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J�t(f9 STpT�3 NOTICE OF SPCC INSPECTION WITH DEFICIENCIES UNITED STATES ENVIRONMENTAL PROTECTION AGENCY REGION IX 40, Date: Lead Inspector(Print Name&Sign): Inspection Number: Additional Inspectors: i Facility Name: Facility Address: Facility Type: U ?c> ti r AI /,126/ W. H tv A Facility Phone: Facility Email: Facility Fax: 3 82 8 rhe purpose of the inspection process is to determine compliance with Section 311 of the Clean Water Act(the"Act"),33 U.S.C.§1321,andthe Oil Pollution Prevention regulations found at 40 C.F.R.Part 112(the"Regulations").The scope of the impaction and plan review process may include,but is not limited to;reviewing and obtaining copies of documents and records;interviewing facility personnel•a physical inspection of the facility(including process areas);taking photographs or video;collecting samples;and other activities necessary to determine compliance with the Act and the Regulations. Please review this Notice of SPCC Inspection with Deficiencies form("Notice")[and airy attached documents]carefully.Please be advised that this Notice, any attached document(s)and discussions during the closing conference may not set forth all deficiencies,and that an in-depth review of relevant information may identify deficiencies not yet identified herein.Also note that the deficiencies noted are preliminary observations only,and this Notice is no a final determination of compliance or noncompliance. Please also be advised that any noncompliance with the Act and/or the Regulations may constitute a violation under the Act for which penalties or other relief may be sought.Penalties may be assessed upon subsequent findings by a court of law or the Administrator of the United States Environmental Protection Agency("EPA")that the facility has violated the Act and/or the Regulations. The EPA reserves the right to initiate an enforcement action under the Act and any other applicable law,and to seek penalties and other appropriate relief,for any violation of the Act,the Regulations,or other applicable laws, This Notice and other relevant information will be reviewed by appropriate EPA personnel to determine if arty deficiencies identified in such renew constitute violations of the Act and/or the Regulations,and whether an enforcement action is appropriate.It is EPA's intent to provide written correspondence describing any deficiencies identified during the subsequent inspection review process. To the extent this Notice identifies deficiencies with the Act and/or Regulations,[as specified in the attached Summary of SPCC Deficiencies],you are urged to correct such deficiencies as soon as possible,as responsibility for compliance with the Act andlor regulations rests with you. These deficiencies are potential violations observed by EPA staff. Correcting these deficiencies may help you with compliance with the Act and/or Regulations. EPA requests you submit all information,as soon as possible,showing your correction of the noted deficiencies to- Janice Witul,ENF-3-2 U.S.Environmental Protection Agency 75 Hawthorne St,San Francisco CA 44105 If it is not feasible to correct the deficiencies within 3L days of the date of the inspection,immediately submit a detailed explanation and schedul: indicating by when the noted deficiencies will be corrected- If you believe that your facility is not required to have an SPCC Plan,or is in compliance with the SPCC regulatory requirements,you may submit an explanation,supported by documentation,as to why the facility is not subject to the SPCC provision of the Oil Pollution Prevention regulations at 40 C.F.R Part 112 or meets its requirements within days of the date of the inspection.Correction of a deficiency does not relieve the owner or operator from potential liability for any violations of applicable laws and regulations. Confidentlal Business information You may be entitled to claim information submitted to EPA as part of this process as Confidential Business Information(CBI)pursuant to the regulations set forth in 40 C.F.R.Part 2.If EPA determines the information you have designated meets the criteria in 40 C.F.R.§2208,the information will be disclosed only to the extent and by means of the procedures specified in 40 C.F.R.Pan 2 Subpart B. Unless CBI is claimed,EPA may make the information available to the public without further notice to you- AcknowledgeInknt of Inspection Signature of Facility Representative: Date Signed: Printed Name of Facility Representative: Title: 1JEFI(LE 1254s IF/t'i Version 10/2015