Laserfiche WebLink
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) <br /> SPILL PREVENTION CSTATUOS RE ERRAL FORMEASURE (SPCC) PLAN <br /> COPA �>4yv►� plc, <br /> Mail Copy of the completed form: Inspector: <br /> Address: 30� �n Wooer <br /> California Regional Water Quality Control L <br /> Board 02 <br /> rAttn: Ni Ce�'C.At'¢ l 6 st If Q /,, c,/ <br /> f 60U CA �S Io�O V�� l Phone: <br /> Date: 3 / to / OLI <br /> The following facility is storing"petroleum" in a single storage tank greater than 660 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 Aboveeround Petr(LPoleum.Storage Act SPCC requ'remenfifies storage tanks and <br /> facilities exempt from the state 9 <br /> Facility Name: C(\ D2 0 0 �L) Mailing Name: <br /> Facility Contact: QOD <br /> &S y�q }— Mailing Contact: <br /> Contact's <br /> Contact's Phone `(� Z Phone Number: <br /> Number: Mailing Address <br /> Facility Address �4, L0. (street address) <br /> (street address) 13 L <br /> City t �' � (^ City <br /> CT State/Zip C ` S 3 �v State/Zip <br /> PLEASE SELECT ONE OF THE FOLLOWING: <br /> The facility is not in compliance with H&SC Section 25270.5(c); a SPCC Plan has not been Prepared. <br /> This form constitute a referral to the Regional Board for correction of the following violation. The facility does <br /> t have a certified SPCC Plan in place. <br /> no --OR-- <br /> The facilityis in compliance with H&SC Section 25270.5(c), the preparation of a SPCC Plan. <br /> ❑ A complete copy of the facility's SPCC Plan, certified by a Registered Professional Engineer, is maintained at <br /> the facility,which is normally attended at least 8 hours per day. If the faiclity is not attended at least 8 hours <br /> per day, the SPCC Plan is maintained at the nearest field office. <br /> roleum <br /> orage <br /> nk <br /> Please check here if a copy ofd t She owner or operator. Additiotate Water Resources n, Aboveground al information gatrding this tprogramacan <br /> Program brochure was provide <br /> be found at http://www.swrcb.ca.gov (click on"Tanks/Landfills") <br /> SWRCB,CWP Form ACT-1(06/28/99) <br />