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CERTIFIFIIIhJ-NIFIED PROGRAM AGENCY;(Ci-J&L) <br /> SPILL PREVENTION.L��_NTROL.=AND COUNTERMEASURWPCC)PLAN <br /> ;.-I.STATUS/REFERRAI:FORM I ., <br /> Mail a copy of the completed form to: CUPA Insppeecctt�orp: At tom' 1M�,n��(/1p. lo` t <br /> California Regional Water Quality Control Board Address: 3D4 G. Wtbe 7 vet 30 t� a7r <br /> Atm: 6 AytnoU L no hg. ��CS20Z <br /> 3�qqk2) 'ROS <br /> Jp 0.�iV�+CA Phone:(QDGI ) q(0 D '9Op� p <br /> 't D <br /> Date: �,00c) <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: Tire backside of this form identifies storage tanks and facilities exempt from the state <br /> Aboveground Petroleum Storage Act SPCC requirement. <br /> Facility Name: r � <br /> Facility Address: ZrJ� t!� ^t�-a f W Upa <br /> I.GL`�'h�o p C1� q 5330 I f <br /> Contact: ��PJVZC�CLA"C' O� Phone: ( QjC)Gi )858-ZI`t Z <br /> The Facility is in compliance with H&SC Section 25270-5(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 RePional Board for correction of the followin-,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 /> 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 /> 8-3 -06 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 />