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CER'r' D UNIFIED PROGRAM AGENC COPA} <br /> SPILL PREVENTION CONTROL AND COUNTERMEASURE (SPCC) PLAN <br /> STATUS REFERRAL FORM <br /> C' <br /> Mail Copy of the completed form: CUPA <br /> Inspector: Dennis Catanyag <br /> California Regional Water Quality Control Board Address: San Joaquin County <br /> Attn: Wendy Cohen Environmental Health Department <br /> 11020 Sun Center Drive#200 304 E Weber Ave P Floor <br /> Rancho Cordova, CA CA 95670-6114 1 Phone: (209)468-3459 <br /> Date: December 8, 2004 <br /> The following facility is storing "petroleum" in a single storage tank greater than 1320 gallons or in multiple storage <br /> tanks with a cumulative storage capacity greater than 1,320 gallons. "Petroleum" means crude oil, or any fraction <br /> thereof, which is liquid at 60 degrees Fahrenheit temperature and 14.7 pounds per square inch absolute pressure. <br /> This includes petroleum based substances comprised of a complex blend of hydrocarbons, such as gasoline, <br /> diesel,jet fuels, residual fuel oils, lubricants, some petroleum solvents, and used oils.An example of a substance <br /> that is not"petroleum" is liquid propane gas (LPG). Note: The backside of this form identifies storage tanks and <br /> facilities exempt from the state Aboveground Petroleum Storage Act SPCC requirement <br /> Facility Name: VPL Transport Inc. Mailing Name: VPL Transport Inc. <br /> Facility Contact: Mike McWeeney Mailing Contact: Mike McWeeney <br /> Contact's Phone Contact's <br /> Number: 209.931.2682 Phone Number: 209.644.2302 <br /> Facility Address Mailing Address <br /> (street address) 11199 N. Hwy 99dennis (street address) PO Box 600 <br /> City Lodi City Lodi <br /> State/Zip CA 95240 State/Zip CA 95241 <br /> PLEASE SELECT ONE OF THE FOLLOWING: <br /> /The facility isnot in compliance with HBSC Section 25270.5(c),;_a SPCC Plan has not been prepared. <br /> lJ This form constitute a referral to the Regional Board for correction of the following violation. The facility does <br /> not have a certified SPCC Plan in place. <br /> - OR - <br /> The facility is in compliance with_H&SC Section 25270.5(c), the preparation of a SPCC Plan. <br /> ❑ A complete copy of the facility's SPCC Pian, certified by a Registered Professional Engineer, is maintained at <br /> the facility, which is normally attended at least 8 hours per day. If the facility is not attended at least 8 hours <br /> per day, the SPCC Plan is maintained at the nearest field office. <br /> ❑ Please check here if a copy of the State Water Resources Control, Aboveground Petroleum Storage Tank <br /> Program brochure was provided to the owner or operator. Additional information regarding this program can <br /> be found at http://www.swrcb.ca.gov (click on "Tanks/Landfills") <br /> SwRCS,CWP Form ACT-1(06/28/99) <br />