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CERTIF IED PROGRAM AGENCY(C- k)". <br /> SPILL PREVENTI NTROL AND COUN ERMEASL SPCC)PLAN <br /> • ' .: ;STATUS/REFERR.AL FORM <br /> Mail a copy of the completed form to: CUPA Inspector: Alt <br /> California Regional Water Quality Control Board Address:Suq 3MD(,1,(iV��l.�►4.l lJ —Gly D <br /> Atte: 0 ANA 0o"t r <br /> ,CAg58d7- Phone:(Zoq <br /> 300,3 <br /> Date: 03 / 2-7 / 02.00D <br /> The following facility is storing"petroleum"in a single storage tank greater than 660 gallons or in <br /> multiple storage tanks with a cumulative storage capacity greater than 1,320 gallons. "Petroleum" <br /> means crude oil,or any fraction thereof,which is liquid at 60 degrees Fahrenheit temperature and 14.7 <br /> pounds per square inch absolute pressure. This includes petroleum based substances comprised of a <br /> complex blend of hydrocarbons,such as gasoline,diesel,jet fuels,residual fuel oils,lubricants,some <br /> petroleum solvents, and used oils. Ap example of a substance that is not"petroleum"is liquid propane <br /> gas (LPG). Note: The backside of this form identifies storage tanks and facilities exempt from the state <br /> Aboveground Petroleum Storage Act SPCC requirement. <br /> Facility Name: BrDw n Sa yd- W 0- <br /> Facility Address: OD W oa& <br /> 1. A4wD CA q53-Y) <br /> Contact: r0SP Phone: ( ZOO ) 23L1 - I ADO <br /> The Facility is in compliance with H&SC Section 252 70 5(c) the preparation of an SPCC plan. <br /> ❑ A complete copy of the facility's SPCC plan,certified by a Registered Professional Engineer,is <br /> maintained at the facility,which is normally attended at least 8 hours per day. If the facility is <br /> not attended at least 8 hours per day,the SPCC plan is maintained at the nearest field office. <br /> The facility is not in compliance with H&SC Section 25270.5(c). <br /> This form constitutes a referral to the Regional Board(or correction of the followin_Z violation. <br /> The facility does not have a certified SPCC plan in place. <br /> The owner or operator was unaware of the Aboveground Petroleum Storage Act. A copy of the <br /> UJ State Water Resources Control Board,Aboveground Tank Program brochure was provided to <br /> the owner or operator. <br /> �. cc: Carol Julian <br /> State Water Resources Control Board <br /> 11. Division of Clean Water Programs <br /> P.O.Box 944212 <br /> Sacramento,CA 94244-2120 SWRCB,CWP Form AGT-1 (06/28/99) <br /> 1 <br />