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Home My WebLink About645 Tank Farm #L\ rl lr.lrIr:, rl ,\; I -; i r/, ,l i I i.,i/' i'ir\{-,i;ir,iii-l'i l-,iii I, I ii'i ll I'i' WASTE INVENTORY AND CERTIFICATION FORM For Conditionolly Exempt smsll Quantity Generators This form must be presented at the time of drop-off. Payment lnstructions Please mail payment by check to: IWMA, 870 Osos Street, San Luis Obispo CA, 9340L OR select the "Pay Now" button on your electronic invoice. NO CASH PAYMENTS PLEASE FOR IWMA STAFF ONLY Business Name: acme auto body Contact Name; rod souza E your request has been approved. lf you need to make changes to your appointment, please contact Sasha Del Giorgio at (805)781-2192. Please bring your materials to the Hazardous Waste Facility at: Location Date Times Chicago Grade Landfill Thursday 1pm - 3pm E Cold Canyon Landfill WednesdaY 0713L124 9am - 12pm EI Morro Bay Facility Friday 9am - l-l-am E Nipomo Facility Friday 1pm- 3pm Paso Robles Landfill Thursday 9am - 11am Approval Signature IWMA Staff Namesasha DelGiorgio Signature: na-r-.,z. a't /"rn Date: 3r124,2624 fl Your request was approved for the following reasons: CERTIFICATION OF WASTE DISPOSAL TO BE COMPLETED BY HHW SITE STAFF ONLY Site Staff Name:&*tf (a,-A.jr.* Location: d.i d"-,.1.:1 ZJ) Signatu Date: dobe Ac.obat Sign Transaction l,lunrber; CBJcliBCMBMot3(l5yVxEB-ASE2441E lTgRyBvsXc5o 2of2 COUNTY OF SAN LUIS OBISPO Report #: MFR'I Page #: 1JaEility I nformation as of 212812025 Dale:212812025 Requested by [ ] NEW FACTLITY RECORD IOWNERSHIPCHANGE: [ ]Business [ ]Property [ ]Tank I UPDATE BTLLTNG INFORMATION I UPDATE UST INFO (sys, type, capacity, etc.) t INFORMATION CHANGE L 20u1LOSE FACILITYAS OF: Date: OWNER FILE INFORMATION Owner lD: OW0009200 New Owner lD: New Name:Owner Name: SOUZA, ROD Owner DBA: ACMEAUTO BODY New DBA: New Address:OwnerAddress: 645 TANK FARM RD L sAN LUIS OBTSPO, CA 93401 HomePhone: 805-748-0570 New Home Phone: New Business Phone: New Mailing Address: Business Phone: 805-748-0570 Mailing Address: 645 TANK FARM RD L SAN LUIS OBISPO, CA 93401 Care of: Email: New Care of: New Email: ESTABLISHME NT FILE INFORMATION Establishment lD: FA0008235 New Establishment lD: New CERS lD: New Name: CERS lD:10439617 Establishment Name: ACMEAUTO BODY Site Address: 645 TANK FARM RD #L New Address: SAN LUIS OBISPO, CA 93401 Phone: 805-748-0570 New Phone: New Email:Email: LINKED P pR0012503 1174 - SLO CIrY-WASTE STREAM (DE MINIMUS) LastActivity: 0312512024 - REGULAR INSPECTION , EE0000517: BLISS EEOOOOs17 . MATHESON BLISS Active lActivate I ChanOA l{actvatel\ BILLING CONTACT IN RMATION Account lD: AR001 7974 New Account lD: New Account Name:Account Name: SOUZA, ROD Mailing Aclclress:645 TANK FARM RD L New Mailing Address: SAN LUIS OBISPO, CA 93401 Care of:ACMEAUTO BODY New Care of: Discount Eligible?Discount Eligible? No Discount Code: Account Balance*: *as of 212812025: $282.58 CUPA SECTION: Number of Materials:PE:Number of Waste Streams:PE Number of Tanks (list capacity/compartment below): Update CERS?Yes No (lf yes, forward to CERS admin)PE: I CREATE NEW FILE ] UPDATE EXISTING FILE LABEL [ ] UPDATE NEXT INSPECTION DATE: Date: t t [ ] RETURN F|LE TO: Comments: &,a'1.'h/strYi eb#- I tl^)) 0?)-t ' fl'vh-'p. t '( ln** Entered by:Date:Copy to: File Other: County of San Luis Obispo q_yP Hdiardous Waste Small Quantity Generator Annual Self Certification This form is for facilities that generate less than 27 gallons of hazardous waste per month (e.9. used oil, waste antifreeze, etc.). lf your facility qualifies to use this form, you will be exempt from an annual physical inspection and will be charged a reduced fee. Failure to complete and return this form along with copies of disposal or recycling documentation will result in an ins oection beino conducted'grro4bS'rt#L Co'rzPo and an increased feeo!{rav6a! Facility Name:A eV.lE ftvtoEeOy Date:It'7CI-23 Facility Address:r2JO Contact person: fLo D ,Soul A Title/Position O u r! cfr1* Type of Facility:Phone Number: /lr1r Attach copies of all disposal and recycling records from the previous calendar year. Retain original receipts for your records. Mailform to: San Luis Obispo County Environmental Health Certified Unified Program Agency P.O. Box 1489 San Luis Obispo, CA93406 Questions? Call (805) 781-5544 I certify, under penalty of perjury, that all hazardous wastes have been collected for recycling or disposal by the contractor(s) or at the collection facilities listed above and that the above information is true and accurate. Name:{)Signature: 20 Date of Service Disposal Contractor or Collection Facility Type of Waste Quantity (in gallons) l'l*2O'2:c^ t-o e+A)veu L+pl)l;,lt ot L Y t -1_"1 uru 0 S PilPl l^ '-{F- tt Position '.o il-e (;I-7"'.*.Date: //-2e 2 N r."'a* i. SAN Llxp OBISPC COUruTY .---\ ,di', ;NTEGT,ATED WASTE MANA6E{V!r'dT AUTHORITY 'r:ilJ5 tlcrri;l*e-tiirg il;,r {nl:-rr;:rrr;itr'ir: liv'rtit* 5r,iufi,:i;; CESQG WASTE INVENTORY AND CERTIFICATION company Name: Broadsteel Corporation DBI Address: 645 Tank Farm Road Citv/aip: San Luis ObisPo EPA rD#: CAL000377946 Contact Name: rod souza Email Address: acmeautobodyl @gmail.con Phone Number: 805547 1020 MATERIATTYPE QUANTIW Please include how much of each material you are disposing, including gallons, pounds, "each" TO BE COMPLETED BY IWMA cosr PER rrEM/TorAL cosr Examnle: Aerosoi Cans/ \A/eed l{iller/ Oil Based Paint OILBASEDB PAINT 5 gallons 0.00 0.00 TOTAL COST so.oo PREFERRED DISPOSAT/RECYCLING LOCATION Shicago Grade Landfill, Templeton, Fridays 9am-LLam ECold Canyon Landfill, San Luis Obispo, Wednesdays 9am-12pm EMorro Bay Household Hazardous Waste Facility, Morro Bay, Thursdays 9am- ENipomo Household Hazardous Waste Facility, Nipomo, Thursdays 1pm-3pm EPaso Robles Landfill, Paso Robles, Fridays 1pm-3pm ;\"r I I I certify that the following statements are true: 1. The business that I am representing is responsible for any disposal costs incurred at the time of disposal. 2. The business that I am representing is in compliance with all hazardous waste rules and regulations. company Name: Broadsteel Corporation DBI Print Name: rod souza Signature:ffi1fu Date: 11120123 .d d' f : |'',! .'r" j':trtt'.-j t*i J* bi'r,ui/7 'l ._. jt ' sAN Lt-r.r.5 oBlspt ccu!\lTY 1-' i. Lfi. I INTEGnATED WASTE MANAGEMI_T{T AUTHOFITY ''"Ii"l|i' Lg,i';iirctrrrf' tJlr {- 6i;1v;-rrr;it! io 'rt,::re 5,-:itrtin;:, CESQG WASTE INVENTORY AND CERTIFICATION FOR IWMA STAFF ONIY Company Name: Broadsteel Corporation DBI Contact Name: rod souza Your request has been Approved. lf you need to make changes to your appointment time, please call (805)782-8530. Please bring your materials to the Hazardous Waste Facility at: Your request was NOT approved for the following reasons This Form and Payment are Required for Payment lnstructions: The IWMA accepts credit card, and check payments only. Once your form is approved, you will receive a separate email with an invoice. At choose to either pre-pay with a credit card or bring a check with you at your appo . To pre-pay with a credit card select the Pay Now button and enter your credit card information. Print your receipt and bring it along with your approved form at your appointed drop-off time. . To pay by check: bring your check, made out to SLO County IWMA, along with your approved form at your appointed drop-off time. IWMA Staff Signatu rei sao'b 2o/ r/*'fa Email : Sdelgiorgio@ iwma.com Location Date Times Chicago Grade Landfill Friday 9nu-11-nv X Cold Canyon Landfill wednesday 1112912029 9 nv - L2 pttt Morro Bay Facility Thursday 9nu-11nvt Nipomo Facility Thursday 1pw-3ptvt Paso Robles Landfill Friday Lplr-3pvr n- 4."tr,t{:tiv{il u may & 5 ?il33 s{l" n Check n Credit CardPre-Paid re Print Name Date Received: COUNTY bSAN LUIS OBISPO EnvironmentalHealth iices (805) 781-5544 P.O.Box 1489 2156 Sierra Wav Ste. B San Luis Obispo. CA 93406 ,'_l ctty ol san lurs oBrspo F!RE DEPARlMENT 2160 Santa Barba6 Avmu6'San Luis Obbpo, CA 93101-52,10 . {805) 781-7380 "Cotrtesy & Service" Date:0312512024 GERT|FTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: ACME AUTO BODY Aoencv trEHS trCITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl SiteAddress: 645 TANK FARM RD #L SAN LUIS OBISPO, CA93401 Phone: (805)748-0570 Facility lD: FA0008235 CERS lD: 10439617 Serial Number: DAYQSOJLF PROGRAMS INSPEGTED:trHazmat ElHWGenerator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT trCalARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. YES tr tr tr tr tr tr tr tr N9 tr tr tr tr tr tr tr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aXl); 19 CCR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(a)(1), 25506, 25508(aXl), 19 CCR 2652,26541 Site layouU facility maps are accurate and submifted electronically (HSC 25505(aX2), 25508(aX1), 19 CCR 26521 TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(aX1), 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(aX3), 25508(aX1), 19CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cX2)l GENERAL EH VIOLATIONS tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Goordinates: Latitude GPS Coordinates: Lonqtitude: N/A VIOL. # tr BPO1 BPO2 BPO3 TROl TRO2 EROl ERO3 E tr E tr tr tr INSPECTOR: MATHESON BLISS FACILITY REP: Rod Souza FACILITY NAME: ACME AUTO B\DY ADDRESS:, 645 TANK FARM RD #L) AN LUIS OBISPO, CA934O1 HAZARDOUS WASTE GENERATOR YES NO N/Atrtrtr vtoL. # GTOI EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 CCR 66262.12) lf not, Call (800) 618-6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (22 CCR 66262.111 Elown knowledge tranalysis trother Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c)) D IS POSA UTRANS PORTATION Hazardous wastes disposed of at an authorized location (HSC 251 89.5, 25201(a1,22 CCR 66262.121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 25160. 25163(a): 22 CCR 66262.20.66263.41) trm Elother Rod Souza Manifests and/or receipts are properly completed/retained by generator for 3 years (22 CCR 66262.23, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (bX1y(dy(hxi); 22 GGR 66262.34(d)) tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs.) tr180 days if waste generated per month is less than 1000 kg (see note) tr270 days if waste generated 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over 1kg(2.2|bs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/559al or 1-qt limit) (22 CCR 66262.34(e)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (22 CGR 66262.34(aX1l, 66265.176) Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, namdaddress of generator) (22 CCR 66262.31, 66262.34(f)) Gontainers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (22 CCR 66262.34;22 CCR 66265.171-!179, 66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34,66265.'1721 Containers storing hazardous wastes are closed/sealed (22 GGR 66262.34,66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34,66265.1741 Daily inspection of all tank systems is conducted and documented (22 CGR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(f)) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.41 Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof containe6 labeled "drained used oil filters," and transferred for metal reclamation) (Title 22 ccRs 66266.130) Spent leacl-acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.8{) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 (5) days. (HSC 25244.191.211.22;22 CCR 67100.7/.8) 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. (HSC 25244.191.21,22 CCR 67100.5/7/.8) Haa raste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (22CCR 66262.34(aX4), 66265.51 -.54) Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(aX4), 66265.1 6) 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 (22 CCR 66265.31-.37) trtrtr GTO3 GTO4 GTO5 GTO6 GTOT GTOS GTO9 GT'IO GT1{ GT12 GT13 GT14 GT15 GT16 GT17 GT18 GT19 GT2O GT21 GT22 GT23 GT24 GT25 ERO2 tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr B tr tr tr tr tr EI tr tr D tr tr tr n tr tr tr tr tr tr tr tr u tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr suMM^-Ry oF oBSERVATtONgVtOt ^ \TIONS No violations of underground s. age tank, hazardous materials, or hazardou- ,hste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writina 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: ACME AUTO BODY ADDRESS: 645 TANK FARM RD#L SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: INSPECTED BY: MATHESON BLISS DATE: oa25t2o24 NAME OF FACILITY REP: Rod Souza SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE I certify under penalty of periury that this facility has complied with the corrective actions listed on inspection form. ignature of Owner/Operator:-Title:- D COUNTY bSAN IUIS OBISPO Date:0910112022 ervrces lcrty o; san Lurs oBrspo FIRE OEPARTMENT 2160 Silta BarbaE Av@u6 " san Llb Obhpo, CA 93101-52,10 ' {805) 7S1'7380 "Courtesy & Service" GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: Facility Name: ACME AUTO BODY Aoencv trEHS trCITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Contain ment Testing trChargeable Secondary Containment Testinl Site Address: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 Phone: (805)748-0570 Facility lD: FA0008235 CERS lD: 10439617 Serial Number: DAYORUDHH PROGRAMS INSPECTED:EHazmat BHW Generator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCaIARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. tr tr tr tr tr N9 tr tr tr tr tr tr tr n YES tr u tr tr tr tr tr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(aXl); 19 ccR 2651) lnventory of hazardous materials is complete and submifted electronically (HSG 25505(a)(1), 25506, 25508(aXl), 19 CCR 2652,26541 Site layouU facility maps are accurate and submitted electronically (HSG 25505(a)(2), 25508(aX1), l9 CCR 26521 TRAINING PLAN Facility has appropriate training program, submifted electronically (HSC 25505(a)(4), 25508(aXl), 1gCCR 2659, 22CCR66265.1 6) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(aX3), 25508(aXi), 19CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(cX2)l GENERAL EH VIOLATIONS tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude:GPS Goordinates: Lonqtitude: N/A VIOL. # tr BP01 tr BPO2 BPO3 TROl TRO2 EROl ERO3 INSPECTOR: MATHESON BLISS FACILITY REP: Rod Souza YES tr tr tr tr tr tr tr NO tr n n D tr tr n FACILITY NAME: ACME AUTO-IODY N/A V|OL. #tr GTO1 GTO3 GTO4 GTOs GTO6 GTOT GTOS GTO9 GTlO GTl1 GT12 GTl3 GTl4 GTl5 GT,I6 GTl7 GT18 GTl9 GT2O GT21 GT22 GT23 GT24 GT25 ERO2 ADDRESS: 645 TANK FARM RD #L JAN LUIS OBISPO, CA93401 HAZARDOUS WASTE GENERATOR EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 CCR 66262.12) lf not, Gall(800) 618-6942 to obtain your GAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste detemination conducted (22 CCR 66262.111 trown knowledge tranalysis trother Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c)) D I S P OSA UTRA N S PORTATI O N Hazardous wastes disposed of at an authorized location (HSC 25189.5, 25201(al,22CCR66262.121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 251 60. 251 63(a) : 22 CCR 66262.20. 66263.41 )Emilkrun trother Flod Souza Manifests and/or receipts are properly completed/retained by generator for 3 years (22 CCR 66262.23, 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (bX1y(d)/(hxl); 22 CCR 66262.34(d)) tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs.) tr180 days if waste generated per month is less than 1000 kg (see note) tr270 days if waste generated 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over lkg(2.2|bs.) is held on site for over 90 days Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/S5gal or {-qt limit) (22 CCR 66262.34(e)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (22 CCR 66262.34(aXl)' 66265.1 76) Gontainers of hazardous waste are properly labeled (includes appropriate daIe,"HAZARDOUS WASTE," waste compositiontphysical state, hazardous properties, namdaddress of generator) (22 CCR 66262.31, 66262.34(fl) Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (22 CCR 66262.34; 22 CCR 66265.171-.179,66265.177(c)) Containerc/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34, 66265.172) Containers storing hazardous wastes are closed/sealed(22 GCR 66262.34, 66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34,66265.174) Daily inspection of all tank systems is conducted and documented (22 CGR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(0) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC 25250.41 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 foi metal reclamation) (Title 22 ccRs 66266.130) Spent leadacid batteries are being properly stored and transferred offsite under manifest or bil! of lading for recycling, reuse, or reclamation (22 CCR 66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 (5) days. (HSC 25244.19121/'.22:'22 CCR 67100.7/.8) Source Reduction Evaluation and PIan contains the following five elements:certification, amounts of wastes generated, process description, block diagrams, and implementationschedule of selected source reduction measures. (HSC 25244.191 .21 , 22 CCR 671 00.5/7/.8) Haanvaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (22CCR 66262.34(aX4), 66265.51 -.54) Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(a)(a), 66265.1 6) 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 (22 CCR 66265.31-37) tr u u tr tr tr E tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr n tr tr tr tr tr tr n tr tr tr tr tr tr u EI tr tr tr EI tr tr tr tr tr tr tr tr tr tr SUMII- \RY OF OBSERVATIONSVIO'. \TIONS No violations of undergrouno -orage tank, hazardous materials, or hazardou araste laws/regulations were discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th CUPA in writinq ALL VTOLATTONS 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: ACMEAUTO BODY ADDRESS: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: INSPECTED BY: MATHESON BLISS DATE:09t0112022 NAME OF FACILITY REP: Rod Souza SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE ertification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on inspection form nature of Owner/Operator:_ Date:_ Environmental Health burvices :G.95@!4 :P.O.Box 1489 2156 Sierra Wav Ste. B /\ ) crty o[ san Lurs oBrspo FIRE OEPARTMENT 2160 Sarla Barba6 Av6uo' San Lub 0bbpo, CA 93401-5240 ' {805) 781-7380 "Cotrtesy & Service"San Luis Obispo. CA 93406 Date: 10/09/2019 GERTTFTED UNTFIED PROGRAM AGENCY (CUPA) HMARDOUS MATERIAL INSPECTION FORM Time: COUNTY bSANLUIS OBISPO Facility Name: ACME AUTO BODY Agencv trEHS trCITY FIRE lnsoection Tvoe EtrRoutine [lReinspection tlChargeable Reinspection trChange of Ownership tlComplaint [lSecondary Contain ment Testing uChargeable Secondary Containment Testing Site Address: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 Phone: (805)748-0570 Facility lD: FA0008235 Serial Number: DAETTSTWD PROGRAMS INSPECTED:trHazmat trHWGenerator trUST trAGT trCa|ARP trTPE REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCalARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Rod Souza Title: Owner YES NOtrtr trtr trtr trtr trtr trtr trtr BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(a) (1); 19 CCR 2651) lnventory of hazardous materials is complete and submifted electronically (HSC 25505(axl), 25506, 25508(aXl), 19 CCR 26s2,26541 Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(aX1), 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(axl), 19CCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submitted electronically, maintained onsite (HSC 25505(aX3), 25508(aXl), 19CCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(c) (2)l GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel N/A VIOL. # tr BP01 tr BPO2 tr BPO3 TROl TRO2 EROl ERO3 tr tr tr tr GPS Coordinates: Latitude GPS Goordinates: Lo INSPECTOR: KERRY BOYLE FACILITY REP: Rod Souza FACILITY NAME: ACME AUTO ADDRESS:TANK FARM RD #L SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 CCR 66262.121 lf not, Gall (800) 618-6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (22 CCR 66262.1'll trown knowledge tranalysis trother Hazardous waste analysis/test records are kept for at least 3 years(22 CGR 66262.40.(c)) D IS P OSA UTRA N S P ORTATIO N Hazardous wastes disposed of at an authorized location (HSC 25189.5, 22CCR66262.121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 251 60, 25163(a); 22 CCR 66262.20, 66263.41)trmilkrun trother manitests@leted/reta 66262.40(a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (hXl)/(bXt); 22 CCR 66262.34) tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs.) tr180 days if waste generated per month is less than 1000 kg (see note) tr270 days if waste generated 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over 1kg (2.2 lbs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation timdss-gal or 1-qt limit) (22 ccR 66262.34(e)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (22 CCR 66262.34(a)(1), 66265.176) Gontainers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (22 CCR 66262.31,66262.34(0) Containers/tanks containing hazardous wastes are in good conditiory'handled to minimize the release or reactiorr (22 CCR 66262.34; 22 CCR 66265.171-.179, 66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34, 66265.172) Containers storing hazardous wastes are closed/sealed (22 GCR 66262.34,66265.173) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262,34, 66265.174) Daily inspection of all tank systems is conducted and documented (22 CCR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (22 CCR 66261.7(0) 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 CCRS 66266.130) Spent lea*acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 (5) days. (HSC 25244.19/.2'11.22;22 CCR 67100.7/.8) Source Reduction Evaluation and Plan contains the following five elemehts:certification, amounts of wastes generated, process description, block diagrams, and implementationschedule of selected source reduction measures. (HSC 25244.'1 9 1.21, 22 CCR 671 00.7/.8) Haa/vaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (22CCR 66262.34(a)(4), 6626s.51-.54) Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(aX4) 66265.16) 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 (22 CCR 66265.31-.37) YES tr tr tr tr tr E tr NA tr tr tr tr tr tr tr N/A tr tr tr tr tr tr tr vtol. # GTOl GTO3 GTO4 GTOS GTO6 GTOT GTOS GTO9 GTlO GT11 GT'l2 GT13 GT14 GT15 GT16 GT'17 GT18 GT19 GT2O GT21 GT22 GT23 GT24 GT25 ERO2 tr D tr tr tr tr tr D tr tr u tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr D tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr B tr tr tr tr tr tr ,\' SUMM 'IY OF OBSERVATIONSVIOT IIONS tr 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. D Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform the CUPA in writing ALL 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 $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: ACME AUTO BODY ADDRESS: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Facililty is a CESQG small quantity generator of hazardous waste - the owner uses the small business hazwaste disposal program at Cold Canyon Landfill. Good record keeping for waste disposal, and the shop is well maintained. No violations noted. INSPECTED BY: KERRY BOYLE DATE: 10t09t2019 NAME OF FACILITY REP: Rod Souza SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Title:- Date:- "') County of San Luis Obispo .\ ) cffy-ol- san luls i:: J:i, I , ..'i Environmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 oBtspo Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNTFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by: ,^,",!{}l\if$tq Time: FACILITY NAME: & flrffrfi I,'r[f l-f t ADDRESS: {"A {- 4n,a!;ft ,, EHS AG DEPT CITY FIRE Complaint n Otner Result Gode: _70 _80 _90 Action Gode: 32 37 33 31 Routine Reinspection ! rer !cnmne! Business Plan Generator n usrPROGRAMS INSPECTED: ,F,,*Generator n usr ! ner EcnmnpREINSPECTION REQUIRED:d*o n YES n Business Plan may involve obtaining photographs, reviewing and copying records, and codes. GRANTED BY NAME/TITL ISSION TO INSPECT: t with adocom YES NO COSnn nnn ntrn n !nnn BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 ATOl ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5' Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504' Title 19 CCR2729) Site layout/facilify maps are accurate (HSC 25504' Title 19 CCR.2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273I & 22 ccR $ 66265.s3ls4) 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 (Titte 19 CCR 2731 &22 CCR66265,31- .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed and certified by a registered engineerwithin last 5 yrs. (40 CFR 112.5(b)) SPCC Plan is maintained on site or nearest field office. (HSC 25270) to obtain forms to with BP01-BP03, TR01 and EROI n n nu tr u n!n! Go to GPS Coordinates: Latitude: _deg _min_decimal min Longitude: deg--min-decimal min INSPECTOR:FACILITY REP: -) crty o[ san lurs oBtspo FIR€ OEPARII'ENT 2160 Sanla BarbaE Avsu6' Sil Lub Obbpo, CA 93401-5210 ' {81}5} 781-t380 "Courtesy & Service" \,\ Environmental Health -crvices i(805) 781-5544 jP.O.Box 1489 12156 Sierra Way Ste. B ]San Luis Obisoo. CA 93406 a Date: 1012212018 GERTTFTED UNTFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: COUNTY bSANLUIS OBISPO lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Facility Name: ACME AUTO BODY Testi Phone: (805)748-0570 trEHS trCITY FIRESiteAddress: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 Facility lD: FA0008235 Serial Number: DAHCOXDQC trCalARP trTPEtrHazmatEIHW Generator trUST trAGTPROGRAMS INSPECTED: trCalARP trTPEtrHazmattrHW Generator trUST EIAGTREINSPECTION REQUIRED: PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. Title: OwnerGRANTED BY (NAME/TITLE): Name: Rod Souza YES NO N/Atrtrtr vroL. # BPOl BPO2 BPO3 TROI TRO2 EROl ERO3 EtrtrFEO1 GPS Goordinates: Latitude: BUSINESS PLAN Business plan complete, current, available during inspection and submitted electronically (HSC 25505, 25508(a) (1); 19 cCR 2651) lnventory of hazardous materials is complete and submitted electronically (HSC 25505(a)(1), 25506, 25508(a)(1), 19 CCR 2652,2654) Site layouU facility maps are accurate and submitted electronically (HSG 25505(a)(2), 25508(axl), 19 CCR 2652) TRAINING PLAN Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 25508(aX1), 1gCCR 2659, 22CCR66265.16) Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16) EMERGENCY RESPONSE PLAN Emergency response/contingency plan complete, current, submifted electronically, maintained onsite (HSG 25505(aX3), 25508(aX1), 1gCCR 2658, 22CCR 66265.52-.54) Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR 112.8(c) (2)l GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Longtitude: tr tr tr tr tr E u tr tr tr tr tr INSPECTOR: KERRY BOYLE FACILITY REP: Rod Souza FACILITY NAME: ACME AUTOI -'DY ADDRESS: hS TNNT FARM RD #L SAN LUIS OBISPO, CA93401 HAZARDOUS WASTE GENERATOR YES NO N/Atrtrtr vrol. # GTOl EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (22 CCR 66262.121lf not, Call(800) 618-6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (22 CCR 66262.11) Eown knowledge tranalysis Dother Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c)) D IS POSAUTRANS PORTATIO N Hazardous wastes disposed of at an authorized location (HSC 25189.5, 22 CCR 66262.121 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (HSC 251 60, 2s163(a); 22 CCR 66262.20, 66263.41 ) trmilkrun trother Manifests and/or receipts are properly com 66262.40(a)) ned by generator for 3 years (22 CCR 66262.23, STORAGE AND MANAGEMENT OF CONTAINERS/TANKS Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (hXl)/(bXl); 22 CCR 66262.34) tr90 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) tr180 days if waste generated per month is less than 100 kg (see note) tr270 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 6000k9(13,200 lbs) and no acutely/extremely hazardous waste over 1kg(2.2|bs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/S5-gal or 1-qt limit) (22 CCR 66262.34(e)) lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line(22 CCR 66262.34(aXl), 66265.1 76) Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (22 CCR 66262.31, 66262.34(0) Containers/tanks containing hazardous wastes are in good conditiodhandled to minimize the release or reactior (22 CCR 66262.34; 22 CCR 66265.171-.179, 66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34,66265.1721 Containers storing hazardous wastes are closed/sealed (22 CCR 66262.34,66265.1 73) Weekly inspection of areas where hazardous waste containers are stored is conducted (22 CCR 66262.34, 66265.174) Daily inspection of all tank systems is conducted and documented (22 CCR 66262.34,66265.195) Empty containers or inner liners > 5 gal has date when emptied and are properly managed within one year of date emptied (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) (Title22 CCRS 66266.130) Spent lea*acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse, or reclamation (22 CCR 66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (22 CCR 66266.2) 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 inspectorwithin (5) days. (HSC 25244.191.211.22;22 CCR 67100.7/.8) 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. (HSC 25244.1 9l .2'l , 22 CCR 671 00.7/.8) Haai/aste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (22CCR 66262.34(a)(4), 66265.51-.54) Employees trained upon hire, annually; training records maintained at facility as required (22 CCR 66262.34(a)(4) 66265.16) 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 (22 CCR 66265.31-.37) tr tr tr D tr tr tr tr tr tr tr tr GTO3 GTO4 GTO5 GTO6 GTOT GTOS GTO9 GTlO GT11 GT12 tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr D tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr n tr tr tr tr tr tr GT13 GTl4 GT15 GT16 GT17 GT18 GT19 GT2O GT2'I GT22 GT23 GT24 GT25 ERO2 /-\ SUMM"-RY OF OBSERVATIONSVIOL" .iTIONS tr 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. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform the CUPA in writing ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: ACME AUTO BODY ADDRESS: 645 TANK FARM RD #L SAN LUIS OBISPO, CA93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Facillity is in good order and waste is properly managed with good written documentation of proper disposal. No violations noted. INSPECTED BY: KERRY BOYLE DATE: 1O|2Z2O18 NAME OF FAClLlry REP: Rod Souza 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 inspection form. Signatu re of Owner/Operator:- Title:- Date :- Gounty of an Luis ObispoltrD Environmental Health Services (805) 781-5544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 cffy san s oBtspo ri -g l ot lril Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by:.:, Date: ,, ,J 1 ,,1 'r1,, ' ,, ("' t t-,lrme: {. FACILITY NAME EHS AG DEPT CITY FIRE Routine Complaint Reinspection Other Result Code: _70 _80 _90 Action Code: 32 37 33 31 AD PHONE:Y'''" PROGRAMS INSPECTED:n Business Plan ,E nw Generator E usr ! ncr ncnmnp REINSPECTION REQUIRED:n{or tr YES ! Business Plan .E lw Generator 1.,/ n usr n ecr ncnnnp PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and determininq compliance with adopted codes. GRANTED BY (NAME/TITLE)1 YES NO COSntrnnnn trnnn BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729\ Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layout/facility maps are accurate (HSC 25504, Title 19 CCR2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 A ZZ CCnee265.l6) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 6626s.16) EMERGENCY RESPONSE PLAN Contingency pfan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273I & 22 ccR $ 6626s.s3t54) 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 CCR66265,31- .43) BPOl BPO2 BP03 TROl TRO2 EROl ERO2 n n Ar01 #"?"J":t:Yil3i:ffi"",'3*T;;:ff-"": ffinIiffin Iast 5 yrs. (40 cFR r12.s(b)) ! n AT02 SPCC Plan is maintained on site or nearest field office. (HSC 25270) COMMENTS Go to http://www.slopublichealth.org/environmentalhealthhazardous_materials.htm, to obtain forms to with BP01-8P03, TR01 and ER01 GPS Coordinates: Latitude: _deg _min_decimal min Longitude:_deg _min decimal min INSPECTOR:F'ACILITY REP: Environmental Health Services (805) 781-5544 P.O.Box 1489 2156 Sierra Way Ste. B San Luis Obisoo. CA 93406 ..\ I crfy o[ san lurs oBrspo frmtrBtf,rffittr2nS*B-tnAm'S-tlrOUitr!^C !Sfi+sl:*ffi tffii3 'Caurtesy & Ser^vice^ CERTTFIED UNIFTED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time:Date: 10113120'17 COUNTY n-1-\ !- -D OBISPO Facility Name:ACME AUTO BODY Aqency Inspection TvpetrEHS trRoutine BCITY FIRE trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testint Site Address: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 Phone: (805)748-0570 Facility lD: FA0008235 Serial Number: DAXSWHF0G PROGRAMS INSPECTED:trHazmat ENHWGenerator I]UST T]AGT trCa|ARP trTPE REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT trCalARP trTPE PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAIIIE/TITLE): Name: Rod Souza Title: Owner il-4 YES NO N/Atrtr8trtrtrtrtr4 tr tr tr tr tr tr E tr tr E tr E BPOl BPO2 BPO3 TROl TRO2 EROI ERO2 ERO3 BUSINESS PLAN Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRATNTN9 PLAN Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) Training documentation is maintained on site for current perconnel (Title 19 CCR 2732 & 22 ccR) 66265.16 EMERGENCY RESPONSE PLAN Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 & 22 CCR S 66265.53/54) Facility is operated and maintained to prevenUminimizer'mitigate flre, explosion, or release of hazardous materialslwaste constituents to the envlronment. Maintains all required or appropriate equlpment including an alarm and communications system (Title l9 CCR2731& 22 ccR 66265.31-37, 40CFR 1 265.31) Secondary containment ls installed and sufficiently impervious to discharges. ICHSC 25270.4.6; 40 CFR 112.8(cX2]l GENERAL EH VIOLATIONS tr EI tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel GPS Goordinates: Latitude: GPS Coordinates: Longtitude: INSPECTOR: KERRY BOYLE FACILITY REP: Rod Souza FACILITY NAME: ACME A BODY EPA ID NUMBER: ADDR 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 HAZARDOUS WASTE GENERATOR Total generatedlmonth:Lbs or gals (average) Waste Oil:Solvents: Antifreeze: Othens:- YES tr tr E tr tr tr tr Ng tr tr tr tr tr tr tr N4A tr tr tr u tr vrol. # GTOl GTO3 GTO4 GTOS GTO6 tr GTOT tr crog EPA ID NO/PERMITS Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCRS66262.12) lf not, Call (800) 618-6942 to obtain your CAL EPA lD number HAZARDOUS WASTE DETERMINATION Hazardous waste determination conducted (Title 22 CCR S66262.11) Elown knowledge uanalysis trother Hazardous waste analysis/test records are kept for at least 3 years(Title 22 GCR $66262.40.(c)) DISPOSAUT RANSPO RTAT IO N Hazardous wastes disposed of at an authorized location (HSC 525189.5,Tlile22 CCR $66262.12) Facillty utllizes a registered hazardous waste transporter, and hazardous wastea shipoed with a manifest filtle 22 CCR 666262.20. HSC Q251 60/25163(a)) Em trother Manifests andlor receipts are properly completedlretained by generator for 3 years (Title 22 CCR $66262.23, 66262.40 (a)) STORAGE AND MANAGE]I'ENT OF CONTAINERS'TANKS Hazardous wastes are accumulated on site as follows (Title 22 CCR 566262.34) tr90 days if waste generated per month is greater than or equal to 100 kg. (220 lbe.) tr180 days if waete generated per month is less than 100 kg (see note) tr270 days if waste generated per month ls less than 100 kg and transported more than 200 miles (see note) Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation timer'55gal or t-qt llmit) Oitle 22 CCR $66262.34(c)) lgnitable or reactive wastcs are located 15 m (50 feet) from facility's property line (Title 22 CCR 566265.176) Containers of hazardous waste are properly labeled (includes appropriate daIe,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Tltle 22 CCR 566262.31,66262.341 Containers/tanks containing hazardous wastes are In good conditiory'handled to minimize the release or reaclion (Title 22 CCR S66?02,34 (dxz), Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCRS s66262.34 (dX2), 66265.172) Gontainers storing hazardous wastes are closedlsealed (Title 22 CCR 5566262.34 (dX2), 66265-l Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCRSS66262.34 (dX2), 66265.1 74) Daily inspection of all tank systems is conducted and documented (Title 22 CCR S566262.34 (dX2), 66265.195) Empty contalnelr or lnner lineF greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR S6626f .7 (0) RECYCLABLE WASTE Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) lTitte 22 CCRS 66266.13, HSC 525250.4) Used oil filterc for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof contalner, labeled "drained used oil filters," and transferred for metal reclamation) (Iitle 22 CCRS 66266.13) Spent leadacid batteries are being properly stored and transferred offisite under manifest or bill of ladlng for recycling, reuse, or roclamation (Title 22 CCR S66266.81) Solvents/other recyclable materlals are managed as hazardous wastes until recycled (Title 22 ccR s66266.3) SOURCE REDUGTION:For facilities genGrating >t2,000 kg./yr. of hazardous waste on site. Generator is subjectto SB14 and has prepared and retained currentsource reduction documents or is able make them available to the inspector within (5) days. (67100.7, 67100.8, HSC Source Reduction Evaluation and Plan contains the following five elements:certification, amounts of wastes generat€d, process description, block diagrams, and implementationschedule of selected source reduction measures. (67100-7. 67100.8, HSC Q25244.19) Hazwaste Contingency Plan prepared, current, submltted to the CUPA, maintained onsite. (Title 22 CCR 566265.51-.54) tr EI tr tr tr E E tr E E E tr B tr tr tr tr tr tr tr tr tr tr tr tr tr u tr u tr tr D tr tr U GTog tr GTIO tr GT1I tr GT12 tr GTI3 tr GTt4 tr GT15 tr GT16 E GTiT tr GT{8 tr GT19 tr GT2O u cf21 N GT22 GT23 Gf24 \ -'-', SUMM, JY OF OBSERVATIONSruIOL. . T]ONS E 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 yor facility. tr Vlolations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform the GUPA in writinq. ALL VIOLATIONS MUST BE CORRECTED WTHIN 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 $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed conective actions. The issuance of this Summary of Violations does not prcclude the GUPA from taking administrative, civil, or criminal action. FACILITY NAME: ACME AUTO BODY ADDRESS: 645 TANK FARM RD#L SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: Facility is clean and orderly. Business uses the Small Business Hazardous Waste Facility at Cold Canyon Landfill - recent drop off on Sept. 6, 2O'17 as a CESQG. No violations noted. 5 gallon hazardous waste container is securely closed inside and properly labeled. INSPEGTED BY: KERRY BOYLE DATE: 1On3nO17 NAME OF FACILITY REP: Rod Souza SIGNATURE OF FACILITY REP: il-4 STATEMENT OF COMPLIANGE Gertification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Title:- Date:- Environmental Health Services (80$ ?815544 P.O.Box 1489 2156 Sierra Wav Ste. B San Luis Obisoo. GA 93406 \ 8:ffifrso**po Fire Deoartment (805) 7817380 2160 Santa Barbara Avenue Date:1212812O16 San Luis Obisoo CA 9340tr5240 GERTTFTED UN|F|ED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: ACME AUTO BODY Agency lnsoection TypetrEHS trRoutine trClTY FIRE trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment Testinl Site Address: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 Phone: (805)748-0570 Facility lD: FA0008235 Serial Number: DACCC9FAE PROGRAMS INSPEGTED:trHazmat EHWGenerator trUST trAGT trCalARP trTPE REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCa|ARP trTPE PERMISSION TO INSPEGT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Rod Souza Title: Owner {Ul fu,_f__ YES NO N/A Utrtrtrtr8trtrtr tr tr tr tr tr tr tr tr tr tr TROl TRO2 tr n tr ER03 Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5; 40 GFR r12.8(cX2)l GENERAL EH VIOLATIONS tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Latitude: GPS Goordinates: Longtitude: BPOl BPO2 BPO3 EROl ERO2 BUSINESS PLAN Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title l9 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 ccR) 66265.16 EM ERGENCY RESPONSE PLAN Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 273'l & 22 CCR S 66265.53/54) Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materialsAaraste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR2731& 22 ccR 66265.31-.37,66267.34 (dX2), 40CFR 1 265.31) INSPECTOR: KERRY BOYLE FACILITY REP: Rod Souza J ADDR 'D= 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 HMARDOUS WASTE GENERATOR Total generated/month:Lbs or gals (average) Waste Oil:Solvents: Antifreeze: Others:- BODYFACILITY NAME: ACME At EPA ID NUMBER: YES tr tr tr tr tr tr tr NO tr tr tr n tr tr D tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr tr N/A tr tr u tr tr tr tr tr n tr n tr tr tr tr tr E tr tr tr tr tr tr VIOL. # EPA ID NO/PERMITS GT01 Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCRS66262.12) lf not, Call (800) 618-6942 to obtain your CAL EPA lD number HMARDOUS WASTE DETERMINATION GT03 Hazardous waste determination conducted (Title 22 CCR S66262.1f ) trown knowledge tranalysis trother GT04 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 GCR S66262.40.(c)) D ISPOSAUTRANS PO RTATIO N cT05 Hazardous wastes disposed of at an authorized location (HSC 525189.5 , Title 22 CCR S66262.1 2) GT06 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest fiitle 22 CCR 666262.20. HSC S25160/25{63(a))trmilkru- trother GT07 Manifests andlor receipts are properly completed/retained by generator for 3 years (Title 22 CCR 566263.421 66262.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF CONTAINERS/TANKS GT08 Hazardous wastes are accumulated on site as follows (Title 22 CCR $66262.341 tr90 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) tr180 days if waste generated per month is less than 100 kg (see note) tr270 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 labeling/accumulation time/S5-gal or 1-qt limit) fiitle 22 GCR $66262.34(c)) GT10 lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR S66265.176) GT11 Containers of hazardous waste are properly labeled (includes appropriate date,"HAZARDOUS WASTE," waste composition/physical state, hazardous properties, name/address of generator) ffifle 22 CCR 566262.31, 66262.34) Gf12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reaction (Title 22 CCR 566262.34 (dX2), GT13 Containersnanks/liners are compatible with waste stored ortransferred (Title 22 CCRS s66262.34 (dX2), 66265.1 72)GT14 Containens storing hazardous wastes are closed/sealed (Title 22 CCR S566262.34 (dX2), 66265.1 GT15 Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR$$66262.34 (dl(21, 66265.1 74) GT16 Daily inspection of all tank systems is conducted and documented (Title 22 CCR 5S66262.34 (dX2), 66265.195) GTlT Empty containers or inner linerc greater than 5 gal has date when emptied and are managed properly within one year of date emptied (Title 22 CCR 566261.7 (0) RECYCLABLE WASTE GT18 Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCRS 66266.13, HSC 525250.4) 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) (litle 22 CCRS 66266.1 3)GT2O 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 566266.81) GT21 Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 ccR s66266.3) 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. (67100.7, 67100.8, HSC GT23 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 825244.19)GT24 Hazwaste Gontingency Plan prepared, current, submitted to the GUPA, maintained onsite. (Title 22 CCR S66265.51-.54) E B tr tr tr tr tr tr tr tr tr tr tr E tr tr .. .\, I -' SUMMA,r<Y OF OBSERVATIONSMOT .NONS B 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 yot facility. tr Violations were observedldiscovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, olease inform the CUPA in writino. ALL VIOLATTONS 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 $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: ACME AUTO BODY ADDRESS: 645 TANK FARM RD#L SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION GOMMENTS: Business has been using the Small Business Hazardous Waste Disposal program for solvenUpaint waste, located at Cold Canyon Landfill. Facility in good order, smallwaste drum is properly labeled and securely closed, and good hazardous waste record keeping. No violations noted during today's annual inspection. INSPECTED BY: KERRY BOYLE DATE: 1228t2o16 NAME OF FACILITY REP: ROd SOUZA SIGNATURE OF FACILITY REP: fUl fu,-fft- STATEMENT OF COMPLIANCE Certification: I certify under penalty of periury that this facility has complied with the corrective actions listed on is inspection form. Signature of Own Title:-Date: I l Environmental Health Services (80$ 7815544 P.O.Box 1489 2156 Sierra Way San Luis Obispo. CA 93406 r CIWOr sari lrirs 2160 Santa Barbara Avenue San Luis Obispo CA 934015240 Date: 06/16/2015 GERTTFTED UNTFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Time: Facility Name: ACME AUTO BODY Site Address: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 BPOl BPO2 BPO3 TROl TRO2 EROl ERO2 trtrtrFE01 GPS Goordinates: Latitude: Aqency trEHS ECITY FIRE lnsoection Tvoe trRoutine trReinspection trChargeable Reinspection trChange of Ownership trComplaint trSecondary Containment Testing trChargeable Secondary Containment TestinE Phone: (805)748-0570 Serial Number: DASLBWTUN PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes' GRANTED BY (NAME/TITLE): Name: Rod Souza Title: Owner trTPE trTPE BUSINESS PLAN Business plan is comptete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current perconnel (Title 19 CCR2732 & 22 CCR) 66265.16 EMERGENCY RESPONSE PLAN Emergency response/contingency plan as complete, updated, and maintained on site (HSC 25504' Title 19 CCR 2731 & 22 CCR $ 66265.53/54) Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materials/waste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CGR 2731& 22 CCR 66265.31-.37, 66267.34 (dX2),40CFR { 265.31) ERO3 Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5; 40 CFR 1 I 2.8(c)(2[ GENERAL EH VIOLATIONS Environmental Health fees paid. ICBPC 17200, Local Ordinance] GPS Coordinates: Longtitude YES NO N/A trUBtrtr8ntrE E E tr tr tr tr tr tr tr tr tr tr trAGT UCaIARPEHWGeneratortrUSTPROGRAMS INSPECTED: trAGT trCa|ARPtrHW Generator trUSTREINSPECTION REQUIRED: lnHazmat INSPECTOR: KERRY BOYLE FACILITY REP: Rod Souza YES NO N/AtrtrD VIOL. # EPr'-D NO/PERMITS GTOI Ge )or has an EPA lD number to treat, store, dispos )nsport or transfer hazardous waste (Title 22CCRS66262.12) lf not, Call (800) 618-6942 tv obtain your GAL EPA lD number tr tr n tr tr tr tr tr tr tr tr GT03 tr GTO4 tr GTOS E GTO6 tr GT07 tr GTOs HMARDOUS WASTE DETERMINATION Hazardous waste determination conducted (Title 22 CCR 566262'11) trown knowledge tranalysis Eother Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR $66262.40'(c)) DISPOSAUTRANSPORTATION Hazardous wastes disposed of at an authorized location (HSC S25't 89.5, Title 22 CCR 566262.12) Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifest (Tltle 22 CCR $66262.20, HSC 525160/25163(a)) trmilkrun trother andror receipts are properly yeans ccR s66263.421 66262.23, 66262.40 (a)) STORAGE AND MANAGEMENT OF GONTAINERS/TANKS Hazardous wasteg are accumulated on site as follows(Title 22 CCR 566262.34) tr90 days if waste generated per month is greater than or equal to 100 kg. (220 lbs.) tr180 days if waste generated per month is less than 100 kg (see note) tr270 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 6000k9(13'200 lbs) and no Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/s5-gal or 1-qt limit) (title22 CGR $66262.34(c)) lgnitabte or reactive wastes are located {5 m (50 feet} from facility's property line (Title 22 CCR s66265.176) Containe6 of hazardous waste are properly labeled (includes appropriate date,"HMARDOUS WASTE," waste composition/physical state, hazardous properties, namdaddress of generator) (Title 22 CCR 566262.31, 66262.341 Gontainersttanks containing hazardous wastes are in good conditioty'handled to minimize the release or reaction (Title 22 GCR 566262.34 (dX2), 66265.171-.r91'66265.177(c)) Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCRS s66262.34 (dX2), 66265.r72) Containets storing hazardous wastes are closed/sealed (Title 22 CCR 5S66262.34 (dX2), 66265.173) Weekly inspection of areas where hazardous waste containerc are stored is conducted(Title 22 CCRS s66262.34 (dX2), 66265.1 74) Daily inspection of all tank systems is conducted and documented (Title 22 CCR 5566262'34 (dX2)' 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 S6626f .7 (0) RECYCLABLE WASTE Used oil is manaSea is nazardous waste until recycled (includes proper labeling, storage, etc) (Title 22 CCRS 66266.13, HSC 525250.4) Used oll 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 ccRs 66266.13) Spent lea+Acid batteries are being properly stored and transferrcd oflsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR 566266'81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR s66266.3) SOURCE REDUGTION:For facilities generating >12,000 kg./yr. of hazardous waste on site. Generator is subject to SBl4 and has prepared and retained current source reduction documents or is abfe make them available to the inspector within (5) days. (67100.7, 67100.8, HSC 525244.19,25244.211 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 525244.19) Hazwaste Contingency Plan prepared, current, submitted to the CUPA, maintained onsite. (Title 22 CCR s66265.5r-.54) n tr tr tr tr tr tr tr n tr tr tr tr tr tr tr tr tr tr tr tr tr B tr EI tr tr GTOg D GTIO tr GTl1 N GT12 tr GT13 E GT14 tr GT15 tr GT16 tr GT17 tr GTiS E GT19 tr GT2O tr GT21 trtrtrGT22 trtrtrGT23 trtrtrGT24 FACILITY NAME: ACME A',^} BODY NOONr]= HAZARDOUS WASTE GENERATOR 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 EPA ID NUMBER: Total generated/month: Lbs or gals (average) Waste Oil:Solvents: Antifreeze:_ Others:- SUMM. ]Y OF OBSERVATIONSruIOL TIONS tr 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. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL VTOLATTONS 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 $25,000 for each violation Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings andlor the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: ACME AUTO BODY ADDRESS: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO GORRECTIVE ACTION REOUIRED INSPECTION COMMENTS: Annual inspection, no violations noted. Good record keeping for hazwaste which is disposed of at Cold Canyon Small Business Waste Disposal site. INSPECTED BY: KERRY BOYLE DATE: o6t16t2015 NAME OF FAGILITY REP: Rod Souza SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE Certification: I certify under penalty of periury that this facility has complied with the corrective actions listed on inspection form. Signature of Date: n Environmerrtal Health Services (805) 7815544 P.O.Box 1489 2156 Sierra Wav San Luis Obispo. CA 93406 CERTIFIED UNIFIED HAZARDOUS MAT Time: cln/; frffi lrirsonrspo Fire Deoartment (80$ 78tr7380 2160 Santa Barbara Avenue San Luis Obispo CA 934015240 PROGRAM AGENCY (CUPA) ERIAL INSPECTION FORM Date: 06/16/2015 trHazmat trHW Generator trUST trAGT trCalARPPROGRAMS INSPECTED trHazmat trHW Generator trUST NAGT trCalARPREINSPECTION REQUIRED: Facility Name: ACME AUTO BODY Site Address: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 BPOl BP02 BPO3 TROl TRO2 EROl ERO2 trtrtrER03 trtrtrFE01 GPS Coordinates: Latitude Agency I]EHS trCITY FIRE lnspection Tvpe trRoutine EReinspection trChargeable Reinspection trChange of Ownership trComplaint ESecondary Containment Testing trChargeable Secondary Containment Testing Phone: (805)748-0570 Facility lD: FAO008235 Serial Number: DABLBWTUN PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and determining compliance with adopted codes. GRANTED BY (NAME/TITLE): Name: Rod Souza Title: Owner trTPE trTPE BUSINESS PLAN Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729) lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729) Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 ccR) 66265.16 EMERGENCY RESPONSE PLAN Emergency response/contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR 2731 &22 CCR S 66265.53/54) Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materials/waste constituents to the environment. Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR2731& 22 ccR 66265.31 -.37 , 66267 .34 (dX2), 40CFR 1 265.31) Secondary containment is installed and sufficiently impervious to discharges. lcHSc 25270.4.5; 40 CFR 1 12.8(cX2)l GENERAL EH VIOLATIONS Environmental Health fees paid. [CBPC 17200, Local Ordinan0e] GPS Coordinates: Longtitude: YES NO N/A Utrtrtrtrtrtrtrtr tr tr tr tr u u tr tr tr tr tr tr INSPECTOR: KERRY BOYLE FACILITY REP: Rod Souza SUMM,OF OBSERVATIONSA/IOL ]ror,rs tr 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 yol facility. tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the correctil action listed by each violation. lf you disagree with any of the violations or corrective actions required, please infort the CUPA in writinq. ALL 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 $25,000 for each violation. Your facility may be reinspected any time during normal business hours. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action. FACILITY NAME: ACME AUTO BODY ADDRESS: 645 TANK FARM RD #L SAN LUIS OBISPO, CA 93401 VIOLATIONS VIOL. NO CORRECTIVE ACTION REQUIRED INSPECTION COMMENTS: Annual inspection, no violations noted. Good record keeping for hazwaste which is disposed of at Cold Canyon Small Business Waste Disposal site. INSPECTED BY: KERRY BOYLE DATE: 06t16t2015 NAME OF FACILITY REP: Rod Souza SIGNATURE OF FACILITY REP: STATEMENT OF COMPLIANCE cation: I certify under penalty of perjury that this facility has complied with the corrective actions listed on is inspection form ignature of Owner/Operator:- Title:- Date:- -) Gounty of San Luis Obispo Environmental Health Services (805) 781-5s44 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 Fire Department (805) 781-7380 2160 Santa Barbara Avenue San Luis Obispo CA 93401-5240 cty-ot sAll lr$s rcfispo CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM Date: EFW data entry by: FAcfLlfV NXrrl{E: /J ftr .,1'tt ts,: 'Wfrnl INSPECTION TYPE lEf noutine I Reins ! Gomplaint n Otner Result Gode: _70 _80 _90 Action Gode: 32 37 33 31PHffifE: 'P" ' Lr AGENCYn EHSn nc DEPT ,Fcrv rlne n usr n rer ncnlanpPROGRAMS INSPEGTED:I Business Plan N NO NYES ! Business Plan fi{t'#t##{,*,fl usr n ecr !cnlnneREINSPECTION REQUIRED: PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and Cetermininq complian-ce with adopted codes. GRANTED BY (NAME/TITLE): YES NO COSnnunnn nn n trtr nn ! N/A BPOl BPO2 BPO3 TROl TRO2 EROI ERO2 nnnArornnnAro2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layout/facility maps are accurate (HSC 25504, Title 19 CCR2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16) Training documentation is maintained on site for current personnel (TiUe 19 CCR2732 & 22 CCR 6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is completeo updated, and maintained on site (HSC 25504, Title 19 CCR273L &22 ccR $ 6626s.s3ts4\ Facilify 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 6626531- .43) ABOVEGROUND PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b) SPCC Plan is maintained on site or nearest field office. (HSC 25270) COMMENTS Go to http://www .htm, to forms to comply -BP03, TR01 and INSPECTOR: -deg FACILITY REP: min Longitude:_deg _min_decimal min i FRcluw EPA II) NUMDER: Tiered Pernrlt: TrertErent Equipment: WASTE GENERATOR Total generated/month : Waste oil: Solvents: Antifreeze: Others: Lbs or gals , (average) YES NO COS N/AF.EiTTT], trtrnwn tr uoL.# EPAIDNO/PERMITS GT01 Generator hrs TnEPAID numbertotreaf storg dlspose, transport ortransfer hazrrdous waste (Tltle 22CCB $66262.12) If Not, CaIl (S00) 6f&6942 to obtain your CAL EPA ID number. M.pd ,.a' tr;wn n ,d ,p tw', M Wtr"F n l u trn n n n trn tr tr tr tr n tr n n nnn trn n tr n n n tr trntr ntr n u tr n GTO3 GTO4 GT05 GTO6 GTOT GTOE GTO9 GTTO GTIl GTI2 GTl3 GTT4 GTI5 GTT6 GT17 GTTE GTI9 GT2O GTzT GT22 GT23 IIAZARDOUS WASTE DETERMINATION Hazardous wsste determination'bonducted (Tftle 22 CCR S66262.11) f]own knowledge flrnrlysis Eother Ifazerdous waate analysls/test records are kept for at least 3 years (TlOe 22 CCR $66262.40.(c) DISPOSAI,/TRANSPORTATION Hazardous wastes were trrnsporteil rnd/or dirpored to o facllity wtth en EPA ID NO. and permit or authorlzetlon from DTSC (HSC S25f89.5,Tltle22 CCR $66262.12)Elmillrrun Eother Hazerdous wastes ere shippod wlth manlfest (Tltle22 $66262.20) Mrnifeets rnd/or receipts are properly completed/retalned by generator for 3 yean (Title 22 CCT, 966263.421 66262.2t1 STORAGE AND MANAGEMENT OF CONTNNERS/TAI\KS Ifrzardous wrstes are accumulrted on slte os followr (Tl0e 22 CCR $6626234) '. E] 90 days lf waste generated per month ls grcrter thrn or equd to 100 kg (220 lbs.) El f-fO a"ys tf woste generated per month ls less then 100 kg (see note) t dZlO aryrlf waste generated per month is less than 100 kg end trrnsported more than 200 mllesr(see note) Note: Applies only if hazardous wrste rccumuleted on clto never excceds 5000 kg(13,200 lbs.)rnd no acutely/extremely hazrrdous waste over I kg (2.2 lbs.) is held on slte for over 90 $il*rOoo, waste *satbllite' collecfion ls managed properly (complete labeling/accumutation time./S5-gal or l-qt limlt) (Tltle 22 CCR $6626Ba(c)) Ignitable or reactlve wastes rre located 15 m (50 feet) from frclllty's property line (Ittle 22 CCR $6626s.U6) Containerc ofhazardour wacte are properly labeled (lncluder rpproprirte dtte, (IIAZARDOUS WASTE,' waste composltion/physical state, hazardous properties, nameladdress of generator) (Tltte 22 CCR $66262.31,6626234) Containers/tanks containlng hozsrdous wastes are ln good condidodhandled to mlnlmize relerse or reaction (Tltle 22 CCR $66265.1111.191,66265.177(c)) Containerr/tankc/linerc sre comprtible wilh wrste stor€d or tr.nsferred (fitle 22 CCR$66265,,17D Contslner$ storing hazardous wlsles are closed/sesled (Tttle 22 CCR S66255.173) '\ Weekly lnspectlon ofareas where hazardous wastc conteiners sre rtored is conducted ,' (Tltle 22 CCR$66265.174) Dally lnspection of all tank syslems is conducted and documented (fitle 22 CCR $66265.195) Empty containen or inner liners grerler than 5 gal has date when emptled rnd are managed properly wlthin one year of dale empllcd (Title 22 C(n S66261.7 (f)) RECYCLABLEWASTE Uscd oil ls m.naged er hazardous wssle untll recycled (includes properlabeling storage, etc) (HSC $2s2s0.4) Uged oll lilterc for recycllng ere managed properly (drdned offrec flowlng liqutd' stottd in cloced rainproof containero lobeled *drained used oil lllters,' rnd transferred for metrl reclamation) (Tltle 22 CCR$ 66266,130) Spent lerd-rcid brttericc are being properly stored and transferred ofrslte under manlfest or biU of leding for recycling, reuse, or reclamrtlon (fiOe 22 CCR S66266.81) Solvents/other recycloble materials are manrged as hazardous wrsteg until recycled (Title 22 CCR $66266.3) SOURCE REDUCTION: For frclllties generetlng>l2,lD0 kgJyr. of hazerdous wesle on slte. Generator ls subject to SEl4 and bar preperod and reteined currcnt iource reductlon documents or lr rble mrke thcm evallrble to the lnspector within (5) drys. (HSC $25244.f 9,252U,21) Source Rcductlon Evrlurtion rnd Plrn containg the followlng ive elemenh: cerdficrfion, rmpun$ of wrstes gener.ted, process dercrlpdon, block dlagrernr, rnd lmphmentadon schedule of relected source reducdon nrelsure& (IISC $252{4.19) ,i. q ,d n n tr ntrtr nn w E' W' ! L8-'gtr n u tr tr n i^\t:\ lL- ) \ ') Gwo[ safi trils oHryo ] ,1::: : Environmental llfnltEServices (805) 781€544 P.O. Bor 1tO9 2155 Sierrr Wey Srn Luls Obtcpo' CA 9:l4ll5 HAZARDqUS \ Flrr D.p8nmcril (805) 781t380 2160 Santt Berbera Awnua San Lutr Oblrpo CA 99{Ol62tl0 CERTIT'IED T]NIFIED PROGRAM AGENCY (CT'PA) t/ Date:?,'l#.' ," F MATERIALS INSPECTION FORM EFW data entry by: -8rri lt .r' ADDRESS:trtrn Routlne Other AGENCY El;trs 48" crnr nne fi(rutts^ F'i, c.'ritot E usr fl ecr LlcAt-ARPEI aurhrclr PhnPROGRATIIS INSPECTED: E xw Gonclrtor El usr Elecr ElcnunpE Eurlnur PlanREtNsPEcnoN REoutReot r[dilro trYES Time: YES NO N/Atrnn n n trnn ntr unn nu n tr BFO3 Tn0l TRID EROT ERO2 ATOT AlI}2 BUSINESS PLAN Brnincss plan ls complete, ctrrea$ & avdlable during inspecton (IISIC 255035' Tltle 19 CCR 2729) InventorX of hazrldorr materiab is conplete (HSC 2551t4) TiOe 19 CCR2II2{)| site leyout/fedllty mrps rrc rocurrte (Ilsc 25$l4r Tltle 19 ccn nzgl TRAII\ING PLAII Feclllty hrs approprlate trelntng progrem (TlOe 19 CCR Zt32 & 22 CCR' 66265.f5) Tninlng documentadon b mrintrined on sitc for cnrrcnt personnel (fille 19 CCR 2732 & Zl CCR 6i255.16t EMERGENCIT RESFONSE PLAN Conthgcncy plrn ts comptctc, upaeted, and mrtntlln€d on slt€ flISC 25504' Tltlc 19 CCR 2731 & ?:2 ccrl66'?#s3l5,.l Frcility bopc.r66.nd mrintrincd to prevrnUminimir/mitigetc fire,cxplocion, or rclease of hrzrrdoruntrterisb/wotilconcelhrcntstothccnvlronnenl ltdalntelnsdlrcquircdorappnopdetc cquipment lncluding * "ry:* eom:nunicetlons cystem (I'lOe 19 CCR 2Bf & n CCn fff,26531- .4l3) ABOVEGROT'IIID PETROLNU*T STORAGE TANK ACT SPCC Pbn is rcvicwed rnd ccrtiH by r regist€Ed cngineer wlthin laet 5 yrs (4lt CFR ff2.s(bD SPCC Ptrn is n lnielned on sltc or nerrcst fieH ofhcc. (ESC 25270) DUnn[]tr Cloto hnp://www .slopublichcalth.o4y'environnrcnralbcaltMraz:rdous-rrarcrials Jtm'to obuin forms to with BP0I.BF03, TROI ad ER0l t GPS Coordimies: Letituds - deg mln INSPECTOR: \Temp\c.lotus.notes.data\l -l Page 1.doc 24.Jan:06 Dln FACILITYREP: FACILITY NAME EPA ID NI]MBER: Tiered Permit: Treatment Equipment: US WASTE GENERATOR Lbs or gals (average)Total generated/month: Waste oil: Antifreeze: Solvents: Others: YES iw 1,8" ,,8'^ N/AE' u n cosE-vIoI,. # GTOl EPA ID NO/PERMITS *.F' n n n nn n n n GTO3 GT04 GTOS GTO6 GTOT Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Titte 22ccR 966262.12) rf Not, call (s00) 618-6942 to obtain your cAL EpA ID number. HAZARDOUS WASTE DETERMINATION Hazardous waste determirration;conducted (Title 22 CCR 966262.11) Eown knowledge lanalysis Eother Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR $66262.a0.(c) DISPOSAL/TRAIISPORTATION Ilazardous wastes were transported and/or disposed to a facitity with an EPA ID NO. and permit (Title 22 Used oil is managed as hazardous waste until recycled (includes proper labeling storagg etc) (HSC $2s2s0.4) Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in.closed rainproof container, labeted *drained used oil lilters,' and transferred for metal reclametion) (Title 22 CCR$ 66266.130) Spent lead-acid batteries are being properly stored and transferred olfsite under manifest or bitl of Iading for recycling, reuse, or reclamation (Title 22 CCR $66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR s66266.3) SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site. Geuerator 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. (HSC g2s244.lg; 2sz44.zl) Source Reduction Evduation and Plan contains the following live elements: i.a'" n "F-'" n (HSC 22 nn Manifests and/or receipts are completed/retained by generatorfor3 years (Title22 CCR Q.,t; La' ,-ffi'" N' bw r.El--' t"E* 'r-F/-.- tEl','iF M,n" ! tr n nntr nn F- tr n u tr tr n n n tr n trnn !tr n u n tr n tr are 966263.42t 66262.23) STORAGE AND MANAGEMENT OF CONTAINERS/TAI\IKS GT08 Ifazardous wtstes are accumulated on site as follows (Title22 CCR $6626234) E m Oays if waste generated per month is greater then or equal to 100 kg (220 lbs.) [8T9fr days if waste generated per month is less then 100 kg (see note) {rjffi":;l"f.,*..,r#:,ryirated per month is ress than 100 kg rnd transported more than 200 mires " t!/ Note: Applies onlj; if hhzardous waste accumulated on site never exceeds 6000 kg(13,200 lbs.)and no acutely/extremely hazardous waste over I kg Q.2lbs.) is held on site for over 90 days. GT09 Hazardous waste (satbllite" collection is managed properly (complete labeling/accumulation time/S5-gal or l-qt limit) (Title 22 CCR 9662623a(c)) GTf 0 Ignitable or reactive wastes are located l5 m (50 feet) from facility's property line (Title 22 CCR $6626s.r76) GTf l Containers of hazardous waste are properly labeled (includes appropriate date,6.HAZARI)OUS WASTE'' waste composition/physical state, hazardous properties, name/address of generator) (Title 22 CCR $66262.31,66262.341GT12 Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or reaction (Titte 22 ccR $66265.17u.t9t,66265.t77(c)lGT13 Containers/tanks/liners are compatible wilh waste stored or transferred (Title 22 CCR$66265.172) GT14 Conteiners storing hazardous wesles are closed/sealed (Title22 CCR $66265.173)GT15 \ileekly inspection ofareas where hazardous waste containers are stored is conducted i (Title 22 CCRS66265.t74) GT16 Daily inspection of all tank systems is conducted and documented (Titte 22 CCR S66265.f 95) GT17 Empty containers or inner liners grealer than 5 gal hai date when emptied and are managed properly within one year of date empticd (Title 22 CCR 566261.7 (f)) RECYCLABLE WASTE unn nn u n n n tr u F""' GTIS GT19 GT2O GT2I GT22,En'' ,,F-" n n ' .r''l '.i./(:, " GT23 certifieation, anrgunts of wastes implementation schedule of selected generated, process description, block diagrams, and source reduction measures. (HSC $25244.19) { '|\,':i Environmental llealth Services (8115) 7El-5544 P.O. Box 1t189 2156 Sicrrr Wey Sen Luis Otispo, CA 934116 SjH,?,tsffi*po FIIG Dopsrtntcnt (805) 781t380 2160 Senta Berbara Avunuc Sen Lulr Oblrpo CA 93'l0162tl0 Ict/r'ln t'rl I)ate: 4,'N4i to'' CERTIFIED T]NIFIED PROGRAM AGENCY (CI]PA) HAZARDOUS MATERIALS INSPECTION FORM BUSINESS PIJ\N Busincss plan is complcte, currento & aveilebh during inspection (HSC 255113.5' fitle 19 CCR 2729) tnventory of hazardous Drtcrials is oomplctc (HSC 255M) fiOe 19 CCR 2729) Slte leyout/faci[ty mape rrl rccurete (llSC 255104, fitle 19 Cffi, n29l rnlnnxcPLAlt Fedllty hrs appruprlate raftnlng progrm (TlOe 19 CC,Rnr2 & 22 CCR 66265.f6) Trelning docrmentadon ls mtintrined on ite for crrrrent persooncl (Tilc f9 CCR 2732 & 22CCR ffi;255.t5t EMERGENCY RESFONSE PLAN hdngpncy plrn ls complctc, updetcd, end nrintalned on dte (IISC 2li5l)4' Ti0e 19 CCR 2731 & ?:2 ccn ! 66265s3/s4) frOffty b opcretcd:mrr mrinteincd to prcrcntlrnlnimizefuld$ie fir€' Grplogion, or rclcrse of hrzrniqr mrterlrWwarilc consllhrenG to the cnvlrttrnent Mdntrlns dl rcqulrcd orapproprlate cqulpmcnt lncluding "" tT:* coTnunicetiorc svstem CIl0e 19 CCn' 273f & Zl CCR 6525531' ABOVEGROT]NI' PETROLNUU STO'RAGE TANK ACT SPCC Phn ic rcvhwcd rnd cenified by a registerd engineer within lrrst 5 yrs (40 CFR f12.5(bD SFCC Pten is nrlntalncd on dic or ncercct fieH oftic'e. (IISC 25270) Time: YES NO N/Atrtru trtrtr ntr tr n n n nn u nu BFllz BFO|I TROl IRID EROI Enln ATOT ATO2 .{t} EFW data entry by: ADDRESS: nntr Routlne Other F' t EHS CITY FIRE PHONE: EcluanpLEliurlncr Phn tWHw Gcncntor Elusr E]rcrPROGRAMS INSPEGTED: ElcunpElxwGgnafiorE usr ElrctI Eurlnau PlenREINSPECTION REOUIFED:[rno tr YES COMMENTS coro GPS Coordinrics: lo forms to comply widr BP0I*BPO3, lROt and ER0l FACILNYNEP: mtr INSPECTOR: dcg 1\Temp\c.lotus.notes.data\1 -lnspeclion Form Page 1 .doc 2+Jan-OG nin ..trlittr I Environmental Health Services (805) 781-ss44 P.O. Box 1489 2155 Sierrr Way Sen Luis Obispo, CA 934116 ol- lur sffiispo Oty san rg Flrc Oepartmont (805) 781-7380 2160 Santa Barbara Avenuc San Luis Oblrpo CA 93.O1-5240 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HMARDOUS MATERIALS INSPECTION FORM YES NO Date:,'1"' .','; Time: N/A!,'n fl,' tru n f,u ntr n!tr nn tr n !! BPOI BPO2 BPO3 TROI TRO2 EROT ERO2 ATOT ATO2 BUSINESS PLAN Business plan is complete, curren! & available during inspection (HSC 25503.5, Title 19 CCR,2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729) Site layouUfacility maps arr accurate (HSC 25504, Title 19 CCR2729) TRAINING PLAN Facility has appropriate traintng pnogram (Title 19 CCII2732 & 22 CCR 66265.f6) Training documentation is maintained on site for current pcrsonnel (Title 19 CCR2732 & 22 CCR ffi255.15) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273I &22 ccR $ 5626s.s3/54) Facility is operated and maintained to prevent/minimize/mitigate frre, explosion, or release of hazirdous materialVwaste constituents to the environmenL Maintains all required or appropriate equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR662653I-.43) ABOVEGROT]ND PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed and ccrtified by a registered engineer within last 5 yrs. (40 CFR f f2.5(b)) SPCC Plan is maintained on site or nearcst field ofrice. (HSC 25270) COMMENTS Go to http://www.slopublichealth.org/enyironmentalhealth/hazardous-materials.htm, to obtain forms to comply with BP0I-BP03, TRO! and ER0l t\ FWE by:entry NAME: ADDRESS: PHONE: AGENCYfl exs E crw F|RE ! lL-f:")O\ TYPE Routlne El Buslnesc Plan El xw cenerator E usr El ncr EmunpPHOGRAMS INSPECTED: E xw Gcnerator E usr E rcr Ecat-nnpREINSPECTION REOUIRED:tr NO trYES E Buainera Plan GPS Coordinates: Latitude: deg mrn mrn FACILITY REP: ,INSPECTOR: C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\1 _lnspeclion Form Page 1.doc 24-Jan-06 FACILITY NAME r,f;W WASTE GENERATOR t^.:t-i{#L \Cll rt#fr&q fl Ss ,,'Ic*vf--Xcnsei flc.r npnn Lbs or gals (average)EPAIDITIT]MBER: fiered Permlt: Treahent Equlpnent: Total generatedi/month: VYasteoil: Solvents: Antifteeze: Others: YF^S. NO N/Aw n n vIoL.# GTOl EPA IDNO/PERMITS Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (fitle 22CCR96f,262.12\ If Not, Call (E(X)) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DE1SRMINATION Ilazardous wastc detennination conducted (Tltlet2 CCR $66262.11) Eo*knowledge Eanatysls Eother Hazardous waste analysidtest records are kept for at least 3 years (Title 22 CCR $66262.,10.(c)) DISPOSAI,/TRANSPORTATION Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or from DTSC (HSC $251E95, Title 22 CCR 9ffi262.12, flother Hazardous wastes are shipped with manifest (Title 12 CCR $66262.20) Manifests ani/or receipts are properly completed/retained by generator for 3 yeans (Titte 22 CCR 566'263.4U 62162.?:l) STORAGE AI\D MANAGEMENT OF CONTAIIYERS/TAI\KS Hazardous wastes are accumulated on site as follows (TltleX2 CCR $6625234) [ 90 days lf waste generated per month is greater then or equal to 100 kg (220 tbs) 4Eh6 Oays if wasie generated per month is less than llX) kg (see note) ! ZZO aays itwaste generated per month is less than llXl kg and transported morr than 2lX) miles (sce note) Note Applies only if hazardous waste accumulatcd on site never exceeds 6m0 kg(13100 lbg.)and no acutely/extremely hazardous waste over 1 kg 12.2 lbs.) is held on site for over 9l) days. Hazardous wasie'batellite" collectionis managed properly (complete labeling/accumuladon time/S5-gd or l-qt limit) (Tlne 22 CCR $662i234(c)) Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title ?:, CCR 9ffi26s.176) Containers of hazardous waste are properly labeled (includes appropriate &te, 'jHAZARDOUS WASIE," wasie compmition/physlcal state, hazardous properties, name/address of generator) (Tide 22 ccR $6626231,66262.y) Containerdtanks containing hazardous wast€s are in good condition/handled to minimfue release or reaction(Title22CCR$66265.17U.191,66i265.177(c\) ContainerdtankMiners are compafible with wsste stored or Containers storing hazardous wastfs are closed/sealed (Title (title 22 CCR$662,65. 172) $6626s.173) dd w' t,n'P/ tr tr GTO3 GTO4 GTOs GTIb GTIXT n GTOE GTlllf GTlO GT11 GT12 GT13 GT14 GT15 GT16 GT17 GTlE GT19 GT2O GTz1 GTX2 Grn autlprifation ,trlt-itt,to n w-a ! ntrn tru ffi V,'/ d Weekly inspecdon of areas where hazardous waste containers (T itle 22 CCR$66265. 174) Daily inspecdon of all tank systems is conductcd and x2ccR $66265.19s), Empty containers or inner linen 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 propcr labellng, storage, etc) (HSC $2s2s0.4) Used oil filters for recycling are managed properly (drained of free flowing liqutd stored in clmed rainproofcontainer, labeled "drained used oil fflters,D and transferred for metal reclamation) (Titte 22 ccR$ 56256.130) Spent lead-acid batOeries are being properly stored and transfened ofrsite under manifest or bill of lading for recycling, reuse, or reclamation (Title 22 CCR S66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR $662663) SOURCE REDUCTION: For facilities generating >12,0fi| kgJyr. of hazardous waste on site. Generator is subject to SB14 and has prepared and retained cutrent source reduction dmuments or is able make them available to the inspector within (5) days. (HSC 92524/,.19,252/4'.21) Source Reduction Evaluation and Plan contains the following five elements: cerdftcation, amounts of wastes generated, process dcscription, block diagrenrs, and implementation schedule of selected source reduction measlures. (HSC 02524.19) stored is conducted nn tr n tr ! n w' { tr n fr{t. C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\2_Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 J. TM{ Environmental Ilealth Servics (805) 78r€544 P.O. Bor 1'OO 2156 Sierra Way Sen Luis Obispo, CA 93(16 ffiispo ./-) clty-o[ san uts Flrs Oepaftmont (8115) 781.7380 2160 Santa Btrbtrr Avrnuo San Lulr Oblrpo GA 93tO1..5240 .!/'fr ' ,'ti,' /Date:J lf"'," '"'' CERTIFIBD UNIFIED PROGRAM AGENCY (CUPA) , HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by: Time: YESnIn n! n n NOnnn BPOT BPO2 Bm3 TROT TRO2 EROI ERO2 ATOI ATO2 BUSINESS PLAN Business plan is complete, curren! & available during inspcction (HSC 25503.5, Tltle 19 CCRfl29) Inventory of hazardous mgt€rials is comphte (HSC 25504, Title 19 CCn2729, Site layouUfacility maps are accurate (IISC 25504, Title 19 CCR?7}I) TRAINING PLAN Facillty has appropriate trainlng prcgram (Title 19 CCR 2732 & 22 CCR 66265.f6) Training documentation is maintsined on site for current pcrtonnel (Title 19 CCR2J3? & 22 CCR ffi255.r51 EMERGENCY RESFONSE PLAN Contingency plen is complete, updeted, and maintained on slte (HSC 2551X, Title 19 CCR 2731 & 22 ccR $ 6625sJ3/54) Facility is operated and maintained to prevenUminimize/mitigatc ffre, explosion, or release of hazirdous materlals/waste constituents to the envirunmenl Maintains all requlrcd or appropriate equipment Including an alerm and communicalions system (Tltle 19 CCR 273f &22CCR562653I-.43) ABOVEGROUI{D PXTROLEUM STORAGE TANK ACT SPCC Plan is reviewed and ccrtified by a regisiered engircsp slthin last 5 yrs. (40 CFR U2.5(b)) SPCC Plan is maintained on site or nearcst field ofrice. (IISC 2ti270) ntr n u trn n u ntr FACILITY NAME: nn TYPE Routine Reinspectlon ,frcmr nne AGENCVfl exs E Buelnesr Plan ,4'"t c€noraror Elusr LI AGT IcrunnePROGRAMS INSPECTED: El xw c.narrtot E usr EIrcr flcaunpREtNsPEcfl oN REoutRED: l]kl'i,ro tr YES E Eurineac Plan n g? ,$ i - f"7 ,",' ;.'; {;i{}; : 1,'1,;". , GPS Go to hnp:l/www.slopublichealth.org/cnvironmentalhealth/hazardous-materials.htm, to obtain forms to comply with BP0I-8P03, TROI and ERO| dcnimol mrn INSPECTOR: min 1\Temp\c.lotus.notes.data\1 -lnspection Form Page 1 .doc z4-Jan-Oo mtn FACILITYREP: Environmental Health Senices (8051 781€544 P.O. Box 1'189 2156 Slcrrr Way Sen Luis Obispo, CA 9:14{16 r'r, tt' Gty.ol- san uts ffiispo Fll€ Oepaltmom (805) 781-7380 2160 Santa Barbrra At snuc San Lulr Obltpo CA 93'[01€2'lO CERTIFIED T,JNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM tl Date: Time: EFW data entry by: t NAME:AGENCY E exs pl crv nned\ ,AQb Routlne ReinspectlonIn otner'!f- j.'tPHONE: E Burlnc$ Plan ffxwcsncrator E usr E lcr EcnunpPROGRAMS INSPECTED: E Eusinou Plan EI Xw Grnsrator E usr E lcr EcalmpREINSPECTION REQUIRED:uNo ,,{"t' mindeg NOnnn YES trntr trn trtr Bp0r BPO2 Bm3 TROT TRO2 EROI ERO2 ATOI ATO2 BUSINESS PLAN Bnsiness plan is complete, curren$ & avallable during inspcction (HSC 25503.5, Title 19 CCR2729) Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR27Z9) Site layout/facility maps art accurate (HSC 25504, Title 19 CCI n29) TRAINING PLAN Facility has approprlate training program (Title 19 CCR 2732 & 22 CCR 66265.f6) Training documentadon is maintained on siG for current personnel (Tltle 19 CCRZJ3? & 22CCR 66255.t5) EMERGENCY RESFONSE PLAN Contlngency plan is complete, updated, and maintained on site (HSC 2!i504' Title 19 CCR 2731 & 22 ccR $ 626s.13ts4' Facility is operated and maintained to prcvenUminimize/miiigate fire, explosion, or release of hazirdous materialVwaste constituents to the environmenL Maintaho all required or appropriate equipment including an alarm and communicatlons system (fitle 19 CCR 2731 & 22 CCR5626531-.431 ABOVEGROT]I\D PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed rnd ccrtified by a regist€r d engineer within last 5 yrs. (,10 CFR f f2"5(b)) SPCC Plan is mdntainied on site or nearcst field oftice. (HSC 25n01 nn tr u n! COMMENTS Co to hnp://www.slopublichealth.org/environmentalhealtMrazardous-materials,htm, to obtain forms to comply with BPOI TROI and GPS FACILITY REP: iINSPECTOR: 1 \Temp\c.lotus.notes.data\1 -lnspection Form Page 1 .doc 24-Jan-OO mrn n FACLTry EPAIDIITT]MBER: TlcrcdPemit: Treatnent Equipment: ADDRESS WASTE GEI\ERATOR Lbs or gsls (average)Total generated/month: _ TVasteoik Solvents: Antifreeze: Others: dd 4flw'F YES- NO N/AWE EI ntr n n u n n vIoL.# GTOl GTO3 GTI}4 GTOS GTI)6 GTffi GTOE GTII!' GTlO GT11 GT12 GT13 GTI4 GT15 GT16 GT17 EPAIDNO/PERMITS Gcnerator has anEPA ID numbcr to treat, store, dispose, tramport or transfer hazardous waste (TiOe 220Cj[gffiirfrz.l2) If Not, CaIt (800) 6l&6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION Eazardous waste detemination conduct€d (Iltlet2 CCR $66252.11) Eo*o knowledge ElanatySs Eother Hazardous waste analysidtest records are kept for at least 3 years (Title 22 CCR $66262.40.(cD DISPOSAI,/TRANSPORTAIION Hazardous wastcs were tranqlorted and/or dispored to a facillty with air EPA ID NO. and pourit or 0uthorizadon from DTSC (Esc $xrgcs,Iitle *ccR $664z.tzri L ,-l* rHffi-""t","**nn.u*,,-*,*RliiL" Manif€sti and/or receipts are propcrly completuUretained by generator for 3 years (TiOe 22 CCR 9ffi263.4u ffi2ffi2.231 STORAGE AND MANAGEMENT OF CQNTAINERS/TANKS Ilazardous wastes are accurnulated on sitc as f6ilows (Title X2 CCRg66f262.Yl E 90 days if waste generated per month is grelter then or equd to 1(X) kg (2211 lbs.) E ttO Oays if waste generated per month is lcss than 100 kC (see note) *[.ZZOa"vrifwastegeneratedpermonthislessthanlfilkgandtransportedmorcthanZnmiles(see-.tildte) Note Applies only if haznrdons wsste accumulated on site never exceeds 6000 kg(f3p00 lb*)and no acutely/extremely hazardous waste oyer 1 kS (2.2 lbs.) is held on site for over 9l) days. Hazardous waste 'tatellitC' collecdon is manqged properly (complete labeling/accumuladon tim.e/S5-gat or l-qt limit) (fitle 22 CCR $662523(c)) Ignltable or reactive wastes are located 15 m (50 feet) from facility's property line (TiOe ?:2 CCR gffi?rtsJ76) ;:q Contalners of hazardous waste are prop€rli labeled (lncludes approprlate dat€' 'IIAZARDOUS WASTE",'waste composition/physical state, hazardous properdes, namey'addrcss of generator) (fide 22 ccR $6626231,6f'2fr,.9' Containerdtanks containing hazardous wastes are in good condition/handled to minlmlzc release or reaction (Tltle 2i2 CCR 966265.17 U.l9l, 66i265.177 (c)) Containers/tankdliners are compatible wlth wasie stored or trandencd (Title 22 CCR$66265.172) Containers $toring hazardous wastes are closed/sealed (Tttle 22 CCR $66265.173) Weekly inspection of areas where hnzardous waste containers are storcd is conducted $lile22 CCR$66255.174) Daity inspecdon of all tank systems is conducted and documented (Tilfte tl CCR $66265.195) , Empty containers or inner liners greater than 5 gal has date when empded and are managed properly within one year of ilate emptied (Title 22 CCR $66251.7 (f)) RECYCLABLE WASTE Used oil is managed as hazardous waste unfil recycted (includes proper labeling storage' etc) (HSC $2s2s0.4) Used oil filters for recycling are managed properly (drained of free flowing liqui4 stored in clmed rainproofcontainer, labeled ttdrained used oit filtersr" and transferred for metal reclauration) (Title 22 ccR$ 66266.r$) Spcnt lead-acid batteries are being property stored and transferned offsite under manifest or bill of la{ing for recycling, reuse, or reclamation (Title 22CCR$66266.S1) gplvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR * irelres) SOURCE REDUCTION: For facilities generadng >12,11fi) kgJyr. of hazardous waste on site. Generator is subject to SB14 and hn^s preparrcd and retained current source reduction documents or is able make them available to the inspector within (5) days. (HSC $25244.19'25?4.21) Source Reduction Evaluation and Plan contalns the following five elements: cerdftcation, amounts of wastes generated, process description, block diagranrsr snfl implementation sclcdule of selected source reduction mersures. (HSC $2524.19) l wrl d n n n trtrn In ilnwn tr n { nd n tr n-w-w {_W D ntrn nu d n dtr d: tr :ln ,[ n jl I i' GTlE GT19 GT2O GT21 GT22 ,.. GT2il ii(A Fr C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\2_Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04 Environmental Health Services (805) 781-s544 P.O. Box 1489 2156 Sierra Way San Luis Obispo, CA 93406 SHffsoBrspo rs Flre Oepartment (805) 781-7380 2160 Santa Barbara Avenue San Lule Oblepo CA 93.01-5240 q\ \o CERTFIBD UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIALS INSPECTION FORM EFW data entry by:Date: Time: r!4, lE, BP0l Wt BPo2 @' Bm3 {, '*o'W rRo2 c { NOxxT Tr tr T nn YESnf,T nn n u nn dr' @' EROI ERO2 ATOT ATO2 BUSINESS PLAN Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCnilZC) Inventory of hazardous materials is complete (HSC 25504' Title 19 CCR2729\ Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR2729) TRAINING PLAN Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16') Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR 6626s.16) EMERGENCY RESPONSE PLAN Contingency plan is complete, updated, and maintained on site (HSC 255M, Title 19 CCR 2731 & 22 ccR $ 6626s.53/54) Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of hazardous materials/waste constituents to the environment, Maintains all required or appropriate equipment including an atarm and communications system (Title 19 CCR 273f & 22 CCR 66265.31- .431 ABOVEGROUND PETROLEUM STORAGE TANK ACT SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR f f2.5(b)) SPCC Plan is maintained on site or nearest field oflice. (HSC 25270) FACILITY NAME: WAII {,,{ ADDRESS: {d/fffi,,tf/A i X 5Db I \0 CITY FIRE AGENCY fl EHs Routine ReinspectionComolaint /t othei 4\Lf '{ TYPE ntr PHONE: E usr fl ecr flcnt-rnePROGRAMS INSPECTED:E Buslness Plan ffiy* Generator 4*o trYEs D Business Plan #,*Generator flusr E rcr IceuneREINSPECTION REOUIRED: COMMENTS Coto to obtain forms to with BP0l-BP03, TRO GPS Coordinates: Latitude: i. deg min-decimal min Longitude: deg-min-decimal min INSPECTOR:FACILITY REP: i,\Temp\c.lotus.notes.data\1-lnspeclion Form Page 1.doc 24-Jan-06 i1'i i r,i:,ir'.,rrJ''?iit ..' .,''J,'" : ADDRESS: ,' , ,, HAZARDOUS WASTE GENERATOR FACILITY EPAIDNUMBER: Tiered Permit: Treatment Equipment: Lbs or gals ffir Eco npnn Total generated/month: , (average) Wasteoil: Sof""rrtr, . ''., ' ,:: . ;'t,: - Antifreeze:Others: YES NO N/Atr"r tr n E n tr n nu tr n vrol.# GTOl GTO3 GTM GTO5 GTO6 GTOT GTOS GTO9 GTlO GTl1 GT12 GT13 GT14 GT15 GT16 GTIT GT18 GT19 GT2O GT2I GT22 GT23 EPA ID NO/PERMITS Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title 22CCR866262.12\ If Not, Call (800) 618-6942 to obtain your CAL EPA ID number. HAZARDOUS WASTE DETERMINATION Haq4rdous waste determination conducted (Title22 CCR $66262.11) Eliiwn knowledge lanatysis flother Hazardous waste analysidtest records are kept for at least 3 years (Title22 CCR $66262.40.(c)) DISPOSAL/TRANSPORTATION Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR s66263.42t 66262.23) STORAGE AND MANAGEMENT OF CONTAII\ERS/TANKS Hazardous wastes are accumulated on site as follows (Title22 CCR $66262.34) I m Oays if waste generated per month is greater than or equal to 100 kg (220 lbs.) E fAO days if waste generated per month is less than lfi) kg (see note) .flZlO days if r"."aste generated per month is less than 100 kg and transported more than 200 miles (see .r nrite) Note: Appties only if hazardous waste accumulated on site never exceeds 6fi)0 kg(13,200 lbs.)and no acutely/extremely hazardous waste over lkgQ.2lbs.) is held on site for over 90 days. Hazardous waste "satellite" collection is managed properly (complete tabeling/accumulation time/55'gal or l-qt limit) (Title 22 CCR566262.34(c)) Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR s6626s.176) Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS WASTE," waste composition/physicat state, hazardous properties, name/address of generator) (Title 22 ccR $66262.31, 66262.34) ContainerVtanks containing hazardous wastes are in good condition/handled to minimize release or ' reaction(Title22CCRS66265.1r7ll.lgl,66265.l77(c)) Containers/tankMiners are compatible with waste stored or transferred (Title22 CCR$66265.172) containers storing hazardous wastes are closed/sealed (Title22ccR $66265.173) Weekly inspection of areas where hazardous waste containers-are stored is conducted (Titte 22 C CR$ 6626s. I 74 ) 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 emptied (Title ?i2 CCR $66261.7 (f)) RECYCLABLE WASTE Used oil is nanaged as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC $2s2s0.4) Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed rainproof container, labeled "drained used oil filtersr" andtransferred for metal reclamation) (Title 22 ccR$ 66266.130) Spent lead-acid batteries are being properly stored and transferred offsite under manifest or bill of lading for recycling, reuse' or reclamation (Title22 CCR S66266.81) Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR s66266.3) SOURCE REDUCTION: For facitities 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 (5) days. (HSC 52524.19,25U4.21) Source Reduction Evaluation and Plan contains the following five elements: certification, amounts of wastes generated, process description, block diagrams, and implementation schedule ofselected source reduction measures. (HSC $25244.19) tr n u tr nnn nu n n tr tr f, n n E"' E. tr' wtr"tr' tr-' tr--" n n tr El- tr n n nntr nn E" w" a'" ! tr' tr C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\2-,Hazardous Waste Generator.doc 20-Jul-04 20-Jul-04