Llflvo EINo 224 ETHYLENE GLYCOL 2TI 150 x26 flvo flNo 232 2t0 n 237 fl ves flNo 236zy 3 24t flvo nNo 2& 218 4 245241 Evo ElNo242 5 ot prpcr aptul4 tte wlghr lf@poeoaf r Prsl la gMacr thrq ritrciorreightmc ADDITIONAL LOCALLY COLLECTED INFORMATION A:\WASTANTI.DOC 1 1-Feb-00 COLINTY CERTIFTED TJNIFIED PROGRAM AGENCY (CTJPA) or FORM I - SAN LT'IS OBISPO C HEMICAL ITWENTORY materisl Pagc _ of *[]REVISE 2m IDELETE I. FACILITY INFORMATION NAME or DBA - Doing Business As) BUSINESS NAME (Same as FACILITY frnn LOCATIO N CONFIDENTTALCHEMICAL EPCP.A YESca 201 CHEMICAL LOCATION GRID# (optionllMAPfI FACILITY ID / II. CHEMICAI- INFORMATION TRADE SECRET If Subject to !Yo refer to instructions 206205 CHEMICAL NAME HYD ROCARBON 208 EHS*f]vo XttoCOMMON NAME *tf EHS is "Yes"r all a-mounG below must be in lbs'2l)9 cAs# 2r0 CLASSES (complck if rcquircd bv CUPA)FIRE CODE HAZARD 2l CURIFJMDTOACTIyE ! Yes q*" HAZARDOUS MATERTAL TYPE (Chcck onc itcm only) fI a. PURE EI b. MIXTURE EI C. WASTE ztl 25o GntryntfLd.RGEST CONTAINER 7t5 PHYSICAL STATE (Ctrcct orc item only) (,. totto El b. LIQUID U c. GAS zt4 FED HAZARD CATEGORIES (Chcck alt dra( aPPIY) I C. PRESSURE RELEASE EI A' EbUTE HEALTH 8 C' CHRONIC HEALTH 2t6 EI a. FIRE E U. RpecrtvE L o/rJ| ANNUAL WASTE AMOUNT t/o o 218 )9o tntt , MAXIMUM DAILY AMOUNT211AVERAGEDAILY AMOUNT 00 E d. ToNS El a. GALLONS 22t .IfElIS, emount musl be tn Pouir&.UNMS+ oe i(cm only) Et b. CUBICFEET E C. POUNDS EHS HAZARDOUS COMPONENT (For mixture or waste only)%wr flYc" EI No PETROLEUM T{YDROCARBO N xr1 I 100 E Y.s fl uo 232131 2.n 2 flvo I No 735 231 3 [Ycs ENo 214139 236 4 Evcs fl No 24211 212 5 e. ABOVE TANK DRUMc. f. CAN g. CARSOY FIBER BAG BOX STATE WASTE CODE 11 DAYS ON m. GTASS E n. PTASTICBOTTLE E o. TOTEBIN E p. TANKWAGON CAS # b5 trfl r. OTHER i q. RAILC.{R ' @NTAINER b. UNDERCROUNDTANK E C. TANK INSIDEBUILDING f] d. STEEL DRUM E h. sIL STORAGE PRESSURE EI a. AMBIENT [f u. ,tsovE A'uslENt E c. BEIIW AMBIENT STOMGETEMPERATURE 8l A. AMBIENT E u. ,tsovE rtl'{B[Et'l-f E c. BELOW AMBIENT E a' cnvocs'Ntc o( Fpa dp{s{rr gn @fc.dr cFq.daf l€(dit4 d3!. fIu tri.Ekfl r.CYLINDER A.DDMONAL I'CALLY @LLECTED INFORMATION q i4t{rtuct A\WASTOIL.DOC 1 l-Feb4O FORM T - SAN LIJIS OBISPO COI.'NTY CERTIFIED TJNIFIED PROGRAM AGENCY (C[JPA) material orCHEMICAL IIWENTORY Page _ of _ EDELETE []nrvlsE 200 I. FACILITY INFORMATION 3 As)BusinessorNAMEDBAFACILITYDoing 202LOCATIONCONFIDENTIALCHEMICAL EPCRA NOYES LOCATION 201 / CHEM GRID# (optional)203MAP# FACILITY ID # tr. CHEMICAL INT'ORMATION TRADE SECRET If Subject to EPCRA, refer to instructions 206NoYes2n5 CHEMICAL NAME ASTE SOLVENT fI Yes F*"EHS*COMMON NAME *If EHS is {'Yes", all amounts below must be in lbs209 cAs# N/ FIRE CODE HAZARD CLASSES (Cotrplerc if rcquircd bv CUPA) 2t3 CURIES 212 MDIOACTIVE fI YCS 8 NO ztl c. WASTEHAZARDOUS MATERIAL TYPE (Check one item only)E A. PURE 8 b. MIXTURE r 5 Gnu-o^t5 2t5 LARGEST CONTAINERPHYSICAL STATE (Check one item only)E a. SOLID El b. LIQUID EI C. GAS 214 E b. REACTIVE E C. PRESSURE RELEASE El d. ACUTE HEALTH 8 C' CHRONIC HEALTH [l a. FIRE zt6 FED HAZARD CATEGORIES (Check all tlut aPPIY)STATE WASTE CODE 220WASTEAMOUNT219 +I G,**to,.6 2t8 / DAILY AMOUNTA 6n 2lYDAILAMOUNT _foLLLI DAYs oN tot,36g aa1 UNITST (Check one item E d. ToNsI a. GALLONS *If ETIS,amount EUst be itr Pounds. E b. cuBlc FEE-[ E c. PouNDs 223 fl r. oTHER ! q. RAILCAR i. FIBERDRUMe. COI.{TAINER trtrtru m. GT ASS BOTTLE E f. cAN E N. PLASTIC BOTTLEJ. BAG K. BOX I, CYLINDER o. TOTE BIN p. TANKWAGONg. CARBOY h. sll-o a. ABOVE GROUND TANK b. UNDERGROUND TANK TANK INSIDE BUILDING STEEL DRUM E b. ABOVE AMBIENT E C. BELOW AMBIENTI a. AMBIENTSTORAGE PRESSURE 224 STORAGE TEMPEMTURE El A. AMBIENT E b. ABOVE AMBIENT EI C. BELOWAMBIENT Dd. CRYOGENIC ZE CAS #EHSI{AZARDOUS COMPONENT (For mixture or waste only)%wr N/Aflvo 8no 224 WASTE SOLVENT190 T26 N/AlYes 8No 232 PETROLEUM HYDROCARBON 211 210 ! Yes flNo 2J5 3 Evo Eno 239 4 245 I Yes f] No 244213 242 5 or 0.1% byl% br wl8!t@poeDls rrc P@a ra 3stc(ettrctlfm EbcG of p.pcr optulrg ahc ADDITIONAL TOCALLY COLLECTED INFORMATION A:\WASTESOL.DOC 1 1'Feb-00 FORM E SAN LIIIS OBISPO COI.INTY CERTIFIED TINIFIED PROGRAM AGENCY (CllPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan (see instruction Page vii)Date: Zltz/4 SECTION I.A: BUSINESS IDENTIFICATION DATA SrrfA &rnrroT/t/€ BUSINESS NAME 7 5o F4rrrlers l/y'E ' CITY ZtrCODESTTE ADDRESS Snn/ /.rrrs agrs/a /1,4 ('37a t TELEPHONE NUMBERFACILITY UNIT Snas BUSINESS MAILING ADDRESS CITY ZIP CODE Ifyour business has a license or permit front any of the folloting agencies, please indicate the document number L Hazardous Materials Unclergound Storage # ll4 '#rfi*5*"'" (iL dpo gr&gt/ 3. Ail Pollution Control District # 4. Responding Fire Dept & Permit# ,t/n please provide the following information as it pertains to your business and its location. You are not required to notify these companies in the event of an emergency. This information is provided for your reference and to assist emergency response personnel in responding to a hazardous materials emergency at your facility. List the name and phone number of the utility company' Etectricservice /A t Telephone # Gas Service lU/*Telephone # Saniration S /O Gtmtnfie Telephone # Water District Sco Telephone # SECTION I-B: OWNER CERTIFICATION OF DATA (Certify either I or 2) l. This l, udwpW plan IUpDATED Existing PIan. I have personally examined the information it contains and am familiar with the operation ofiht plan. (If you check either of the above two options, continue to complete the remained of the Emergency Response / Contingency Plan). Z. ! itrls ptan requires no change and is on file with San Luis Obispo County Hazardous Materials Unified Progam Agency and does not need any change. (If you check this section, please proceed directly to Form T, the Training Program.) I celtify under law that the above information is true and accurate. 6n ",,t ltrzz 7 DATEPRINT NAME OF OWNER OR OPERATORSrr DOCUMENTS PREPARED BY Paoe Of SIGNATURE DATE s SECTIONII: EMERGENCY RESPONSE PLANS AND PROCEDURES Note: Complete all sections of this Emergency Response Procedure below. Use of tetms such as "N/A" (lllot Applicable) will not be accepted. A. FIRE, SPILL OR RELEASE: The fire code requires immediate notification through dialing 9L1, by whoeYer first sights the incident. In the event of release or spill of hazardous materials, you must also notify: 1. San Luis Obispo County Hazardous Materials Unified Program Agency during business hours @ 805-781-5544. After business hours dial 911. 2. The State Office of Emergency Services - (800) 852'7550 or (9L6) 262'1621, List the individuals responsible for verifying that these calls have been made and also indicate their position in your company FOR VERIFYING THE DIALING OF 911 6nrn^ lr,/n rrs<Oa/tt/f r< NAME POSIIION Unified Program Agency and the State Office of a h/r./€A NAME POSIT1ON B. List the local emergency medical facilities that will be used by your business in the event of an accident or injury caused by a release of hazardous materials. /olo $,/htrs ad1rfo 3ot-t/6 -26n NAME ADDRESS CITY PHONE frr"alett /klrrnc /?tt S,a/ htgalsPo 80-r,.fuy"{7sJ NAME ADDRESS CITY PHONE C. List the Emergency Primary: /nrnA Coordinator(s) at your facility. u/tmrur au0/&gor.f lj,.lfJ)L)(r'>, , NAMF,TITLE BIJSINESS PHONE ZHRPHONE PAGER# , t,+\ n ^^DSecondary:Gni lr/rrufzsp oJ,/;r< go f, frg . t27 L,- - NAME TITI-E BUSINESS PHONE 24 HRPHONE PAGER# D.Does your business have an on-site emergency response team? [Yes {No Describe procedures your business will follow in the event of a release or threatened releass of hazardous materials (*tz q // . tt/tfcqrt4E ,4/L Olsrarl't&s /A/D /oreto^luu, bttznil gttz Page_ E.Ifyou have acutely hazardous materials above threshold ptanning quantities, list (by name and address) adjacent neighboring businesses and residences, schools, hospitals, etc. Include sensitive facilities (schools, hospitals and rest homes) within L'000 feet (straight,line distance from your property tine). List telephone numbers for all businesses; for apartment buildings, list manager's phone. Do not list telephone numbers for private residences. Al/,4 F Briefly describe your standard operating procedures in the event of a release or threatened release of hazardous materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures may be referenced and attached to this document. L.Preyention -- Describe the accident potentials associated with the hazardous materials present at your facility. What actions would your business take to reduce accident potentials? Include description of safety, storage and containment procedures' Hn zr+reaans /A/44rr t/t /.t ,rm/?;A /^)H htma-r,/rtzzct /hsru- T/A/k. h/rfie Ektza ts .Cmtrt9 //.4 /tmzze Ftuls 4/a 2. Equipment -- List the emergency response equipment at your facility (e.g. fire extinguishing systems, spill control equipment, decontamination equipment). Item Maintenance Procedure /1//A fitr EXr ,4al^turtt /Ar,ffrc 74& 1/,Et /rek ul 3.Evacuation -- Describe how you will immediately evacuate your facility. What communications or alarms are used? How will you operate these during power failure? LocationUse Slttts 8n ils FIPa onrr'/aFrtoE B)us dz ,tgfl9ilffit I TO /9.1/O gfla4A OF 42e l4eaouttEa FDrt. a 7 Page_ *;\**sul?1il*l\kuilyl*'rL*ilAl$-1\'f $rrrpiilorrp*r;*{y Llirucir:ry ? f*r $IJPA l:ji*.. Ir*ckactlll i.zip\cupat{aans\l::H1$-*.1}*C *7/i ?d}tl 4. Shutdown -- Describe the shutdown for each site or facility /eflL ta/lz 5a.Response -- Describe what is done to lessen or mitigate the harm or damage to person(s), property, or the environment, and prevent the event from getting worse or spreading. What is your immediate response to: Spill Fire: Explosion: Earthquake: Major Power Failure: Flood: L b. Is this f'acility located on a 100-year flood plain? lYes XN" c. Earthquake - Identify facility areas and list mechanical or other systems that require immediate inspection or isolation because of their vulnerability to earthquake related ground motion. 6. Ctean-Up (Remove the Hazard) -- How do you handle the complete process of cleaning up, and disposing of related materials at your facility? Note: Notify the Hazardous Materials Unified Program Agency when clean up is complete. G. Location -- Your business is required to keep a copy of the Business Plan and related MSDS sheets on-site. Describe where this information is located. Drsrt7v7' *Page- of- FORM T SAN LIIS OBISPO COIINTY CERTIFIED LINIFIED PROGRAM AGENCY (CIIPA) EMPLOYEE TRAINING PROGRAM A.Describe the safety training for all employees in the event of a release or threatened release of hazardous materials. This training shall inctude, but not be limited to, the following: new employee training, annual training, periodic refresher courses, and familiarizationwith Emergency Plans and Procedures of this Business Plan/ Contingency PIan. Summarize the training for all employees that work with or come in contact with hazardous materials/hazardous waste. Describe how these employees are trained to avoid exposure. 1 f/o /t GlUf,/ A ,,/,il T#F loc,rnzoJ aF //t zrtnaorts A/',/0 ,PE thnlnt*,/G. 2.Summarize training speciflc to those employees that would respond to a release or threatened release of hazardous materials or hazardous waste. I fPeso'tr rcs c ii?ii ,)iit!i Page- 3. Indicate frequency and duration of training for employees that work with or come into contact with hazardous materials/hazardous waste. 4 trft< 4f / //7 u)t.rnu/ kt . E "r" 4. Describe how your employees access training materials. (E.g., bulletin board, employee newsletter, staff meetings, etc.) S/ilq r ls frK EtttPzo EE /h B. List person(s) in charge of training and indicate their qualifications to conduct the training. 3 3't nru C Indicate where training records are kept. (Records must document the type of training, duration, completion dates, names and positions of employees receiving training and the name(s) of instructors / trainer.) t/?4P/ETZ_ Page- tl:iD{1*lJl,.i** i\kir<.;v1*:'rL**AL$-1i. J exnp\'}'*rriForary iJii'{;cl(}r1: {i ftit flJPA....l"iio....Fnck;*i,;+11.1 .;ip!:rrpa'**tlt*',1"Fiful-'1. il()C ii?,' i Tril$ IIAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM For (Jse by Unidocs Member Agencies or where approved by your Local Jurisdiction Authority Cited: Health and Safety Code $25503.3(c); I9 CCR 52729'5(c) To: Agency Name: San Luis Obispo County Environmental Health Seryices Agency Mailing Address: PO Box 1489 San Luis O 943406 FAX 805-7814211 pursuant to Section 25503.3(c) of California Health and Safety Code (HSC)' the Hazardous Materials Business plan (1IMBP) certification described below is hereby submitted for the following facility: Facility Name:sTrtA- ,4urcrut'nvE Facility Street Address: Date of Current HMBP: tqE -' r w,Jk ffiA,u /onn Crty:9t/ / t//s ed$t) /o t'),,eo L (/ r',}06 I certifu that: (Check the appropriate box.) H I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certifl that the tttr4gp is complete and accurate . (See bottom of page for details.) If this facility is subject to Federal Emergency Planning and Community Right to Know Act (EPCRA) reporting requirements, I have submittea tfre following documents with this Certification Form: Unified Program Consolidated Form (UpCF) Business Activities page; UPCF Business Owner/Operator Identification page with current signaru*re and date; Hazardous Materials Inventory Statement page(s) with an original signature, photocopy oiul original signature, or signature stamp on each page for all Extremely Hazardous Substances (EHS) handled at or ab&e their Federal Threshold Planning Quantity (TPQ) or 500 pounds, whichever is less. or I ilvisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is complete and accurate and is being implemented. A copy of the revisions has been electronically submitted or is enclosed with this Certifiiation along with a signed UPCF Business Owner/Operator Identification page and UpCF Business Activities page if the HMBP revision include changes to the Hazardous Materials Inventory Statement. OWI\ER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported aboveo I believe that the r,rb-iit"d information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials that would require updating of the HMBP. nd,r/i;rt I tr A,$p,/.;tJTitleName of Owner/Operator (Print): Phone: 8o:{, {1t,7 Y;n Signature Date: , The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and . There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; and , The facility has not begun handling any hazardous material in a HMBP reportable quantity that is not currently listed in the By checking the upper box on this form, you are certifying that; Inventory;Materials andHazardous andIIof02242TitletheofUnitedStatesinformationtheSectionCode;HMBPsubmitted contalnsmostThe byrequiredrecently theof HMBPcurrentrevlslonwouldthatthenshaveTherenobeensubstantial uN-039 - 1/l www.unidocs.org Rev. 10i09/07 \$ 3ta- \\S - SAN LU,COUNTY CERTIFIED UNIFIED l\x,c BUSINESS OWNER/OPERATOR IDENTIFICATION AGENCY IDENTIF'ICATIONI. BEGINNING DATE tfl /'n/06 100 l0lENDING DATE€FACILITY ID# t02 -2BUSINESS NAME (same as TACILITY NAME or DBA - Doing Business As) sfAR A,t ronAoflr/E 3 BIJSINESS SITE ADDRESS ^ A [" rl S* r f/+^lK hrTu4t toftr: 103 ZIP CODE ?JY,t t 105"''3,J Lu $ CIR{s,o 104 CA DUN & BRADSTREET t06 SIC CODE (4 digit #)1ss I |J] 'ou*'" SAa/ Lurs o\6pa I Ott BI.JSINESS OPERATOR NAME BRtrtn'l tt/*rl4fu 6n 109 il0BUSINESS OPERATOR PHONE ErsS- Slt-f?ts II. BUSINESS OWNER 112O\AAIER PHONEilLOWNERNAME il5t orc e/t ff:Wq-,v?ta lt6'"" Srtnl /,ttts og/ffi ll4 III. ENVIRONMENTAL CONTACT ll8CONTACT PHONEShvr *s d -r t\1CONTACTNAME l19CONTACT MAILING ADDRESS STATE t21 ZIP CODE r22120CITY IV. EMERGENCY CONTACTS _SECONDARY_-PRIMARY- 'Tnni i,t/*rr"Pt,ry 128NAME BR ut ^-t t1//17"-t P LEnNAME 4*r{ E{( 129TITLE Qu,l{(a 124TITLE BIJSINESS PHONE"'"'" 8o 5* q,{9 " }oof r30BUSTNESSlf ";? - &t z -7 f L-) 125 24.HOUR PHONE24-HOUR PHE{E -126 132P#PAGER#/CELLPHONE 133ADDITIONAL LOCALLY COLLECTED INFORMATION: aA /=,^t Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certi! under penalty of law that I have personally examined anp am familiar with the information submitted and believe the information is true, accurate, and complete. I )i/NER/OPERAJ9F OR DESIGNATED REPRESENTATIVE I DATE t . t345"d/n-- I /o /zo/oL NAME OFDOCLWIENT PREPARER I35 Bn,^l L'tlt-nYUrt SIGNATURE OF OUrrldz TITLE.OF SIGNER t37NAME OF SIGNER (orintl Brdia f/rawPtcr\136a/ Page- of- 2 --*:f::dCUmn*1\$erver\LOCAL$-1\Temp\lemporeryllirectory 21f*r*liffFilePackage[1].eip\cupa\fornrg$\FRM-S.DOC,trVNR1 ?.^u', S\ 5,1- \f\ \\\oq 'It/ C FORM I _ SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one material or K.v Page ofIDELETEEREVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) s'ay/4 t"x-/ tLPq" rat/'P /oar9rr+r< A,trcmort {€ 3 CHEMICAL LOCATION CONFIDENTIAL EPCRA [J vrs pNo 202CHEMICAL LOCATION 6,4i-F'ml y' fppn /?an-a 1to ?s,ru t 201 FACII,ITY ID # I MAP# (optional)203 204GRID# (ootional)A8 II. CHEMICAL INFORMATION PETROLEUM HYDROCARBON CHEMICALNAME 205 TRADESECRET flYes ENo If Subject fo EPCRA, refer to instructions 206 COMMONNAME WASTE OIL/OIL FILTERS 207 EHS* 208 EYes XNo *If EHS is "Yes", all amounts below must be in lbs, CAS# N/A 209 FIRE CODE HAZARD CLASSES (complete if required by cuPA)210 HAZARDOUS MATERIAI TYPE (Check one itern only)E A. PURE 8 b. MIXTURE X C. WASTE 2tt 212 RADIOACTIVE [ves [No 213 CURIES PHYSICAL STATE (Check one itern only)E A. SOLID X b. LIQUID E C. GAS 2t4 215 LARGEST CONTAINER FED HAZARD CATEGORIES (Check all that apply)X A. FIRE E b. REACTIVE I C. PRESSURE RELEASE X d, NCUTE HEAITU El C. CHRONIC HEAITH 216 2t<)ANNTJAL WASTE AMOIJNT / 0 o Grhoo) S'I'A'I.E WASTE CODE 221 22t)211AVF,RAGE DAII,Y AMOIJNTilz G'tw,J 214MAXIM{JM DAILY AMOI]NT2 Grn uJ UNITS* (Check one itern only) E b. CUBIC FEET fI C. POUNDS *If EHS, amount must be in pounds. EI a. GALLONS E a. roNs 221 DAys oN rttrl FO 222 I e. PLASTICNONMETALLIC DRUM Etcan l-l c CARBOY E h. stlo E i. FIBERDRUM EJ BAG ! k. Box I I. CYLINDER ! rn. GLASS BOTTLE I n. PLASTIC BOTTLE ! o. TOTE BIN ! p. TANK WAGON 223 n r. OTHER n q. RAILCAREc. Sa. STORAGE CONTAINER E a. ABOVE GROUND TANK E b. UNDERGROUND TANK TANK INSIDE BUILDING STEEL DRUM X a. AMBIENT E b. ABOVE AMBIENTSTORAGE PRESSIJRE ! c. BELOW AMBIENT STORAGE TEMPERATURE E A. AMBIENT E b. ABOVE AMBIENT I c. BELOW AMBIENT E d. CRYOGENIC 225 VoWT HAZARDOTIS COMPONENT (For mixture or rvaste only)FJHS CAS # I 100 226 PETROLEUM HYDROCARBON 221 [Yes XNo 229 230 2 231 [Yes ENo 232 233 234 -t 235 236 [Yes DNo 23'1 238 4 239 240 [Yes ENo 241 5 243 244 lYes lNo 245 ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA. Please Sisn Herc 246 l-.1Mffi*1\$crver\LOCAL$*1\l"emp\T*mporary ilirectory 1S for CUPA File Packagelll.zip\cupa\examples\WA$T*lL.l]OC 13- {}ct-SS !nevtsE 200E(noo EDELETE Page of I. F'ACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Srtn fturarrtu*flli 3 CHEMICAL LQCATION'u:iY:'F viiSt< FltfrM Paro ftto 7380 t 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA E YES Q1r.ro 202 FACILITY ID #f':I MAP# (optional)203 GRID# (optional) 204 A8 II. CHEMICAL INFORMATION ETHYLENE GLYCOL + OTHER GLYCOLS CHEMICALNAME 205 TRADE SECRET IJ Yes DfNo If Subject to EPCRA, refer to instructions 206 EHS* 208nYes ENoCOMMONNAME WASTE ANTIFREEZE 207 *If EHS is "Yes", all amounts below must be in lbs. CAS# 107211 209 FIRE CODE HAZARD CLASSES (complete if required by cuPA)2to 2t3 CURIESE A. PURE I b. MIXTTIRE X C. WASTE 2tt HAZARDOUS MATERIAL TYPE (Check one itern only)RADIOACTIVE Dves XNo I A. SOLID E b. LIQUID D C. GAS 214 PHYSICAL STATE (Check one itern only) 2t5 LARGEST CONTAINER ! a. FIRE E U. NPECTIVP I c. PRESSURE RELEASE X d. ACUTE HEALTH E e. CHRONIC HEALTH 216 FED HAZARD CATEGORIES (Check all that apply) AVERAGE DAILY AMOUNT I ktttta 'J 218MAXIMUM DAILY AMOUNT 3 ttt-c', J 219ANNUAL WASTE AMOUNT 9o o Ga'uu ^) STATE WASTE CODE 220 DAYS ON SITE:lr0! b, CUBIC FEET ! C. POUNDS *If EHS, amount must be in pounds. X a. GATLONS E d. TONS (Check one itern only) 221UN]TS* E a. ABOVE GROUND TANK ! b. UNDERGROUND TANK I c. TANK INSIDE BUILDING Sa sretr. lnuv !i!j nk.!t. FIBER DRUM BAG BOX CYLINDER I rn. GLASS BOTTLE I n. PLASTIC BOTTLE E o. TOTE BIN I p. TANKWAGON 223 ! r. OTHER ! q. RAIL CAR STORAGE CONTAINER ! e, PLASTIC/NONMETALLIC DRUM I t cntt g. CARBOY h. stLo X A, AMBIENT E U. AEOVB AMBIENT E c. BELOW AMBIENTSTORAGE PRESSURE 224 STORAGE TEMPERATURE X a, AMBIENT ! b, ABOVE AMBIENT I c. BELOW AMBIENT n d. cRYocENIC 225 HAZARDOUS COMPONEN'I (F'or mixture or waste only)EHS CAS #Y"WT ETHYLENE GLYCOL 227 EYes XNo 228 107211 229 150 226 231 EYes ENo 232 2332Jt) 2 235 [Yes lNo 236 237234 3 238 4 239 I Yes E l.lo 240 24t 243 EYes ENo 244 245242 5 ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA. Please Sisn Herc 246 FORM I - SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY material or 1\$*rvcr\t-Of;Al$-1\T*mp\Temp*rary ilir*ctory I for CUPA I ils Fasksselll.uip\cupa\examplee\WASTANTI.DOC 13-C:\llCICUMtu -*-\s .'-.) FORM E SAN LUIS OBISPO COLINTY CERTIFIED LINIFIED PROGRAM AGENCY (CUPA) EMERGENCY RESPONSE PLAN Or Hazardous Waste Contingency Plan (see instruction page vii)Datez I 0 2 0 SECTION I-A: BUSINESS IDENTIFICATION DATA Sztrc ,furorwozzra BUSINESS NAME 645-F T/+/k frtntt /ow .Gil lwrs etsl,-rfo fefa I SITEADDRESS P ftos^-rrs - 7f)7CITYZIP CODE FACILITYTINIT 3i/o fn hp 3?b CJ /uzt o&rffo fsYal - 32 /o TELEPHONE NIIMBER BUSINESS MAILING ADDRESS CITY ZIP CODE Ifyour business has a license or permitfrom any ofthefollowing agencies, pleose iwlicale the document numher. l. Hazardous Materials Underground Storage #,'//r+ 2 Flazardous waste tr+ t moa 3. Air Pollution Control District # 4. Responding & Permit # Fire Dept z/rE 3 Please provide the following information as it pertains to your business and its location. You are not required to noti$ these companies in the event of an emergency, This information is provided for your reference and to assist emergency response personnel in responding to a hazardous materials emergency at your facility. List the name and phone number of the utility company. PG+g'8oo - 7rs-soooElectric Service Gas Service Sanitation Water District So Sn"l lu ts €ntw 8m- Ta>- e 00c 8oS- E// 3 -@9';r {os - {Vr ,- // 33 Telephone # Telephone # Telephone # Telephone # SECTION I-B: OWNER CERTIFICATION OF DATA (Certiff either 1 or 2) l. This is uSnnw nlan [utnATED Existing Plan. I have personally examined the information it contains and am familiar with the operation ofthe plan. (If you check either of the above two options, continue to complete the remained of the Emergency Response / Contingency Plan). Z. I fnis plan requires no change and is on file with San Luis Obispo County Hazardous Materials Unified Program Agency and does not need any change. (If you check this section, please proceed directly to Form T, the Training Program.) I certi$ under penalty of law that the above information is true and accurate. /4)u{*rrt*/7 PRINT NAME OF OWNER OR OPERATOR DATE 2a d 6 DOCTJMENTS PREPARED BY DATE sPage- of- -*in$CUil,{H*1l$erve*L**AL$*1\Tenrp\Tefirpor&ry ilirecisry 1 7 f*r *LJFA Fil* Packagerfl1].eip\cupa\forrns\FRM-H.nOe 1 0i 1 3106 SECTION EMERGENCY RESPONSE PLANS ANP Note: Complete all sections of this Emergency Response Procedure below. Use of terms such as "N/A" (Not Applicable) will not be accepted. A. FIRE, SPILL OR RELEASE: The fire code requires immediate notification through dialing 911, by whoever first sights the incident. In the event of release or spill of hazardous materials, you must also notify: l. San Luis Obispo County Hazardous Materials Unified Program Agency during business hours @ 805-781-5544. After business hours dial 911. 2. The State Office of Emergency Services - (800) 852-7550 or (916) 262-1621. List the individuals responsible for verifying that these calls have been made and also indicate their position in your company. FOR VERIFYING THE DIALING OF 911: [k rtA Otfrt"nfrcrt palz/rr( POSITION Individual..ro"::[:. for calling San Luis obispo County Hazardous Materials Unified Program Agency and the State office of Emergency Services: (N Barrt J ormally the Emergency Coordinator of your business.) NAME POSITION B. List the local emergency medical facilities that will be used by your business in the event of an accident or injury caused by a release or threatened release ofhazardous materials. S/drsni /a NAME ADDRESS CITY PHONE fnzztet hbspoaz- /f// W^/,td^/ 4/E ,9n/ l.u ts lt?nIfa 8o{* Sy?* sJS3 NAME ADDRESS CITY PHONE C. List the Emergency Coordinator(s) at your facility Primary:rlr?^ ahorrtrrz nukfuY-ry3-'vfiz NAME TITLE BUSINESS PHONE 24 HR PHONE PAGER# Secondary: {nn r ) l$fru€trfa {7aJ^W? /pS-v{?4mI NAME TITLE BUSINESS PHONE 24 HR PHONE PAGER # D.Does your business have an on-site emergency response team? the event ofa release or threatened release ofhazardous materials. lYes pNo Describe procedures your business will follow in c $Page- of- *tnO*UMH*1\$erver\LO*AL$-1\?enrp\Tenrp*r*ry ili.ectfrry 17 f*r *tJFA Fil* Packagelll.zip\cripa\{*ntstFRlW-H.D()fl 1011310S E. Ifyou have acutely hazardous threshold planning quantities, ,name and address) adjacent neighboring businesses and residences, schools, hospitals, etc. Include sensitive facilities (schoolso hospitals and rest homes) within I '000 feet (straightJine distance from your property line). List telephone numbers for all businesses; for apartment buildings, list manager's phone. Do not list telephone numbers for private residences. ilrr ,SPPue'rBtE. F'Briefly describe your standard operating procedures in the event ofa release or threatened release ofhazardous materials. Emergency response procedures must comply with all federal, state and local regulations. Existing emergency response procedures may be referenced and attached to this document. 1 Prevention -- Describe the accident potentials associated with the hazardous materials present at your facility. What actions would your business take to reduce accident potentials? Include description ofsafety, storage and containment procedures. fr /* r"t*s Mu;r-tl ra/g otx d4aft k ,tZeZ ts ,,Equipment - List the emergency response equipment at your facility (e.g. fire extinguishing systems, spill control equipment, decontamination equipment). Use Location z t />)*r-4ac fiars h/gsr wqt/L Saz#l u./m"tfi6a 6rtr-s ABP firtos f:i'S/- ir/+(/ s7a1!5fr't /il,f"'rl. "#& Item Maintenance Procedure *-,kpnaa /o/ loi r/ A t,tl u Pr16 Evacuation -- Describe how you will immediately evacuate your facility. What communications or alarms are used? How will you operate these during power failure? 3. t 7-S 0/1fE / S 66 Doore "Pr.nrt*r,A,,+"u/ b2aL CIAl FfrS7 u/A42.- 19 /svc/? lctc/&a hon- //vr/z'i:, /,r UNLaekto r t€ntrt trts Eut 7-7et^-A /fu0u, f>r7 tVfn*er rE ft r. 7of_ C:\lltlfUMH-1\$erve*LS*AL$*1\?enrp\T*nrp*r*ry llirectory 17 lar *UFA Fil* PackagellJ.zip\cupa\forms\Fft.M-H.DOe 1*t13iA6 Page 4. Shutdown - Describe the shutdown for each site or facility fWJ 0F E rtu'PcZs /r1/ l/Lq'z'v?/a4 d& hvrT * -bum .vir (*e{Gn , LUrtzra /'ln^l /< Fkzz.flrad 0F /wnrzb fi- ilazrt W&n"rt z A'ftf-ro, /rttltz- i-g o^/ ffi {'/rranrro) 47- ftazrt ffi cldrz-, 5a. /tT dts tltt rT -'u/'ut Response -- Describe what is done to lessen or mitigate the harm or damage to person(s), property, or the environment, and prevent the event from getting worse or spreading. What is your immediate response to: Fire:7J fi*tm t-y fra /ErfieD /tFrJ .pr*A (u41f/.r-'slcta- ,4/t' 9*vTZiEa ffirtrAta[rt€ Exprosion: b).f EuA r-4 . APt* frftc ep7 n r€rt /n,./feaz-a, Spilr: futof c/P 7dl7rt Shap ,€r+€S Earthquake 7 o uJ/T/* */1/A /Vl:rfu /ailDt t7-. Major Power Failure: Flood: f4p gg fuAS " /t/ulP V- SnUfdc" /t/4p.4 FZcnz L/rV t > b. Is this facility located on a 100-year flood plain? [Yes K*oc. Earthquake - Identiff facility areas and list mechanical or other systems that require immediate inspection or isolation because of their to related ground motion. _t I 6. Clean-Up (Remove the Hazard) -- How do you handle the complete process of cleaning up, and disposing of related materials at your faci Note: Notify the Hazardous Materials Unified Program Agency when clean up is complete. (un-rzre7- C u / n 2f-tr e€ WfiJ 7E LI/LL &r Ar,4-rcfl;-o 4rua Dslostra Otr off,n7T , G. Location -- Your business is required to keep a copy of the Business Plan and related MSDS sheets on-site. Describe where this information is located.frtr4 Cr8nucr - r4e'rzza.J tzat sPage- of- C:WOCUI\If;-1\Serveril**Al-$*1\?emp\Tenrp*rary ilireclury 17 f*r *IJPA File Packag*[1].zip\cupe\fanns\fRM-H.ilO* 1Sl13l0S fr\8CIIt{ t*" - F'il oc' I I JI lt 7(, NO YES NO NO NO NO YES YES Under penalty of law, I declare that I have followed the flowchart and checked the boxes that are Appropriate for this business'sloperations. I also understand that the SLO County CUPA must be notified if our operations or procedures change and make the above statement inaccurate. Strl,,o dnmfttx Wis4)uffl/ro' ,r Business Name 6ct s-trr/ilk ffrfln |to, Cn ciJva t /o Date YES YES YES YES NO NO YES Sign and submit you need not submit a business plan or pay a fee ls your facilitY: A): a r€mote site (a remote site is defined as an unstaffed facility located in an isolated, sparsely populated area. The faeility is secured and not accessible to the general public) and B): is the inventory less lhan: 500 cubic feet cor$pressed inert ga6, 500 gallons combustible liquid fuel, 200 gallons electrolytes in closed containers, 500 gallons lubricating and hydraulic fluids, and 1,2Oi gallons of flammable gas used as fuel (propane)? x All otber ctties and unincornoratetl areas: time fee. Submit a business plan and pay an annual fee to: san Luis county cuPA, Po Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 Aqrbullura1 bua,heoses j San Luis County D€pt of Agriculture 2'156 Sier,ra Way, Suite A San Luis Obispo, CA 93401 Ph: (305) 781-5910 Submit a otre time business plan, complete exemption form R and pay a one Sign this document - you need not submit a business plan or I PaY afee Do you store ONLY motor or lubricating oil and is the total volume less than 275 gallons? (Does not include waste oil) Submit Forat S, Fonn l, and Fonn M one time only and pay a one time fee. Other Business I Within San Luis Obispo citv timits. SLO City Fire Oept, 2150 Santa Barbara Ave San Luis Obispo, CA 93401-5240 -Ph: (805) 781-7380 I NO }u,rn"N r ${Pr.ir/t, PDATE t",, .)* r{I1 tl tl I] I] t1 I] CREATE NEW RECORD (App. attached) CHANGE CURRENT RECORD CHANGE OF OWNERSHIP (App. attached) TEMPORARILY INACTIVATE FACILITY CLOSE FACILITY FAclLlrY # -7 iq'z PROGRAM# //LIOU pE //eb € HruTdiorui.,; CHANGE CURRENT INFORMATION TO: e^kn U\"4.(":l ..t-t.t,i ) \ hIAZARDOUS MATERIALS SPECIFIG: Number of Materials Number of Waste Streams t-5 Number of Tanks LABEL INFO: lufttew [ ] Conected site Address: b,l"s € f,,^k Qrr^ l7-t.*l City:t^,t^-o Site Name:4-I-,/ A.^k)vl Reviewed by linitiall: Supervisor t l Requested by: Date: lnput Entered by: Date: Copy to: 4 tzjul Other IL finu* \a\ra.\ " q c"€/-' C:'CCCULlEiiTFcrrns',GEi'!E3ALiiiFqFiL:.:CC ::-F*!-i: Environment'o JalthServices oryG srnufis(805) 781-5544 P.O.Box 1489 2156 Siena Way gan Luis Obisoo. CA 93406 BPOT BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl AT02 oHspo Fire Deoartment (80il 781-7380 Date: 04102/200'l ? I 60 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIF'IED I]NIF'IED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: BUSINESS PLAN Business plan is complete, current, available during inspection (IISC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layouUfacility maps are accurite (HSC 25504, Title 19 CCR2729) TRAINING PLAN Facility has appropriate training program (Title 19 CC8,2732 & 22 CCR 66265.f6) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR) 66265,16 EMERGENGY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (IISC 255M, Title 19 CCR273I &22 ccR s 626s.s3t54' Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materials/waste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731& 22 CCR ABOVE GROUND PETROLEUM STORAGE TANKACT SPCC Plan is reviewed and certified by a registered enginecr within last 5 yrs. (40 CfR 112.5(b)) SPCC Plan is maintained on site or neare$t field offrce. (HSC 25270) YES NO N/A 8trtr EUtr Ettrtr tr tr tr n E EI COMMENTS Go to ttttptlf* *,slapublichc.lth.oryy'enyironmontslheatthrhazaftloua-matedal3.htm to obtain fonrl3 to comply with BPOI€PGI, fRot and EROI GPS Coordinates: Latitude: GPS Goordinates: Longtitude: Facility Name: STAR AUTOMOTIVE Aqencv trEHS trclw FIRE lnsoection Tvpe tlRoutine trReinspection trComplaintSite Address: 645 TANK FARM #F SAN LUIS OBISPO, CA 93401 Phone: (805)543-7827 Facility lD: FA0007392 PROGRAMS INSPEGTED:trHazmat EHW Generator trUST trAGT UCaIARP trTPE REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCalARP I]TPE PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAMEiTITLE): Title: OWNER Name: INSPECTOR: PETER HAGUE FACILITY REP: BRIAN WAMPLER FACILITY NAME: STAR AUTOMOTIVE ADDRESS: 645 TAffi( FARM #F ,,\ sAN LUIS OBISPO, CA 93401--) ) HAZARDOUS WASTE GENERATOR EPA ID NTJMBER: cAL0309381 Total generated/month: Waste Oil: Antifreoze: Lbs or gals (average) Solvents: Others: YES NO N/A8trtr vrol. # GTOI EPA ID NO/PERMITS Generator has an EPA ID number to treaf, storer dispose, transport or transfer hazardous waste (Title 22CCR$66262.12) If not' Call (8{Xl) 6184942 to obtain your CAL EPA ID number HAZARDOUS WASTE DETER]T,IINATION Ilazardous waste determination conducted (Title 22 CCR $66262.1f) Elown knowledge Elanalysis Eother Hazardous waste analysis/test records aro kept for at least 3 years(Title 22 CCR $66262.40.(c) DISPOSAL/TRAI\SPORTATION Htzardous wastes werc trrmported and/or disposed to a facility with an EPA ID NO. and permit or authorizaiion from DTSC (HSC $25189.5' Title 22 CCR $66262.f2)Emilkrufu l-1 ^er ^- Hazardous wastes are shipped with manifcst (Title 22 CCR $66262.20) Manifcsts and/or receipts are properly complcted/rcteined by gencrator for 3 yctrr (fide 22 CCIi 96626,..nt 66262.23' STORAGE AND MANAGEMENT OT' CONTAINERS/TAIIKS Hazardous wastes sre accumulated on site as follows (Title22 CCR S66262.34) tr90 days if waste generated per month is greater than or equal to l(X) kg. (220 lbs.) tr180 days if waste generated per month is less than lfi) kg (see note) tr2?0 days ifwaste generated per month is less than 100 kg and transported more than 200 miles (see note) Note: Applies onty if hazardous wa$te accumulated on site never exceeds 600kg(13"200 lbs) and noacutely/extremely hazardous waste over l.kgQ.zlbs.) is held on site for ovcr 90 days. Hazardous waste I'satellite" collection is managed properly (complete labeling/accumulation time/S5-gal or l-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 $6626s.17O Containers of hazardous waste are properly labeled (includes appropriate dater"IIAZARIlOUS WASTE," wsste composition/physical state, hazardous properties' name/address of generator) (Title 22 CCR $66262.31, ffi262.34) Containers/tanks containing hazardous wastes are in good condition/handled to rrinimize the release or reactlon (Title 22 ccR $66265.1710.191,66265.177(c) Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR s66265.172) Containers storing hazardous wastes are closed/sealed (Title22 CCR S66265.f73) Weekly inspection of areas where hazardous waste container$ are stored is conducted (Title 22 ccRs6626s.174) Daily inspection of all tank systems is conducted and documented (fifle 22 CCR S66265.f 95) Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly within one year of date emptied (TitleZz CCR $66261.7 (D) RECYCLABLE WASTE Used oil is managed as hrzardous waste until recycled (includes proper lebeling storage' etc) (HSC $2s250.4) Used oil lilters for recycting are managed properly (drained of free llowing liquid' stored in closed rainproof container, labeled *drained used oil filters," and transferred for metal reclamation) (Title 22 CCR$ 66266.f 30) Spent lead-acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse' or reclamation (Title22 CCR S66266.E1) Solvents/other recyclablo materials are managed as hazardous wsstes until recycled (Title 22 ccR $66266.3) tr tr B E tr E rl tr tr tr tr tr tr GT03 N GTO4 tr GTOs tr GT06 tr GT07 tr croS tr E tr ts tr tr E E tr E E E E tr tr E tr tr tr B tr tr u tr tr tr tr tr tr tr tr GTO9 GTIO GTlI GTT2 GT13 GTI4 GT15 tr GT16 E GTIT El GTIS tr GT19 tr GT2O tr GT21 INSPECTED BY: PETER HAGUE DATE:04/02/2007 Y.ES tr tr FAGILITV NAME: STAR NUT,)OTVE noonf)645 TANK FARM #F SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GEI\IERATOR NO N/A\ VrOL. # EPA rD NO/PERMITS SOIIRCE REDUCTION:For facilities generating >12,000 kg./yr. of hazardous waste on site. tl E GT22 Generator is subject to SBl4 and has prepared and retained current source reduction documents or is able make them available to the inspector within (5) days. @SC 525244.19, El tr GT23 Source Reduction Evaluation and Plan contains the following five elements:certification' amounts of wastes generated, process description, block diagrams, and implementationschedule ofselected source reduction measures. (HSC S25244.19) INSPECTED BY: PETER HAGUE DATE: o4to2t2oo7 FACILITY NAME: STAR AUTpMOTTVE ADDR-E\S: l 645 TANK FARM #F SAN LUIS OBISPO, CA 93401 tr E ST]MMARY OF OBSERVATIONS/VIOLATIONS No violations of underground storage tanlq hazardous materials, or hazardous waste laws/regulations were discovered. SLO CTIPA 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 bo corrected by implementing the corrective action listed by each violation, Ifyou disagree with any ofthe violations or corrective actions required, please inform the CIJPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA MuSt bE iNfOTMEd iN writing with a certificfltion that compliance has been achieved. A falso statement that compliance has been achieved ls 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 CIIPA from taking administrative, civil, or criminal action. FACILITY NAME: STAR AUTOMOTIVE ADDRESS: 645 TANK FARM#F SAN LUIS OBISPO, CA 93401 PE NO 1126 vtol+ATloNs VIOL. NO VIOL. TYPE GT11 CORRECTIVE ACTION RESUIRED IMMEDIATELY BEGIN TO PROPERLY LABELALL CONTA]NERS OF HAZARDOUS WASTE, IMPLEMENT APROCEDURE TO ENSURE THAT ALL CONTAINERS OF HAZARDOUS WASTE ARE PROPERLY LABELED. THE FINE FOR THIS VIOLATION IS AN INITIAL PENALW OF UPTO $25,000, AND THEN AN ADDIT]ONAL TWO PERCENT OF THE INITIAL PENALW PER DAY THEREAFTER. PLEASE LABEL DRUITIS OF WASTE OIL AND ANTIFREEZE. INSPECTION COMMENTS: INSPECTED BY: PETER HAGUE DATE: o4to2/zw7 NAME OF FACILITY REP: BRIAN WAMPLER SIGNATURE OF FACILITY REP: I certify under penalty of perjury that this facitity has complied with the corrective actions listed on this form. of Owner/Operator:Title: Date: