Laserfiche WebLink
CERTIF 'NIFIED-PROGRAM AGENCY (C <br /> SPILL PREVENTANDL_ <br /> .COUNTERMEAS _ �6PCC)PLAN <br /> STAT <br /> US%REFERRAL FORM> ._ <br /> n <br /> uAaM_ofJ <br /> Mail a copy of the completed form to: ' CUPA Inspector: }� (� <br /> California Regional Water Quality Control Board Address:51C - Ell U (VOV1 1A"L� I 1 e — <br /> 44 Attn: '` Ay A 011 i�Ao .i.Ae -GI <br /> au 3 Ro t� i •Rd , Sl,l,ta - A , <br /> �, Stvclz C iyvt A q 52 <br /> ZU <br /> S caC.r a_ 'Yk P-yt`� ,CA , I �j p <br /> Phone: (26q ) `'Cltib 'p-(D�� <br /> Date: (0 / 2 g / Zcx,Y—) <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 e-Tempt from the state <br /> Aboveground Petroleum Storage Act <br /> SPCC <br /> /requirement. <br /> Facility Name: <br /> Facility Address: 14,106 VV' <br /> •T(QkCG ( CA q D31 b -9��8 <br /> Contact:1�OLAU S "CU M Y (Ck, Phone: ( ) �3(D —KZ i <br /> The Facility is in compliance with H&SC Section 25270.5(c2, the preparation of an SPCC plan. <br /> A complete copy of the facility's SPCC plan, certified by a Registered Professional Engineer,is <br /> ❑ <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 for correction of the following violation. <br /> MThe 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 Nater 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 /> 1�p n Division of Clean Water Programs <br /> P.O.Box 944212 <br /> Sacramento,CA 94244-2120 SWRCB,CWP Form AGT I (06/28/99) <br /> 1 <br />