FIRE PREVENTION BUREAU CUPA 200 NORTH MAIN STREET, RM 1780
LOS ANGELES FIRE DEPARTMENT Los Angeles Certified Unified Program Agency
LOS ANGELES, CA 90012
(213) 978-3680
(2020/2021) Facility ID: CERS ID: Issue Date: Haz Waste BusID: Active Sites:
CONSOLIDATED UNIFIED PERMIT Los Angeles Certified Unified Program Agency Business Name: Permit Site Address:
Owned By:
This permit is valid for the dates indicated below, but must be renewed annually. The following Unified Program Element(s) are covered in the permit. PROGRAM ELEMENT
DESCRIPTION
VALID FROM
VALID TO
Underground Storage Tank Program: California Health and Safety Code Div.20, Chap. 6.7 and Title 23 California Code of Regulations Chap. 16. CERS Tank ID#
Capacity
Contents
System Type
Leak Detection
Los Angeles City Fire Code Division 4: Hazardous Materials ** **Division 4 Permit is issued based on the condition that the facility is in compliance with all applicable rules, regulations, and laws pertaining to Division 4 Hazmat Materials.
Status of all program elements listed above (unless otherwise indicated):
PERMITTED
THIS PERMIT IS NONTRANSFERABLE AND IS VOID UPON CHANGE OF OWNERSHIP OR LOCATION. YOU MAY CONTINUE TO OPERATE UNDER THE CONSOLIDATED PERMIT ACCORDING TO THE VALID DATES DESCRIBED ABOVE.
BY: RALPH M. TERRAZAS FIRE CHIEF
The Consolidated Permit must be posted in a conspicuous location at the facility for review at all times. See reverse page for conditions. Please notify the City of Los Angeles Fire Department, CUPA Section of any change to ownership or location within 30 days. Address: 200 N. Main Street, Room 1780, Los Angeles, CA, 90012. Email: lafdcupa@lacity.org Telephone: 213-978-3680 Website: www.lafd.org/fire-prevention/cupa