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CERS Regulator lC I subminats Business€s Regulators i Compliance Responders ReportsFacilities
Facility:
-1€n--* }) iae{$$eEieo } Facililii Surnmary: r0E86-?S1
Facility Summary forCERS lD: 1@88361$ummary
Sub*rittals
RepsUting
Rggsirements
Complienee
Stqtlt€attsfig
Hanage Fa*iliht
Change l^iPtA
!-ocati*n Map
Facility llare:
Business ilame:
CUPA:
lnspired Flight Technologes
225 Suburban Rd
Saft Luis Obispo, CA 93401
t805) 77e3640
Refiote Facllity
r*o qS*
Srildll Quantty Faeility
No i3&i
?25 Suburban Rd
san Luis Obispo, CA 93401
(805) 776-3640
Emergency
Jordan Weil
VP of Op€rauons
(
(24-hour)
Loca! FacilitylD ,
FA18105 ffiC
Facility R€gutator Key
No Facility Regulator Key in CERS
Alr'l
Local Faciliiy Grouping
4 i*J
lnspired Fliight Tbehnologies
lnspjrellElight Technologies,lnc-(San Luis ObispA, CA)
San Luis Obispo County Environmental Health
Andrew
Director
(
(24-hour)
Andrew Stone
(
andrewstone@inspjledllohi.com
Uailing AddrEss
225 Suburban Rd
San Luis Obaspo, CA 93401 Uniled State$
and Compliance
Last Submittal BatF Silbmitted Elem€t* Csmt |ns?ections
No Submiflals in cERs o 2
tleport ng Statrs
EFAID
cAL0004&5858
owfri{b EFA lD t6ielalicn
No
ConntX'
San Luis Obispo
Enforc€mrlsts
0
Faclnfo
No srlbffittal
Tj'lryfilt3t
lRePorting
lnventory Plans
ll
No
TP ] RMR Remote APSA
Rl.^k- 3J a/
$"rd'ry)
T .*o-C \^qq \-{ /n\t\' c D'aa
e >a-s Ss{'.-$t.n;S^
%^^ +rY?\'sMO \tiNtJ<r;Xwf 'Ao'r-
I NEW FACILITY RECORD
] INFORMATION CHANGE
I CLOSE FACILITY AS OF: Date: JJ-
I I OWNERSHIPCHANGE: []Business I lProperty [ ]Tank
[ ] UPDATE BILLING INFORMATION
Requested By: mb
[ ] UPDATE UST INFO city, etc.)
Dai.p*: A8/29/2A25
OWNER FIIE INFORMATION
sT
o
New Owncr lD:
New Ownar
New Home Phone:
New Mailing Address:
New Businsrs
Owner lD:
Ctwner Name:
Ncw Owner DBA:
New Owner Addresr:
Owner DBA:
owner Address:
Home Phone:
Business Phone:
Mailing Addrers:
New €are of:
New Email:
Care of:
Email:
ESTABTISHMENT FILE INFORMATION
Site Address:Site Address:
Establishment lD: FA0000000 New Establirhment lD:
New CERS lD:
New Name.'
Phonc:
Email:
Phone:
Email:
CERS ID:
Establlshment Name:
lActivate I Change I lnactive l
Last
New Name:
New Location:
Name:
Location:
COUNTY OF SAN LUIS OBISPO
Facili lnformation as of 08/29/2025
UNKED PROGRAMS
COMMISSARY/SHARED PERMANENT FOOD FACIUTY FI tE I N FORMATION
(Dependcnt Food Servicc OPeration and Mobile Food Facili$)
WasteVehicles
\..r-J
Csn-.
Q,q\'4V'
7gL{
Vin:
Lic #:
Company Vehicle:
New Vinl
New Lic #:
New Company Vehicle:
COUNTY
iisAN LUIS
OEISPO
Envtronmental l-"4llh Servrces\--(805t lBl-5544 l
2156 Siena Wav Ste. B
San Luis abispo. CA 93401
ehs@co.s/o. ca. us
slocountv.oov/ehs
I
Fire Deparrtment
.'?16{} $rrlfa Saril;lr3 Avent:e.3an i rtts i}tlrspo i,A 91'101-*{?rtil
illl5 i $1 ,/3,10
j:!i'4.,:';1r::i
CERTIFIED UNIFI ED PROGRAM AGE N CY (CUPA}
Regulated Facility lnspection Form
Phone:(805) 776-3640Establishment Name: lnspired Flight Technologies
Zip:93401Gity: SAN LUIS OBISPOSitE AddTCSSZ 225 SUBURBAN RD
Datel. O9lI2l2O25Serial Number: DA7821953CERS ID:Establishment lD: FAI-8105
Aqencv
EEHS KCity Fire
lnspection Tvoe
X Routine
: Other E Change of Ownershipc Reinspection O Chargeable
U Complaint
E Secondary Containment Testing
gAST trCalARP OTPEKHW Generator OUSTPrograms lnspected:ElHazmat
ECaIARP trTPEgUSTOASTEHazmatEHW GeneratorReinspection Required:
PR0023332Permit Number:PR0023331
PFRMISSTON IO INSPECT lnspections may involve obtaining photographs, reviewing and copying records, and determininl
compliance with adopted codes.
lnspected By: Matheson Bliss Date: OgttZlZOzs
Signature:Received By: Andrew Stone
Granted By: Andrew Stone Title: Faci I ity Representative
SUMMARY OF FINDINGS
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 appllcable to your facility.
g
Violations were observed/discovered as listed below. All violations must be conected 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 VIOLArANS MUSI BE CORRECTED WTHIN 30 DAYS OR AS SPEC/F/ED. CUPA rnusl be informed rn wnting with a ceftifrcation
that compliance nas been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a
fine of up to $70,00A far each viotation, Your faciltU may be reinspected any time dunng normal busrness hours.
. Vou may request a meeting with the Program Manager to drscuss the inspection findings and/or the proposed corrective actions. Ihe
rssuance of thts Summary of Violations does not preclude the CUPAfrom taking admintstrative, civil, or ciminal action.
Certification: I certify under penalty of periury that this facility has complied with the corrective actions listed on
this inspection form.
Title:
a
Date.
STATEMENT OF COMPLIANCE
Signature of Owner/Operator:
riats1titrriumionbatteries)andgenerateshazardouSWaSte.Facilitycurrently
properly disposing of hazardous waste through IWMA via VSQG program. Maintain records on site for at least 3 years.
1010001.Hazardous Materials Business Plan lmplementation
Violation Code:Failure to adequately establish and implement a business plan when storing/handling a hazardous
material at or above reportable quantities.(HSC 6.95 25507)
Violation Class: Minor Violation Date: OglL2l2o25
Comply By:LOlI2l2O25
corrected on site: No
Violation Comments: Prepare and implement a Hazardous Materials Business Plan for storage of hazardous materials over
threshold reporting quantities or demonstrate thresholds (55gals (electrolyte), 500lbs (lithium), 200cuft gas) are not exceeded
FIRE
s ,--\/r ^ r
San Luis Obispo City Fire lnspection Report
Fire Department lnformation
21 60 Santa Barbara Avenue, San Luis Obispo, CA 93401
Phone: (805) 783 -7780 Fax: (805) 543 - 8019 Fire Deparlment Emai[: FDGenerat@slocily.org
Hours: Monday - Friday, 8:00 am - 5:00 pm
Business / Occupant lnformation
lnformationln
Business / OccupanH lnspired Ftight Technotogies Address: 225 Suburban Road
Work Phone:
Email:Contact Name: ,
Thank you For your cooperation wilh San Luis Obispo City Fire in keeping your business and our community saFe!
Correct the cited viotation(s) by the "Reinspection Dale" tisted below to avoid Further enForcement action inctuding, but
not timited to, chargeable re-inspection and/or Adminisbrative Citation. You may request a review oF lhe ciled violations by
the Department Director [Fire ChieF] within 5 days oF report issuance iF noted violations do not create an immediate danger
to healfh and saFety (SLO M.C. 1.24.090).
lF you have any questions, ptease contact our lnspection Line al 805/783-7775.
Date Completedz 08/29/2025 lnspected By: Bliss, Matheson
Passed: No Violation Count: 1
tnspection Notes: Ptacard buitding and gate to storage yard representing hazard associated with [ithium ion batteries.
Consutt SDS Foi speciFic batleries being handled. May post DOT Placard Hazard Ctass 9/ Li Battery
signage in addition.
Ctear some dead vegetalion From storage area oF waste batleries.
Discontinue use oF extension cord in place oF permanent wiring. Facitity menlioned ElectricraFt would
be conducting work within buitding.
Report emailed 9 /1 2/25.
*Please noEe: lF a third inspection is required due to non-comptiance, a fire-inspection fee of 5271 may be charged For that inspection, and
every inspection thereaFter until compiiance is obtained. Failure !o comply may result in a misdemeanor citation and an appearance by
Vou in court. P^dc1 dt"
l
COUNTY OF SAN LUIS OBISPO
Facil lnformation as of 08/29/2025
\-
I
Pa e#:1
\^.J
Csn r
Q,q\'4V'
78L{
Vin:
Lic #:
Company Vehicle:
New Vin:
New Lic #:
New Company Vehicle:
I NEW FAC|Lrry RECORD
] INFORMATION CHANGE
I CLOSE FACILIW AS OF: Date:
I I UPDATE BILLING INFORMATION
[ ] UPDATE UST INFO (sys, type, capacity, etc.)
Date: 08/29/2025 Requested By: mb
[ ] OWNERSHIPCHANGE:[ ] Business [ ]Property [ ]Tank
OWNER FILE INFORMATION
New Owner DBA:
New ownerAddress: ?"),9 SrhulOaun VJ
o
sT.*
New Home Phone:
New Mailing Address:
New Business
New Owner lD:
New Owner Name:
Owner lD:
Owner Name:
Owner DBA:
Owner Address:
Home Phone:
Business Phone:
Mailing Address:
New Care of:
New Email:
Care of:
Email:
ESTABLISHMENT FILE INFORMATION "l
Site Address:Site Address:
Establishment lD: FA0000000 New Establishment lD:
New CERS lD:
New Name:
Phone:
Email:
Phone:
Email:
CERS ID:
Establishment Name:
TINKED PROGRAMS
IActivate I Change I lnactive ]
Last Activity: - ,
COMMISSARY/SHARED PERMANENT FOOD FACILITY FILE INFORMATION
(Dependent Food Service Operation and Mobile Food Facility)
Name:
Location:
New Name:
New Location:
WasteVehlcles
California Environmental Re (cERsl Business Owner Operator
to7ts426
CERS IDConstruction lnc. DBA Seamair General
Suburban Rd
cA 93401Luis
Thank
a
Venen's of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
on7l27la'2Lbv Motheson 8/iss for San Luis Obispo County Environmental Health
Construction lnc.
Phone Business Phone Business Fax
Betinnint Date
Dun & Bradstreet
Ending Date
SIC Code439-4362 (80s) 43s-4362 (80s) 439-1933 Primary NAICS
Facility/Site Mailing Address
)O Box 14513
ian Luis Obispo, CA 93406
Cwner
tatrick Greg Phelan
l80s) 439-4362
rO Box 14513
;an Luis Obispo, CA 93406
Billing Contact
:indy Veneris
,80s) 439-4362
tO Box 14513
ian Luis Obispo, CA 93406
admin@seamairinc.com
Emergency Contact
Phelan
Phone
4394362
2+Hour Phone Pager Number
+4ru\4 @ <^cn*n* r\qu . t-o
Emergency Contact
Pager Number2tl-Hour Phonp
Martinez
439-4362
Phone
Environmental Contact
3indy Veneris
l80s) 43s-4362
rO Box 14613
ian Luis Obispo, CA 93406
cveneris@seamairinc.com
of Signer Signer Title
President
Document Preparer
Cindy VenerisGreg Phelan
lnformation
Fields
or all of the following fields may be required by your local regulator(s).
Property Owner
Phone
Mailing Address
Assessor Parcel Numbet (APN)
Number of Employees
Facility lD
2 e^^f 5< S)
Printed on lO/7 /2027 8:47 AM
Seamair Construction lnc. DBA Seamair GeneralSeamair Construction lnc. DBA Seamair General225 Suburban Rd, San Luis Obispo 93401Facility lDChemical LocationYardNameBusiness/Org.cERsrD tO735426status Submitted on2lL9l202t 5:01 PMAnnualWasteAmountEHS CAS No-Federal HazardCommon Namecode/Fire Haz. ClassNameOuantitiesUnitMax.Daily LartestCont.Hazardous components%wtmixtu reGallons 50:E!e* 9!-ojggs_-q_ol1Ritel....-Liquid AbovegroundTank-r"yPg..-.Mixture Days on Site: 36520lF-9-s-l{.e-*...-.,-.AmbientI-9T[P"9r.1!.s19....Ambient5OO - Physical HazardNot Othenvisew-1st"9._co-de.. Cl a ssifi ed221 - Health HazardNot OtherwiseClassifiedMotor Oil250CAS Nolombustible Liquid, Class lll-B6474X-)A-XVARIOUS LUBRICATING BASE OILS 85 %MIXTURE68649-42-3ADDITIVE PACKAGE, INCLUDING T5%ZINCALKYLDITHIOPHOSPHATE 2%)OT: 3-Flammableandlombustible LiquidsHazardous Materials And Wastes lnventory Matrix ReportJjPrinted on7/27/2027 !O:2O AMPage 1 of 1
)
CALIFORNTA ENVIRONMENTAL REPORTTNG SYSTEM (CERS)
CONSOLIDATED EMERGENCY RESPONSE I CONTINGENCY PLAN
Pfior to completbg lhis Plan, please ,efet to tlre INfiRUCUONS FOR COMPIEM,rc A CQNffiUDATED CONTINGENCI PUN
A. FACILITY II}ENTIFICATION AND OPERATIONS OVERVIEW
FACILITYID#
18735426
I. CERSID ^I' DATI'OFPLANPRSPARAIION/REYISION E'
5111t17
BUSINESS NAME $one as F@llltv None or DM - Doins Eusines As)Seamair Construction lnc. DBA $edmair General
3.
BUSINESS SITE ADDRESS
225 Suburban Fload
llB.
"gf'.'*fd'*%$i{po
lM.
CA
t05.5sffr
TYPE OFBUSINESS (e.g., Painting Cotilractor)
Construction
as,INCIDENTAL OPERATIONS (e.g., Fleet Ndaintonanco)
Fleet Maintenance
A4.
THIS PLA$I COVERS CHEMCAL SPILLS, FIRES, AI$D EARTHQUAKES INVOI,VING: (Check all ttrat apply)
E l. HAzARDousMAIERIALS; E 2. HAzARDouswAsrEs
-q5.
B. INTERNAL RESPONSE
INTERNAI, FACILITY EMERGENCY RESPONSE WILL OCCIJR VIA: (Check all that apply)
E t. cmrwc puBltc EMERGENcy REspoNDBRs (i.e., 9-t-l)
El 2. cAunic HAzARDous lvAsrg coNTRAcroR
E r. actrvarruc rN-rlousE EivIERGENcy REspoNsE TEAM
81.
c. EMERGENCY COMMUNTCATTONS, PHOITE NUMBERS AND NOTIFICATTONS
\44renev€r tlere i.s an inmiaent or sofual eilffgficy sibation such as au explosioq fre, or roleasc, the Emrgency Coordinator (or hislher dcsignce
Energeucy Coordirator ie on call) strall:l Activate intemat facilitl' alarms or communications systems, wbere applicablq to aotify all frcility per*onnel
2. Notify appropriate looal authoriti* (i.e., call 9-1-l).
3. Notify the CalfontnEmngensy N&aageoont Agerrcy at (800) 852-7550.
Before facility operations arc re$umd in areas of rhe facility affooted by the inoident, the eoergenoy ooordinator shall notifu the Califomia Deeaftnent of Toxic
Sutslsac€s C,ontol (DTSC), tlp local Unified Program Ageurcy gPA), and the local fire departmemt's hazardous rnaterials prograotr tlst tl6 facility is in complianoe
raith requimnrnts to:
thefaoility; ad
2' Easure that m oaterial that is inaompatible with the roleased rralecial is traoof€rre4 store4 or disposed of in areas of the facility affected by Orr incidst utrtit
oleanup uooeduros @Qompleted.
wlrcn
INTERNAL FACILITY EMERGENCY COMMUNICATIOM OR ALARM NOTIFICATION WILL OCCUR VIA: (Chec* all tlrat appg)
El r. wnsAl wARNTNGS; I z. rwuc noonrss oR rNrERcoM sysrevt El r. rs-upuoNe;E+.nacrRs; E 5. Ar-ARMsysrEM D e.lonrngtnRADlo
cl'
NOTIFICATIONS TO NEIGI{BORiNG FACILITIES TI{AT IIIAY BE ArFEcTm EY AN Off-SITE RELEASE WILL OCCIJR BY: (Cheok all tkt apply) &
E r.wnsAlWARNrNos;
E+.pncsRs;
[J:. pusrrc ADoREss oRINTERcoM sysrgM;
E 5. ALARMSYSTEM
EIs. TELEPHo}.IE:
Eg. ponraerteRADro
CALIFORMADEPT. OF TOtilC STIBSTANCES CONTROL (DTSC)
REGTONAL WATER QUALTTY CONTROL BOARD .
u.s. ENVRoNMENTAI PROTECTION AGENCY (US EpA) . . . . . .
CALTFoRNTA DEPT OF FISH AI{D GAIUE (DFG) . .
U.S.@ASTGUARD
(916) 255-3545
c3-
NEAREST MEDICAI FACILITY / HOSPITAI
ACEhICY NOTIFICATION PI{ONE NUMBERS:
9-1-1
(800) 852-75s0
($Aq424-8802
$0cD222-1222
(805)781-5544
(800) 300-21e3
(e16) 358-2900
(2O2).267-2184
(s16) 263-2800
(916) 445-8200
LOCALI'NIFIED
OTHER (Specify):
OTHER (Speai$):
OTTIER fSnecifa):
CAL/0SIIA.
STATEFIRE
EMERGENCYRESPONSE
PHONENUMBER,9:
AMBULANCE, FIRE POLICEANDCHP. . .
CALIFORNIA EMEROENCY MANAGEMENT AGENCY (CALIEMA)
NAfiONAL RESPONSE CEIITER (t{RC)
POISONCONTROL CENTER.
Rev.06127lll
'-)
)
CERS Consolideted Emergency Response / Contingency Plan - Page 3 of 4 R.e,t,06127lll
G. EMERGENCY EQIIIPMBNT
Ckeck dl borc flrt rpply to tirt nerponre equipuent evsihblc at lLe frciEty aad identfr lhe location(r)rvherc lhe equlpnelf Ii kPl rnrl lie
lf CHEMICAL PROTTCTIVE GLOVES rBtpons€l(t One time oit &eolrrtsnt
"YPE
EOIJIPMEhI'f AVAIIAELE Ql,LOCATION CAPABILITY rlf anplic& Ia )
lSafcty
l*dlI'irst Aid
I
l. El CHEMCALPROTECTTVE SUITS,APRONS,
f)R \TFSTS
GZ Gt.
2. E CiIEMICALPROTECTTYEGLOVES G5.
3. Eil CHEMICALPROIECT:YEBOOTS G6.07.
4. Etr SAIETYGLASSES/GOGGLES/SHIELDS G&u9.
5. l3l HARDHATS ct0.('tl,
6- [f CARIRIDGERESPIRATORS Gtz.Gl3,
7. E SELF{ONTA]NEDBREATHINGAPFARATUS
alaFla\
Gi4,GI5.
8. EI FIRSTAIDKITS/STATIONS cl6,Gl?,
9. ll PLLIMBEDEYEWASHFOUNTAIN/SHOUDR €I8.GI'.
10. U PORTABI,E EYEWA$H KITS @o.aizl.
r1. Ll 0IHER uz g2r,
12. E OtHER G24,cz5-
Fire
Fightitg
13. E rcRTABLE FIRE EXTINGT'ISHBRS Li'tc\g;n.
14. I FDGD FIRE SYSTEMS I SPRINKLERS /
T'TRli IINS'FS,
\t#t,@9.
15. u FIRE ALARMBOIGS OR STATIO!.fiI 630.cill-
16. D OTHER o?2.{it3.
lSpill
Control
and
Cle*n-Up
1?. E ALL.IN,ONE SPILL KIT 634,&I5-
18. EI ABSORBENT IVTATERIAL $J6.<Yvt-
19. EI CONTAINERFOR USED ABSORBENT tJt.(49.
20. ts BERMINC /DIKING FQTJIPMENT 0{4.,.Gdl.
21. EI EROOM (j4:2,Gt3_
22. EI SHOVEL $rl'r.GIJ,
23. E SHOPVAC (i4a Gt7.
24. n $CTAUSTI{OOD G4t c49,
25. f] EMERGA.ICY SIJMP IHOTDING TANK (}5o.G5l.
26, f] C}IEMICALNEIJTRALIZERS (l52.{H3.
27. fJ GAS CYLINDERLEAK REPAIRKIT (it{-G'J.
2E. E SPLLOVERPACKDRUT\,{S Gt6.c57
{'5u,G39-
Communi-
cations
rnd
AIarm
Systems
30. EI TELEPHONES (Includes celhrlar)$60,{i61,
3I, fI INIERCOMIPA SYSTEM G6z.c63.
32. E PORTABLERADIOS ('64-G65-
33. f] AUTOI{ATIC ALARMC}iEMCAL
MONITOR INf i RNI IIPMIiNT
(xr6-G67,
Other 34. T] OTHER g6r.{t69.
G70.G7t,
San Luis Obaspo, CA
rnae
Lief 014609
-439
May t2,2OL7
Employee training of handling hazardous waste materials will be given every 6 months through tailgate
meetings and as needed.
Please see Emergency Response Contingency Plan.
Seamair Construction, lnc. PO Box L46I3, San Luis Obispo, CA 93406 tel 805-439-4362 fax 805-439-1933
ntXnl,ltylrwn
California Environmental (cERs)SubmittalSummary
Seamair Construction lnc. DBA Seamair General (GERSID: 107354261
Submitted on 412212019 9:46:24 AM by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepfed on 412312Q19 8:09:41 AM by Kerry Boyle
. Business Activities. Business Owner/Operator ldentification
Hazardous
Submitted on 412212019 9:46:24 AM by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepted on 412312019 8:09:55 AM by Kerry Boyle
. Hazardous Material lnventory (1)
. Site Map (Official Use Only)
" Annotated Site Map (Official Use Only) (Web graphic, 183K8)
. Annotated Site Map (Official Use Only) (Web graphic, 183K8)
Printed on 4/23/2OI9 8:10 AM
California Environmental Repo (cERs)Business Owner Operator
mair Construction lnc. DBA Seamair General CERS ID
1o735426Suburban Rd
Luis cA 93401
bmittal Status
on 4122/2019 bv Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CAI
ittal was Accepted; Processed on 4/23/2OI9 by Kerry Boyle for San Luis Obispo County Environmental Health
Construction lnc.
Phone Business Phone Business Fax
Beginning Date
Dun & Bradstreet
EndinB Date
SIC Code| 439-4362 (805) 439-4362 (80s) 43e-1s33 Primary NAICS
:acility/Site Mailing Address
)O Box 14513
ian Luis Obispo, CA 93406
)wner
)atrick Greg Phelan
80s) 439-4362
)O Box 14513
ian Luis Obispo, CA 93406
trimary Emergency Contact
.arry Martinez
title
Mechanic
tusiness Phone
805) 439-4362
24-Hour Phone
(
Pager Number
Secondary Emergency Contact
ritle
Business Phone 24-Hour Phone Pager Number
Environmental Contact
Cindy Veneris
[8os) 43s-4362
PO Box 14613
San Luis Obispo, CA 93406
cveneris@seamairinc.com
lilling Contact
lindy Veneris
8os) 439-4362
)O Box 14613
ian Luis Obispo, CA 93406
a d min @seama irinc.co m
of Signer Signer Title
President
Document Preparer
Cindy VenerisGreg Phelan
llnformation
ly-collected Fields
or all of the following fields may be required by your local regulator(s)
Property Owner
Phone
Mailing Address
Assessor Parcel Number (APNI
Number of Employees
Facility lD
Printed on 4/23/2019 8:10 AM
California Envi ron mental Reporti ng System (CERS)Submittal Summary
Seamair Construction lnc. DBA Seamair General (CERSID= 107354261
Facility lnformation Accepted Sep 19, 2018
Submitted on 911712O18 11:12:24 AM by Cindy Veneis of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepfed on911912018 2:58.37 PM by Kerry Boyle
. Business Activities. Business Owner/Operator ldentification
Guidance Messaqes
Warning:
1.Business Activities - No Federal or State EPA lD is on file in CERS for the Hazardous Waste Generator's facility (CERS lD:11073542611. Either a Federal EPA lD (if monthly RCRA
waste generated exceeds threshold) or State EPA lD should be submitted in the Facility lnformation submittal element for all Hazardous Waste Generators.
Materials lnventory
General (San Luis Obispo, CA)Submitted on91171201811 12:24AMby CindyVeneris of SeamairConstruction lnc. DBASeamair
Submittalwas Accepfed on911912018 2:58:49 PM by Kerry Boyle
. Hazardous Material lnventory (1)
. Site Map (Official Use Only)
" Annotated Site Map (OfficialUse Only) (Web graphic, 183KB)
Guidance Messaoes
Warning:
and/or replaced with valid Data Elements before submitting your inventory.
Emergency Response and
Submitted on 911712018 11:12:24 AM by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittalwas Accepfed on9119120182.59:02 PM by Kerry Boyle
. Emergency Response/Contingency Plan. Emergency Response/Contingency P/an (Adobe PDF,206K8). Employee Training Plan
" Employee Training P/an (Adobe PDF, 82KB)
Printed on9/19/2018 2:59 PM
California Environmenta I Reporting System (CERS)Business Owner Operator
mair Construction Inc. DBA Seamair General CERS ID
Suburban Rd to735426
Luis cA 9340L
bmittal Status
bmitted on 9/L7 /2078 by Cindy Venens of Seamair Construction lnc. DBA Seama ir General (Sa n Luis Obispo, CA)
lwas Accepted; Processed on9h9/2OI8by Kerry Boyle forSan Luis Obispo County Environmental Health
ir Construction lnc.Beginning Date Ending Date
SIC Code
Phone Business Phone Business Fax
439-4362 (80s) 439-4362 (8os) 439-1933 Dun & Bradstreet Primary NAICS
:acility/Site Mailing Address
125 Suburban Rd
;an Luis Obispo, CA 93401
)wner
)atrick Greg Phelan
80s) 439-4362
)O Box 14613
ian Luis Obispo, CA 93406
iecondary Emergency Contact
l-itle
lusiness Phone 24-Hour Phone Pager Number
Primary Emergency Contact
-arry Martinez
litle
\4echanic
lusiness Phone
8051 439-4362
24-Hour Phone
(
Pager Number
:nvironmental Contact
:indy Veneris
80s) 439-4362
)O Box 14613
ian Luis Obispo, CA 93406
cven e ris @ sea ma irin c.com
lilling Contact
:indy Veneris
s3sl 439-4362
)O Box 14613
admin @seamairinc.com
;an Luis Obispo, CA 93406
me of Signer Signer Title
President
Document Preparer
Cindy VenerisGreg Phelan
lnformation
Fields
or all of the following fields may be required by your local regulator(s).
Property Owner
thone
Mailing Address
Assessor Parcel Number (APN)
Number of Employees
Facility lO
Printed on9/19/2078 2:59 PM
CONSOLII}ATED EMERGENCY RESPONSE / CONTINGENCY PLAN
to t E INffRUCfiOI'i$ FAR COMPLEENG A CQNSAUDATED COI{TINGEI'ICT PLIW
ENVIRONMENTAL RSPORTING (cERs)
Prior to this Plut,
A. FACIUTY II'ENTIFICATTON AND OPERA.TIONS OVERVIEW
FACILITYID #
10735426
L CERSID AI,
5/1
DATE OF PLA]iI PREPARATIONiREVI$ION P.
"v17
Nmp or DBA - Doine Business As)
lnc, DBA Sea"mair General
?.
r
BUSINESS SITE ADDRESS
225 Suburban Road
t{Il.
CA"SA"n*L'dLro$fipo
104,t0J.6$f8r
TYPE OF BUSINESS (e.g., Painting Cmtactor)
Construction
at.INCIDENTAL OPERATIONS (e.g., Flcct lvtraintonance)
Fleet Maintenance
44.
THIS PLAN COVERS CHEMCAL SPILLS, FIRES, AllD EAKIIiQUAKES INVOLVING: (Check all that aply)
S r. nezanoousrvrArERlAts: tl z. HAzARDous wAsrgs
^{5.
B. INTERNAL RESPONSE
INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA: (Clreck all ih* apply)
Etr r. cRtt,uc puBLIc EMERGENcy RESpoNDERS (i.e., 9-1-1)
EI 2. cALLING IIAZARDoUS wAsTE CoNTRAcToR
EI :. ecrrvatnto rN-HousE EMERcENcy RESFoNSE TEAM
Bl_
c. EMERGENCY COMMUNTCATTONS, PEOIIE IYUMBERS AIyD NOTIFICATTONS
lt&encwr thete is an imminerrt or ach.ral eftergeioy sitration such as ar explosion, firo, or relearc, the Emergeacy Coordinator (or hislher dcsignee when the
I nrrergenry Coordimtor is on call) shall:
l. Astivsto intemal faoility alarms or cowaunioations qystenrs, where applicablc, to doti& sll facitity persormel.
2. Notify appropriate local authcities (i-e., call 9-l-l).
3. Noti$ tbe California Emergency l\rknagencnt Agerrcy at {800) 852-7550.
Before fucility operations are resumcd in areas of rhe facility affected by thf incident, the eoergenoy ooordinator shall notifu tte Califomis Dqafiment of Toxio
Substnnces Cootol (DISC), the local Unified hogram Agenay (tlPA), and the local fire departnrcct's hnzrrdo{s rnaterials program tbrt the facility is rn complianoe
with reqrir,einentr to:
I. Provide for proper stomgo and dirpoeal of r€coveted westc, s@tarninated soil or surfaf,e watnr, or any ofher aaterial that resula ftm an oxplosion, fire, or release at
the facility; and
2. Errrure that ao materiel that is incompatible with the roleased mlterial is transffie4 store4 or diqpo*rd of in areas of tbe faoility affected by tln incidcnt until
cleanuD Eocedures are completcd.
INTERNAL FACILilY EMERGEhICY COMMIIMCATIONS OR AIARM NO1IFICATION WTLL OCCUR ViA: (Chcok alt tlrrat apply;
E t. veRBAL wARNINGS; E z. gusl,tc ADuREss oR TNTERcoM sysrEM El r. rg-purolqe;E+.pecrns; Ei,Ar,ARMSysrEM fle.ponrnsr-nRADro
cl.
NOTIFICATIONS TO NEIGI'IBORING FACILITIES THAT lilAY BE AFFECTED
E t.vSRBALWARNINGS;E z. vuerrc ADnRESSoRINTSRcoM sysrgM;
4.5. AI,ARM
BY
Es.tELPHotIE;
6. PORTABLERAD1O
c4.c5-
French l-.lospital cl..
c9.
ctt.
CAT.IFORMADEPT. OF TO)(IC STISSTANCES CONTROL (DTSC)
REGIONAI, WATER QUALITY CONIROL BOARD
u.s_ ENVRoNMENTALPROTECTIONAGENCY(USEPA) . .. . . .
CALIFoRNTADEPT OF FISHAhTD GAME (DFG) . .
U.S.COASTGUARD
(916) 255-3545
PHONENUMBERS:
NEAREST MEDICAL FACILITY / HOSPITAL NAME:
OTHER (Specify):
OTIIER
AGENCY NOTIFICATION PI{ONE NUMEER,S:
g-1-1
(800) 852-7550
(800) 424-8802
$oal222-1222
(805)781-5544
(800) 300-21s3
(e16) 358-2900
(2A4267-21A0
(915) 263-2800
(916) 445-8200
A]dEULANCE, FIRE, POLICE AND CI{P
CALIFORNIAEMERGENCY MANAGEMENT AGENCY (CAL/EMA)
NATIONAL RESPONSE CENTER (NRC) . .
POISONCONTROL CENTER.
LOCAIT]NIFIED
OTIIER (Specify):
CALTICSI{A.
STATEFIRE
ctL
R.er.06127lll
*.,J1,"
/--)
CERS Consolidrted Emergcngr / Contingency Plen - Page 3 of 4 Rrrlt.MlL1lll
G. EMERGENCY EQTITPMENT
Cteck all borer that b litr ngrponrc e{uipmplrt evaikblc at fhe hciey qd idcn@ dre locetion(s)wher*lte equlpment tt &spt rnrl fto
cHEMIC/C.L PROTECIIVE GI.OVES kt One time u8e,&soh/Bnt resistant only.l
TYPE EOTJIPMEIIrI AVA,ILABLE ot,LOCATION CTPABILITY Ef appltcable )
Safcty
8nd
FirstAid
I. ts CHEMICALPRCYIECYIVE SUITS,APRONS,
rrR vFsTs
Gt.
2. EI CHEMICALPROTECTIVEGLOVES Ci'|.G5.
3. EI CHEMICALPROTECTIVEBOOTS ci6.Gt.
4. E SAFETYGLASSES/GOGGLES/SHIELDS G&G9"
5. El I{ARDHATS oI0.(}II.
6. E CARTRIDGERESPIRATORS Gtz tir3,
7. [J SELF{ONTAINEDBRAATTIINGAPFARATUS
asttRA\
Gl4.Gl5.
8. III FIRST AID KITS I STATIOT\IS Gl6 Gl7.
9. E PLUMBEDEYEWASHFOLINTAIN/SHOWER QIE.(it9.
IO. U PORTABLE EYEWASHKITS Gm.Ltat.
II. U OTIIER IJIL G)3,
12. fl 0THER gu,GZ5,
X'ire
Fighting
13. EI PORTASLE FIRE EXIINGIIISHBRS ein.
14. II FIXED FIRE SYSTEMS I SPRINKLERS I
FTRE TTOSF.S
atzt,@!).
15. f:I FIREALARMBO:GS OR STATIOMI e30.{13t.
16. E C}rHER o37,.(iJ3.
JSpilI
lControl
lena
lCIean-up
I?. tf AI.L.IN-ONB SPILL KlT <i34 GB5,
lE. gN ABSORBENTITTATERIAL o:tc GJ?.
19, f] CONTAINERFOR USED ABSORBENT G38,ca9.
20. El BERMS{6/DIKINGEQLXPMENT {}'1{}.(i4l.
2I. EI BROOM Ltlllz,c,A.
22.lil SHOVBL G4.1.c!15.
23. ffi SHOPVAC O'15,cd7.
24. E HG{AU$THOOD c46.u+t,
25. LI EMERGENCY SUMP/HOLDING TANK G50.c't,
25. E CIIEMCALNEUIRALIZER,S G'2.att3.
2?. fI GAS CYLINDER LEAK REPAIRKIT G5+.(f5.
2E. I SPILLO\ERPACKDRUIVIS Gat6.c67,
OIHER G58.qs9,
Conrnuni-
c{tions
and
Nanr
Systems
30. H TELEPHOIIES $ncludos cellrlor)c60,G6l,
31, f} INTERCOM/PA SYSTEM $tiL 663_
32. U PORTABLERADIOS G64.G65-
AUTOIVfATICALARM c66"(ft7.
Other 34. E OT}IER c6E c6t.
35. D ornER Gru.a'rt,
May L2,2Ot7
Employee training of handling hazardous waste materials will be given every 5 months through tailgate
meetings and as needed.
Please see Emergency Response Contingency Plan.
Luis CASanObispo,
rnae a
Llc#1014609
Seamair Construction, lnc. PO Box L46L3, San Luis Obispo, CA 93406 tel 805-439-4362 fax 805-439-1933
$)itlA
Seamair Construction Inc. DBA Seamair General (CERSID:107354261
Submitted on 511212017 2:17:25 PM by Holly Corbeft of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepfed on 513012017 4:03:53 PM by Kerry Boyle
. Hazardous Material lnventory (1)
. Site Map (Official Use Only)
" Annotated Site Map (Official Use Only) (Web graphic, 183KB)
Emergency Response and Training Plans Accepted May 30, 2017
Submitted on 5t1212O17 2:17:25 PM by Holly Corbeft of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepfed on 5l30l2o'17 4:04:O3 PM by Kerry Boyle
. Emergency Response/Contingency Plan
" Emergency Response/Contingency P/an (Adobe PDF,206K8). Employee Training Plan
" Employee Training P/an (Adobe PDF, 82KB)
California Environ me ntal Reporting System (CERS)Submittal Summary
Submitted on 511212017 2:17:25 PM by Holly Corbeft of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepted on 513012017 4:03:46 PM by Kerry Boyle
. Business Activities. Business Owner/Operator ldentification
Guidance Messaoes
. Waming:
1 . Business Activities - No Federat or State EPA lD is on file in CERS for the Hazardous Waste Generatois facility (CERS lD: [1 0735426]). Either a Federal EPA lD (if monthly
waste generated exceeds threshold) or State EPA lD should be submitted in the Facility lnformation submittal element for all Hazardous Waste Generators.
Printed on 5/30/2017 4:04 PM
Ca I ifornia E nvi ro n menta I Repo rting System (CERS)Business Owner Operator
r Construction lnc. DBA Seamair General CERS ID
Suburban Rd to735426
Luis cA 93401
bmittal Status
on 5/L2/2OL7 by Hotty Corbett of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
bmittal was Acceptedi Processed on 5/3O/2OI7 by Kerry Boyle for San Luis Obispo County Environmental Health
Construction lnc.
Phone Business Phone Business Fax
Beginning Date
sltLl2oL7
Dun & Bradstreet
Ending Date
s/70/2oL8
slC Code439-4362 (80s) 439-4362 (80s) 439-1933 Primary NAICS
Facility/Site Mailing Address
225 Suburban Rd
ian Luis Obispo, CA 93401
Emergency Contact
Pager Number
Cwner
)atrick Greg Phelan
,805) 439-4362
)O Box 14613
;an Luis Obispo, CA 93406
nic
Martinez
Phone
439-4362
24-Hour Phone
iecondary Emergency Contact
litle
lusiness Phone 24-Hour Phone Pager Number
Billing Contact
:indy Veneris
,80s) 439-4362
)O Box 14613
admin @seamairinc.com
ian Luis Obispo, CA 93406
:nvironmental Contact
:indy Veneris
80s) 439-4362
tO Box 14613
ian Luis Obispo, CA 93406
cveneris@seamairinc.com
of Signer Signer Title
President
Document Preparer
Cindy VenerisGreg Phelan
lnformation
Owner
Address
ly-collected Fields
or all of the following fields may be required by your local regulator(s).
Assessor Parcel Number {APN)
Number of Employees
Facility lD
J
Printed on5/3Q/20L7 4:04 PM
j//
cALIror$IA ENVIRONMENTAL REFORTING SYSTEM (CERS)
CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN
Prlot to this refet to rlrc INffRUCnAMi FAR COUptAnNG A CONffiUDATED CONWNGENCY PUN
A. FACILITY IDENTIFICATION AI{I} OPERATIONS OVERVIEW
FACILITYID#
1A735426
I. CERSID 41, DATEOFPLA}.IPREPARATION/REVISION E.
5111t17
None or DBA - Doins Eusiness As)
lnc, DBA Sedmair General
?,
BUSINESS SITE ADDRESS
225 $uburban Road
t{t3.
"5'dfl',i$Ufi5po
l04.
CA
t05.6$f8r
TYPE OF BUSINESS (o.g., Painting Contractor)
Construction
At.INCIDENTAL OPERATIONS (e.g., Fhet lUaintonance)
Fleet Maintenance
A{.
THIS PLA$I COVERS CHEMICAL SPILLS, FIRES, Al,lD EARTI{QUAIGS INVOLVING: (Check all that apply)
E r. Eq,ZARDoUSMATERIALS; E z. HAzARDous wAsrrs
45.
B. INTERNAL RESPONSE
INTERNAL FACILITY EMERGENCY RESPONSE WILL OCC{IR VIAr (Cluc& alt th* ryly)E r. cllI,n rc puBLIc EMERGENcv REspoNDERS (i.e., 9- t - t)
EJ z. ceun*o IIAZARDoUS wAsTG coNTRAcroR
E r. acrryerwc rN-HousE EMERcENcy REspoNsE TEAIVI
81.
c. EMERGENCY COMMUNICATTONS, PEOIIE NIIMBERS At[I) NOTIFICATTONS
!\&stsver tbcte is an fuunircnt or achral odergptoy sihration such as as explosiorl fire, or release, the Emergenoy Coo'rdirator (or hirlher dcsipeo wielr tts
Enrergemy Coordinator ir on call) shall;
l. Activote iaicrnal faoility alarms or comrnrmioaxions systems, whorc applicablg to ootify all facility persomel.
2. Notify appro'prhre local althoritics (i.e., call 9-1-l).
3. Noti$ tb CalifomhEmergemy N{anagement Agerrc,y at (800) 852-?550.
Before frcility operations are resurn€d in areas of rhe faaility aftcted by e€ imid€ml, tbe eoergomy cnordinator rhall noti$ tte Califomis Dcpaftncnt of Toxic
Subgtanccs Crttrol (DISC), tho local Unified hogrm Agenpy GIFA), and tle local ftn departnrr*'s h*zardous materials pr,ogram tbat thc facility is in compliance
withrequireiaeots to:
l. Providc for poper storago and disposal of recowred waste, conlamimted eoil or surface wrhr, or any ofher uoterial that resulg from an explosion, fite, or releaso at
thefaoility; and
2. Eagura that ao oaterial that is iacompetible with the rcleased sraterial is hrnsferrd storcd, or diepos€d of il arers of fle facility alfected by the incident r:ntil
cleaouD gocedrncs are completad.
INTERNAL FACILITY EMERGENCY COMM{JNICATIONS OR ALARM NOIfFICATIOI.I SIIIJ, OCCLJR ViA: (Chcc.k all tnt apply)
E r. vSRBAL wARNINGS; E z. gusllc ADoREss oR TNTERcoM sysrE&q E s. TH,pHot{E;Ea.pacsRs; fls.aurusysrEM [o.poRres:,eRADro
c1.
thetBY:}ruTIFICATIO}IS TO NEIGIIBORING FACILTTIES THAT IV'AY AFEECTEDB
El r. veRBAL wARNTNGS;fl z. pugrrc noonsss oR INTERcoM sysrgM
4.5. AI,ARM
wItL
E:. tnr"uuoru;
6.PORTABLE
c4.cJ.
cAr,rFoRMA DEPT. OF TOXrC STTBSTANCES CONTROL (DTSC)
REGIONAL WATER QUALITY CONIROL BOARD
u.s. ENVRoNMENTAL PROTECTTON AGENCY (t S EpA) . . . . . .
CALIF0RNIADEPT OF FISH AI.ID GAME (DFC) . .
U.S, COAST GUARD
CAL/OSI{A.
(916) 255-3545
PHONENTJMBER.S:
NEAREST MEDICAL FAC]LITY / I{OSPMAL
STATBFIRE
OTHER (Specify):
OTIIER
1-1
AGENCY NOTIFICATION PHONE NUMBERS:
(800) 300-21e3
(e16) 358-2900
(2A?)267-2180
(916) 263-2800
(916) 445-8200
AMBULANCE, PIRE, POLICE AND CHP ,
CALIFORNIA EMSRGENCY MANACEMENT AcEtlCY (CAL/EIVIA)
NATIONAL RESPONSE CENTER (NRC) . .
POISONCONTROL CENTER.
LOCAIIJNIFIED
0THER (Spoci$):
(800) 8s2-7550
(800) 424-8802
@QA)222-1222
(80s)781-5544
ctL
Res.06l27llt
.t
Resp"rtrle
-)
CERS Conrolidated Emcrgcncy /Contingency Pl*n-Page 3 of 4 Rrr'.06121lll
G. EMERGENCY EQTIIPMENT
Ctcck all borcr lhaf rpplJ to liri emergency nBrponr€ equipment rvailrrble at fLe hcllfty md idcn@ lhe locetlon(r) rvhere ffre equlpnrnt tr kcpf rnd fts
cquipuent'r careblltty, fi appllcable, to.s., B CHEMICAL pRoIEcTIvE cLoVES I spill Gspons€ kt I one time use, oil & solvent r3si€nar* only,l
TYPE E(ruIPMEI{T AVAILTBLE ('t.LOCATION CAPABILITY flf applicfrle)
lSafcty
l*dlFirstAid
I
i
I. ts CHEMICAL PROTECTI\TE SUI?S,APRONS,
rTF VtrSTS
G2 cl3.
2. ffi CHEMICALPRCIECTTVEGLOVES G4.G5.
3. EI CHEMICALPROI|ECTIVEBOOTS G7,
4. B SAFETYGLASSES/GOGGLES/SHIEI.DS Gi&(il.
5, EI IIARDHATS cl0.clr.
6. E CARIRIDGERESPIRATORS GLz,Glt.
?. E SELT'4ONTAINEDBREATI{INGAPFARATTTS
rSCRA)
Gtf,Gl5.
8" E FIRSTAIDKITS/STATIONS Gl6.(it7,
9. u PLUITBEDEYEWASHFOT NTATN/SHOWER GIE.Gt9.
10. LI PORTABLE EI'EWASH KITS am a?l.
1r. fl crHER QEL <tE,
12. E OIHER.424.rta'.
fire
fiehting
13. E PORTABLE FIRE E)rIINGTJTSHBRS gx.gn.
14. U FDGD FIRE SYSTEMS I SPRINKLERS I
FTREHOSES
{t24.(w.
t5. f:l FrRE AJ.ARMBOXES OR STATIONS c30.G3t.
16. E OTTMR Q?2.(r:L
17. E ALL.IN.ONE SPILL KIT (i34.fts5-
t8. EN ABS0RBENTIVIAIERIAL o:t6.(iJ?-
i9. f] CONTAINERFOR USED ABSORBENT c3t.69.
20. E BERMINC /DIKINGF41IIPMENT rt'10.c4t.
2I. E BROOM w;2.G{3.
22. El SHOVEL G4,1.@5.
23. E SHOPVAC c45.cd7.
24. D E)CIAU$THOOD (i4a,$f9.
25. f] EMERGENCY SUMP /HOLDING TANK G50.(Y;1.
25. I CT{EMCALNEUTRAL'ZER,S ata,G53_
27. fJ GAS CYLINDER LEAK REPAIRKIT {i5+.Crts.
28. U Sm:, oltsRPAcKDRUIvf'S G56.ut7.
G58.carg.
Comnuni.
cations
and
Narnt
Systems
30. H TELEPI{OIIES (Includer celhrlar)G60,('61.
31. El INTERCOM/PA SYSTEM Gbz c6f.
32. g PORTABLERADIOS 464.G65.
33. fl AUTOIV{ATIC ALARM CtlEMcAt
MONITORII\IGEOI'IPMENT
c66-K7.
(hher 34. n OTrER ('6E.G69.
35. fI OIITER G70.G7l.
rnae
Llc#1014809
LuisSan CAObispo,
May L2,2OL7
Employee training of handling hazardous waste materials will be given every 5 months through tailgate
meetings and as needed.
Please see Emergency Response Contingency Plan.
Seamair Construction, lnc. PO Box L46t3, San Luis Obispo, CA 93406 tel 805-439-4362 fax 805-439-1933
sr,
California Environmenta I {cERs}Business Owner Operator
mair Construction lnc. DBA Seamair General
Suburban Rd to775426
CERS ID
cA 93401Luis
Thank
a
Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
on7l27l2O2Iby Matheson 8/iss for San Luis Obispo County Environmental Health
dentification
;eamair Construction lnc,
)perator Phone Business Phone
80s) 439-4362 (80s) 4394362
Business Fax
Beglnning Date
Dun & Eradstreet
Ending Date
SIC Code(80s1 439-1933 Primary NAICS
:acili{/Site Mailing Address
tO Box 14513
ian Luis Obispo, CA 93406
)wner
tatrick Greg Phelan
805) 4394362
)O Box 14613
ian Luis Obispo, CA 93406
Billing Contact
Cindy Veneris
(80s) 439-4362
PO Box 14513
admin@seamairinc.com
San Luis Obispo, CA 93406
Emergency Contact
Phelan
Phone
4394362
24-Hour Phone Pager Number
Primary Emeryency Contact
-arry Martinez
litle
Mechanic
lusiness Phone
,8osl 439-4362
+4ru\4 @ <*cun**: r\,tr-. L?\^'t
2tl-Hour Phone Pager Numbel
Environmental Contact
Cindy Veneris
[8os] 439-4362
PO Box 14613
San Luis Obispo, CA 93406
cveneris@seamairinc.com
Name of Slgner
Patrich Greg Phelan
[dditional lnformation
Signer Title
President
Document Preparer
Cindy Veneris
Fields
or all of the following fields may be required by your local regulator(s).
Property Owner
thone
lrlailing Address
Assessor Parcel Number (APN)
Number of Employees
Faclllty lD
2 q^-^{. tt3,J
Printed on 7O/7/2O2I8:47 AM
Seamair Construction lnc. DBA Seamair GeneralSeamair Construction lnc. DBA Seamair General225 Suburban Rd, San Luis Obispo 934015:01 PMFacility lDchemical LocationYardNameBusiness/Org.cERsrD 10735425Status Submitted onAnnualWasteAmountFederal HazardCommon NameCode/Fire Haz. ClassNameCont.OuantitiesMax.Unit%Wt EHS CAS No.Hazardous Componentsmixtu re)OT:3-FlammableandJombustible Liquidslombustible Liquid, Class lll-BGallons 50_sj.alg-" F.I9_."tCS-._c.-""IlgIf"_f .__..Liquid AbovegroundTank-r-yP3..-Mixture Days on Site: 36520flq:s"gg-."*.....-.AmbientI-9-I[P-9I+.cL.....Ambient5OO - Physical HazardNot Otherwisew-a-st-e._co_d.g. Cl a ssifi e d22f - Health HazardNot OtherwiseClassifiedVARIOUS LUBRICATING BASE OILS 85 %ADDITIVE PACKAGE, INCLUDING T5%ZINCALKYLDITHIOPHOSPHATE 2%&74X-}{J.-XMIXTURE6A649-42-3Motor OilCAS No2s0Hazardous Materials And Wastes lnventory Matrix Report))Printed on 7 /27 /2027 10:20 AMPage 1- of L
)
CAI;IFORNTA ENVIROTTMENTAL REPORTTNG SYSTEM (CERS)
COI{SOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN
b the INSTRUCIIONS FOR CO{,IPLEfiNG A CONffiUhATED COI$INGEI,ICT PIANPtior to complettug lhis Plm, please
A, FACILITY II'ENTIFICATION AND OPERATIONS OVERVIEW
FACILITYID#
1A735426
L CERSID 41, DATEOFPIANPREPARATION/REVISION N.
5111t17
BUSINESS NAME lSarc os Fellltv None or DBA - Doinp Susircss As)Seamair Cohstruction lnc. DBA Sedmair General
3.
BUSINESS SITE ADDRESS
225 Suhurban Road
103.
'SA1*L-ul''ffSi5po
t0{.
CA
105.6$f8r
TYPE OF BUSINESS (e.g., Paidting Coilractor)
Construction
,/ut.INCIDENTAL OPERATIONS (e.g., Floet l\daintonance)
Fleet Maintenance
A4,
TIIIS PLAII COVERII CHEMICAL SPLLS, FIRES, AI.ID EARTIIQUAIGS INVOLVING: (Check all drat apply)
E t. HAzARDoUSMATERTALS; E 2.HAzARDous wAsrEs
^{J.
B. INTERNAL RESPONSE
INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCLIR VLA: (Check ell that apply)
Ei t. cennrc puBLIc EMERGENcy REgpoNDERs (i.e., 9-t-t)
E 2. cALL[.ic HAzARDous wAsTE coNrRAcToR
E :- ecrnrerruo rN-HousE EMERGENcy REspoNsE TEAM
81.
c. EMERGENCY COMMUNTCATIONS, PHOIIE NUMBERS AryD NOTIFICATTONS
lt&enever tlere is an isunitrectt or actual eilerg€noy sitration such as ao oxplosio4 fire, or retease, tle Emergrnoy Cooilnatm (d-lin/hcrir-F6 when6
Energeacy Coordimtor ie on oall) shall;
1. Astivate intemal faoility alarms or comrnrmications systems, wlere applicablc, to mt$ all facilig persomel.
2. Notify appropriate local outhcitics Q"e., oall 9-lJ).
3. Notify the Califomia Emergency MaDagerront Agcn€y at (800) 852-7550.
Befote facility o,perations arc re$urd in areas of lhe facility affeoted by &€ inoid€$ the eoergenoy coordinator shall noti$ fre Califomia D€eartnent of Toxic
Substnrces Co,ntol (DTSC), tle local llnified hogram Agency {UPA), and the local firs departrrent's hizsrdous materials prograo t&at tb faoility is m complianoo
with requiruaents to:
I . Provido for propcr storage and disposal of r€oovered waste, ooataminated soil or surface wate'r, or aoy otler matedal that lesults fodrl an explosion, frc, or reieasc at
the facility; aad
2' Eagure that no material that is inoompatible with the rcleased malerial is trauferred, storcd, or disposed of in arcrs of the facility sffected by tllo inoidmt untit
cleanr4r poooduros aro oomplotod.
INTERNALFACILITY
El r. vSRBAL wARNTNGS;
4.
I z. rrnuc aoonrss oR INTERcoM sysrEl\4
OR NOTIFICATIChIWILL (Cheok all
Er.ru-nnrowr;
6.PORTABLERADIO
NOTIFICATIONS TO NEIGI{BORING FACILITIES TIIAT ldAY BE AFFECTD BY AN OFF-SITE RELEASE WILL OCCUR BY: (Check all tbat apply)Elt.wngx,mnnwcsl flz.ruarrceoonrssoRrNrgRcoMsysrEM; Els.tELmHor.[E:
Dc.pacpns:E 5. ArARr\4sysrEM 86. ponrasrrRADto
CALIFORNIADEPT. OF TO)OC SUBSTANCES CONTROL (DTSC)
REGTONAL WATER QUATITY CONIROL BOARD .
u,s. ENVR.ONMENIATPROTECTIONAcENCy(t SEpA)... . . .
CALTFORNIADEPT OF FISH A].tD GAME (DFG) . .
U.S. COAST GUARD
(916) 255-3545
c8.
c3.
NEAREST MEDICAL FACILITY / qOSPITAL
AGEhTCY NOTIFICAT]ON PHONE NUMBERS:
9-1-1
(800) 852-75s0
(8OO)424-88A2
GAq222-1222
(805)781-5544
(800) 300-2193
(e16) 3s8-2900
Q44267-2184
(e16) 263-2800
{s16) 445-8200
I.OCAL IJNIFIED
oTHER(Speci$):
CAL'0SHA.
STATEFIRE I4ARS}IAL
OTHER (Spooify):
OTHER (Soecifv):
EMERGENCYRESPONSE
PHONENUMBER,S:
AMBULANCE, F]RE, POLICE AND CI{P ., .
CALIFORNIA EMERGENCYMANAGEMENT AGENCY (CALIEMA)
NATIONAL RESFONSE CENTER (S{RC)
POISONCONTROL CENTER.
Re* 06127lll
GERS consotidatcd Emergency R,crponse / contingency plan - page 2 of 4 Rev.AhETlll
D.EII{ERGENCY AITDCONTAINMENT CLEAIIUP PROCEDURES
that aply to your poccduesffrts or andfio releares,and.
El t. rraor.nron FoR r"EAKs, RIJpruREs, pREssuRE BTJILD_LJp, ETc.;
E 2. PROVIDE STRUCTURAL PHYSICAL BARRIERS {C.g., POTIAbIC SPiII MNtriNMArr WA[S);
El 3. PROYIDE ABSORBENT pHysIcAL BARRIERS (c.g., pads, pigs,I}itlow);
F 4. covER oR BL@K FLooR AND/ oR SToRMDRATNS;
E s. sul.r-n'i BERM IN woRK/ sroRAGE AREA;
E 6. AtnoN4Auc nRE sIlppREssIoN syslrM;
E 7. ilItv{D'IATE SoItRcEs oF IGNITIoNFORFLAI4IuAELE HAZARDS (e.g. Flomsble liquids, propme);
E 8. sToP PRocESsES ANDIOR oPERATIoNSI
E p. Ruolaerlc /ELEcrRoMc EeTnDMENT sHUToFF sysrEM;
Ei to. snurorr wATER, cAs, ELEcTRTcAL uTrLrrIEs As Ap?RopRLATE,
E t r. celr s-t-r FoR pIrBLIc EMERcENcy REspoNDERAssIsrANcE /MEDIcAL ArD;E 12. l.ToTtr'Y AND EVACUATE PERsoNs IN ALL THREATENEDAREA$;
El t r. ^rccoul'm FoR EVACUATED pERsoN$ TMMEDIATELy AI.TER BvAcuATroN cALL;E 14, pR"ovIDE PRoIBCTIVE EQUIP\4ENT FoR oN-sITE RESPoNSB TEAM
EI 15, REMovE oR ISoLATE coNTAINERs /AREAAS AppRopRrATE;
E 16, HRE LIcm{sBD IrAzARDous wAsrE coNTRAcro&,
EI u' ItsE AB$ORBENT I'IATERIAL FoR spILLs WITH suBsEeIJBNT pRopER LABELTNG, sroRAcE, AI{D I{AzARmus wAsrp DIsposAL AsAPPROPRIATE;
E ts. sucf,toN usll{c sHoP vAcwM wITH suBsEeIJENT pRopER LABELINc, sroRAGE, A}ID r{AzARDous wAsrE DrsposAl AsAPPROPRIATE;
I t s' wAsH I oscoNTAMINATE EQUIPMENT vw CONTAINMENT and DISFoSAL oF' EFFLIENT / RINsATE AS HAeARDoUs WASTE;E 20. pIrovDE sA.FE TEMpoRARysroRAcE oFEMERGENcYGENERAT3D wAsrES;
EIzt.oumnlSpecg):&.
E. FACILITY EVACUATION
BELLS;
HOR}.IS/SIRENS;
VERBAL (r.E., sHouTrNG);
l.
3.
4.
BEUSED TFIAT APPLFACILITY
Fmnt parking sheet oorn6, etc.)Luis Obispo,
YFront
aocolmt aftor
on
Irlote: Ile nap(s) nrut evacuation rcutes,ardexits,efiFrgEoty dtetDst4andFimary rDIrstand b€aIGAS,staging pn'ominently poslsd
I\4AP(S)
where it
show primagr and sltemsis
F. ARRANGEMENTS FOR EMERGENCY SERWCES
ofErphuatbn locnl andftE doparhelts,polic€and./or teruceShospltals,shouldooDtactors madebes[l!trgenlyforare
ADVANICE ARRANOEMEhITS FORLOCAL EMERGENCY SERVICES (cheokoneofthefollowing)
El t. rlew BEENDETERMINEDNoT NECESSARy: or
EI 2. It{E FOLLOWINC ARRANGEMENTS IIAVE BEENMADE {$PECTfY):
F!-
F2.
)
CERS Consolidnted Emergcncy Response / Contingency Plan - Page 3 of 4 Rw. 116/!7/11
G. EMERGENCY EQrtrPMl]NT
€hek dl borcr r\qt rpply lo lirt trerponre equipment evailable at tie heiliS ud identf lhe location(r) thers {re equlpment ir kepr anil the
tf CHEMICAL PROITCIIVE GLOVES lat Ona lim6 us€, Oil & solvFnt e*isiantonly.]
TYPE AVAIL\BLE LOCATION CAPABILITY lI f aoplicah Ie)
lSafety
land
trirstAa
I. EI CHEMICAIPROTECTTVE SUITS,APRONS,
f'rp lrFsTs
GA et.
2. IIl CTIEMICALPROTECTTVEGLOVES (j4.64,
3. ET CHEMICALEROTECTIVEBOOTS .it,
4, EI SAFETYGLA$SES/GOGGLES/SHIELDS cia.ff.
J, EO TIARDHATS olu-GIT,
6. t] CARTRIDGERESPIRATORS GIZ.UIJ.
?. f] SELF€ONTAINEDBRNATHINGAPFARAruS
rscBA)
G14.Gr5.
8" EI FIRSTAIDKITS/STATIONS cl6 Gt7,
9. D PTLJMBEDEYEWAST{FOUNTAINISHOWER qta.Gl9,
10. fJ PORTABT,E EYEWASHKITS (jT'.G?t.
rr. tI srHER {}2L 1JE,
12, !f OTHER G2{.\tzt,
Fire
Fiehting
13. E PORTABLE FIRE EXTINGT'ISHERS tXl ott.
14. fl FIXm FIRE SYSTEMS / SPRINKLERS /
FTRIIT;IOSES
atzx.@9.
15. f] FIRE ALARMBO)GS OR STATIONS G30.Gll.
16. U OTSER <r?2.(xl3,
lSpill
lControl
land
loean-Up
I
I
17- EI AI,L.IN-ONE SPILT KIT s34 es5.
18. E ABSORBENT MATERIAL G35.s7.
19. E CONTAINERFOR USED ABSORBENT 03t.{ttt,
20. EI SERMINC/DIKINGF/QI"XPMENT fl{)_(i41.
2I. E BROOM 647.u{it-
22.19 sEovEL c4{.(i*t,
23. Er- SHOP VAC 016.{.i17.
24. LI HCIAUSTI{OOD G4E,0t9,
25. N EMERGENCY SUMP /HOLDING TANK 050.6t.
26. E CHEMICALNEUTRALIZER,S (J53.
2?. LJ GAS CYLINDERLEAKNEPAIRKIT G5+"(ttt.
2E. U SPILLO\ERPACKDRIIIV{S G56 u57,
OTHER 058.(J59,
Conrmuni-
cations
and
Alanr
Systems
30. EI rELEPH0ITIES (ncidos ceihrlar)c60,[;61,
3i. fI h.ITERCOMIPA SYSTEM &iL ti6t.
32. f.I PORTABLERADIOS 464.G65-
AI'TOMATICALARM G66.G67.
Other 34. tl oTHER G60.G6t.
OT}IER G70.Galt,
cERs consolidated Emergency Response / coniingencx plan - page 4 of 4 Rrn:.AfiWill
H. EARTHQUAKE WLI{ERABILITY
areas oftho faoility that are vulnerablc to hazardous fluteri&ls rcleases /$prlls due to earthquoko-rlatod rnotioo, Thcse aroas rcquire inaredierc isolatiod arral
t2.
II3.
II4.
lIs.
(e.g., fiop,forensic lab)tr L HAZARDOUS IVfATERLALS / WASTE STORAGE AREA
AREAS:
4. WASTE IREATI\dBNT AREA
E z. pnocnss LrNEs lprprNc
EI 3.LAB0RAToRy
E z. raurs @MERGENcvsHUToFF)E 3. P0RTAELE GAs cyLINDERs
E 4. EI',GRGENCY sHuToFF AhID/oR uTILITY VALVES
E 5. SPRD,IKLER sysrElvrsi
w.
rn.
ID.
Ht0.
HII.
I{2.
srrELvE$
tbat spply)
l.AI.IDCABINETS RACKStr
E e. starroneny pREssuRIaD coNTAINERs
I. EMPLOYEE TRAIIIING
Exphnrtiol of RequhrsEcmt! Employoo training is reqircd for all emptoyg$ hAudling luzadous materials aDd haz ardous u/astos in day-to-day or olean-up operationsinoludiry vohmteero aad,/or omtr:actors. Trriaing-aust be:r Provided wltftin 6 modhs for now hirer;r Anendedas npcesrary prior to obange inpocoss o,r nrork awigrmo{;r Given uPon modification to the Euergoncy Rosponse / Contingenoy Pldn, od updatsilfefteshed urnually for all omployees,
Reguired omhntincludcs all of the following:r lvlaterial $afeg Data Sheets;
e llazard oornmunicetiou related to health and srfoty;r lvlctlrods for safe handling ofhazardous subetarces;r Fire hezerds of materials lpocesses;r Conditions likely to worsenemcrgencies;r Coordinatiolof eqerg€ocyresponse;
r Notifcation prrcccdues;
. Cormunicction and alarm systernr,r Persotal ploteotive equipmerrt;
e Uee ofem€fg€ncy rerponse eguipmeot (e.g. Fire extinguishers, resphators,
etrc.);r Decontaniotion p{ocedu1gs;r Evacrutiou procedures;r Conbol ald cootainment prooedrres;
a e UST
n.
B.
II,APPIy)
MEETINGS;tr
tr
Eo. uor APPLICABLE BECAUSE FACILITY
INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMIMSTERED (Checkall thatEl. FoRMALCLASSROOM [2. vloeos;E r. sar,tryrTAILGATE
4. STUDY GIIDES /MANUAIS (Sposrfy):
5. OTHER(SpeciS):
HASNO
Lrfge ausdiity Genordor (LQG) Tnhing Recordr: Large
-qrr4nfity bazardous wast8 gstrsrators (i.e", ybo g€lqatE s61s rtEn 270 gallonr/l,Ooo kilograms ofhazardous {'8ste peI month) must rstair writtsn doounreatatioi ofinqployoo ha-rdous ;d-anagement training-sessions whiah ircludos:o A writtcn outli*lagonda of &o type and aftourt of both. introauotory. orl coatinuing tainilp that wiu 6 given to pusons 61ting eaoh job porition havingresponribility for tho mnagementof hazardous waste (e.g,,labeling, *iifu*iog *rplii*uwith aooumulationime limits, otc.y.r The natm, job title and date of ttaining for each hazardous waste oanagerrent tainilg- sossion givon to an smployec filling such a job poeidon; and' A uT ittsn job desoription for eaoh of the above job positions tbet dsEoriLs job duties-ana the skiils, edr&atio!, or otter qualifcations requircd of pasormel assignedto theposition.r Cunent employee training records mwt b€ Ftained rmtil olosure of the facility
a rrust b€
J. LIST OT ATTACHMENTS
onG
IL
l. NOATTACHMENTS ARE REeUIREI or
2. TIIE FOLLOWING DOCUMENTS ARE ATTACIIEDT
Ii SIGNATTIRE / CERTIFICATION
infonnatio,n, I cedi$, und€r p€Dslty of laur
and conpletg and that a mpy is available
Certiftcationr Bared oil of thosemyrnqury
afit fanilisr andforth€rosponsible ob6ining that have exanrirledpersomlly
isinformation buc,accwato,site.an
I7/ 0.atIh"C
San Luis Obispo, CA
rnae a
Lic#01 4609
.4-439
May L2,2OL7
Employee training of handling hazardous waste materials will be given every 6 months through tailgate
meetings and as needed.
Please see Emergency Response Contingency Plan.
Seamair Construction, lnc. PO Box 14613, San Luis Obispo, CA 93406 tel 805-439-4362 fax 805-439-1933
axgfu,hryfinnFl
Seamair Gonstruction lnc. DBA Seamair General (CERSID: 107354261
Submitted on 412212019 9:46:24 AM by Cindy Veneris of Seamair Construction lnc. DBA Seamair General
Submittal was Accepted on 412312019 8:09:41 AM by Kerry Boyle
Luis
. Business Activities. Business Owner/Operator ldentification
California Environ mental (cERS)SubmittalSummary
!{,!q4gIiSAq4q*..!GnLS$&r*UIi}.VE,;Lftt![,ftrrurii*wggP"rF!&tlL*;.;'iH49l*gi
Submitted on 412212O19 9:46:24 AM by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submiftal was Accepted on 412312019 8:09:55 AM by Kerry Boyle
. Hazardous Material lnventory (1)
. Site Map (Official Use Only)
" Annotated Site Map (Official Use Only) (Web graphic, 'l83KB)
. Annotated Site Map (Official Use Only) (Web graphic, 183K8)
Printed on 4/23/2079 8:10 AM
California Environmental Repo (cERS)Business Activities
iite ldentification
ieamair Construction lnc. DBA Seamair General
125 Suburban Rd
ian Luis Obispo, CA 93401
:ounty
ian Luis Obispo
CERS ID
1o735426
EPA lD Number
cAt000427838
iubmittal Status
iubmitted on 4/22/2Ot9 by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
iubmittal was Accepted; Processed on 4/23/2OLg by Kerry Boyle for San Luis Obispo County Environmental Health
llazardous Materials
)oes your facility have on site (for any purpose) at any one time, hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200
:ubic feet for compressed gases (include liquids in ASTs and USTs); or is regulated under more restrictive inventory local reporting requirements
,shown below if present); or the applicable Federal threshold quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix
\ or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70?
Yes
Underground Storage Tank(s) IUST!
)oes your facility own or operate underground storage tanks?No
Excluded and/or Exempted Materials
)oes your facility recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)?No
)oes your facility own or operate ASTs above these thresholds? Store greater than 1,320 gallons of petroleum products (new or used) in
rboveground tanks or containers.
No
)oes your facility have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the California Accidental
lelease prevention Program (CalARP)?
No
Flazardous Waste
s your facility a Hazardous Waste Generator?Yes
)oes your facility treat hazardous waste on-site?No
s your facility's treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)?No
)oes your facility consolidate hazardous waste generated at a remote site?No
)oes your facility need to report the closure/removal of a tank that was classified as hazardous waste and cleaned on-site?No
)oes your facility generate in any single calendar month 1,000 kilograms (kg) (2.200 pounds) or more of federal RCRA hazardous waste, or generate
n any single calendar month, or accumulate at any time, I kg (2.2 pounds) of RCRA acute hazardous waste; or generate or accumulate at any time
nore than 100 kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste.
No
s your facility a Household Hazardous Waste (HHW) Collection site?No
lddltional lnformation
rve are in the process of obtaining EPA lD # will submit when received.
Printed on 4/23/2079 8:10 AM
California Environmental Re (cERs)Business Owner Operator
r Construction lnc. DBA Seamair General CERS ID
Suburban Rd 1o735426
n Luis cA 93401
Status
on 4/22/20L9 by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
I was Accepted; Processed on 4/23/2OL9 by Kerry Boyle for San Luis Obispo County Environmental Health
Construction lnc.
Phone Business Phone Business Fax
Beginning Date
Dun & Bradstreet
Ending Date
5lC Code439-4362 (8os) 439-4362 (80s) 43e-1s33 Primary NAICS
Facility/Site Mailing Address
)O Box 14513
ian Luis Obispo, CA 93406
0wner
Patrick Greg Phelan
l80s) 43e-4362
PO Box 14613
ian Luis Obispo, CA 93406
Billing Contact
3indy Veneris
l80s) 439-4362
PO Box 14513
admin @seamairinc.com
ian Luis Obispo, CA 93406
Primary Emergency Contact
Larry Martinez
ritle
Mechanic
Business Phone 24-Hour Phone
l80s) 439-4362 (
Pager Number
Secondary Emergency Contact
fitle
ausiness Phone 24-Hour Phone Pager Number
Contact
Veneris
439-4362 cveneris@seamairinc.com
Box 14613
Luis Obispo, CA 93406
ame of Signer signer Title
President
Document Preparer
Cindy VenerisGreg Phelan
lnformation
Fields
or all of the following fields may be required by your local regulator(s).
Property Owner
thone
vlailing Address
Assessor Parcel Number (APNI
Number of Employees
Facility lD
Printed on 4/23/2O19 8:10 AM
Seamair Construction lnc. DBA Seamair GeneralSeamair Construction lnc. DBA Seamair GeneralChemlcal LosationVard9:46 AMFacilfty lDcERsrD 10735426status Submitted on93401225 Suburban Rd, San LuisBusiness/Org.NameAnnualWasteAmountHauardous ComponentsFederal HazardCommon NameHaz, ClassNameQuantitiesUnit%Wt EHS CAS No.Max. Daily Largest Cont.Gallons 50_s.!gle-.- pl-oJ9g"e--c._o-[Hin-9l_..._Liquid AbovegroundTankIyP-e--..Mixture Days on Site: 36520 500 - Physical Hazardpressue Not Othen riseffi tffi ;-*" w-ast9.c.9{e_ Classifi edTemDerature 221 - Health Hazard;{,.,,'bil;f**" Not otherwiseClassifiedMotor oil250CAS NoLiquid, Class lllB3 - Flammable andble LiquidsVARIOUS LUBRICATING BASE OILS 85 % 6474X-YX.XMXTURE68649-42-3ADDITIVE PACKAGE, INCLUDING T5%ZINCALKYLDITHIOPHOSPHATE 2%Hazardous Materials And Wastes lnventory Matrix ReportPrinted on 4/23/2019 8:10 AMPage 1 of 1
Ca lifornia Environ menta I Reporting System (CERS)Submittal Summary
Seamair Gonstruction lnc. DBA Seamair General (CERSID:107354261
Facility lnformation Accepted Sep 19,2018
Submitted on 911712018 11:12:24 AM by Cindy Veneis of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepted on 911912018 2:58:37 PM by Kerry Boyle
. Business Activities. Business Owner/Operator ldentification
Guidance Messaoes
Warning
1 Business Activities - No Federal or State EPA lD is on file in CERS for the Hazardous Waste Generator's facility (CERS lD: [10735426i). Either a Federal EPA lD (if monthly RCRA
waste generated exceeds threshold) or State EPA lD should be submitted in the Facility lnformation submittal element for all Hazardous Waste Generators.
Hazardous
Submitted on 911712018 11:12:24 AM by Cindy Veneis of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittalwas Accepfed on911912018 2:58:49 PM by Kerry Boyle
. Hazardous Material lnventory (1)
. Site Map (Official Use Only)
" Annotated Site Map (Official Use Only) (Web graphic, 183KB)
Guidance Messaqes
Warning:
1
and/or replaced with valid Data Elements before submitting your inventory.
Emergency Response and Training Plans Accepted Sep 19, 2018
Submitted on 911712018 11:12.24 AM by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepfed on 911912018 2:59:02 PM by Kerry Boyle
. Emergency Response/Contingency Plan
" Emergency Response/Contingency P/an (Adobe PDF, 206K8). Employee Training Plan
" Employee Training P/an (Adobe PDF,82KB)
Printed on9/t9/2Ot8 2:59 PM
Ca I ifornia Enviro n menta I Reporting System (CERS)Business Activities
ldentification
air Construction lnc. DBA Seamair General CERS ID
LO735426
EPA lD Number
Suburban Rd
n Luis Obispo, CA 93401
n Luis Obispo
Status
on 9/U/2OI8bV Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
bmittal was Accepted; Processed on 9/L9/20t8by Kerry Boyle for San Luis Obispo County Environmental Health
Materials
your facility have on site (for any purpose) at any one time, hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 Yes
ic feet for compressed gases (include liquids in AsTs and USTs); or is regulated under more restrictive inventory local reporting requirements
shown below if present); or the applicable Federal threshold quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix
or or handle materials in for which an e lan is ired rsuant to 10 cFR Parts 40 or
Storage Tank(sl (UST)
your facility own or operate underground storage tanks?No
{azardous Waste
s your facility a Hazardous Waste Generator?Yes
Does your facility treat hazardous waste on-site?No
s your facility's treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)?No
)oes your facility consolidate hazardous waste generated at a remote site?No
)oes your facility need to report the closure/removal of a tank that was classified as hazardous waste and cleaned on-site?No
)oes your facility generate in any single calendar month 1,000 kilograms (kg) (2,200 pounds) or more of federal RCRA hazardous waste, or generate No
n any single calendar month, or accumulate at any time,IkgQ.2 pounds) of RCRA acute hazardous waste; or generate or accumulate at any time
Tore than 100 kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste.
s your facility a Household Hazardous Waste (HHW) Collection site?No
ixcluded andlq Exempted Materials
)oes your facility recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)?No
)oes your facility own or operate ASTs above these thresholds? Store greater than 1,320 gallons of petroleum products (new or used) in
rboveground tanks or containers,
No
Does your facility have Regulated Substan
Release prevention Program (CalARP)?
ces stored onsite in quantities greater than the threshold quantities established by the California Accidental No
Information
are in the of obtai EPA lD # will submit when received.
Printed on9/19/2018 2:59 PM
California Envi ron menta I Reporting System (CERS)Business Owner Operator
ir Construction lnc. DBA Seamair General CERS ID
Suburban Rd LO735426
n Luis Obi cA 93401
iubmittal Status
iubmitted on 9/17 /2OI8 by Cindy Veneris of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
iubmittal wasAccepted; Processed on9/I9/2OI8by KerryBoyle forSan LuisObispoCountyEnvironmental Health
mair Construction lnc Beginning Date
Dun & Bradstreet
Ending Date
Phone Business Phone Business Fax
80s) 439-4362 (8os) 439-4362 (8os) 439-1933 SIC Code Primary NAICS
:acility/Site Mailing Address
225 Suburban Rd
ian Luis Obispo, CA 93401
Jwner
>atrick Greg Phelan
sosl 439-4362
)O Box 14613
ian Luis Obispo, CA 93406
lilling Contact
lindy Veneris
80s) 439-4362
)O Box 14613
admin @seamairinc,com
ian Luis Obispo, CA 93406
Primary Emergency Contact
-arry Martinez
litle
Mechanic
lusiness Phone 24-Hour Phone
'80s) 439-4362 (
Pager Number
iecondary Emergency Contact
litle
3usiness Phone 24-Hour Phone Pager Number
invironmental Contact
lindy Veneris
80s) 439-4362
)O Box 14613
ian Luis Obispo, CA 93406
cveneris@seamairinc.com
{ame of Signer
)atrich Greg Phelan
\dditional lnformation
Signer Title
President
Document Preparer
CindV Veneris
ly-collected Fields
me or all of the following fields may be required by your local regulator(s)
Property Owner
thone
Vlailing Address
Assessor Parcel Number (APN)
Number of Employees
FacilitV lD
Printed on9/1912018 2:59 PM
Business/Org.
Name
Code/Fire Haz. Class
3 - Flammable and
Liquids
mbustible Liquid, Class lll-B
Printed on9/19/2018 2:59 pM
Seamair Construction lnc. DBA Seamair General
Seamair Construction lnc. DBA Seamair General
225 Suburban Rd, San Luis Obispo 93401
Common Name Unit
Chernical Location
Yard
Quantities
Annual
Waste
Amount
Federal Hazard
Max.
Gallons 50
state storagecontainer
Cont.Component n
VARIOUS LI
ADDITIVE P
ZINC ALKYL
Motor Oil
eAl[e-......
250 20 500 - Fire
Liquid
I-Ypg-...
Mixture
Aboveground Tank
Days on Site: 365
Pressue
Ambient
IgnP,9I-1!qle
Ambient
w$!e q_o_q-g..
22L
lnventory Matrix ReportHazardous Materials And
{ENVIROIIMENTAL REPORTINC (cERs)
CONSOLIDATED EMERGENCY RESPONSE / COI\TTINGENCY PLAN
Prior to lhis Plan,rcfer to the INffRUCnOxS FOR COupttnNG A CQNSOUDATED CANTINGENCY PUW
A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW
FACILITYID#
14735426
I. CERSID AI' DATEOFPLANTREPARATION/REVISION P.
5t11t17
Nmn or DM - Doinp Eusine* As)
lnc. DBA $edmair General
3.
BUSINESS SITE ADDRESS
225 Suburban Road
lm.
"SL'*L'"15%SEpo
104.
CA
lu5,6$f8r
TYFE OF BUSINESS (e.g., Pairfing Contractor)
Construction
43.INCIDENTAL OPEzuTTIONS (e.g., Flcct l\faintonance)
Fleet Maintenance
A4.
THIS PLAN COVERS CHEMICAL SPLLS, FIRES, AI.ID EARTHQUAIGS INVOLVING: (Cbck all that aply)
B r. HAzARDous rv{ArERrALs; E z. Hazennous wAsrgs
-{5.
B. INTERNAL RESPONSE
INTERNAL FACILITY EI\/ERGENCY RESPONSE WILL OCCUR VIA: (Check all tbr apply)
E t. c*unvc puBLIc EMERGENcv REspoNDERs (i.e., 9-t-t)
EI 2. cALLnIc I{AzARDous wAsrB coNTRAcroRfl :" acrwanwc rN-HousE EMERcENcy REsFoNsE TEAM
Bl.
c. EMERGENCY COMMUNTCATTONS, PHONE NUMBERS AIYD NOTIFICATTONS
lVhefle{'€r there i.s an imminqtt or aohul olrbrgeuoy sitration suoh as ao. explosion, fire, or release, the Emergsacy Coodinator (or hisAer designee when thp
Erretgency Coordimto,r i* on oati) shalll
l. Artivote intemal faaility alarms or comrnrmications systeos, wbere applicable, to cotify all facifigpersorrnel.
2. Notif appropiate local authmities (i.e., call 9-1-l).
3. Noti$ the Califomia Emergeucy ll&aageoent Agerrcy at (800) 852-7550.
Before facility operations are resum€d in areas of rhe faoitty alfected by &€ inoident, the eoergency coordinator shall notiS tbe Califomia Doearftrcnt of Toxic
Substances Control @i'SC), the local Unified Program Agenoy (JPA), and &o local fir€ departnent's ha?ardous rnaterials prograa tlat th€ facility is in complianoe
with reqrircoentr to:
l. Provide for proper storagc and dispossl of recovered wast€, coataminated soil or surface wator, or acy other material that results ftom an oxplosion, fre, or rolearc at
thefacilit5 ad
2' Easure that no oaterial that is incompetible with the rcleased rratrerial is tranrfqro4 storcd u diqpor"d of in erers of thc faoility affected @ the incidmt rmtil
9.!qq4qr gocedrncs are completcd"
INTERNAL FACILTTY EMERGENCY COMMUNICATIoNS OR ALARMNoIfFICATIoN WILL oCCtJR VIA: (Chcck all cl.apply)
!+.recrRs;E o. ponr^nslnRADro
E r.wnsAl,rffARNrNGS;E z. puslrc ADpREss oR TNTERcoM sysrEM Elr. rs,puroue;
Es.euxrrasYsrE4
NOTIFTCATIONSTO
E r. veRBAL wARNTNGS;
4.
THAT IIAY BE AFFECTMBY AN OIT.SITE RELEASE WILL Y: (Chcck
Elr.tpr,pnor,ls;D z. ruerrc ADoREss oRINTERcoM sysrgM
5.s 6. PORTABI-ERADIO
c9.
c1t.ctL
CALIFORMADEPT. OF TO)CC SUBSTANCES CONTROL (DTSC)
REGIONAL WATER QUALITY CONIROL BOARD
u.s_ ENVR.ONMENTALPROTECTIONAGENCY(USEpA) . .. . ..
CALIFoRNIADEPT OF FrSH Al{D GAI4E (DFC) . .
U.S.COASTGUARD
CALCISHA.
(916) 255-3s45
PHONENUMBERS:
LOCAI, TJNIFIED PROGRAM AGENCY
OTIIER (Speci$r):
NEAREST MEDICAI FACILITY I HOSPITAL NAMB:
STATEFIRE I\{ARSIIAL
OTHER (Speoify):
OTHER.
AGENCY NOTIFICATION PHONE NUMBERS:
9-1-1
(800) 852-7550
(800) 424-8802
$0a}.222-1222
(805)781-s544
(800) 300-21e3
(e16) 358-2900
(2O2)2674184
(916) 263-2800
(916) 445-8200
RESPONSE AMBULA}ICE, F]RE, POLICE AND CHP
CATIFORNLAEMER.GENCY h{A}6GEMENT AC'ENCY (CAL/EIV[A)
NATTONAT RESFONSE CEhTTER (NRC)
POISONCONTROLCENTER.
Rev.06127lll
CERS Consolidated Emergcnry Recponsc / Contingency PIan - Ptgc2 ol 4 Rw..A6l21lLl
II. EMERGENCY CONTAINMENT AI\D CLEAITT]P PROCEDURES
fircs or and
that aply to indicate yorrr
aedth6
E t . naolnron FoR LEAKS, RUpruREs, pREssIJRE BUILD{;p, ETC.;
EI z. pnovtpu STRUCTL'RAL PITYSICAL BARRJER$ (o.g., Porrable spill conteinmcut walls);
El f . pnovne ABSORBENT pHysIcAL BARRJERS (e.g., padr, pigs, plows);
E 4. coVER oR BLocK FLooRA}ID/ oR sToRMDRAINS:
E s. suLT-bI BERM D.I woRK / SToRAGE AREA;
E 6. AUTONIATIc HRE SIJPPRES$IoN SYS13M1
E 7. ELMnIAIE SOURCES OF IGMTIONFORFLAT\4MABLE IIAZARDS (e.9 Flarrmabte tiquids, propme);
E E. SToP PRocEssEs AND/oR oPERATIoNS;
E s. ewoMArrc lELEcrRoMc EeurndENr sHUT.oFr sygrEM
E Io. sTNnoTT wATER. GAs, ELEcTRIcAL UTILTTIES AS APPRoPRIAIE;
E I I. cALL 9-I-1 FoR PI'BLIc EMERGENcY REsPoNDERAssIsTAI{cE / MEDICAL AID;
E Iz WTn.y A}.ID EvAcUATE PERsoNs IN ALL TIIREAIENED AREA,S;
E I e. eccot,IT'TT FoR EvAct'ATED PERsoNs IMMEDIAIELY AFTER BVACUATIoN CALL;
E r+. m.ovrpE tRoIEcTIvE EeulptvlB.lr FoR oN-sITE REspoNsE TEAM
EI Is. nglutovB oR IIIoLAIE coNTAINERS /AREAAS APPRoPR,IATE;
E te. tmn ucelrsrD rrMARDous wAsrE coNTRAcro&,
E t;. uss ABSoRBENT MATERIAL FoR spILLs wITIr suBsueurhrr PRoPERLABELTNG, sroRAGE, AND I{AzARDous wAsrE DIsposAL As
APPROPRIA]E;
El ts. sucrroNuslNcsHoP vAcwMwITH sUBsEeT.JENTpRopERLABELINq sroRAGE,AlIDrIAzARDouswAsrEDIsposAL As
APPROPRIATE;
E IS. WA,gH I NTCONTA\,IINATE EQUIPMENT w/ CONTAINMEbIT ANdDISPOSAL OF EFFLT'ENT /RI}NATE AS HAZARDOUS W.4,,S1E;
E zo. pnovror sArE rEMpoRARy sroRAcE oF EMERGENcY€ENERA]ED WASTES;
Elzt. onrrnlspeorfy): v,.
E. FACILITYEVACUATION
OF TTIEFACILITYEt. sELrs;!z. nonns/smeNs;
B r. vmsAr (r.E., srrourrNG!
Front parking lo! $pooifio sheet oon€r, etc.)
aru!/or sit€ visitors aftor wagustion.
CA
Cocndinator accomt
of Yard on
Iil EVACUATION ROUTE IyIAP(S) POSTED AS REQUIRED
Note: Ths mqp(s) mr.st show p'rimary and altornrte svacuation routos, eoergency exits, and prinary and rlterhate stagt€ areas, and nust be pominently posted
throughout thc facilitv i4 locations nb€r€ il qill be viyible to employeos and visitors.
DI
F. ARRANGEMENTS FOR EMERGENCY SERVICES
ErphuatbnofRcquircmnfAdvauoe arra[gtelnoils with local fire and polioc departmoats, hospitals, and/or mengmcy servicos colfactofi should bo mads ss
appropriate for your faoility. Yorl may determine that suoh arrongements are trot tr€a€sssry,
ADVANCE ARRANGEMEbITS FORLOCAI EMERGENCY SERVICES (Cheok one of tho follou,iog)
B t. ulrw BEENDETERMINED Nor NECESSARy: ar
E z. nu ror,r,owlNc ARRANGEI\i|ENTS IrAvE BEEN tvIADE (spooify):
Fr.
12.
*"rolr"CERS Consolidated Emergcncy / Contingency Plan - Pagc 3 of 4 REv.Mltllll
G. EMERGENCY EQTIIPMENT
Cteck all borc flal to litf nslponie equipme,nt rvailable at fhe ecifty md idenif lfte location(s)where dro equipmenf ri kept rnd tAe
CHEMICAL PROTECTIVE GLOVFS l€1 One tme uge,oit &solr/Ent
?YPE EOTJIPMENT AVAILTBLN ol.I,OCATION CAPABILITY Ef anplieabla )
Safety
8nd
FirstAid
I. EO CHE!4ICALPROTECffVE SUITS,APRONS,
rilt vFsTs
oz G:I,
2. E SHEMICALPROTECTIVEGLOVES €{.c5.
}. EI CHEMCALPROTECTIVEBOOTS e7.
4. E SASETYGLASSESIGOGGLES/SHIBLDS G&@.
5, Eg IIARDHATS Glo.glr.
6, E CARTRIDGERESPIRATORS Gtz Gt3,
7. IJ SELF€ONTAINEDBREAIIIINGAPPARATUS
rs{:RA)
Gl4,Gl5.
8. lilI FIRSTAIDKITSISTATIO}iS Gl5.cr7
9. E PLUMBEDEYEWASHFOIJNTAIN/SHOIIER GIE,Gl9,
10. LJ PORTABLE EYEWASHKITS 62Ir,('Z'.
n. u C'rIIER G.TZ gr3.
12. fl orHER G24.€i25,
Fire
Fighting
13. E PORTABI"E FIRE EXI'INGI'ISHERS gx,Qin.
14. LI FIXED FIRE SYSTEMS / SPRINKLERS /
FTRE FTOSES
cza.cE-
15. E] FIRE ALARMBOXES OR STATIOMI c30.cil1.
16. E CT'HER 93?.Gt3.
i$pill
Control
atrd
Clean-Up
I7. E ATI.IN-ONE SPILLKIT G34 cfr3.
IE. III ABSORBENT }IATERIAL 036 (}37.
19. E CONTAINERFOR USED ABSORBENT G38.CB9.
20. E BERMING /DIKINGEQI.IIPMENT 0'l{t Glll.
2I. E BROOM ai4z-G,lit.
22. til SHOVEL G+r.@5.
23. Hi SHOPVAC 8#"ti17.
24. [] UGTAUSTi{OOD G4E,{tov.
25. [J EMERGENCY SUMP /HOLDING TANK t 50,c5l.
26. E CTIEMCALNEUTRAIIZERS Gr2,clt3.
27. t] GAS CYLINDERLEAKREPAIRKIT G54-G3J.
2E. E SPILLO\ERPACKDRUIvIS G66.G51.
OTHER c'8,G59,
Communi-
cfltions
and
Narzr
Systems
30. H IELEPHONES (Includes celhrlar)c6{,(r1.
3i. E I\TTERCOM/PA SYSTEM 6L ctdt.
32. U PORTABLERADIOS G64.G65.
33, E AUTOIVIATIC ALARM CTIEMCAL
MONITORII\IGEOIJIPMENT
€i66.G67.
Other 34. fl olIrER G6t {J6t
ONIER Gn,c7l,
CTRS Consolidated Emergency Response / Contingency PIan - Pagc 4 of 4 R.er.fr6l27l1l
H. EARTHQUAKE WLIYERABILITY
spl[s due to eodquake*latcd rnotim. Thcse orcar reguire iofiediaie isolatiod ard
EL
II9.
H{.
H5.
Ideotiry areas ofthc faoility that are vulaereble to hazardous rnated&ls releascs /
AREAS;thrtNll(Check aPlv)
STORAGElWASTE AREA
(o.g., *op,foreosic lab)
4. WASTE TREATIVIENT AREA
E t. razannous IvIATERIALS
E] z- pnocess LrNEs /prprNc
E r.LasoRAroRy
Identifg mechanioal sv$bms vulnoable to rtleqqps / rpills duc to earthquake-related motion" Thcse systemgr€quin iromcdiato isolation and insoectiotr.
El z. reurs (gMERGENcy SHUToFF)
E 3. PoRTABLE GAS cyLrNDERs
E 4. ETvGRGENcy sTIUToFF AhtD/oR urrLITy vALvEs
E 5. SPRSIKER sysrEli/st
w.
Ilt
ID.
If,O,
Hll.
''t2.
tank)
I. SI{ELVES, CABINETS AND RACKS
SYSTEMS: (Ciheck dl that
E e. srerrohlARy pRESSLTRIGD coNTAINERs
I. EMPLOYEE TRAINING
Erphnrfbn of Requlrement:Employee training is required for all emptoyecs haodling ftazardous materials and hazardous uastes in &y-today or alean-up operations
including vohmtecrr and/or cmtractorg. flsiaing mnct te:r Providsd wi0rin 6 mmths fornow hirc*;r Anend€d as neoessary prior to chauge in proacss or work assignmed;r Givst uPon uodification to the Eoergency Rcspo,nse / Coutirgency Phn, aid updatedllrefteshcd annually for all employoos.
Required omtutincludos all of the following:
o lvlnterial Safeg Data Sheets;r l{azard communioatiou relaied to hcalth and safety;r A/ptho& fu safe handling of hazardous substances;r Fire he.rrlt of materiAls / trnocesseq,o Conditions likely to woraencmctgenciegr Coordiuntion of emergolrcy response;r Notificatioo proccdures;
. Cornmrnioatioa and alsffl systpms;r Personal protective eqripnent;r Use ofcrrcrg€nry rerponse equipmeot (e.g. Firc extinguishors, recpirators,
etc.);r Decontamination prooedurcs;r Evaoutiou prccedures;r Conhol aad aootainmentprocedures;
a . U$T ad
IIIDICAIEHO$TEMPLOYEE TRAINING PRoGRAMIS ADMIMSTERED (Checkall thatapply)
EI I. FORIUATCLASSROOM E2- VIDEOS; E|3. sAFETY/TAILGATEMEETINGS;
E +. sruoy cumss /I\ltANuAIS (Specry):D,
B,
II.
Eo. Not APPLICABLEBECAUSE IIASNOBMPLOYMS
Es. orrun(spocfy):
I,$ge Ausdity Gcnenror (LQG) Tnhing Recordc: Large quntity hazardous wast€ gelref,Ntonr (i.e., wbo ger€f,stc more than 2?0 gllonr/I,ggg kilograms of
hazardow wagie per trooth) Dflrst retaiflqritten doorrmentation of orployee hazardoug rraste tuaoagemelrt training sessiong which includes: -
r A unittet -outline/agonda of the type snd afioubt of both itfroductory od continuing tainiDg tlut u'ill be gven to persons filling each job porition having
rerponsibility for $s msnrgernsnt of hqzafdous waste (e.g., labeliry, nmifpgtin& compliance w*ft *ot rmrl"tion ime limiti, eto,).. Thenanp,jobtitla,anddateofhainingforeaohhazardouswastcoanagementhainingsessiongiventoaneaployecfillingsuchajobporidoq,and
' Awrittenjobdescriptionforeaahoftheabovejobpositionsthrtdesoribesjobdutiesandtberkills,eduoatio,qorotherq.rali6cationsroquiredofpersormelassigned
to thepositioa.r Current enployee taining records must b€ retabcdrmtil closuro of the facility.
a rcaords m'st termination of
J. LIST OF ATTACHMENTS
oDp
,L
l. NO ATTACI{MENTS ARE REQUIRED; or
2. ITIE FOLLOWINGDOCUMBNTS ARE ATTACHED:
IC SIGNATTTRE / CERTIFICATION
for tip rmdcr of6!sining information"law Ithat harp andexanrinedce,rti$peDalty personally
isinformation aad thatand q available18 site.ona0curate,true,oosplete,oopry
Certification: Based on my inEriry of those
amfamiUar
DATE SIGNED tff g.ot
P ,ltrtOF
May L2,2Ot7
Employee training of handling hazardous waste materials will be given every 6 months through tailgate
meetings and as needed.
Please see Emergency Response Contingency Plan.
lnae
Llc#1014609
LuisSan CAObispo,
Seamair Construction, lnc. PO Box !46!3, San Luis Obispo, CA 93406 tel 805-439-4362 fax 805-439-1933
ilvn$
Seamair Gonstruction lnc. DBA Seamair General (GERSID: 10735426)
California Environ menta I Reporting System (CERS)Submittal Summary
Accepted May
Submitted on 511212017 2:17:25 PM by Holly Corbett of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepted on 513012017 4:03:46 PM by Kerry Boyle
. Business Activities. Business Owner/Operator ldentification
Guidance M6ssaoes
. Waming:
1. Business Activities - No Federal or State EPA lD is on file in CERS for the Hazardous Waste Generalois facility (CERS lD: [1
waste generatgd exceeds threshold) or State EPA lD should be submitted in the Facility lnformation submittal element for all
07354261). Either a Federal EPA lD (if monthly
Hazardous Waste Generators.
May 30,7
Submitted on 511212O17 2:17:25PM by Holly Corbeft of Seamair Construction lnc. DBA Seamair General (San Luis Obispo,cA)
Submittal was Accepfed on 5l3ol20'17 4:03:53 PM by Kerry Boyle
. Hazardous Material lnventory (1). Site Map (Official Use Only)
. Annotated Site Map (Official Use Only) (Web graphic, 183K8)
Emergency Response and ng
Submitted on 511212017 2:17:25 PM by Holly Corbeft of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
Submittal was Accepted on 513012O17 4:04:03 PM by Kerry Boyle
. Emergency Response/Contingency Plan
. Emergency Response/Contingency P/an (Adobe PDF,206K8). Employee Training Plan. Employee Training P/an (Adobe PDF, 82KB)
Printed on 5/30/2077 4:04 PM
California Environmental Reporting System (CERS)Business Activities
ldendficatlon
mair Construction lnc. DBA Seamair General CERS ID
Suburban Rd
Luis Obispo, CA 93401
to73s426
Luis Obispo Atoafllffi
StatuB
on 5/L2/2Ot7 by Holly Corbett of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
was Accepted; Processed on 5/3O/20t7 by Kerry Boyle tor San Luis Obispo County Environmental Health
{azardous Materials
)oes your facility have on site (for any purpose) at any one time, hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 2OO
:ubic feet for compressed gases (include liquids in ASTs and USTs); or is regulated under more restrictive inventory local reporting requirements
shown below if present); or the applicable Federal threshold quantity for an extremely hazardous substance specified in tl(t CFR Part 355, Appendix
\ or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 7Q?
Yes
Storage Tank(sl (USTI
your facility own or operate underground storage tanks?No
{azardous Waste
s your facility a Hazardous Waste Generator?Yes
)oes your facility treat hazardous waste on-site?No
s your facility's treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)?No
Does your facility consolidate hazardous waste generated at a remote site?No
Does your facility need to report the closure/removal of a tank that was classified as hazardous waste and cleaned on-site?No
)oes your facility generate in any single calendar month 1,000 kilograms (kg) (2,200 pounds) or more of federal RCRA hazardous waste, or generate
n any single calendar month, or accumulate at any time, LkgQ2 pounds) of RCRA acute hazardous waste; or generate or accumulate at any time
Tore than 100 kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste.
No
s your facility a Household Hazardous Waste (HHW) Collection site?No
your facility recycle more than 100 k&/month of excluded or exempted recyclable materials (per HSC 25143.2)?No
and/or Exempted Materials
your facility own or operate ASTS above these thresholds? Store greater than 1,320 gallons petroleum products (new or used) in No
tanks or containers.
have Regulated Substances stored onsite in quantities greater than the threshold quantities established by theyour Accidental No
lnformation
are in the of obtai EPA lD # will submit when received.
Printed on5/30/20L7 4:04 PM
California E nvi ron menta I Reporting System (CERS)Business Owner Operator
Construction lnc. DBA Seamair General CERS ID
Suburban Rd LO735426
n Luis cA 93401
Status
on 5/t2/2Ot7 by Hotty Corbett of Seamair Construction lnc. DBA Seamair General (San Luis Obispo, CA)
was Accepted; Processed on 5/3O/2OI7 by Kerry Boyle lor San Luis Obispo County Environmental Health
Construction lnc.
Phone Business Phone Business Fax
Beginning Date
s/Ltl2oL7
Dun & Bradstreet
Ending Date
s/lo/2018
5lC Code439-4362 (80s) 439-4362 (80s) 439-1933 Primary NAICS
Facility/Site Mailing Address
225 Suburban Rd
ian Luis Obispo, CA 93401
Emergency Contact
PaBer Number
Owner
Patrick Greg Phelan
l80s) 439-4362
PO Box 14613
ian Luis Obispo, CA 93406
lilling Contact
:indy Veneris
8Os) 439-4362
)O Box 14613
admin @seamairinc.com
ian Luis Obispo, CA 93406
Martinez
anic
Phone 24-Hour Phone
439-4362
iecondary Emergency Contact
Title
lusiness Phone 24-Hour Phone Pager Number
ronmental Contact
Veneris
| 439-4362 cveneris@sea mairinc,com
Box 14613
Luis Obispo, CA 93406
ame of Signer Signer Title
President
Document Preparer
Cindy VenerisGreg Phelan
nal lnformation
Owner
Address
or all of the following fields may be required by your local regulator(s).
Fields
Assessor Parcel Number (APN)
Number of Employees
Facility lD
J
Printed on 5/30/20L7 4:04 PM
j//
Seamair Construction lnc. DBA Seamair GeneralSeamair Construction lnc. DBA Seamair General225 Suburban Rd, San Luis Obispo 93101cERsrD tO735426Facility lDstatus Submitted on7 2:\7 PMChemical LocationYardNameBusiness/Org.AnnualWasteAmountHazardous ComponentsFederal HazardCommon NameCode/Fire Haz, ClassNameCont.QuantitiesMax.Unit%Wt EHS CAS No.Gallons_s3_!9_LiquidLvP.!..-MixtureAboveground TankDays on Site: 365500 - Fire!ry_ee_t_e-."Q{e_22LPressueStoraae ContainerMotor oil2025050CAS NoLiquid, Class llFB3 - Flammable andLiquids6474X-XX-XVARIOUS LUBRICATING BASE OILS 85 %AmbientI-9-!u.-e.I?lvLg..AmbientMIXTURE68649-42-3ADDITIVE PACKAGE, INCLUDING 15%ZINCALI(LDITHIOPHOSPHATE 2%Hazardous Materials And Wastes lnventory Matrix ReportPrinted on5l3O/2O!7 4:04 PMPage 1 of 1
cALmoxNH ENVIRONMENTAL REFORTING SYSTEM (CERS)
CONSOLIDATED EMERGENCY RESPONSE / COT\TTINGENCY PLAN
Prior to this to tlt,e INfiRUCfiONS FOR CAMPIEnNG A CONSOUDATED CONTINGEI'ICY PUN
A. FACILITY IDENTIFICATION AND OPER.A.TIONS OVERVTEW
FACILITYID#
10735426
L CER,SID Al,
511
DATE OF PLAIiI PREPARATION/PJVISION A2'
1117
Norc or DM - Doine Business As)
lnc. DBA Sedmair General
3.
BUSINESS SITEADDRESS
225 Suburban Road
1(F.
BHfffi''roffiEpo 10,t.
CA
I05.65f8r
TYPE OF BUSINESS (o.g., Painting Contraolor)
Construction
43.II'rcIDENTAL OPERATIONS (e.g., Flect Maintonance)
Fleet Maintenance
44.
THUI PI"AI{ CO1IERS CHEMCAL SPILLS, FIRES, AI\ID EARTT{QUAICES INVOLVING: (Cbock all that apply)
E l- IIAZARDous\aATERIALS; E z. HAzARDous wAsrss
-{5.
B. INTERNAL RESPONSE
INTERNAL FACILITy EMERGmICY RESPONSE WILL OCCIJR VIA: (Cheok all tb* ryly)E t. ceu.nrc puBt"Ic EMERGENcv REspoI.{DERs (i.e., 9-l-l)
E 2. cALLnrc I{AzARDous wAsrg coNTRAcroR
E r. agrrvernqc rN-HousE EMERGBNcy REsFoNsE TEAlvt
Bl.
c. EMERGXNCY COMMUNTCATTONS, PHOITE TVUMBEnS Ar{D NOTIFICATTONS
\rft:nswr tberc is an immiaent or aohul €meryeuay sitration such as ar explosion, fire, or rolease, tte Emergency Cooadinator (or hir/her designeo wlren the
Enrergemy Coordimtor fu on call) shdl;
l. Aotivde internal faoility rlarms m cosnrmioatio:rs systems, wherc applicablg to lotify all frc{ity persomel.
2. Notif appropriate local authoritios (i.e., call 9-lJ).
3. Notify tu CElifomia Emergemy ldanag€Nnent Agency at (800) 852-7550.
Beforc facility o,perations are resurn€d in arcas of rlre facility aftctod by ft€ itroid€nt the eoergenry coordinator shall notify the Califomia Deeafincnt of Toxic
Subglsn*s Control (DTSC), the local Unifiedhogtm Agempy ([lFA), and t&o tocal fire departnsnt's hazarrdous rnateriais program tbat ths facility is m complime
withreqrircmen8 Eo;
l. Provide fot poper stongo and dirporal of recovered w6ste, contarnimied soil m surface water, or my otler material thatrcsultr ftom an explosioa, fre, or release at
tbfscility; snd
2. Eaflrs tiat no matedsl that is incompotible with the released malerial is trrnrferrd stored, or dispor"d of in arers of the facility alfected by the incident until
cleautgl gocedurcs are oomplcted.
4.
INTERNAL
E i.vSRBALWARNINGS;
COMMTAIICA?IONS OR AIARM NCYIIFICATION WILL OCCIJR all
E z. pusI,lc ADpREss oR rNTERcoMsysTgrvt Elg. rE-nPHoNE;
5, AI.ARM 6.PORTABLERADIO
NOTIFICATIOhIS TO NEIGI{BORING FACILIilES TIIAT lvtAY BE AFFECTED BY AN 0FF-SITE RELEASE WILL OCCIIR BY: (Check atl tbat apply)
El t. ySRBAL WARNTNGS: [ :. ruerrc monrss oR TNTERcoM sysrgM Eil s. tELmHor.{E;Ec.p*csns: Es.ru,arursysrEu no.xRreeLERADto
rL
CALTFORMADEPT. OF TOtfiC SUBSTANCES CONTROL (DTSC)
REGTONAL WATER QUALITY CONIROL BOARD
u.s. EI.{VR.ONhIENTAL PROTECTION AcENCy (rJS EPA) . . . . . .
CALIFORNIADEPT OF FISHAT.ID GAME (DFG). ,
U.S. COASTGUARD
CAL/OSTIA.
STATEFIRE I\{ARSIIAL .
c5,
c?.
(916) 255-3545
c3.LOCAI 1INIFIED PROGRAM AGENCY
ollIER (specify):
NEAREST MEDICAI FACILITY / HOSPITAL
AGENCY NOTIFICAfi ON PHONE NUMBERS:
9-1-1
(800) e52-7550
(800) 424-8802
$4q222-1222
(805)781-5544
(800) 300-2193
(e16) 3s8-2900
(2s2)267A18A
(s16) 263-2800
(916) 445-8200
OTHER (Spocify):
OTHER fSneoitu):
EMERGENCYRESPONfIE
PHOIIIENUMBERS:
AVBULANCS, F]RE, POLICB AND CHP
CALIFORNLA EMERGENCYMANAGEMENT AGEI.ICY (CAL/EtttA)
NAfioNAt RESFONSE CENTER (I.IRC) . .
POISONCONTROL CENTER.
R.ev.Ail21llt
CERS Conroldrtcd Emergency Rap.,-se / Contingency Plan -Ptgc 2 of 4 Rw.06lllllll
D. EMERGENCY CONTNNMENT AI\[D CLEAI\IUP PROCEDURES
PROCEDURE$:to your cooiainhg ryills, roleases,
or sndthc
E t. naolnron FG. LEAKS, RItpruREs, pREssLlRE BUILD-IJp, ETC.;
fl z. pnovpe STRUCTURAL PHYSICAL BARRIERS (ag., Porrrble spill containrrcnr walls);
B r. pnovm AB3oRBENT PIIySICAL BARRJERS (e.g. pad8, pigr, prllouo);
E +. covnn on BLocK ELooRAND/ oR sToRMDRATNS;
E r. guLI-TnTBERMIN woRK / sroRAGE AREA:
EI o. eurouauc EIRE suppREg$IoN sysrEM;
E 7. ELndhIATE SOITRCES OF IGMTION FORFLAM&IABLE I{AZARDS (c.g. Flomrnoble tiqnids, Propee);
E E. srop pRocEssgs AI.tD/crR opERATIoNS:
EI s. eL[ol,rATIc /ELEcTRoMc Eeurr&tENr sHuroFT sysrEMl
E to. srn-n-orr wATE& cAs, ELscrRrcAL urrLrrIES As AppRopRtArE;
E r r. cel,r g-Fl FoR pLtBLIc EtuTERGENcy REspoNDERAs$IsrAI{cB / MEDICAL AID;
E Iz. wcTTTpy AND EvAcUATE PERsoNs IN ALL THREAIINED AREA$;
E IT. accouIlt FoR EvAcUATED PERsoNs IMMEDIAIELY AFTER EVACUAfioN CALL:
E rc. m.ouor pRolEcrl\ts BeuIp[lENT roR oN-sITB REspoNsE TBA]vq
E Is. nSI\dovE oR nnLA:rE coNTAINERS i AREAAs APPRoPRIATB;
fl te. tmr ucmwro HAzARDous wA,srE ccnrrRAcro&,
E tT.ItsE ABSoRBENT MATERIAT FoR spILLs WITH suBsEeuBNT pnopERLABELrNc, sroRAGE, AI{D ttAzARDous wAsre DIsposAL As
APPROPRIAIET
EI tr. sucttoxusltdcsxopvAcwMwITH sUBsEeLtENTnRorERLABELINc, sroRAGqAlrDI{AzARDous wAsrBDIsposAL As
APPROFRIA'IE;
D TS. WASH I NSAONTATfi.IATE EQINPMENT W1 CONTAINMENT ANd DISPOSAI OF EF'FLt'ENT I RINSATB AS TIAZARDOUS WA,!TE;
B zo. pnovor SAFE TEMFoRARy sroRAGB ol EMERGEI€yGENERATED WASTES;
E zt.ornrn(SpurE):m,
E. FACILITYEVACUATION
THE FOLLOWiISG AIARM SIGNAL(S) WILL BE USED TO BEcrN EVACTTATION OF THE FACTLTTV lCnrCr ali
EI t. sEr.rs;
Ez. nonxsnnrrus;
B r. vmsAl 0-E., srrourrNGl
at.
E2"
TIIATAPPLY):
E +. ofitgRfspeoifrl:
Frcfiparkinglot, specifrc sheet oomer, eto.)
Luis
andlor sit€ visitors aftcr waouation-
Front CA
The Coordimtor
on
E EVACUATICI{ ROLIIE IVIAP(S) POSTEDAS REQLIIRED
Nots: Ilre nap(s) m:st show primagr od diornate evscuation routes, oacrgienry exits,
tluoughort thc faoilityj! l,oqgtions wbere it will be visible to smployees and visitors.
3A
drd prinrry ard alteftlts $taging arear, and rnrst be prroainently posbd
F. ARRANGEMENTS FOR EMERGENCY SERVICES
ErphnalbnofRcqulrtmnhAdvance arrangfli€trts wi:h local fire and police departuents, horpitals, andlor morgmcy services confastors should bo made ar
alpropriate for your facility. You noy detemino that such arraagernent$ cre tot n€co$sa(y,
ADVANCE ARRAN@MEI.ITSFORLOCAL EMERGENCY SERVICES (Checkonoofthofollo*.iog)
B r. rnvt BEENDETERMINEDNoT NECES$ARy: or
EI z. IIrg ror,r,owrNc ARRANGEMENTS r{AvE BEEN NiADE (speoify):
FI.
12.
n",],"')CERS Comolideted Emcrgcncy lContingency Phn-Pagc 3 of 4 F,rr'.06127lll
G. EMERGENCY EQIITPMBNT
Ctcck all boret thaf applt !o tlrt emergrncy nerponle equipment rvailrrhle at ihe h.cifty ud idrn@ lhe locelion(r) rvhere lte equlpment b kcpf rnd &e
cquipment'r capablllty, lf applleabte tr.g., E CHEMICA.L PRoTEcTIvE GLOVES I spiil .u6ponsr kit I one tme uao, Ol & eolvBnt rrsisilant only.I
TYPE LOCATION CAPABILITY Of applicable)
Safcty
8nd
FirstAid
I, ts CHEMICAL PROTECTIVE SUITS,APRONS,
OR VESTS
oz gt.
2. E CIDMICALPRCIECTIVEGLOVES G'|.G5.
3. EI CHEMICALPR.OTECTIVEBOOTS tit.
4. E{ SAFETYGLASSES/GOGGLES/SHMLDS G8.@.
5. E ITARDHAT8 Gt1.
6. f] CARTRIDGERESPIRATORS Gtz.GUt,
7, fI SELF4ONTAINEDBREA.TTJINGAPPARATUS
rsnEA!
Glt,(;tJ.
8. ffi FIRSTAIDKITS/STATIONS Gl6 ct?,
9. f] PLUI/BEDEYEWASHFOTTNTAIN/SHOWER Gla,Gl9,
r0. fl PoRTABLS EYEWASH KITS Li'a'.alu.
1I. LI C'fHER o?z lt):r,
12. fI C}THER arz4.@5,
firc
fiehting
13. E PORTABIE FIRE E)ffINGUISHSRS Gib.gn.
14. fl FIXEDFTAE SYSTEMS / SPRINKLERS /
ETRF-HOSF.S
G23,w"
15. fI FIRE ALARMBO'GS OR STATIO}IiI 430.Glt.
16. fl srHER vaz.{Ir:L
I?. E ALL.IN.ONE SPILL KIT G34,(fl5.
18. gl ABSORBENTIV{ATERIAI o35.(87.
19. I CONTAINER FOR USED ABSORBENT ft3E.(s9,
20. E BERMING/DIKINGFQUIPMENT (HO.Gal.
2I. E BROOM H2.Glit.
22. E SHOVEL G4{.{y[t.
23. E ${OPVAC $l|{i 6i17.
24. E E)CTAUSTHOOD G4E (lt9,
25. E EMERGENCY SI]MP /HOIDING TA}IK 450.G4il-
26. E CTIEMCALNEI]TRALIZERS {t52.s3-
2?. fI GAS CYLINDER LEAK REFAIRKIT c54.Gt5.
2E. I SPU,O\GRPACKDRUIVfS cat6.@7,
29. El CrfirER G5t.G59.
Conrmuni-
crtions
and
Alarnr
Systems
30. E TELEPHONES (Incld,er celhf+r)G6tl.(i51.
31. fI TERCOM/PA SYSTEM G6a c63.
32. E PORTABLERADIOS cr6l.665.
AUTOIT{A CTIEMICAL u66.G67.
0ther 34. E (IIHER G6t.(J6r.
35. fl OrurER G70.c7t,
CTRS Consolidated Emergenry Retp*rse / Contingency Plan - pagc 4 of 4 R.w.06127lll
H. EARTHQUAKE WLIYERABILITY
u'cas of tbe faoility thot arc wlnorable to hazmdor:s fiaterists rclearcs / spills due to earthquake-relEt€d notioo, Thcse a.rccr require inorediote irolatioa and
&-
IB.
Ea.
IIJ.
isolctionand
lab)VIILNERABLE apply)tr I, IIAZARDOUS II{ATERI.ALS / WASTE STORAGE AREA
vulnoable
(e.g., shop,
4. WASTE TREATh{ENT AREA
E z. pnocess LINEs /prprNc
E c.I,ABoRATony
El z. rruvlcs (EMERGENcysHUToFF)
E r ronrlslEcAs cyLrNDERs
E +. gl,/GnCnNCy SHUTOFF ANDIoRUTILITY vALvES
E :. spfftil(I,sRsysrEMs
Et
H&
tD.
HIO,
Hu.
Rl?.
thrt ryplv)
SIIELl.CABINETS ANDtrvEs,RACKS
6. STATTO}IARY PRESSURIGD CC TTAINER,S
I. EMPItr}YEE TRAINING
Exphnrlbn of RoquirumenffEmployee tnining is required for oll ernployees handling hazardour natcrials aud hazardous wastos in day-to.da5r or clcan-up
inoludirry vohmtecro aod/or omtraotors. Jrainirrg 5urt be;r fiovidsdwithin 6 motrth forncw hircs;r Afignded ar noossary prior to chmgo in 1rocess or uork assigmeot;
e Given upon noodification to the Emrgency Rosponse / Contingt rcy Plotr, and updabdfrefiEsbod arrnually fo all employoes.
Required omtontincludcs all of lhe following:
o Ndeterial Safeg Data Sheets;r ltrrzardoommunic€tiou rehted to healthad safety;r lvletllods fm safe handliag of hazardous substaqoee;r Fire hazards of materials /;xocesser;r Conditions lilcely to woreenemotgencies;r Coordination of emergoocy rerponse;r l.trotifrcatioa procedures;
. Cormrnioation af,d alanll systemE;r Petronal gotcctivo equipnent;r Use of snergplrcy rcsponre equipr'reut (e.g Firo extinguisbers, respfuators,
etc.^);r DEcontaminrtion prooodrrrca;r Bvacrutiou pocedures;r Conkol and coqtainnrentprocedrcs;
a a aod
INDTCATEI{owEMPr-oYEE TRAININGPROGRAMIS ADMINISTERED (cheokalt that appty)E 1, FoR[,rALcLAssRooM 82. VTDEOS; Er. sersrvlTArLcATEMEETrNGS:
EI +. srrroy cumBs /MANUALS (Spoerfy):
Elo. ttoraprurcen
Ir.
n.
B-[:. orrunqspociry;:
Inrgeaurnliity Gcmenfor(LQG)TnhingRscordr: Large quntity bnzrr&us wustr genemton (i-e., who g€n€ratc mo,le rhru 270 gallonr/lggg kilogram.s of
hefidous wsste per month) mwt retain qritten documentation of cnqployee bazardous rm"te naoagemelrt taining-seesions whioh inoludes:
*
I A vritte-n.-ottline/agenda of tho typ€ and amouut of boti inloauctory od continuing taining that will be given to p€rson6 611ing each job position havingrerponsihility for 1fos manegemht of hazardous waste (o,g,,label;ng, mrnifsgdag goaptiancowitf, *ounrulationimo limifi, otc.).r Tle narrc, job title, and clate of haining for eaoh haz ardous waste oanagernut haining session glrrcn to an smployee fillirg such a job positioq, and
to tbs positioa.
r C\urent onployee taining rccords must bc ntaiocd rmtit ctonrre of the facility.
a aflq termination of
J. LIST OFATTACHMENTS
ono
IL
L No ATTACHMENTS ARE REQUIRED; ar
2. TIIE FOLLOWTNC DOCIJMBNTS ARE ATTACIIED
I{, SIGNATTIRE / CERTIT'ICATION
for the I rmdcr ofsbhininginformation,law Ithat have andexarxinodcerti$pemlty personally
lsinfmmation 08d tlataandacourate,true,IE otravailable site.oooplete,oopy
Certilicatlonr Bamd on my inquiry of thoso
alnfamilisr
t"/ got
G
t
May t2,2OL7
Employee training of handling hazardous waste materials will be given every 5 months through tailgate
meetings and as needed.
Please see Emergency Response Contingency Plan.
San Luis Obispo, CA
mae
014609Llc#
Seamair Construction, lnc. PO Box 146L3, San Luis Obispo, CA 93406 tel 805-439-4362 fax 805-439-1933
COUNTY
'b SAN LUIS
OBISPO
Environmental 4r'
(80il 781-554n
2156 Sierra Wav Ste. B
San Luis Obispo. CA 934A1
ehs(@co.s/o. ca. us
slocountv-oov/ehs
Servrces -l
I
Fire Department
?1 6G Santa Barbara Avenue, Slln LUis Ohispo CA e3401 -5240
805 /8r 1380
tio{lrfy r}r{l
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
Regulated Facility lnspection Form
Establishment Name: Seamair Construction lnc. DBA Seamair Phone: (805) 439-4362
Site Address:225 SUBURBAN RD City: SAN LUIS OBISPO Zip:93401
Establishment lD: FA00L2857 CERS lD: L0735426 Serial Number: DA7830503 Date: 1217812025
lnspection Tvpsr
X Routinen Other fl Change of Ownershipo Reinspection O Chargeable
il Complaint
0 Secondary Containment Testing
Aqencv
IIEHS ECity Fire
Programs lnspected:EHazmat BHW Generator EUST AAST trCa|ARP trTPE
Reinspection Required OHazmat BHW Generator NUST gAST trCalARP gTPE
Permit Number:PR002L249
PERMISS/ON IO INSPECT lnspections may involve obtaining photographs, reviewing and copying reeords, and determininl
compliance with adopted codes.
Granted By: Tank Martinez Title:Mechanic
lnspected By: Matheson Bliss oatei L21I812025
Received By: Tank Martinez Signature
SUMMARY OF FINDINGS
m 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.
il Violations were obseryed/discovered as listed below. All violations must be corrected by implementing the corrective
action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform the
CUPA in writing.
. ALL VIOLATIOAIS A/tUSf BE CORRECTED WTHIN 30 DAyS OR AS SPEC/FIED. CUPA must be informed in writing with a certification
that compliance has been achieved. A false statement that mrnpliance has been achieved is a violation of the law and punishable by a
fine of up to $70,000 for each violation. Your facility may be reinspected any time duing normal busrness hours.
. You may request a meeting with the Program htlanager to drscuss the inspection findings and/or the praposed correcfive actions- Ihe
issuance of lhrs Sumnrary of Violations does not preclude the CUPA from taking administrative, civil, or criminal actton,
STATEMENT OF COMPLIANCE
Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on
this inspection form.
Signature of Owner/Operator:lltle Date.
Page !
COUNTY
bSAN LUIS
OBISPO
Environnental H. -', Services
(805) 7Bl 554t:
2156 Sierra Wau $te B
San Luis Obispo. CA 93401
ehs@co.s/o,ca. us
slocounfu.oov/ehs
Fire Department
?16* Sirnta BarLr;:n,Avenue. San Lriit Qbis$o CA {-}3401'5?4C
Bi"li: /i3l 7390
-.;ii)r;l::,r ll;tl
CERTIFIED UNIFIED PROGRAM AGENCY {CUPA)
Regulated Facility lnspection Form
Establishment Name: Seamair Construction lnc. DBA Seamair Phone: (805) 439-4362
Site Addressi 225 SUBURBAN RD City: SAN LUIS OBISPO Zip:9340L
Establishment I D: FA001-2857 CERS lD: 10735426 Serial Number: DA7830504 Date: L2lI8l2O25
lnspeglion Tvpg
X Routine
n Other I Change of Ownership
o Reinspection il Chargeable
E Complaint
D Secondary Containment Testing
Aqency
ilEHS ECity Fire
Programs lnspected:OHazmat XHW Generator trUST gAST OCaIARP trTPE
Reinspection Required:9Hazmat EHW Generator NUST EAST trCalARP gTPE
Permit Number:PR0018376
PERMISSION IO /NSPFCT: lnspections may involve obtaining photographs, reviewing and copying records, and determininl
compliance with adopted codes.
Granted By: Tank Martinez Title:Mechanic
lnspected By: Matheson Bliss Datei I2t1812025
Received By: Tank Martinez Signature:
SUMMARY OF FINDINGS
m No yiolations 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.
n 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 VIOLATIOIVS MUSI BE CORRECTED WITHIN 30 DAyS ORAS SPEC/FlED. CUPA rnusl be informed in writing with a certification
that compliance has been achieved, A false stalement that compliance has been achieved is a violation af the law anc) punishable by a
fine af up ta $7A,000 far each violation. Your facility may be reinspected any time duing normal busrness hours,
. You may request a meeting with the Program Manager to drscuss the inspection findings and/or the proposed corrective actions The
lssuance of thrs Sumnrary of Violations does not preclude the CUPA from taking administrative, civil, or criminal action.
STATEMENT OF COMPLIANCE
Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on
this inspection form.
Signaiure of Owner/Operator:Title:Date.
Have two waste oil drums emptied during next pick up th rough licensed hazardous waste hauler. Maintain manifest for review
during next compliance inspection.
Page !
COUNTY
b SAN LUIS
OBISPO
.\
)
Environmental Health Services
(805) 781-5544
rP.O.Box 1489
2156 Sierra Wav Ste. B
'\
.)
ctty o[ san lurs oBrspo
FIRE DEPARII'EN'
2160 Smta Ba.baE Avduo' Sa Luls Oblspo, CA 93101-5240 ' {805} 78'l-7380
San Luis Obispo. CA 93406
"Courtesy & Servic:e"
GERTTFTED UNIFTED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Time:Date. 1013012024
Facility Name: Seamair Construction lnc. DBA
Seamair General
Agencv
trEHS
trCITY FIRE
lnspection Type
trRoutine
trReinspection
trChargeable Reinspection
trChange of Ownership
trComplaint
trSecondary Containment Testing
trChargeable Secondary Containment Testinl
SiteAddress: 225 Suburban Rd
San Luis Obispo, CA93401
Phone. (805)439-4362
Facility lD: FA0012857 CERS |D.10735426
Serial Number: DAHPCEVCX
PROGRAMS INSPECTED:trHazmat trHW Generator trUST DAGT trCalARP trTPE
REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCalARP DTPE
PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
YES NOtrtr
trtr
trtr
trtr
trtr
trtr
trtr
BUSINESS PLAN
Business plan complete, current, available during inspection and submitted electronically (HSC 25505,
25508(aX1); 19 CCR 26sl)
lnventory of hazardous materials is complete and submitted electronically (HSC 25505(aX1), 25506,
2s508(aX1), 19 CCR 2652, 26s41
Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(aXl), 19 CCR
26521
TRAINING PLAN
Facility has appropriate training program, submifted electronically (HSC 25505(a)(4), 25508(aXl), 19CCR
2659, 22CCR66265.16)
Training documentation is maintained on site for current personnel (HSC 25505(a)(4), 22CCR66265.16)
EMERGENCY RESPONSE PLAN
Emergency response/contingency plan complete, current, submitted electronically, maintained onsite
(HSC 25505(a)(3), 25s08(aXl), 1gccR 26s8, 22ccR 66265.52-.54)
Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR
112.8(cX2)l
GENERAL EH VIOLATIONS
tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance]
GPS Goordinates: Latitude: 35.2439900000 GPS Coordinates: Longtitude: -1 20.6693700000
N/A VIOL. #
tr BPOI
tr BPo2
tr BPO3
TROl
TRO2
EROl
ERO3
INSPECTOR: MATHESON BLISS FACILITY REP: Tank Martinez
FACILITY NAME: Seamai
General
\')nstruction lnc. DBA Seamair ADDRES{ 225 Suburban Rd
San Luis Obispo, CA 93401
HAZARDOUS WASTE GEN ERATOR
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 GAL EPA lD number
HMARDOUS WASTE DETERMINATION
Hazardous waste determination conducted (22 CCR 66262.11)
trown knowledge tranalysis trother
Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c))
D ISPOSAL/TRANS PO RTATIO N
Hazardous wastes disposed of at an authorized location (HSC 25189.5, 2520'l(a1,22 CCR 66262.12)
Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a
manifest (HSC 25160. 25163(a): 22 CCR 66262.20,66263.41)
Emilkrun trother
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(hxl); 22 CGR 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 over90 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(aX1),
66265.1 76)
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(fl)
Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release
or reaction (22 CCR 66262.34; 22 CCR 66265.17'l-.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 CCR 66262'34,66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted(22 CCR
66262.34,66265.1 74)
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
25250.4)
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 lead-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 25244.191.211.22;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 25244.191.2'1,22 CCR 67100.5/7/.8)
Hazwaste 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), 6626s.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)
YES
tr
tr
n
tr
tr
tr
tr
NO
D
tr
tr
tr
tr
tr
tr
N/A
tr
tr
tr
tr
tr
D
tr
GTOl
GTO3
GTO4
GTO5
GTO6
GTOT
GTOS
GTO9
GTlO
GT11
GT12
vtol. #
tr
tr
tr
tr
tr
tr
n
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
I
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
n
tr
tr
tr
tr
tr
n
n
tr
tr
tr
tr
tr
E
GT13
GT14
GT15
GT16
GT17
GT18
GT19
GT2O
GT2'I
GT22
GT23
GT24
GT25
ERO2
roNgvro.'lnorus
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 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.
FAclLlrY NAME:
3:ilr1i
Construction lnc DBA Seamair
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REQUIRED
ADDRESS: 225 Suburban Rd
San Luis Obispo, CA 93401
INSPECTION COMMENTS:
Revise max. daily quantity of used oil on Chemical lnventory through CERS. Label and secondarily contain
"overflow" used oil drums.
INSPECTED BY: MATHESON BLISS
DATE: 10t30t2124
NAME OF FACILITY REP: Tank Martinez
SIGNATURE OF FACILITY REP:
STATEMENT OF COMPLIANCE
cation: I certify under penalty of perjury that this facility has complied with the co
is inspection form
ignature of Owner/O
rrective actions listed on
Date:
COUNTY
b SAN IUIS
OBISPO
'-L
(805) 781-5544 ctty ol $an Lurs oBrspo
FIRE DEPARIMENT
2160 Santa Barbara Avsu6 " San L!ls Obtspo, CA 934015240 ' {01}5) 70'l-7300
"Courtesy & SerYice"
Dale: 0911512023
GERTTFTED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Time:
Facility Name: Seamair Construction lnc. DBA Aoency lnspection TypetrEHS trRoutine
trClry FIRE trReinspection
trChargeable ReinsPection
trChange of OwnershiP
trComplaint
trSecondary Containment Testing
trChargeable Secondary Containment Testi n1
Seamair ral
Site Address: 225 Suburban Rd
San Luis Obispo, CA 93401
Phone: (805)439-4362
Facility lD: FA0012857 CERS lD:10735426
Serial Number: DAZDWWJD
PROGRAMS INSPECTED:trHazmat EHWGenerator trUST trAGT trCa|ARP NTPE
REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT trCa|ARP trTPE
PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
YES
E
E
tr
tr
tr
tr
tr
tr
NO
tr
tr
tr
tr
n
tr
tr
BUSINESS PLAN
Business plan complete, current, available during inspection and submitted electronically (HSC 25505,
25508(aX1); 19 ccR 265{)
lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl ), 25506,
2s508(aX1), 19 CCR 2652,26541
Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aX1)' 19 CCR
26521
TRAINING PLAN
Facility has appropriate training program, submitted electronically (HSC 25505(aX4)' 25508(aXl), 1gCCR
2659, 22CCR66265.16)
Training documentation is maintained on site for current personnel (HSC 25505(aX4), 22CCR66265.16)
EMERGENCY RESPONSE PLAN
Emergency response/contingency plan complete, current, submifted electronically, maintained onsite
(HSC 25505(a)(3), 25508(aXl), 1gccR 2658, 22CCR 66265.52-.54)
Secondary containment is installed and sufficiently impervious to discharges. [CHSC 25270.4'5;40 CFR
112.8(cX2)l
GENERAL EH VIOLATIONS
Environmental Health fees paid. ICBPC 17200, Local Ordinance]
GPS Goordinates: Latitude: 35.2439900000 GPS Goordinates: Longtitude: -120.6693700000
M V!OL. #
tr BPO1
tr BPO2
tr BPO3
TROl
TRO2
EROl
ERO3
tr
tr
tr
E
tr tr FE01
INSPECTOR: MATHESON BLISS FACILITY REP: Tank Martinez
tr
SUM MARY OF OBSERVATIONSVIOLATIONS
No violations of undergrounJrlg" tank, hazardous materials, or hazardou-lpste laws/regulations were discovered.
SLO CUPA greatly appreciates yuur efforts to comply with all the laws and regurdtions applicable to your 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, please inform th
CUPA in writina
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: Seamair Construction lnc. DBASeamair
General
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REQUIRED
ADDRESS: 225 Suburban Rd
San Luis Obispo, CA 93401
INSPECTION COMMENTS:
Items marked N/A not reviewed during inspection
INSPECTED BY: MATHESON BLISS
DATE: 0911512023
NAME OF FACILITY REP: Tank Martinez
SIGNATURE OF FACILITY REP:
STATEMENT OF COMPLIANCE
rtification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on
inspection form
nature of Owner/Operato
.-\
l
Environmental Heatth Services
(805) 781-5544
P.O.Box 1489
2'156 Sierra Wav Ste. B
San Luis Obispo. CA 93406
ctty o[ san luls oBlspo
FIRE DEPARTMENT
2160 Santa EarbanAvq!6'san Lrb obbpo, CA 93,101-5240'(005) 78,l-7300
"Courtesy & Service"
Date:0812512022
CERTTFTED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Time:
COUNTY
b SAN LUIS
OBISPO
Facility Name: Seamair Construction lnc. DBA
Seamair General
Aoencv
trEHS
trCITY FIRE
lnsoection Tvoe
trRoutine
trReinspection
trChargeable Reinspection
trChange of Ownership
trComplaint
trSecondary Containment Testing
trChargeable Secondary Containment Testinl
Site Address: 225 Suburban Rd
San Luis Obispo, CA 93401
Phone: (805)4394362
Facility lD: FA0012857 CERS lD:10735426
Serial Number: DAKTOCUGO
PROGRAMS INSPEGTED:trHazmat E|HWGenerator trUST trAGT trCalARP trTPE
REINSPECTION REQUIRED:EHazmat trHWGenerator trUST trAGT trCa|ARP trTPE
PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
YES
tr
tr
tr
tr
tr
tr
tr
tr
NO
tr
tr
tr
tr
tr
tr
tr
tr
BUSINESS PLAN
Business plan complete, current, available during inspection and submifted electronically (HSC 25505,
25508(aXl); 19 CcR 2651)
lnventory of hazardous materials is complete and submitted electronically (HSC 25505(axl), 25506,
25508{aXl), 19 CCR 2652, 26541
Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aXl)' 19 CCR
26521
TRAINING PLAN
Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(aXl), 19CCR
2659, 22CCR66265.16)
Training documentation is maintained on site for current personnel (HSC 25505(aX4), 22CCR66265.16)
EMERGENCY RESPONSE PLAN
Emergency response/contingency plan complete, current, submitted electronically, maintained onsite
(HSC 25505(a)(3), 25508(aXl), 1gCCR 2658, 22CCR 66265.52-.54)
Secondary containment is installed and sufficiently impervious to discharges. ICHSC 25270.4.5;40 CFR
112.8(cX2)l
GENERAL EH VIOLATIONS
Environmental Health fees paid. ICBPC 17200, Local Ordinance]
GPS Coordinates: Latitude: 35.2439900000 GPS Coordinates: Longtitude: -120.6693700000
N/A V|OL. #
tr BPO1
N BPO2
tr BPO3
TROI
TRO2
EROl
ERO3
tr FEO1
INSPECTOR: MATHESON BLISS FACILITY REP: llank Martinez
FACILITY NAME: Seamair C
General
GTOl
GTO3
GT04
GTOS
GTO6
GTOT
GTOS
GTO9
GTlO
GT11
GT'12
'';truction lnc. DBA Seamair ADDRE : 225 Suburban Rd
San Luis Obispo, CA 93401
HMARDOUS WASTE GENERATOR
vtoL. #YEs N9 NIAtrtrtr EPA ID NO/PERMITS
Generator has an EPA lD number to treat, store, dispose, transpoil or transfer hazardous waste(22
CCR 66262.12) lf not, Call(800) 618-6942 to obtain your CAL EPA lD number
HAZARDOUS WASTE DETERM INATION
Hazardous waste determination conducted (22 CCR 66262.11)
Eown knowledge tranalysis trother
Hazardous waste analysis/test records are kept for at least 3 yearc(22 CCR 66262.40.(c))
D IS POSAUT RAN S PO RTATI O N
Hazardous wastes disposed of at an authorized location(HSG 25189.5, 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)
trmi Bother WorldOil
Manifests and/or receipts are properly completed/retained by generator for 3 yearc (22 CCR 66262'23'
66262.a0(a))
STORAGE AND MANAGEMENT OF CONTAINERS/TANKS
Hazardous wastes are accumulated on site as follows: ( HSC 25123.3 (bxly(dy(hxl);22 CCR 66262.34(d))
tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs.)
81180 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 1kgQ.2lbs.) is held on site for over90 days.
Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/5S-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 122 CCR 66262.34(axl),
6626s.176)
Containers of hazardous waste are properly labeled (includes appropriate date;'HMARDOUS WASTE"'
waste composition/physical state, hazardous properties, name/address 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))
Containers/tanks/liners are compatlble with waste stored or transferred (22 CCR 66262.34' 66265.172)
Containers storing hazardous wastes are closedlsealed(22 CCR 66262.34, 66265.173)
Weekly inspection of areas where hazardous waste containerc 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
252s0.41
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 for metal reclamation) (Title 22
ccRs 66266.130)
Spent lead,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 25244.191.211.22;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 Gontingency Plan prepared, current, submifted to the CUPA, maintained onsite. (22CCR
66262.34(aX4), 66265.5'l -.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 retease 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
tr
tr
tr
tr
tr
tr
tr
n
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
E
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
E
tr
tr
tr
tr
tr
tr
tr
tr
tr
B
GTl3
GT14
GT15
GT,I6
GT17
GT18
GTI9
GT2O
Gf21
Gf22
GT23
GT24
GT25
ERO2
SUI/ ]ARY OF OBSERVATIONSV' 'LATIONS
tr No violations of undergrounu storage tank, hazardous materials, or hazaroous waste laws/regulations were discovered.
SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility.
tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective
action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th
CUPA in writinq
ALL VTOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED GUPA 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.
FAclLlrY NAME:
[:XTr?i
construction lnc. DBA seamair
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REOUIRED
ADDRESS: 225 Suburban Rd
San Luis Obispo, CA 93401
INSPECTION COMMENTS:
Review/Certiff the Hazardous Materials Business Plan through CERS now and at least once annually.
INSPECTED BY: MATHESON BLISS
DATE: O8t2512022
NAME OF FACILITY REP: Tank Martinez
SIGNATURE OF FACILITY REP:
STATEMENT OF COMPLIANCE
Gertification: I certify under penalty of periury that this facility has complied with the corrective actions listed on
is inspection form.
gnature of Owner/Operator:-Title:- Date
COUNTY
bSANLUIS
OBISPO
\
I
Environmental H-alth Services
(805) 781-5544
P.O.Box 1489
2156 Sierra Way Ste. B
San Luis Obispo. CA 93406
\
ctf,y o[ san Luls oBlspo
FIRE DEPARlI\IENT
2160 Santa Barbara Avenue'San Luls 0blspo. CA 93401-5240 (805) 781-1180
c()ttrtety & .9en, tt. e "
Date: 0712712021
GERT|FTED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Time:
Facility Name: Seamair Construction lnc. DBA Aqency lnsoection TvpetrEHS trRoutine
trClTY FIRE trReinspection
trChargeable Reinspection
trChange of Ownership
trComplaint
trSecondary Containment Testing
trChargeable Secondary Containment Testinl
Seamair Ge
Site Address: 225 Suburban Rd
San Luis Obispo, CA 93401
Phone: (805)439-4362
Facility lD: FA0012857
Serial Number: DAALZAO2S
PROGRAMS INSPECTED:trHazmat trHWGenerator trUST T]AGT trCalARP trTPE
REINSPECTION REQUIRED:trHazmat trHW Generator trUST trAGT DCaIARP trTPE
PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
YES NOtrtr
trtr
trtr
trD
trtr
trtr
trtr
BUSINESS PLAN
Business plan complete, current, available during inspection and submitted electronically (HSC 25505,
25s08(aXl); 19 CCR 2651)
lnventory of hazardous materials is complete and submitted electronically (HSC 25505(a)(1), 25506,
25508(aX1), 1 9 CCR 2652, 26541
Site layouU facility maps are accurate and submitted electronically (HSC 25505(aX2), 25508(aX1), 19 CCR
26521
TRAINING PLAN
Facility has appropriate training program, submitted electronically (HSC 25505(aX4), 25508(aX1), 19CCR
2659, 22CCR66265.16)
Training documentation is maintained on site for current personnel (HSC 25505(aX4), 22CCR66265.16)
EMERGENCY RESPONSE PLAN
Emergency response/contingency plan complete, current, submitted electronically, maintained onsite
(HSG 25505(a)(3), 25508(a)(1), l9cCR 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 tr FE01 Environmental Health fees paid. IGBPC 17200, Local Ordinance]
GPS Coordinates: Latitude: 35.2439900000 GPS Goordinates: Longtitude: -120.6693700000
N/A VIOL. #
tr BPO1
tr BPO2
tr BPO3
TROl
TRO2
EROl
ERO3
INSPECTOR: MATHESON BLISS FACILITY REP: Larry "Tank" Martinez
FACILITY NAME: Seamair C
General
Itruction lnc. DBA Seamair ADDRET '\ 225 Suburban Rd
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 66262.12) lf not, Call (800) 618-6942 to obtain your CAL EPA lD number
HAZARDOUS WASTE DETERMINATION
Hazardous waste determination conducted (22 CCR 66262.111
Eown knowledge tranalysis trother
Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66252.40.(c))
D IS POSAL/TRANS PO RTATIO N
Hazardous wastes disposed of at an authorized location(HSC 25189.5, 2520'l(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 66262.20,66263.411
Bmilkrun@ trother
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 followsr ( HSC 25123.3 (bX1y(dy(hx1); 22 CCR 66262.34(d))
tr90 days if waste generated per month is greater than or equal to 1000 kg. (2200 lbs.)
Eh 80 days if waste generated per month is less than 1 000 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(2.21bs.) is held on site for over90 days.
Hazardous waste "satellite' collection is managed properly (complete labeling/accumulation time/ss-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 compositiory'physical state, hazardous properties, name/address of generator) (22 CCR 66262,31,
66262.34(fl)
Containers/tanks containing hazardous wastes are in good conditiory'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
Gontainers storing hazardous wastes are closedsealed (22 CCR 66262.34,66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted(22 CCR
66262.34,66265.1 74)
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) (Title 22
ccRs 66266.130)
Spent lead-acid bafteries 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 25244.191.211.221'22 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 67100.51l/.8)
Haa/uaste Contingency Plan prepared, current, submifted to the CUPA, maintained onsite. (22CCR
66262.34(al(4), 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 66265.3'l-.37)
YES
tr
tr
tr
tr
tr
tr
E
NO
tr
tr
tr
tr
tr
tr
tr
tr
tr
D
tr
tr
tr
N/A VIOL. #tr GTO1
GTO3
GTO4
GTOS
GTO6
GTOT
GTOS
GTO9
GTlO
GT11
GT12
GT13
GT14
GT15
GT16
GT17
GT18
GT19
GT2O
GT21
GT22
GT23
Gl24
GT25
ERO2
tr
tr
tr
tr
D
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
E
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
E
tr
tr
tr
n
tr
u
tr
sur\ IARY oF oBSERVATIONSVI'- I.ATIONS
tr No violations of underground storage tank, hazardous materials, or hazartr.us waste laws/regulations were discovered.
SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility.
tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective
action listed by each violation. lf you disagree with any of the violations or corrective actions required, please inform th
CUPA in writincr
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: Seamair Construction lnc. DBA Seamair
General
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REQUIRED
ADDRESS: 225 Suburban Rd
San Luis Obispo, CA 93401
INSPECTION GOMMENTS:
Items marked N/A not reviewed during inspection. Maintain copies of used oil and filter receipts on site for
review during next inspection. Per Tank, originals are usually sent to accountant.
INSPECTED BY: MATHESON BLISS
DATE: 0712712021
NAME OF FACILITY REP: Larry "Tank" Martinez
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
is inspection form.
Signature of Owne Date
Date: 0112912019
' Environmental Health Services
GERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HMARDOUS MATERIAL INSPECTION FORM
Time:
,').
ctty o[ san Luls oBlspo
FIRE DEPARTMENT
2160 Santa BarbaE Av6nuo' San Luls 0bl.po, CA 93{01-5240 ' (805) 781'7390
"Courtesy & Service"
COUNTY
bSANLUIS
OBISPO
lnsoection Tvoe
trRoutine
trReinspection
trChargeable Rei nspection
uChange of Ownership
trComplaint
trSecondary Containment Testing
tlChargeable Secondary Containment
Facility Name: Seamair Construction lnc. DBA
Testi
Phone: (805)439-4362
trEHS
trCITY FIRE
Site Address: 225 Suburban Rd
San Luis Obispo, CA 93401
Facility lD: FA0012857
Serial Number: DAEOR3NE6
trCa|ARP trTPEEHazmattrHWGeneratortrUSTtrAGTPROGRAMS INSPECTED
trCalARP trTPEtrHW Generator trUST trAGTREINSPECTION REQUIRED:trHazmat
PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
Title: Mechanic
{
GRANTED BY (NAME/TITLE): Name: Tank Martinez
YES NOEtr
trtr
Btr
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 submitted electronically (HSC 25505(a)(t), 25506' 25508(a)(1),
19 CCR 2652,26541
Site layouU facility maps are accurate and submitted electronically (HSC 25505(a)(2), 25508(aXl)' t9 CCR 2652)
TRAINING PLAN
Facility has appropriate training program, submitted electronically (HSC 25505(a)(4), 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), 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)t
GENERAL EH VIOLATIONS
FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinancel
GPS Coordinates: Latitude: 35.2439900000 GPS Coordinates: Lonqtitude: -120.6693700000
N/A VIOL. #
tr BP01
tr BPO2
u BP03
TRO,|
TRO2
EROI
ERO3
tr
tr
tr
tr
E]
INSPECTOR: KERRY BOYLE FACILITY REP: Tank Martinez
FACILITY NAME: Seamair Conl btion lnc. DBA Seamair ADDRESS. 25 Suburban Rd
General San Luis ObisPo, CA 93401
HAZARDOUS WASTE GEN ERATOR
YES
tr
tr
tr
tr
u
tr
tr
NO
tr
tr
tr
tr
tr
tr
tr
N/A
tr
tr
tr
tr
tr
D
tr
GTOl
GTO3
GTO4
GTO5
GTO6
GTOT
GTOS
GTO9
GTlO
GT11
GT12
GT13
GT14
GT15
GT16
GT17
GT18
GT19
GT2O
GT21
GT22
GT23
GT24
GT25
ERO2
vtol. #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, Call (800) 618-6942 to obtain your CAL EPA lD number
HAZARDOUS WASTE DETERMINATION
Hazardous waste determination conducted (22 CCR 66262.11)
Down knowledge tranalysis trother
Hazardous waste analysis/test records are kept for at least 3 years(22 CCR 66262.40.(c))
D I S P OSAL/T RAN S P O RTATI O N
Hazardous wastes disposed of at an authorized location(HSC 25'189.5, 22 CCR 66262.12)
Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with a manifes(HSC
25160, 25163(a); 22 CCR 66262.20,66263.41)trmilkrun trother
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 (hXl)/(bX1); 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(2.21bs.) is held on site for over90 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(a)(1),
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(f))
Containers/tanks containing hazardous wastes are in good condition/handled to minimize the release or reactior
(22 CCR 6626234; 22 CCR 66265.171-.179, 66265.177(c))
Gontainers/tanks/liners are compatible with waste stored or transferred (22 CCR 66262.34, 66265.'1721
Gontainers storing hazardous wastes are closed/sealed (22 CCR 66262.34,66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted(22 CCR66262.34,
66265.1741
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 25250.41
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 for metal reclamation) (Title 22 CCRS 66266.130)
Spent lead-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 makt
them available to the inspector within (5) days. (HSC 25244.'191.211.22;22CCR 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 671 00.7/.8)
Hazwaste Contingency Plan prepared, current, submitted to the GUPA, 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(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)
tr
E
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
E
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
\ - -/-\---SUMN. .RY OF OBSERVATION9VIOI. JTIONS
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.
FAclLlrY NAME:
[:XTr?iconstruction
lnc. DBA seamair
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REOUIRED
ADDRESS: 225 Suburban Rd
San Luis Obispo, CA 93401
INSPECTION COMMENTS:
HMBP to be updated for CY 2019 in the first quarter of this year. No changes to chemical inventory.
Hazardous waste is properly managed (securely closed containers, labeling, record keeping).
INSPECTED BY: KERRY BOYLE
DATE: 0112912019
NAME OF FACILITY REP: Tank Martinez
SIGNATURE OF FACILITY REP:
J"o.{xry.-----
STATEMENT OF COMPLIANCE
n: I certify under penalty of periury that this facility has complied with the corrective actions listed on
is inspection form.
ignatu re of Owner/Operator:
-Title:-
Date:-
Gounty of San Luis Obispo
.)
oi
lrir s oBtspo
, :.. r. lr.:.:.
-5
clty
sanEnvironmental Health Services
(805) 781-5544
P.O. Box 1489
2156 Sierra Way
San Luis Obispo, CA 93406
Fire Department (805) 781-7380
2160 Santa Barbara Avenue
San Luis Obispo CA 93401-5240
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIALS INSPECTION FORM
EFW data
entry by:
oate: {,tffi qntq
Time:
I
FACILITY NAME
ADDRESS
AGENCYfl EHsn ac DEPT
. l7l-crrY F|REl/-
zEl-Routine'E complaint
Result Gode: _70 _80 _90
Action Codgr _32 _37 _33 _31
INSPECTION TYPE
! Reinspectionn otner
PHONE:
Plan tWA* Generator ! usr ! ner ncnnnpPROGRAMS INSPECTED:
REINSPECTION REQUIRED:,F*o N YES ! Business Plan I Hw Generator I usr I acr ncnunp
PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes. GRANTED BY (NAME/TITLE):
N/Aunn
utr
!
n
cos!nn
n!
n
n
NOnnn
utr
tr
n
YFS
vn'
ffi
W
M
F
nn nnrh.n n'tF
BPOI
BPO2
BPO3
TROl
TRO2
EROl
ERO2
ATOl
AT02
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 (IISC 25504, Title 19 CCR2729)
TRAINING PLAN
Facility has appropriate training program (Titte 19 CCR2732 & 22 CCR 66265.16)
Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR
6626s.16)
EMERGENCY RESPONSE PLAN
Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273I &22
ccR s 6626s.s3/s4)
Facilify is operated and maintained to prevent/minimize/mitigate fireo 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)
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)
Go to
/), /f" o* t'llt/ .'w/ - "w
Ut -,
to obtain forms to comply BPql -8P03, TR01 andEROl
INSPECTOR:FACILITY
mtn decimalGPS Coordinates: Latitude: _deg decimalmin Lilngitude:
-l
crty o[ san Lurs ontspoEnvironmental Health Services
(805) 781-5544
P.O.Box 1489
2156 Sierra Wav Ste. B
San Luis Obispo. CA 93406
Fnf DFARIEI'T
2180 Srt B{be AHo.' Sa Lub Ol,bpo, CA 93/$l-Sa0 ' (dF) I6l-73dt
"Courtesy & Service"
Dal.r: A1h212018
CERTTFTED UNIFTED PROGRAM AGENCY (CUPA)
HMARDOUS MATERIAL INSPECTION FORM
Time:
COUNTY
: SAN LUIS
OBISPO
Facility Name: Seamair Construction lnc. DBA
Seamair General
Aoencv lnspection TypetrEHS trRoutine
trClTY FIRE trReinspection
trChargeable Reinspection
trChange of Ownership
trComplaint
trSecondary Containment Testing
trChargeable Secondary Containment Testinr
Site Address:225 Suburban Rd
San Luis Obispo, CA 93401
Phone: (805)439-4362
Facility lD:12857
Serial Numb er: D AEZZCJ2E
PROGRAMS INSPECTED:ElHazmat E|HWGenerator trUST trAGT trCa|ARP NTPE
REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT UCaIARP NTPE
PERMISSION TO INSPEGT: lnspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
GRANTED BY (NAM LE):Name:Larry Martinez
3tfl*Abq
Title: Shop Manager
f4#
YES NO N/AEtrtrEtrtrEtrtr
BUSINESS PLAN
Business plan is complete, current, available during inspection (HSC 25503.6, 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 slte for current peneonnel {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 materialsrwaste constituents to the environment. Malntains all required or
appropriate equipment including an alarm and communications system (Title l9 CCR273l&22
ccR 66265.31-37, 40CFR 1 265.31)
Secondary containment is installed and sufficiently impervious to discharges.
ICHSC 25270.4.5; 40 GFR 112.8(c)(2)l
GENERAL EH VIOLATIONS
El tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance]
GPS Coordinates: Latitude: 35.2439900000 GPS Coordinates: Lonqtitude: -120.6693700000
BPOl
BPO2
BPO3
TROl
TRO2
EROl
ERO2
ERO3
tr
tr
tr
tr
tr
tr
tr
E
tr
tr
tr
tr
E
tr
tr
INSPECTOR: KERRY BOYLE FACILITY REP: Larry Martinez
)
..JtructionFACILITY NAME: Seamair C-
General
lnc. DBA Seamair ADDRE 225 Suburban Rd
San Luis Obispo, CA 93401
Lbs or gals (average)
HAZARDOUS WASTE GENERATOR
EPA ID
NUMBER:
Total generated/month:
Waste Oi[
-
Solvents:
Others:-
YES
tr
E
tr
tr
tr
tr
E
N9
tr
tr
tr
tr
tr
tr
n
N/A V|OL. #tr GTOI
tr cT03
tr cro4
tr GTO5tr GTO6
EPA ID NO'PERIUIITS
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 566262.1t)
Eown knowledge Eanalysis Eother
Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CGR $66262.40.(c)
DISPOSAL/TRANSPORTATION
Hazardous wastes disposed of at an authorized location (HSC 525189.5, Title 22 CCR 566262.1 2)
Facility utilizes a registered hazardous waste transporter, and hazardous wastes
shioDed with a manifestffitle 22 CCR Q0e262.20. HSC $25160125163(al)
B
E
E
tr
tr
tr
tr
B
B
tr
tr
tr
tr
tr
tr
tr
tr
tr
u
n
u
tr
tr
tr
tr
tr
n
tr
tr
tr
tr
tr
trm trothern GT07 Manifests receipts are properly generator yeani
tr GToB
(Title 22 ccR 566262.23, 66262.40 (a))
STORAGE AND MANAGEIT'ENT OF CONTAINERS'TANKS
Hazardous wastes are accumulated on slte as follows(Title 22 CCR 566262.34)
090 days if waste generated per month ls greater than or equal to 100 kg. (220 lbs.)
tr180 days if waste generated per month ie 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)
Hazardous waste "satellite' collection is managed properly (complete
labeling/accumulation timd55-gal or 1-qt limit) (Title 22 CCR S66262.34(c))
lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title
22 CCR $66265.176)
Containers of hazardous waste are properly labeled (includes approprlate daIe,"HAZARDOUS
WASTE," waste composition/physical state, hazardous properties, namdaddress of
generator) (Iitle 22 CCR 566262.31,66262.34)
Containers/tanks containing hazardous wastes are in good conditiory'handled to
minimize the release or reaction (Tltle 22 GCR 566262.34 (dX2),
Containersltanks/liners are compatible with waste stored or transferred(Tltle 22 CCR$
s66262.34 (dX2), 65265.172)
Containers storing hazardous wastes are closed/sealed (Tltle 22CCR 5566262.34 (dX2), 66265.1
Weekly inspection of areas where hazardous waste containerc 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 5566262.34 (dX2),
66265.195)
Empty containers or inner linel1s greaterthan 5 gal has date when emptied and are managed
properly withln one year of date emptied (Title 22 CCR $66261.7 (0)
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled(includes proper labeling, storage, etc)
(Title 22 CCRS 66266.{3, HSC 525250.4)
Used oil filters for recycling are managed properly (drained of free flowing llquid, stored in
closed rainproof container, labeled "drained used oil filters," and transferred for metal
reclamation) (Iifle 22 ccRs 66266.13)
Spent lead-acid batteries are belng properly stored and transferred offisite under manifest or
bill of lading for recycling, reuse, or reclamation(Title 22 CCR $66266.81)
Solventsrother recyclable materials are managed as hazardous wastes until recycled (Title 22
ccR s66266.3)
SOURCE REDUGTION:For facilities generatlng >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 withln (5) days. (67100.7, 67100.8, HSC
Source Reductlon Evaluation and Plan contains the following five elements:certification, amounts
of wastes generated, process deseription, block diagrams, and implementationschedule of
selected source reductlon measures. (67100.7. 67100.8. HSC S25244.19)
Hazwaste Gontingency Plan prepared, current, submitted to the CUPA, maintained onsite. (Title
22 CCR 566265.5r-.54)
tr GTO9
tr GTIO
tr GT11
tr crr2
tr GT13
tr GTI4
tr GT15
tr GT16
cl GT17
tr GT18
tr GT19
tr GT2O
tr GT21
u GT22
GT23
Gf24
-).\
SUMMAnf OF OBSERVATIONS/VIOL. IONS
tr No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were
discovered. SLO CUPA greatly appreclates your efforts to comply with all the laws and regulations applicable to yot
facility.
tr Violations were observed/discovered as listed below. All violations must be corrected by implementing the
corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required,
olease inform the CUPA in writinq.
ALL VIOLATIONS MUST BE CORRECTED WTHIN 30 DAYS OR AS SPECIFIED. GUPA must be informed in writing w
certification that compliance has been achieved. A false statement that compliance has been achieved ie 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.
FAGILITY NAME: Seamair Construction lnc. DBA Seamair
General
VIOLATIONS
VIOL, NO CORRECTIVE ACTION REQUIRED
ADDRESS: 225 SubUrbAN Rd
San Luis Obispo, CA 93401
INSPECTION COMMENTS:
Good record keeping for waste disposal. Containers properly labeled and securely closed.
HMBP is current and a new plan to be updated for 2018. No violations noted.
INSPECTED BY: KERRY BOYLE
DATE:011122018
NAME oF FACILITY REP: Larry Martinez
SIGNATURE OF FACILITY REP:
h#
STATEMENT OF COMPLIANCE
Gertification: I certify under penalty of periury that this facility has complied with the corrective actions listed on
this inspection form.
Signature of Owner/Ope
ctty o[ san luls oBtspo
NOTICE OF FIRE &
You are hereby notified that an inspection of your premises located at:
following fire safety hazards and,/or violations.
I.D. #
has disclosed the
6. Exits
a. lRemove Key-Locking or Special Knowledge Hardware
b. lchange Door Swing to Direction of Egress if >49
c. lProvide/Repair Illuminated Exit Signs with Back-Up Power
Sign "This Door To Remain Unlocked..." Main Exit Only
Storage/Obstructions to Aisles/Exit
Emergency Lights if >2 Exits
Occupant Load Sign >49
h. lRepair/Replace Exit Door or Panic Hardware
7. Electrical
a. [Replace/Repair/Provide Permanent Wiring
b. [Remove/Provide Approved Extension Cord/Multiplug Adapter
c. ll-abel Circuit Breakers, Shut-Off Mains/Provide Blanks
d. lProvide 30" x 78" Clearance around Electrical Panel
e. lProvide Cover Plates
f. lProvide Sign for Electrical Room Door l" Letters
of 5' from Walls/Eaves
lRemove CutAJncut Weeds/Grass/Vegetation
lStorm Water Polution Prevention
lRemove Storage 24" Below Ceiling if No Sprinklers
nProvide Metal Container w/ Self-Closing Lid for Oil Rags
lProvide Non-Combustible Trash Containers w/Lid if >40 gal.
lMaintain Clearance between Combustibles and Ignition Sources
Secure Compressed Gas Cylinders
Provide Seismic Strapping/Maintain/Repair Water Heaters
No Smoking Signs
lRepair/lvlaintain Fire Rated Walls/Ceilings/Doors
lProvide Flammable Liquids Storage Cabinet if >10 gal.
!Protect/Permanently Gas Meters as to Unit Served
FIRE DEPARTMENT
2160 SANTA BARBARA AVE., SAN LUIS OBISPO, CA 93401 (805) 781'7380
1. Fire Extinguishersa. [Maintenance Due
b. [Six Year Service Due
c. flProvide#_ Type_
d. lRelocateExtinguisher/ProvideAccesse. nMount on Wall 3'-5' Above Floor
2. Fire Sprinkler System
a. [Replace Painted,/Conoded Head
b. lReplaceEscutcheonsc. flReduce Storage 18" Below Heads
d. lProvideSpareHeads/Wrench/Signagee. lProvide 3' Clearance for Riser/Control Valves
f. lProvide Caps/Clearance for Fire Department Connectiong. lProvide 5'Year Certification
h. nCnam antl'Lock Valves Open
3. Fire Alarm System
a. lAnnual Test Record Required
b. lRepair/Replace-c. lProvideClearance/AccesstoComponents/Signage
4. Kitchen Hood System/Spray Booth/Clean Agent System
a. lProvide 6 Month Service
b. lClean/Repair
5. Fire Lanes/Hydrants/Access
a. nPaint Fire Lanes
b. nProvide Signage
c. lProvide 3' Clearance around Hydrant
d. lMaintain Accegs Ways
e. lProvide Key Box/Keys
f. lProvide AddressAJnit Numbersg. !Provide Clearance/Signug. Roof A"..rt
h. lTest/Maintain Private Fire Hydrant
d.
e.
f.
b.
tt
t
i;
t.It:
8.
c.
d.
e.
f.
ob.
h.
i.
j.
k.
l.
m.
n.
COMMENTS
This Inspection Record is an official NOTICE OF VIOLATION and order to comply.
The above noted conditions are violations of City Fire and Building Codes. Therefore, you rnust correct the
upon receipt of this notice. A reinspection of your business will be conducted in
noted conditions immediately
days.
PLEASE NOTE: If a third inspection is required due to non-compliance, a fire-inspection fee of $_ may be charged for
that inspection and every inspection thereafter until compliance is obtained. Failure to comply may result in a misdemeanor
citation and an appearance by you in court.
I fire Code Permit required for INSPECTION EATE CLEAR NITIAL
FIRST tt/frliF h Yult
SECOND t f'u ,'r\' I
THIRI)
Fees payable upon receipt of invoice
BY / TITLE nl.ppr,v rNSPEcrroN FEE
County of San Luis ObisPo oI
lur smspo rlclty
sAnEnvironmental Health Services
(805) 781-5544
P.O. Box 1489
2156 Sierra Way
San Luis Obispo, CA 93406
Fire Department (805) 781'7380
2160 Santa Barbara Avenue
San Luis Obispo CA 93401-5240
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIALS INSPECTION FORM
EFW data
entry by:
Date: .
Time:
FACILITY NAME:
! complaint E ottrer
itt
Result Code: _70 -80Action Code:
-32 -37 -33 -31
INSPECTION TYPE
onf, Routine
AGENCYn EHS
AG DEPT
CITY FIRE
PHON
!cnmnn! usr n ncr, E Business Plan{'
'HW GeneratorPROGRAMS INSPECTED
n acr !cnmne! Hw Generator n usr! Business Plan!NO trYESREINSPECTION REQUIRED:
ERMISSION TO INSPECT: lnspections may involve obtaining photogra phs, reviewing and copying records, and
iance with codes. GRANTED BYrmtnt
YES NO COS N/Anntrxrntrnn
nlnntrn
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 CCx.2729)
TRAINING PLAN
Facilify has appropriate training program (Title 19 CCF{ 2732 & 22 CCF{ 66265.16)
Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR
66265.16)
EMERGENCY RESPONSE PLAN
Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR273I & 22
ccR $ 6626s.s31s4)
Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of
hazardous materials/waste constituents to the environment. Maintains all required or appropriate
equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR66265.31-
.43)
ABOVEGROUND PETROLEUM STORAGE TANK ACT
SpCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b)
SPCC Plan is maintained on site or nearest field office. (HSC 25270)
org/environmentalhealth/hazardous materials.htm, to obtain forms to cornply with BPO1-BP03, TRO1 and ERO1
BPOl
BPO2
BPO3
TROl
TRO2
EROl
ERO2
ATOl
ATO2
i
,..n n n,n n r
untrT .n
COMMENTS Go to http
't l
GPS Coordinates:deg min-decimal min tongitude:-deg__min-decimal min
('
IINSPECTOR:FACILITY REP:
Date runi
II couNwoF sAN LUls oBrsPo I Report#: MFRI
Page# 1, Facil lnformation as ol 812512022
FA0012857
Dale:812512022 Requested by:
I I NEWFACILITYRECORD
fprruronuAroN cHANGE
I I CLOSE FACILITYAS OF: Date: / /
OWNER FILE INFORMATION
Owner lD: OW0012S99
Owner Name: Patrick Greg Phelan
Owner DBA:
OwnerAddress: PO BOX'14613
sAN LU|S OBISPO, CA 93401
Home Phone: 805-439'4362
Work Phone: 805439'4362
MailingAddross: PO Box 14613
San Luis Obispo, CA 93406
I IOWNERSHIPCHANGE: [ ]Business I lProperly I lTank
I I UPDATE BILLING INFORMATION
I J UPDATE UST INFO (sys, type, capacity, etc.)
New Owner lD:
New Name:
New DBA:
NewAddress:
Gare of:
New Home Phone:
New Work Phone:
New Mailing Address:
New Care of:
FACILITY FILE INFORMATION
Faclllty lD: FA0012857
Facili$ Name: Seamair Consttudion lnc. DBA Seamair General
225 Suburban Rd
San Luis Oblspo, CA 93401
pftslE; 805.439-4362
MailingAddress: PO Box 14613
San Luis Obispo, CA 93406
Care of: Seamair Constluc{ion lnc.
CERS lD: 10735426
GIS: 35.24399 -120.66937
New lD:
New Name:
New SiteAddress:
New Phone:
New Mailing Address:
New Care of:
New CERS lD:
New GIS:
ACCOUNTS RECEIVABLE FILE INFORMATION . PRIMARY FORALL BILLING AND PE RMITTING CORRESPONDEN(
Account Balance as ot 812512O22: $0.00
Account lp1 AR0024960
Account Name: Cindy Veneris
Mailing Address: PO Box 14613
San Luis Obispo, CA 93406
Care of:
NewAccount lD:
NewAccount Name:
New MailingAddress:
New Care of:
Mail lnvoices to: Account Discount Code: Discount lnvoices?: N
LINKED PROGRAMS Transfer (Circle One)
UST(s) Program to Activate/Change
Linked New Owner?
YN AC0782 - SLO CITY-HAZARDOUS MATERLqLS HANDLER 1-4
Last Ac'tivity: 07 I 27 12021 - REGU IAR INSPECTION
1176 - SLO Clw- WASTE GENEMTOR (1-5 waste streams)
Last Activity; 07 n7 nO21 - REGUI-AR INSPECTION
pR0018375 EE0000517 - MATHESON BLISS
PROO18376 EEOOOOs17 - MATHESON BLISS
Active
Active YN ACI
I 1 CREATENEWFILEFOLDER
t I UPDATE EXIST|NG F|LE FOLDER LABEL
UPDATE NEXT INSPECTION DATE:Date: __J-J-
Copy to: File Other:
HAZARDOUS MATERIALS SPEGIFIC:
PE
Number of Materials
Number of Waste Streams
Number of Tanks (list
update) capacity/compartment)Update CERS/HazMat Portal? Y N yes, foruard to CERS/portal admin
Comments:Vo&
Entered by:
- /aa,
e l-ts
S-^-a.d,,.-,-*
Date:Z1-'
b4Q I ?tLLtLlq
Date run: 812512022 3:36:19PM .1
)
FA0012857
Facil lnformation as of 812512022
OF SAN LUIS OBISPO Report #: MFRI
Page #: 'l
Date:812512022 Requested by:
I 'I NEW FACILITY RECORD
]-prruronuAroN cHANGE
t I CLOSE FACILITYAS OF: Date: I I
OWNER FILE INFORMATION
Owner lD: OW0012999
Owner Name: Patrick Greg Phelan
Owner DBA:
OwnerAddress: PO BOX 14613
SAN LUIS OBISPO, CA 93401
Home Phone: 805-439-4362
Work Phone: 805-439-4362
Mailing Address: PO Box 14613
San Luis Obispo, CA 93406
[ ]OWNERSHIPCHANGE: [ ] Business [ ]Property [ ]Tank
[ ]UPDATE BTLLTNG INFORMATION
[ ] UPDATE UST INFO (sys, type, capacity, etc.)
New Owner lD:
New Name:
New DBA:
NewAddress:
Care of:
New Home Phone:
New Work Phone:
New Mailing Address:
New Care of:
FACILITY FILE INFORMATION
Facility lD: FA0012857
Facility Name: Seamair Construction lnc. DBA Seamair General
225 Suburban Rd
San Luis Obispo, CA 93401
Phone: 805-439*4362
Mailing Address: PO Box 14613
San Luis Obispo, CA 93406
Care of: Seamair Construction lnc.
CERS lD: 10735426
GIS: 35.24399 -120.66937
New lD:
New Name:
New Site Address:
New Phone:
New Mailing Address:
New Care of:
New CERS lD:
New GIS:
ACCOUNTS RECEIVABLE FILE INFORMATION . PRIMARY FORALL BILLING AND PERMITTING CORRESPONDEN(
Account lD: AR0024960
Account Name: Cindy Veneris
Mailing Address: PO Box 14613
San Luis Obispo, CA 93406
Care of:
Account Balance as of 812512022: $0.00
NewAccount lD:
NewAccount Name:
New Mailing Address:
New Care of:
Mail lnvoices to: Account Discount Code: Discount lnvoices?: N
LINKED PROGRAMS Transfer (Circle One)
UST(s) Program to Aclivate/Change
Linked New Owner? ll
0762 - SLO CIry-HAZARDOUS MATERIALS HANDLER 14
Last Activity: 07 127 12021 - REGULAR INSPECTION
1176 - SLO Clry- WASTE GENEMTOR (1-5 waste streams)
Last Activity: 07 127 12021 - REGULAR INSPECTION
PROO18375 EEOOOOs17 - MATHESON BLISS
PROO18376 EEOOOOs17 - MATHESON BLISS
Active
Active
YN
YN
AC
ACt
t 1 CREATE NEW F|LE FOLDER
t 1 UPDATE EXISTING FILE FOLDER LABEL
UPDATE NEXT INSPECTION DATE: Date: I I
Copy to: File Other:
HMARDOUS MATERIALS SPECIFIC:
Number of Materials
Number of Waste Streams
Number of Tanks (list
PE
Update CERS/HazMat Portal? Y N (lf yes, fonvard to CERS/portal admin update) capacity/compartment)
Comments:V^k
/\!)t",')
/a-ro
Entered by:
lvrJ
Dale: I I
Date run:
I
L
COUNTY OF SAN LUIS OBISPO
Date:712712421 uested by:5
I L NEW FACTL|TY RECORD
6ff turonrvrATroN cHANGEt I CLOSE FACILITYAS OF: Date: I l*
OWNEN FILE INFOBMATION
Owner lD: OW00l29Sg
Owner Name: Patrick Greg Phelan
Owner DBA:
OwnerAddress: PO BOX 14613
sAN LUIS OBISPO, CA 93401
Home Phone: 805-439-4362
Work Phone: 805439*4362
Mailing Address: PO Box 14ti13
San Luis Obispo, CA 93406
lnformation as of 712712021
R6port#: MFR1
Page'#: 1
I IOWNERSHIPCHANGE: [ ]Business [ ]Propefi [ ]Tank[ ] UPDATE BTLL|NG TNFORMATTON
[ ] UPDATE UST INFO (sys, type, capacity, etc.)
New Owner lD:
New Name:
New DBA:
NewAddress:
New Home Phone:
New Work Phone:
New Mailing Address:
F
Care of:New Care of:
FAGILITY FILE INFORMATION
FacllltY lD: FA0012857
Facility Namo Seamair Construction lnc. DBA Seamair General
225 Suburban Rd
San Luis Obispo, CA 93401
Phone: 805-439-4362
MailingAddress: FO Box 14613
San Luis Obispo, CA 93406
Care of: Seamair Construdion lnc^
CERS lD: 10735426
Gtg 35.24399 -120.66937
New lD:
New Name:
New Site Address:
New Phone:
New Mailing Address:
New Care of:
New CERS lD:
New GIS:
ACCOUNTS FILE INFORMATION . PRIMARY FOR ALL BILLI NG AND PERMITTING CORRESPONDEN(
Account lD: AR0024960
Account Name: CindY Veneris
MailingAddress: PO Box 14613
San Luis Obispo, CA 93406
Care of:
NewAccount lD:
NewAccount Name:
New Mailing Address:
New Care of:
Account Balance as at 7 127 t2A21
LINKED PROGRAM$
0762 - SLO CIry-HAZARDOUS MATERIALS HANDLER 14
Last Activity: 0U2S|2O19 - REGULAR INSPECTION
117ts - SLO CITY- lruASrE GENE&qTOR (1-5 waste strEams)
PR0018375 EE0000517 - MATHESON BLTSS
PR00r8376 EE0000517 - MATHESON BLTSS
to: Account DiscountCode: Discount Y
Transtur (Clrcle One)
UST(s) Program to Aclivate/Change
Linked New Owner? /lnacfvateY N o cc
YNACI
Active
Actlve
Lasl 01t29t2019 - REGUl-AR TNSPECTTON
] CREATE NEW FILE FOLDER
I UPDATE EXISTING FILE FOLDER LABEL
UPDATE NEXT INSPECTION DATE: Date:
Copy to: File Other:
HAZARDOUS MATERIALS SPECIFIC;trtr
Number of Materials
Number of Waste Streams
Number of Tanks (list
eapadtylaompar8nent)
.,#
updat€Porl€d? Y N (lf i es;forursrd tcCERSportal admin forupdaio)
Entered by:Date:
Date run:
Run by)
'l1l3Ol2O17 3:25:35PM
kboyle
COUNTY OF SAN LUIS OBISPO Report#: MFRI
)racitity tnformation as of 1 1t3ot2o17 _] . . . t"l"u' t
,
/,
Record Selection Criteria: Facility lD: F40011810
Date:
IhI IN MATION GE
t 1 UPDATE UST INFO (sys, type, capacity, etc.)
TPDATE
BTLLTNG TNFORMATTON
Requested by:
FACILIryAS OF: Date:
LE INFORMATION
owoo12027
RIVERA, BRYCE
225 SUBURBAN RD#2
SAN LUIS OBISPO, CA 93401
805-544-9531
Not Specified
225 SUBURBAN RD #2
New Home Phone:
New Work Phone:
New Mailing Address:
[ ] NEW FACTLTTY RECORD
[ ]OWNERSHIPCHANGE: [ ] Business [ ]Property [ ]Tank
New Owner lD:
New Name:
New DBA:
New Address:
,zl'I ctost
OWNER FI
Owner lD:
Owner Name:
Owner DBA:
Owner Address:
Home Phone:
Work Phone:
Mailing Address:
SAN LUIS OBISPO, CA 93401
Care of:New Care of:
FACILITY FILE INFORMATION
FacilitY lD: F40011810
Facility Name: INDEPENDENT RACE SHOP
225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
805-544-9531
225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
HAZARDOUS MATERIALS COMPLIANCE
'10438345
New lD:
New Name:
New Site Address:
New Phone:
New Mailing Address:
New Care of:
Phone:
Mailing Address:
Care of:
CERS ID:
GIS:
ACCOUNTS RECEIVABLE FILE INFORMATION
Account lD: AR0023389
Mail Invoices to: Account
Account Name: RIVERA, BRYCE
Account Balance as of 1 113012017: $361.20
Program/Element and Description
New Account lD:
Mail lnvoices to: Owner / Facility / Account
(Circle One)
UsT(s)
Linked
Transfer
Program to (Circle One)
1176 - SLO CITY- WASTE GENERATOR (1-5 waste streams)
Last Activity: 01 I 1212017 - REGULAR INSPECTION
0760 - SLO CIry - HAZMAT DISCLOSURE/HWG ONLY < TQ
Last Activity: No Previous Activity
Record lD Employee lD and Name
PROO17164 EEOOOO51O - KERRY BOYLE
PROO17165 EEOOOO51O - KERRY BOYLE
Status
#lv€
lnactive
YN
YN
A
A
t I CREATE NEW FILE FOLDER
t 1 UPDATE EXISTING FILE FOLDER LABEL
UPDATE NEXT INSPECTION DATE: Date: I I
Copy to: File Other:
Update HazMat Portal?
HMARDOUS MATERIALS SPECIFIC:
Number of Materials
Number of Waste Streams
Number of Tanks (list
ca pacity/com partment)
PE
N , forward to portal istrator for update)
Comments:
Entered Date:
Date run: 212812018 4j8:25PM
Run by: kboyle
COUNTY OF SAN LUIS OBISPO
Facility lnformation as of 212812018
Report #: MFRI
Page #: 1'l -)
Record Selection Criteria: Facility lD: F40011810
Date:
t1
t1
Requested by:
INFORMA HANGE
UPDATE UST INFO (sys, type, capacity,
[ ] NEW FACrLrry RECORD
t IOWNERSHIPCHANGE: [ ]Business [ ]Property [ ]Tank
,14 ueoxE BILLING INFoRMATIoN
New Owner lD:
New Name:
New DBA:
New Address:
New Home Phone:
New Work Phone:
New Mailing Address:
pI4 ctost
OWNER FI
FAClLlry AS OF: Date:
LE INFORMATION
owoo12027
RIVERA, BRYCE
225 SUBURBAN RD#2
SAN LUIS OBISPO, CA 93401
805-544-9531
Not Specified
225 SUBURBAN RD #2
Owner lD:
Owner Name:
Owner DBA:
Owner Address:
Home Phone:
Work Phone:
Mailing Address:
SAN LUIS OBISPO, CA 9340.I
Care of:New Care of:
FACILITY FILE INFORMATION
FacilitY lD: FA0011810
Facility Name: INDEPENDENT RACE SHOP
225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
805-544-953'l
225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
HAZARDOUS MATERIALS COMPLIANCE
1 0438345
New lD:
New Name:
New Site Address:
New Phone:
New Mailing Address:
New Care of:
Phone:
Mailing Address:
Care of:
CERS ID:
GIS:
ACCOUNTS RECEIVABLE FILE INFORMATION
Account lD: AR0023389
Mail lnvoices to: Account
Account Name: RIVERA, BRYCE
Account Balance asof 212812018: $0.00
Program/Element and Description Record lD
New Account lD:
Mail lnvoices to: Owner / Facility / Account
(Circle One)
Employee lD and Name Status
USr(s)
Linked
Transfer
Program to (Circle One)
Activate/lnactvat
1176 - SLO CITY- WASTE GENERATOR (1-5 waste streams)
Last Activity: 0111212017 - REGULAR INSPECTION
0760 - SLO CIry. HAZMAT DISCLOSURE/HWG ONLY < TQ
Last Activity: No Previous Activity
PROO17164 EEOOOOslO. KERRY BOYLE
PROO17165 EEOOOOslO - KERRY BOYLE
lnactive YN AI
lnactive YN A
t 1 CREATE NEWFTLEFOLDER
t 1 UPDATE EXISTING FILE FOLDER LABEL
UPDATE NEXT INSPECTION DATE:Date: I l-
Copy to: File Other:
Update HazMat Portal?
HAZARDOUS MATERIALS SPECIFIC:
Number of Materials
Number of Waste Streams
Number of Tanks (list
PE
Com
YN yes, forward to portal administrator for update)
Date:
.[trLdJ'
\
\
Entered
\t \s/\ \*\q \+
Date run:12015 1.1:52:144M
Run by: kboyle
Date:
OWNER FILE INFORMATION
Owner lD: OWOOO5419
Owner N ame:,\P/*ttAGfJvfffi
Owner DBA:
OwnerAddress: 225 SUBURBAN RD#2
sAN LUIS OBISPO, CA 93401
Home Phone: Not SPecified
Work Phone: 805-544-9531
Mailing Address: 225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
oUNTY OF SAN LUIS OBISPO
Facility lnformation as of 512112015
Report #: MFRI
P.age #: 1
[ ]Property []Tank
rJ ,Ai JINJ+- Requested by:
INFORMATION CHANGE
UPDATE UST INFO (sys, type, capacity, etc.)
TEMPORARILY INACTIVATE AS OF: Date: / / [
I UPDATE BILLING INFORMATION
I CLOSE FAClLlry AS OF: Dale: I I
New Owner lD:
New Name:
New DBA:
New Address:
OW jLc-L1
New Home Phone:
New Work Phone:
New Mailing Address:
Care of:New Care of:
Record Selection Criteria: Facility lD: FA0005404
FACI LITY FI LE INFORMATION
FacilitY lD: FA0005404
Facility Name: INDEPENDENT RACE SHOP
225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
Phone: 805-544-9531
MailingAddress: 225 SUBURBAN RD UNIT#2
sAN LUIS OBISPO, CA 93401
Care of: HAZARDOUS MATERIALS COMPLIANCE
CERS lD: 10438345
Location Code:
BOS District: 33 - CITY OF SLO
cNew lD:
New Name:
New Site Address:
New Phone:
New Mailing Address:
New Care of:
APN:
SIC Code:
ACCOUNTS RECEIVABLE FILE INFORMATION
Account lD: AR0011141
Mail lnvoicesto: Account z /rr, y' ,fl1 ,- t t
Account Name: \ArAttAGErM*FF ^Plv2tr /f/ f/Ufl(
Account Balance asof 512112015: $0.00
Program/Element and Description Record lD
New Account lD:
Mail lnvoices to: Owner / Facility / Account
(Circle One)
Employee lD and Name Status
UST(s)
Linked
Transfer
Program to (Circle One)
Activate/lnactvat
PR00081 05 lnactive YN A0762. SLO CITY-HAZARDOUS MATERIALS HANDLER 1-4
Last Activity: O3l 1 612007 - REGU LAR I NSPECTION
1176 - SLO CITY- WASTE GENEMTOR ('l-5 waste streams)
Last Activity: O5lO5l201 5 - REGULAR I NSPECTION
0760. SLO CITY. HAZMAT DISCLOSUREiHWG ONLY < TQ
PRoooEl 06 .*':'_i
d\yi"ilf, .tr
PR0008107 -/--zf{r-l t b>
Active
Active, Exempt
A
A
N
N
Last Activity:No Previous Activity
I 1 CREATE NEW FILE FOLDER
t 1 UPDATE EXISTING FILE FOLDER LABEL
UPDATE NEXT INSPECTION DATE:Date:
Copy to: File Other:
HAZARDOUS MATERIALS SPECIFIC:
Number of Materials
Number of Waste Streams
Number of Tanks (list
capacity/compartment)
PE
Entered Dale: I I
['
ii=,r<'
Comments:
B\n
ctty o[ san luls oBlspo
NOTICE OF FIRE &
You are hereby notified that an inspection of your premises located at:
following fire safety hazards and/or violations.
1. Fire Extinguishers 6. Exits
I.D. #
has disclosed the
Door Swing to Direction of Egress if >49
Illuminated Exit Signs with Back-Up Power
Sign "This Door To Remain Unlocked..." Main Exit Only
Storage/Obstructions to Aisles/Exit
[Provide/Repair Emergency Lights if >2 Exits
lProvide Occupant Load Sign >49
lRepair/Replace Exit Door or Panic Hardware
7. Electrical
a. lReplace/Repair/Provide Permanent Wiring
b. nRemove/Provide Approved Extension Cord/Multiplug Adapter
c. nUUet Circuit Breakers, Shut-Off Mains/Provide Blanks
d. lProvide 30" x 78" Clearance around Electrical Panel
e. lProvide Cover Plates
f. lProvide Sign for Electrical Room Door l" Letters
8. Storage/Housekeeping
a. lRemove Combustible Storage-
b. nRelocate Dumpster a Minimum of 5' from Walls/Eaves
c. lRemoveCut/UncutWeeds/Grass/Vegetationd. lstorm Water Polution Prevention
e. lRemove Storage 24" Below Ceiling if No Sprinklers
f. lProvide Metal Container d Self-Closing Lid for Oil Rags
C. lProvide Non-Combustible Trash Containers w/Lid if >40 gal.
h. nMaintain Clearance between Combustibles and Ignition Sources
i. lsecure Compressed Gas Cylindersj. lProvide Seismic Strapping/Maintain/RepairWaterHeaters
k. lProvide No Smoking Signs
l. lRepair/\4aintainFireRatedWalls/Ceilings/Doorsm. lProvide Flammable Liquids Storage Cabinet if >10 gal.
n. lProtect/Permanently Mark Gas Meters as to Unit Served
FIRE DEPARTMENT
2160 SANTA BARBARA AVE., SAN LUIS OBISPO, CA 93401 (805) 781-7380
lRemove Key-Locking or Special Knowledge Hardware
1
a.
b.
c.
d.
e.
Fire
a.
b.
c.
d.
e.
f.
b.
h.
lMaintenance Due
lsix Year Service Due
lProvide#_ Type-
!Relocate Extinguisher/Provide Access
lMount on Wall 3'-5' Above Floor
Sprinkler System
lReplace Painted/Conoded Head
[Replace Escutcheons
lReduce Storage 18" Below Heads
lProvide Spare Heads/Wrench,/Signage
a.
b.
c.
d.
e,
f.
g
h.
Provide 3' Clearance for Riser/Control Valves
Provide Caps/Clearance for Fire Department Connection
5-Year Certification
ECtrain and Lock Valves Open
3. Fire Alarm System
a. lAnnual Test Record Required
b. flRepair/Replace-c. lProvideClearance/AccesstoComponents/Signage
4. I(itchen Hood System/Spray Booth/Clean Agent Systern
a. lProvide 6 Month Service
b. flClean/Repair
5. Fire Laneslflydrants/Access
a. EPaint Fire Lanes
b. flProvide Signage
c. [Provide 3' Clearance around Hydrant
d. lMaintain Access Ways
e. flProvide Key Box/Keys
f. flProvide Address/Unit Numbersg. lProvide Clearance/Signage Roof Access
h. lTest/Ir4aintain Private Fire Hydrant
COMMENTS
The above noted conditions are violations of City Fire and Building Codes. Therefore, you must correct the
upon receipt ofthis notice. A reinspection ofyour business will be conducted in
PLEASE NOTE: If a third inspection is required due to non-compliance, a fire-inspection fee of $
that inspection and every inspection thereafter until compliance is obtained. Failure to comply may result in
citation and an appearance by you in court.
! Fire Code Permit required for
Fees payable upon receipt of
This Inspection rd is an official NOTICE OF TION and order to comply.
noted conditions immediately
days.
may be charged for
a misdemeanor
INSPECTION DATE,CLEAR INITIAL
FIRST 7 t;lx I lQ uY( /^
SECOND -/ -t/rv ,oV
THIRI)
'S / TITLE n,lppr-v TNSPECTToN FEE
,l .\
\.Jl
Environmental Health Services
(805) 7815544
P.O.Box 1489
2156 Sierra Way Ste. B
San Luis Obisoo. CA 93406
I
8jHtff-o*rspo
Fire Department (80$ 7817380
2160 Santa Barbara Avenue
Date: 0111212017
San Luis Obispo CA 934015240
GERTTFTED UNTFTED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Time:
Facilig Name: INDEPENDENT RACE SHOP Aoencv
trEHS
BCITY FIRE
lnspection Tyoe
trRoutine
trReinspection
trChargeable Reinspection
trChange of Ownership
trComplaint
trSecondary Containment Testing
trChargeable Secondary Containment Testinr
Site Address: 225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
Phone: (805)544-9531
Facility lD: FA0011810
Serial Number: DAPXMTIXM
PROGRAIUS INSPECTED:trHazmat ENHWGenerator trUST trAGT trCa|ARP trTPE
REINSPECTION REQUIRED:trHazmat trHW Generator trUST t]AGT trCalARP trTPE
PERMISSION TO INSPECT; lnspections may involve obtaining photographs, reviewing and copying records, and
determining compliance with adopted codes.
GRANTED BY (NAME/TITLE): Name: Bryce Rivera Title: Ownern%
YES NO N/Atrtr8trtrtrtrtr8
BPOl
BPO2
BPO3
TROl
TRO2
EROl
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)
TRAINING PLAN
Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16)
Training documentation is maintained on site for current pensonnel (Title 19 CCR 2732 & 22
ccR) 66265.16
EMERGENCY RESPONSE PLAN
Emergency response/contingency plan is complete, updated, and maintained on site (HSG
25504, Title 19 CCR 2731 & 22 CCR S 66265.53/54)
Facility is operated and maintained to prevenuminimize/mitigate fire, explosion, or release of
hazardous materials/rraste 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.
ICHSG 25270.4.5;40 CFR 112.8(cX2[
GENERAL EH VIOLATIONS
tr
tr
tr
tr
tr
tr
tr
tr
n
tr tl tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordinance]
GPS Goordinates: Latitude: GPS Goordinates: Longtitude:
INSPECTOR: KERRY BOYLE FACILITY REP: Bryce Rivera
'I
t ...
FACILITY NAME: INDEPE inr RnCr SHOP ADDR.-d:
j HAZARDOUS WASTE GENERATOR
Total generated/month:
Waste Oi[
-
225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
Lbs or gals (average)
Solvents:
Others:-
EPA ID
NUMBER:
NA
tr
YES
tr
N/A
tr
n
tr
n
E
vtol. #
GTOl
GTO3
GTO4
GTO5
GTO6
tr GTOT
tr GToS
tr GT22
tr GT23
tr GTO9
tr GT1O
tr GT11
tr GT12
E cr13
tr GT14
tr GT15
tr GT16
tr GT17
tr GT18
tr GT19
fl GT20
N GT21
EPA ID NO/PERMITS
Generator has an EPA lD number to treat, store, dispose, transport or transfer hazardous
waste (Title 22CCRS56262.12) lf not, Gall (800) 618-6942 to obtain your CAL EPA lD number
HMARDOUS WASTE DETERM INATION
Hazardous waste determination conducted (Title 22 CCR 566262.11)
trown knowledge tranalysis trother
Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CGR S66262.40.(c))
DIS POSAUT RANSPO RTATI O N
Hazardous wastes disposed of at an authorized location (HSC $25189.5, Title 22 CCR 566262.12)
Facility utilizes a registered hazardous waste transporter, and hazardous wastes
shipped with a manifest ffitle 22 CCR S66262.20. HSC S25160/25163(a))
by generator for 3 yearc
(Title 22 CCR 566263.421 66262.23, 66262.40 (a))
STORAGE AND MANAGEMENT OF CONTAINERS'TANKS
Hazardous wastes are accumulated on site as follows (Title 22 GCR 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)
Hazardous waste "satellite" collection is managed properly (complete
labeling/accumulation time/55-gal or 1-qt limit) (lltle 22 CCR 566262.34(c))
lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title
22 CCR $66265.176)
Containers of hazardous waste are properly labeled (includes appropriate daIe,"HAZARDOUS
WASTE," waste compositiodphysical state, hazardous properties, name/address of
generator) lTatle 22 CCR 566262.31 , 66262.341
Containers/tanks containing hazardous wastes are in good conditiodhandled to
minimize the release or reaction (Title 22 CCR 566262.34 (dX2),
Gontainers/tanks/liners are compatible with waste stored or transferred (Title 22 CCRS
s66262.34 (dX2), 66265.1 72)
Containers storing hazardous wastes are closed/sealed (Title 22 CCR S566262.34 (dX2), 66265.1
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 5$66262.34 (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 (f))
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc)
(Title 22 CCRS 66266.13, HSC 525250.4)
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) (lille 22 CCRS 66268.13)
Spent lead-acid bafteries are being properly stored and transferred offsite under manifest or
bill of lading for recycling, reuse, or reclamation (Tltle 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.
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
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 S252/14.19)
Hazwaste Gontingency Plan prepared, current, submitted to the CUPA, maintained onsite. (Title
22 CCR 566265.51-.54)
tr
tr
tr
tr
tr
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tr
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tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
E
E
tr
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tr
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tr
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tr
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t-, '""
SUMM, {Y OF OBSERVATIONS/VIOLaTIONS
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 yot
facility.
tr Violations were observeddiscovered as listed below All violations must be corrected by implementing the
corrective action listed by each violation. lf you disagree with any of the violations or corrective actions required,
olease inform the CUPA in writinq.
ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing w
certification that compliance has been achieved. A false statement that compliance has been achieved is a violatior
of the law and punishable by a fine of not less than $2,000 or more than $25,000 for each violation. Your facility may
be reinspected any time during normal business hours.
You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed
corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking
administrative, civil, or criminal action.
FACILITY NAME: INDEPENDENT RACE SHOP ADDRESS: 225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REQUIRED
INSPECTION GOMMENTS:
Repair facility very clean and organized. Good record keeping for waste motor oil disposal. Drums are
securely closed and properly labeled. Sole Proprietor, no employees.
No violations noted during facility inspection.
INSPECTED BY: KERRY BOYLE
DATE: O1t1z2O17
NAME OF FACILITY REP: Bryce Rivera
SIGNATURE OF FACILITY REP:n%
STATEMENT OF COMPLIANCE
Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on
is inspection form.
Sig nature of Owner/Operato Title: Date
')
Environmcrrnl Health Services
(805) 7815544
P.O.Box 1489
2156 Sierra Way
San Luis Obispo. CA 93406
cttyoF\'
sAnuns
Date: 05/05/2015
San Luis Obispo CA 934015240
cERTtFtED UNTFTED PROGRAM AGENCY (CUPA)
HMARDOUS MATERIAL INSPECTION FORM
Time:
Facility Name: INDEPENDENT RACE SHOP Aoencv
trEHS
trCITY FIRE
lnspection Tvpe
trRoutine
trReinspection
tlChargeable Reinspection
trChange of Ownership
'trComplaint
trSecondary Containment Testing
trChargeable Secondary Containment Testing
Site Address: 225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
Phone: (805)544-9531
Facility lD: FA0005404
Serial Number: DA4OQTOIV
PROGRAMS INSPECTED: ltrnazmat trHW Generator trUST trAGT trCa|ARP trTPE
REINSPECTION REQUIRED: lnnazmat 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:Title:ftfu
YES
tr
u
tr
tr
tr
tr
tr
tr
tr
N/A
tr
tr
tr
tr
tr
tr
tr
tr
tr
BPOl
BPO2
BPO3
TROl
TRO2
EROl
ERO2
ERO3
FEOl
NO
tr
tr
tr
tr
tr
tr
tr
tr
tr
GPS Coordinates: Latitude: 35.2438700000
BUSINESS PLAN
Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CCR 2729)
lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729)
Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729)
TRAINING PLAN
Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16)
Training documentation is maintained on site for current personnel (Title 19 CCR2732 & 22 CCR)
66265.16
EMERGENCY RESPONSE PLAN
Contingency plan is complete, updated, ahd maintained on site (HSC 25504, Title 19 CCR273'l &22
cGR 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 CCR 2731& 22 GCR 66265.31-.37,
66267.34 (dX2),40CFR 1 265.31)
Secondary containment is installed and sufficiently impervious to discharges. ICHSC
2527 0.4.5; 40 CFR 1 1 2.8(cX2)l
GENERAL EH VIOLATIONS
Environmental Health fees paid. ICBPC 17200, Local Ordinance]
G PS Coord i nates : Lon gtitude : -120.6666200000
INSPECTOR: KERRY BOYLE FACILITY REP:
SUMMI ,Y OT OBSERVATIONSruIOL ilONS
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 $25,000 for each violation. Your
facility may be reinspected any time during normal business hours.
You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed
corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking
administrative, civil, or criminal action.
FACILITY NAME: INDEPENDENT RACE SHOP ADDRESS: 225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
VIOLATIONS
VIOL. NO CORRECTIVE ACTION REQUIRED
INSPECTION COMMENTS:
Past compliance history very good. Shop in good order, no violations noted.
INSPECTED BY: KERRY BOYLE
DATE: 0510512015
NAME OF FACILITY REP:
SIGNATURE OF FACILITY REP:
4fu
STATEMENT OF COMPLIANCE
Certification: I certify under penalty of perjury that this facility has complied with the
is inspection form.
Signature of Owner/O
corrective actions listed on
Date:
t *_\
I
Environmenral l{6alth Services
(80$ 7815544
P.O.Box 1489
2156 Sierra Wav
San Luis Obisoo. CA 93406
,l
oty-ol
sAnufls ffil$no
Fire Deoatment (8051 7817380
2160 Santa Barbara Avenue
San Luis Obisoo CA 934015240
Date: 1112512013
GERTTFTED UN|FTED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Time:
Facility Name: INDEPENDENT RACE SHOP Agency lnsoection TypetrEHS trRoutine
trClTY FIRE trReinspection
trChargeable Reinspection
trChange of Ownership
trComplaint
trSecondary Gontainment Testing
trChargeable Secondary Containment Testing
Site Address:225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
Phone: (805)544-9531
Facility lD: FA0005404
Serial Number: DA1 155411
PROGRAMS INSPECTED trHazmat trHWGenerator trUST trAGT trCalARP trTPE
REINSPECTION REQUIRED:trHazmat trHWGenerator trUST trAGT trCa|ARP trTPE
PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and
copying records, and determining compliance with adopted codes.
YES Ng N/A BUSTNESS PLAN
tr tr tr BP01 Business plan is complete, current, available during inspection (HSC 25503.5, Title 19 CGR 2729)
tr tr tr BP02 lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729)
tr tr tr BP03 Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729)
TRAINING PLAN
tr tr tr TRo{ Facility has appropriate training program (Title 19 CCR 2732 & 22 CCR 66265.{6)
tr tr tr TR02 Training documentation is maintained on site for current personnel (Title 19 CCR 2732 & 22 CCR)
66265.16
EMERGENCY RESPONSE PLAN
tr tr tr ER01 Contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR2731 &22
ccR s 66265.53/54)
tr tr tr ER02 Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of
hazardous materialslwaste constituents to the environment. Maintains all required or appropriate
equipment including an alarm and communications system (Title 19 CCR 2731& 22 CCR 66265.31-.37,
66267.34 (dX2),40CFR 1 265.31)
tr tr tr ER03 Secondary containment is installed and sufficiently impervious to discharges. ICHSC
2527 0.4.5; 40 CFR 1 1 2.8(cl(2ll
GENERAL EH VIOLATIONS
tr tr tr FE01 Environmental Health fees paid. ICBPC 17200, Local Ordanancel
GPS Goordinates: Latitude: 35.2438700000 GPS Goordinates: Longtitude: -120.6666200000
INSPECTOR: KERRY BOYLE FACILITY REP: Matt WaIIace
FACILITY NAME: INDEPEN
.^]T
NNCE SHOP ADDRE
\
HAZARDOUS WASTE GENERATOR
225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
EPA ID
NUMBER:
Total generated/month: Lbs or gals (average)
Waste Oih Solvents:
Antifreeze:
YES
tr
re
tr
tr
tr
tr
tr
tr
tr
N/A
tr
tr
tr
tr
tr
u
tr GTOg
tr GTIO
tr GT11
tr GT12
tr GT13
tr GT14
tr GT15
tr GT16
tr GTIT
tr GT18
tr GTIg
tr GT2O
tr GT21
trtrtrGT22
VIOL. # EPA ID NO/PERMITS
GT0l Generator has an EPA lD numberto treat, store, dispose, transport ortransfer hazardous
waste (Title 22CCRS66262.12) lf not, Call (800) 618-6942 to obtain your CAL EPA lD number
HAZARDOUS WASTE DETERMINATIONGT03 Hazardous waste determination conducted (Title 22 CCR 566262.11)
trown knowledge tranalysis trother
GT04 Hazardous waste analysis/test records are kept for at least 3 years(Title 22 CCR S66262.40.(c))
D IS P OSALff RAN S PO RTAT I O N
GT05 Hazardous wastes disposed of at an authorized location (HSC 525189.5,Title 22 CCR 566262.12)GT06 Facility utilizes a registered hazardous waste transporter, and hazardous wastes shipped with
a manifest (Title 22 CGR 566262.20, HSC 525160/25163(a))trmilkrun trotherGT07 Manifests@leted/reta
CCR $66263.421 66262.23, 66262.40 (a))
tr cros
STORAGE AND MANAGEMENT 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 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-galor 1-qt limit) (litle22 GCR $66262.34(c))
lgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR
s66265.176)
Containers of hazardous waste are properly labeled (includes appropriate date,'iHAZARDOUS
WASTE;' waste composition/physical state, hazardous properties, name/address of generator) (Iitle
22 CCR S66262.31, 66262.34)
Containers/tanks containing hazardous wastes are in good condition/handled to minimize the
release or reaction (Title 22 CCR 566262.34 (dX2), 66265.171-.191 ,66265.177(c))
Containers/tanks/liners are compatable with waste stored or transferred (Title 22 CCRS
s66262.34 (dX2), 66265.172)
Containers storing hazardous wastes are closed/sealed (Title 22 CCR 5566262.34 (dX2), 66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted (Title 22 CCR$
s66262.34 (dX2), 66265.174)
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 (Title22 CCR $66261.7 (f))
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (Iitle
22 CCRS 66266.13, HSC 525250.4)
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) (fitle 22
ccRs 66266.13)
Spent lead-acid batteries are being properly stored and transferred offsite under manifest or bill of
lading for recycling, reuse, or reclamaiion (Title 22 CCR 566266.81)
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
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 525244.19 , 25244.2'll
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. (67 1 00.7, 671 00.8, HSC 525244.1 9)
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
trtrtrcr23
-\ -\
SUMMr .'Y OF OBSERVATIONS/VIOL, .,'IONS
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 facllity.
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. GUPA 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 GUPA from taking
administrative, civil, or criminal action.
FACILITY NAME: INDEPENDENT RACE SHOP ADDRESS: 225 SUBURBAN RD UNIT #2
SAN LUIS OBISPO, CA 93401
VIOLATIONS
VIOL. NO
GT11
CORRECTIVE ACTION REQUIRED
IMMEDIATELY BEGIN TO PROPERLY LABEL ALL CONTAINERS OF HAZARDOUS WASTE. IMPLEMENT A
PROCEDURE 70 ENSURE THAT ALL CONTAINERS OF HAZARDOUS WASTE ARE PROPERLY LABELED.
THE FINE FOR THIS VIOLATION IS AN INITIAL PENALW OF UP TO $25,000, AND THEN AN ADDITIONAL TWO
PERCENT OF THE INITIAL PENALW PER DAY THEREAFTER.
HazWaste labels on waste oil drums do not have all of the fields completed. Please add EPA
ldentification Number and Accumulation Start Date as applicable. All else ok.
INSPECTION COMMENTS:
Drums holding waste motor oil do not have all of the fields completed. Please add EPA ldentification
Number and Accumulation Start Date as applicable. All else ok.
INSPECTED BY: KERRY BOYLE
DATE: 1112512013
NAME OF FACILITY REP: Matt WaIIace
SIGNATURE OF FACILITY REP:
STATEMENT OF COMPLIANCE
Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on
this inspection form.
Signature of Owner/Operator:_ Title:_ Date
,^\
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
re)s
lri,rs ffiryo
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIALS INSPECTION FORM
o,r", /t/K5/r'j
EFW data
entry by:
FACI E:
ADDRESS
AGENGYI EHSn ec DEPT
F'cnv rne
Action Code: _32 _3
Othe
_33 _3
n Complaint
Routine
Result Code: _7
E:
i7"llw Generator6ryA fl usr I ncr IcnmnePROGRAMS INSPEGTED:f] Business Plan
! usr n acr ncnnnpI Business PlanREINSPECTION REQUIRED W,oo ! YES
PERMISSION,TO INSPECT: tnspections may involve obtaining photographs, reviewing and copying records, and
determininq coinpliance with fdopted codes. GRANTED BY (NAMEffITLE):
Time:
YES NO COSun !!n nnn n
N/A
NTntr
Go to http
BPOl
BPO2
BP03
TROl
TRO2
EROl
ERO2
ATOl
ATO2
BUSINESS PLAN
Business plan is complete, currento & 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 PLAII
Facifity has appropriate training program (Titte 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, updatedo and maintained on site (HSC 25504, Title 19 CCR'2731 & 22
ccR s 6626s.s3/s4\
Facility is operated and maintained to prevent/minimize/mitigate fire, explosion, or release of
hazardous materials/waste constituents to the environment. Maintains all required or appropriate
equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265.31-
.43\
ABOVEGROUND PETROLEUM STORAGE TANK ACT
SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b))
SPCC Plan is maintained on site or nearest field office. (HSC 25270)
nn
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utr
ntr
COMMENTS
I
to obtain forms to comply with BP01-BP03, TR01
INSPECTOR:FACILITY
mtnGPS Coordinates: Latitude: _deg
-min-decimal
min rl
j
? rncrtlrY NAME
EPA ID
NT]MBER:
Tiered Permit:
Treatment Equipment:
HAZARDOUS WASTE GENERATOR
Lbs or gals
(average)Total generated/npnth :
Waste oit: l/' Sof"*f,
Antifreu"",- others
YESw
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COS N/AE" E'
n
VIOI,. #
GTOl
GTO3
GT04
GT05
GTO6
GTOT
GTOS
GTO9
GTIO
GTIl
GTT2
GTl3
GTl4
GTl5
GTI6
GTl7
GTTS
GTl9
GT2O
GT21
GT22
GT23
or guthorization
@mittruo
EPA ID NO/PERMITS
Generator has an EPA ID number to treat, store, disposeo transport or transfer hazardous waste
(Title 22CCR 566262.12) If Not, Call (800) 618-6942 ro obtain your CAL EPA ID number.
IIAZARDOUS WASTE DETERMINATION
Hazardous waste determination;conducted (Title 22 CCR $66262.f f )
Eown knowledge flanalysis flother
Ifazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR $66262.40.(c)
DISPOSAL/TRANSPORTATION
Hazardous wastes were transported end/or disposed to a facility with an EPA ID NO. and permit
W
n
n
n
nnn
nn
n
n
!
n
n
,a
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n
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nnn
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from DTSC (HSC $25189.5, Title 22 CCRS66262.I2)
Eother
Hazardous wastes are shipped with manifest (Title 22 CCR $66262.20)
Manifests end/or receipts are properly completed/retained by generetor for 3 years (Title 22 CCR
s66263.421 66262.23\
STORAGE AND MANAGEMENT OF CONTAINERS/TANKS
Ifazardous wrstes are accumulated on site as follows (Title2? CCR $66262.34)
E m O"yr if waste generated per month is greater than or equal to 100 kg (220 lbs.)
D fSO days if waste generated per month is less than 100 kg (see note)
yEfrO days if waste generated per month is less than 100 kg and transported more than 200 miles
(see note)
Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200
lbs.)end no acutely/extremely hazardous waste over I kg (2.2 lbs.) is held on site for over 90
days.
Ilazardous waste (satellite" collection is managed properly (complete labeling/accumulation
time/S5-gal or l-qt limit) (Title 22 CCR $662623a(c))
Ignitable or reactive wastes are located I5 m (50 feet) from facility's property line (Title 22 CCR
$6626s.176)
Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS
WASTE," waste composition/physical state, hazardous properties, name/address of generator)
(Titte 22 CCR $66262.31,66262.341
Containers/tanks containing hazardous wastes are in good condition/handled to minimize release
or reection (Title 22 CCR S66265. I 7 I l.l9 l, 66265.17 7 (cll
Containers/tanks/liners are compatible wilh waste stored ortransferred (Title 22 CCR$66265.172,
Containers storing hazardous westes are closed/sealed (Title22 CCR $66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted
(Titte 22 CCRS66265. I 74)
Daily inspection of all tank syslems is conducted and documented (Title 22 CCR $66265.f 95)
Empty conteiners or inner liners grealer lhan 5 gal has date when emptied and are managed
properly within one year of date emptied (Title 22 CCR $66261.7 (f))
RECYCLABLEWASTE
Used oil is managed as bazardous waste until recycled (includes proper labeling, storage, etc) (HSC
$2s2s0.4)
Used oil filters for recycling are managed properly (drained offree flowing liquid, stored in closed
rainproof container, labeled "drained used oil lilters," and transferred for metal reclamation)
(Title 22 CCR$ 66266. r30)
Spent lead-acid batteries are being properly stored and transferred offsite under manifest or bill of
lading for recycling reuse, or reclamation (Titte 22 CCR S66266.8f )
Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR
$66266.3)
SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site.
Generator is subject to SB14 and has prepored and retained current source reduction documents
or is able make them available to the inspector within (5) days. (IISC S25244.19,25244.21)
Source Reduction Evaluation and Plan contains the following live elements:
certification, ampunts of wastes generated, process description, block diagrams, and
implementation schedule of selected source reduction measures. (HSC $25244.19),,1, Ii!i,' t , /
!t 't/L'/
. -'-)
Gounty of San Luis Obispo Gty.oL
san uts ptl-oslspoEnvironmental Health Servicps
(805) 781-5s44
P.O. Box 1489
2156 Sierra Way
San Luis Obispo, CA 93406
Fire Department (805) 781-7380
2160 Santa Barbara Avenue
San Luis Obispo CA 93401-5240
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIALS INSPECTION FORM
o^t", /4'/bit3,
EFW data
entry by:
Time:
YES NO COSnn trnn nnr n
N/A
BUSINESS PLAN
Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCIR2729)
Inventory of hazardous materials is complete (HSC 25504, Title 19 CCR2729)
Site layout/facility maps are accurate (IISC 25504, Title 19 CCR2729)
TRAINING PLAN
Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16)
Training documentation is maintained on site lbr 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 CCR273l &22
ccR $ 66265.53154\
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 273f & 22 CCR 66265.31-
.43)
ABOVEGROUND PETROLEUM STORAGE TANK ACT
SPCC Plan is reviewed and certified by a registered engineer within last 5 yrs. (40 CFR 112.5(b))
SPCC Plan is maintained on site or nearest field office. (HSC 25270)
un
n
n
n
tr
nn!tr
BPOl
BPO2
BPO3
TROl
TRO2
ER()l
ERO2
ATOl
ATO2
FACILITY
ADD
NE:
ITY FIRE
EHS
AG DEPT
Reinsoection
otn"i frr{fy\l,t4
Result Gode: _70 _80 _90
Action Gode: 32 37 33 31
Routine
Complaint
fl usr n ner ncnmnpPROGRAMS INSPEGTED:I Business Plan
! Business Plan u\,wu#J!,#n usr n nor IcnmneREINSPECTION REQUIRED:fu *o n YES
PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and
Cetermining compliance with adopted codes. GRANTED BY (NAME/TITLE):
Go to http://www.slopublichealth.org/environmentalhealth/hazardous materials.htm, to obtain forms to comply with l-8P03. TROI andER0l
INSPECTOR:FACILITY REP:
mal minGPS Coordinates: Latitude: deg _min_decimal min Longitude:
FACILITY NAME
I EPA ID
NUMBER:
Tiered Permit:
nllL.il
HAZARDOUS
RESS
ASTE GENERATOR
Lbs or gals
(average)
CA
Total generated/ponth:
Waste oil: t/-
Antif..er.,
-
Solvents:
Others:Treatment Equipment:
rn
tfl
ld
tn"n
pn
*d
pri
,6
Orfi
rfr-
vn
LrtF
,d.
t"d
d
u4'
YES NO COS N/AffiE-E'E
or arlthorization
lf,r^wrrn
n
T
T
IT
T
T
tr
VIOI.. #
GTOI
GTO3
GTO4
GTO5
GTO6
GTOT
GTOs
GTO9
GTlO
GTIl
GT12
GT13
GTI4
GTl5
GTI6
GTIT
GT18
GT19
GT2O
GT21
GT22
GT23
EPA ID NO/PERMITS
Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste
(Title 22CCR 566262.12) If Not, CaII (800) 6t8-6942 to obtain your CAL EPA ID number.
HAZARDOUS WASTE DETERMINATION
Hazardous waste determination conducted (Title22 CCR $66262.11)
Eown knowledge [analysis lother
Hazardous waste analysis/test 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
from DTSC (HSC $25189.5, Title 22 CCR 566262.12)
Eother
11
tr
T
tr
trTn
trT
n
T
T
T
n
T
T
T
TT!
TT
T
I
Hazardous wastes are shipped with manifest (Title 22 CCR $66262.20)
Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR
966263.421 66262.23)
STORAGE AND MANAGEMENT OF CONTAINERS/TANKS
Hazardous wastes are accumulated on site as lbllows (Title 22 CCR $66262.34)
E gO Aays if waste generated per month is greater than or equal to f 00 kg (220 lbs.)
,Ei f tO days if waste generated per month is less than 100 kg (see note)
ZZIO days if waste generated per month is less than 100 kg and transported more than 200 miles
(see note)
Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200
lbs.)and no acutelyiextremely hazardous waste over I kg (2.2 lbs.) 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) (Title 22 CCR $66262.3a(c))
Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR
$6626s.176)
Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS
WASTE,' waste composition/physical state, hazardous properties, name/address of generator)
("1 itte 22 CCR $66262.3 l, 66262.3 4)
Containers/tanks containing hazardous wastes are in good condition/handled to minimize release
or reaction (T itle 22 CCR 566265. 17 I l.l9 l, 66265,17 7 (c|l
Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR$66265.172)
Containers storing hazardous wastes are closed/sealed (Title 22 CCR $66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted
(T itle 22 CCRS66265. I 74)
Daily inspection of all tank systems is conducted and documented (Title 22 CCR S66265.195)
Empty containers or inner liners greater than 5 gal has date when emptied and are managed
properli within one year of date emptied ("fitle22 CCR $66261.7 (f))
RECYCLABLEWASTE
Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC
s2s2s0.4)
Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed
rainproof container, labeled "drained used oil filters," and transferred for metal reclamation)
(Titte 22 CCR$ 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 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 525244.19,25244,2t')
Source Reduction Evaluation and Plan contains the following five elements:
certification, amounts of wastes generated, process description, block diagrams' and
implementation schedule of selected source reduction measures. (HSC $25244.19)
vfr
hrn f'l
Environmental Health $eliceg
(805) 781-5s44
P.O. Box 1489
2156 Sierra Way
San Luis Obispo, CA 93d)6
clty oI
lurs ffiisposan -lFlre Depafiment (805) 781-7380
2160 Santa Barbara Avenue
San Luis Oblspo CA 93'01-5240
\il0CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIALS INSPECTION FORM EFW data
entry by:Date: f
Time:
trtrd,,nnw
YESfl/
W
{
{
!Iw"-ntrw
N/Annu
tr
n
NOnxn
n
BPOI
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 (IISC 25504' Title 19 CC\'2729)
Site layouUfacility maps are accurate (HSC 255M, Title 19 CCR_2729)
TRAINING PLAN
Facility has appropriate training program (Title 19 CCR2732 & 22 CCR 66265.16)
Training docurnentation is maintained on site for current pcrsonnel (Title 19 CCII2732 & 22CCR
6f'265.t6)
EMERGENCY RESPONSE PLAN
Contingency plan ls complete, updated, and maintained on site (HSC 255M' Title 19 CCR 2731 & 22
ccR $ 626s.s31s4)
Facility is operated and maintained to prevenUminimize/mitigate firt, explosion, or release of
haairdous materialVwsste constituents to the environment. Maintains all required or appropriate
equipment including an alarm and communications system (Title 19 CCR 273f & 22 CCR 66265.31-.431
ABOVT]GROT]ND 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 nearcs3 field office. (HSC 25nO,
ADDRESS:
FACILITY NAME AGENCY
n
d0\,
I ens
CITY FIRE
Routine
Reinspection
f] ottrer
I com
pfrdtuE:
E usr flncr !clr-nneE Buslness Plan HW GeneratorfrPROGRAMS INSPECTED:
Ecet-nnp,F *o tr YEs n Business Plan fl nw conerator
t fl usr E acrREINSPECTION REQUIRED:
I
to ht;p://www to optain forms to comply with BP0I-BP03, TROI and ER0l
INSPECTOR:
C
mtn
1\Temp\c.lotus 1_lnspection Form Page 1.doc 24-Jan:06
mtnGPS Coordinates: Latitude: deg
FACILITYREP:
dcrimol mln
4
.ii
FACILITY lrlfiMf; ;. ,''.ii" ' j ''i - ,' ',
{rrj'
.,. j
HAZARDOUS WASTE GENERATOR
i ior. t ;.'.',,,','!;. :r;'i iit;,i,rt
TlcEsw ncnsqi 'nbf Epnn
Antifreeze:
. Lbsorgals
(average)EPAIDNUMBER:
Tiered Permit:
Treatment
Equipment:Others:
YES NO N/AEI,E. E.
n
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tr
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GTOl
GTO3
GT04
GTO5
GT06
GTOT
GTO9
GTlO
GT11
GT12
GT13
GT14
GTI5
GT16
GT17
GTlE
GT19
GT2O
GT21
GT22
GT23
EPA ID NO/PERMITS
Generator has an EPA II) number to treat, store, dispose, transport or transfer hazardous waste (Title
22CCR566262.12') If Not, Call (800) 618-6942 to obtain your CAL EPA ID number.
HAZARDOUS WASTE DETERMINATION
Hazardous waste detcrmination conducted (Title ?2 CCR566262.ll)
[own knowtedge flanalysis Eother
Hazardous waste analysis/test records are kept for at least 3 years (Title 22 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
866?,63.44 66262.23)
STORAGE AI\D MANAGEMENT OF CONTAINERS/TANKS
Hazardous wastcs are accumulated on site as follows (Title22 CCR $66262.34)
[ 90 days if waste generated per month is greater than or equal to lfi) kg (220 lbs.)
E fSO days if waste generated per month is less than lfi) kg (see note)
ftllZO days if v,raste generated per month is less than lfil kg and transported more than 2fi) miles (see
''note)
Note: Appties only if hazardous waste accumulated on site never exceeds 601X) kg(13,21[ lbs.)and no
acutely/extremely hazardous waste over I kg (2.2 lbs.) is held on site for over 9() days.
Hazardous waste "satellitet' collection is managed properly (complete labeling/accumulation time/S5-gal
or l-qt timit) (Title 22 CCR $66262.34(c))
Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title ?2 CCR
$6626s.176)
Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS
WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title 22
ccR $66262.31,ffi262.v)
Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or ,
reaction(Title22CCR$66265.1711.191,66265.177(e))
Containers/tankMiners are compatible with waste stored or transferred (Title 22 CCR566265.172)
Containers storing hazardous wastes are closed/sealed (Title22 CCR $66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted
(Title 22 CCR$66265.174)
Daily inspection of all tank systems is conducted and docurnented (fitle ?:2 CCR $66265.195),
Empty containers or inner liners greater than 5 gat has date when emptied and are managed properly
within one year of date emptied (Title 22 CCR $66261.7 (f))
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC
$252s0.4)
Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed
rainproof container, labeled "drained used oil lilters," and transferred for metal reclamation) (Title22
ccR$ 66266.130)
Spent lead-acid batteries are being properly stored and transferred offsite under manifest or bill of
lading for recycling, reuse, or reclamation (fitle 22 CCR $66266.81)
Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR
$66266.3)
SOURCE REDUCTION: For facilities generating >12,fi)0 kg"/yr. of hazardous waste on site.
Generator is subject to SBl4 and has prepared and retained current source reduction documents or is
able make them available to the inspector within (5) days. (HSC 9252U.19,2524.21)
Source Redrrction Evaluation and Plan contains the following five elements:
certification, arnounts of wastes generated, process description, block diagrams, and implementation
schedule of selected source reduction measures. (HSC 925?4.19)
E'
l
ti i
E
E'
'C:\DOCUME-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\2*Hazardous Waste Generator.doc 2O-Jul04 20-Jul-04
CALENDAR YEAR BEGINNING (1)ENDING (2}
KCI EnvironmentaL a Inc.
Califol,nia Hazardous Materido,nvento
APPENDIX A
ry Reporting Form - Business
L2 /3L /05
STATE
slc coDE (4 DtctT#) (1ll
OPERATOR PHONE (13)
' 176 I /07J7
& r.rwner/Operator lden{ification page
/r/os i7b {.r(9 PAGE 1 oF/bt_ I
BUSINESS NAME (4}
SITE ADDRESS (6}
CITY
BUSIN SS PHONE:
ztP (91
(7)
(10)
(12)
San Luis Obispo 93403
1 799
DUN &
BRADSTREET
OPERATOR
NAME CI Environment,al, Inc.( 80s ) s43-331 1
OWNER NAME (14)
OWNER MAILING ADDRESS (16}
ctTY (171 San Luis Obispo
ENV
CONTACT NAME(20)
MAILING ADDRESS
Curt, Boutwell
122',t
ctTY (23)San Luis Obispo
Prima ry
NAME: (26)
TITLE; (271 President
STATE (1
RONMENTAL co NTACT
STATE (24}CA
EMERGENCY CONTACTS
NAME: (31)
TITLE: (32)
CONTACT PHONE (21)
80s 54 3-33 1 1
ztP l25t 93403
Secondary
Ernie Peterson
zlPll9l
Vice President
o ER IN o to N
OWNER PHONE(15}
BUSINESS PHONE: (281
24-HOUR PHONE: (29)
B0s s43-11 BUSINESS PHONE: (331
24-HOUR PHONE: (34)
PAGER #: (35)
( 80s ) s43-3311
Date (4o)tZln o
PAGER #: (301
Signature of Owner/Operator (39)
OES Form 2730(04/96)
ON SITE AHM (36}
a gcncral
(371 tTr D
Exempt. amounts of gasoline and diesel are stored on-site, b0 gallons maximum each.
Certification: I certify under penalty of law that I have personally examined and am familiar with theinformation submitted in this inventory and believe the information is true, accurate, and completePrint Name of Document preparer (38)
If ycs, and abovc Thrcshold planning qr-tiri"r, otr.lu.f, o ,t.er of papcrwithdcscriprion of thc !ro-ccss anO'piiniifat cqurpmcnt.
T
CA
225 Suburban Road
( 805 ) s43-3311
9
(
KCI Env ronmental Inc.80s 54 3-33 11
P.O. Bow 3307
93403
P:O. BoX 3307
Curt Boutwell
Yes
KCI Environmental, Ine. , Curt, Boutwell
'f'xwJn-CA h oJ"\tsf
, , APPENDIXC ICalifornia Hazardous Material lnventory Reporting Form - Chemical Description page
'( 1), i ADD --: DELETE ,ll nevtse PAGE (2}
' eustNEss l.lRMe (4)
CHEMICAL LOCATION (5)
MAP # (6}
CHEMICAL NAME (8}
COMMON NAME (9I
CAS #(101
FIRE CODE I13)
HAZARD CLASSES*
!
TYPE (14I
PHYSICAL STATE {17)
FED HAZARD
EATM'EIES
(181
STATE WASTE
CODE
t19t
DAYS ON SITE {20}
LARGEST
CONTAINER
(211
STORAGE
CONTAINER
(26)
PRESSURE
STORAGE
STORAGE
TEMPERATURE
(29) o/oWT
100
KCI Environmental, Inc.
West Side of yard
GR|D # (7)E/5
oF (3t
TRADESECRET (11I Iv X r,,r
'EHS(12)lv X r'r
'IF EHS BOX IS "Y"
E
IF
UNITS* (22)
CHIEF.FER TO IN
RADIOACTIVE (1 t16t
22L
365
300
GAL
LBS
_CUFT
, ,TONS
MAX DAILY AMT (23}
*lf EHS, amounts must be in lbs. AVG DAILY AMT (24)
ANNUAL WASTE AMT (25}
CURIES
300
150
-s0b
l27l
(281
AMBIENT I ABOVE AMBIENT =l eelow AMBTENT
(30) HAZARDOUS COMPON ENT (31I EHS
-v X r'r
Y .-_N
Y -N
Y .N
(32) CAS#
1
2
3
4
E
2 9
1
' Wast,e and Mixed Oit
tv f,ruWASTEPURE ll narxruRe
SOLID i :GAS
LFIRE CHRONIC HEALTHHEALTHREACTIVEPRESSUREERELEASACUTE
ABOVE GROUND TANK
i . uruoeR GRoUND TANK.. TNruT INSIDE BUILDTNG
I sreel DRUM.
i PLASTIC/NONMETALLICDRUM
. .CAN
.] cansoy
- stlo
- rtgrR oRuM
BAG
-- BOX
- CYLINDER
GLASS BOTTLE
-
plasflc BoTTLE
TOTE BIN
TANK WAGON
i-l nat caR
AMBIENT .l NEOVE AMBIENT , : BELOW AMBIENT CRYOGENIC
i'Y N
OES Form 2731(04/961
(33)ADDITIONAL LOCALLY COLLECTED INF ORMATION
I AppENDtx c
California Hazardous Material lnventory Reporting Form - Ghemical Description page
(1), i ADD __, Oelere I nevtse PAGE (2}oF (3)
BUSINESS NAME (4)
CHEMICAL LOCATION (5)
MAP # (6)
CHEMICAL NAME (8)
COMMON NAME (9}
CAS #(101
FIRE CODE (13)
HAZARD CLASSES*
TYPE (14I
PHYSICAL STATE (17)
FED HAZARD
mTEco-RiES
(181
STATE WASTE
CODE
(191
DAYS ON SITE {20}
LARGEST
CONTAINER
STORAGE
CONTAINER
PRESSURE
STORAGE
STORAGE
TEMPERATURE
(29) ToWT
100
KCI Environmental, Inc.
West Side of yard
GRID # t7t E/5
TRADESECRET (11}Iv ffim
IY Xrt
LOCAL EF.
RADIOACTIVE (15}
*EHS(12)
.IF EHS BOX IS "Y"
(1 6l
.COMPLETE
343 UNITS* (22}
CURIES
L2
(26)
365
{21 }55
AMBTENT I-l AEOVC AMBIENT . ; BELOW AMBIENT CRYOGENIC
(30) HAZARDOUS COMPONENT (31) EHS
Waste Antifreeze _v Xnr
YiN
Y : ;N
Y ,N
MAX DAILY AMT (23}aq
*lf EHS, amounts must be in lbs. AVG DAILY AMT (24)
ANNUAL WASTE AMT (25}2s
{32} CAS#
Q7t
(28)
1
2
3
4
5
3 9
1
Waste Antifreeze
WASTEi-l pune |l ruxrune tv Xr'r
SOLID outD i :cas
. ACUTE HEALTH CHRONIC HEALTHFIREREACTIVEiPRESSURERELEASE
TONS
GAL
LBS -CUFT
x
ABOVE GROUND TANK
UNDER GROUND TANK
TANK INSIDE BUILDING
STEEL DRUM.
PLASTIC/NONMETALLIC DRUM
BOX
CYLINDER
GLASS BOTTLE
PLASTIC BOTTLE
TOTE BIN
CAN
CARBOY
TANK WAGON
BAG
I-. natl CRn
slLo
- TIETN DRUM
AMBIENTx ABOVEI AM BIENT BELOW AMBIENT
Y N
OES Form 2731(04/96)
(33) ADDITIONAL LOCALLY COLLECTED INFORM ATION
APPENDIX C
california Hazardous Material tnventory Reporting Form - Chemical Description page
'(11 . i ADD -: DELETE I NrVIse PAGE (2}oF (3
BUSINESS NAME (4}
CHEMICAL LOCATION (5}
MAP # (6)
CHEMICAL NAME (8}
COMMON NAME (9}
cAs #(10)
FIRE CODE (13}
HAZARD CLASSES*
KCI Environinental, Inc.
Eest side of Yard
GRID # (7)
E 6
TRADE SECRET (1 1}
*EHS(121
THE LO FIRE CHI . REFER TO
RADIOACTIVE (15I
lY N
l-v Sr'r
*IF EHS BOX IS "Y'
(16tTYPE (14}
PHYSICAL STATE (17I
FED HAZARD
mTEGoniF
(181
STATE WASTE
CODE
(19)
DAYS ON SITE (20}36s
BLOCK
55
UNITS* (22}GAL
LBS
_CUFTi rorus
MAX DAILY AMT (23)
*lf EHS, amounts must be in lbs. AVG DAILY AMT (24)
ANNUAL WASTE AMT (25}
CURIES
t2L0
605
LARGEST
CONTAINER
STORAGE
CONTAINER
PRESSURE
STORAGE
STORAGE
TEMPERATURE
{291 o/oWT
5-50
.02
.05
s0-95
121l
l27l
(28t
(26)
1
2
3
4
5
AMBIENT I ABOVE AMBIENT BELOW AMBIENT
x AMBIENT :I AEOVC AMBIENT , : BELOW AMBIENT CRYOGENIC
(30) HAZARDOUS COM PONENT (31} EHS
Iic Vi I Acetate Emulsio n (Non-Haz)-v X r'r
--.Y X rv
-v X r,r
Y N
t32) CAS#
N/A on MSDS
N/A on MSDS
7664-4t-7
N/A on MSDS
4 9
1
Pol Emulsion
[v X r'r
i-l pune MrxruRE il:.] wasre
SOLID i GAS
J L_{ acure HEALTHFIREREACTIVEPRESSURERELEASE CHRONIC HEALTH
r' ABOVE GROUND TANK
- UruPen GROUND TANK
'. TNruT INSIDE BUILDING
X sreel DRUM.
i PLASTIC/NONMETALLICDRUM
. .CAN
'] canaov
- slLo
* HAEN DRUM
BAG
BOX
CYLINDER
GLASS BOTTLE
PLASTIC BOTTLE
TOTE BIN
I TANKWAGON
l-l Ratt. can
li
Residual Monomer
Ammonia
Wat,er
;.Y N
OES Form 2731(04/961
(33)ADDITIONAL LOCALLY COLLECTED IN FORMATION
, .I APPENDIX C
California Hazardous Material lnventory Reporting Form - Chemical Description page
.(1), ADD _ DELETE f nEVrSr PAGE (2I oF (3t
5 9
BUSINESS NAME (4)
CHEMICAL LOCATION {5)
MAP # (6}
KCI Environaental, Inc.
East, sj-de of yard at SOuth side of sto rage unit,s
GRID # (71
A-B/9- 101
CHEMICAL NAME (8}
COMMON NAME (9)
cAS # (101
Propand
Pfopane TRADESECRET (11I Iv Enr
*EHS(12)lv Xnt
}IF EHS BOX IS "Y"
CURIES
200
100
FIRE CODE (13)
HAZARD CLASSES*
TYPE (14I
PHYSICAL STATE (17)
FED HAZARD I18I
CATEGORIES
STATE WASTE
CODE
(191
DAYS ON SITE (20}
LARGEST
CONTAINER
l21l
STORAGE
CONTAINER
PRESSURE
STORAGE
STORAGE
TEMPERATURE
(291 o/oWT
100
U
IF ESTED BY THE FIRE . REFER TO
RADIOACTIVE (15I (16)
UNITS* (22)GAL
LBS -CUFTr rorus
MAX DAILY AMT (23)
36s *lf EHS, amounts must be in lbs.AVG DAILY AMT (24}
200 ANNUAL WASTE AMT (25)
AMBIENT ABOVE AMBIENT -I ECLOW AMBIENT
AMBIENT ]l AEOVE AMBIENT , : BELOW AMBIENT -] CNYOCTruIC
I3OI HAZARDOUS COMPONENT (31I EHS
(26)
l27l
{281
1
2
3
4
5
-v Xru
Y 'JN
Y -N
Y 'N
t32) cAS#
*---74-98-6
i Y . 'N
.18-67
L-v truf, eune I naxrunr i.:i wesri
;l solro f,uoulo I cas
Ineacnvr X X acurr HEALTH .,I CHRONIC HEALTHFIREPRESSURE RELEASE
f, naovr cRouND TANK
I . uruoen cRouNDTANKi tnrur tNStDE BUILDING
i- sreru DRuM
CAN
CARBOY
stLo
- FIBER DRUM
BOX
CYLINDER
GLASS BOfiLE
PLASTIC BOTTLE
TOTE BIN
I TANK WAGON
i--' nall cAn
PLASTIC/NONMETALLIC DRUM BAG
OES Form 2731{04/96}
(331 ADDITIONAL LOCALLY COLLECTED INFORMATION
) APPENDTX C
california Hazardous 'ruaterial lnventory Reporting Form - Ghemical Description page
(1)I eoo - oetrtr I nevrsr PAGE (2}OF
) gustr.tEss NAME (41
CHEMICAL LOCATION (5}
MAP # (6}
KCI Environment,al, Inc.
Maintenance shop
GRID # VI B/6
6
2
CHEMICAL NAME (8I
COMMON NAME (9}
CAS #(101
FIRE CODE (13}
HAZARD CLASSES*
TYPE (14}
PHYSICAL STATE (17)
FED HAZARD (18}
CATEGORIES
STATE WASTE (1el
CODE
DAYS ON SITE (20}
LARGEST
CONTAINER
STORAGE
CONTAINER
PRESSURE
STORAGE
STORAGE
TEMPERATURE
(29l. o/oWT
>95
<5
Hydraulic Oil
TRADE SECRET (11}-t'Xt
*EHS(121 IY Xru
rIF EHS BOX IS "Y"
ALL
INSTRUCTIONllv F rv (1 6)
CURIES
MAX DAILY AMT (23I 55
(32) CAS#Iv fru 64741-88-4
-t--iv Xru
BLOC IFR BY THE LOCAL FIRE CHIEF -
RADIOACTIVE (15}
UNITS* (22}
365
Lubricating Base Oil
*lf EHS, amounts must be in lbs.AVG DAILY AMT (24}27
(26)
l21l 55 ANNUAL WASTE AMT (25}
AMBIENT I AEOVC AMBIENT BELOW AMBIENT E CNYOCEruIC
(30} HAZARDOUS CO MPONENT (31I EHS
l27l
(28)
1
2
3
4
5
Additives
Iv lnr
Iv f- rv
Iv N
: PURE .[ rurxrune WASTE
I souo (,lroulo 'rGAS
REACTIVE .--- PRESSURE RELEASE . i ACUTE HEALTH CHRONIC HEALTHFIRE
TONS
GAL
LBS
---_ CU FT
. ! ABOVE GROUND TANKI uruoeR GRouND TANK
' I rnrur tNStDE BUILDTNG
X sreel DRUM
PLASTIC/NONMETALLIC DRUM
r iBOX
i_j CYLINDERll cuss BorrLE
I plnsnc BorrLE
CAN
CARBOY
stLo
FIBER DRUM
BAG TOTE BIN
_J TANK WAGON
I nRru caR
. BELOW AMBIENTxAMBIENT I NEOVC AMBIENT
OES Form 2731(04,,96)
(33)ADDITIONAL LOCALLY COLLECTED INFORMATION
) A,PPENDIX C '',
California Hazardous Material lnventory Reporting Form - chemical Description page
(11 L_ noo .: oerere r: REVtsE PAGE (2}OF7
BUSINESS NAME (4)
CHEMICAL LOCATION (5}
MAP # (6}
kgt Bnvioronmental,Inc.
Maintenance shop
B/6GR|D # (7)2
CHEMICAL NAME {8}
COMMON NAME (9}
cAS # (10)
FIRE CODE (13}
HAZARD CLASSES*
TYPE (14)
PHYSICAL STATE (17I
FED HAZARD (18}
CATEGORIES
STATE WASTE
CODE
(19)
DAYS ON SITE (20}
LARGEST
CONTAINER
STORAGE
CONTAINER
(261
Motor Oil
TRADE SECRET (1 I}Iv Erv
*Egg(12)Iv Xru
*IF EHS BOX IS "Y"
8E
CURIES
27
PLETE BLOCK IF REOUESTED BY LOCAL FIRE CHIEF .ER TO INSTRUCTIONS.
RADIOACTIVE (15)fY [ru (16)
UNITS* (22)MAX DAILY AMT Q3I 55
365 *lf EHS, amounts must be in lbs. AVG DAILY AMT (24)
ANNUAL WASTE AMT (25}
PRESSURE
STORAGE
STORAGE
TEMPERATURE
(29) %WT
100
12'n 55
X aMelENr I aeove AMBTENT
- BELOW AMBIENT
AMBIENT I NEOVT AMBIENT . eeLow AMBTENT --' cRyocrrurc
(3OI HAZARDOUS COMPONENT (31} EHS
l27t
(281
(321 CAS#
1
2
3
4
5
Motor Oil - blend of hydrocarbons IIv $ rv
i :Y _N
Iv,ru
Iv -rufv --ru
MrxruRE ll wnsrrPURE
] cassoLrD Xuouro
i : FIRE l REACTIVE PRESSURE RELEASE ACUTE HEALTH CHRONIC HEALTH
r- TONS
CU FTGAL
LBS
i i ABoVE GRoUND TANK
| , uruoen cRouND TANK
I rar'tr tNstDE BuILDING
ff sreer- DRUM
I pmsnc/NoNMETALLTc DRUM
; CAN
I caneov
. sllo
- FIBER DRUM
- BAG
BOX
CYLINDER
GLASS BOTTLE
PLASTIC BOTTLE
TOTE BIN
TANK WAGON
- RAIL CAR
n\
OES Form 2731(04/96)
(33} ADDITIONAL LOCALLY COLLECTED INFORMATION
W
APPENDIX C
Galifornia Hazardous JVrareri?l lnventory Reporting Form Chemical Description Page
(1)ADD DELETE.- REVISE PAGE (2}oF (31
B 9
I BUSINESS NAME {4}
CHEMICAL LOCATION (5}
MAP # (6)
KCI Environmental Inc.
Maintenance shop
GR|D # t7t A-Dt4-72
CHEMICAL NAME (8}
COMMON NAME (9}
cAS # (10)
FIRE CODE (13}
HAZARD CLASSES*
TYPE (14)
PHYSICAL STATE (17I
FED HAZARD (18)
CATEGORIES
STATE WASTE
CODE
(19)
DAYS ON SITE (20}
LARGEST
CONTAINER
l21l
STORAGE
CONTAINER
Oxygen
*COMPLETE BLOCK IF REOUESTED E LOCAL FIRE . REFER TO INSTR
Oxygen TRADE SECRET (1 1}rv xru
*EHS{12}L-v X rv
*IF EHS BOX IS "Y"
Iv X r'r (161
CURIES
244
122
RADIOACTIVE (15)
UNITS* (22I GAL
LBS
CU FT
, , TONS
MAX DAILY AMT I23I
*lf EHS, amounts must be in lbs. AVG DAILY AMT (24)
ANNUAL WASTE AMT (25}
365
122
(26)
PRESSURE
STORAGE
STORAGE
TEMPERATURE
(29| o7o1ry1
100
l27l
(28)
T AMBIENT ABOVE AMB]ENT : . BELOW AMBIENT
AMBIENT : ABOVE AMBIENT -i BELOW AMBTENT CRYOGENIC
(30) HAZARDOUS COMPONENT (31) EHS
1
2
3
4
5
Oxygen Jv f,ru
iv N
lv N
(32) cAS#
7782-44-7
[iY nr
7782-44-7
ll wasrePURE , , MIXTURE
GASi solro ,llroulo
I'rtne --'REAcnvE ACUTE HEALTH . CHRONIC HEALTHPRESSURE RELEASE
ABOVE GROUND TANK
UNDER GROUND TANK
TANK INSIDE BUILDING
STEEL DRUM
PLASTIC/NONMETALLIC DRUM
, CAN
,:. CAReOyl] srto
I neen DRUM
I eac
- BOX
X cvuruoen
. GLASS BOTTLE
PLASTIC BOTTLE
- tote glnt
TANK WAGON' nrul can
N
OES Form 2731(04/961
(33} ADDITIONAL LOCALLYCOLLECTED INFORMATION
) APPEND|X c lCalifornia Hazardous Macerial lnventory Reporting Form - Chemical Description page
(1)
'__-_ noo l-: orlerr : , nrvtsE PAGE (2)OF9
2
) BUSINESS NAME (4}
CHEMICAL LOCATION (5)
MAP # (6}
KCI Envifonment,al, Inc.
CHEMICAL NAME (8}
COMMON NAME (9)
Maintenance shop
GRID # t7t A-Dt4-7
Acetylene
CAS #(1Q)
FIRE CODE (13}
HAZARD CLASSES*
TYPE (14)
PHYSICAL STATE {'I7}
FED HAZARD (1 8)
CATEGORIES
STATE WASTE
CODE
(19)
DAYS ON SITE (20}
LARGEST
:ONTAINER
l21l
STORAGE
CONTAINER
(26)
PRESSURE
STORAGE
STORAGE
TEMPERATURE
(291 70wT
100
'c BLOCK ) IF REOU
UNITS* (22)
365
D BY THE FIRE CHIEF .
RADIOACTIVE (15}
127',
Qgt
Acetylene
TRADE SECRET (1 1}l.-v X ru
*EHS (12)--rY X ru
*IF EHS BOX IS "Y"
TO INSTRUCTI
i-lv I ru ('r 6)
CURIES
206
103
(321 CAS#
74-86-2
103 ANNUAL WASTE AMT (25)
AMBIENT ABOVE AMBIENT I erlow AMBTENT
AMBIENT i*- ABOVE AMBTENT : BELOW AMBIENT .- CRYOGEITIIC
(30} HAZARDOUS COM PONENT (31) EHS
MAX DAILY AMT (23)
*lf EHS, amounts must be in lbs.AVG DAILY AMT (24)
Iv f;ru1
2
3
4
5
Acetylene
Y Iru
lv Xrv
IY Iru
llv Ilru
74-86-2
PURE MIXTURE I WISTC
- soLlD lLtoulo GAS
FIRE lneacrrve ll PRESSURE RELEASE ACUTE HEALTH i I CHNOruIC HEALTH
GAL
LBS
CU FT
TONS
- ABOVE GROUND TANK
UNDER GROUND TANK
TANK INSIDE BUILDING
STEEL DRUM
PLASTIC/NONMETALLIC DRUM
CAN
CARBOY
i,Box
,! cvl-rruoeni : cuss BorrLE
ll puslc BorrLE
TOTE BIN
, TANK WAGON
L. RAIL CAR
stLo_
FIBER DRUM
BAG
OES Form 2731(041961
(33t ADDITIONAL LOCALLY COLLECTED INFORMA.TION
(
1095B76TORAGE BIN432i205 SUBURBAN RD. IiCOMMERCIAL BUILDING JtVACANTIFENCE6'LANDlJ-225 S:UBURBAN RD.KCI Environmental, IncNG6'FENCE50L MAXsroWDotLRAGEWASTE1ABCDEFGH6'CHAINLINK4',g'j)'..9BUS SS NAMEKCI Environmental, IncADDRESS225 SUBURBAN RD., SAN LUIS OBISPO
12345b7B10E6'CHAINLINKEwAsHERvvlG200HMS@EA.:PARTSSTORAGEHYDRAULTc OIL@,MOTOROTLSHOFESiHHMS@TORCHCART1,il\A,\/..W'- "iliftH*FOVERHEAT)DOOR.GX oxYcr'Y@1It-WFENCECHAINLINABCDEFGHISTORAGEOVERHEADDOORSTAGIAREAi6i cHAtNLtNKFENCE & GATEG-a-\6'FENCE%BUS SSNAME; KCr l?nvironmepf,al. rnr'- ADDRESS:225 SUBURBAN RD., SAN LUIS OBISP(
SAN LUIS OBISPO COUNTY SYMBOLSSITE ORIENTATION:SCALE OF MAP:N1" = 30'ABUILDING IDENTIFIGATION:lndicate bv addressor functiohSTREETS, ALLEYS, ETC.:lndicate by nameSOMEWHERE STREETSTORM DRAINS, OUTVERTS,FLOOD CONTROL|NLETS, ETC.:DRAINAGE CANALS,FLOOD CONTROLCHANNELS, CREEKS, ETC.: -ALARM:-DRAIN:- VZPERSONAL PROTECTIVEEQUIPMENT-ABSORPTIVE MATERIAL:-FIRST AID:-EYE WASH:-WOODffi*lGATEDIKING OR BERMING- nnnnFIRE DEPT. ACGESS:-EVACUATION ROUTE: +EVACUATIONSTAGING AREA:UTILITY CONTROLS:GAS-GWATER WELECTRIC- EAIR coNDlTlONlNG- a6FIRE EXTINGUISHER:- ffiKNOX BLOCK BOX-MSDS STORAGELOGATIONGUARD STATION:-LADDER:- HSTORAGE TANKS:- identify capacity in gallonsABOVE GROUND TANKSBELOW GROUND TANKBELOW GROUNDTANK IN VAULTINSULATED TANKPRESSURIZED TANKHAZARDOUSMATERIALSSTORAGEORHANDLING AREASHAZARD CATEGORYCM . COMBUSTIBLEF. FLAMMABLEC. GORROSIVEO. OXIDIZERP - POTSONR. RADIOACTIVEW . WATER REAGTIVEPHYSICAL STATEL - LIQUIDG. GASS. SOLIDtrtrWAREHOUSEFENGE OR BARRIER:WIRE/CHAINLINK n*?ts*MASONRY lwlFIRE HOSEFIRE SUPPRESSION SYSTEMS:HYDFIRE SPRINKLERCONNECTION-FIRE STANDPIPECONNECTION-DRIVEWAYBUILDING CONSTRUCTION:FRAME-MASONDOOR-OVERHEAD DOORWNDFIRE DOOR/WALL-ELEVATOATTIC ACCESS-slevelslnclude aopropriate hazard cateqory andohvsical 'itatb (as defined bdlow) orinaterial stored in each type of stoiagecontainer.aa\7A@M++@aY?fit--l-RAILROAD TRACK:-tfl-fSTAIRWAY (indicate levelsserved - low to high)-50012KDSEAFIRE ESCAPE-1w2tffii2
," -\
EM,,R GENCY RESPONSE
AND PROCEDURES
rLAN
) N.q.NIBOFFACILITY KCI Environment.al, Inc.
SITE ADDRESS 225 Suburh:n Road __Sanluis obisp_o 93401
CONTACT PERSON & PHONE# curr Bourwerl
I. REPORTING AND NOTIFICATION
Any release or threatened release of a hazardous material musr be immediately reporred to:
SLO County Environmental Health (905) ZS1-5544
and to the Srate Office of Emergenry Services (900) S52-2550
"Releasen is defined in AB 2185 as any spilling, leaking, pumping, pouring, emitting, emptying, discharging, injecting,
escaping, leaching, dumping, or disposing into the environmenr, unless permitted *
"nt-hoti""d by " t.Igdu:t" ry agency.
'Threatened Releasen means a condition creating a subsmntial probability of harm when the probability and potential
extent of harm make it reasonably necessary to uke immediate action to prevent, reduce, or mitigate d"*"go to persons,
ProPerty, or the environment.
Dial 911 first i{ a need for emergency assistance exists.
Incident reponing must be completed within 24 hours if there is i reasonable belief that the release does not pose a threat to persons,
ProPerty' or the enviro'T91c F9r detailed reponing guideli"es see the last page of this Plan. Additional reponing may be ,equired
depending on the material /size of. release. Additional reponing requirements shall be evaluated at rhe dme of " ,..1."r.,-
ilI. EVACUATION
In the event of an emergency situation that Poses a threat to on-site personnel, verbal notification (shouting) will be made to evacuate the
premises and proceed to the designated Evacuation/Staging area. In the event rhat the primary staging "r.i-h", become unsafe, an
alrernate staging area shall be established (upwind and clear of hazard areas).
Supewisors shall account for personnel within individual Depanments.
W. EMERGENCY RESPONSE ASSISTANCE
On-site manatemant or a designee shall smnd by to assist Emergency Response Personnel with any special knowledge of the situarion
artd/ or facility. A copy of this Plao shall be made available upotr requesr of rhe Emergency Responders
A licensed hazardous material cleanup coqtractor shall be retained to complete the disposal process. Selection of the contractor will be
based upoo availability, qualifications and narure of the release.
II. MITIGATION
General: Only properly trained personnel are authorized to respond to emergencies,/porential emergencies. Evaluate rhe degree of
hazard and evacuate to an upwind area if necessary. If the problem cannot be safely controlled, ,rotifu lrt aod stand by for Lergency
resPonse. If hazard is within reasonable limits, qualified personnel shalll attempt immediate control of the situation, brrt only if ii can be
accomplished without undue safety risls. kolate affected area and deny entry io non-essential personnel. Attempt ro .ootrol further
spread of release by appropriate mcans, i.e. eliminate ignition sources if release is flammable, diie and absorb liqui& with inen
absorbents, etc.
A licensed hazardous material cleanup contractor shall complete the disposal process.
v ,\
MEDICAL ASSISTA}. -b
FACILITY
Med Stop
AMI Sierra Vista Medical Center
French Hospital Medical Center
San Luis Obispo General Hospital
LOCATION PHONE #
(805) s4e-8880
(80s) s467500
(805) s43-s3s3
(80s) s43-1s00
)283-8 Madonna Road, San Luis Obispo
1010 Murray Avenue, San Luis Obispo
l9ll Johnson Avenue, San Luis Obispo
2180 Johnson Avenue, San Luis Obispo
EMPLOYEE TRAINING PROGRAM
Methods for safe handling of hazardous materials:
Training includes but is not limited to:
The Hazard Communication Program and MSDS review
The Injury and Illness Prevention Program
ThellllSaferyProgram
Tailgate safety meetings
On-the-Job training
Direct supervision
I
)
2.
3.
Procedures for coordinating Activities with Response Agencies:
All employees are trained in the proper use of communications equipment and evacuarion procedures
Upon arrival, management or a designee shall meet :t.h *..!-:tgenry Responde's and provide any special knowledge of the facility orsituation at hand. A copy of this Plan shalt be readily available alo-ng with "ppropri"t. MSDss, it.c..rriUl..
Proper use of on-site Emergency Response Equipment by Employees:
All employees are trained in the proper use of fire extinguishers
Maintenance personnel are trained in the use of spill conrainmenr materials and. equipment
4.
5.
,^)
Familiarization with trr.)urin.ss Emergency Response prans and procedures:
The contents of this Plan are.reviewed by appropriate emergency personnel. The review is conducted annually 11 2 minlsg6 or whcnthe Plan is revised or updated
Provisions for Ensuring Initial and Refresher Training:
Training records are maintained for each employee of Kgr Env. 1ng. Thc records are revicwcd on a regular basis and training isprovided as neccisaly and./or required -
CERTIF'ICATION
I,urT' fSorrTs..e l/certiry that the above information will be used to fulfill my business'sobligatron under the laws and that rnaccurate informati on constitutes perjury under the law.
€ro",'J, uT t\la /a.1
I rtle
l-
Datc
)
REP ORTING AND NOTIFICATION
' ' Any release or threatened release of a hazardous material must be immediately reported to:
) SLO County Environmental Health (905) 7g1_5544' and to the state office of Emergency Services (900) g52-7550
"Release" is defined in AB 2185 as any spilling, leaking, pumping, pouring, emitting, emptying,
discharging, injecting, escaping, leaching, dumping, or disposing into the environment, unless permitted
or authorized by a regulatory agency.
"Threatened Release" means a condition creating a substantial probability of harm when the probability
and potential extent of harm make it reasonably necessary to take immediate action to prevent, reduce, or
mitigate damages to persons, property, or the environment.
IMMEDIATE REPORTING OF A RELEASE OR THREATENED RELEASE
To further explain the reporting obligation, the Offrce of Emergency Services issued emergency
regulations in January 1986 which have since been finalized, that describe, in detail, the repJrting
procedure:
A person shall provide an immediate, verbal report of any release or threatened release of a
hazardous material to the administering agency and the Office of Emergency Services as soon as:
a. the person has knowledge of the release or threatened release;
b. notification can be provided without impeding immediate control of the release or threatened
release; and
c. notification can be provided without impeding immediate emergency medical measures.
The immediate reporting shall include, at a minimum:
a. the exact location ofthe release or threatened release;
b. the name of the person reporting the release or threatened release:
c. the hazardous materials involved in the release or threatened release;
d. an estimate of the quantity of hazardous material involved in the release or threatened release.
The immediate reporting shall not be required if there is reasonable belief that the release or
threatened release poses no significant present or potential hazard to human health and safety,
property, or the environment.
I
2.
J
Environmental Health Services Division(80t 781-ss44P.O. Box 14892156 Sierra WaySan Luis Obispo, CA 93406TIIIS PERMIT IS ISST]ED F'OR TIIE FOLLOWING:SHtffro*r$poCERTIFIED UNIFIED PROGRAM AGENCYFire Department (805) 781-73802160 Santa Barbara AvenueSan Luis Obispo, CA 93401-5240FACILITY: FA0002290r-- KARLESKINT-CRUM, INC225 SUBURBAN RDSAN LUIS OBISPO, CA 9340IAUTHORIZATION IS GRANTED FOR TIIE FOLLOWING:0727 PROOOI761 HAZARDOUS MATERIALS IIANDLER 5-101126 PR0002290 WASTE GENERATOR (1 - 5 waste streams)OWNER:KARLESKINT-CRUM, INC225 SUBURBAN RDSAN LUIS OBISPO CA 93401tSr-XIVALID FROM DATE: 0110112004VALID TO DATE: 12/3112004CURTIS A. BATSON, R.E.H.S.DIRECTOR. ENVIRONMENTAL HEALTH SERVICESft(WOLFGANG KNABE, CIIIEFCITY OF SAN LTIIS OBISPO FIRE DEPARTMENTTHIS AUTIIORIZATION/PERMIT TO OPERATE IS NONTRANSFERABLE AND MUST BE POSTED ON.SITE IN A CONSPICUOUS PLACE.THIS OPERATING PERMIT WITH ALL CONDITIONS AND ATTACHMENTS,INCLUDING MONITORING PLANS, SHALL BERETAINED AT TIIE FACILITY AT ALL TIMES.
Date: 1211512005
.'\ 'l
)ffi cldyo[;-;-^;;o;. SAllilflSOffiSp2156 siena wav Fire Deparfirent (805) 781-7380
San Luis obispo' cA 93406 2160 saota B*bara Au"nue
San Luis Obispo CA 93401-5240
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIAL INSPECTION FORM
Time:
Facility Name: KARLESKINT-CR UM, INC Agencv
trEHS
T]CITY FIRE
lnspection Tvpe
trRoutine
trReinspection
uComplaintSite Address:225 SUBURBAN RD
SAN LUIS OBISPO, CA 93401
Phone
Facility lD: FA0002290
PROGRAMS INSPECTED:BHazmat BHW Generator trUST trAGT trCalARP trTPE
REINSPECTION REQUIRED trHazmat trHW Generator trUST trAGT trCa|ARP trTPE
PERMISSION TO INSPECT: Inspections may involve obtaining photographs, reviewing and copying
records, and determining compliance with adopted codes'
GRANTED BY (NAME/TITLE): Title: RobertLopez Name:
{a*o
YES NO N/A
EDtrtrtrtrtrtru
BPOI
BPO2
BPO3
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 layouUfacility maps are accurate(HSC 25504, Title 19 CCR2729\
TRAINING PLAN
Facility has appropriate training program(Title 19 CCR 2732 & 22 CCR 66265,16)
Training documentation is maintained on site for current personne(Title 19 CCR 2732 & 22 CCR)
66265.16
EMERGENCY RESPONSE PLAN
Contingency plan is completg updated, and maintained on site(HSC25504, Title 19 CCR273l &22
ccR $ 6626s.s3ts4)
Facility is operated and maintained to prevenlminimize/mitigate fire, explosion, or release of
hazardous materialVwaste constituents to thO environment Maintains all required or appropriate
equipment including an alarm and communications systern(Title 19 CCR 2731& 22 CCR
ABOVE GROUND PETROLEUM STORAGE TANK ACT
SPCC Plan is reviewed and certified by a registered engineer within last5 yrs. (40 CFR 112.5(b))
SPCC Plan is maintained on site or nearest field office (HSC 25270)
tr
tr
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TROl
TRO2
EROI
ERO2
ATOl
ATO2
COMMENTS Go to trttp,ll*.slopubticheatth.org/environmentalhealtHhazardous-materials.htm to obtain forms to comply with BPO1.BPO3, TRol and EROI
GPS Coordinates: Latitude: 35.2438900000 GPS Coordinates: Longtitude: 120.6664100000
INSPECTOR: AARON LA BARRE FACILITY REP: Robert Lopez
FACILITYNAME: KARLESKINT-CRUM, tNC')A DDlFQs:
)
HAZARDOUS WASTE GENERATOR
Total generated/monthr
225 SUBURBAN RD
SAN LUIS OBISPO, CA 93401
Lbs or gals (average)EPA ID
NUMBER:
cAL000557456
Waste Oil:
Antifreeze:
Solvents:
Others:
YES NO N/A VIOL. #tr tr GT01
tr GT03
tr cro4
D GTO5
tr GT06
tr GT07
tr cros
EPA ID NO/PERMITS
Generator has an EPA ID number to trea{ store, dispose, transport or transfer hazardous
waste (Title 22CCR$66262.12) If not, Call (800) 618-6942 to obtain your CAL EPA ID
number
HAZARDOUS WASTE DETERMINATION
Hazardous waste determination conducted(Title 22 CCR 566262.11)
Eown knowledge Eanalysis Eother
Hazardous waste analysiVtest records are kept for at least3 years(Title 22 CCR $66262.40.(c)
DISPOSAL/TRANSPORTATION
Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or
authorization from DTSC (HSC $25189.5,Title22 CCR $66262.f2)Emilkru-I l^4L^-
Hazardous wastes are shipped with manifest (Title 22 CCR $66262.20)
Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR
s66263.42/ 66262.23)
STORAGE AND MANAGEMENT OF CONTAINERS/TANKS
Hazardous wastes are accumulated on site as follows(Title 22 CCR966262.34)
tr90 days if waste generated per month is greater than or equal to100 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 than200
miles (see note)
Note: Applies only if hazardous waste accumulated on site never exceeds6000kg(13,200 lbs)
and noacutely/extremely hazardous waste over lkg (2.2 lbs.) is held on site for over 90 days.
Hazardous waste "satellite" collection is managed properly(complete labeling/accumulation
time/55-sal or l-qt limit) (Title 22 CCII 466262.34(c))
Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22
ccR $6626s.176)
Containers of hazardous waste are properly labeled(includes appropriate
date,"HAZARI)OUS WASTE," waste composition/physical state, hazardous propertieg
name/address of generator) (Title 22 CCR $66262.31, 66262'34)
ContainerVtanks containing hazardous wastes are in good conditiolhandled to minimize the
release o r reactio n (T itle 22 CCR $66265. I 7 10.19 l'66265.L7 7 (c))
Containers/tanks/liners are compatible with waste stored or transferred(Title 22 CCR
F6626s.1721
Containers storing hazardous wastes are closedsealed (Title22 CCR 566265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted(Title 22
ccRs6626s.174)
Daily inspection of all tank systems is conducted and documented(Title 22 CCII 566265.f 95)
Empty containers or inner liners greater than5 gal has date when emptied and are managed
properly within one year of date emptied (Title 22 CCR 566261.7 (0)
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled(includes proper labeling storage' etc)
(HSC S2s2s0.4)
Used oil {ilters for recycling are managed properly(drained of free flowing liquid, stored in
closed rainproofcontainer, labeled "drained used oil filters," and transferred for metal
reclamation) (T itle 22 CCR$ 66266. 130)
Spent lead-acid batteries are being properly stored and transferred offsite under manifest or
bill of lading for recycling reuse, or reclamation (Title 22 CCR S66266.81)
Solvents/other recyclable materials are managed as hazardous wastes until recycled(Title 22
ccR s66266.3)
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
D
tr
D
tr
tr
tr
tr GTO9
tr GTr0
tr GTll
tr GTI2
L] GT13
tr GTl4
tr GT15
tr GTl6
tr GT17
tr
B
tr
tr
tr GT18
tr GT19
tr GT2O
tr GT2I
INSPECTED BY: aanON LA BARRE DATE: t2n5t2oo5
1
FACILITY NAME: KARLESKIN, -CRUM, INC
-)
ADDRESS: 225 SUBURBAN RD
SAN LUIS OBISPO, CA 93401
YES
tr
E]
HAZARDOUS WASTE GENERATOR
NO N/A VIOL. # EPA ID NO/PERMITS
SOURCE REDUCTION:For facilities generating>12,000 kg./yr. of hazardous waste on site
tr tr GT22 Generator is subject to SB14 and has prepared and retained current source reduction
documents or is able make them available to the inspector within(5) days. (HSC 525244.19,
tr tr GT23 Source Reduction Evaluation and Plan contains the following five elementscertification'
amounts of wastes generated, process description, block diagramg and implementationschedule
ofselected source reduction measures (HSC $25244.19)
INSPECTED BY: AARON LA BARRE DATE: t2ltstzoos
FACILITY NAME: KARLESK" T-CRUM, INC ADDF ',S:225 SUBURBAN RD
SAN LUIS OBISPO, CA 93401
SUMMARY OF OBSERVATIONS/VIOLATIONS
No violations ofunderground storage tanlg. hazardous materialg or hazardous waste lawVregulations were discovered'
SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility
Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action
listed by each violation Ifyou disagree with any ofthe violations or corrective actions require{ please inform the CUPA
in writing.
ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA muSt bE iNfOrMCd iN
writing with a certification that compliance has been achieved A false statement that compliance has been achieved is a
violation of the law and punishable by a fine of not less than$2,000 or more than $25,000 for each violation Your facility
may be reinspected any time during normal business hours
You may request a meeting with the Program Manager to discuss the inspection findings andor the proposed corrective
actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrativfcivil, or
criminal action.
FACILITY NAME: KARLESKINT-CRUM, INC ADDRESS: 225 SUBURBAN RD
SAN LUIS OBISPO, CA 93401
PE NO
1126
VIOLATIONS
VIOL. NO VIOL. TYPE
GTOB
CORRECTIVE ACTION REQUIRED
IMMEDIATELY CHANGE OPERATIONS SO THAT THE ONSITE
ACCUMULATION OF HAZARDOUS WASTE CONFORMS TO THE
REQUIREMENTS OUTLINED IN TITLE 22 CCR 66262.34 AND
IMPLEMENT A PROCEDURE TO ENSURE THAT WASTE
ACCUMULATION MEETS THE MINIMUM REQUIREMENTS IN TITLE
22 CCR66262.34.
Have haz wastes on site disposed of properly asap. You have
exceeded your accumulation time. Used oil and waste antifreeze on
site. Provide copy of manifest bv 1-6-06.
1126 GT1 1 IMMEDIATELY BEGIN TO PROPERLY LABEL ALL CONTAINERS OF
HAZARDOUS WASTE. IMPLEMENT A PROCEDURE TO ENSURE
THAT ALL CONTAINERS OF HAZARDOUS WASTE ARE
PROPERLY LABELED.
Label waste diesel drum.
1126 GT12 IMMEDIATELY TAKE ALL ACTION NECESSARY TO HANDLE
CONTAINERS/TANKS CONTAINING HAZARDOUS WASTES TO
MINIMIZE RELEASES AND/OR REACTIONS, AND TO TRANSFER
WASTES FROM CONTAINERS IN POOR CONDITION TO ONES IN
GOOD CONDITION. IMPLEMENT A PROGRAM TO ENSURE THAT
TANKS AND CONTAINERS ARE REGULARLY INSPECTED AND
PROPERLY ASSESSED, AND APPROPRIATE ACTION TAKEN AS
NEEDED TO ENSURE THAT MATERIALS ARE HANDLED TO
MINIMIZE RELEASES OR REACTIONS.
AFTER CORRECTION, CONTACT INSPECTOR FOR A
REINSPECTION TO VERIFY COMPLIANCE.
Provide secondary containment for your waste oil and antifreeze
containers.
INSPECTED BY: AARON LA BARRE DATE: t2nst2}05
FACILITY NAME: KARLESKI1'"*.?RUM, INC
1126 GT17
ADDRE!'--'1 225 SUBURBAN RD
SAN LUIS OBISPO, CA 93401
IMMEDIATELY BEGIN DATING ALL CONTAINERS AND LINERS
(FROM CONTATNERS THAT ARE GREATER THAN FIVE (5)
GALLONS) WHEN THEYARE EMPTIED AND ENSURE THEYARE
MANAGED PROPERLY WTHIN ONE (1) YEAR OF BEING
EMPTIED. IMPLEMENT A PROCEDURE TO ENSURE THAT
CONTAINERS AND LINERS ARE PROPERLY DATED AND
MANAGED.
AFTER CORRECTION, CONTACT INSPECTOR FOR A
REINSPECTION TO VERIFY COMPLIANCE.
Properly dispose or recycle your empty unused55 gallon drums on
site. There are over 10 drums on site. Provide documentation within 60
days.
INSPECTION COMMENTS:
INSPECTED BY: AAROU LA BARRE
DATE: t2n5/2oos
NAME OF FACILITY REP: Robert Lopez
SIGNATURE OF FACILITY REP:
{dd-0.
: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this
inspection form.
of Owner/Operator:Title:Date:
'J
County of San Luis Obispo
Environmental Health Services
(805) 781-5544 fax: (805) 781'4211
P.O. Box 1489
2156 Sierra Way
San Luis Obispo, CA 93406
-)
cltydsmuffiffitspo
Fire Department (805) 781-7380
2160 Santa Barbara Avenue
San Luis Obispo CA 93401-5240
Date:
Time:
YES NO N/A
nlzf p
/
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIALS INSPECTION FORM
BUSINESS PLAN
Business plan is complete, current, & available during inspection (HSC 25503.5, Title 19 CCR2729\
Inventory of hazardous materials is complete (HSC 25504' Title 19 CCR2729)
Site layout/facility maps are accurate (HSC 25504' Title 19 CCR2729)
TRAINING PLAN
Facility has appropriate training program (Title 19 CCR2732 & 22 CCR66265.16)
Training documentation is maintained on site for current personnel (Title 19 CCx-2732 & 22 CCR
66265.L6)
EMERGENCY RESPONSE PLAN
Contingency plan is complete, updated, and maintained on site (HSC 25504' Title 19 CCR273L & 22
ccR $ 6626s.s3/s4)
Facility is operated and maintained to prevenUminimize/mitigate fire, explosion, or release of
hazardous materials/waste constituents to the environment. Maintains all required or appropriate
equipment including an alarm and communications system (Title 19 CCR 2731 & 22 CCR 66265.31-
.43)
ABOVEGROUND PETROLEUM STORAGE TANK ACT
SPCC Plan is prepared and certified by a registered engineer within last 3 yrs. (HSC 25270)
SPCC Plan is maintained on site or nearest field office. (HSC 25270)
n fr trnntrtrnn
nI!tran
BPOl
BPO2
BPO3
TROl
TRO2
EROl
ERO2
nnnArornnWAro2
COMMENTS Go to hrtp://www.slopublichealth.org/environmentalhealth/hazardous-materials.htm, to obtain forms to comply with BP01-BP03, TR01 and ER01
EFW d
entry by:(
I
FACILITY NAME
ADDRESS:
AGENCYffin crv nne
ne
Complaint
Other
PHONE:6'4a*sq;ry
!crunnn Hw Generator n usr ! aarEfbusiness Plan'+P'RodAAMs TNSPEGTED:
n usr n ncr flcnlanp.Pdsiness Plan Enw Generalorn No ftvesREINSPECTION REQUIRED:
PERMISSION TO INSPECT: lnspections may involve obtaining photographs, reviewing and copying records, and
letermininq compliance with adopted codes' GRANTED BY (NAME/TITLE)
GPS Coordinates: Latitude:
-deg
mtn danimql min Longitude: deg min-decimal min
fu'*n /-"8-,'n".Surhic e Canrn-FACILITY REP:INSPECTOR:
C:\DOCUMt:-1\Repro\LOCALS-1\Temp\c.lotus.notes.data\lnspection Form Page 1.doc 7-Oct-04
k
SUMMARY OF OBSERVATIONS/VIOLATIONS
No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered.
SLO CUPA greatly appreciates your efforts to comply with all the Iaws and regulations applicable to your facility.
Violations were observed/discovered as Iisted below. All violations must be corrected by implementing the corrective action listed
by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing.
ALL VIOLATIONS MUST BE CORRECTED AS SPECIFIED. CUPA must be informed in writing with a
certification that compliance has been achieved. A 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 Yiolations does not preclude the CUPA from taking administrative, civil, or criminal action.
NUMBER
VIOLATIONS
MINOR MA.IOR CORRECTIVE ACTION REQUIRED
Vcr hvi!\nr*Lf ?-z-s suLun)\^qpol s"/*.o.
Wsl $Wp4-__Ltp"7 '
30 DAYS
COMMENTS:
lnspected
Date:
By:
the certifrcation below and mail this form to the CUPA inspector after all corrective actions have been completed. Retain a copy for your records.
Facility Rep
Signature:
Name:
Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this
inspection form.
Signature of Owner/Operator:Title:Date:
Sign
C:\DOCUME-1\Repro\LOCAL$-1\Temp\c.lotus.notes.data\S_$ummary lnspeclion Form.doc 2-Nov-04
Division of Environmet'-{-I{eallb
(805) 781-5544 1
P.O. Box 1489
2156 Sierra Way oSan Luis Obispo, CA 93406
Department of Acriculture/Measurement
Standards (8os) 281-ss1o
2156 Sierra Way Suite A .San Luis Obispo, CA 93401
i1
fl?,iTm,.18os)v781.7380 llilillllllllllllillllltulllllllll
SanLuisObispocAg340l-s240 jEE***Je'H
Ci-ry of San l,uis Obisr:o #
Date: ,1t"1+
Time:
CERTIFIED IJNIFIED PROGRAM AGENCY (CIIPA)
HAZARDOUS MATERIALS INSPECTION FORM
EFW data
entry by:
PROGMM RECORD ID NUMBERS:
FACILITY NAME:
ADDRESS:
I
PHoNE: q43 - 1z I r/
AG DEPT
CITY FIRE
CITY UTILITIES
Routine
Reinspection
Complaintfl otner
Plan{a*nu"Elfiwoenerator E UST E aarPROGRAMS INSPEGTED:
pdsiness eun 64wcenerator EI UST fl acrREINSPECTION REQUIRED:tr No Fles
NAIUItr,'IIILE
lnspections may involve obtaining photographs,andtsst
with codes.BY
YESn NOz N/Anw n trV tr N
dtr.trrar
d T tr{n D
BPOl
BPO2
BPO3
TROl
TRO2
EROl
ERO2
ATOl
AT02
BUSINESS PLAI\T
Business plan is complete, current & available during inspection (HSC 25503.5, Title 19 CCR
272s1
lnventory of hazardous materials is complete (HSC 25504, Title 19 CCR 2729)
Site layouUfacility maps are accurate (HSC 25504, Title 19 CCR 2729)
TRAII\IING PLAI\
Facility has appropriate training program (fitle 19 ccR2732 &22 CCR66265.16)
Training documentation ir maintained on site for current persounel (Title 19 CCR2132 &
22 CCR66265.10
EIVTERGENCY RESPONSE PLAN
Contingency plan is complete, updated, rnd maintained on site (HSC 25504, Title 19 CCR
2731&22 CCR $ 6626s53/54)
Facility is operated and maintained to prevenUminimize./mitigate lire, orplosion, or release
of hazardoui materials/waste constituents to the environnent Maintains all required or
appropriate equipment includilg an alarm and communications system (Titl€ f9 CCR 2731
& 22 CCR 6626531-.43)
ABO\MGROUII{D PETROLEIIM STORAGE TANK ACT
SPCC Plan is prepared and certilied by a registered engineer within last 3 yrs. (HSC
zsn0)
sPcc Plan is maintained on site or nearest field oflice. (HSC
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COMMENTS
GPS Coordinates: Latitude:
-deg -min-decimal
min
FACILITY REP:\-a tLr'C€ (.qt t2'tr\
mln
INSPECTOR:
O:\Common\DOCUMENT\,ieffo\FORIvIS\lnspection forms\Haz Bus Fln lnsp Pg 'l.doc 20-Aug-03
I DATE:2 /-FACILITY NAME:
EPA ID
NUMBER:
Tiered Permit:
Treatment Equipment:
ae
HAZARDOUS WASTE GENERATOR
6
NSPECTOR:
Total generated/month:
Waste oil: Solvents
Antifreeze: Others:
Lbs or gals
(average)
CESQT CA
YES. NO N/AE E'E
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GT03
GTO4
GTO5
GTO6
GTOT
GTOS
GTO9
GTIO
GTII
GTI2
GTI3
GTI4
GTI5
GT16
GTIT
GTIS
GTI9
GT2O
GT2I
EPA ID NO/PERMITS
Generator has an EPA ID number to treat, store, dispose, transport or transfer hazardous waste (Title
22CCR 66262.12) If Not, Call (800) 618-6942
HAZARDOUS WASTE DETERMINATION
Hazardous waste determination conducted (Title 22 CCR 66262.11)
ilonn knowledge lanalysis lother
Hazardous waste analysis/test records are kept for at least 3 years (Title 22 CCR 66262.40.(c))
DISPOSAL/TRANSPORTATION
Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or
66262.12)authorization from
EmiJlxrunservice
DTSC (HSC 25189.5, Title 22 CCR
Eother
Hazardous wastes are shipped with manifest (Title22 CCR66262.20\
Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR
66263.42t 66262.23)
STORAGE AND MANAGEMENT OF CONTAINERSITANKS
Hazardous wastes are accumulated on site as follows (Title22 CCR66262.34\
n gO Aays ifwaste generated per month is greater than or equal to 100 kg (220 lbs.)
I tAO days ifwaste generated per month is less than 100 kg (see note)
5l3ZO days if waste generated per month is less than 100 kg and transported more than 200 miles (see
note)
Notel Applies only if hazardous waste accumulated on site never exceeds 6000 kg(l3200 lbs.)and no
acutely/extremely hazardous waste over I kg (2.2|bs.) is held on site for over 90 days.
Hazardous waste,,satellite" collection is managed properly (complete labeling/accumulation time/55-gal
or l-qt limit) (Title 22 CCR 66262.34(c))
Ignitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR
66265.176)
Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS
WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title22
ccR66262.34\
Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or
reaction (T ltle 22 CCR 66265. I 7 I l.l9 l, 66265.17 7 (c))
Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 66265.112)
containers storing hazardous wastes are closed/sealed (Title22 cCR 66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted
(T itte 22 CCR 66265.17 4)
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 (Title22 CCR 66261.7 (0)
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled (includes proper labeling' storage' etc) (HSC
2s250.4)
Used oil filters for recycling are managed properly (drained of free flowing liquid' stored in closed
rainproofcontainer, labeled "drained used oil filters," and transferred for metal reclamation) (Title22
ccR 66266.130)
Spent lead-acid batteries are transferred offsite under manifest or bill oflading for recycling, reuse' or
reclamation (Title 22 CCR 66266.81)
Solvents/other recyctable materials are managed as hazardous wastes until recycled (Title 22 CCR
66266.3)
E
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CORRECTTVE ACTION REQUIRED
L
SUMMARY OR OBSERVATI S
l--l No violations of underground tank, hazardous materials, inventory, and hazardous waste laws, regulations, 8nd requirements were.-
discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility.
11. Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective ection listed by eacht'zt violation. If you disagree with any of the violations or proposed action, please inform us in writing.
ALLVIOLATIONS MUST BE CORRECTED AS SPECIFIED. CUPA must be informed in writing certifying
that complience has been achieved. A false statement has been achieved is a violation ofthe law and punishable by a fine
ofnot less than $2'000 or more than $25,000 for each violation. Your facility rnay be reinspected any time during normal business hours.
you may request a meeting with the Program Manager to discuss the inspection findings and/or proposed corrective actions. The
issuance of this Summary of Violations does not preclude CUPA from taking administrative, civil, or criminal action as e result of the
violations noted or that have not been corrected within the time specified.
NUMBER
hb/&l
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{-
-fV.4Y?-- (,/
t6>10l
COMMENTS I
Inspected By:
Date:.7-
Facility Rep Name:ic
Signature:
*<nic<
r€pro ll27 rev 1
,/
O :\DOC UMENT\Jeffp\FORMS\l nspection forrns\CUPA inspection forrns.doc 1 0-Sep-01
SUMMARY OR OBSERVATIONSNIOLATIONS
n No viotations of underground tank, hazardous mete-riats, inventory, and hazardous wrste laws, regulations,_and requirements were
discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility.
E Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each
violation. If you disagree with any of the violations or proposed action, please inform us in writing. l
ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing certifying
that compliance has been achieved. A false statement that compliance has been achieved is e violation of the law and punishable by a line
of not less than $2,000 or more than S25,000 for each violation. Your facility may be reinspected rny time during normal business hours.
you may request a meeting with the Program Manager to discuss the inspection findings and/or proposed corrective actions. The
issuance of this Summary of Violations does not preclude CUPA from taking administrative, civil, or criminal action as a result of the
violations noted or that have not been corrected within the time specified.
NUMBER
TR r:e
VIOLATIONS
MINOR MAJOR CoRRECTM ApTION REQUTRED
rC e
GTOE /
hr tt tl
COMMENTS;
Inspected By:
Date:t/s ?
Facility Rep Name:
Signature
. r6pro ll27 rsv 1 O:\DOCUMENT\Jeffp\FORMS\lnspection forrns\CUPA inspection forrns.doc 1 0-Sep-01
FACILITY NAME: (o,DATE:
HAZARDOUS WASTE GENERATOR
t l;I: --'-rtNSPECroR:
)
/,d<rr/7a4^-J ('-'t '-{r..
CAL ooc' 5;7 Y-t6ncnsw ncnsor Ica Jprn
Total generated/month: .i (l f.t
Waste oil: ,./ Solvents:
Antifreeze: "/ Others:
Lbs or gals
(average)EPA ID NUMBER:
Tiered Permit:
Treatment
Equipment:
YES NO N/AEtr T
E'T NEI T T
vroL.#
GTOl
GTO3
GTO4
GTO5
GT06
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
22CCR566262.12) If Not, Call (800) 618-6942 to obtain your CAL EPA ID number.
HAZARDOUS WASTE DETERMINATION
Hazardous waste determination conducted (Title22 CCR $66262.11)
Eown knowledge [analysis f]other
Hazardous waste analysis/test records are kept for at Ieast 3 years (Title 22 CCR $66262.40.(c))
DISPOSAL/TRANSPORTATION
Hazardous wastes were transported and/or disposed to a facility with an EPA ID NO. and permit or
authorization from DTSC (HSC S25189.5, Title 22 CCR
fimitkrun (vnno{""n
566262.r2\
A;rf l"* f,l t,,*, r,, eElother
Hazardous wastes are shi'lped ri,ith manifest (Title22 CCR $66262.20)
Manifests and/or receipts are properly completed./retained by generator for 3 years (Title 22 CCR
966263.42t 66262.23)
STORAGE AND MANAGEMENT OF CONTAINERSITANKS
Hazardous wastes are accumulated on site as follows (Title22 CCR $66262.34)
n gO aays if waste generated per month is greater than or equal to 100 kg (220 lbs.)
,E fSO days if waste generated per month is less than 100 kg (see note)
An0 days if waste generated per month is less than 100 kg and transported more than 200 rniles (see
note)
Note: Applies only if hazardous waste accumulated on site never exceeds 6000 kg(13,200 lbs.)and no
acutely/extremely hazardous waste over I kg (2.21bs.) is held on site for over 90 days.
Hazardous waste "satellite" collection is managed properly (complete labeling/accumulation time/S5-gal
or 1-qt Iimit) (Title 22 CCR $66262.34(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 dater "HArZARDOUS
WASTE," waste composition/physical state, hazardous properties, name/address of generator) (Title22
ccR $66262.31, 66262.34)
Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or
reaction (T itle 22 C CR $ 66265. 1 7 I l.l9l, 6626 5.17 7 (c))
Containers/tanks/liners are compatible with waste stored or transferred (Title22 CCR$66265.172)
Containers storing hazardous wastes are closed/sealed (Title22 CCR $66265.173)
Weekly inspection of areas where hazardous waste containers are stored is conducted
(Titte 22 CCR$66265. 174)
Daily inspection of all tank systems is conducted and documented (Title 22 CCR $66265.195)
Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly
within one year of date emptied (Title 22 CCR S66261.7 (f))
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC
$2s2s0.4)
Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed
rainproof container, labeled "drained used oil filters," and transferred for metal reclamation) (TitleZ2
ccR$ 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 566266.81)
Solvents/other recyclable materials are managed as hazardous wastes until recycled (Title 22 CCR
$66266.3)
SOURCE REDUCTION: For facilities generating >12,000 kg./yr. of hazardous waste on site.
Generator is subject to SB14 and has prepared and retained current source reduction documents or is
able make them available to the inspector within (5) days. (HSC 825244.19,25244.21)
Source Reduction Evaluation and Plan contains the following five elements:
certification, amounts of wastes generated, process description, block diagrams, and implementation
schedule of selected source reduction measures. (HSC $25244.19)
A:\CIJPA inspeetion forms.doc 19"Sep-02
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Division of Environn^(al llgellb
(sos) ?81{s44 }-
P.O. Box 1489
2156 Sierra Way oSan Luis Obispo, CA 93406
Denartment of Asriculture/Measurement
Standards (8ot 78r-59r0
2156 Sierra Way Suite A oSan Luis Obispo' CA 93401
FireDepa/lr(sOs)78r-73s0 lll.,ll,lli;illi,lliilll|:it,illl;:ii
3',1o"Tl3o*oltltiltl;,., *.#;[.fl]*ea+Sr^f;rOa+"ffi
Utilities Department o (80$ 78f-7215
879 Morro Street o San Luis Obispo, CA 93401
1
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
HAZARDOUS MATERIALS INSPECTION FORM EFW data
entry by:Date:
Time:
1 t t-t' tor
li so
FACILITY ID NO:
FACILITY NAME: k"lsk;nt -Crr^ 5ns,
ADDRESS
! Reinspection
! Complaint
Routine
n otner
AGENCY
EI onH! ,rc DEPT! crrv rrnnn crrv urILrrIEs
PHONE:
E,c'cr ! Tiered PermittingE rrw Generator E usrffi Business PlanPROGRAMS INSPECTED:
! usr Ilcr f] tiered PermittingI Business Plan ! rrw GeneratorENODYESREINSPECTION REQUIRED:
PERMISSION TO INSPECT: Inspections may involve obtaining
comoliance with adopted codes. GRANTED BY (NAME/TITLE):
and copying records, and determining
YES NOENENtr!
KtrK!
trIstr
N/A
BUSINESS PLAN
Business plan is complete, current, & avaitable during inspection (HSC 25503.5' Title 19 CCR2729>
Inventory of hazardous materiats 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 &
22CCR66265.t6',)
EMERGENCY RESPONSE PLAN
contingency plan is complete, updated, and maintained on site (HSC 25504, Title 19 CCR
2731 &22 CCR $ 6626s.s3/s4)
Facility is operated and maintained to prevenUminimize/mitigate lire, explosion, or release
of hazardous waste to the enviionment. Maintains all required or appropriate equipment
including an alarm and communications system (Title l9 CCR 2731 & 22 CCR 66265.31-
.43)
BPOl
BPO2
BP03
TROI
TRO2
EROl
ERO2
COMMENTS:
INSPECTOR:,A-ft7rh FACILITY REP:
FACILITY NAME:
EPA ID
NUMBER:
Tiered Permit:
A<(DATE
HAZARDOUS WASTE GENERATOR
3l*l^,jNsPEcroR:
LAL O@ l Lbs or gals
(average)Total generated/month:
Waste oil:l./ Solvents: t/
Treatment EquiPment:Antir.: ""r"r---V- others:
YES NO N/AE-E E vIoL. #
GTOI
GT03
GTO4
GTO5
GTO6
GTOT
EPA ID NO/PERMITS
Generator has an EpA ID number to treat, store, dispose, transport or transfer hazardous waste (Title
22CCR66262.12) If Not, Call (800) 618-6942
HAZARDOUS WASTE DETERMINATION
Hazardous waste determination conducted (T itle 22 CCR 66262'll)
^Sown knowledge lanalysis ilother
Ezardous wastl analysis/test iecords are kept for at least 3 years (Title 22 CCR 66262.40.(c))
DISPOSAL/TRANSPORTATION
Manifests and/or receipts are properly completed/retained by generator for 3 years (Title 22 CCR
66263.421 66262.23)
STORAGE AND MANAGEMENT OF CONTAINERS/TANKS
Hazardous wastes are accumulated on site as follows (Title22 cCR66262.34',)
D gO Oays ifwaste generated per month is greater than or equal to 100 kg (220 lbs')
E fm days ifwaste generated per month is less than 100 kg (see note)
OZlOdays if waste generated per month is less than 100 kg and transported more than 200 miles (see
note)
Note: Applies only ifhazardous waste accumulated on site never exceeds 6000 kg(13200 lbs.)and no
acutely/exlremely hazardous waste over I kg (2.2|bs.) is held on site for over 90 days'
Hazardous waste,,satellite" collection is managed properly (complete labeling/accumulation time/55-gal
or l-qt limit) (Title 22 CCR 662623aG))
tgnitable or reactive wastes are located 15 m (50 feet) from facility's property line (Title 22 CCR
66265.t76)
Containers of hazardous waste are properly labeled (includes appropriate date, "HAZARDOUS
WASTE,' waste composition/physical state, hazardous properties, name/address of generator) (Title22
ccR66262.34\
Containers/tanks containing hazardous wastes are in good condition/handled to minimize release or
reaction {"1 itle 22 CCR 66265. I 7 I l.l9 l, 66265.17 7 (c))
Containers/tanks/liners are compatible with waste stored or transferred (Title 22 CCR 66265.172)
Containers storing hazardous wastes are closed/sealed (Title22 CCR 66265'173)
Weekly inspection of areas where hazardous waste containers are stored is conducted
(T itte 22 cCR 66265' I 74)
iaily inspection of all tank systems is conducted and documented (Title 22 cCFt 66265.195)
Empty containers or inner liners greater than 5 gal has date when emptied and are managed properly
within one year of date emptied (Title 22 CCR 66261.7 (f))
RECYCLABLE WASTE
Used oil is managed as hazardous waste until recycled (includes proper labeling, storage, etc) (HSC
25250.4\
Used oil filters for recycling are managed properly (drained of free flowing liquid, stored in closed
rainproofcontainer, labeled "drained used oil filters," and transferred for metal reclamation) (Title22
ccR 66266.130)
Spent lead-acid batteries are transferred offsite under manifest or bill of lading for recycling, reuse' or
reclamation (Title 22 CCR 66266.81)
Solvents/other recyclable materiats are managed as hazardous wastes until recycled (Title 22 CCR
66266.3'
!
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GTO9
GTlO
GTl1
GT12
GT13
GTI4
GTl5
GT16
GTIT
GT18
GTI9
GT2O
GT21
FAcf Lfw NAME: K^.1" kin+ -C
SUMMARY OR OBSERVATIONS/VIOLATIONS
No violations of underground tank, hazardous materials, inventory, and hazardous waste laws, regulations, and requirements were
discovered. SLO CUPA greatly appreciates your efforts to comply with all the laws and regulations applicable to your facility.
X violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by
each violation. If you disagree with any of the violations or proposed action, please inform us in writing.
ALL MINOR VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing
certifying that compliance has been 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 $25,000 for each violation. Your facility may be reinspected any time during
normal business hours.
You may request a meeting with the Program Manager to discuss the inspection findings and/or proposed corrective actions. The
issuance of this Summary of Violations does not preclude CUPA from taking administrative, civil, or criminal action as a result of the
violations noted or that have not been corrected within the time specified.
NUMBER
VIOLATIONS
MINOR MAJOR CORRECTIVE ACTION REQUIRED
BP
TR
ER
GT og
IItf{
2a-- 7-
-UT
AT
COMMENTS:
Inspected By:
Date:
Facility Rep Name:
C}:iDOCUMINT\Jeflp\FORltl$\lnsp*ction formslClJPA inspection forms.doc 2-Jan-01
805-78 1 -5544
,--] ,^ -^)
COL.., I OF SAN LUIS OBISPO HEALTH DEF"'\.'dENT
Division of Environmental Health
P.O. Box 1489, San Luis Obispo, CA 93406
Routine lnspection
Reinspection No.
Complaint I nvestigation
a-/-
HAZARDOUS MATERIAL/U NDERGROU ND STORAGE TAN K/WASTE GENERATOR
Facility Name K Ceun
INSPEgTION_tA,4L€Si0+rr
REPORT/NOTICE OF VIOLATION
Date s-- >r-q1
zs 13AF5 ,h Go<*r€,/'-'
{<
Facility Add Contact Pe
Title/PositionSuo
HAZARDOUS MATERIALS (21 85)(COMP #
6.95)56te UNDERGROUND STORAGE TANKS (COMP # )
CA H&S Code, Div. 20, Chap. 6.7)H&S Code, Div. 20, ChaP.
BUSINESS I.D. FORM ATL. #GENERAL
1. Com lete
e number
3. Location of utilities
INVENTORY
4. Hazardous material & amounts listed TANK CLOSURE
Material stored in proper containers
& labeled
6. lncom bles not stored
ll containment
PLOT PLAN
8. Plot submitted
9. Veri streets &bui WASTE GENERATORS COMP
10. Location of hazardous materials
11. Fire exti uishers/water
12.shut-off switches
13.Location & verification of MSDS
14. Sewer and/or storm drains
15.area
16.tn
EMERGENCY RESPONSE PLAN
17 uate
18.evacuation
19.TRAINING PROCEDURES
The above marked items represent violations of the California Health & Safety Code and the California Code of
Regulations and must be corrected
Viol
2.
5.
7.
ComplComplViol
20. Permit to operate
21. lnventory reconciliation il| | Ia22. Precision tank test
23. Leak detectors
24. Permit aDoroved
25. Temporarv closure
26. Removal/in place abandonment t*a) Tanks purqed *-\| -r r !b) Tanks rinsed
c) Soil samples taken
27. EPA identification number
28. Variances and/or exemptions
29. Manifests
30. Waste oil receipt
31. Training program/records
32. Continqencv plan
E33. Material stored in proper containers
& labeled
34. lncompatibles not stored together
35. Storaqe - 90 days
36. Fire extinquishers
37. Spill containment
COMME
cA1et',, CAL ldAnto cr*t v c,(.)A g G€ rE<av
6(LD.}C€S uo€lL€- t =,{7t
w.€{:s-r-? 3 f4 e
t r-;,frS:7€ @t A-ile'V€ (karea,*3 -?rAN/
lnspector's Signatu
Owner/Operator Signatu
NOTE: Signature indicates pt his only and noi an admission of the facts.
p"g. I or (
v
RVICES
-d'L.f-
i#---_
F3. ESIMILE TRAN SM]TTAL S I{EET
FROM:
EVERGRE.N EHVIRONMENTALIN C,
DATEI
wo fr#4q+35 -)TrcK .ry ffi'],e Ssxo-fl
t:turn 4 cofflentncstC {ee
Ca-ttur+E.sber-t
EA5.TOTAL NO, OF PAGES INCLUDING COVERT
PHONE NUMBER:SENDtsRS PI.IONE NUMBER
(800) e??-5284
RE: SENDERS FAlt NUMBER
\1rl6y( g'fiS,+f (e4e>?ss47y+
E uRGeN* E rQn REvrEw E rre.A$g coMMENr E llnasn nei,rv il prensE trEcYCLE
NOTESICol.,MENTS,
+ 2355 MAIN ST STB. 330 - rRvrtrrs CA 92S14
PUBLIC INFORMATION REQUEST
'\ "\
Counui of San Luis Obispo ' ^'ublic Health Agency
Public Health Department
Environmental Health Division
2156 Siena Way . P.O, Box 1489
San Luis Obispo, Califomia 93406
(80s) 781-ss44 . FAX: (80s) 781-4211
Gregory Thomes, M,D., M.P.E.
County Eealth Officer
Public Eeelth Agency Director
Cartis A, Betson,
^b"rr!;ti;
SAN LUIS OBISPO COUNTY
ENVIRONMENTAL HEALTH SERVICES
This form may be used to submit a written request for public information contained in
the Department's files. A reproduction charge may be assessed based on the amount
of material requested. Up to 10 working days may be required to locate and compile
the requested information.
DATE OF REQUEST os
REQUESTOR'S NAME:
nl,,-Ca"t&*v
FIRM NAME E-ar*t t e"{ni-
FIRM ADDRESS:
CITY, STATE, ZIP:
FIRM PHONE:S{t- R I
REASON FOR REQUEST:''l -'r t
fu,.Les /cl*+ e Cru^BUSINESS NAME FOR REVIEW
BUSINESS ADD ?,-)-,f S urbr^,r e^,v\{2,J Supt'^
SIGNATURE
R EW:
C:\OOCUMEI$T\FoHsiGENERAL\FLJB!NREQ.FP'i',I i2.,JUI\.Q2
FileMemorandum
To: File
cc:
Fpm: Aarcn '*$San Lu's Obbpo Gounty Envircnnrental Fhalh Services (EHS)
tlab: Janmry 19, ZXF
Re: KCI Environmental 225 Suburban SLO
Curt Boutwell, president of KCI has provided the paperwork required on the
NOV letter dated 12-7-2004.
O;\Common\DOCUMf NT\Aaron\Direction Letters\KCl Memo.doc'l 9-Jan-05
\
,&WORK
Evergreen Environmental' Services
dedicated to thi frotection of the environment
To schedule a pickup, call Send payment to:
800-972'5284 Evergreen oil, Inc.
6880 Smirh Ave., Newark, CA EpA# CROgseariZoe P.O. BOX 678252
16s40 S. San Pedro St., Caison, CA EPA# CAD982413262 Dallas, TX 75267-8252
GENERA LOCATION BILLING INFORMATION
TSDF
I/7 r
,i
Evergreen Oili Inc.
6880 Smith Ave.
Nervbrk, CA 94560
cAD9808874t8
Evergreen Env. Svc.
16604 S. San Pedro
Carson, CA
Env. Svc.
cA 95926
Env. Svc.
145 Befteravia
Santa CA 93454
Evergreen Env. Svc.
4139 N. Valentinb
Fresrio, CA 937 i I
cAD982446882
CFR
-944
Los
E.Ave.
cA 9001i
Manifest
AJS Filter
15131 Clark Ave.
InduStry, CA 91745
cAD00009?432
CFR
33210 Westem
Union City, CA 94587
cAL000091507
Date
Greenleaf Env. Svc.
3474 Tovon Circle
Valley Springs, CA 95352
cAL0002l44l I
f
Retain sample #D-l
Generator certifies that it has established a program to reduce the volume.or
quantity & toxicity of the hazardous waste to the degree determined by
side of this form.
2oLce t
ver
CASH N CHECKN
#€*Dtk4E4PZls Evv iV-u ^--*t-t-
NAME //
'nYjy$
5.r-Bt*rz P,q,At t_n ADDRESS CUSTOMER CODE NO.K<-ra> |
PO#%'tffiCtTYda.n /"c,'S
STATEOA|TDD CITY STAfE ZIP CO.
NO.CUSTOMERPHONENO. -I€ts{3 - 33tl PHONE NO.()PROFILE NO.
PRODUCT WASTE
CODE
MANIFEST
NUMBER QUANTITY UNITS PRICE AMOUNT
Used oilr Non-RCRA Ha2ardous Lubricating CA22L 2877-iXc",'25.1 Gal.@b
waste, Liquid Industrial CA22I Gal.
U*d Auiomotive Antif@e, Non-RCRA Haardous CAl34 1577osLf 5C)t6aDz / )l-.li (b'/n. ..r*\
RQ wsle Combuslible Liquid, N.O.S. NA
tAql III roil conlaminaicd with haloeens)
cA22lF(n r /Fo02 Gal.
Oil & Water, Non-RCRA Hazardous Waste Liquid CA2zI Gai..
Waste Solids and Sludges Gal
Wash Out Each
Drained Used Oil Filters Drum
Non-RCRA Hazardous Waste Solids (oily debris)cA223 D.rum
Empty Drums Drum
Transportation Hrs.
Non Hazardous Water Gal.-'--
TEsT:fl Clor D Tech 4000-ppm I ctorn Tech 1000f Parr I r.ii,rfr'aotgen Derector/Flame Tesffp255 [ puil
Field Service Work Description:Total Charges
lss.
Other:
Other:t),h &
Vacuum Services Time
of Yard On Siie Site - Off Load Start Off l,oad End Retum to Yard
Station fl Government
n n fl.Industrial
Print Name Route #Date s Signature Date
:b .-)''\ @*'Ft"
WORK ORDER/SERVICE AGREEMENT
Evergreen Environmental Services
dedicated to the protection of the environment
To schedule a pickup, call Send payment to:
800-972-5284 Eversreen ol, rnc.
6880 Smith Ave., Newark, CA EPA#CAD982413262 P.O. BOX 678252
16540 S. San Pedro St., Carson, CA EPA# CAD982413202 Dallas, TX 75267-8252
GENERA LOCATION BILLING INFORMATION
TSDF Consolidated Manifest
Sales Order #
Greenleaf Env. Svc.
3474 Toyon Circle
Valley Springs, CA 95352
cAL000214411
Our"t&
7?7
7
Retain sample #
Evergreen Oil, Inc.
6880 Smith Ave.
Newark, CA 94560
cAD980887418
Eversreen Env. Svc. R-Z
tOeOZ s. San Pedro lAl
Carson, CA 90746
cAD981
Evergreen.Env. Svc.
Road 30B
Davis; CA 95926
cAD982446874
Evergreen Env. Svc.
745 A West Betteravia
Santa Maria, CA 93454
cAD9824468s8
Evergreen Env. Svc.
4139 N. Valentine
Fresno, CA 93711
cAD982446882
CFR
944 E. Slauson Ave.
Los Angeles, CA 90011
cAL0001 10021
AJS Filter
15131 Clark Ave-
Industry, CA,91745
cAD000097432
CFR
33210 Westem
Union City, CA 94587
cAL0m091507
Generator certifies that it has established a program to reduce the volume or
quantity & toxicity of the hazardous waste to the degree determined by
generator to be economically
I herebv certifv that I and have the authoritv to .t
bind the above listed to the termb on the reverse
( t Et0ortaP*-e-^tl*/NAME cAsrr n CHECK I
#
D
ADDRESS CUSTOMER CODE NO.1r tna t
co.ztP
Tsqos
CITY STATE
9nu/uh &trrno t/+
CITY STATE ZIP CO.PA{
PHONENO. I T
&59 <q" -?\ t t
PHONE NO.()PROFILE NO.NO.w
PRODUCT WASTE
CODE
MANIFEST
NUMBER QUANTITY UNTTS PRICE AMOUNT
Used oil, Non-RCRA Hazardous Lubricating CA22T 226atetr <$( ofr.)6-{-
Waste, Liquid Industrial CA221 Gal.
Used Automotivc Antifrea, NoI-RCRA Haadous
Wdte Liquid cAt34 Gal.
N.O.S. NA cA22t
F00 I /F002 Gal.
Oil & Water, Non-RCRA Hazardous Waste Liquid cA221 Gal.
Waste Solids and Sludges Gal.
Wash Out Each
Drained Used Oil Filters Drum
Non-RCRA Hazardous Waste Solids (oily debris)CA223 Drum
Empty Drums-Drum
Transportation Hrs.
Non Hazardous Waier Gal.
TEST:! Ctor D Tech 4000-ppm x n n Fail fi Halogen Detector/Fiame Tesr iRl lust trPass FailClor D Tech 1000 ,/{-'
Field Service Work Description:Total Charses
Other:
Other:
Vacuum Services Time (o
Out of Yard- On Site Off Site Off Load Start
-
Off Load End to Yard
-
Source: Q Collection Station E Government
Q Marine E Industrial
Driver Signature Print Name Date
of this form.
Print Name Date
')
l{a nleskint-Cru m, I nc.
KARLESKINT-CRUM,INC' COMPLIANC€ ACKNOWLEDGEMEHT
KARLESKINT-CRuM'INC..lsAoRUGFREEwoRKPl-AcEANoAllEouALoPPC}RTUNITYEMPLoYERsUP|oRTlNGsTRtcT'IMPLE.
MEHTATION OF ITS' NON-OISCRIM!ilATIoN/HARASSMENT POUCY'
KARLEsKtilT-cRUM,lNC.ls DEEPLY coMMlTrED To A SAFE H€ALTHFUL woRKrNG ENVIRoHMENT to* ot'| ,11o:T:'.T"
EFFoRTIsMAoEToIMPLEIYIENTTHEINJURYA}lDILLNESSPf,El/ENTIoNPRoGRAMwHIcHIHCLUDeSJoBSAFETYAI{ALY-
slscoRREcTloN'SAFETYTRAININGFoRALLEMPLoYEES,IHJuRYREPoRTINGsYsTEMWITHFoLLow-UpR/ALUATIoHoF
ALLAccIoENTs,sAFETYRULESFoRGENERALANDsPEcIFIcoPERATIoNsAHDoTsqPUNARYPRoCEDURES.INCLUSIVEIH
THECoMPANYsAFEwPRoGRAMIsTHEoRIvER/vEHlcLESAFETYPoucY.
KARLESKINT-CRUM'INC.E€uEvEsSAFETYANooUAIITYGoHANDINHAND.THEcoMnANYSTANoARD.aEcTEoFALL
EMPLoYEES,IsTocoNsIsTANTLYPERFof,MTHEHIGHESToU^uTYWoRKMANSHIPINTHESAF€STMANNER..
THEsUccEssFULoPERATIoNoFKARLESKINT-CRUM'INC.oEPEl{osUPoNAwoRKFoRcEwHlc}llsSTRoNGLYcoMMlTTo
To ALL coMpANy srA*DARDs AND poucrEs. suppoRT AND rMpLEMENr.lrtoit oF THEsE srANDARos AND PoLlclEs ARE
IMPERATIVE TO THE DAY TO OAY OPEFATION OF THE COMPANY'
EAcaIEtTPLoYEEIsRESPoNSIBLEToREAD,uNoERSTANo,CoMPLYANDSUPPoRTALLCoMPANYSTANoARDSAHoPoLIcY'
PLEAS€REAoTHEFoLLowING;rNlTlAL.AccoRDlNGLY;ANo'UPoNcoMPLETtol{'slc!{THEACKNoWLEDGEM€NrTocoMPLY.
1)tHAVEREAD'uIIDERSTANoANDAGREETocoMPLYAI.IDSUPPoRTTHEKARLESKIHT-CRUM.IHC.T.iil.:Jlft:]lfl-
AFFIRMATIVE ACTTON FOUCY.
:
2) l HAvE.FEAo,uNoERsTAl{o ANo AGRE€ To coMPLY ANo sUPPo;tT THE KARLESKINT-CFUH,INC. "i:,:H'?3.T-
ASSMENT POLICY.
3) l HAVE READ'uNoERSTAND Allo AGREE To coMPLY ANo suPPoRT THE KARL€SK|NT-CRUM,|NC. DRUG FREE woRKPl-AcE
poucy. wrrrru i?. D.L, .
4) l HAVE READ,uNt}€RsTAilo Al{D AGREE To coMPLY ANo sUPpoRT THE KARLESKINT-CRuM,INC. ":-::^.J,ffff:l'*
5) I HAVE READ,UflOERSTAXO AND AGREE TO COMpLy Ailo suPPoRT THE KARLESKINT-CRUM'INC JOS SPECIFIC RULss'
nrnu;(-fula
s) I HAVE READ,UNDERSTAND ANo AGf,EE TO COMpLy AND SUPPC'RT THE KARLESKINT-CRUM.INC' DRlv€R/vEHlcLE POUCY'
rnrrnr-, ,Z D.l.
7.) I HAVE READ,UNO€RSTAND ANO AGREE TO COMpLy AND SUPPORT THE KARLESKIHT-CRUM'IHC' HAZARD COMUUNICA-
* Tro* p.ucy.
AND Ailu A(ittt= ts vv.*L' Fte sv"
lxrrrau=(t"1p!
I,HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNOERSTOOO THE AEOVE AND AGREE TO COMPLY ANO SUPPORT ALL
iancsxnr-cRuM,trc. PouclEs ANo sTAxDARos'
t:uilDEHsTANoTHATFAILUREToooSoMAYRESULTIHDISCITNARYAcTtoNANoPC}sslELETERMtNATloil.
OATE:A*A -g{
EMPLOYEE SIGNATURE
(Pf,lt{T
CONTRACTORS .Landscape - Erosirxr Cantrol - Engi neeri ng t CA"247631
SIGI{ED:
PO. Box 5358. San LuisObispo.CA 934O3 r (BO5)?-i3.3304 o Ft\(805)543:f,n
I{a rleski nt- C-ru m, I rrc.
KARLESKINT-CRUM,INC. COMPLIANCE ACKNOWLEDGEMEilT
KARLESKTNT-CRUM.IIC..tg A DRUG FREE WORKPLACE AilO Ar{ EOUAL OPPORTUNITY EMPLOYER SUP.PgRTING STRICT.IMPLE-
MEXTATIOX OF ITS' lrC,N-olSCRllilltlATlON/ HARASSMENT PCIUCY
KARLESK'NT-CRUM,INC.IS O€EPLY COMMITTED TO A SAFE, HEALTHFUL WORKTHG EilVIRONMENT FOR ALL EMPLOYEES'EVERY
EFFORT IS MAOE TO IMPLEME}IT THE I}IJURY AND ILLNESS PREVENTIO}I PROGRAM WHICH IXCLUOCS JOA.,SIFETY A!{ALY-
SIS CORRECTION. SAFETY TRATXING FOR ALT EMPLOYEES. INJURY REPORTIHG SYSTEM WITH FOLLOW-UP EI/AI'UATION OF
ALL ACCIDEHTS,SAFEW RULES FOR GEN€RAL AI{D SPECTRC OPERATIONS A}tD DISCIPUNARY PROCEDURES' INCLUSIVE IN
THE COMPAflY SAFEW PROORAM IS THE ORIVER/VEHICLE SAFEW POUCY. :
KARLESKINT-CRUM,INC. B€UEVES SAFETY AND OUAIITY GO HAND IN HAND.THE COMFANY STANDARO. E(PECTED OF ALL
EMPLOYEES, IS TO CONSISTANTLY PERFORM THE HTGHEST OUAUTY WORKMANSHIP IN THE SAFEST MANIIER'
THE SUCCESSFUL OPERATION OF KARLESKINT-CRUM.INC. OEPEilOS UPON A WORKFORCE WHICH IS STRONGLY COMMITTED
. To ALL coMpANy sTANDARDS AND poltctEs. suppoRT ANo TMpLEUENTATIoN oF THESE srAt'loARos AND POuclEs ARE
IUP€RATIVE TO THE DAY TO OAY OPERATKIil OF TH€ COftIPANY.
EICX ATTPIOVEE IS RESPOT{SI8LE TO READ,UNOERSTANO,COilPLY AND SUPPORT AI.L COMPANY STANDAROS A'{O POLTCIf-'
** Please read tl:e trnlicies fourd in the hardbook you have been given;
initi"al below, ard sign this acknowledgenent to crcnply be1cr.r.
t) I HAVE R€AD,IrNo€R6TAND ANo AGREE To coupLy AilD suPPc,RT THE KARLESKIilT-cRtru.lr{c: EOUAL grPLoYllENT/
AFFIRMAT.'E AcrKrN Foucy. txtrwL i{
2) I HAVE.READ,UNOERSTANO ANO AGAEE TO COMPLY ANO SUPPCaT THE KARrF(KINT-CRUM,INC. DISCRIMINATION/HAR-
wn.nu ,e_ASSMENT POUCY.
3) I HAVE READ,UNOmSTAND ANO AGREE TO COMPLY AND SUP9ORT THE KARLESKINT-CRUM.INC. ORUG FREE WORKPT-ACE
POUCY- tttn|,rt' q?
1) I HAVE REAO,UilO€RSTAI{O AflD AGREE TO COMPLY ArD SUPPORT THE KARLESKII{T-CRUM,IIIC. @oE oF SAFE PRACTICE
rxttwt. J2 '
5) I HAVE READ,UXOERSTAT,|O AND AGREE TO COMPLY ANo SUPPORT THE KAR| EQKINT-CRUM,INC JOB SPECIFIC RULSS-
,*rn^t-1{
s) I HAVE READ,UI{D€RSTAND Ar{O AGREE TO COMPLY AND SUPPORT THE KARLESKINT-CRUM,INC. DRIVER/VEHICSPOUCY
lNrrlAL: */T
", :n :ff.,ultoERsTAND
Ar{o AGREE ro coMPLY AND stPPCtRr rHE KARLE5KINT-CRuM,INC. 1?l:"y*"*
B) I have tead, urderstand q qtree to ccmply the KCI F:irst Aid FolicV. f
! HEREBY ACKXOWLEDGE THAT I HAVE READ AND UNOERSTOOO THE ABOVE AND AGREE TO COMPLY ANO SUPFORT AtI.
XARLESKINT-CRUM,INC. POUCIES ANO STANDARDS.
I UXDERSTANO THAT FAILURE TO DO SO MAY RESULT IN OISCIPuNARY ACTION AI{O POSSIBLE TERMINATIOII.
EMPLOYEE SIGT{ATURE
(PatNT ,4
CONTRAC|ORS . l-andscape'ErosionControl-Eng ineering o CA"247631
SIGflED:
PO. Box 5358. San LuisObispo.CA 93403 r (BO5iax3-3304 . E\X(BO5)5438n
KCI ENvTnoNMENTAL, INc.
ErqvrnoruMENTAL Resronnrroru SpectAltsrs
IIAZARD col+ru{iCAfroU CIIECKLIST
JOB SITE
1 ) CHEMTCAL TNVENTORY IS AVATLABLE
2) CHEI,ITCALS STORED IN ORIGINAL OR APPRO\ED CONTATNERS
3 ) CONTATNERS PROPERLY LABELED I
.- (Exceptlon:smal1 quantlties for immediate dse)
4) TEFTOVER OUANTITIES RETURNED TO ORIGINAT CONTAINER
5) APPROPRIATE HAZARD WARNINGS ARE VISIBLE
6) COPIES OF MSDS ARE AVAILABLE FROM SUPERVISOR & OFFICE
7) REQuTRED pensouet pRorrcrrvE EeurpMENT AvArtABtE
8) REQUTRED POSTTNGS COMPLETED
9 ) APPROPRIATE INFORI,IATION EXCSANGED WITH OTHER AGENCIES/
CONTRACTORS AS REQUIRED
TRAINING
EMPLOYEE IIAS /IIAS BEEN:
1) INFORMED OF HAZARDOUS CHEMICS,LS EXPECTED PRESENT ON
THE JOB SITE
2) TNFORT{ED OF SAFE USE OF CHB{ICAL TO BE USED
3 ) TRAINED TO IDENTII'Y RELATED HAZARDS (Recogni ze by
appearance or smerr)
lorEcrrv' uour"l4 ) INFORMED OF REQUIRED PPE (PERSONAL PROTECTIVE EQUI
5) REVIEWED REQUIRED EMERGENCY/FIRST AID RESPONSE
6 ) INFORMED HOW TO RF-AD AI.ID UNDERSTAI.ID LABELS & MSDS
7) INFORMED OF ANY UOU-NOUTINE TASK INVOTVING EAZAR-
DOUS CHE}TICALS
B ) INFORI'{ED OF RESPONSIBILITY TO ALERT SUPERVISOR OF
ANY IIAZARD OR REACTION TO SUBSTANCE
)DATE:_prlnt nane
225 SUBURBAN RoAD P.O. Box3307
SAN LUIS OBISPo, CA 93403
PHoNE AO5-543-33t1
FAX 805-543-3429
Lrc, No.813844
SIGNED:
f o rp*an,/ superintendent
(
KCI ENvTnoNMENTAL, INc.
ENvInoTMENTAL RESToRATIoN SpecIALISTS
F}.Z}XDCUS COND IT ICi\I P€.DORT i,/.41U.}.T iC}]
REPOP.T SIJEMITTED BY:NTTF.
DATE OF COID]TION RSFORTED:
ACIION TAJE].]:
LCCITION/JCB Nr,j'€
}II4IN ISTP.I: :t/E D iSC IP L I}'IAf.Y .T.CI]ON TAI€N :
CCirj"f!\TS
225SUBURBAN RoAD P.O. BoX3307
SAN LUIS OBISPO, CA 93403
PHoNE 8O5-543-33t I
FAX 805-543-3,429
Lrc. No.813a44
SIG,'{ED:grI:TJ .\DYINISTRA.TCR
DA.TE:
KCI EruvrnoNMENTAL, INc.
ETvInoTMENTAL RESToRATIoT SpecIALISTS
...\.-..... .., . ..-..
IIAZARD COMMTINICATION
I. HAZARD COMMT]NICATION
EXPLANATION
2. HAZAARD CHEMICALS COMMTJMCATION PROCEDURES
RESPONSIBILITIES
TRAINING
PROCEDURES
3. ACKNOWLEDGEMENT OF IIAZARDOUS MATERIAL TRAINING
F'OREMAN/EMPLOYEE ACKNOWLEDGEMENT...PROCEDURES
4. WRITTEN TEST FOR IIAZARDOUS MATERIAL PROCEDURES
5. ANSWER KEY F'OR WRITTEN TEST F'OR IIAZARDOUS MATERHL
PROCEDURES
6. HAZARD COMMUMCATION CIIECKLIST
225 SUBURBAN RoAD P.O. BoX 3307
SAN LUIS OBIsPo, CA 93403
PHoNE 8OS-SaS-SSit
FAX 805-543-A429
Lrc. No.8t3a44
IIAZARq QOMMUNICATION
1. WIIAT IS A IIAZARI'OUS CHEMICAL?
OSHA defines a hazardous chemical as any element, chemical compound or mix-
ture of elements and/or compound that is a physicat hazud (explosive or flam-
mable) or a health hazard (an irritant or carcinogen).
2. WHO MUST COMPLY?
Any company whose employees use or handle hazardous chemicals must adhere
to thc hazard communication standard,
Companies can rely on the infomation they receive about hazards fron chemical
manufacturers. Manufacturers are required to label every chemical that leaves
production point The user receives a material safety data sheet (MSDS) with the
first shipment of a hazardous chemical,
Exempfoffice supplic;foods;drugs;cosmetics;alcohol;wood;tobacco;hazard waste
pesticides;articles that do not release hazard chemicals as finished product
3. REQUTREMENTS
Companies thatuse chemicals mustmaintaln records (including MSDS) on every
chcmical iheir workers handlg labelevery chemical container with its contcnts' haz-
ards and sultable methods of protection from the substance. Employer must pre'
pare written hazard communication program and train workers in proper methods
of handling substances and emergency procedures.
L4BELING
LABELING CODE T'OR HAZARDOUS CHENdICALS
Blue -Red =
Yollow =
lYhite =
health
flammable
reactivity
radiatioutvater reactivity
0-4 0 = LEAST SERIOUS 4 = MOST SERIOUS
HAZARDOUS CHEMICALS COMMLNTCATTON PROCEDUFES
Ilivisi,on Managers will inform/insfruct Foremen as to chemcial hazards known to be utill-
lized within our workplace.
It ls the F'oremsn's responsibility to inform/instruct the employees as to chemical hazards
lmown to be utilized within ourworkplace and maintain MSDS.
TRAINING
fjaining should include:
l. How to rgcosni?e a chemical by appearance and smell
2. Ierrn to read and qurdentand, labeling and MSDS.
3. Explsin type of hazards on the joh (toxie,corrosiverflammtblerreactlverradiative).
4. IIow to W!&glonesclf,
5. Show examoles.
6. Review appropriate f,.iqstAifl.
4MpRGENC.X PRoCEpgRSS
An emergency must be anticipated and procedures developed to protect personnel.
**In c.ape of lirqr.hazardpus eqpfsqncJ a+d/qr if gvacuptipn,is flnticinptqd.-qALL qlr
Foreman will be responsible to:
* Ensure employees are familiar with hazard communicntion program and
Gmorgency procodures thay are required to know.
* Report any fire/safety hazrrd on job site.
* Alerf/inforrn propsr authoritim ns to emergency.
Sach employee will be responsible* Be familiarwtth hazard comrtrunication procedure and emergency prmedures
they are required to know.* Participate in all tralning sessions.* Report any lire/hazard on job site,
Foreman and employees will be responslble to react to any chemical hazard cmergency
cahnly and qulckly. Itwitl be their responslbility to be aware of the MSDS precautions and
symptoms of exposure and, as per section 6, provision of emergency F'trstAid procedures
to follow while waiting for a medical professional
AqKNOWLEDGEMENT OT' HAZARDOUS MATEBIAL TRAII\ING
PESTICIDE HERBICIDE CHEIIilICAL
1. Befofp using or handling pesticide,herbicide or nny hazardous chemical read the labgl
on the container...the whole labeL.,and fqllow instrugtion carefullv!
2. Be alerted bv sisnal words on the labels.. Cateson I =
(poisonous) "Danser'r.
Category 2 = I'Wanringrr. Cptegory 3 = f'Caution", All other oesticides = 4.
3. Toxicity is the inherent capacity of a substance to produce injury or death.
4. Handle all containers carefully. Ren_ort anv lealqing containers or spills to the X'oreman
immediately. Check for leaksr worn hoses and worn gaskets on application equipment
5. Handle gll containers with rubber gloves when pouring or anytime after they have been
opened. Open bags with a sharp knife; stand upwind.
6. When mixing or spraying, use safety gear and appropriate safety clothlng recommend-
ed on label. Mix in well ventilated and well lighted area.
7. Do not eat or drinkwhile handling. Wash han$s and face (any exposed skin) thoroqghlv
...using soap lnd clean fowels.
8. Clothes should be changed before going home after mi*ing or spraying.
9. Keep containers away from food and locked in storage/safefy area.
10. Use accurate measuring_deyices. Keep devices cletn and safe,
11. Ngver {ransnort in passenger compartment or flatbed unless properly tied down.
12. Properly r,inpe cqpta"tnerr after use before taken to disposal site. Closed systems.,r,insg
plocess is part of mix and load system.
13. Never olace pesticides, herbicides or hazardous chemieals in sub-containers unless so
labeled.
14. Never snrav when drlft could contaminate non targets.
15. Employees will be given supervision by fqre,man to ensure safety precautions are prac-
ticed. If employee has any question of procedure or category of hazardous material,
check h4fpdiately with fore, man
16. Know emereeJncv procedure. Know lopation of treatment centgr,
17. Alert Fore4fan if you heve following wymptoms: headache; nauseai vomiting; cramps;
wenkness; blurred vislon; labored breathing; chest tightness; drooling or frothing of the
mouth and nose. Advanced symptoms of poisoning; muscle paralysis; coma; loss of
bowel confrol; extremely difficutt breathing.
pass 2 ACKNOWLEDGEMENT OF IHZARDOUS MATERTAL TRAINING
18. Emereencv FirstAid
1. Get away from source.
2. Remove anyting contaminatcd.
3. Wash sfirlsminatd area of bodywith soad and water/clean toweL
4. Wash cyes out for 15 minutes if they have been contaminated.
5. Obfain label of materialwithwhich you have beenworking.
6. Have somsone gkg you to the Treatment Center.
7. Ifserious, call 911.
19. Accidents involving use of pesticides must be reported immediately and accurately to
the Agricultural Commissioner;;;giving location and pesticide involved.
20. X'ollow all of Kafleskint-Srum.Inc. accidenf nroccdurep,
I have read the above material and talren paTtj4 the s?fetv meqtinss with pv
X'oreqen Vhiph have addrqsed nestici4e. h€rbicide and chgFical (rainine. I
q44e$tand the orqp.'edufes and will follow them.
Srgned:
Employee sign
Supervisor
Print Name
-)
KCI EruvrnoNMENTAL, INc.
ETvInoTMENTAL RESTORATION SPECINUS-rS
December 22,2004
Aaron LaBare
San Luis Obispo County
Environmental Health Services
2156 SienaWay
San Luis Obispo,
225 Suburban Rd.
Please find attached a current business plan for our facility at225 Suburban Rd. in San
Luis Obispo. Our EPA ID number for this location is CAL000276897. The business
plan and associated records are maintained on-site and a copy of the plan is located just
inside the mechanics shop for quick reference.
We have taken the necessary actions to correct those deficiencies listed on our recent
inspection. The certificate of compliance is also attached. We thank you for working
with us as we have taken over the use of this location.
If you have any questions please do not hesitate to contact me.
Sincerely
Curt Boutwell
President
225 SUBURBAN RoAD P.O. BOX 3307
SAN LUIS OBISPO, CA 93403
PHoNE 805-543-3311
FAx 805-543-3429
Lrc. No. Al3a44
FA#: FA0002290
Date of Violation: 712812004 Violation Gode: ER01 PE: 0727 OriginalComply By Date: 101812004
Violation Text: CONTINGENCY PLAN IS NOT COMPLETE, KEPT UPDATED, OR MAINTAINED ON SITE
(HSC 25504, TITLE 19 CCR z73l,TlrLE 22 CCR6625.53154)
a Gomments:
Violation Correction Text: IMMEDIATELY COMPLETE, UPDATE AND MAINTAIN CONTINGENCY PLAN
ON SITE. IMPLEMENT A PROCEDURE TO ENSURE THAT THE CONTTNGENCY PLAN IS KEPT CURRENT
AND ON SITE.
Date of Viofation: 7t2812004 Violation Code: TR02 PE: 0727 Original Comply By Date: 101812004
Violation Text: TRAINING DOCUMENTATION FOR CURRENT PERSONNEL IS NOT MAINTAINED ON
SITE. (TITLE 19 CCR 2732,TrrLE22CCF.66265.16)
a Comments:
Violation Correction Text: IMMEDIATELY PREPARE TRAINING DOCUMENTS ACCORDING TO TITLE 19
CALIFORNIA CODE OF REGULATIONS SECTION 2732 AND TITLE 22 CALIFORNIA CODE OF
REGULATIONS SECTION 66265.16 AND LOCATE TRAINING DOCUMENTATION ON SITE.
Date of Viotation: 7t28t2OO4 Violation Code: GT07 PEl. 1126 OriginalGomply By Date: 101812004
Violation Text: MANIFESTS ARENOT PROPERLY COMPLETED/RETAINED BY GENERATORFOR3
YEARS (TITLE 22 CCR66263.42, TITLE 22 CCR66262.23)
KARLESKINT-CRUM, INC
NOTICE OF VIOLATION
12t7t2004
PAGE 2
o Gomments:
Violation Correction Text: IMMEDIATELY BEING PROPERLY COMPLETING MANIFEST AND
RETAINING THEM FOR A MINIMUM OF THREE (3) YEARS. IMPLEMENT A PROCEDURE TO ENSURE
THAT MANIFESTS ARE PROPERLY COMPLETED AND T}IAT THEY ARE PROPERLY RETAINED.
AFTER CORRECTION, CONTACT INSPECTOR FOR A BILLABLE REINSPECTION TO VERIFY
COMPLIANCE.
)
KARLESKINT-CRUM, INC
NOTICE OF VIOLATION
FA#: FA0002290 12t7t2004
PAGE 3
lf you have questions regarding this notice, please contact me at (805) 781-5544
NLA
Environmental Health Specialist
Program: WASTE GENERATOR (l - 5 waste streams)
I hereby certify, under penalty of law, that the initialed violations, listed above, have been corrected. I
understand that a chargeable reinspection may be conducted to verify compliance.
fr.r,'J.f-tz/zz/n7
DateSignature Title
tl-cC' . 6r, *l ro^l * t uT^.( , C^'9 Report 9600
-\ -\
County or'Suo Luis Obispo . Pubhc'Health Department
E nviro nmental H e alth S ervices
2156 Sierra ll/ay . P.O. Box 1489
San Luis Obispo, California 9j406
(805) 78r-s544 , FAX (805) 78t-421 I
Gregory Thomas, M.D., M.P.H.
County Health Officer
Public Health Director
CERTIFIED MAIL Curtis A. Batson, RE.H.S.,
Director12t7t2004
KARLESKINT-CRUM, INC
KARLESKINT-CRUM, INC
225 SUBURBAN RD
SAN LUIS OBISPO, CA 93401
FA#: FA0002290
FACILITY ADDRESS: 225 SUBURBAN, SAN LUIS OBISPO
NOTICE OF VIOL.ATION
Our records indicate that you have failed to correct the listed violations by the assigned
deadline date. You must take appropriate action no later than 1212212004 to avoid further
enforcement action. Enforcement action includes, but is not limited to, a chargeable
reinspection, administrative enforcement, and civil or criminal prosecution. Within 15 days of
the date of this letter, initial each violation below that you have corrected, sign the statement
certifying compliance, and return the signed copy to EHS.
lf the listed violations have not been corrected and you have not returned this form by the
deadline, you will be scheduled for an Office fearing at Environmental Health Services, 2156
Sierra Way, San Luis Obispo, CA on I - / 4- Zaosat 1:30 PM to discuss required
corrective actions, timetables for completion, and potential penalties. lf you have corrected the
listed violations and returned this letter, please call me at (805) 781-5544 to cancelthis
hearing. lf you do not send in the certification and you do not appear as scheduled, you may
be assessed a fine or referred to the Office of the District Attorney for prosecution.
Date of Violation: 712812004 Violation Code: BP01 PEz 0727 OriginalComply By Date: 101812004
Violation Text: BUSINESS PLAN WAS NOT COMPLETE, CURRENT AND/OR AVAILABLE DURING
INSPECTION
(HSC 25503.5, TITLE L9 CCR2729)
Gomments:
Violation Gorrection Text: IMMEDIATELY TAKE NECESSARY ACTION TO ENSURE THAT TI{E
BUSINESS PLAN IS COMPLETE AND AVAILABLE ON SITE. IMPLEMENT A PROCEDURE TO ENSURE
THAT T}IE PLAN IS UPDATED AS REQUIRED BY HEALTH AND SAFETY CODE SECTION 25503.5 AND
TITLE 19 CALIFORNIA CODE OF REGULATIONS SECTION 2729.
)" KARLESKINT-CRUM, INC
NOTICE OF VIOLATION
FA#: FA0002290 12n12004
PAGE 2
Date of Violation: 712812004 Violation Code: ER01 PE: 0727 OriginalComply By Date: 101812004
Violation Text: CONTINGENCY PLAN IS NOT COMPLETE, KEPT UPDATED, ORMAINTAINED ON SITE
(HSC 25504, TITLE 19 CCR273I, TITLE 22 CCR6625.53154)
Gomments:
Violation Gorrection Text: IMMEDIATELY COMPLETE, UPDATE AND MAINTAIN CONTINGENCY PLAN
ON SITE. IMPLEMENT A PROCEDURE TO ENSURE THAT TIIE CONTINGENCY PLAN IS KEPT CURRENT
AND ON SITE.
Date of Violation: 712812004 Violation Code: TR02 PE: 0727 OriginalComply By Date: 101812004
Violation Text: TRAINING DOCUMENTATION FOR CURRENT PERSONNEL IS NOT MAINTAINED ON
SITE. (TITLE 19 CCR 2732,TLTLE22CCR66265.16)
Gomments:
Violation Correction Text: IMMEDIATELY PREPARE TRAINING DOCUMENTS ACCORDING TO TITLE 19
CALIFORNIA CODE OF REGULATIONS SECTION 2732 AND TITLE 22 CALIFORNIA CODE OF
REGULATIONS SECTION 66265,16 AND LOCATE TRAINING DOCUMENTATION ON SITE.
Date of Viotation: 7l28t2OO4 Violation Code: GT07 PE: 1126 OriginalComply By Date: 101812004
Violation Text: MANIFESTS ARE NOT PROPERLY COMPLETEDIRETAINED BY GENERATOR FOR 3
YEARS (TITLE 22 CCR66263.42,TITLE 22 CCR66262.23)
Comments:
Violation Correction Text: IMMEDIATELY BEING PROPERLY COMPLETING MANIFESTAND
RETAINING TI{EM FORA MINIMUM OF THREE (3) YEARS. IMPLEMENT A PROCEDURE TO ENSURE
THAT MANIFESTS ARE PROPERLY COMPLETED AND THAT TIIEY ARE PROPERLY RETAINED.
AFTER CORRECTION, CONTACT INSPECTORFORA BILLABLE REINSPECTION TO VERIFY
COMPLIANCE.
KARLESKINT.CRUM, INC
NOTICE OF VIOLATION
FA#: FA0002290 12n/2004
PAGE 3
lf you have questions regarding this notice, please contact me at (805) 781-5544.
LA
Environmental Health Specialist
Program: WASTE GENERATOR (1 - 5 waste streams)
I hereby certify, under penalty of law, that the initialed violations, listed above, have been corrected. I
understand that a chargeable reinspection may be conducted to verify compliance.
Signature Title Date
Report 9600
PUBLIC INFORMATION REQUEST
.\ \Coun','of San Luis Obispo . * bblic F{eaLttrr Agency
Public Health Departrnent
Eny ir onment al I{ e alth D iv i s i on
2156 Sierra Way . P,O. Box 1489
Sen Luis Obispo, Caffirnia 93406
(80s) 781-ss44 . FAX: (80s) 781-42i1
Gregory Thomas, M,D, M,P.E,
County Eealth Oficer
Public Eealth Agency Director
Curtis A. Batson,
^i;*l;
SAN LUIS OBISPO COUNTY
ENVIRONMENTAL HEALTH SERVICES
This form may be used to submit a written request for public information contained in
the Department's files. A reproduction charge may be assessed based on the amount
of material requested. Up to 10 working days may be required to locate and compile
the requested information.
DATE OF REQUEST:
REQUESTOR'S NAME:
FIRM NAME:
FIRM ADDRESS:
CITY, STATE, ZIP:
FIRM PHONE:faq- DRt-atDq
REASON FOR REQUEST:
BUSINESS NAME FOR REVIEW: 3 ES S*bu,UL d-y\
BUSINESS
SIGNATURE:
S FOR EW
O;'.DOCUMEf.'TiForrnsiGENEtu\L\PUBINREQ.FRi'.{ i2-iun'c2