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CERTIF. :UNI]~;IED-PROGRAM AGENCY ( PA). <br /> SPILL PREVENTION CONTROL AND COUNTERMEASURE (SPCC)PLAN <br /> STATUS/REFERRAL <br /> FORM!— <br /> of the completed form to: CUPA Inspector: A-I1501- C)L. DOGS <br /> Marl a copy P <br /> California Regional Water Quality Control Board Address: <br /> Attn: G DAY o I ✓I o t .Au t' I 3p E l/�Q�oe.►� PNQ.v� _tel _t-►rG� F�l�� <br /> CAq5 Phone: ( ;)Oq 46 -9 NR <br /> Date: I 1 30 <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 /> soline,diesel,jet fuels,residual fuel oils,lubricants,some <br /> complex blend of hydrocarbons,such as ga <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: WVU <br /> �J 1l�Gl�/J sIl llr� K�d <br /> Facility Address: '� "^� "'"""'1 <br /> I � <br /> Contact: M (�,I�iG2� �y� SCK Phone: q4'�'��J _ <br /> The Facility is it, compliance with H&SC Section 25270.5(cthe re aration o an SPCCplan. <br /> A complete copy of the facility's SPCC plan,certified by a Registered Professional Engineer,is <br /> Fmaintained at the facility, <br /> 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 wit/r H&SC Section 25270.5(c). <br /> This form constitutes a re erral to the Re Tonal Board or correction o the following violation. <br /> The facilitydoes not have a certified SPCC plan in place. <br /> rage Act. A <br /> y of <br /> e owner:::was unaware Board fAboveground Tank Program brochure was prothe ovegroup ded toe <br /> State WatContrthe owner <br /> cc: Carol Julian <br /> State Water Resources Control Board <br /> Division of Clean Water Programs <br /> P.O.Box 944212 SWRCB,CWP Form AGT-1 (06/28/99) <br /> Sacramento,CA 94244-2120 <br /> 1 <br />