Cupertino City Council
June 21, 2023

March 17, 2022
Prepared for: City of Cupertino
ATTN: Gian Martire
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Re: Arborist Report Peer Review 1655 S De Anza: City of Cupertino Scope of Work:

The City of Cupertino has contracted West Coast Arborists Inc. (WCA) for arborist services. In March 2021, the City requested a tree removal report review by ISA Certified Arborist Jennifer Tso for 55 trees at or directly adjacent to 1655 S De Anza Blvd. in Cupertino, CA. The City provided address information, an Arborist Report by Jennifer Tso, and replacement planting maps/plans; I was on-site on March 11, 2021, and summarized my observations. This letter is not an official risk assessment. My findings are limited to the City staff's information and my visual observations from ground level.

Satellite Image:

White shape
indicates the area of
the 55 subject trees.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

Observations:

The above image shows a neighboring Coast Live Oak (Quercus agrifolia) slated for removal.

The tree exhibited fair health and structure. Additionally, it could likely recover from root pruning due to sufficient energy reserves.

The above photo shows a drought-stressed Coast Redwood (Sequoia sempervirens) slated for removal within property lines. The tree is likely suffering from overexposure to the sun and wind and a prolonged California drought.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

The above image shows a line of healthy Hollywood Junipers slated for removal near the center of the property. A few had codominant branching, though the branching had U-shaped branch unions conducive to structural stability (codominant branching is relatively normal for the species).

The above image shows a stunted bronze loquat slated for removal near the edge of the property. The tree exhibited fair health and structure. Stunted growth was likely due to drought stress and overexposure to the wind and sun.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

The above image shows rows of healthy Italian Cypress trees with good, upright structures along the two sides of the largest parking lot on the property. These are all large specimens that provide significant ecosystem services such as carbon storage and sequestration.

The above image shows two mature Coast Redwoods on the adjacent property that will have roots cut by construction (neither were in the original report). They both exhibited fair health and structure and have the potential to recover from root pruning due to sufficient energy reserves. They provide many benefits to the urban forest considering they are both mature, large specimens and California natives that other California organisms have coevolved with.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

The above image shows another adjacent property, Oak; this Coast Live Oak is at the corner of the property, the farthest point from either nearby road. The tree exhibited fair health and structure and, like the other trees on adjacent properties, could likely recover from root pruning due to sufficient energy reserves.

The above image shows a Silver Dollar Gum on the adjacent property that exhibited fair health and structure; this tree also showed sufficient energy reserves to recover from root pruning.

This tree was not in the original report.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

The above image shows two London Plane trees on the adjacent property that will have roots cut by construction; neither were listed in the original report. The trees exhibited fair health and structure. However, these trees did not yet have leaves, flowers, or fruit, so my assessment of these trees' health was limited.

The image above shows three Chinese Hackberries in fair health and structure along the edge of the property; all three were recommended for removal and are directly in line with the proposed construction.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

Discussion:

The trees on adjacent properties that I photographed can potentially survive construction with proper tree protection standards and root pruning that minimizes damage. An example of root pruning that minimizes damage is root shaving the top of roots to grade level rather than cutting off entire roots along a set line. Trees can still conduct water and nutrients through roots if only part of the original root remains, and the root is still living.

Root barriers (ideally foam, though plastic, is sufficient) can deter future infrastructure damage by inhibiting root growth towards the direction of the barrier. Additionally, end-weight reduction pruning can decrease the chance of tree or branch failure after root pruning negatively impacts structure. This decreased chance of tree or branch failure is due to the reduced forces on the lever arms of branches that occur after end-weight reduction pruning.

The trees will likely suffer structurally from construction, either directly by root pruning or indirectly by compacted soil with less pore space and oxygen from heavy equipment used around the trees. Dieback is expected in the canopy on the same side as root pruning; dieback after root pruning is standard and should not automatically condemn the tree.

Peer Review:

The report by ISA Certified Arborist Jennifer Tso proposed removing all 51 onsite trees.

Unfortunately, this appears to be the only course of option given the proposed landscaping across the whole property. Landscaping will occur directly in line with the onsite trees. If the property owners are open to changing the proposed landscaping to create tree wells around existing trees, Trees #5, #6, and #16-21 have the potential for retention (they would suffer root damage, and property owners should anticipate dieback for the first two years). I agree with Ms. Tso's findings of the existing trees, though I believe there are additional efforts necessary to protect adjacent property trees.

The report lists four offsite Coast Live Oaks; I found an additional two Coast Redwoods, one Silver Dollar Gum, and two London Plane trees, all immediately bordering the property. Due to their location, these offsite trees will incur root damage from the proposed construction plans and should be in the Tree Protection Plan. I believe Ms. Tso's "Tree Protection Recommendations" (Tso, 11), including fencing off the areas as close to the dripline of the trees as possible, is a solid base to work off. I have added additional recommendations on Page 8.

I believe The Replacement Plan should be amended, particularly regarding ecosystem services and resiliency to pests and pathogens. The Replacement Plan recommends planting 36 Box trees (presumably Boxwood Trees, which are a hedge), 14 Arbutus 'Marina' trees, 2 Chinese Pistache trees, and 2 Gingko 'Fastigiata and 24 Magnolia' Little Gem' trees. None of these trees are native to California (Arbutus 'Marina' is an ornamental cultivar, although its origins are from a California nursery, it is not a California native tree by wildlife standards). Because they are not native, local fauna has not evolved to interact with them, and the proposed trees do not support local wildlife such as beneficial insects to that extent native trees would. Although the West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

proposed total of 78 plantings is greater than the current number of trees on site, their sizes (24" box) will not replace many of the current trees' ecosystem services, possibly for decades.

Recommendations:

I recommend attempting to retain all the trees immediately bordering the property, including two Coast Redwoods, one Silver Dollar Gum, and two London Plane Trees in addition to the four Coast Live Oaks referenced in Ms. Tso's January 18, 2022, arborist report. I also recommend exploring the possibility of changing the proposed sidewalk and planters to include tree wells to preserve Trees #5, #6, and #16-21, adding them to the Tree Protection Plan. Tree #6 is the only one of these trees not in good condition; however, with watering and potential wind protection by the proposed building, this tree's condition may improve. Additionally, Tree #6 is a Coast Redwood, a famously resilient species with the ability to resprout even after total defoliation.

To limit the extent of root damage, I recommend root shaving the top of the roots to grade level rather than cutting entire roots off. Next, foam root barriers above shaved roots can deter invasive root growth towards infrastructure. Additionally, property owners should discuss the possibility of end-weight reduction pruning the remaining trees with the adjacent property owners. This form of pruning can help reduce the chance of branch or trunk failure after root pruning, where the trees will have less structural integrity. Pruning should not remove more than 25% of the tree's canopy to allow the trees to photosynthesize adequately.

An ISA Tree Risk Assessment Qualified arborist (TRAQ) should perform a Level 1: Tree Risk Assessment of all the retained trees every six months for the first year and a half after root pruning. This form of risk assessment can help property owners know if tree risk is at a tolerable level and whether the trees' conditions have degraded more than anticipated.

I recommend planting at least two trees for each removal (102 trees total, given the current removal list) rather than the proposed 78 plantings. This planting strategy approaches carbon storage and sequestration, air and water filtration, and wildlife habitat benefits of the subject trees. Ideally, the property managers would plant between 5-10 trees for each removal to replace ecosystem services (replacement number would depend on the size and species of the replaced specimen). However, a replacement rate more significant than two plantings per tree is likely not feasible given the property size and proposed landscaping.

I believe property owners should plant more California native trees tolerant of inevitable droughts and water-use restrictions. Engelmann Oak (Quercus engelmannii) and Island Oak (Quercus tomentalla) are strong candidates for large-space plantings, and Desert Willow (Chilopsis linearis), Western Redbud (Cercis occidentalis), and Coffeeberry (Frangula californica) are ideal for smaller-spaced plantings. Western Redbud has attractive flowers that may fit with the aesthetic goals of the property owners.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

If possible, the property owners will increase the number of species they are planting significantly (adding at least five species to The Replacement Plan), making the urban forest more resilient. Otherwise, having only five species of trees leaves the urban forest highly vulnerable to pests, pathogens, and abiotic factors adversely affecting any one species.

Thank you for allowing me to assist you in your tree assessment needsSincerely, Peter Richards
Plant Health Care Arborist
ISA Certified Arborist- Credential ID: WE-13340
ISA Tree Risk Assessment Qualification- Credential ID: 31985411 Qualified Applicator License- Credential ID: 161737
West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

Glossary:

Rating Category Health Structure Form
Good Vigor is normal for the
species. No significant
damage to diseases or
pests. Any twig
dieback, defoliation, or
discoloration is minor.

Well-developed
structure. Defects are
minor and can be
corrected.

Minor
asymmetries/deviations
from species norm.

Mostly consistent with
the intended use.

Function and aesthetics
are not compromised.

Fair Reduced vigor.

Damage due to insects
or diseases may be
significant and
associated with
defoliation but is not
likely to be fatal. Twig
dieback, defoliation,
discoloration, and/or
dead branches may
comprise up to 50% of
the crown.

A single defect of a
significant nature or
multiple moderate
defects. Defects are
not practical to correct
or would require
multiple treatments
over several years.

Major
asymmetries/deviations
from species norm
and/or intended use.

Function and/or
aesthetics are
compromised.

Poor Unhealthy and
declining in
appearance. Poor
vigor. Low foliage
density and poor
foliage color are
present. Potentially
fatal pest infestation.

Extensive twig and/or
branch dieback.

A single serious defect
or multiple significant
defects. Recent change
in tree orientation.

Observed structural
problems cannot be
corrected. Failure may
occur at any time.

Largely
asymmetric/abnormal.

Detracts from intended
use and/or aesthetics
to a significant degree.

Bibliography:

Council of Tree & Landscape Appraisers. Guide for Plant Appraisal, 10th Edition: Second Printing.

International Society of Arboriculture. June 2019. Print.

West Coast Arborists Inc. – 390 Martin Avenue, Santa Clara, CA 95050 - (408) 855-8660 Wcainc.com West Coast Arborists Inc. – Arborist Report Peer Review: City of Cupertino – March 17, 2021

ASSUMPTIONS AND LIMITING CONDITIONS

1. Care has been taken to obtain all information from reliable sources. All data has been verified insofar as possible; however, the Consultant can neither guarantee nor be responsible for the accuracy of information provided by others. Standard of Care has been met with regards to this project within reasonable and normal conditions.

2. The Consultant will not be required to give testimony or to attend court by reason of this report unless subsequent contractual agreements are made, including payment of an additional fee for such services as described in the fee schedule and contract of engagement.

3. Loss or alteration of any part of this report invalidates the entire report.

4. Possession of this report or a copy thereof does not imply right of publication or use for any purpose by any other than the person to whom it is addressed, without the prior written consent of the Consultant.

5. This report and any values expressed herein represent the opinion of the Consultant, and the Consultant’s fee is in no way contingent upon the reporting of a stipulated result, a specified value, the occurrence of a subsequent event, nor upon any finding to be reported.

6. Unless expressed otherwise: 1) information contained in this report covers only those items that were examined and reflects the condition of those items at the time of inspection; and 2) the inspection is limited to visual examination of accessible items without dissection, excavation, or coring, unless otherwise stated. There is no warranty or guarantee, expressed or implied, that problems or deficiencies of the tree(s) or property in question may not arise in the future.

7. Arborists are tree specialists who use their education, knowledge, training, and experience to examine trees, recommend measures to enhance the beauty and health of trees, and attempt to reduce the risk of living near trees. It is highly recommended that you follow the arborist recommendations; however, you may choose to accept or disregard the recommendations and/or seek additional advice.

8. Arborists cannot detect every condition that could possible lead to the structural failure of a tree. Trees are living organisms that fail in ways we do not fully understand. Conditions are often hidden within trees and below ground. Arborists cannot guarantee that a tree will be healthy or safe under all circumstances, or for a specific period of time.

9. Any recommendation and/or performed treatments (including, but not limited to, pruning or removal) of trees may involve considerations beyond the scope of the arborist’s services, such as property boundaries, property ownership, site lines, disputes between neighbors, and any other related issues.

Arborists cannot take such considerations into account unless complete and accurate information is disclosed to the arborist. An arborist can then be expected to consider and reasonably rely on the completeness and accuracy of the information provided.

10. The author has no personal interest or bias with respect to the subject matter of this report or the parties involved. He/she has inspected the subject tree(s) and to the best of their knowledge and belief, all statements and information presented in the report are true and correct. 4080 Cabrilho Drive · Martinez, CA 94553 · Telephone (925) 930-7901 · Fax (925) 723-2442 September 3, 2020
Ryan Lin
Ronsale Management, LLC
669.269.8515 | [email protected]
Re: Arborist Report for 1655 S De Anza Blvd, Cupertino
Dear Ryan,
This arborist report addresses the proposed mixed-use project at 1655 S De Anza Blvd. Per the City of Cupertino’s Protected Trees Ordinance Chapter 14.18, the scope of work includes:
• Tag, identify and measure all protected trees on or overhanging the property. Trees that are considered protected per the city ordinance are defined as:
o Mature specimen trees with a minimum single-trunk of 12” diameter (at 4.5’ above grade, DBH) or multi-trunk DBH of 24” or greater, of the following species:

Coast live oak (Quercus agrifolia), valley oak (Quercus lobata), black oak (Q. kelloggii), blue oak (Q. douglasii), interior live oak (Q. wislizeni), California buckeye (Aesculus californica), big leaf maple (Acer macrophyllum), Deodar cedar (Cedrus deodara), Blue Atlas cedar (Cedrus atlantica ‘Glauca’, California bay (Umbellularia californica), Western sycamore (Platanus racemosa) o Heritage trees designed by Planning Commission.
o Approved development tree(s).
• Assess individual tree health and structural condition. • Assess proposed improvements for potential encroachment. • Based on proposed encroachment, tree health, structure, and species susceptibility, make recommendations for preservation.
• Provide above information on a Tree Protection Plan, to include: tag #s, approximate dripline, whether a tree is removed or preserved, tree protection fencing locations, and tree protection recommendations.

Project Summary
The property is located northwest of the S De Anza Blvd & Prospect Road intersection. It is an L-shaped site, wrapping around a medical office & gas station. The “longer” side of the property has a commercial building surrounded by parking, while the shorter end (by Prospect Road) consists entirely of parking lot. There is a moderate number of existing trees, mainly along the property lines, consisting of Italian cypresses, Hollywood junipers, loquat, redwood, and London planetree. These are all restricted to small landscape areas or parking lot cut outs, and some have grown surprisingly large with their limited space. Additionally, off-site hackberries, redwoods, oaks, and eucalyptuses overhang the property line (Figure 1).

The proposed project will demolish all existing structures and hardscape to construct residential townhomes along the west property line and mixed use buildings along the north property line.

The mixed use buildings include commercial and parking space on the lowest level with residences on the upper levels. The structures max out at three levels, though the building height varies across the footprint.

Arborist Report, 1655 S De Anza Blvd September 3, 2020
Jennifer Tso, Certified Arborist 2
Only four trees are considered
protected per the city
ordinance, and all of them are
coast live oaks (Quercus
agrifolia) located on the
property to the north. The
trunks of the three largest oaks
are right next to the shared
fence, so their root systems
have likely proliferated beneath
the parking lot.

It is my opinion that one of the
oaks will be subjected to
excessive pruning as well as
potentially significant root
encroachment. This tree is a
likely candidate for removal.

Two additional large oaks may
also be subjected to high root
encroachment. Since preconstruction root assessment is not possible, the fate of these three trees will be determined during construction. The fourth oak is the smallest and can be saved with low encroachment.

Assumptions & Limitations
This report is based on my site visit on 8/27/20, and the following plans:
• Topographic map by Alpha Land Surveys, Inc. dated 4/20/19 • Site plan by Dahlin, dated 6/10/20
• Grading, drainage and utility plans by Sandis, dated 3/6/20 (Sheets C6.0-8.0) It was assumed the proposed improvements were accurately surveyed. Only one protected oak was located on the survey, along with a few non-protected trees. I approximately located the three other protected trees on my tree protection plan.

The health and structure of the trees were assessed visually from ground level. No drilling, root excavation, or aerial inspections were performed. Internal or non-detectable defects may exist and could lead to part or whole tree failures. Due to the dynamic nature of trees and their environment, it is not possible for arborists to guarantee that trees will not fail in the future.

Figure 1.. The proposed mixed-use building will be approximately 10’ from the property line. Trees #3 & 4 (above) may be subjected to significant root & canopy pruning.

Arborist Report, 1655 S De Anza Blvd September 3, 2020
Jennifer Tso, Certified Arborist 3
Tree Inventory & Assessment Table
#s: Each tree was assigned a number between #1-4, corresponding to their locations in the tree protection plan. They were not physically tagged as they were located off-site.

DBH (Diameter at Breast Height): Trunk diameters in inches were measured at 4.5’ above average grade with a diameter tape.

Height of measurement may deviate from the standard on atypical trunks; deviations are noted under the “Comments” section.

Health & Structural Condition Rating
Dead: Dead or declining past chance of recovery.

Poor (P): Stunted or declining canopy, poor foliar color, possible disease or insect issues. Severe structural defects that may or may not be correctable. Usually not a reliable specimen for preservation.

Fair (F): Fair to moderate vigor. Minor structural defects that can be corrected. More susceptible to construction impacts than a tree in good condition.

Good (G): Good vigor and color, with no obvious problems or defects. Generally more resilient to impacts.

Very Good (VG): Exceptional specimen with excellent vigor and structure. Unusually nice.

Dripline: Canopy radius was visually estimated in each cardinal direction.

Age
Young (Y): Within the first 20% of expected life span. High resiliency to encroachment.

Mature (M): Between 20% - 80% of expected life span. Moderate resiliency to encroachment.

Overmature (OM): In >80% of expected life span. Low resiliency to encroachment.

DE: Dripline Encroachment (X indicates encroachment)
CI: Anticipated Construction Impact (L = Low, M = Moderate, H = High) # Species DBH Health Structure Dripline

N E S W
Age DE CI Comments Action
1 Coast live oak
(Quercus
agrifolia)

14.5 G-F F 0 0 20 20 Y X M Off-site tree, not surveyed. Canopy growing towards power lines. 30deg
phototropic lean to SW. Co-dominant stems
at 8’ above grade; stems twist & contact at 2
areas (will eventually graft). Slightly sparse
canopy, partially understory tree. 15’ from
proposed townhome (2-3 stories by tree), 6’
from proposed P/L fence.

Arborist on site during demo
and grading within dripline.

Pruning to be done by ISA
certified personnel.

Arborist Report, 1655 S De Anza Blvd September 3, 2020
Jennifer Tso, Certified Arborist 4
# Species DBH Health Structure Dripline

N E S W
Age DE CI Comments Action
2 Coast live oak 32 G G-F 25 30 30 35 M X H Off-site tree. Diameter estimated due to fence. Trunk flush to and deforming wire
fence. Hardscape lifted by trunk. Ivy
climbing into canopy. Branches stripped of
interior foliage for clearance over parking.

Several large scaffolds from short height on
trunk (but not co-dominant). Low-growing
scaffold branch 40’ to SW. Proposed
walkway within 1’ of trunk, 11’ from
proposed townhome. Will require major
clearance pruning.

Recommend moving proposed
walkway further from tree, i.e.
switch with landscape strip, to
reduce impact on trunk flare.

Pruning shall be minimized
(work scaffolding around
limbs) but may still cause
decline.

Project arborist on site during
demo, grading; if root loss is
excessive, tree may need to
be removed.
3 Coast live oak 20.5,

23.5 G P 30 20 12 20 M X MHOff-site tree, not surveyed. Co-dominant stems; topped at 15’ for power line
clearance. Noticeable leaf damage by gall
wasps. Dense canopy. 10’ from proposed
townhome; proposed walkway next to fence;
proposed storm drain 8’ to S. Will require
significant clearance pruning.

Recommend moving proposed
walkway further from tree, i.e.
switch with landscape strip.

Pruning shall be done by
certified personnel. Project
arborist on site during demo,
grading; if root loss is
excessive, tree may need to
be removed. 4 Coast live oak 19.5 G P 15 12 18 20 M X MH Off-site tree, not surveyed. Topped. 10’
from proposed townhome; proposed
walkway next to fence; proposed storm
drain 8’ to S. Will require significant
clearance pruning.

Arborist Report, 1655 S De Anza Blvd September 3, 2020
Jennifer Tso, Certified Arborist 5
Discussion
The only protected trees that will be affected by the project are located on the property to the north, right next to the property line. The oaks to the west (trees #1 & 2) are growing in a larger landscape area, while the oaks to the east (#3 & 4) are in a narrow parking lot landscape strip.

The canopies of trees #3 & 4 have also been topped for power line clearance. Once the proposed project is completed, their canopies will be further limited by clearance pruning from the new buildings.

The proposed structures are
10’ from the north property
line, with new sidewalks and
landscaping proposed for
the setback. The trunk flare
of oak #2 has pushed out
the existing fence and lifted
the existing asphalt – large
roots are thus likely to be
close to the surface where
they can be damaged by
excavation & grading. Even
when fill is proposed, as in
this case, the sub-grade is
usually re-graded to
minimum specifications. If
feasible, I recommend
switching the proposed
sidewalk and landscape
area to minimize grading
next to the property line.

Construction of landscaping areas may be more flexible around tree roots, since landscaping does not need to be compacted to a high degree to support hardscape. Additionally, a lack of visible hardscape damage (e.g. by trees #3 & 4) does not infer that roots will not be affected.

Roots frequently grow beneath pavement and may be damaged during grading & excavation.

Due to existing hardscape along the fence line, it is not possible to assess potential root damage until construction is under way. I recommend having an arborist on-site during demolition and grading by trees #2-4 to ensure that they are not carelessly damaged and to assess root loss.

Oak #2 will also be subjected to over-pruning, which may affect its health more than the grading (Figure 2). The current structure of the tree requires more aggressive pruning, with larger pruning cuts. For instance, two of its lower large-diameter scaffold branches are up to 30’-35’ long, with their interior branches removed for clearance over the parking lot. Now, it is not possible to shorten the branches back to smaller secondary branches without leaving unattractive stubs. They will likely have to be removed back at their attachment, which results in a large wound next to the trunk. I recommend doing the minimum amount of pruning needed at each stage of construction, rather than completing the clearance pruning all at once. The pruning contractor shall be certified by the International Society of Arboriculture (ISA), and shall work with the relevant sub-contractor(s) to determine the minimum amount of clearance pruning. Regardless, this oak may still need to be removed if the combined root loss and clearance pruning is excessive.

Figure 2. Significant canopy reduction will be needed for oak #2 – some large limbs will need to be completely removed back to the trunk. The pruning shall be done in stages, as needed, to the minimum amount needed for each phase of construction.

Arborist Report, 1655 S De Anza Blvd September 3, 2020
Jennifer Tso, Certified Arborist 6
Tree Protection Recommendations (to be printed on site plans) Design Phase
• If feasible, switch the locations of the proposed sidewalk and landscape area along the north property line by trees #2-4 to reduce root encroachment from grading. This is especially important for tree #2, whose trunk and roots are clearly causing damage. • The project arborist shall review all plan changes that may affect the off-site trees.

Pre-Construction Phase
• A pre-construction meeting shall be conducted between the project arborist, general contractor, and relevant subcontractors to discuss tree protection during each phase of construction.

Demolition Phase
• The project arborist shall be on-site during parking lot demolition within the dripline of tree #2. The asphalt next to the trunk shall be carefully demolished by hand to avoid damaging the trunk flare.
• Once the parking lot demolition is completed, but prior to the start of grading or other construction activities, the contractor shall install 6’ chain-link fencing to construct a temporary Tree Protection Zone (TPZ) around each tree or grove of trees as indicated on the tree protection plan.
• TPZ fencing shall remain in an upright sturdy manner from the start of grading until the completion of construction. Fencing shall not be adjusted or removed without consulting the project arborist.

Foundation, Grading, and Construction Phase
• The project arborist shall be on-site during excavation/grading within the driplines of trees #2-4. Roots > 2” shall be cleanly pruned with a handsaw or sawzall, immediately covered, and kept moist till backfilled. If root loss is significant, the trees may need to be removed.
• Pruning of tree #2 shall be kept to a minimum at each stage of construction; temporary scaffolding shall be worked around large branches wherever possible. All pruning shall be performed by personnel certified by the International Society of Arboriculture (ISA; “Certified Tree Worker” or “Certified Arborist”). All pruning shall adhere to ISA and American National Standards Institute (ANSI) Standards and Best Management Practices.
• Should Tree Protection Zone (TPZ) encroachment be necessary, the contractor shall contact the project arborist for consultation and recommendations. • Contractor shall keep TPZs free of all construction-related materials, debris, fill soil, equipment, etc. The only acceptable material is mulch spread out beneath the trees. • Should any damage to the trees occur, the contractor shall promptly notify the project arborist to appropriately mitigate the damage.

Arborist Report, 1655 S De Anza Blvd September 3, 2020
Jennifer Tso, Certified Arborist 7
Landscaping Phase
• The Tree Protection Zone (TPZ) fencing shall remain in place with the same restrictions until landscape contractor notifies and meets with the project arborist. • Avoid all fill work, grade changes, and trenching within driplines unless it is performed by hand.
• Pipes shall be threaded under or through large roots without damaging them. • All planting within oak driplines shall be compatible with oaks, consisting of plant material that requires little to no water after two years’ establishment. A list of oakcompatible plants can be found in a publication from the California Oak Foundation, available at: http://californiaoaks.org/wpcontent/uploads/2016/04/CompatiblePlantsUnderAroundOaks.pdf Thank you for the opportunity to provide this report, and please do not hesitate to contact me if there are any questions or concerns.

Please see attached tree protection plan.

Sincerely,
Jennifer Tso
Certified Arborist #WE-10270A
Tree Risk Assessor Qualified

........................................................................................................................

A PPENDIX D :

P HASE I E NVIRONMENTAL S ITE

A SSESSMENT
........................................................................................................................

PHASE I ENVIRONMENTAL

SITE ASSESSMENT REPORT
1655 South De Anza Boulevard
and 7357 Prospect Road
Cupertino, California 95014
Report Date: April 13, 2020
Partner Project No. 20-279581.1
Prepared for:

Ronsdale Management
14440 Big Basin Way, Suite 12
Saratoga, California 95070
2154 Torrance Blvd., Suite 200, Torrance, CA 90501 ◊ Phone 800-419-4923 ◊ Fax 866-928-7418 April 13, 2020
Ran Lin
Ronsdale Management
14440 Big Basin Way, Suite 12
Saratoga, California 95070
Subject: Phase I Environmental Site Assessment
1655 South De Anza Boulevard and 7357 Prospect Road
Cupertino, California 95014
Partner Project No. 20-279581.1
Dear Ran Lin:

Partner Engineering and Science, Inc. (Partner) is pleased to provide the results of the Phase I Environmental Site Assessment (Phase I ESA) report of the abovementioned address (the “subject property”). This assessment was performed in conformance with the scope and limitations as detailed in the ASTM Practice E1527-13 Standard Practice for Environmental Site Assessments: Phase I Environmental Site Assessment Process.

This assessment included a site reconnaissance as well as research and interviews with representatives of the public, property ownership, site manager, and regulatory agencies. An assessment was made, conclusions stated, and recommendations outlined.

We appreciate the opportunity to provide environmental services to you. If you have any questions concerning this report, or if we can assist you in any other matter, please contact me at (801) 783-2734.

Sincerely,
Marshall Stanclift
Relationship Manager
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020
Page i

EXECUTIVE SUMMARY
Partner Engineering and Science, Inc. (Partner) has performed a Phase I Environmental Site Assessment (ESA) in accordance with the scope of work and limitations of ASTM Standard Practice E1527-13, the Environmental Protection Agency Standards and Practices for All Appropriate Inquiries (AAI) (40 CFR Part 312) and set forth by Ronsdale Management for the property located at 1655 South De Anza Boulevard and 7357 Prospect Road in Cupertino, Santa Clara County, California (the “subject property”). The Phase I Environmental Site Assessment is designed to provide Ronsdale Management with an assessment concerning environmental conditions (limited to those issues identified in the report) as they exist at the subject property.

Property Description
The subject property is located on the west side of South De Anza Boulevard and the north side of Prospect Road within a mixed commercial and residential area of the City of Cupertino. Please refer to the table below for further description of the subject property:

Subject Property Data
Addresses: 1655 South De Anza Boulevard & 7357 Prospect Road, Cupertino, California
Property Use: Commercial
Land Acreage (Ac): 1.69 Ac
Number of Buildings: One
Number of Floors: One
Gross Building Area (SF): 11,648 SF (Total)
Net Rentable Area (SF): 11,648 SF (Total)
Date of Construction: 1962
Assessor’s Parcel Number (APN): 366-10-126 and 366-10-061 Type of Construction: Wood-Framed
Current Tenants: See paragraph below
Site Assessment Performed By: Megan Davey of Partner
Site Assessment Conducted On: April 8, 2020
The subject property is currently occupied by Coach House Wine & Spirits, Kikusushi, Van’s Nail Spa, Hair Perfection, and KML Pharmacy for commercial use. Onsite operations consist of various medical, salon, dining, and grocery businesses. In addition to the current structure, the subject property is also improved with asphalt-paved parking areas and associated landscaping.

According to available historical sources, the subject property was formerly undeveloped as early as 1897; developed with orchards by 1939; developed with a residence by 1948 until circa 1974; and developed with the current commercial retail structure by 1962. Commercial tenants on the subject property have included various retail stores, offices, restaurants, and salons from at least 1962 to present.

The immediately surrounding properties consist of Cupertino Corporate Center to the north; Valero and Blue Hills Medical Offices to the south; residences and a multi-tenant commercial office building to the south across Prospect Road; Bank of America Financial Center and Shell Station to the east across South De Anza Boulevard; and residences to the west.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020
Page ii
According to a previous subsurface investigation conducted on the south and east adjacent properties (RWQCB GeoTracker Case #T0608500352 and T0608501264), the depth of groundwater in the vicinity of the subject property is approximately 38 to 61 feet below ground surface (bgs) and groundwater flow is variable with an overall southern gradient.

Findings
A recognized environmental condition (REC) refers to the presence or likely presence of any hazardous substances or petroleum products in, on, or at a property: due to release to the environment; under conditions indicative of a release to the environment; or under conditions that pose a material threat of a future release to the environment. The following was identified during the course of this assessment:
• Partner did not identify any RECs during the course of this assessment.

A controlled recognized environmental condition (CREC) refers to a REC resulting from a past release of hazardous substances or petroleum products that has been addressed to the satisfaction of the applicable regulatory authority, with hazardous substances or petroleum products allowed to remain in place subject to the implementation of required controls. The following was identified during the course of this assessment:
• Partner did not identify any CRECs during the course of this assessment.

A historical recognized environmental condition (HREC) refers to a past release of any hazardous substances or petroleum products that has occurred in connection with the property and has been addressed to the satisfaction of the applicable regulatory authority or meeting unrestricted use criteria established by a regulatory authority, without subjecting the property to any required controls. The following was identified during the course of this assessment:
• Partner did not identify any HRECs during the course of this assessment.

An environmental issue refers to environmental concerns identified by Partner, which do not qualify as RECs; however, warrant further discussion. The following was identified during the course of this assessment:
• Partner did not identify any environmental issues during the course of this assessment.

Conclusions, Opinions and Recommendations
Partner has performed a Phase I Environmental Site Assessment in conformance with the scope and limitations of ASTM Practice E1527-13 of 1655 South De Anza Boulevard & 7357 Prospect Road in Cupertino, Santa Clara County, California (the “subject property”). Any exceptions to, or deletions from, this practice are described in Section 1.5 of this report.

This assessment has revealed no evidence of RECs or environmental issues in connection with the subject property. Based on the conclusions of this assessment, Partner recommends no further investigation at this time.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020
Page iii

TABLE OF CONTENTS

1.0 INTRODUCTION.................................................................................................................................... 1

1.1 Purpose ................................................................................................................................................................................ 1

1.2 Scope of Work................................................................................................................................................................... 1

1.3 Limitations .......................................................................................................................................................................... 2

1.4 User Reliance ..................................................................................................................................................................... 2

1.5 Limiting Conditions ......................................................................................................................................................... 3

2.0 SITE DESCRIPTION ............................................................................................................................... 4

2.1 Site Location and Legal Description......................................................................................................................... 4

2.2 Current Property Use...................................................................................................................................................... 4

2.3 Current Use of Adjacent Properties .......................................................................................................................... 4

2.4 Physical Setting Sources................................................................................................................................................ 5

2.4.1 Topography.............................................................................................................................................................. 5

2.4.2 Hydrology ................................................................................................................................................................. 5

2.4.3 Geology/Soils .......................................................................................................................................................... 5

2.4.4 Flood Zone Information ...................................................................................................................................... 5

3.0 HISTORICAL INFORMATION............................................................................................................... 6

3.1 Aerial Photograph Review ............................................................................................................................................ 6

3.2 Fire Insurance Maps ........................................................................................................................................................ 7

3.3 City Directories.................................................................................................................................................................. 8

3.4 Historical Topographic Maps ...................................................................................................................................... 8

4.0 REGULATORY RECORDS REVIEW.....................................................................................................11

4.1 Regulatory Agencies .................................................................................................................................................... 11

4.1.1 Health Department ............................................................................................................................................ 11

4.1.2 Fire Department .................................................................................................................................................. 11

4.1.3 Air Pollution Control Agency .......................................................................................................................... 11

4.1.4 Regional Water Quality Agency .................................................................................................................... 12

4.1.5 Department of Toxic Substances Control ................................................................................................. 12

4.1.6 Building Department ......................................................................................................................................... 12

4.1.7 Planning Department ........................................................................................................................................ 13

4.1.8 Oil & Gas Exploration ........................................................................................................................................ 13

4.1.9 Assessor’s Office .................................................................................................................................................. 13

4.2 Mapped Database Records Search ........................................................................................................................ 13

4.2.1 Regulatory Database Summary ..................................................................................................................... 14

4.2.2 Subject Property Listings ................................................................................................................................. 14

4.2.3 Adjacent Property Listings .............................................................................................................................. 15

4.2.4 Sites of Concern Listings .................................................................................................................................. 17

4.2.5 Orphan Listings .................................................................................................................................................... 17

5.0 USER PROVIDED INFORMATION AND INTERVIEWS....................................................................18

5.1 Interviews ......................................................................................................................................................................... 18

5.1.1 Interview with Owner ........................................................................................................................................ 18

5.1.2 Interview with Report User .............................................................................................................................. 19

5.1.3 Interview with Key Site Manager .................................................................................................................. 19

5.1.4 Interviews with Past Owners, Operators and Occupants .................................................................... 19

5.1.5 Interview with Others ........................................................................................................................................ 19 Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020
Page iv

5.2 User Provided Information ........................................................................................................................................ 19

5.2.1 Title Records, Environmental Liens, and AULs ......................................................................................... 19

5.2.2 Specialized Knowledge ..................................................................................................................................... 19

5.2.3 Actual Knowledge of the User ....................................................................................................................... 19

5.2.4 Valuation Reduction for Environmental Issues ....................................................................................... 19

5.2.5 Commonly Known or Reasonably Ascertainable Information .......................................................... 20

5.2.6 Previous Reports and Other Provided Documentation ....................................................................... 20

6.0 SITE RECONNAISSANCE ....................................................................................................................21

6.1 General Site Characteristics....................................................................................................................................... 21

6.2 Potential Environmental Hazards............................................................................................................................ 22

6.3 Non-ASTM Services...................................................................................................................................................... 23

6.3.1 Asbestos-Containing Materials (ACMs) ..................................................................................................... 23

6.3.2 Lead-Based Paint (LBP) ..................................................................................................................................... 24

6.3.3 Radon ...................................................................................................................................................................... 24

6.3.4 Lead in Drinking Water ..................................................................................................................................... 25

6.3.5 Mold ......................................................................................................................................................................... 25

6.4 Adjacent Property Reconnaissance ........................................................................................................................ 25

7.0 FINDINGS AND CONCLUSIONS........................................................................................................27

8.0 SIGNATURES OF ENVIRONMENTAL PROFESSIONALS ................................................................. 28

9.0 REFERENCES ........................................................................................................................................29 Figures
Figure 1 Site Location Map
Figure 2 Site Plan
Figure 3 Topographic Map
Appendices
Appendix A Site Photographs
Appendix B Historical/Regulatory Documentation
Appendix C Regulatory Database Report
Appendix D Qualifications
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

1.0 INTRODUCTION
Partner Engineering and Science, Inc. (Partner) has performed a Phase I Environmental Site Assessment (ESA) in conformance with the scope and limitations of ASTM Standard Practice E1527-13 and the Environmental Protection Agency Standards and Practices for All Appropriate Inquiries (AAI) (40 CFR Part 312) for the property located at 1655 South De Anza Boulevard & 7357 Prospect Road in Cupertino, Santa Clara County, California (the “subject property”). Any exceptions to, or deletions from, this scope of work are described in the report.

1.1 Purpose
The purpose of this ESA is to identify existing or potential Recognized Environmental Conditions (as defined by ASTM Standard E1527-13) affecting the subject property that: 1) constitute or result in a material violation or a potential material violation of any applicable environmental law; 2) impose any material constraints on the operation of the subject property or require a material change in the use thereof; 3) require clean-up, remedial action or other response with respect to Hazardous Substances or Petroleum Products on or affecting the subject property under any applicable environmental law; 4) may affect the value of the subject property; and 5) may require specific actions to be performed with regard to such conditions and circumstances. The information contained in the ESA Report will be used by Client to: 1) evaluate its legal and financial liabilities for transactions related to foreclosure, purchase, sale, loan origination, loan workout or seller financing; 2) evaluate the subject property’s overall development potential, the associated market value and the impact of applicable laws that restrict financial and other types of assistance for the future development of the subject property; and/or 3) determine whether specific actions are required to be performed prior to the foreclosure, purchase, sale, loan origination, loan workout or seller financing of the subject property.

This ESA was performed to permit the User to satisfy one of the requirements to qualify for the innocent landowner, contiguous property owner, or bona fide prospective purchaser limitations on scope of Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) (42 U.S.C. §9601) liability (hereinafter, the “landowner liability protections,” or “LLPs”). ASTM Standard E1527-13 constitutes “all appropriate inquiry into the previous ownership and uses of the property consistent with good commercial or customary practice” as defined at 42 U.S.C. §9601(35)(B).

1.2 Scope of Work
The scope of work for this ESA is in accordance with the requirements of ASTM Standard E1527-13. This assessment included: 1) a property and adjacent site reconnaissance; 2) interviews with key personnel; 3) a review of historical sources; 4) a review of regulatory agency records; and 5) a review of a regulatory database report provided by a third-party vendor. Partner contacted local agencies, such as environmental health departments, fire departments and building departments in order to determine any current and/or former hazardous substances usage, storage and/or releases of hazardous substances on the subject property. Additionally, Partner researched information on the presence of activity and use limitations (AULs) at these agencies.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

As defined by ASTM E1527-13, AULs are the legal or physical restrictions or limitations on the use of, or access to, a site or facility: 1) to reduce or eliminate potential exposure to hazardous substances or petroleum products in the soil or groundwater on the subject property; or 2) to prevent activities that could interfere with the effectiveness of a response action, in order to ensure maintenance of a condition of no significant risk to public health or the environment. These legal or physical restrictions, which may include institutional and/or engineering controls (IC/ECs), are intended to prevent adverse impacts to individuals or populations that may be exposed to hazardous substances and petroleum products in the soil or groundwater on the property.

If requested by Client, this report may also include the identification, discussion of, and/or limited sampling of asbestos-containing materials (ACMs), lead-based paint (LBP), mold, and/or radon.

1.3 Limitations
Partner warrants that the findings and conclusions contained herein were accomplished in accordance with the methodologies set forth in the Scope of Work. These methodologies are described as representing good commercial and customary practice for conducting an ESA of a property for the purpose of identifying recognized environmental conditions. There is a possibility that even with the proper application of these methodologies there may exist on the subject property conditions that could not be identified within the scope of the assessment or which were not reasonably identifiable from the available information. Partner believes that the information obtained from the record review and the interviews concerning the subject property is reliable. However, Partner cannot and does not warrant or guarantee that the information provided by these other sources is accurate or complete. The conclusions and findings set forth in this report are strictly limited in time and scope to the date of the evaluations.

The conclusions presented in the report are based solely on the services described therein, and not on scientific tasks or procedures beyond the scope of agreed-upon services or the time and budgeting restraints imposed by the Client. No other warranties are implied or expressed.

Some of the information provided in this report is based upon personal interviews, and research of available documents, records, and maps held by the appropriate government and private agencies. This report is subject to the limitations of historical documentation, availability, and accuracy of pertinent records, and the personal recollections of those persons contacted.

This practice does not address requirements of any state or local laws or of any federal laws other than the all appropriate inquiry provisions of the LLPs. Further, this report does not intend to address all of the safety concerns, if any, associated with the subject property.

Environmental concerns, which are beyond the scope of a Phase I ESA as defined by ASTM include the following: ACMs, LBP, radon, and lead in drinking water. These issues may affect environmental risk at the subject property and may warrant discussion and/or assessment; however, are considered non-scope issues. If specifically requested by the Client, these non-scope issues are discussed in Section 6.3.

1.4 User Reliance
Ronsdale Management engaged Partner to perform this assessment in accordance with an agreement governing the nature, scope and purpose of the work as well as other matters critical to the engagement.

All reports, both verbal and written, are for the sole use and benefit of Ronsdale Management.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

Either verbally or in writing, third parties may come into possession of this report or all or part of the information generated as a result of this work. In the absence of a written agreement with Partner granting such rights, no third parties shall have rights of recourse or recovery whatsoever under any course of action against Partner, its officers, employees, vendors, successors or assigns. Any such unauthorized user shall be responsible to protect, indemnify and hold Partner, Client and their respective officers, employees, vendors, successors and assigns harmless from any and all claims, damages, losses, liabilities, expenses (including reasonable attorneys’ fees) and costs attributable to such Use.

Unauthorized use of this report shall constitute acceptance of and commitment to these responsibilities, which shall be irrevocable and shall apply regardless of the cause of action or legal theory pled or asserted. Additional legal penalties may apply.

1.5 Limiting Conditions
The findings and conclusions contain all of the limitations inherent in these methodologies that are referred to in ASTM E1527-13.

Specific limitations and exceptions to this ESA are more specifically set forth below:
• Interviews with past owners, operators and occupants were not reasonably ascertainable and thus constitute a data gap. Based on information obtained from other historical sources (as discussed in Section 3.0), this data gap is not expected to alter the findings of this assessment. • Partner requested information relative to deed restrictions and environmental liens, a title search, and completion of a pre-survey questionnaire from the Report User. This information was not provided at the time of the assessment.
• Partner was unable to determine the property use at 5-year intervals, which constitutes a data gap. Except for property tax files and recorded land title records, which were not considered to be sufficiently useful, Partner reviewed all standard historical sources and conducted appropriate interviews.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

2.0 SITE DESCRIPTION

2.1 Site Location and Legal Description
The subject property at 1655 South De Anza Boulevard and 7357 Prospect Road in Cupertino, California is located on the west side of South De Anza Boulevard and the north side of Prospect Road. According to the Santa Clara County Assessor, the subject property is identified as Assessor Parcel Numbers (APNs) 366-10-126 and 366-10-061. Ownership information was not readily available.

Please refer to Figure 1: Site Location Map, Figure 2: Site Plan, Figure 3: Topographic Map, and Appendix A: Site Photographs for the location and site characteristics of the subject property.

2.2 Current Property Use
The subject property is currently occupied by Coach House Wine & Spirits, Kikusushi, Van’s Nail Spa, Hair Perfection, and KML Pharmacy for commercial retail use. Onsite operations consist of various medical, salon, dining, and grocery businesses. The subject property consists of a one-story building located on the center of the property. In addition to the current structure, the subject property is also improved with asphalt-paved parking areas and associated landscaping.

The subject property is designated for planned mixed use development by the City of Cupertino.

The subject property was not identified in the regulatory database report of Section 4.2.

2.3 Current Use of Adjacent Properties
The subject property is located within a mixed commercial and residential area of the City of Cupertino.

During the vicinity reconnaissance, Partner observed the following land use on properties in the immediate vicinity of the subject property:

Immediately Surrounding Properties
North: Cupertino Corporate Center (1601 South De Anza Boulevard) South: Valero (1699 South De Anza Boulevard), Blue Hills Medical Offices (20599 Prospect Road), Prospect Road, beyond which are residences (20570 Prospect Road and 12056 James Town Court) and a multi-tenant commercial office building (20520 Prospect Road) East: South De Anza Boulevard, beyond which is Bank of America Financial Center (1660 South De Anza Boulevard) and Shell Station (1698 South De Anza Boulevard) West: Residences (1634, 1646, 1658, 1670, 1682, 1694 Jamestown Drive) The adjacent properties were identified as an Underground Storage Tank (UST), Leaking UST (LUST), Historical LUST (HIST LUST), Historical UST (HIST UST), Statewide Environmental Evaluation and Planning System UST Listing (SWEEPS UST), Historical Cortese (HIST CORTESE), Hazardous Waste Tracking System (HWTS), California Environmental Reporting System (CERS), CERS Tanks (CERS TANKS), CERS Hazardous Waste (CERS HAZ WASTE), Certified Unified Program Agency Listings (CUPA Listings), California Hazardous Material Incident Reporting System (CHMIRS), Facility and Manifest Data (HAZNET), Resource Conservation and Recovery Act – Non-Generator / No Longer Regulated (RCRA NONGEN/NLR), Emissions Inventory Data (EMI), Hazardous Material Facilities (HAZMAT), and Environmental Data Resources, Inc. (EDR) Exclusive Historical Auto Station (EDR HIST AUTO) in the regulatory database report of Section 4.2.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

2.4 Physical Setting Sources

2.4.1 Topography
The United States Geological Survey (USGS) Cupertino, California Quadrangle 7.5-minute series topographic map was reviewed for this ESA. According to the contour lines on the topographic map, the subject property is located at approximately 305 feet above mean sea level (MSL). The contour lines in the area of the subject property indicate the area is sloping gently toward the east-northeast.

A copy of the most recent topographic map is included as Figure 3 of this report.

2.4.2 Hydrology
The nearest surface water in the vicinity of the subject property is the Calabazas Creek located approximately 330 feet east of the subject property. No settling ponds, lagoons, surface impoundments, wetlands or natural catch basins were observed at the subject property during this assessment.

According to available information, a public water system operated by the Santa Clara Valley Water District serves the subject property vicinity. According to the website, shallow groundwater beneath the subject property is not utilized for domestic purposes. The sources of public water for the City of Cupertino are local groundwater aquifers and surface water from the Sacramento-San Joaquin River Delta.

According to a previous subsurface investigation conducted on the south and east adjacent properties (RWQCB GeoTracker Case #T0608500352 and T0608501264), the depth of groundwater in the vicinity of the subject property is approximately 38 to 61 feet below ground surface (bgs) and groundwater flow is variable with an overall southern gradient.

2.4.3 Geology/Soils
The subject property is situated within the Santa Clara Valley, which is an intermontane basin in the coastal region of the State of California. The rocks that underlie the basins and form the surrounding mountains are primarily marine sediments and metamorphic and igneous rocks, all of which are Mesozoic age but locally include rocks of the Cenozoic age. The Property is located at approximately 265 feet above mean sea level. The estimated depth to bedrock at the Property is approximately 1,200 to 1,300 feet below the ground surface.

Based on information obtained from the United States Department of Agriculture (USDA) Natural Resources Conservation Service Web Soil Survey online database, the subject property is mapped as Urban land – Stevenscreek complex and Flaskan complex. The Stevenscreek and Flaskan series consist of very deep, well drained soils that formed on alluvial fans. Slopes range from 0 to 2 percent.

2.4.4 Flood Zone Information
Partner performed a review of the Flood Insurance Rate Map, published by the Federal Emergency Management Agency. According to Community Panel Number 06085C0217H, dated May 18, 2009, the subject property appears to be located in Zone X, an area located outside of the 100-year and 500-year flood plains.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

3.0 HISTORICAL INFORMATION
Partner obtained historical use information about the subject property from a variety of sources. A chronological listing of the historical data found is summarized in the table below:

Historical Use Information
Period/Date Source Description/Use
1897-1902 Topographic Maps Undeveloped/Native land
1939-1947 Aerial Photographs, Topographic Maps Orchards 1948-1961 Aerial Photographs, Topographic Maps, City
Directories, Interviews
Orchards and Residential (1948-1974)
1962-Present Aerial Photographs, Topographic Maps,
Building Records, City Directories, Interviews
Commercial
Commercial tenants on the subject property have included various retail stores, offices, restaurants, and salons from at least 1962 to present. The subject property parcel was historically used for agricultural purposes, specifically for use as an orchard. There is a potential that agricultural related chemicals such as pesticides, herbicides, and fertilizers, may have been used and stored onsite. The subject property is either paved over or covered by building structures that minimize direct contact to any potential remaining concentrations in the soil. Additionally, during previous site development activities, near surface soils (where residual agricultural chemical concentrations would have most likely been present, if at all) were likely mixed with fill material or disturbed during grading. Also, it is common that engineered fill material is placed over underlying soils as part of the development activities. These additional variables serve to further reduce the potential for exposure to residual agricultural chemicals (if any).

Based on these reasons, Partner concludes that the possible former use of agricultural chemicals is not expected to represent a significant environmental concern at this time.

3.1 Aerial Photograph Review
Partner obtained available aerial photographs of the subject property and surrounding area from Environmental Data Resources. Inc. (EDR) on April 1, 2020. The following was observed on the subject property and adjacent properties during the aerial photograph review:

Date: 1939 Scale: 1”=500’
Subject Property: Appears to be orchards
North: Appears to be orchards
South: Appears to be orchards across a road
East: Appears to be orchards across a road
West: Appears to be orchards
Date: 1948, 1950 Scale: 1”=500’
Subject Property: Appears to be developed with a residence; the remaining portion appear to remain an orchard
North: Appears to be developed with a residence and orchards South: No significant changes visible
East: No significant changes visible
West: No significant changes visible
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

Date: 1956 Scale: 1”=500’
Subject Property: No significant changes visible
North: No significant changes visible
South: Appears to be developed with residences across a road and orchards East: Appears to be developed with residences across a road and orchards West: No significant changes visible
Date: 1963 Scale: 1”=500’
Subject Property: Appears to be developed with the present-day commercial retail building and parking lot on the northern portion with the residence on the southern portion North: No significant changes visible
South: Appears to be developed with a gasoline service station and commercial property; residences are visible across a road
East: Appears to be developed with a gasoline service station and commercial property across a road
West: Appears to be developed with a residence and orchards Date: 1968 Scale: 1”=500’
Subject Property: No significant changes visible
North: No significant changes visible
South: No significant changes visible
East: No significant changes visible
West: Appears to be developed with additional residences Date: 1974 Scale: 1”=500’
Subject Property: The residence appears to be redeveloped as a parking lot on the southern portion with the northern portion similar to 1968 aerial photograph North: No significant changes visible
South: No significant changes visible
East: No significant changes visible
West: No significant changes visible
Date: 1991, 1998, 2006, 2009, 2012, 2016 Scale: 1”=500’ Subject Property: No significant changes visible
North: Appears to be developed with the existing commercial property South: Appears to be developed with additional residence and commercial property across a road
East: No significant changes visible
West: No significant changes visible
Copies of select aerial photographs are included in Appendix B of this report.

3.2 Fire Insurance Maps
Partner reviewed the collection of Sanborn Fire insurance maps from EDR on April 1, 2020. Sanborn map coverage was not available for the subject property.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

3.3 City Directories
Partner reviewed historical city directories obtained from EDR on April 3, 2020 for past names and businesses that were listed for the subject property and adjacent properties. The findings are presented in the following table:

City Directory Search for 1655 South De Anza Boulevard (Saratoga Sunnyvale Road) & 7357 Prospect Road (Subject Property)
Year(s) Occupant Listed
1971-1985 Commercial listings, including retail stores, offices, restaurants, and salons (1655 Saratoga Sunnyvale Road)
1995-2014 Commercial listings, including retail stores, offices, restaurants, and salons (1655 South De Anza Boulevard and Saratoga Sunnyvale Road)
Based on the city directory review, no environmentally sensitive listings were identified for the subject property addresses.

City Directory Search for Adjacent Properties
Year(s) Occupant Listed
1971 Commercial listings (1601, 1660 South De Anza Boulevard); Saratoga Shell (1698 South De Anza Boulevard); Kregers Chevron (1699 South De Anza Boulevard) 1976-1981 Commercial listings (1601 South De Anza Boulevard) 1985 Commercial listings (1660 South De Anza Boulevard); Saratoga Shell (1698 South De Anza Boulevard); Kregers Chevron (1699 South De Anza Boulevard) 1995 Commercial listings (1601 South De Anza Boulevard); Kregers Chevron (1699 South De Anza Boulevard)
2000 Saratoga Shell Bud Root, Shell Service Stations San Jose (1698 South De Anza Boulevard); Kregers Chevron Station (1699 South De Anza Boulevard)
2005 Saratoga Shell Service Station (1698 South De Anza Boulevard); A & A Smog, U Haul Co (1699 South De Anza Boulevard)
2010 Saratoga Shell Service Station (1698 South De Anza Boulevard); Valero (1699 South De Anza Boulevard)
2014 Commercial listings (1660 South De Anza Boulevard); Saratoga Shell Service Station (1698 South De Anza Boulevard); Valero (1699 South De Anza Boulevard) According to the city directory review, the adjacent properties have been occupied by gasoline service stations, discussed further in Section 4.2.3.

Copies of reviewed city directories are included in Appendix B of this report.

3.4 Historical Topographic Maps
Partner reviewed historical topographic maps obtained from EDR on April 1, 2020. The following was observed on the subject property and adjacent properties during the topographic map review:

Date: 1897, 1899, 1902
Subject Property: Depicted as undeveloped land
North: Depicted as developed with a building
South: Depicted as developed with a road (Prospect Road) East: Depicted as developed with a building across a road West: Depicted as undeveloped land
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

Date: 1943, 1947
Subject Property: No significant changes depicted
North: No significant changes depicted
South: No significant changes depicted
East: Depicted as vacant land across a road
West: No significant changes depicted
Date: 1948
Subject Property: Depicted as developed with orchards and a building on the southern portion North: Depicted as developed with orchards and a building South: Depicted as developed with orchards across Prospect Road East: Depicted as developed with orchards and a building across a road West: Depicted as developed with orchards
Date: 1953
Subject Property: No significant changes depicted
North: No significant changes depicted
South: Depicted as developed with a building; orchards depicted East: No significant changes depicted
West: No significant changes depicted
Date: 1961
Subject Property: No significant changes depicted
North: No significant changes depicted
South: Depicted as developed with additional buildings; orchards depicted East: Depicted as developed with additional buildings across a road; orchards depicted West: Depicted as developed with additional buildings; orchards depicted Date: 1968, 1973
Subject Property: No significant changes depicted; depicted as urban developed North: No significant changes depicted; depicted as urban developed South: No significant changes depicted; depicted as urban developed East: No significant changes depicted; depicted as urban developed West: No significant changes depicted; depicted as urban developed Date: 1980
Subject Property: Depicted as developed with the existing commercial building North: No significant changes depicted
South: No significant changes depicted
East: No significant changes depicted
West: No significant changes depicted
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

Date: 1995, 2012
Subject Property: Site specific features not depicted
North: Site specific features not depicted
South: Site specific features not depicted
East: Site specific features not depicted
West: Site specific features not depicted
Copies of reviewed topographic maps are included in Appendix B of this report.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

4.0 REGULATORY RECORDS REVIEW

4.1 Regulatory Agencies

4.1.1 Health Department
Regulatory Agency Data
Name of Agency: Santa Clara County Environmental Health Department (SCCEHD) Point of Contact: https://cepascc-ca.nextrequest.com/requests/20-551 Agency Address: 1555 Berger Drive, Building 2, Suite 300, San Jose, California Agency Phone Number: (408) 918-3428
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: No records regarding hazardous substance use, storage or releases, or the presence of USTs and AULs on the subject property were on file with the SCCHED.

4.1.2 Fire Department
Regulatory Agency Data
Name of Agency: Santa Clara County Fire Department (SCCFD) Point of Contact: Front desk
Agency Address: 777 Benton St, Santa Clara, California
Agency Phone Number: (408) 615-4900
Date of Contact: April 7, 2020
Method of Communication: Phone
Summary of Communication: No records regarding hazardous substance use, storage or releases, or the presence of USTs and AULs on the subject property were on file with the SCCFD.

4.1.3 Air Pollution Control Agency
Regulatory Agency Data
Name of Agency: Bay Area Air Quality Management District (BAAQMD) Point of Contact: Ms. Rochele Henderson
Agency Address: 939 Ellis Street, San Francisco, California Agency Phone Number: (415) 771-6000
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: No Permits to Operate (PTO), Notices of Violation (NOV), or Notices to Comply (NTC) or the presence of AULs, dry cleaning machines, or USTs were on file for the subject property with the BAAQMD.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

4.1.4 Regional Water Quality Agency
Regulatory Agency Data
Name of Agency: San Francisco Bay Regional Water Quality Control Board (RWQCB) Point of Contact: https://geotracker.waterboards.ca.gov/ Agency Address: 1515 Clay Street, Suite 1400, Oakland, California Agency Phone Number: (510) 622-2300
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: No records regarding hazardous substance use, storage or releases, or the presence of USTs and AULs on the subject property were on file with the RWQCB.

4.1.5 Department of Toxic Substances Control
Regulatory Agency Data
Name of Agency: California Department of Toxic Substances Control (DTSC) Point of Contact: https://www.envirostor.dtsc.ca.gov/public/ https://hwts.dtsc.ca.gov/
Agency Address: 1001 I Street, Sacramento, California
Agency Phone Number: (916) 255-3687
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: No records regarding hazardous substance use, storage or releases, or the presence of USTs and AULs on the subject property were on file with the DTSC.

4.1.6 Building Department
Regulatory Agency Data
Name of Agency: Cupertino Building Department (CBD)
Point of Contact: https://www.cupertino.org/our-city/departments/city-clerk/cityrecords Agency Address: 10300 Torre Avenue, Cupertino, California Agency Phone Number: (408) 777-3203
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: Records were available for review, as further discussed in the following table.

Building Records Reviewed for 1655 South De Anza Boulevard and 7357 Prospect Road (Subject Property)
Year(s) Owner/Applicant Description
1998 Phil Labarbora Termite work
2004 Philip Labarbera Fire damage repair
2004 Coach House Liquors Sign
2005 Lord India Cuisine Replace hood
2007 Hung Nguyen Tenant improvement – nail salon
2008 Philip & Barbara Trustee Install light pole
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

4.1.7 Planning Department
Regulatory Agency Data
Name of Agency: Cupertino Planning Department (CPD)
Point of Contact: https://www.cupertino.org/our-city/departments/communitydevelopment/planning/zoning Agency Address: 10300 Torre Avenue, Cupertino, California Agency Phone Number: (408) 777-3203
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: According to records reviewed, the subject property is zoned P for planned mixed use development by the City of Cupertino.

4.1.8 Oil & Gas Exploration
Regulatory Agency Data
Name of Agency: California Division of Oil, Gas and Geothermal Resources (DOGGR) Point of Contact: https://maps.conservation.ca.gov/doggr/wellfinder/#openModal Agency Address: 801 K Street, MS 20-22, Sacramento, California Agency Phone Number: (916) 322-1110
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: According to DOGGR, no oil or gas wells are located on or adjacent to the subject property.

4.1.9 Assessor’s Office
Regulatory Agency Data
Name of Agency: Santa Clara County Assessor (SCCA)
Point of Contact: https://ges.sccgov.org/discovergis/sccmap Agency Address: 70 West Hedding Street, San Jose, California Agency Phone Number: (408) 299-5500
Date of Contact: April 7, 2020
Method of Communication: Online
Summary of Communication: According to records reviewed, the subject property is identified by Assessor Parcel Numbers (APNs) 366-10-126 and 366-10-061.

According to online sources (Property Shark), the current building was constructed in 1962 and totals approximately 11,648 square feet on 1.69 acres.

Copies of pertinent documents are included in Appendix B of this report.

4.2 Mapped Database Records Search
Information from standard federal, state, county, and city environmental record sources was provided by Environmental Data Resources, Inc. (EDR). Data from governmental agency lists are updated and integrated into one database, which is updated as these data are released. The information contained in this report was compiled from publicly available sources and the locations of the sites are plotted utilizing a geographic information system, which geocodes the site addresses. The accuracy of the geocoded locations is approximately +/-300 feet.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

Using the ASTM definition of migration, Partner considers the migration of hazardous substances or petroleum products in any form onto the subject property during the evaluation of each site listed on the radius report, which includes solid, liquid, and vapor.

4.2.1 Regulatory Database Summary
Radius Report Data
Database Search Radius
(mile)
Subject
Property
Adjacent
Properties
Sites of
Concern
Federal NPL or Delisted NPL Site 1.00 N N N
Federal CERCLIS Site 0.50 N N N
Federal CERCLIS-NFRAP Site 0.50 N N N
Federal RCRA CORRACTS Facility 1.00 N N N
Federal RCRA TSDF Facility 0.50 N N N
Federal RCRA Generators Site (LQG, SQG,

CESQG, NONGEN / NLR)

0.25 N Y N
Federal IC/EC Registries 0.50 N N N
Federal ERNS Site Subject Property N N N
State/Tribal Equivalent NPL 1.00 N N N
State/Tribal Equivalent CERCLIS 1.00 N N N
State/Tribal Landfill/Solid Waste Disposal Site 0.50 N N N State/Tribal Leaking Storage Tank Site 0.50 N Y N
State/Tribal Registered Storage Tank Sites
(UST/AST)

0.25 N Y N
State/Tribal Voluntary Cleanup Sites (VCP) 0.50 N N N
State/Tribal Spills 0.50 N N N
Federal Brownfield Sites 0.50 N N N
State Brownfield Sites 0.50 N N N
EDR MGP Varies N N N
EDR US Hist Auto Station Varies N Y N
EDR US Hist Cleaners Varies N N N
HIST UST 0.25 N Y N
SWEEPS UST 0.25 N Y N
HIST CORTESE 0.50 N Y N
HWTS Subject Property N Y N
CERS Subject Property N Y N
CERS TANKS 0.25 N Y N
CERS HAZ WASTE 0.25 N Y N
CUPA LISTINGS 0.25 N Y N
CHMIRS Subject Property N Y N
HAZNET Subject Property N Y N
EMI Subject Property N Y N
HAZMAT 0.25 N Y N
FINDS Subject Property N Y N
ECHO Subject Property N Y N

4.2.2 Subject Property Listings
The subject property is not identified in the regulatory database report.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

4.2.3 Adjacent Property Listings
The adjacent property to the north is identified as a CUPA LISTINGS site in the regulatory database report, as discussed below:
• The property, identified as County of Santa Clara Sheriff – West Valley Facility at 1601 South De Anza Boulevard Suite 148, is located adjacent to the north of the subject property. This property is reported as a HAZMAT storage facility with minimal storage. No violations were reported for the property. Based on the absence of violations of regulatory release listings, this listing is not expected to represent a significant environmental concern and it is unlikely that a regulatory file review for this site would alter the findings of this assessment The adjacent property to the east is identified as a Resource Conservation and Recovery Act – NonGenerator / No Longer Regulated (RCRA NONGEN / NLR) site in the regulatory database report, as discussed below:
• The property, identified as De Anza Auto LLC at 1686 South De Anza Boulevard, is located adjacent to the east of the subject property across South De Anza Boulevard. This property is reported as non-generator in 2017. No violations were reported for the property. Based on the absence of violations or regulatory release listings, this listing is not expected to represent a significant environmental concern and it is unlikely that a regulatory file review for this site would alter the findings of this assessment
The adjacent property to the east is identified as an EDR Exclusive Historical Auto Station (EDR HIST AUTO), Underground Storage Tank (UST), Statewide Environmental Evaluation and Planning System UST Listing (SWEEPS UST), Leaking UST (LUST), Historical LUST (HIST LUST), Historical UST (HIST UST), California Environmental Reporting System (CERS), CERS Tanks (CERS TANKS), CERS Hazardous Waste (CERS HAZ WASTE), Facility and Manifest Data (HAZNET), Emissions Inventory Data (EMI), Hazardous Material Facilities (HAZMAT), RCRA NONGEN / NLR, and CUPA LISTINGS site in the regulatory database report, as discussed below:
• The property, identified as De Anza Auto LLC / Nakash Enterprises #7006 / Saratoga Shell Bud Root / C & S Shell Service / Shell Oil Products SAP 135984 at 1698 South Saratoga Boulevard – Sunnyvale Road, is located adjacent to the east of the subject property across South De Anza Boulevard. The property is reported as a gasoline service station from 1970 to 1992. According to the UST listings, seven tanks are associated with this property including three 5,000-gallon gasoline tanks, one 8,000-gallon gasoline tank, and three waste oil tanks of unknown capacities.

Installation dates were not provided on the listings. This site reported a release of gasoline and other fuel oxygenates during the removal of a waste oil tank in 1987. The fuel leak investigation case was closed on October 13, 1994. At the time of closure, residual contamination remained in the soil. On November 7, 2000, the San Francisco RWQCB re-opened the case with further soil and groundwater sampling. Groundwater extraction and monitoring was conducted from 2002 to 2006. An additional 550-gallon waste oil UST was removed from the property in 2006, followed by removal of approximately 42 tons of contaminated pea gravel associated with the UST. Quarterly groundwater monitoring was conducted until 2011 and regulatory closure was granted on February 14, 2013.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

Residual impacts in groundwater were noted which included 15 parts per billion (ppb) of methyl tert butyl ether (MTBE) and 620 ppb of tert-butyl alcohol (TBA).

Residual contamination was identified that could pose an unacceptable risk for certain site development activities (such as site grading, excavation, or the installation of water wells). The contamination was noted to be in the area of USTs, associated piping, and dispensers. A copy of the closure letter is provided in Appendix B. Based on the regulatory closure of the previous releases, inferred direction of groundwater flow, distance, and anticipated depth to groundwater, and a lack of any open releases reported, the historical releases and listings are not expected to represent a significant environmental concern at this time.

The adjacent property to the south is identified as a California Hazardous Material Incident Reporting System (CHMIRS), Historical Cortese (HIST CORTESE), Facility Index System / Facility Registry System (FINDS), Enforcement Compliance & History Online Information (ECHO), UST, HWTS, CERS, CERS TANKS,

CERS HAZ WASTE, CUPA LISTINGS, HAZNET, RCRA NONGEN / NLR, EDR HIST AUTO, LUST, HIST LUST, and SWEEPS UST site in the regulatory database report, as discussed below:
• The property, identified as Vikhar Valero / Chevron Station No 94818 / Kregers Chevron Inc at 1699 South De Anza Boulevard, is located adjacent to the south of the subject property. The property is reported as a gasoline service station in the EDR HIST Auto database from at least 1996 to 2014; however, this site has operated as a gasoline station from as early as 1987 through the present-day. According to the UST listings, four tanks are currently associated with this property including three 12,000-gallon gasoline tanks and a 1,000-gallon waste oil tank. This site reported a release of gasoline in 1986 that impacted groundwater. According to the case closure summary on GeoTracker, one 550-gallon waste oil UST was closed in place in 1987 and three gasoline USTs (3,000-gallon, 5,000-gallon, and 6,000-gallon) were removed from the property in 1990.

Approximately 230 cubic yards of soil were excavated from the property and four groundwater monitoring wells were installed. Groundwater monitoring was conducted until 2003 and regulatory closure was granted on July 26, 2004. The maximum contaminant levels in groundwater after the cleanup activities included less than 1.5 parts per billion (ppb) of total petroleum hydrocarbons (TPH) gas, less than 0.5 ppm for TPH diesel, no reported detections of benzene and toluene above the laboratory reporting level, and 3 ppb of methyl tert butyl ether (MTBE).

Residual contamination was identified that could pose an unacceptable risk for certain site development activities (such as site grading, excavation, or the installation of water wells). The contamination was noted to be in the area of USTs, associated piping, and dispensers. A copy of the closure letter is provided in Appendix B. Based on the regulatory closure of the previous releases, inferred direction of groundwater flow, and anticipated depth to groundwater, and a lack of any open releases reported, the historical releases and listings are not expected to represent a significant environmental concern at this time.

The adjacent property to the south is identified as a HWTS, CERS HAZ WATE, CUPA LISTINGS, and RCRA NONGEN / NLR site in the regulatory database report, as discussed below:

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

• The property, identified as Blue Hills Medical Group / Sheldon Zitman MD/B Sofia Jalilie MD / Arnold R Henderson DDS at 20555 Prospect Road, is located adjacent to the south of the subject property. The property was reported as a non-generator in 2011 and 2016. The property is reported as a hazardous waste generator for a medical office and small pharmacy in 2017, with only generation of silver waste. Violations were not reported for the property. Based on the absence of violations and nature of the listing, this listing is not expected to represent a significant environmental concern and it is unlikely that a regulatory file review for this site would alter the findings of this assessment
Based on the findings, vapor migration is not expected to represent a significant environmental concern at this time.

4.2.4 Sites of Concern Listings
No sites of concern are identified in the regulatory database report.

4.2.5 Orphan Listings
No orphan listings of concern are identified in the regulatory database report.

A copy of the regulatory database report is included in Appendix C of this report.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

5.0 USER PROVIDED INFORMATION AND INTERVIEWS
In order to qualify for one of the Landowner Liability Protections (LLPs) offered by the Small Business Liability Relief and Brownfields Revitalization Act of 2001 (the Brownfields Amendments), the User must conduct the following inquiries required by 40 CFR 312.25, 312.28, 312.29, 312.30, and 312.31. The User should provide the following information to the environmental professional. Failure to provide this information could result in a determination that all appropriate inquiries is not complete. The User is asked to provide information or knowledge of the following:
• Review Title and Judicial Records for Environmental Liens and AULs • Specialized Knowledge or Experience of the User
• Actual Knowledge of the User
• Reason for Significantly Lower Purchase Price
• Commonly Known or Reasonably Ascertainable information • Degree of Obviousness
• Reason for Preparation of this Phase I ESA
Fulfillment of these user responsibilities is key to qualification for the identified defenses to CERCLA liability. Partner requested our Client to provide information to satisfy User Responsibilities as identified in Section 6 of the ASTM guidance.

Pursuant to ASTM E1527-13, Partner requested the following site information from Ronsdale Management (User of this report).

User Responsibilities
Item Provided By
User
Not Provided
By User
Discussed
Below
Does Not
Apply
Environmental Pre-Survey Questionnaire X
Title Records, Environmental Liens, and AULs X
Specialized Knowledge X
Actual Knowledge X
Valuation Reduction for Environmental Issues X
Identification of Key Site Manager Section 5.1.3
Reason for Performing Phase I ESA Section 1.1
Prior Environmental Reports X
Other X

5.1 Interviews

5.1.1 Interview with Owner
Please see Section 5.1.3 for information provided by the key site manager, representative for the subject property owner.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

5.1.2 Interview with Report User
Please refer to Section 5.2 below for information requested from the Report User. The information requested was not received prior to the issuance of this report. The lack of this information is not considered to represent a significant data gap.

5.1.3 Interview with Key Site Manager
Mr. Carlson Chan, key site manager, indicated that he had no information pertaining to any pending, threatened, or past litigation relevant to hazardous substances or petroleum products in, on, or from the subject property; any pending, threatened, or past administrative proceedings relevant to hazardous substances or petroleum products in, on, or from the subject property; or any notices from a governmental entity regarding any possible violation of environmental laws or possible liability relating to hazardous substances or petroleum products.

According to Mr. Chan, the subject property was developed in the 1960s for commercial use. Prior to that, the subject property was developed with orchards and a residence. Mr. Chan further stated that there are no USTs, ASTs, clarifiers, oil/water separators, groundwater monitoring wells, or hazardous substance use/storage/generation on the subject property to the best of his knowledge.

5.1.4 Interviews with Past Owners, Operators and Occupants Interviews with past owners, operators and occupants were not conducted since information regarding the potential for contamination at the subject property was obtained from other sources.

5.1.5 Interview with Others
As the subject property is not an abandoned property as defined in ASTM 1527-13, interview with others were not performed.

5.2 User Provided Information

5.2.1 Title Records, Environmental Liens, and AULs
Partner was not provided with title records or environmental lien and AUL information for review as part of this assessment.

5.2.2 Specialized Knowledge
No specialized knowledge of environmental conditions associated with the subject property was provided by the User at the time of the assessment.

5.2.3 Actual Knowledge of the User
No actual knowledge of any environmental lien or AULs encumbering the subject property or in connection with the subject property was provided by the User at the time of the assessment.

5.2.4 Valuation Reduction for Environmental Issues
No knowledge of valuation reductions associated with the subject property was provided by the User at the time of the assessment.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

5.2.5 Commonly Known or Reasonably Ascertainable Information The User did not provide information that is commonly known or reasonably ascertainable within the local community about the subject property at the time of the assessment.

5.2.6 Previous Reports and Other Provided Documentation No previous reports or other pertinent documentation was provided to Partner for review during the course of this assessment.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

6.0 SITE RECONNAISSANCE
The weather at the time of the site visit was sunny and clear. Refer to Section 1.5 for limitations encountered during the field reconnaissance and Sections 2.1 and 2.2 for subject property operations.

The table below provides the site assessment details:

Site Assessment Data
Site Assessment Performed By: Megan Davey
Site Assessment Conducted On: April 8, 2020
The table below provides the subject property personnel interviewed during the field reconnaissance:

Site Visit Personnel for 1655 South De Anza Boulevard & 7357 Prospect Road (Subject Property) Name Title/Role Contact Number Site Walk*
Yes/No
Mr. Carlson Chan Key Site Manager (408) 836-6070 Yes
* Accompanied Partner during the field reconnaissance activities and provided information pertaining to the current operations and maintenance of the subject property No potential environmental concerns were identified during the onsite reconnaissance.

6.1 General Site Characteristics

6.1.1 Solid Waste Disposal
Solid waste generated at the subject property is disposed of in commercial dumpsters located on the north side of the subject property. An independent solid waste disposal contractor, Recology, removes solid waste from the subject property. According to property personnel, only commercial trash and food waste is collected in the on-site solid waste dumpsters. No evidence of illegal dumping of solid waste was observed during the Partner site reconnaissance.

6.1.2 Sewage Discharge and Disposal
Sanitary discharges on the subject property are directed into the municipal sanitary sewer system. The City of Cupertino services the subject property vicinity. No wastewater treatment facilities or septic systems were observed or reported on the subject property.

6.1.3 Surface Water Drainage
Storm water is removed from the subject property primarily by sheet flow action across the paved surfaces towards storm water drains located throughout the subject property and in the public right of way. Site storm water from roofs, landscaped areas, and paved areas is directed to on-site concrete swales, which drain to the public right of way, and to on-site storm water drains. The subject property is connected to a municipal owned and maintained sewer system.

The subject property does not appear to be a designated wetland area, based on information obtained from the United States Fish & Wildlife Service; however, a comprehensive wetlands survey would be required in order to formally determine actual wetlands on the subject property. No surface impoundments, wetlands, natural catch basins, settling ponds, or lagoons are located on the subject property. No drywells were identified on the subject property.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

6.1.4 Source of Heating and Cooling
Heating and cooling systems as well as domestic hot water equipment are fueled by electricity and natural gas provided by Pacific Gas & Electric Company. The mechanical system is comprised of rooftopmounted packaged electric/natural gas split HVAC units. Hot water is provided by electric hot water heaters.

6.1.5 Wells and Cisterns
No aboveground evidence of wells or cisterns was observed during the site reconnaissance.

6.1.6 Wastewater
Domestic wastewater generated at the subject property is disposed by means of the sanitary sewer system. No industrial process is currently performed at the subject property.

6.1.7 Septic Systems
No septic systems were observed or reported on the subject property.

6.1.8 Additional Site Observations
No additional general site characteristics were observed during the site reconnaissance.

6.2 Potential Environmental Hazards

6.2.1 Hazardous Substances and Petroleum Products Used or Stored at the Site No evidence of the use of reportable quantities of hazardous substances was observed on the subject property. Small quantities of general maintenance supplies and salon chemicals were found to be properly labeled and stored at the time of the assessment with no signs of leaks, stains, or spills. The storage and use of maintenance supplies does not appear to pose a significant threat to the environmental integrity of the subject property at this time.

6.2.2 Aboveground & Underground Hazardous Substance or Petroleum Product Storage Tanks (ASTs/USTs)
No evidence of current or former ASTs or USTs was observed during the site reconnaissance.

6.2.3 Evidence of Releases
No spills, stains or other indications that a surficial release has occurred at the subject property were observed.

6.2.4 Polychlorinated Biphenyls (PCBs)
Older transformers and other electrical equipment could contain PCBs at a level that subjects them to regulation by the U.S. EPA. PCBs in electrical equipment are controlled by United States Environmental Protection Agency regulations 40 CFR, Part 761. Under the regulations, there are three categories into which electrical equipment can be classified: 1) Less than 50 parts per million (ppm) of PCBs – “Non-PCB;” 2) 50 ppm-500 ppm – “PCB-Contaminated;” and, 3) Greater than 500 ppm – “PCB-Containing.” The manufacture, process, or distribution in commerce or use of any PCB in any manner other than in a totally enclosed manner was prohibited after July 2, 1979.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

The on-site reconnaissance addressed indoor and outdoor transformers that may contain PCBs. Two pole-mounted transformers were observed on the subject property. The transformers are not labeled indicating PCB content. No staining or leakage was observed in the vicinity of the transformers. Based on the good condition of the equipment, the transformers are not expected to represent a significant environmental concern.

Additionally, no other potential PCB-containing equipment (interior transformers, oil-filled switches, hoists, lifts, dock levelers, hydraulic elevators, balers, etc.) was observed on the subject property during Partner’s reconnaissance.

6.2.5 Strong, Pungent or Noxious Odors
No strong, pungent or noxious odors were evident during the site reconnaissance.

6.2.6 Pools of Liquid
No pools of liquid were observed on the subject property during the site reconnaissance.

6.2.7 Drains, Sumps and Clarifiers
No drains, sumps, or clarifiers, other than those associated with storm water removal, were observed on the subject property during the site reconnaissance.

6.2.8 Pits, Ponds and Lagoons
No pits, ponds or lagoons were observed on the subject property.

6.2.9 Stressed Vegetation
No stressed vegetation was observed on the subject property.

6.2.10 Additional Potential Environmental Hazards
No additional environmental hazards, including landfill activities or radiological hazards, were observed.

6.3 Non-ASTM Services

6.3.1 Asbestos-Containing Materials (ACMs)
Asbestos is the name given to a number of naturally occurring, fibrous silicate minerals mined for their useful properties such as thermal insulation, chemical and thermal stability, and high tensile strength. The Occupational Safety and Health Administration (OSHA) regulation 29 CFR 1926.1101 requires certain construction materials to be presumed to contain asbestos, for purposes of this regulation. All thermal system insulation (TSI), surfacing material, and asphalt/vinyl flooring that are present in a building that have not been appropriately tested are “presumed asbestos-containing material” (PACM).

The subject property building was constructed in 1962. A limited, visual evaluation of accessible areas for the presence of suspect ACMs at the subject property was conducted. The objective of this visual survey was to note the presence and condition of suspect ACM observed. Please refer to the table below for identified suspect ACMs:

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

Suspect ACMs
Suspect ACM Location Friable
Yes/No Physical Condition
Drywall Systems Throughout Building Interior No Good
Floor Tiles Throughout Building Interior No Good
Floor Tile Mastic Throughout Building Interior No Good
Spray-Applied Acoustical Material Throughout Building Interior Yes Good Stucco Throughout Building Exterior Yes Good
Based on this building’s date of construction, prior to disturbance, Partner recommends a comprehensive asbestos survey of the property be completed to determine the presence, condition, friability and likely future condition of suspect or confirmed ACM. All suspect materials must be handled as ACM according to local, state and federal regulations until the results of sampling and analysis indicate the material is a non-ACM. According to the US EPA, ACM that is intact and in good condition can, in general, be managed safely in-place under an Operations and Maintenance (O&M) Program until removal is dictated by renovation, demolition, or deteriorating material condition.

6.3.2 Lead-Based Paint (LBP)
Lead is a highly toxic metal that affects virtually every system of the body. LBP is defined as any paint, varnish, stain, or other applied coating that has 1 mg/cm2 (or 5,000 ug/g or 0.5% by weight) or more of lead. Congress passed the Residential Lead-Based Paint Hazard Reduction Act of 1992, also known as “Title X”, to protect families from exposure to lead from paint, dust, and soil. Under Section 1017 of Title X, intact LBP on most walls and ceilings is not considered a “hazard,” although the condition of the paint should be monitored and maintained to ensure that it does not become deteriorated. Further, Section 1018 of this law directed the Housing and Urban Development (HUD) and the US EPA to require the disclosure of known information on LBP and LBP hazards before the sale or lease of most housing built before 1978.

Based on the age of the subject property building (pre-1978), there is a potential that LBP is present.

Interior and exterior painted surfaces were observed in good condition and therefore not expected to represent a “hazard,” although the condition of the paint should be monitored and maintained to ensure that it does not become deteriorated.

6.3.3 Radon
Radon is a colorless, odorless, naturally occurring, radioactive, inert, gaseous element formed by radioactive decay of radium (Ra) atoms. The US EPA has prepared a map to assist National, State, and local organizations to target their resources and to implement radon-resistant building codes. The map divides the country into three Radon Zones, according to the table below:

EPA Radon Zones
EPA Zones Average Predicted Radon Levels Potential
Zone 1 Exceed 4.0 pCi/L Highest
Zone 2 Between 2.0 and 4.0 pCi/L Moderate
Zone 3 Less than 2.0 pCi/L Low
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

It is important to note that the EPA has found homes with elevated levels of radon in all three zones, and the US EPA recommends site-specific testing in order to determine radon levels at a specific location.

However, the map does give a valuable indication of the propensity of radon gas accumulation in structures.

Radon sampling was not conducted as part of this assessment. Review of the US EPA Map of Radon Zones places the subject property in Zone 2. Based upon the radon zone classification, radon is not considered to be a significant environmental concern.

6.3.4 Lead in Drinking Water
According to available information, a public water system operated by the Santa Clara Valley Water District serves the subject property vicinity. According to the website, shallow groundwater beneath the subject property is not utilized for domestic purposes. The sources of public water for the City of Cupertino are local groundwater aquifers and surface water from the Sacramento-San Joaquin River Delta.

According to the Cupertino and the 2019 Annual Water Quality Report, water supplied to the subject property is in compliance with all State and Federal regulations pertaining to drinking water standards, including lead and copper. Water sampling was not conducted to verify water quality.

6.3.5 Mold
Molds are microscopic organisms found virtually everywhere, indoors and outdoors. Mold will grow and multiply under the right conditions, needing only sufficient moisture (e.g.in the form of very high humidity, condensation, or water from a leaking pipe, etc.) and organic material (e.g., ceiling tile, drywall, paper, or natural fiber carpet padding).

Partner observed accessible, interior areas for the subject property building for significant evidence of mold growth with the exceptions detailed in Section 1.5 of this report; however, this ESA should not be used as a mold survey or inspection. Additionally, this limited assessment was not designed to assess all areas of potential mold growth that may be affected by mold growth on the subject property. Rather, it is intended to give the client an indication as to whether or not conspicuous (based on observed areas) mold growth is present at the subject property. This evaluation did not include a review of pipe chases, mechanical systems, or areas behind enclosed walls and ceilings.

The following indications of water damage or mold growth were observed during Partner’s visual assessment:

Mold Observations
Location of area affected Condition
Ceiling of Liquor Store Water staining/intrusion
The area of water damage was observed to impact an area less than 5 square feet and is not considered a significant environmental concern.

6.4 Adjacent Property Reconnaissance
The adjacent property reconnaissance consisted of observing the adjacent properties from the subject property premises.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

6.4.1 ASTs/USTs for Hazardous Substances or Petroleum Products Gasoline service stations were observed on the adjacent properties during the site reconnaissance, as further discussed in Section 4.2.3.

6.4.2 PCBs
Pole-mounted transformers were observed on the adjacent properties. No staining or leakage was observed in the vicinity of the transformers. Based on these observations, the presence of adjacent transformers is not expected to represent a significant environmental concern.

No other items of environmental concern were identified on the adjacent properties during the site assessment, including hazardous substances, petroleum products, ASTs, evidence of releases, strong or noxious odors, pools of liquids, sumps or clarifiers, pits or lagoons, stressed vegetation, or any other potential environmental hazards.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

7.0 FINDINGS AND CONCLUSIONS
Findings
A recognized environmental condition (REC) refers to the presence or likely presence of any hazardous substances or petroleum products in, on, or at a property: due to release to the environment; under conditions indicative of a release to the environment; or under conditions that pose a material threat of a future release to the environment. The following was identified during the course of this assessment:
• Partner did not identify any RECs during the course of this assessment.

A controlled recognized environmental condition (CREC) refers to a REC resulting from a past release of hazardous substances or petroleum products that has been addressed to the satisfaction of the applicable regulatory authority, with hazardous substances or petroleum products allowed to remain in place subject to the implementation of required controls. The following was identified during the course of this assessment:
• Partner did not identify any CRECs during the course of this assessment.

A historical recognized environmental condition (HREC) refers to a past release of any hazardous substances or petroleum products that has occurred in connection with the property and has been addressed to the satisfaction of the applicable regulatory authority or meeting unrestricted use criteria established by a regulatory authority, without subjecting the property to any required controls. The following was identified during the course of this assessment:
• Partner did not identify any HRECs during the course of this assessment.

An environmental issue refers to environmental concerns identified by Partner, which do not qualify as RECs; however, warrant further discussion. The following was identified during the course of this assessment:
• Partner did not identify any environmental issues during the course of this assessment.

Conclusions, Opinions and Recommendations
Partner has performed a Phase I Environmental Site Assessment in conformance with the scope and limitations of ASTM Practice E1527-13 of 1655 South De Anza Boulevard & 7357 Prospect Road in Cupertino, Santa Clara County, California (the “subject property”). Any exceptions to, or deletions from, this practice are described in Section 1.5 of this report.

This assessment has revealed no evidence of RECs or environmental issues in connection with the subject property. Based on the conclusions of this assessment, Partner recommends no further investigation at this time.

Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

8.0 SIGNATURES OF ENVIRONMENTAL PROFESSIONALS
Partner has performed a Phase I Environmental Site Assessment of the property located at 1655 South De Anza Boulevard & 7357 Prospect Road in Cupertino, Santa Clara County, California in conformance with the scope and limitations of the protocol and the limitations stated earlier in this report. Exceptions to or deletions from this protocol are discussed earlier in this report.

By signing below, Partner declares that, to the best of our professional knowledge and belief, we meet the definition of Environmental Professional as defined in §312.10 of 40 CFR §312. Partner has the specific qualifications based on education, training, and experience to assess a property of the nature, history, and setting of the subject property. Partner has developed and performed the all appropriate inquiries in conformance with the standards and practices set forth in 40 CFR Part 312.

Prepared By:

Megan Davey
Environmental Scientist
Reviewed By:

Eric Bloechle
Senior Author
Phase I Environmental Site Assessment
Project No. 20-279581.1
April 13, 2020

9.0 REFERENCES
Reference Documents
American Society for Testing and Materials, Standard Practice for Environmental Site Assessments: Phase I Environmental Site Assessment Process, ASTM Designation: E1527-13.

Environmental Data Resources (EDR), Radius Report, April 2020 Federal Emergency Management Agency, Federal Insurance Administration, National Flood Insurance Program, Flood Insurance Map, accessed via internet, April 2020 United States Department of Agriculture, Natural Resources Conservation Service, Web Soil Survey, accessed via the internet, April 2020
United States Environmental Protection Agency, EPA Map of Radon Zones (Document EPA-402-R-93-071), accessed via the internet, April 2020
United States Geological Survey Topographic Map 2012, 7.5 minute series, accessed via internet, April 2020

FIGURES
1 SITE LOCATION MAP
2 SITE PLAN
3 TOPOGRAPHIC MAP
FIGURE
1:SITE LOCATION MAP
Project No. 20-279581.1
Drawing Not To Scale
KEY:

Subject Property
FIGURE 2: SITE PLAN
Project No. 20-279581.1
KEY:

Subject Property

GROUNDWATER
FLOW

BLUE HILLS MEDICAL

OFFICES
(20599 PROSPECT ROAD)
VALERO
(1699 SOUTH DE ANZA

BOULEVARD)

RESIDENCES

CUPERTINO CORPORATE CENTER
(1601 SOUTH DE ANZA BOULEVARD)

BANK OF AMERICA

FINANCIAL CENTER
(1660 SOUTH DE ANZA

BOULEVARD)

SHELL STATION
(1698 SOUTH DE ANZA

BOULEVARD)

RESIDENCES

MULTI-TENANT COMMERCIAL OFFICE
BUILDING (20520 PROSPECT ROAD)

PROSPECT ROAD

SOUTH DE ANZA BOULEVARD
FIGURE 3: TOPOGRAPHIC MAP
Project No. 20-279581.1
USGS 7.5 Minute Cupertino, California Quadrangle
Created: 2012
KEY:

Subject Property
APPENDIX A: SITE PHOTOGRAPHS
APPENDIX A: SITE PHOTOGRAPHS
Project No. 20-279581.1

1. View of the north side of the subject property. 2. View of the east side of the subject property.

3. View of the south side of the subject property. 4. View of the south side of the subject property.

5. View of the west side of the subject property. 6. View of pole-mounted transformer.

APPENDIX A: SITE PHOTOGRAPHS
Project No. 20-279581.1

7. View of dumpster area. 8. View of grease dumpster.

9. Interior view of the liquor store. 10. View of water intrusion.

11. Interior view of the liquor store. 12. Interior view of the pharmacy.

APPENDIX A: SITE PHOTOGRAPHS
Project No. 20-279581.1

13. Interior view of the nail salon. 14. Interior view of the nail salon.

15. Interior view of the hair salon. 16. View of chemicals in hair salon.

17. Interior view of the restaurant. 18. Interior view of the restaurant kitchen.

APPENDIX A: SITE PHOTOGRAPHS
Project No. 20-279581.1

19. Interior view of the restaurant kitchen. 20. View of adjacent property to the north.

21. View of adjacent property to the east. 22. View of adjacent property to the south.

23. View of adjacent property to the south. 24. View of adjacent property to the west.

APPENDIX B: HISTORICAL/REGULATORY DOCUMENTATION
The EDR Aerial Photo Decade Package
1655 S. De Anza Boulevard & 7357 Prospect Road 1655 S. De Anza Boulevard & 7357 Prospect Road CUPERTINO, CA 95014 Inquiry Number: April 01, 2020 6029600.8 6 Armstrong Road, 4th floor
Shelton, CT 06484
Toll Free: 800.352.0050
www.edrnet.com
1939 1"=500' Flight Date: August 01, 1939 USDA
1948 1"=500' Flight Date: September 26, 1948 USDA
1950 1"=500' Flight Date: April 01, 1950 USDA
1956 1"=500' Flight Date: June 09, 1956 USDA
1963 1"=500' Flight Date: June 24, 1963 EDR Proprietary Aerial Viewpoint 1968 1"=500' Flight Date: June 14, 1968 USGS
1974 1"=500' Flight Date: June 26, 1974 USGS
1991 1"=500' Acquisition Date: October 30, 1991 USGS/DOQQ 1998 1"=500' Flight Date: August 27, 1998 USDA
2006 1"=500' Flight Year: 2006 USDA/NAIP
2009 1"=500' Flight Year: 2009 USDA/NAIP
2012 1"=500' Flight Year: 2012 USDA/NAIP
2016 1"=500' Flight Year: 2016 USDA/NAIP
EDR Aerial Photo Decade Package 04/01/20 1655 S. De Anza Boulevard & 7357 Prospect Road Site Name: Client Name: Partner Engineering and Science, Inc. 1655 S. De Anza Boulevard & 7357 Prospect Road 2154 Torrance Blvd, Suite 200 CUPERTINO, CA 95014 Torrance, CA 90501-0000 EDR Inquiry # 6029600.8 Contact: Aimee Tamayo Environmental Data Resources, Inc. (EDR) Aerial Photo Decade Package is a screening tool designed to assist environmental professionals in evaluating potential liability on a target property resulting from past activities. EDR’s professional researchers provide digitally reproduced historical aerial photographs, and when available, provide one photo per decade. Search Results: Year Scale Details Source
When delivered electronically by EDR, the aerial photo images included with this report are for ONE TIME USE ONLY. Further reproduction of these aerial photo images is prohibited without permission from EDR. For more information contact your EDR Account Executive.

Disclaimer - Copyright and Trademark Notice
This Report contains certain information obtained from a variety of public and other sources reasonably available to Environmental Data Resources, Inc. It cannot be concluded from this Report that coverage information for the target and surrounding properties does not exist from other sources. NO WARRANTY EXPRESSED OR IMPLIED, IS MADE WHATSOEVER IN CONNECTION WITH THIS REPORT. ENVIRONMENTAL DATA RESOURCES, INC. SPECIFICALLY

DISCLAIMS THE MAKING OF ANY SUCH WARRANTIES, INCLUDING WITHOUT LIMITATION, MERCHANTABILITY OR FITNESS FOR A PARTICULAR USE OR PURPOSE. ALL RISK IS ASSUMED BY THE USER. IN NO EVENT SHALL ENVIRONMENTAL DATA RESOURCES, INC. BE LIABLE TO ANYONE,

WHETHER ARISING OUT OF ERRORS OR OMISSIONS, NEGLIGENCE, ACCIDENT OR ANY OTHER CAUSE, FOR ANY LOSS OF DAMAGE, INCLUDING, WITHOUT LIMITATION, SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES. ANY LIABILITY ON THE PART OF ENVIRONMENTAL DATA RESOURCES, INC. IS STRICTLY LIMITED TO A REFUND OF THE AMOUNT PAID FOR THIS REPORT. Purchaser accepts this Report "AS IS". Any analyses, estimates, ratings, environmental risk levels or risk codes provided in this Report are provided for illustrative purposes only, and are not intended to provide, nor should they be interpreted as providing any facts regarding, or prediction or forecast of, any environmental risk for any property. Only a Phase I Environmental Site Assessment performed by an environmental professional can provide information regarding the environmental risk for any property.

Additionally, the information provided in this Report is not to be construed as legal advice. Copyright 2020 by Environmental Data Resources, Inc. All rights reserved. Reproduction in any media or format, in whole or in part, of any report or map of Environmental Data Resources, Inc., or its affiliates, is prohibited without prior written permission.

EDR and its logos (including Sanborn and Sanborn Map) are trademarks of Environmental Data Resources, Inc. or its affiliates. All other trademarks used herein are the property of their respective owners. 6029600 - 8 page 2 - page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1939 500 1000 2000
6029600 8 3
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1948 500 1000 2000
6029600 8 4
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1950 500 1000 2000
6029600 8 5
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1956 500 1000 2000
6029600 8 6
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1963 500 1000 2000
6029600 8 7
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1968 500 1000 2000
6029600 8 8
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1974 500 1000 2000
6029600 8 9
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1991 500 1000 2000
6029600 8 10
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 1998 500 1000 2000
6029600 8 11
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 2006 500 1000 2000
6029600 8 12
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 2009 500 1000 2000
6029600 8 13
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 2012 500 1000 2000
6029600 8 14
- page
APPENDIX B: AERIAL PHOTOGRAPHS
Project No.

Key: Subject Property
Aerial Photograph Year: 2016 500 1000 2000
6029600 8 15
Certified Sanborn® Map Report
Inquiry Number:
6 Armstrong Road, 4th floor
Shelton, CT 06484
Toll Free: 800.352.0050
www.edrnet.com
1655 S. De Anza Boulevard & 7357 Prospect Road 1655 S. De Anza Boulevard & 7357 Prospect Road CUPERTINO, CA 95014 April 01, 2020 6029600.3 Certified Sanborn® Map Report
Certified Sanborn Results:

Disclaimer - Copyright and Trademark Notice
EDR and its logos (including Sanborn and Sanborn Map) are trademarks of Environmental Data Resources, Inc. or its affiliates. All other trademarks used herein are the property of their respective owners.
- page
The Sanborn Library includes more than 1.2 million
fire insurance maps from Sanborn, Bromley, Perris &
Browne, Hopkins, Barlow and others which track
historical property usage in approximately 12,000
American cities and towns. Collections searched:

Library of Congress
University Publications of America
EDR Private Collection
The Sanborn Library LLC Since 1866™
Limited Permission To Make Copies
Sanborn® Library search results
EDR Inquiry # Contact:

Site Name: Client Name:

Certification #
PO #
Project
04/01/20 1655 S. De Anza Boulevard & 7357 Prospect Road 1655 S. De Anza Boulevard & 7357 Prospect Road Partner Engineering and Science, Inc. 2154 Torrance Blvd, Suite 200 CUPERTINO, CA 95014 6029600.3 Torrance, CA 90501-0000 Aimee Tamayo The Sanborn Library has been searched by EDR and maps covering the target property location as provided by Partner Engineering and Science, Inc. were identified for the years listed below. The Sanborn Library is the largest, most complete collection of fire insurance maps.

The collection includes maps from Sanborn, Bromley, Perris & Browne, Hopkins, Barlow, and others. Only Environmental Data Resources Inc. (EDR) is authorized to grant rights for commercial reproduction of maps by the Sanborn Library LLC, the copyright holder for the collection. Results can be authenticated by visiting www.edrnet.com/sanborn.

The Sanborn Library is continually enhanced with newly identified map archives. This report accesses all maps in the collection as of the day this report was generated. 3A71-400C-AEE1 20-279581.1 UNMAPPED PROPERTY 20-279581.1 This report certifies that the complete holdings of the Sanborn Library, LLC collection have been searched based on client supplied target property information, and fire insurance maps covering the target property were not found.

Certification #: 3A71-400C-AEE1
Partner Engineering and Science, Inc. (the client) is permitted to make up to FIVE photocopies of this Sanborn Map transmittal and each fire insurance map accompanying this report solely for the limited use of its customer. No one other than the client is authorized to make copies. Upon request made directly to an EDR Account Executive, the client may be permitted to make a limited number of additional photocopies. This permission is conditioned upon compliance by the client, its customer and their agents with EDR's copyright policy; a copy of which is available upon request.

This Report contains certain information obtained from a variety of public and other sources reasonably available to Environmental Data Resources, Inc. It cannot be concluded from this Report that coverage information for the target and surrounding properties does not exist from other sources. NO WARRANTY EXPRESSED OR IMPLIED, IS MADE WHATSOEVER IN CONNECTION WITH THIS REPORT. ENVIRONMENTAL DATA RESOURCES, INC. SPECIFICALLY

DISCLAIMS THE MAKING OF ANY SUCH WARRANTIES, INCLUDING WITHOUT LIMITATION, MERCHANTABILITY OR FITNESS FOR A PARTICULAR USE OR PURPOSE. ALL RISK IS ASSUMED BY THE USER. IN NO EVENT SHALL ENVIRONMENTAL DATA RESOURCES, INC. BE LIABLE TO ANYONE,

WHETHER ARISING OUT OF ERRORS OR OMISSIONS, NEGLIGENCE, ACCIDENT OR ANY OTHER CAUSE, FOR ANY LOSS OF DAMAGE, INCLUDING, WITHOUT LIMITATION, SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES. ANY LIABILITY ON THE PART OF ENVIRONMENTAL DATA RESOURCES, INC. IS STRICTLY LIMITED TO A REFUND OF THE AMOUNT PAID FOR THIS REPORT. Purchaser accepts this Report "AS IS". Any analyses, estimates, ratings, environmental risk levels or risk codes provided in this Report are provided for illustrative purposes only, and are not intended to provide, nor should they be interpreted as providing any facts regarding, or prediction or forecast of, any environmental risk for any property. Only a Phase I Environmental Site Assessment performed by an environmental professional can provide information regarding the environmental risk for any property.

Additionally, the information provided in this Report is not to be construed as legal advice.

Copyright 2020 by Environmental Data Resources, Inc. All rights reserved. Reproduction in any media or format, in whole or in part, of any report or map of Environmental Data Resources, Inc., or its affiliates, is prohibited without prior written permission. 6029600 3 2 1655 S. De Anza Boulevard & 7357 Prospect Road
1655 S. De Anza Boulevard & 7357 Prospect Road
CUPERTINO, CA 95014
Inquiry Number: 6029600.5
April 03, 2020
The EDR-City Directory Image Report
6 Armstrong Road
Shelton, CT 06484
800.352.0050
Environmental Data Resources Inc vironmental Data Resources Inc www.edrnet.com

TABLE OF CONTENTS

SECTION
Executive Summary
Findings
City Directory Images
Thank you for your business.

Please contact EDR at 1-800-352-0050
with any questions or comments.

Disclaimer - Copyright and Trademark Notice
This Report contains certain information obtained from a variety of public and other sources reasonably available to Environmental Data Resources, Inc. It cannot be concluded from this Report that coverage information for the target and surrounding properties does not exist from other sources. NO WARRANTY EXPRESSED OR IMPLIED, IS MADE WHATSOEVER IN CONNECTION WITH THIS REPORT. ENVIRONMENTAL DATA RESOURCES, INC. SPECIFICALLY

DISCLAIMS THE MAKING OF ANY SUCH WARRANTIES, INCLUDING WITHOUT LIMITATION, MERCHANTABILITY OR FITNESS FOR A PARTICULAR USE OR PURPOSE. ALL RISK IS ASSUMED BY THE USER. IN NO EVENT SHALL ENVIRONMENTAL DATA RESOURCES, INC. BE LIABLE TO ANYONE, WHETHER ARISING OUT OF ERRORS OR

OMISSIONS, NEGLIGENCE, ACCIDENT OR ANY OTHER CAUSE, FOR ANY LOSS OR DAMAGE, INCLUDING, WITHOUT LIMITATION, SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES. ANY LIABILITY ON THE PART OF ENVIRONMENTAL DATA RESOURCES, INC. IS STRICTLY LIMITED TO A REFUND OF THE AMOUNT PAID FOR THIS REPORT. Purchaser accepts this Report "AS IS". Any analyses, estimates, ratings, environmental risk levels or risk codes provided in this Report are provided for illustrative purposes only, and are not intended to provide, nor should they be interpreted as providing any facts regarding, or prediction orforecast of, any environmental risk for any property. Only a Phase I Environmental Site Assessment performed by an environmental professional can provide information regarding the environmental risk for any property. Additionally, the information provided in this Report is not to be construed as legal advice.

Copyright 2020 by Environmental Data Resources, Inc. All rights reserved. Reproduction in any media or format, in whole or in part, of any report or map of Environmental Data Resources, Inc. or its affiliates is prohibited without prior written permission.

EDR and its logos (including Sanborn and Sanborn Map) are trademarks of Environmental Data Resources, Inc. or its affiliates.

All other trademarks used herein are the property of their respective owners.

EXECUTIVE SUMMARY

DESCRIPTION
Environmental Data Resources, Inc.’s (EDR) City Directory Report is a screening tool designed to assist environmental professionals in evaluating potential liability on a target property resulting from past activities.

EDR’s City Directory Report includes a search of available city directory data at 5 year intervals.

RECORD SOURCES
EDR's Digital Archive combines historical directory listings from sources such as Cole Information and Dun & Bradstreet. These standard sources of property information complement and enhance each other to provide a more comprehensive report.

EDR is licensed to reproduce certain City Directory works by the copyright holders of those works. The purchaser of this EDR City Directory Report may include it in report(s) delivered to a customer. Reproduction of City Directories without permission of the publisher or licensed vendor may be a violation of copyright.

RESEARCH SUMMARY
The following research sources were consulted in the preparation of this report. A check mark indicates where information was identified in the source and provided in this report.

Year Target Street Cross Street Source
2017   EDR Digital Archive
2014   EDR Digital Archive
2010   EDR Digital Archive
2005   EDR Digital Archive
2000   EDR Digital Archive
1995   EDR Digital Archive
1992   EDR Digital Archive
1985   Haines Criss-Cross Directory
1981   Haines Criss-Cross Directory
1976   Haines Criss-Cross Directory
1971   Haines Criss-Cross Directory
1968   Polk's City Directory
6029600- 5 Page 1

FINDINGS

TARGET PROPERTY STREET
1655 S. De Anza Boulevard & 7357 Prospect Road
CUPERTINO, CA 95014
Year CD Image Source

S DE ANZA BLVD
2017 pg A2 EDR Digital Archive
2014 pg A5 EDR Digital Archive
2010 pg A8 EDR Digital Archive
2005 pg A11 EDR Digital Archive
2000 pg A14 EDR Digital Archive

SARATOGA SUNNYVALE RD
2017 pg A3 EDR Digital Archive
2014 pg A6 EDR Digital Archive
2010 pg A9 EDR Digital Archive
2005 pg A12 EDR Digital Archive
2000 pg A15 EDR Digital Archive
1995 pg A17 EDR Digital Archive
1992 pg A19 EDR Digital Archive
1985 pg A21 Haines Criss-Cross Directory
1981 pg A23 Haines Criss-Cross Directory
1981 pg A24 Haines Criss-Cross Directory
1976 pg A26 Haines Criss-Cross Directory
1976 pg A27 Haines Criss-Cross Directory
1976 pg A28 Haines Criss-Cross Directory
1971 pg A30 Haines Criss-Cross Directory
1971 pg A31 Haines Criss-Cross Directory
1968 - Polk's City Directory Target and Adjoining not listed in Source 6029600- 5 Page 2

FINDINGS

CROSS STREETS
Year CD Image Source

PROSPECT RD
2017 pg. A1 EDR Digital Archive
2014 pg. A4 EDR Digital Archive
2010 pg. A7 EDR Digital Archive
2005 pg. A10 EDR Digital Archive
2000 pg. A13 EDR Digital Archive
1995 pg. A16 EDR Digital Archive
1992 pg. A18 EDR Digital Archive
1985 pg. A20 Haines Criss-Cross Directory
1981 pg. A22 Haines Criss-Cross Directory
1976 pg. A25 Haines Criss-Cross Directory
1971 pg. A29 Haines Criss-Cross Directory
1968 - Polk's City Directory Target and Adjoining not listed in Source 6029600- 5 Page 3
City Directory Images
-

PROSPECT RD
EDR Digital Archive
6029600.5 Page: A1
Target Street Cross Street Source
2017
6645 ROTHWEIN, BILL F
6661 VARMA, SMITHA
6675 JOHN, RANJIT L
6691 TANG, HONG B
6695 TALLURI, BHAVANI S
6697 SENCHOUDHURI, AMITAVA S
7409 WEI, ALMEL
7423 DUTTA, ABHIK
7437 DILL, VIJAY

INDOOR ATMOSPHERE INC
7451 JACKSON, GREGG W
7465 PARK, CHONGMIE
7475 MASLI, DARWIN
-

S DE ANZA BLVD
EDR Digital Archive
6029600.5 Page: A2
Target Street Cross Street Source
2017
1614 BUDDY PARTY

GUARDIAN ACUPUNCTURE
1622 JOU MUSIC INSTITUTE
1628 SWIFT CLEANERS & DRAPERIES
1640 LITTLE GENIUS LEARNING CENTER
1646 ORIENTAL GOURMET CHINESE RESTAURANT
1652 LOS DOS COMPADRES 2
1655 COACH HOUSE WINE & SPIRITS

HAIR PERFECTION

KIKUSUSHI JAPANESE RESTAURANT

KML PHARMACY

VANS NAIL SPA
1660 BANK OF AMERICA

BANK OF AMERICA FINANCIAL CENTER
1699 VALERO
-

SARATOGA SUNNYVALE RD
EDR Digital Archive
6029600.5 Page: A3
Target Street Cross Street Source
2017
12000 GROWING TREE LEARNING CENTER INC
12015 76
UHAUL
12019 CHICKEN SALSA
12029 COLDWELL BANKER
12100 BIKANER INDIAN CUISINE
12108 SUSHI HEAVEN
-

PROSPECT RD
EDR Digital Archive
6029600.5 Page: A4
Target Street Cross Street Source
2014
6645 ROTHWEIN, BILL F
6661 VARMA, SMITHA
6675 JOHN, RANJIT L
6691 TANG, HONG B
6695 TALLURI, BHAVANI S
6697 SENCHOUDHURI, AMITAVA S
7409 LIU, CHANGMING C
7423 ADVENIENT TECHNOLOGY INC

DUTTA, ABHIK
7437 DILL, VIJAY

INDOOR ATMOSPHERE INC
7451 JACKSON, GREGG W
7465 PARK, CHONGMIE
7475 MASLI, HANS
-

S DE ANZA BLVD
EDR Digital Archive
6029600.5 Page: A5
Target Street Cross Street Source
2014
1614 GUARDIAN ACUPUNCTURE
1622 JOU MUSIC INSTITUTE
1628 SWIFT CLEANERS & DRAPERIES
1640 LITTLE GENIUS LEARNING CENTER
1646 ORIENTAL GOURMET CHINESE RESTAURANT
1652 LOS DOS COMPADRES 2
1655 COACH HOUSE WINE & SPIRITS

HAIR PERFECTION

KIKUSUSHI JAPANESE RESTAURANT

KML PHARMACY

VANS NAIL SPA
1660 BANK OF AMERICA
1698 SARATOGA SHELL SERVICE STATION
1699 VALERO
-

SARATOGA SUNNYVALE RD
EDR Digital Archive
6029600.5 Page: A6
Target Street Cross Street Source
2014
12000 GROWING TREE LEARNING CENTER
12015 SAI GAS STATION
UHAUL
12019 CHICKEN SALSA
12025 ALS BLUEHILLS BARBERSHOP
12029 COLDWELL BANKER
12108 SUSHI HEAVEN
-

PROSPECT RD
EDR Digital Archive
6029600.5 Page: A7
Target Street Cross Street Source
2010
6645 ROTHWEIN, BILL F
6661 VARMA, SMITHA
6675 JOHN, RANJIT L
6691 TANG, HONG B
6695 AMIRNENI, MADHAVI
6697 SENCHOUDHURI, AMITAVA S
7409 LIU, CHANGMING C
7423 ADVENIENT TECHNOLOGY INC

OCCUPANT UNKNOWN,
7437 DILL, GEORGE T
7451 JACKSON, GREGG W
7465 ZHAD, GARY G
7475 MASLI, HANS
-

S DE ANZA BLVD
EDR Digital Archive
6029600.5 Page: A8
Target Street Cross Street Source
2010
1610 SOGO BAKERY

SOGOS BAKERY INC
1614 BUDDY PARTY
1622 JOU MUSIC INSTITUTE
1628 SWIFT CLEANERS & DRAPERIES
1646 ORIENTAL GOURMET CHINESE
1652 LOS DOS COMPADRES 2
1655 AEROMICRO

COACH HOUSE WINE & SPIRITS

END RESULT

KIKUSUSHI JAPANESE RESTAURANT

KML PHARMACY

NAILS BY ANN
1698 SARATOGA SHELL SVC STATION
1699 VALERO
-

SARATOGA SUNNYVALE RD
EDR Digital Archive
6029600.5 Page: A9
Target Street Cross Street Source
2010
12015 PRIYA GAS
12019 CHICKEN SALSA
12029 COLDWELL BANKER
12100 CREPE DANIEL
12108 QUIZNOS
12132 PARK SARATOGA DENTAL

PARK SARATOGA DENTAL GROUP
-

PROSPECT RD
EDR Digital Archive
6029600.5 Page: A10
Target Street Cross Street Source
2005
6645 ROTHWEIN, BILL F
6661 VARMA, SMITHA
6675 ANJU DESIGNS

JOHN, RANJIT L
6691 WANG, JIN S
6695 PENNINGTON, MIKO J
6697 CHOUDHURI, AMITAVA S
7409 LIU, CHANGMING
7423 DUTTA, VIVEK B
7437 DILL, GEORGE T
7451 JACKSON, GREGG W
7465 ZHAO, GARY G
7485 HOAGE, ARTHUR J
-

S DE ANZA BLVD
EDR Digital Archive
6029600.5 Page: A11
Target Street Cross Street Source
2005
1610 SOGO FOODS INC
1622 LA SALON

MAGGIE SALON & LEE NAIL CARE
1640 LITTLE GENIUS LEARNING CENTER
1646 ORIENTAL GOURMET CHINESE RESTAURANT
1652 LOS DOS COMPADRES
1655 AEROMICRO CORP

ANNS MANICURIST

END RESULT

NAILS BY ANN

PACIFIC WOOD

THREE LS INC

VARDYS JEWELERS
1698 SARATOGA SHELL SERVICE STATION
1699 A & A SMOG

U HAUL CO
-

SARATOGA SUNNYVALE RD
EDR Digital Archive
6029600.5 Page: A12
Target Street Cross Street Source
2005
12015 OM SARATOGA GAS
12019 CHICKEN SALSA
12029 COLDWELL BANKER CORNISH & CAREY RESI

JEVONS FENG

JUIYU CAROL CHOU

TURKISH REALTY

WEB ADMINISTRATOR

WEB SITE BY PROPERTYMINDER
12100 CREPE DANIEL
12108 QUIZNOS SUBS
12132 PARK SARATOGA DENTAL
-

PROSPECT RD
EDR Digital Archive
6029600.5 Page: A13
Target Street Cross Street Source
2000
6645 ROTHWEIN, BILL
6661 VARMA, V
6675 HOLDEN, HAROLD
6691 TANG, HONGBO
6695 OCCUPANT UNKNOWN,
6697 SMITH, STEVE
7423 ADVENIENT TECHNOLOGY INCORPORATED
7437 DILL, GEORGE T
7451 JACKSON, GREGG W
7465 YUSKEN, J
7475 LEE, SUSANNA
7495 BENDER, CANDI R
-

S DE ANZA BLVD
EDR Digital Archive
6029600.5 Page: A14
Target Street Cross Street Source
2000
1610 SARATOGA NATURAL MARKET

SOGO BAKERY

TOFU DEPOT
1614 KINGS ROSEWOOD FURNITURE

LAM JACKIE
1622 LEE NAIL

MAGGIES SALON HAIR
1628 SWIFT CLEANERS & DRAPERIES
1640 LITTLE GENIUS LEARNING CENTER
1646 ORIENTAL GOURMET CHINESE RESTAURANT
1652 K C JANE CAFE
1655 COACH HOUSE LIQUORS & DELI

DARTANIANS

LETO, LOUIS E

PACIFIC WOOD WINDOWS INCORPORATED

THE END RESULT

VARDYS JEWELERS
1698 SARATOGA SHELL BUD ROOT

SHELL SERVICE STATIONS SAN JOSE
1699 CHEVRON STATIONS

KREGERS CHEVRON STATION
-

SARATOGA SUNNYVALE RD
EDR Digital Archive
6029600.5 Page: A15
Target Street Cross Street Source
2000
12000 SARATOGA NATIONAL BANK
12015 SARATOGA UNION 76
12019 CHICKEN SALSA
12025 ALS BLUEHILLS BARBERSHOP

AMERICAS FUNDING SOURCE
12029 COLDWELL BNKR CORNISH & CAREY RESIDENTIAL REAL ES 12100 CREPE DANIEL
12124 HUIZAR ELIZABETH

REMAX SILICON VALLEY
12132 BATTISTI BRIAN

ESPERANZA

LINDSAY FOR HAIR

NOURI SQUARE ONE

SCOTT LINDA SQUARE ONE

SUZUKI SANDRA SQUARE ONE
-

PROSPECT RD
EDR Digital Archive
6029600.5 Page: A16
Target Street Cross Street Source
1995
6645 ROTHWEIN, BILL
6661 OCCUPANT UNKNOWNN
6675 HOLDEN, HAROLD
6691 RUBIN, CADMAN
6695 WHITELAW, ROBERT
6697 OCCUPANT UNKNOWNN

STEVE SMITH PORTABLE AUTO SVC
7409 VICTOR A CHARGIN JR
7423 ADVENIENT TECHNOLOGY INC
7451 JACKSON, GREGG W
7465 YUSKEN, J
7475 OCCUPANT UNKNOWNN
7485 MILES, HELEN M
-

SARATOGA SUNNYVALE RD
EDR Digital Archive
6029600.5 Page: A17
Target Street Cross Street Source
1995
1451 JACK IN THE BOX
1471 CHRISTENSENS SADDLERY APPAREL
1491 F W WOOLWORTH CO
1505 MINTONS LUMBER & SUPPLY
1515 AS YOU LIKE IT

DORA FOR HAIR

GALAXY LIGHTING
1601 CAD SOLUTIONS INC

CALIFORNIA STATE AUTOMOBILE

COOPER & CHYAN TECHNOLOGY INC

CSAA TRAVEL AGENCY

EQ U SHARE ADMINISTRATIVE SVC

HARMONIX SALES

MED COR

NOVELL INC

R & Z DEVELOPMENT CO

REAL ESTATE MANAGEMENT SVC

REFERRAL REALTY

RICHARD G CIRIMELLI CPA

SILMA INC

TERI SPRACKLAND

TRONIX INTERNATIONAL DATA
1655 COACH HOUSE LIQUOR & CHEESE

END RESULT

VARDYS JEWELERS
1699 KREGERS CHEVRON
12000 SARATOGA BANCORP

SARATOGA NATIONAL BANK
12015 SARATOGA UNION 76
12019 CHICKEN SALSA
12021 LAM, KATIE
12025 ALS BLUE HILLS BARBER SHOP

SARATOGA TV & ANTENNA SVC
12029 FOX & CARSKADON
12039 UNIVERSAL IMPORTS
12100 CREPE DANIEL
12124 RE MAX PROPERTY MANAGEMENT

REMAX SILICON VALLEY
12132 BEAU GERARD SALON

CREATIVE VISION PHOTOGRAPHY

ROSEMARY E VAUGHN
-

PROSPECT RD
EDR Digital Archive
6029600.5 Page: A18
Target Street Cross Street Source
1992
6537 LOVINGOOD, LORETTA
6645 ROTHWEIN, BILL
6661 CUILLA, S
6675 HOLDEN, HAROLD
6691 RUBIN, CADMAN
6697 SMITH, STEVE
7409 CHARGIN, VICTOR A JR
7423 ADVENIENT TCHNLGY
7451 CHELL, MARY E

JACKSON, GREGG W
7475 RUBIN, MOSHE
7537 BURFORD, D D
7561 YU, LIJEN
-

SARATOGA SUNNYVALE RD
EDR Digital Archive
6029600.5 Page: A19
Target Street Cross Street Source
1992
1325 GULLAPALLI, RAO
12000 SARATGA NATIONAL BK
12015 SARATGA UNION 76
12019 CHICKEN SALSA
12021 COOK ROBERT D DC
12025 ALS BLUE HILLS BRBR

SARATGA TV
12029 FOX&CARSKADON OFC
12039 UNIVRSL IMPORTS
12100 CREPE, DANIEL
12124 R E M A X

RE MAX PRPRTY MNG

REMAX SILICN VLY
12132 BEAU GERARD SALON

BURKHARD ROBT

VAUGHN ROSEMARY E

VAUGHN, R E

VUONG MIMI
-

PROSPECT RD
Haines Criss-Cross Directory
6029600.5 Page: A20
Target Street Cross Street Source
1985
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A21
Target Street Cross Street Source
1985
-

PROSPECT RD
Haines Criss-Cross Directory
6029600.5 Page: A22
Target Street Cross Street Source
1981
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A23
Target Street Cross Street Source
1981
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A24
Target Street Cross Street Source
1981
-

PROSPECT RD
Haines Criss-Cross Directory
6029600.5 Page: A25
Target Street Cross Street Source
1976
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A26
Target Street Cross Street Source
1976
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A27
Target Street Cross Street Source
1976
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A28
Target Street Cross Street Source
1976
-

PROSPECT RD
Haines Criss-Cross Directory
6029600.5 Page: A29
Target Street Cross Street Source
1971
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A30
Target Street Cross Street Source
1971
-

SARATOGA SUNNYVALE RD
Haines Criss-Cross Directory
6029600.5 Page: A31
Target Street Cross Street Source
1971
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1897
TP, Palo Alto, 1897, 15-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1899
TP, Palo Alto, 1899, 15-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1902
TP, Santa Cruz, 1902, 30-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1943
TP, Palo Alto, 1943, 15-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1947
TP, PALO ALTO, 1947, 15-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1948
TP, Palo Alto, 1948, 15-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1953
TP, Cupertino, 1953, 7.5-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1961
TP, Cupertino, 1961, 7.5-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1968
TP, Cupertino, 1968, 7.5-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1973
TP, Cupertino, 1973, 7.5-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1980
TP, Cupertino, 1980, 7.5-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 1995
TP, Cupertino, 1995, 7.5-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
-
APPENDIX B: Topographic Maps
Project No.

Key: Subject Property
Topographic Map Year: 2012
TP, Cupertino, 2012, 7.5-minute
0 Miles 0.25 0.5 1 1.5
6029600 4
Revised 02/21/19

REQUEST FOR RESEARCH
The City of Cupertino will complete the research within TEN (10) business days from the date of the submitted request. Microfilm and permit copies are subject to additional fees. Please submit a separate form for each address.

PLEASE NOTE:
• Documents containing the stamp or seal of a licensed professional cannot be copied without the written approval of said professional. (Subject to additional fees) • There is no guarantee that information requested exists within the City of Cupertino files nor are they guaranteed to be converted and copied to scale. “Records of investigations of violations of the Cupertino Municipal Code are confidential and contain privileged official information (Evidence Code Sections 1040, 1041(b) (2).) These records are exempt from disclosure under Government Code Section 6254(f), (k).” Please contact the City Clerk’s Office at [email protected] to request such records.

Building address: _____________________________________________________________________ Contact Name:________________________________________________________________________ E-mail Address: ______________________________ Phone: ________________________________ Please check item(s) that you are requesting to be researched.

Plans Other: Request Date: ______ ____________________
Is this a Code Enforcement Case? Yes No
If yes, please go to the City Clerk’s office and fill out a Records Request for requesting all disclosure documents.

Project type: _________________________________ Date of Construction: ____________________ Description (please be specific)__________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 1655 S. De Anza Boulevard, Cupertino, CA Megan Davey [email protected] 209-609-9629 4-7-2020 FOIA request for building/demolition permits, certificates of occupancy, septic tank systems, USTs, drycleaning operations for the above address Revised 02/21/19

REQUEST FOR RESEARCH
The City of Cupertino will complete the research within TEN (10) business days from the date of the submitted request. Microfilm and permit copies are subject to additional fees. Please submit a separate form for each address.

PLEASE NOTE:
• Documents containing the stamp or seal of a licensed professional cannot be copied without the written approval of said professional. (Subject to additional fees) • There is no guarantee that information requested exists within the City of Cupertino files nor are they guaranteed to be converted and copied to scale. “Records of investigations of violations of the Cupertino Municipal Code are confidential and contain privileged official information (Evidence Code Sections 1040, 1041(b) (2).) These records are exempt from disclosure under Government Code Section 6254(f), (k).” Please contact the City Clerk’s Office at [email protected] to request such records.

Building address: _____________________________________________________________________ Contact Name:________________________________________________________________________ E-mail Address: ______________________________ Phone: ________________________________ Please check item(s) that you are requesting to be researched.

Plans Other: Request Date: ______ ____________________
Is this a Code Enforcement Case? Yes No
If yes, please go to the City Clerk’s office and fill out a Records Request for requesting all disclosure documents.

Project type: _________________________________ Date of Construction: ____________________ Description (please be specific)__________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 7357 Prospect Road, Cupertino, CA Megan Davey [email protected] 209-609-9629 4-7-2020 FOIA request for building/demolition permits, certificates of occupancy, septic tank systems, USTs, drycleaning operations for the above address

CITE' OF CUPERTINO

BUILDING DIVISION
PERMITlerbI .... QN'
PERMIT NO.

BUILD[ N A ) R S:
1W5 DEANZA BLVD # 4 TRAN' S CONSTRUCTION 06110143

PERMIT ISSUE DATE
r' '' FR' S NAME:

JHUNG NGUYEN 360 MERIDIAN AVE. 02/ 09/ 2007
SANITARY NO. CONTROL NO.

PHONE:
408) 90_ - 7072

BUILDING PERMIT INFO
ARCHITECTIENGINEER: BLDG ELECT PLUMB MECH
o p LICENSED CONTRACTOR' S DECLARATION Job D6SCilptl0
U I hereby affirm that I am licensed under provisions of Chapter 9( commencing 5 z with Section 7000) of Division 3 of the Business and Professions Code, and my license' s TI COMMERCIAL- NAIL SALON- NON STRUCTURAL, H in full force nd eff ce 4 A
gz License Lic. N; INCLUDE.; ELECTRICAL & PLUMBING, NO LIGHTING- VIDE E- Z
Dat, cenlracw
ARCHrrFCTS DECLARATION INSPECT-' ON DONE 1/ 08/ 07 GS

12.-,
1 understand my plans shall be used as public records
a
y Licensed Professional
n
y

OWNER- BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor' s License Law for the 00 following reason.( Section 7031. 5, Business and Professions Code: Any city or county t$ Pi which requires a permit to construct, alter. improve, demolish, or repair any structure Z y, prior u) its issuance, also requires the applicant for such permit to file a signed statement q. Ft. Floor Area Valuation
a that he is licensed pursuant to the provisions of the Contractor' s License Law( Chapter 9 11370
YF ( commencing with Section 7000) of Division 3 of the Business and Professions Code) or y
that he is exempt therefrom and the basis for the alleged exemption. Any violation of o pN Number Occupancy Type
Section 7031. 5 by any applicant for a permit subjects the applicant to a civil penalty of 0 0
not more than five hundred dollars( 5500). 36610061
0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended oroffered for sale( Sec. 7044, Business Required Inspections and Professions Code: The Contractor' s License Law docs not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements arc not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the ownerbuilder will have the burden of proving that he did not build or improve for purpose of sale.).
0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project( Sec. 7044. Business and Professions Code:) The Contractoes License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor( s) licensed pursuant to the Contractor' s License Law.
0 1 am exempt under Sec. B& P C for this reason
er
Date

WORKER' S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a Certificate of Consent to self-insure for Worker' s Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
0 I have and will maintain Workefs Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.

My Worker's Compensation Insurance carrier and Policy number are:

Carrier: LT4iE FPolicy No.:_ 7 13 140;- oZO

CERTIFICATE OF EXEMPTION FROM WORKERS'

COMPENSATION INSURANCE
This section need not be completed if the permit is for one hundred dollars($ 100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date—
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker' s Compensation provisions of the Labor Code, you must L forthwith comply with such provisions or this permit shall be deemed revoked.

Z O CONSTRUCTION LENDING AGENCY
H.. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued( Sec. 3097, Civ. C.) Gla Q Lender' s Name
Pz Lender' s Address
1 certify that I have read this application and state that the above information is LUL"
conmcL 1 agree to comply with all city and county ordinances and state laws relating to O V building above- mentioned construction, property and hereby for inspection authorizepurposes. representatives of this city to enter upon the a ( We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this mit. Date - ei
V
4 APPLICANT U DERSTANDS AN ILL COMPLY WITH AL NO - POINT Issued b,':

SOURCE REGI1A ONS.

A 01 Re- roofs
Signature of Applicant/ Contractor Dare
Type of] Zoof
HAZARDOUS MATERIALS DISCLOSURE yP
Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9. 12, and the Health and Safety nde, Section 25532(a)? All roof! shall be inspected prior to any roofing material being installed. 0 Yes allo If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new I naterials for inspection.

District?
0 Yes No
1 have read the hazardous materials requirements under Chapter 6. 95 of the California Health& Safety Code, Sections 25505, 25533 and 25534. 1 understand that if the building does not currently have a tenant. that it is my responsibility to notify the occupant of the requirements which must be mel prior to issuance of a Certificate of Occupancy. Slgnatur' of Applicant Date All roof coverings to be Class" B" or better
Owner or authorized agent Date

CITY OF CUPERTINO
BUILDING DIVISION PERMIT Cd 1 TRATO ItF ? M 4TIf N•
PERMIT NO.

BUILDING ADDRESS:
1655 S DE ANZA BLVD # 7 TBD — TC BE DETERMINED 07010062

PERMIT ISSUE DATE
OWNER' S NAME:
7 SANITARY NO. CONTROL NO.

JE:

BUILDING PERMIT INFO
ARCHITECT/ ENGINEER: BLDG ELECT PLUMB MECH
p a
LICENSED CONTRACTOR' S DECLARATION Job Description
U I hereby affirm that I am licensed under provisions of Chapter 9( commencing Z with Section 7000) of Division 3 of the Business and Professions Code, and my license is TI RE S TP URANT' REMODEL MINOR STRUCTURAL, K I KU a a in full force and effect.

License Class Lle• p SUSHI
t- p Date Contractor

ARCHITECTS DECLARATION
7 < 1 understand my plans shall be used as public records aU
u. F Licensed Professional
y

OWNER- BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractors License Law for the a a following reason.( Section 7031. 5, Business and Professions Code: Any city or county m which requires a permit to construct, alter, improve, demolish, or repair any structure u
Z y
prior w its issuance, also requires the applicant for such permit to rile a signed statement Valuation that he is licensed pursuant to the provisions of the Contractor' s License Law( Chapter 9 Sq. Ft. Floor Area 5 O O 0
i
t- ( commencing with Section 7000) of Division 3 of the Business and Professions Code) or L
that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031. 5 by any applicant for a permit subjects the applicant to a civil penalty of 1 Number Occupancy Type not more than five hundred dollars( 5500). 36610061
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale( Sec. 7044, Business Required Inspections and Professions Code: The Contractor' s License Law docs Ilett apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the ownerbuilder will have the burden of proving that he did not build or improve for purpose of 0ri.). 1, as owner of the property, am exclusively contracting with licensed contractors tostmct the project( Sec. 7044, Business and Professions Code:) The Contractor' s License Law does not apply to an owner of property who builds or improves thereon, and, who contracts for such projects with a contractors) licensed pursuant to the Contractor' s License Law.

I exemp B& P C for is on
Owner Date
O
3 7 KER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations I have and will maintain a Certificate of Consent to self-insure for Workces Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.

I have and will maintain Worker' s Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.

My Workers Compensation Insurance carrier and Policy number are:

Carrier: Polity No.:

CERTIFICATE OF EXEMPTION FROM WORKERS'

COMPENSATION INSURANCE
This section need not be completed if the permit is for anc hundred dollars($ 100) or less.)
I certify that in the performance the work for which this permit is issued, 1 shall not employ any person in any to the WorJce Crnlpa} saLion
Laws of California. Date TT
35 dd77 0.. LL
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must J O
forthwith comply with such provisions or this permit shall be deemed revoked.

Z' CONSTRUCTION LENDING AGENCY
Fr- 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued( Sec. 3097, Civ. C.) W Q Lender' s Name
az Lender' s Address
U 0 1 certify that 1 have read this application and state that the above information is v.
correct. 1 agree to comply with all city and county ordinances and state laws relating to rJ UUabove- buildingmentioned construction, and hereby authorise representatives of this city to enter upon the property for inspection purposes.

C1. ( We) agree to save, indemnify and keep harmless the City 0( Cupertino against to liabilities, judgments, toss accrue and expenses which may in any way accragainst said City U Z
in consequence of the granting of this permit. Date
APPLIC NT UNDERSTANDS AN WILL COMPLY WITH ALL NON- POINT Issued by:

SOURC EGULATI
Re- roofs
S' n pph t/ Contractor Da
Type of Roof MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9. 12, and the Health and Safety Code, Section 25532( a)) _ All roofs Ehall be inspected prior to any roofing material being installed.

Yes No
Will the applicant or future building occupant use equipment or devices which If a roof iE installed without first obtaining an inspection, I agree to remove emit hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection.

District?
Yes V1.

I have read the hazardous materials requirements under Chapter 6. 95 of the California Health& Safety Code, Sections 25505. 25533 and 25534. 1 understand that if the building docs not cure ly have a tenant, that it is my responsibility to notify the occupant of the rcquircmcw Sqce4occrUrcateofoccwansy. Signature AApplicant Date zz
5 6
All roof coverings to be Class" B" or better
Owner or adhorized agent
1521C
CITY OF CUPERTINOxwa
BUILDING DIVISION PE CONTRACTORtINFORMATI
x
PEAMR NO.

RY' 9%_T". 9SbE ANZA BLVD CUPERTINO ELECTRIC INC 08060052 NEWS NAME: PERMIT ISSUE DATE
PHILIP & BARGARA TRUSTEE 1132 N 7TH ST 06/ 06/ 2008
PHONE: PHONE: SANITARY NO. CONTROL NO.

BUILDING PERMIT INFO

INSTALL LIGHT POLE AT BLDG ELECT PLUMB MECH

O O O D
900 LICENSED CONTRACTORS DECLARATION Jpb„)] pgCp hOn
u Ihucby affirm Nat l am licenced under provisions of Chapter 9( crmmencing - ^— ••^•• ^^--^-^ - ^^ p with Section 7") of Division 3 of the Business and ProfessioQn, Code. and my Ileerue is now in fail r.. eawden- 6J j
z LI<enc ass
tt
U Lic. Y _
Fp Dow C- 3a - 20Oo+ Contractor

ARCHITECTS DECLARATION
s U
1 understand my plans Nall he used or public retard
a G H Licensed Pmfessianal
CO3 Oat I am
O
hereby
Maso .(
Tiers
on 11. Bumps from the Comas Co
License
Any c
law for the
COOO following which mgvira meson( Sutton 7031. 5, Busher. and Parne, Ot ndi Cad: Any city or aunty n
permit ro
altrs. imProw, dmaRN, 11 mpnfr say suumum
panic,
he isl icomed c. alsontin to
PovisiosofOn, far such pemrr'
s
ohmhoiscingwitpursuantmtheOfDiaioi. Law( mal stalement
a13. nselaw( Chapter9 Sq. Ft. Floor Area Valuation
e$
that Nat heha u aempl S. Iian70W) of boxisfrsh aleged.. ond Professiovi Cod) or thmcfrom and the buts for the alleged essmp0on Any violation of Section 7031. 5 by any applicant for a permit subjects the applicant o a civil Penalty of not mom man fin hundred dollars ISM
APN Number Occupancy p y Type YP
I, u owam of the property. or my emplhyces with wages 0 their sale compensation, will an the WmIL and the rotation, u Out inmutaim aRcrad roraal.( Sec. 7014, Business and Prof comm s Cade: The CantrxlMs Liceve Law does Out apply In an owner of Required Inspections property who hold ar i mprow, Nacho, and who saes such wort himself err through his Own emFlayces. provided mar such improvements are not inteMed oronemd forsale. IL however, the Wilding or improvement usuld within ore fear orcompktioq the comer.

Wilder will have the Weaken of proving that he did not Wild or improve for purposa of sale.).
1, u owner of the properly, am exclusively contracting with liamed contractors to construct the project( Sec. 7044, Business and Professions Code) The Contractor' s Li. cense law loos not apply to an owner of property who Wilds or improves thereon, and who contracts for such pmjeces with a conuacuu( s) licensed pursuant to the Contractor' s l.ieensa Taw.
0 l ser exempt mule, gee B& PC for the wan
w Dow

WORKER' S COMPENSATION DECLARATION
f heaby affirm under penally of perjury ou of the following dechrod ore:
l haw and will maintain aCe tifiam ofCmuenuo self.insurt for WmkchCampensalian, u provided fm by Seedier TIDO of the Labor Cod. fm the Performance of the wart far which this Permit is issued.
1 have and will maintain WorkeYs Compensation Insurance, as required by Section 3700 of me labor Code, for the pcsfosmance of tie work forwhich Our permit is issued.

My Workers Campevtalion Wuraaca am. and Policy number are:

Carrier. Z0C. 41 Qa s, vjnIicyNo.: G o C

CERTTFIGIE OF EMP ION FROM WORKERS'

COMPENSATION INSURANCE
Ih6 occoun head not 1w completed lithe permit is forane hundred dollen( SIM) or less)
1 earl that in the perfoanana of the work fa which this permit u issued.) Nall tit employ any person in any manurm ss be become subject to the Wodu: ss' CompemaJu Laws of Caliromia Dam
Applicant NOTICE TO APPLICANT: If. aMr making W. Certlrcam of Exemption, you should became subject to the Wart ax Compensation previsions of Jur LoWr Code, you moa J z forthwith comply with such Provisions or the permit shall W dictated rewked.

Lzm O CONSTRUCTION LENDING AGENCY
r
I hereby affirm mat them lace cone d. o lending agency for the perform....( Y i the work for which this permit to issued( Sox. 3097, Civ. C.) aA Lendces Name
z lender' s Aad.

J 0 I cMify mat 1 haw read this appliesum. and ser¢ Nu Oe show iafotmatiun is D. unat. 1 agree to cmnplY with all city and county onlinances and stain laws relating to 0 Wilding continuation, and hereby authodm reprerenutiwa( tribes city to enter upon mo 14 ahovrm
j.
diind Pmpcny for inspection Purposes
G ( We) agree to saw, indemnify and loop harmless the City of Cupertino against sn in equence of
ing ex tenses which may in any way attne againslsaidCity U z APPLICANT UNDERSTANDS of of the D
mit.

Issued b
APPLICANT ULATIONANDs AND WILL COMPLY WITH ALL NON- POINT y; : Date SOURCE REGULATIONS.

Re- roofs'
Signa IlcamXOaumcb r Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building Occupant store tar Wandle hasardaur mamriai as darned by ee Cupertino Municipal Cade. Chapter 9. 12, and the Heald and Safety.

Section 25532(.)?
CI Yea u All roofs shall be inspected prior to any roofing material being installed.

Will theaapplicant PP or future Wilding Occupant If a roof is installed without first obtainingan inspection, I agree to remove d
p c.

Air u
or
M...
which p g
emit hmallons aircumniwm u darned by the Bay Arta Air Quality Mamgemcm all new materials for inspection. ismct7 p
C3 Y. fO rvu
I have mad me hvaakws materials requirements under Chapterti. 95ofine Cilifor. nice Hcalth& Safcly Cade, Sections 25505. 25533 and 25534. 1 undcrnand thatif Oc building does not currently haw a term. Out It is my tapomihility to notify the ceupsum of tie rtquimmenuwhichas t;e ptiartoinsuarue. r. ceruficatohrOcapuey. Signature ofApplicant Date ZP owner r h ae. grat D a'
All roof coverings to be Class' A" or better

APPLICANT-TO FILL-IN INFORMATION WITHIN RED LINES- USE BALL POINT PEN ONLY

CITY OF CUPERTINO J
BUILDING- ELE'% ( CAI. PF: ITNO.

BUILDING DIVISION APPLICATIONI RMIT PLUMBING- MHC " AL 1807 BUILDING PROJECT IDN. N
BUILDING ADDRE3S:
065
SANITARY NO. APPLICATION SUBMITTAL DATE
5 --> . A z EU ' S NAA1L:

L "" 10
L
PHONE: _&
0 CONTRA OR' s NA% IC NO:

NIC CONTROp
ARCHITECT/ ENGINF, ER: LIC NO. ADDRESt
I`1k/ L StS
CONTACT: PHONE:

J`
taCdJ,

BUILDING PERMIT INFO
N
j
I
Consultant Fees Paid by Applicant( Initial) BLDG ELEC' PLUMB MECCH

LICENSED CONTRACTOR' S ULCLARAHON QTY ELECTRIC PERMIT FEE 1 hereny ofnrn the, I am fiamved made, provisions of chapter n( crnn. orientg JOB DESCRIPTION BOZO with Semion] Ulq) of Div'' in the Husinoss and Professions CnJe, and my license is
PERMIT ISSUANCE.

RESIDENTIAL,
FEk. full force and effect. SFUWL KITCHEN REMODEL.

U Liccnsc Class LichAPPLIANCES— RESIDENTEAL ADDITION PI. UMBING BE PIPE FZIy Date Contractor
op< 6 MULTI- UNIT STRUCTURAL

ARCHITECT' S UHCLARN' ION
p.. G ti PANF. 1. 5 MODIFICATION
Z 1undernrand mY Plane conn he used.,. bill records
OZ— uP T02IXIAMI' S INTIiRIOk CHIMNEY REPAIR
Licensed Profic, cnn: d
201- 1010AMPS IMPROVEMENT 0SWIMMING POOLS
G @, OWNER- BUILDF. k UIiCLARATION
OVER]" AMPS BATH REMODEUREPAIR DEMOLITION
na
U
following1 hereby rtawn.( affirmSection]that OJ1 LS, 1. uxumpt Business fromsoil theProfessions ContactorsCode:License Any cityLaw, or lincountythe SIGNS EL[ CfkICAL El OTHER
1+ 13 k4 y which require,, a permit to construct, aker. impmve, demolish, nr repair any sworn.

F'. w.06 prior to its issuance, aLm requires the npnlienm for suchpermino0lensignedoetement SPECULCIRCUIT/ MISC. yy, that he is licensed pursuant. the provisiunsofthe Contractors License Law( Chupt« 9 WiG O ( commencing with Section( NXIlofllivisimn 3mfthe Businecx oral Professions GWd ur TEMR METER OR PILE INST. OMMP d q
m
y that he is exempt thcrefmm moil the basis far the alleged exemption. Any violation of El NEW BLDG/ ADDITION DIiM01. 1' f10N i a• S. Im. 7UJL5 by any applicant torn permit subjects the applicnnna a civil penally of POWER DEVICES TENAN' P FOOD SERVICE y
m more than rise hundred doll..($ 500). IMPROVEMENT
01, asownerefthe property, many employees with wages as their stile comnenwtion, SWIMMING POOL I3LECf p. will do the oork. ond the structure is and intended oruffereJ fursale( Sro. 70f4, Business OTHER
m and Professions Code ' Me Cnntracmr' s License Law dues not apply tee ua moor' of OUTLETS— SWITCHES— F g. 3.. property who builds or improves thereon, and who does such work himself or through his own employees, provided Shia such improvemcros are mon intended or uttered nor NEW RESIDENTIAL ELIiC[ k 17. sale. If. however. the building or improvement is sold within one year of completion,[ lot SQ. FT FLUOR AREA ESQ, FT. wnerbuilder will It... the hurden of proving that he did not build or improve for putJULPo AI aD pose of mlcJ, AVANT y 1, as ironer of the propery, am exclusively contracting with licensed crmtr: tcrors , TOIA"
n
consurra the project( Sec. 7M4, Business and Professions Codc)' fhe Contractors LiVl ll y/ 1 urail
crow law does not apply to an owner mf pmfeny, who builds or improves thereon, and QTY. PLUMBING PERMIT EE Ilse a/ nfIYllNtYflw who contracts for Such projects w ith a cmmnufo( s) licensed pars mar to the Contra" or% License Lin, PE•RMII' ISSUANCE? CITY Ur I am excmft under Sec B A, P C Smith. avom klVrCfT MVV ALTER— DRAIN A, VENT— WAMR( EA) VALUATION
Owner ME.
a
w
WORKER' S COMPENSATION DECIARATION RACK FLOW PROTECT. DEVICES hereby effort under Penally of perjury one of the following declarations. i f Ihave dwiilmuinwinaCenifcum of Consent to self- insure for Workers Compen- DRAINS— FLOOR. ROOF AREA, GOND' S' FOR1ES TY PF. CONSTRUQ' rim ratio s provided for by Section 37M of the Labor Cale, for the performance of the w0 kawhiclandspewitisissueJ. FIXTURES— PER TRAP
1' rove and will maimain Worker,, Compensation Insnrnuce, as ectm cd by Section 3700) ofrheLnlwr Cale, firat perfowancetif Bre work Im Ishich this permit is issued, GAS- 13A. SYSTEM- ILNC401TLETS OCC. GROUP MIN My Wuk Cnmpensatioy l smmmce artier and Poli r
C GAS— EA. SYS' 1' PM-O
ER4IGA)
Curies Policy Nn:

CL'R 1F Al' E OF EXEMPTION IRON WORKERS'
GREASFIINDUSTRL WASTE IN' fl?RCEVI OR
COMPI3 SATION INSURANCE BUILDING DIVISION_FEES
This section need not
be
completed it the permit is forma hundred dollars($ 11U)

GREASETRAP
or
less) PIANCHECK FEE
lanifythat othe perfowanesm' die larkfaromidt thispennit is issneJJshnll SEWER— SANITARY—STORM EA. 200 VL not employ any person in any manner so as nm become suhjW So the Workcn Conipen, ENERGY FEE Z motion Luwx of Califonda, Data WA' T' ER HEATER W/ VENT/ ELECTR GRADING FEE z Applicant NOTICE TO APPLICANT: IL after making this Cerif¢ me of Exemption, you should WATER Sys rY.M/ rRL>AfINC,

SOILS FEE
heemac suhjem m the Worker' s Compensation provi, ime, of the Lahm Code, you must fdl
forthwith comply withsuch provisions or this pent shall be deemed revoked WATER SERVICE EL z
CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL PLMIL SQ. FT. PAID Dme Receipt K
U O l hereby affirm that there is a nmxt. ction lending agency lot the performance of Fthe work for which this penin Is issued( Star. 9097. Civ. C.) Lenders Name
TOTAL:

WLender' s Adds,,
TOTAL: it
y
1 certify that I have mud this application and state that the above information is BUILDING FEE h correct. l agree to comply with all city and amity ordinances and. mate laws relating to QTY. MECHANICAL. PERMIT FEE U Z building construction, and hereby nuthonm mpresemtator, of this city. enter upon the

SEISM IC ITE
xr
alwveane dionJ property far insfeaion purposes. PERMIT ISSUANCE ELECTRIC FEE We) agree to save, indemnify and keep hominess the Ciry mf Cupertino against liabilities, judgments. costs and expenas which may in any way were again. said City ALTER OR ADD TO MECH. PLUMBING FEE in sequence of the gmming of this penult.

APPLICANT UNDERSTANDS AND WILL COM I' LY WITH ALL NON- POINT AIR HANDLING U NIT( TO 10, 000 CPM) MECHANICAL TEE SOURCE REGULATIONS.

AIR HANDLING UNIT( OVER IU, IMq CFM) CONS] RULTION TAX
Signature of Applicant/ Conrecmr Date 1XIIAUST HOOD( W/ DUCT) HOUSING MEDGATION EEL

HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or fu. re buildin, arcuparrt sore ur Smote ha. rdons material HEATING UNI' 1'( PO 100, 000 BTU) as defined by the Cupertino Munidp Cale. Chapter 9. 12, and the Health and Safety I Cade, Section 25532( a)]
HEATING UNIT( OVER IWJOg) BTU)
0Y. PAID
VENTILATION PAN( SINGI. IiHESID)
Unm ReaiptM
Will the inflation or future
a
Jing mcufanl ase equipment or devices which
BOILER— COMP( JHPOR IIq,gq BTU)
emit hu,ni dour air cnmaminants as fined by the Bay Areu Air Quality Management 1' O' EAU 11 Dis ' BOILER—COMP( OVER IW.(W BTU)
Yes
I taereaJ the ha dour materials nanimmems under Chapter 6.95 of CaliAIR CONDITIONER ISSUANCE DATE India Ith a e
y
le,$ uf n + SBS, 25531and 255) 4. I undsnrd t t if the NEW RESIDENTIAL MECH. SQ. FT builein docs corm haven n Wmhiuny rexpnmibllitymnotif the - wpant of he quire ends w s ist ny mo i uuncc of aCeninrI
all
Ow - r initiatives enn
U e
TOTAL: ISSUED BY:

OFFICE
CITY OF CUPIR' fINO mow
BUILDING DIVISION PERMIT CONTRACTOR+ INFORMATION
r v63 r'*%Y',
DUI_ DING ADDRESS:

SIGN A RAMA PeRMITN' 64020004
ER' S NAME: PERMIT ISSUE DATE
ONE: SANITARY NO. CONTROL NO.

ARCHITECTIENGINEER: BUILDING PERMIT INFO

BLDC ELECT' PLUMB MECII
woo LICENSED CONTRACTOR' S DECLARATION

O O O O
y U
C I hereby arum that I am IicenuO antler proyiVigns err Ch pier 9( commencing Job Description 5¢ wwithScct, n' ByLjOLDivisionJofNCBdineva ssinnsCode. andmyliccnsis oo
fallronaer r'
Licens'' EElid LiC. a SIGN- - COACH HOUSE LIQUORS
Fo Da¢ GVnlraCler . z :14 ' 1 ARCHITECTS DECLA ATI01
I and nand yplans shall he used es public reenter MAR 2 : 2004 3 m t; Licensed Pmfessinnal
Og OWNER- BUILDER DECLARATION
y
I hereby affirm that I am exempt from the Contractor' s License Law for the BbB ®' p 00 following mason.( Section 7031. 5, Buss sinedan Professions CNC: Any city or county Ntl Km which requires a pemtit m concoct. alter, improve, demolish. or repair any structure priorto its issuance. also requires the applicant for such permit to file aligned statement hat he is licensid pursuant to the provisions, Or the Contractor' s License Law( Chapter 9 Sq. Ft. Floor Area Valuation yH0 ( commencing with Section 7000) of Division 3 or the Business and Professions Code) or i $that he is exempt therefrom and he basis for the alleged exemption. Any violation of Section 7031. 5 by any applicant for a permit subjects the applicant to a civil penalty of not mom than five hundred dollars( 5500). 3 SVTV940P ,' 0 0 Occupancy P ane Y Type YP
1, asownerof the pmpeny, suis employed or
wages
r
their tele

1. B stars will and domework. Professions and Nehe Cocirnots LMcde, Law Tresslepplytola, Bulinus lCodedim mpr
Conuactors
rad who
taw docs not apply to in owner
is
Required Inspections
propertywho own employed buildsvi provided improveschevron, that such improvements and who does inchwork himselfed roe sale. his in
not i, mndW depletion, for
builder, buil der will Nc have building the burden or improvement of provingis Out soldhewithin did not onebuild year oror improae completion, for purpose the ownerof salt.).
1, as owner of the property, am exclusively contracting with licensed convectors m consumer the project( Sec. I(Pa. Business and Professions Code:) The Contractor' s U cense law does not apply to an owner of ntt, mty who builds or improves meman, and who contracts for such projects with a Contractors) licensed pursuant o the Comractors License law.
1 am exempt under Sm B& PC for this reason
r Data

WORKER' S COMPENSATION DECLARATION
1 hereby aRrm under penalty of perjury oro of the following declarations:

J I have and will maintain aCc rifidte of Conant to self- insute for Workci s Comp: nsation, as provided for by Section 3700 of the labor Code, for the performance of the work for which this permit is issued.
1 have and will maintain Worker' s Compensation Insurance, as required by section 37M of the labor Code. for the performance of the work for which this permit is issued.

My Workers Cnm emalon Insurance carrier and Policy number am:
mer:
r'
Poli
CERTIFICATE OF EKZMPTP3iVi FROM WORKERS'

COMPENSATION INSURANCE
Mir secticap med not M complewd lime permil is form c hundrol dollars($ 100) m less.)
1 eenify Nat in the p, rrom ince of the work for which this permit is issued, I shall not employ any person in any manner ser as to become subject to the WorkersCompensation Laws of California. Date
Applicant NOTICE TO APPLICANT: Ir, after making this Cenircate of Exemption, you should become object m the Worker a ComNceni ion provisions of the labor Cask, you into t z faMwith comply with such powism. or this permitshall be deemed revoked.

Z O CONSTRUCTION LENDING AGENCY
F I hereby aRrm Nat there is a comtrvetinn lending agency for the Performance of ai 7 the work for which this permit is issued( Sce. 3097. CN, C.) y Lender' s Name
UG Z Under' s Address
I) Q
1 eenify Nn 1 have rad this application and sum that the above information retailing is It, E-' It, hood ding 1 agecomply m with all city and county ordinances and sum laws relatingng re p V
holdingConstruction,
pmpmly hcrebyaumon p rpmsenutives or this city to corer upon the IJ.1 stove-( WC) aagree pto
save
for emnify
H G WC) agree to cove, indemnify and keep ha
hick hay roan
the City of Cupertino against
y
h
jnea of thecoauang expenses which may in anyway accrvc againsLraid City U z APPLICANT APPLICANT UNDE uRbegmmin, PA IDSn AND his permit. WILL C MPLY W LL NONPOINT Issued by: Date SOURCE REGUt. A
2111,04 Re- roofs
Signam fApplicin o' cun Date
ARDOUS MATE DISCLOSURE Type of Roof
Will the cam ser Tamm building accupam smrc or handle hadNous material as definetl I c Cupertino Municipal Code. Chapter 9. 12, and the Health and Safety C. SecCY. 25532( a)+
All roofs shall be inspected prior to any roofing material being installed. 1'/} Q' lj Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove et ha, ammr airmnstian tyu defined by the Bay Area Air Quality Management all new materials for inspection. clYa
I have read the hnallous materials requirements under Chapter6.95 or the CaliforniaHcalm& Safety Cmlc. Sccuons 25505, 255 l and 25534. 1 undersand thatitde building tincts not curtentiy hove o tcapint, mat it is my espinslbilily m noufy the tacupsm of the r} evimmenuw a mmMatutivu - come ' flea r c. pinerg Signature of plicant Date Ownteas o 5ge rDille, All roof coverings to be Class " B" or better

CITY OP CUTERRENO
BUILDING DI VISION PLRD CONTRACTnR INFORM
Nom:;
BUILDING ADDRESS:

SIGN A RAMA PERMIT" 0.4020004
ER' S NAME: PERMIT ISSUE DATE
PI10NE: SANITARY NO, CONTROL N0.

ARCHITEC( ENGINEER: BUILDING PERMIT INFO

BLDG ELECT PLUMB MECH
uoo LICENSED CONTRACTOR' S DECLARATION
Ym P 1 hereby arum that I am Ranted under prnyyaiipas of Chapter 9 mnmmeneing Job Description eZw with Sec Wo) of Division Sof NC Business audPbfeream, Code. evd my he... is vomu,
ander phi Liccnu Itis r Lic. p SIGN-- COACH HOUSE LIQUORS o Dale o comma o

ARCHITECTS DE LLAION
y 04 a 1 uM9 slant my plant shall he. cJ as public aroNs JyU
0, Licensed Pmfcssirnvl
ar 1OWNER- BUILDER DECLARATION
a 5 w l hereby affirm that 1 am exempt from Ne Contianoh License Law for the 0 following mason.( Section 7031. 5. Business and Professions Cndc Any city or county K
ex Iki which requires a permit to contract, alter, improve, dcmalish, or repair any structure no
prior m in iuuoice. alsu recruit. NeaPPEcant rmairch permittu Ere a signedetamment that he is licensed pammial , the pm minas of Ne C. ramcURx License Law( Chapter 9 Sq. Ft. Floor Area ValUatlOn st reommencingwith scniaamyl) nf Di, i, i.. 3nf N. Businessland Professions Code) or a. _ tom he is e. cmpt therefrom and are basis far On, alleged exemption. Any violation of Section? 031. 5 by any applicamfar a pcmrit subjccu the applicant I.. civil pc.. It,. f not moa Than Bw handled delta.( S500). 36VRl461.be100 Occupancy Type I, as owner of the property, or my employen with wages as their, aole corn sensation. will do the work and the someum is not intended or offered for sale( See. 206,1, Business and Pmrusions Code: The Convenors License Law docs not apply to an owner of Required Inspections property who builds or improves dimmon, and who doessuch work himself or through his own employees, p
ing or timsuehimprovementsin not ea: dedoff or
for
builder . Ire building Orden of
within one year or completion. me owncn
builder will have rbc burden of proving Nm he did nm build or improv fur purses of salt.).

I, as per of the Sec. 7 y,. Businesss and Profaning Cod:) seated eontrenors m El 1.
a the
r
of th( sec. moa,
cnes
and contrasting Code:) The
d coni
Licame Law docs not apply to an owner or property who builds or improves Water, and. l who contracts for such pockets with a eonvacuor( s) licensed pursuant to the Conuacfors v License Law.
eJv/ I am exempt under Sec. B& P C fur this reason
wncr Data

WORKER COMPENSATION DECLARATION
I hereby affirm under penalty or perjury one of the following declarations:
amt rail for
tanto, as provided for by Section 1100 of of Consentm the Tabor Code Clude. for sumtheforWmkcrs pcNormanaC. of of Nc the work for which this permit is issued.
1 have and will maintain Wmkcrs Compensation Insurance, as requited by Section 37f1B of NC Labor Code, for due performance of the work for which this permit is issued.

My Worker' s Com < ni I Insurance carrier and Policy number art:
mer.
2 Poli
CERT( R6Ak O EX PIT= OM WORKERS'

COMPENSATION INSURANCE
Thu section recd art he completed if the permit is forone hundred dollars( SIM) or I. a)
I ccnlry Nm in the Pcrfommnce of Nc walk for which this permit is issued. 1 shall not employ any fiction in any manner an u to become subject m the WorkersCompensation Laws of California. Date
Applicant NOTICE TO APPLICANT: If. after making this Cenificam of Exemption, you should become subject a he Workcis Compensation previsions of the Larval Cade, you muse Z forthwith comply with such provisions to this permit shall be deemed m idmd. z

O CONSTRUCTION LENDING AGENCY
E2 Ihcndall. Brm Nat date ism construction Ending agency fm ft performance of G' ? Ne work for which this s. an'd is issued( Sec. 3041, Civ. C.) W (] Lender' s Name
7 Z Lender' s Add.

U O 1 certify that 1 have read this application and sum that the above information is ly F correct. 1 agree to comply with all city and county ordinances and sum laws reining to pU building eonswction, and hereby auNoris mprcaenutivw of this city to enter upon rbc G
shove Mentioned property for impcairn purposes.

We)., me to save, indemnify and keep harmless he City of Cupertino against l N liabilities, judgments. costs and expenses which may in anyway aceme against said Cly UZ inconuqucnccrf NcgramingoIIn permit.

APPLICANT UNDERSITND$ AND WILL CtSMPLY W LL NON- POINT Issued b9 DaIC SOURCE RICGULA 16N5
j// /
y
I
Re- roofs
Sign wr fAPPhcaMC- tenor Data
qAkLARDOUs MATER. A DISCLOSURE
7 T_ Type of Roof
Will Ncapplicam or Boort building wcupant sImc or handl. hUrald0as material as defined ha i Cupertino Municipal Code. Chapter 9. 12, and the[ health ant Safety Crude Section 25532( a)?
Yes All roofs shall be inspected prior to any roofing material being installed.

Will the applicant rrfuture rbuilding mention Use e4aipmentordevices which If a roof is installed without first obtaining an inspection, I agree to remove mit bvradow art eoommirci nLa, u defined by he Bay Arca Air Quality Mawgemcnt all new materials for inspection.

District? Ycs
I have mail the hmardoax materials aquircmcnts under Chapter 695 ofthe Califon ma HeirlN& Safety Code, Secdmu 255n5, 355 1. 025534. 1 t ndentand Nat if the building does not Cumcndy have a xca6m Nat it u my csponsibility, m notify Re Occupant of the / rinuiam. na whje sube test prior rr itsv enrac Signature of plicant Date Owner arau err;. = g. D7._
All roof coverings to be Class" B" or better
Oco
z
6d a n
ao
N
Zi
1 I
z
W cu a d N ui
a Q J
W
U' Q
250 F F u Q
z o
R I
T
a
U)
r
v
r
G G O O ,pj O0p Q N O
O
X L p G
d J ami C9 C lu
N s mog8o
m+
y z a
N Q U
to
r'
o
a l'g a o Wand( jo 0
X
I U
O m N pCJ m
0j
A5- 0 mE
2L OLUE
d
p
m o yMCI.. V W
e U to W 1-
0 Q O
5 oco7
O W
z >
tu
W Z r Q d
F S 2:

A tq V1 a
LL
ab
o -
w
r
Y
o
y
Cr
c5
6, n n .

R
i
e
I
l
n
I
sa
0N
U
LLLU
m
a —
Z U w `
VIZ
J
LLJ
n o 3n O LL Q a a
rLUv/ J
9 a w0 w QQ a W 3
2 o w< Q
V
w
A
wz z °
Q <
QU)
W 1 y
I/
O
L Y w LL v
Z
l
LL
0 o
z
o
W w
U Q ~
J
Q dmm a c U
NZ2J d =
w
QU
Q
H Q ~ w
Z
XZ
V)aoo
Z W _ Q Q oWz m
Z
wX ~ _
Q QaZ
M (
orw m i
Wco U) < Z
A
aya = LLIo
o
W(
v =¢ >.

ZIc ui o A
J X
0 = m _
J
Q
W
z
v a
D d m
v
w y y N
fnJQ
Z
ZQ
w
H
w } wFx
cl x
m Q
to G a
oC O LU
O lw
z 3
LU
a
z
zL16
J 0
LL
N
p
W
C
l 1 1
z
W
3 m
a
r
i
COOR cn
Z NZC-4
0 0 3 '
c:
2 Z Z
Q W fA
U d V5 0
F Z
0 n
U
U U O w Z >
W
O
Z2
Q
0 Ln CL m 2 LU Cd

SCK U W
O LW O wQi
Q
WOZU y
Q
sQQ
J QmCD 3 C LU
o Q
m >>
Z ro
Ix
z
ZZ
00 Cr) _
0 A
Q
Q
LU Q
LU 0
Z J
Z J
f
E
r
7 rtl k
t
tiv
00 r
s. iODdSMAd
6 1
M
Go
Go
CY)
M
a m
M Z
U)
n O 3. ( 1)
Z
x
J
Z
o
c o c
2 Z c
W
Z O
w CD z
1 y o
Z Lj dmm
y
o LU
a o LU
A yZv 0 W
OWz V caLU
Ol
Q
2 UyW
C F O a
W
Qvfa
Z = Z W
v' v V ui
Lii Z Q
W
S? CLa

M V) U) Q
Qn
01 r•
i
1 I
T.r
r til,,
I Q
I
I -

CITY OF
S

CUPERTINI
oa
CUPEkTINO PERMIT APPLICATION FORM
APN # / Date://
0 b / Date:

Building Address:

O
Owner' s Name: Phone#:
aco 24- 2-
Contractor: License#: •/ Z/ 3
Contact: Phone#:

Applicant/ Contractor:
uildin ermit Info:

Bld Elect Plumb Mech
Job scription:
sidential: Commercial: vi}(rC
Sq. Ft. Floor Area:

EiA
O D•
Architect/ Engineer:

SCLL
Type of Construction:
1-7
if
tftlicble Fee ID Fee Description Fee Group
ENERGY Energy BUILIDNG
BPERMFEE Bldg Permit Fees BUILIDNG
BPLANCHK Plan Check Fee BUILIDNG
BSEISMICOM Seismic. Commercial BUILIDNG
EPERMITFEE Elect Permit Issuance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Rmdl Signs, Marquee ELECTRICAL
BUSLIC Business License BUILIDNG
LBUILDINGADDRESS:

Y OF CUPERTINO i%+ "- " wtat Ta' aa,, a• r
BUILDING DIVISION PER CONT 2ACT OR IL\ Ol lvltl . N
apafif« ' u;::;'- 3$ ^ Y.. k..!: aY4Aar, Zia d4 ' z:. ( SM CONSTRUCTION PERMITN% 4020096
VER' S NAME:

PERMIT ISSUE DATE
PHONE:

SANITARY CONTROL NO.

ARCHITEC( ENGINEER:

BUILDING PERMIT INFO

BLDG ELECT PLUMB MECH
0 0
LOo LICENSEDCONfRACTOR' SDECLARATION Job De [
w
ZYY
1 hereby affirm that. I amCONTRACTOR' under Sprovisions of Chapter 9( commencing FFW w ith Sceuon OfMid of DivisionJoL`tt s ncss and Profcuions Codc. and yliccnse is gym in fulll} n ( tett
pz License¢ Gam_ Lie.. Q FIRE DAMAGE REPAIR
w
Dau: Ca st. r E: ,, MAR 2.8 2004
yyts J
he us bARAccords
a
ymeer
J
oG Lica dP , re arkb1I
S BUIL® INCA U VOWNER- BUILDERD, RATION
P I hereby alfirm that 1 am cxcmpE from Contractor' s License Law far the C OD rollnwing Mason.( Section 7031. 5. Business and Profrssivas Code: Any city Or county m K which orim J a permit to Mourned, 0im,. Improve, derodi h, or Rpalr my structure uin prior in its issuance. aria requires the applicant for such permiuo file a signed statement yFZC
that he is licensed pursuant to the previsions of the Contractor' s License Law( Chapter 9 Sq. FL Floor Area Valuatl0 yam$ ( commencing with Section) rR10) of Division J of the Business and Professions Code) or any
Eliot he is exempt themfrom and the basis for the alleged exemption. Any violaJon of Section 7031. 5 by any applicant for a permit subjects the applicant o a civil penalty of 36VAI6V1be00 Occupancy Type
Apt marc than fare hundred dollars( 5500).

L
o the
of Enc pmpeny,
will dotheand cmptoye¢ or wages u ( SM. compensation. thestructureiteesanereseLwd far. 1 apply so an or Required Inspections
ss
and property wh
obu Code: The Committees
nd who
Law dors not apply a an owner of q P
property who builds or improves that thereon, and who are i n work Mmol!
his
pian
vA,.
however. Ne pr suchimprovements amnotintendedomoQerA formic. It. building builder will M1am de burden r improvement of provingis Bald within one year of completion, purpose the of that the did not build or improve for Puryaz of sale.).

I, as owner of the property, am exclusively contracting with licensed convectors to E constma de, project( Sec. 7014. Business and Professions Code:) The Conractor' s Lirsse taw does not apply to an ownv of progeny who builds or improves themon. and who contracts for such projects with s canractor( s) licensed pursuant w Elie Conracmh License Law.

I am exempt under Sec. B& P C for this reason
Date

WORKER' S COMPENSATION DECLARATION
1 hereby alarm under Penalty of perjury one of the following dealaratiurc:

I haveand will maintsin. Ce rl.. afC. ttosdf-insumforWarkescompcnsauon, as provided for by Senian 3100 of the labor Code, for the lai foam... of the work for which Nis permit is issued.

I
I have and will maintain Workers Compnsxxdon Insurance, as required by Section 3700 of the labor,Code, for Ne Pendwmanoc of the work for which his permit is issued.

My Wodefs Comperrasion lnsurmMa , dP icy number ate:

CERTIFICATE OF EXEMPTION FROM WORKERS'

COMPENSATION INSURANCE
Thissecdor need m ithe completed if the permit is faroac hundreddollars($ 100) in, less.)
I unify that in the performance of the work for which this permit is Oman. l Shia] not employ any person in any manner so as in become subject to the Warlans' Compeasation Laws of California. Date
Applicant NOTICE TO APPLICANT: If, after making Nis Cemiliem, of Exemption, yon should become subject at the Worker' s Compcwtian provisions of the labor Cade, you most J O fordwith comply with such pmvisiora or this Permit shall an deemed invoked. zo

CONSTRUCTION LENDING AGENCY
E"' I herebya
that Here is a Construction lending agency for the Xtrurmatum of Y 7 work for which this permec it Is issued( S . 3091, Co, C.) j.

WI3. A Under's Name Lender' s AddMss
V C) I mmiry bar I have read this., Plication and state that the above information Ls y rMMML 1 agree to comply with all city and county ordinances and sure law! Mlating to building construction, and hereby authorise Mprrreenutives of this city to enter upon the r W shove- mentioned property for inspection purpo iL a We) agree to save, indemnify and keep harmless dM City of C. Nnod against a UZ incoirequeo of the and expenses; which may in anyway accrue against said City 6 Uz APPLICANT of Elie gtanun of this pclmll. I
ti APPLICANT NDERST DS AND WILL COMPLY WITH ALL NON- POINT Issued by: Daze SOURC R UL ON .

I t. o Re- roofs
adt tgmE r _ pPl' caHACZARDCO MATERIALS DISCLOSURE
Date
Type of Roof
Will the applicant or return building occupant store or handle hazardous material AA def nod by Ehe Canadian Municipal Code. Chapter 9. 11. and the Health and Safety AM mke. Semions532( ar
rerun All roofs shall be inspected prior to any roofing material being installed. yes
Will the applicant or future buildim g
occupant t use a yui pment or devices whim If a roof is installed without first obtaining an inspection, I agree to remove emit hazardous air conuminamts az defined by the Bay Ama Air Quality Management all new materials for inspection.

D' nrics1 Yes NN.

I have mad Ne hazardous materials requirements under Chapter 6. 95 of the Califor ria Health& SaLlyCa) e. Smuou 15X15. 25533 and] 5534. 1 mumumnd that if than building docs not curtcnit have a tenantMas it u my resnnuihility to notify the axupanr of the cyu antsw hm mc! ` artaixsu. m. r. CcnlgcmeafOccuparcy Signature afApplicant Dale 411 o
own h md agent Date
All roof coverings to be Class" B" or better
O
File #:

ASSESSOR
COPY

FIRE DAMAGE REPORT

PZECEIVJE
DATE: v'L F 12 4
Received by:

Reporting party:

LOCATION: G>S ar/ MrnwvrmdK¢ flttT(
Extent of Damag
W) wr
VC2;. I
R1a r•
aChanaaaa
0r
lalterabOnS
ally cinn tMM
fl same without WC'ty erbno.

Dep
of Cop
the bullding r h,, olan and specifications
the smnIN•'- erma U1,
SHALL NDT be held to p Lyeatano
Assigned to Inspect: onroyal of the violation of any P. r ally City Drd. --
or
WIL
Comments: o
s G9 e
y ST eel
fid o x .•,. 01 U qir
PP % e e 2 // ee J e - 7a
Date Insrected:

Signature of Inspector: v
s
PROVED
On
IN pCCOROANCE VM THE CITY
G
f) Wppt11N0 CODE ND 0
ANC
S OAT RECEIVE Ft1e L
SIGNED
and
specdicaiio
MOST FEB 12
This set of p', De kept on ., e job at atl limes and it is un lawful to make any changes or aiteraGons on same
without
written
the building Dept., City ofEI ` mDAMAGE EPO
I of this plan and specifications The stamp errc't or to be ar. aHAll
NOT be held to P
rowsrons
v I
he OFFICE OR violati o` Y
rPiLjrd. e t.

Received by:

Reporting party:

LOCATION: w Gr/72
Extent of Damag // fIL
Assigned to Inspect:

Comments:
70 z/ 7e zL,ps n SPY 2 / I', e
4,9/ , cue el?' 111'oe1- 7
Date Inspected: ;--
Signature of Inspector: s// o l—

ITY OF CUPERTINO
c
CITYof PERMIT APPLICATION FORM l

CUPEI TINO
a
U U Y
JA
APN # Date:
661o06 a lalo
Building
W2,
Address: Mailing Address'( if different from building address):

Owner' s Name: Phone #:
e ct B - HO-7
Contractor License #:

J . M. rsfi, 1 736oS6
Contactj,e 1
Pho e: 37q _I$Sa Cupertino Business License#:
e. q, le Fax:

Building Permit Info:

Bld lect/ Plumb MechA! fr
Job Description: yJ
Residential
Lem
Co mere
Sq. Ft. Floor Area: Sq. Ft.: l
Cost ofProject: Occupancy Group:

O Qo4
Type of Construction:
r
Please check this box if ine project is a
second- story addition:

Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILERI Boiler<= 100, 000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1 M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1. 75 M Btu MECHANICAL
BBOILER5 Boiler> 1. 75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/ Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax— Resi/ Mobile BUILDING
BELEC1000 Elec 600V <= 1000A ELECTRICAL
BELEC1001 Elec 600V > 1000A ELECTRICAL
BFLEC200 Elec Svcs 600V<= 200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
1 of 3

C TY OF CUPERTINO

CITY OF PERMIT APPLICATION FORM
CUPEkTINO
rQuantity Fee ID Fee Description Fee Group
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pb1g Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee. BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Re eat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM Storm/ Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain & Vent PLUMBING
BPWATER Install/ Alter Water Pie PLUMBING
BPWHEATER Water Heater/ Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit > 10, 000 cfm MECHANICAL
BREMAIRHAN A/ C Units <= 10, 000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace > 1 OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non- Res Appliance ELECTRICAL
BREMPOLE Pole/ Platform Fixture ELECTRICAL
BREMPOWER Power Device/ Apparatus ELECTRICAL
44 BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/ Alter Heatin MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
2 of 3
tTY OF CUPERTINO

CITY OF PERMIT APPLICATION FORM
CUPEkTINO
Ouantitv Fee ID Fee Description Fee Grou
BREMTHEATR Theatrical Li tin Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special lnsection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERNHTFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPEPMITFEE PlumbingPermit Issue PLUMBING
PPLBG PlumbingFee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
3 of 3

CITY OF CUPERTINO

BUILDING DIVISION PERMITFORMATION'
BUILDING ADDRESS:

JM CONSTRUCTION PERMIT Nc64020096
OWNER' S NAME:

PERMIT ISSUE DATE
E:

SANITARY CONTROL NO.

ARCHITEC 7ENGINEER: BUILDING PERMIT INFO

BLDG ELECT PLUMB MECH
0 C= 0
LOp LICENSED CONTRACTOR' S DECLARATION
WU 01 hereby affirm that I am licensed under pmvisions of Chapter 9( commencing Job Description
withsci" )
ef Division3 ft n. g and Profcasi. m Code. and my license is clmdagdn r L
a Lic. 0 (-
1 76056 FIRE DAMAGE REPAIR
z Date ¢
r
Co sur
sy ARCH CLARATION
1 ut c J plan public rttnNs MAR 2 8 2004
J, U
3 G
Liccnutl Pnsfc o 1 BUILDING i IS
ARATI
I herchy a( Br that I eacmpt from Conuurons License Law for the O D which following mama Permit in IIU I.1. S. Business and sae, de oro Code: Any city or county jU
a permit m Uim the alcor, improve, demolish, or repair ed suunum Zi prior to i. uoncc. also requires the applicant for such Coroaritmce asLaw( ummem FSC WtWisliccmcdpursuanttoINprovisiovoftheComncmr' sLicensclaw( Chepmr9 Sq. FL Floor Area Valuation as ( commencing with Section 7") of Division 3 of the Business and Professions Code) or i $ that be u exempt thereffom and the basis for Ne alleged exemption. Any violation of Section 7031. 5 by any applicant for a permit subject, the applicant o a civil penalty of 3 6VAIS9rlbep 0 Occupancy Type not marc pun five hundred dollars($ 500). 1, as owner of Ne property, or my employees with wages. their role compensation, will do the work, and the structure Is not inundcd or offered finale( Sec. 7044, Busineas and Professions Code: The Contractors License taw does not apply to an owner of Required Inspections propeny who buildsor improves thereon, and who docs such work himself or through his own employees, provided that such improvements uc not intended oroRere l formic. If. however, Ne building or improvement is sold within ON year of completion. Ne owner. builder will have Um burden of proving that he did not build or improve fm purpose of sale.).
h as owner of the property, am exclusively contracting with licensed contractors to construct she project( Sec. 7814. Business and Profossiona Code:) The Contractors U. moss, law docs am apply to an owner of property who Wilds or improve daemon. and who contracts for such pmjcm with a contrecou(s) licensed pursuant in the Contracting Lice. law.

U 1 am exempt under Sec. B k P C for this resson
Owner Dau

WORKER' S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of IN following declamations, 1 have and will maintain aCertificam of Consent to self- insure fur Worker' s Comp, m tion, as provided for by Secti. n 37W of the tabor Code, for the find. no. nee of the work for which this permit is issued.
a 1 have and will maintain Worker' s Compensation Insurance, as myuired by Section 37W of the IaWr Code, far the performance of the work for which Nis permit is issued.

My Workena Comparmhon Inman= camir4Ypd Pglicy, number am:
cr. V aSSer+- va ls Ma.<.. c BaR1cYANa.:'" ik WiS33 /

CERTIFICATE OF EXEMPTION FROM WORKERS'

COMPENSATION INSURANCE
Thissection reed not W completed ifthe permit is faro., hundred dollars( SIM) or less.)
I certify tint in the performance of Ric., it for which this permit is issued, 1 shall not employ,any person in any manner m as to Wcome subject to the Workers Compensation Laws of California. Dau
Applicant NOTICE TO APPLICANT: IL after making this CeniRcam of Exemption, you should become subject to the Workers Compensation provisions of the labor Code, you mu t z fonhwith comply with such provisions or this permitshall W deemed¢ raked. z o CONSTRUCTION LENDING AGENCY
F" `
Z'
I hereby olfirm that Norm is a construction lending agency for ON performance of rL> the work An which this permit is W. cd( Sec. ID . Co, C.) 0 Under' s Namc
z Lenders Address
U 0 1 certify that I have mad this application and sou Nat the. 1N. information is D. F' cora I agree to comply with all city and county ordinances and shale laws minting to DUbuilding construction, and hereby ambodm mpresenutives of Nis city to tour upon dm led above- memioned pmNr y for inspection purposes. We) agree to. ve, indemnify and hep harmless the City of Cupertino against F" N liabilities. judgments, costs anexpmay any way d expenses which in amnic against mid City U in consequence of the grant in of Nis permit. 6
t APPLICANT NDERST DS AND WILL COMPLY WITH ALL NOWPOINT Issued by: D e SOil RULON .

Re- roofs(
gn Canuxto

MATERIALS DISCLOSURED
Type of Roof
Will the applicant or future Wilding occupanutore or handle harndous mawrial u defined by the Cupertino Municipal Coda. Chapter 9. 12, and the Health and Safety Code, Section 25532( a) 7
All roofs shall be inspected prior to any roofing material being installed. 0Yc4 t9 No Will the spplicem or Twort building acupam esu equipment or Ucvices which If a roof is installed without first obtaining an inspection, I agree to remove hazardous air contrminanu as defined by the Bay Arca Air Quality Management all new materials for inspection.

District] Yes NO
1Wv, madthehaaardousrmi rialsreyuimmenmunder Chipmr6. 95oftheCalifornixH.) th& Safcty Cade. Srtions25505. 25573and25574. 1umkr Uutifthe Wilding does nil curseml hoc• unapt Nat it u my responsibility to noury IN occupant or the mya rents nm sues ortoissuanceofaCcrtmcamofOccupan Signature of Applicant Date d
Owner or hdagcm IoDa¢ All roof coverings to be Class" B" or better

CITY OF CUPERTINO
BUILDING DIVISION PERMIT C INT" CTOR 4NFORMATIO.N n"ry
BUILDING ADDRESS: V MARTINICO AND SONS SHEET PERMRN0. 05090212 1655 S DE AN
R' S NAME: PERMIT ISSUE DATE
LORD INDIA CUISINE 1776 SOUTH SEVEN 09/ 29/ 2005
NE: SANITARY NO. CONTROL NO.
408) 264- 5717
ARCHITECT' ENGINEER: BUILDING PERMIT INFO

BLDG ELECT PLUMB MECH
0 0 0 0
u00 LICENSED CONTRACTOR
underSDEsionof hap
JobDescription
u
C
ON
1 krcby afro Ws 1 am licensed
u
under provision of Chapter 9( commencing AAA
U
with Saron'
adeffec
Division 3of NC Business arW Profrssinns CoEc. and mylicense u E® Lifull
cume
I. REPLACE ( E) HOOD TYPE 1
p I c?
License Clear Lim M
F
O Dam CJ` ARCHITECTSS DECLARATION
3 I undersand my plans shall k used az public reardt t olCNT 1a. 2005 Yr, sem` L
s n t, Licensed Prnfessianul
ms OWNER- BUILDER DECLARATION
I hereby alTrm shat I am exempt from the Convectors License Law for the cti. r5 fn H, following mason.( Semon IID I. S. Business and Professions Cole Any city or county t as p Y ` m which mquircermm s a pit co nstruct, alma improve, demolish, nr repair any structure lel( GS 1188, 0 0 0 prior it) its issuance. also requires the applicant for such permit to rile a Signed statement x
that he is lice need pennant tothe provisions orpro Contractor' s License aw( Chapter 9 Sq. Ft. Floor Area Valuation' Y~ S commencing with Senium Ta rad baits; n
3for of the Business
ee and Proression. My Code)abo) or Q— that k u exempt therefrom and tk bazs far Ile alleged exemption. My vialatlon of Section 7031. 5 by any applicant for a Permit Writers the applicant o a civil penalty of not mom Oct five hundred dollars( 5500).
r Occupancy Type
1, as owner of the property, or my employees with wages az their sole compensation, will do Newark. and the structure is not intended or offered for sale( Sec. 1064. Business and Professions Code: The Convacmrs License law dors not apply in an owner of Required Inspections property who builds or improves thereon, and who doessuch work himself ter through his awn employ=, provided Nat such improvements are not intended oroRered for ale. If, however. the building or impmvemens is sold within one year of completion, the owner. builder will have the burden of proving that he did not build or improve for purpose of sale.).

1. es owner
Ne property, am exclusively contracting with licensed convectors to conswm she pmlc' I( Sec.% Business and Professions Code:) The Contrictiaa Li cense law does nal apply in an owner of pmpeny who Wilda or improvss thmaor. and who contncs for such projcm with a conlfYmr(s) licensed pursuant m the Contraaoh License law.
1 oro eaempt ' der Sec. B& P C far This
l/SHWAaV/ KR3 v/ y'/ r Data 29 0/

WORKER' S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury aoe of the following declarations:
1 have and will maintain a Cenificete of Consent to self- insure for Worker' s Compere station, u provided for by Section 3100 of the labor Cash. far Ne perfmmana of the work for which this permit is issued.
1 have and will maintain Workers Compensation Insurance, az required by Section 37W of the labor Code, for the performance of the work for which this permit is issued.

My Workers Compensation Insunna carrier end Policy numkr a2:

Cartier. Polity No.:

CERTIFICATE OF EXEMPTION FROM WORKERS'

COMPENSATION INSURANCE
ITissuctum reed not kmiercred Utk permit is rmi nehundrtd dollen( SI W) or less.)
I certify that in the performance of the wor for w( ch this permit is issued, l shall our employanypersan in any reamnersn as to c reje' amape Workers Compensation Law s of Glifomia. Wae 9
Applicant / y. CHO Ien- 1 4YJH7'/ JYu
NOTICE TO APPLICANT: If, after making Nis Ocnifiam of Exemption, you should become subject to the Worker' s Compensation previsions of the labor Cndc, you must Z forthwith comply with such Pnwiainns or this permit shall be deemed revoked. z O CONSTRUCTION LENDING AGENCY
I kmby affirm that there is a construction lending agency for the performance or aNe work for which this permit is issued( Sec. 3091, Civ. C.) LQ 0 Le Of a Namc
z Undies Address
U 0 1 amity that I have mad this application end sue that tk above inrormavun is D. r- comet. 1 agree to comply with all city and county ordinances and sum laws relating to 0 U building construction. and hereby autherim representatives or Ous city to enter upon the C
ve
above mentioned properly for inspection pugreca.
f' We) agree to sa , indemnify and keep harmless the City of Cupenino against res liabilities. judgments. cors and apcnuns which may in any way accrue against said City U in conscqucna of the
thi{ permi1.
r. APPLI- A N ftSTANDS WILL COMPLY WITH ALL NO POINT Issued by: Date SOURCE U TIONS.

Re- roofs
Signemre of AppbcantrContncmr Da
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building Occupant Store or handle unernious material az defined by the Cuperm. Metric Code. Cl apter 9. 12, and the Health and Safety Section 25532/ 6)?
I Yea Nv All roofs shall be inspected P prior P to an Y roofing8 material beim g installed. t
If a roof is installed without first obtaining an inspection, I agree to remove mil Will las applicant or eva building occupant sac equipment ter devices which icll
s air canaminans az recd by the Bay Arta Air Quality Management all new ma r inspect D vin?I Yes
I have mad Ne lose rdrms materials requirements under Chapter 6. 95 of the CaliforaiaHalth& it Cole. 5... 25505. 533am1M5 . i. n&.. dO. if the Wilding docsrane sly sac. mount. that it' risibility to notify tk$$$ou1se, or to requimm w mustkmetpdor usoccoraCcrtiricateofOcctyfancy. Signature of Applicant Date 9//
Ownerar authorized agent Dap
All roof coverings to be Class" B" or better

1 Giuliano, Jennifer
From: Public Records <[email protected]>
Sent: Tuesday, April 7, 2020 3:27 PM
To: Davey, Megan
Subject: Public Records Request No. 2020-04-0058
Dear Megan Davey,
Thank you for your request. We have searched our records and have no records that respond to your below request for:
7357 Prospect Road
Cupertino
If you have any questions or concerns, please call or e-mail me.

Sincerely,
Rochele Henderson
Public Records Section
BAAQMD
415-516-1916
1 Giuliano, Jennifer
From: Public Records <[email protected]>
Sent: Tuesday, April 7, 2020 3:33 PM
To: Davey, Megan
Subject: Public Records Request No. 2020-04-0057
Dear Megan Davey,
Thank you for your request. We have searched our records and have no records that respond to your below request for:
1655 S. De Anza Boulevard
Cupertino
If you have any questions or concerns, please call or e-mail me.

Sincerely,
Rochele Henderson
Public Records Section
BAAQMD
415-516-1916
1 Giuliano, Jennifer
From: CEPA Public Records <[email protected]> Sent: Tuesday, April 7, 2020 1:38 PM
To: Davey, Megan
Subject: Your CEPA public records request #20-551 has been opened. -- Attach a non-image file and/or reply ABOVE THIS LINE with a message, and it will be sent to staff on this request. -- CEPA Public Records
Hi there
Your record request #20-551 has been submitted. It
is currently under review and is not available for the
general public to view.

View Request 20-551
http://cepascc-ca.nextrequest.com/requests/20-551
As the requester, you can always see the status of your request by signing in to the CEPA Public Records Request site here. If you haven't already signed in to your account, you may need to activate your account to sign in.

To
help
prot
ect
your
priva
cy, …

POWERED BY NEXTREQUEST
The All in One Records Requests Platform
Questions about your request? Reply to this email or sign in to contact staff at CEPA.

Technical support: See our help page
1 Giuliano, Jennifer
From: CEPA Public Records <[email protected]> Sent: Tuesday, April 7, 2020 5:21 PM
To: Davey, Megan
Subject: Your CEPA public records request #20-551 has been closed. -- Attach a non-image file and/or reply ABOVE THIS LINE with a message, and it will be sent to staff on this request. -- CEPA Public Records
Hi there
Record request #20-551 has been closed. The
closure reason supplied was:

Good afternoon, Megan.

Thank you for your recent record request received on 04.07.20 for the following addresses in CUPERTINO:
1655 S. De Anza Boulevard
7357 Prospect Road
We have no records for the information requested for these locations. However, additional electronic documents may be found on the following websites:
· Local Oversight Program (LOP)
· GEOTracker (GT)
· Spill Reports Website – California Office of Emergency Services (Cal OES):

Please be advised that in some cities, other participating agencies may be responsible for maintaining the type of files you requested. This link may be of assistance in determining who will have the documents you are looking for in the future:
2 · UNIDOCS – Who regulates what in Santa Clara County
View Request 20-551
http://cepascc-ca.nextrequest.com/requests/20-551
To
help
prot
ect
your
priva
cy, …

POWERED BY NEXTREQUEST
The All in One Records Requests Platform
Questions about your request? Reply to this email or sign in to contact staff at CEPA.

Technical support: See our help page

APPENDIX C: REGULATORY DATABASE REPORT

FORM-LBC-ASH
®kcehCoeG htiw tropeR ™paM suidaR RDE ehT
6 Armstrong Road, 4th floor
Shelton, CT 06484
Toll Free: 800.352.0050
www.edrnet.com
1655 S. De Anza Boulevard & 7357 Prospect Road
1655 S. De Anza Boulevard & 7357 Prospect Road
CUPERTINO, CA 95014
Inquiry Number: 6029600.2s
April 01, 2020

SECTION PAGE
Executive Summary ES1
Overview Map 2
Detail Map 3
Map Findings Summary 4
Map Findings 9
Orphan Summary 248
Government Records Searched/Data Currency Tracking GR-1

GEOCHECK ADDENDUM
Physical Setting Source Addendum A-1
Physical Setting Source Summary A-2
Physical Setting Source Map A-7
Physical Setting Source Map Findings A-8
Physical Setting Source Records Searched PSGR-1
TC6029600.2s Page 1
Thank you for your business.

Please contact EDR at 1-800-352-0050
with any questions or comments.

Disclaimer - Copyright and Trademark Notice
This Report contains certain information obtained from a variety of public and other sources reasonably available to Environmental Data Resources, Inc. It cannot be concluded from this Report that coverage information for the target and surrounding properties does not exist from other sources. NO WARRANTY EXPRESSED OR IMPLIED, IS MADE WHATSOEVER IN CONNECTION WITH THIS REPORT. ENVIRONMENTAL DATA RESOURCES, INC. SPECIFICALLY DISCLAIMS THE MAKING OF ANY SUCH WARRANTIES, INCLUDING WITHOUT LIMITATION, MERCHANTABILITY OR FITNESS FOR A PARTICULAR USE OR PURPOSE. ALL RISK IS ASSUMED BY THE USER. IN NO EVENT SHALL ENVIRONMENTAL DATA RESOURCES, INC. BE LIABLE TO ANYONE, WHETHER ARISING OUT OF ERRORS OR OMISSIONS, NEGLIGENCE,

ACCIDENT OR ANY OTHER CAUSE, FOR ANY LOSS OF DAMAGE, INCLUDING, WITHOUT LIMITATION, SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES. ANY LIABILITY ON THE PART OF ENVIRONMENTAL DATA RESOURCES, INC. IS STRICTLY LIMITED TO A REFUND OF THE AMOUNT PAID FOR THIS REPORT. Purchaser accepts this Report "AS IS". Any analyses, estimates, ratings, environmental risk levels or risk codes provided in this Report are provided for illustrative purposes only, and are not intended to provide, nor should they be interpreted as providing any facts regarding, or prediction or forecast of, any environmental risk for any property. Only a Phase I Environmental Site Assessment performed by an environmental professional can provide information regarding the environmental risk for any property. Additionally, the information provided in this Report is not to be construed as legal advice.

Copyright 2020 by Environmental Data Resources, Inc. All rights reserved. Reproduction in any media or format, in whole or in part, of any report or map of Environmental Data Resources, Inc., or its affiliates, is prohibited without prior written permission.

EDR and its logos (including Sanborn and Sanborn Map) are trademarks of Environmental Data Resources, Inc. or its affiliates. All other trademarks used herein are the property of their respective owners.

TABLE OF CONTENTS

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 1
A search of available environmental records was conducted by Environmental Data Resources, Inc (EDR).

The report was designed to assist parties seeking to meet the search requirements of EPA’s Standards and Practices for All Appropriate Inquiries (40 CFR Part 312), the ASTM Standard Practice for Environmental Site Assessments (E 1527-13), the ASTM Standard Practice for Environmental Site Assessments for Forestland or Rural Property (E 2247-16), the ASTM Standard Practice for Limited Environmental Due Diligence: Transaction Screen Process (E 1528-14) or custom requirements developed for the evaluation of environmental risk associated with a parcel of real estate.

TARGET PROPERTY INFORMATION

ADDRESS
1655 S. DE ANZA BOULEVARD & 7357 PROSPECT ROAD
CUPERTINO, CA 95014

COORDINATES
Latitude (North): 37.2946500 - 37˚ 17’ 40.74’’
Longitude (West): 122.0331260 - 122˚ 1’ 59.25’’
Universal Tranverse Mercator: Zone 10
UTM X (Meters): 585698.8
UTM Y (Meters): 4127794.0
Elevation: 306 ft. above sea level

USGS TOPOGRAPHIC MAP ASSOCIATED WITH TARGET PROPERTY
Target Property Map: 5640178 CUPERTINO, CA
Version Date: 2012

AERIAL PHOTOGRAPHY IN THIS REPORT
Portions of Photo from: 20140606
Source: USDA
6029600.2s Page 2
A39 AGARWAL AUTO 12015 SARATOGA-SUNNY CUPA Listings Higher 262, 0.050, SSE A38 CONOCOPHILLIPS COMPA 12015 SARATOGA-SUNNY CUPA Listings Higher 262, 0.050, SSE A37 UNOCAL #6859 12015 SARATOGA-SUNNY LUST, HIST LUST, HIST UST, CHMIRS, HIST CORTESE Higher 262, 0.050, SSE A36 HO GAS STATION 12015 SARATOGA-SUNNY CUPA Listings Higher 262, 0.050, SSE A35 WESTERN DEALER HOLDI 12015 SARATOGA-SUNNY CUPA Listings Higher 262, 0.050, SSE A34 SAI GAS STATION 12015 SARATOGA-SUNNY LUST, CERS HAZ WASTE, CERS TANKS, CUPA Listings,... Higher 262, 0.050, SSE A33 CONOCOPHILLIPS CO. # 12015 SARATOGA-SUNNY UST Higher 262, 0.050, SSE A32 OM SARATOGA GAS 12015 SARATOGA-SUNNY CUPA Listings Higher 262, 0.050, SSE A31 PRIYA GAS 12015 SARATOGA-SUNNY CUPA Listings Higher 262, 0.050, SSE A30 CONOCOPHILLIPS # 685 12015 SARATOGA-SUNNY LUST, HIST LUST Higher 262, 0.050, SSE A29 WESTGATE UNION SERVI 12015 SARATOGA SUNNY EDR Hist Auto Higher 262, 0.050, SSE 28 COUNTY OF SANTA CLAR 1601 S DE ANZA BL ST CUPA Listings Lower 201, 0.038, North A27 DE ANZA AUTO LLC 1698 S DE ANZA BLVD RCRA NonGen / NLR Lower 177, 0.034, ESE A26 DE ANZA AUTO 1698 S DE ANZA BL CERS HAZ WASTE, CUPA Listings, HAZMAT, CERS Lower 177, 0.034, ESE A25 SARATOGA SHELL TRUTH 1698 S DE ANZA BLVD RCRA NonGen / NLR Lower 177, 0.034, ESE A24 SARATOGA SHELL 1698 S DE ANZA BLVD CUPA Listings, EMI, HAZNET, HWTS Lower 177, 0.034, ESE A23 SHELL OIL PRODUCTS S 1698 S DE ANZA BLVD RCRA NonGen / NLR, HAZNET, HWTS Lower 177, 0.034, ESE A22 SARATOGA SHELL INC 1698 S DE ANZA BLVD LUST, HIST UST, CERS Lower 177, 0.034, ESE A21 SHELL STATION #13598 1698 S DE ANZA BL CUPA Listings Lower 177, 0.034, ESE A20 SARATOGA SHELL 1698 S DE ANZA BL CERS HAZ WASTE, CERS TANKS, HAZMAT, CERS Lower 177, 0.034, ESE A19 NAKASH ENTERPRISES # 1698 S DE ANZA BL UST Lower 177, 0.034, ESE A18 CHEVRON #9-4818 1699 SARATOGA-SUNNYV LUST, HIST LUST, SWEEPS UST, CERS Lower 167, 0.032, SE A17 SHELL 1698 SARATOGA SUNNYV LUST, HIST LUST, HIST UST Lower 152, 0.029, ESE A16 SARATOGA SHELL BUD R 1698 SARATOGA-SUNNYV SWEEPS UST Lower 152, 0.029, ESE A15 C & S SHELL SERVICE 1698 S SARATOGA SUNN EDR Hist Auto Lower 152, 0.029, ESE A14 SCOTTYS CLEANERS 1628 S SARATOGA-SUNN EDR Hist Cleaner Lower 152, 0.029, ESE A13 SARATOGA SHELL BUD R 1698 SARATOGA-SUNNYV SWEEPS UST Lower 152, 0.029, ESE A12 DE ANZA AUTO LLC 1686 SOUTH DE ANZA B RCRA NonGen / NLR Lower 130, 0.025, East B11 SWIFT CLEANERS 1628 S SARATOGA BLVD DRYCLEANERS, HWTS Lower 128, 0.024, ENE A10 BLUE HILLS MEDICAL G 20555 PROSPECT RD RCRA NonGen / NLR Higher 68, 0.013, South A9 ARNOLD R HENDERSON D 20555 PROSPECT RD D CUPA Listings Higher 68, 0.013, South A8 SHELDON ZITMAN MD/B 20555 PROSPECT RD RCRA NonGen / NLR Higher 68, 0.013, South A7 BLUE HILLS MEDICAL G 20555 PROSPECT RD CERS HAZ WASTE, CUPA Listings, HWTS Higher 68, 0.013, South A6 CHEVRON SERVICE STAT 1699 SARATOGA- SUNNY UST Higher 66, 0.013, SE A5 KREGERS CHEVRON INC 1699 DEANZA BLVD EDR Hist Auto Higher 66, 0.013, SE A4 CHEVRON STATION NO 9 1699 S DE ANZA BLVD RCRA NonGen / NLR, FINDS, ECHO Higher 66, 0.013, SE A3 CHEVRON STATION NO 9 1699 S DE ANZA BLVD CERS HAZ WASTE, CERS TANKS, CHMIRS, CUPA Listings,... Higher 66, 0.013, SE A2 CHEVRON 1699 SARATOGA SUNNYV HIST CORTESE Higher 66, 0.013, SE A1 VIKHAR VALERO 1699 S DE ANZA BL UST Higher 66, 0.013, SE

MAPPED SITES SUMMARY
Target Property Address:
1655 S. DE ANZA BOULEVARD & 7357 PROSPECT ROAD
CUPERTINO, CA 95014
Click on Map ID to see full detail.

MAP RELATIVE DIST (ft. & mi.)

ID DATABASE ACRONYMS ELEVATION DIRECTION SITE NAME ADDRESS 6029600.2s Page 3
H78 RAYNE PLUMBING SEWER 12244 SARATOGA - SUN HIST UST, HIST CORTESE Higher 1399, 0.265, South 77 12305 JULIE LN RCRA NonGen / NLR Higher 1217, 0.230, South G76 LESLIE’S POOL SUPPLI 1424 S DE ANZA BL HAZMAT Lower 1174, 0.222, NNE G75 LESLIE’S POOL SUPPLY 1424 S. DE ANZA BLVD RCRA NonGen / NLR Lower 1174, 0.222, NNE F74 20808 MAUREEN WAY RCRA NonGen / NLR Higher 1148, 0.217, WSW 73 SHAW CHIROPRACTIC 12220 SARATOGA-SUNNY CUPA Listings Higher 1109, 0.210, SSE 72 ALICE KAO 7540 BARNHART PLACE RCRA NonGen / NLR Higher 1047, 0.198, West 71 WISELY YANG 12133 NATOMA COURT RCRA NonGen / NLR Lower 995, 0.188, SE 70 EL GATO PAINTING INC 7200 DUCKETT WAY RCRA-SQG, FINDS, ECHO Lower 978, 0.185, ENE 69 WESTGATE CLASSIC CAR 18560 PROSPECT RD. LUST, CERS Lower 926, 0.175, East F68 20775 MAUREEN WAY RCRA NonGen / NLR Higher 909, 0.172, WSW E67 VERIZON WIRELESS 7246 SHARON DR CUPA Listings, HAZMAT Lower 831, 0.157, NE E66 KELLY-MOORE PAINT CO 1505 S DE ANZA BLVD RCRA NonGen / NLR Lower 799, 0.151, North E65 KELLY-MOORE PAINT CO 1505 S DE ANZA BLVD CUPA Listings, HAZNET, HWTS Lower 799, 0.151, North E64 0808 KELLY-MOORE PAI 1505 S DE ANZA BLVD CERS HAZ WASTE, CERS Lower 799, 0.151, North E63 KELLY-MOORE PAINT CO 1510 S DE ANZA BL CUPA Listings, HAZMAT Lower 696, 0.132, NNE E62 KELLY MOORE PAINT CO 1510 S DE ANZA BLVD RCRA NonGen / NLR Lower 696, 0.132, NNE 61 DUCKETT WAY 1566 DUCKETT WAY LUST, CERS Lower 674, 0.128, NE C60 HOLIDAY CLEANERS OF 12101 SARATOGA SUNNY EDR Hist Cleaner Lower 654, 0.124, SSE C59 HOLIDAY CLEANERS #1 12148 SARATOGA-SUNNY CUPA Listings Lower 592, 0.112, SSE C58 HOLIDAY CLEANERS OF 12148 SARATOGA SUNNY EDR Hist Cleaner Lower 592, 0.112, SSE 57 CYTOSCIENCES INC 1601 SARATOGA/SUNNYV RCRA-SQG, FINDS, ECHO Lower 459, 0.087, NNE D56 MARK E VENES, DC 20445 PROSPECT RD 7 CUPA Listings Lower 448, 0.085, ESE D55 IA 081114 BRENDON J 20445 PROSPECT RD ST CUPA Listings Lower 448, 0.085, ESE D54 EDWARD F O’LESKE DMD 20445 PROSPECT RD 4 CUPA Listings Lower 448, 0.085, ESE D53 CESAR ESCUDERO DDS 20445 PROSPECT RD 4 CERS HAZ WASTE Lower 448, 0.085, ESE D52 M G HANSON JR DDS IN 20445 PROSPECT RD 3 CERS HAZ WASTE, CUPA Listings Lower 448, 0.085, ESE D51 DONALD M DITULLIO DD 20445 PROSPECT RD 2 CERS HAZ WASTE, CUPA Listings Lower 448, 0.085, ESE D50 DONALD DITULLIO DDS 20445 PROSPECT RD RCRA NonGen / NLR Lower 448, 0.085, ESE D49 DAI-CHEN LIU DDS & F 20445 PROSPECT RD ST RCRA NonGen / NLR Lower 448, 0.085, ESE D48 JOHN R LUND DDS 20445 PROSPECT RD 6 CUPA Listings Lower 448, 0.085, ESE D47 DAI-CHEN LIU DDS & F 20445 PROSPECT RD 7 CERS HAZ WASTE, CUPA Listings Lower 448, 0.085, ESE D46 RAMGOPAL, LAKSHMI DM 20445 PROSPECT RD 8 CERS HAZ WASTE, CUPA Listings Lower 448, 0.085, ESE D45 DONALD DITULLIO DDS 20445 PROSPECT RD CUPA Listings, HAZNET, HWTS Lower 448, 0.085, ESE C44 ONE HOUR MARTINIZING 12021 SARATOGA-SUNNY EDR Hist Cleaner Lower 416, 0.079, SSE B43 SWIFT CLEANERS 1628 SO SARATOGA SUN RCRA-SQG, EMI, CERS Lower 324, 0.061, East B42 SWIFT CLEANERS 1628 S DE ANZA BLVD CERS HAZ WASTE, CUPA Listings, DRYCLEANERS,... Lower 324, 0.061, East B41 SWIFT CLEANERS & DRA 1628 S DE ANZA BLVD EDR Hist Cleaner Lower 324, 0.061, East A40 HOLIDAY CLEANERS 12148 SARATOGA SNVL RCRA-SQG, HAZNET, HWTS Lower 270, 0.051, SE

MAPPED SITES SUMMARY
Target Property Address:
1655 S. DE ANZA BOULEVARD & 7357 PROSPECT ROAD
CUPERTINO, CA 95014
Click on Map ID to see full detail.

MAP RELATIVE DIST (ft. & mi.)

ID DATABASE ACRONYMS ELEVATION DIRECTION SITE NAME ADDRESS 6029600.2s Page 4
87 SRI SERVICES 1325 SARATOGA SUNNYV HIST CORTESE Lower 2116, 0.401, North 86 CUPERTINO CREEKSIDE 7150 RAINBOW DRIVE, CPS-SLIC, CERS Lower 1938, 0.367, NNE 85 CLEANERS CONNECTION 12300 SARATOGA SUNNY CPS-SLIC, DRYCLEANERS, CERS, HWTS Higher 1799, 0.341, South 84 G.K. TRUCKING 20201 MERIDA DR LUST, HIST LUST, HIST CORTESE, CERS Lower 1684, 0.319, ESE 83 SRI SERVICES 1325 SARATOGA-SUNNYV LUST, HIST LUST, SWEEPS UST, HIST UST, CA FID UST,... Lower 1584, 0.300, North H82 VAN DYKE PROPERTY 12260 SARATOGA-SUNNY LUST, CERS Higher 1536, 0.291, South H81 GILMORE FLOWERS 12230 SARATOGA-SUNNY LUST, HIST LUST, HIST CORTESE, CERS Higher 1411, 0.267, SSE H80 RAYNE PLUMBING 12244 SARATOGA-SUNNY LUST, HIST LUST, CERS Higher 1399, 0.265, South H79 RAYNE PLUMBING SEWER 12244 SARATOGA-SUNNY LUST, SWEEPS UST, CA FID UST Higher 1399, 0.265, South

MAPPED SITES SUMMARY
Target Property Address:
1655 S. DE ANZA BOULEVARD & 7357 PROSPECT ROAD
CUPERTINO, CA 95014
Click on Map ID to see full detail.

MAP RELATIVE DIST (ft. & mi.)

ID DATABASE ACRONYMS ELEVATION DIRECTION SITE NAME ADDRESS

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 5

TARGET PROPERTY SEARCH RESULTS
The target property was not listed in any of the databases searched by EDR.

DATABASES WITH NO MAPPED SITES
No mapped sites were found in EDR’s search of available ("reasonably ascertainable ") government records either on the target property or within the search radius around the target property for the following databases:

STANDARD ENVIRONMENTAL RECORDS
Federal NPL site list
NPL National Priority List
Proposed NPL Proposed National Priority List Sites
NPL LIENS Federal Superfund Liens
Federal Delisted NPL site list
Delisted NPL National Priority List Deletions
Federal CERCLIS list
FEDERAL FACILITY Federal Facility Site Information listing SEMS Superfund Enterprise Management System
Federal CERCLIS NFRAP site list
SEMS-ARCHIVE Superfund Enterprise Management System Archive Federal RCRA CORRACTS facilities list
CORRACTS Corrective Action Report
Federal RCRA non-CORRACTS TSD facilities list
RCRA-TSDF RCRA - Treatment, Storage and Disposal
Federal RCRA generators list
RCRA-LQG RCRA - Large Quantity Generators
RCRA-VSQG RCRA - Very Small Quantity Generators (Formerly Conditionally Exempt Small Quantity Generators)
Federal institutional controls / engineering controls registries LUCIS Land Use Control Information System
US ENG CONTROLS Engineering Controls Sites List

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 6
US INST CONTROLS Institutional Controls Sites List
Federal ERNS list
ERNS Emergency Response Notification System
State- and tribal - equivalent NPL
RESPONSE State Response Sites
State- and tribal - equivalent CERCLIS
ENVIROSTOR EnviroStor Database
State and tribal landfill and/or solid waste disposal site lists SWF/LF Solid Waste Information System
State and tribal leaking storage tank lists
INDIAN LUST Leaking Underground Storage Tanks on Indian Land State and tribal registered storage tank lists
FEMA UST Underground Storage Tank Listing
AST Aboveground Petroleum Storage Tank Facilities
INDIAN UST Underground Storage Tanks on Indian Land
State and tribal voluntary cleanup sites
VCP Voluntary Cleanup Program Properties
INDIAN VCP Voluntary Cleanup Priority Listing
State and tribal Brownfields sites
BROWNFIELDS Considered Brownfieds Sites Listing

ADDITIONAL ENVIRONMENTAL RECORDS
Local Brownfield lists
US BROWNFIELDS A Listing of Brownfields Sites
Local Lists of Landfill / Solid Waste Disposal Sites
WMUDS/SWAT Waste Management Unit Database
SWRCY Recycler Database
HAULERS Registered Waste Tire Haulers Listing
INDIAN ODI Report on the Status of Open Dumps on Indian Lands ODI Open Dump Inventory
DEBRIS REGION 9 Torres Martinez Reservation Illegal Dump Site Locations IHS OPEN DUMPS Open Dumps on Indian Land
Local Lists of Hazardous waste / Contaminated Sites
US HIST CDL Delisted National Clandestine Laboratory Register

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 7
HIST Cal-Sites Historical Calsites Database
SCH School Property Evaluation Program
CDL Clandestine Drug Labs
Toxic Pits Toxic Pits Cleanup Act Sites
US CDL National Clandestine Laboratory Register
PFAS PFAS Contamination Site Location Listing
Local Lists of Registered Storage Tanks
CA FID UST Facility Inventory Database
Local Land Records
LIENS Environmental Liens Listing
LIENS 2 CERCLA Lien Information
DEED Deed Restriction Listing
Records of Emergency Release Reports
HMIRS Hazardous Materials Information Reporting System
CHMIRS California Hazardous Material Incident Report System LDS Land Disposal Sites Listing
MCS Military Cleanup Sites Listing
SPILLS 90 SPILLS 90 data from FirstSearch
Other Ascertainable Records
FUDS Formerly Used Defense Sites
DOD Department of Defense Sites
SCRD DRYCLEANERS State Coalition for Remediation of Drycleaners Listing US FIN ASSUR Financial Assurance Information

EPA WATCH LIST EPA WATCH LIST
2020 COR ACTION 2020 Corrective Action Program List
TSCA Toxic Substances Control Act
TRIS Toxic Chemical Release Inventory System
SSTS Section 7 Tracking Systems
ROD Records Of Decision
RMP Risk Management Plans
RAATS RCRA Administrative Action Tracking System
PRP Potentially Responsible Parties
PADS PCB Activity Database System
ICIS Integrated Compliance Information System
FTTS FIFRA/ TSCA Tracking System - FIFRA (Federal Insecticide, Fungicide, & Rodenticide Act)/TSCA (Toxic Substances Control Act)
MLTS Material Licensing Tracking System
COAL ASH DOE Steam-Electric Plant Operation Data
COAL ASH EPA Coal Combustion Residues Surface Impoundments List PCB TRANSFORMER PCB Transformer Registration Database
RADINFO Radiation Information Database
HIST FTTS FIFRA/TSCA Tracking System Administrative Case Listing DOT OPS Incident and Accident Data
CONSENT Superfund (CERCLA) Consent Decrees
INDIAN RESERV Indian Reservations
FUSRAP Formerly Utilized Sites Remedial Action Program
UMTRA Uranium Mill Tailings Sites

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 8
LEAD SMELTERS Lead Smelter Sites
US AIRS Aerometric Information Retrieval System Facility Subsystem US MINES Mines Master Index File
ABANDONED MINES Abandoned Mines
FINDS Facility Index System/Facility Registry System
ECHO Enforcement & Compliance History Information
DOCKET HWC Hazardous Waste Compliance Docket Listing
UXO Unexploded Ordnance Sites
FUELS PROGRAM EPA Fuels Program Registered Listing
CA BOND EXP. PLAN Bond Expenditure Plan
Cortese "Cortese" Hazardous Waste & Substances Sites List EMI Emissions Inventory Data
ENF Enforcement Action Listing
Financial Assurance Financial Assurance Information Listing HAZNET Facility and Manifest Data

ICE ICE
HWP EnviroStor Permitted Facilities Listing
HWT Registered Hazardous Waste Transporter Database
MINES Mines Site Location Listing
MWMP Medical Waste Management Program Listing
NPDES NPDES Permits Listing
PEST LIC Pesticide Regulation Licenses Listing
PROC Certified Processors Database
Notify 65 Proposition 65 Records
UIC UIC Listing

UIC GEO UIC GEO (GEOTRACKER)
WASTEWATER PITS Oil Wastewater Pits Listing
WDS Waste Discharge System
WIP Well Investigation Program Case List

MILITARY PRIV SITES MILITARY PRIV SITES (GEOTRACKER)

PROJECT PROJECT (GEOTRACKER)
WDR Waste Discharge Requirements Listing
CIWQS California Integrated Water Quality System

CERS CERS

NON-CASE INFO NON-CASE INFO (GEOTRACKER)

OTHER OIL GAS OTHER OIL & GAS (GEOTRACKER)

PROD WATER PONDS PROD WATER PONDS (GEOTRACKER)

SAMPLING POINT SAMPLING POINT (GEOTRACKER)
WELL STIM PROJ Well Stimulation Project (GEOTRACKER)
MINES MRDS Mineral Resources Data System
HWTS Hazardous Waste Tracking System

EDR HIGH RISK HISTORICAL RECORDS
EDR Exclusive Records
EDR MGP EDR Proprietary Manufactured Gas Plants

EDR RECOVERED GOVERNMENT ARCHIVES
Exclusive Recovered Govt. Archives
RGA LF Recovered Government Archive Solid Waste Facilities List

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 9
RGA LUST Recovered Government Archive Leaking Underground Storage Tank SURROUNDING SITES: SEARCH RESULTS
Surrounding sites were identified in the following databases.

Elevations have been determined from the USGS Digital Elevation Model and should be evaluated on a relative (not an absolute) basis. Relative elevation information between sites of close proximity should be field verified. Sites with an elevation equal to or higher than the target property have been differentiated below from sites with an elevation lower than the target property.

Page numbers and map identification numbers refer to the EDR Radius Map report where detailed data on individual sites can be reviewed.

Sites listed in bold italics are in multiple databases.

Unmappable (orphan) sites are not considered in the foregoing analysis.

STANDARD ENVIRONMENTAL RECORDS
Federal RCRA generators list
RCRA-SQG: RCRAInfo is EPA’s comprehensive information system, providing access to data supporting the Resource Conservation and Recovery Act (RCRA) of 1976 and the Hazardous and Solid Waste Amendments (HSWA) of 1984. The database includes selective information on sites which generate, transport, store, treat and/or dispose of hazardous waste as defined by the Resource Conservation and Recovery Act (RCRA). Small quantity generators (SQGs) generate between 100 kg and 1,000 kg of hazardous waste per month.

A review of the RCRA-SQG list, as provided by EDR, and dated 12/16/2019 has revealed that there are 4 RCRA-SQG sites within approximately 0.25 miles of the target property.

Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ HOLIDAY CLEANERS 12148 SARATOGA SNVL SE 0 - 1/8 (0.051 mi.) A40 119 EPA ID:: CAD981623176
SWIFT CLEANERS 1628 SO SARATOGA SUN E 0 - 1/8 (0.061 mi.) B43 137 EPA ID:: CAD981636574
CYTOSCIENCES INC 1601 SARATOGA/SUNNYV NNE 0 - 1/8 (0.087 mi.) 57 185 EPA ID:: CAD982466591
EL GATO PAINTING INC 7200 DUCKETT WAY ENE 1/8 - 1/4 (0.185 mi.) 70 207 EPA ID:: CAD982413460
State and tribal leaking storage tank lists
LUST: Leaking Underground Storage Tank (LUST) Sites included in GeoTracker. GeoTracker is the Water Boards data management system for sites that impact, or have the potential to impact, water quality in California, with emphasis on groundwater.

A review of the LUST list, as provided by EDR, has revealed that there are 14 LUST sites within approximately 0.5 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CONOCOPHILLIPS # 685 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A30 87 Database: LUST REG 2, Date of Government Version: 09/30/2004

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 10
Facility Status: Preliminary site assessment underway
SAI GAS STATION 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A34 89 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Date Closed: 02/11/2010
Date Closed: 01/24/2000
Global Id: T0608550689
Global Id: T0608501955
SCVWD ID: 07S2W25L03F
SCVWD ID: 07S2W25L02F
UNOCAL #6859 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A37 115 Database: LUST REG 2, Date of Government Version: 09/30/2004 Facility Status: Case Closed
date9: 1/24/2000
RAYNE PLUMBING SEWER 12244 SARATOGA-SUNNY S 1/4 - 1/2 (0.265 mi.) H79 216 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Date Closed: 06/30/2005
SCVWD ID: 07S2W25K01F
RAYNE PLUMBING 12244 SARATOGA-SUNNY S 1/4 - 1/2 (0.265 mi.) H80 217 Database: LUST REG 2, Date of Government Version: 09/30/2004 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Facility Status: Preliminary site assessment underway
Global Id: T0608501090
GILMORE FLOWERS 12230 SARATOGA-SUNNY SSE 1/4 - 1/2 (0.267 mi.) H81 222 Database: LUST REG 2, Date of Government Version: 09/30/2004 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Facility Status: Remedial action (cleanup) Underway
Date Closed: 03/08/2007
Global Id: T0608500681
SCVWD ID: 07S2W25L01F
VAN DYKE PROPERTY 12260 SARATOGA-SUNNY S 1/4 - 1/2 (0.291 mi.) H82 233 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Date Closed: 04/13/2011
Global Id: T10000002942
SCVWD ID: 07S2W25Q01F
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SHELL 1698 SARATOGA SUNNYV ESE 0 - 1/8 (0.029 mi.) A17 35 Database: LUST REG 2, Date of Government Version: 09/30/2004 Facility Status: Pollution Characterization
CHEVRON #9-4818 1699 SARATOGA-SUNNYV SE 0 - 1/8 (0.032 mi.) A18 36 Database: LUST REG 2, Date of Government Version: 09/30/2004 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 11
Facility Status: Case Closed
Date Closed: 07/26/2004
Global Id: T0608500352
SCVWD ID: 07S2W25F01F
date9: 7/26/2004
SARATOGA SHELL INC 1698 S DE ANZA BLVD ESE 0 - 1/8 (0.034 mi.) A22 60 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Date Closed: 02/14/2013
Global Id: T0608501264
SCVWD ID: 07S2W25G01F
DUCKETT WAY 1566 DUCKETT WAY NE 1/8 - 1/4 (0.128 mi.) 61 188 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Date Closed: 03/27/2009
Global Id: T10000000394
SCVWD ID: 07S2W25G02F
WESTGATE CLASSIC CAR 18560 PROSPECT RD. E 1/8 - 1/4 (0.175 mi.) 69 203 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Global Id: T0608583845
SRI SERVICES 1325 SARATOGA-SUNNYV N 1/4 - 1/2 (0.300 mi.) 83 236 Database: LUST REG 2, Date of Government Version: 09/30/2004 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Facility Status: Case Closed
Date Closed: 06/24/1993
Global Id: T0608501353
SCVWD ID: 07S2W25C01F
date9: 6/24/1993
G.K. TRUCKING 20201 MERIDA DR ESE 1/4 - 1/2 (0.319 mi.) 84 240 Database: LUST REG 2, Date of Government Version: 09/30/2004 Database: LUST SANTA CLARA, Date of Government Version: 03/03/2014 Database: LUST, Date of Government Version: 12/09/2019
Status: Completed - Case Closed
Facility Status: Case Closed
Date Closed: 07/09/1997
Global Id: T0608501920
SCVWD ID: 07S2W25J01F
date9: 7/9/1997
CPS-SLIC: Cleanup Program Sites (CPS; also known as Site Cleanups [SC] and formerly known as Spills, Leaks, Investigations, and Cleanups [SLIC] sites) included in GeoTracker. GeoTracker is the Water Boards data management system for sites that impact, or have the potential to impact, water quality in California, with emphasis on groundwater.

A review of the CPS-SLIC list, as provided by EDR, has revealed that there are 2 CPS-SLIC sites within approximately 0.5 miles of the target property.

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 12
Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CLEANERS CONNECTION 12300 SARATOGA SUNNY S 1/4 - 1/2 (0.341 mi.) 85 243 Database: CPS-SLIC, Date of Government Version: 12/09/2019 Facility Status: Completed - Case Closed
Global Id: SL0608572512
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CUPERTINO CREEKSIDE 7150 RAINBOW DRIVE, NNE 1/4 - 1/2 (0.367 mi.) 86 246 Database: CPS-SLIC, Date of Government Version: 12/09/2019 Facility Status: Completed - Case Closed
Global Id: T10000003232
HIST LUST: A listing of open and closed leaking underground storage tanks. This listing is no longer updated by the county. Leaking underground storage tanks are now handled by the Department of Environmental Health.

A review of the HIST LUST list, as provided by EDR, and dated 03/29/2005 has revealed that there are 8 HIST LUST sites within approximately 0.5 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CONOCOPHILLIPS # 685 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A30 87 SCVWD ID: 07S2W25L03
UNOCAL #6859 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A37 115 SCVWD ID: 07S2W25L02
RAYNE PLUMBING 12244 SARATOGA-SUNNY S 1/4 - 1/2 (0.265 mi.) H80 217 SCVWD ID: 07S2W25K01
GILMORE FLOWERS 12230 SARATOGA-SUNNY SSE 1/4 - 1/2 (0.267 mi.) H81 222 SCVWD ID: 07S2W25L01
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SHELL 1698 SARATOGA SUNNYV ESE 0 - 1/8 (0.029 mi.) A17 35 SCVWD ID: 07S2W25G01
CHEVRON #9-4818 1699 SARATOGA-SUNNYV SE 0 - 1/8 (0.032 mi.) A18 36 SCVWD ID: 07S2W25F01
SRI SERVICES 1325 SARATOGA-SUNNYV N 1/4 - 1/2 (0.300 mi.) 83 236 SCVWD ID: 07S2W25C01
G.K. TRUCKING 20201 MERIDA DR ESE 1/4 - 1/2 (0.319 mi.) 84 240 SCVWD ID: 07S2W25J01
State and tribal registered storage tank lists
UST: The Underground Storage Tank database contains registered USTs. USTs are regulated under Subtitle I of the Resource Conservation and Recovery Act (RCRA). The data come from the State Water Resources Control Board’s Hazardous Substance Storage Container Database.

A review of the UST list, as provided by EDR, has revealed that there are 4 UST sites within

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 13
approximately 0.25 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ VIKHAR VALERO 1699 S DE ANZA BL SE 0 - 1/8 (0.013 mi.) A1 9 Database: UST, Date of Government Version: 12/09/2019
CHEVRON SERVICE STAT 1699 SARATOGA- SUNNY SE 0 - 1/8 (0.013 mi.) A6 22 Database: UST, Date of Government Version: 12/09/2019
Facility Id: 37
CONOCOPHILLIPS CO. # 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A33 89 Database: UST, Date of Government Version: 12/09/2019
Facility Id: 212874
Facility Id: FA0271816
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ NAKASH ENTERPRISES # 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A19 43 Database: UST, Date of Government Version: 12/09/2019
Facility Id: FA0268508

ADDITIONAL ENVIRONMENTAL RECORDS
Local Lists of Hazardous waste / Contaminated Sites
CERS HAZ WASTE: List of sites in the California Environmental Protection Agency (CalEPA) Regulated Site Portal which fall under the Hazardous Chemical Management, Hazardous Waste Onsite Treatment, Household Hazardous Waste Collection, Hazardous Waste Generator, and RCRA LQ HW Generator programs.

A review of the CERS HAZ WASTE list, as provided by EDR, and dated 10/21/2019 has revealed that there are 12 CERS HAZ WASTE sites within approximately 0.25 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CHEVRON STATION NO 9 1699 S DE ANZA BLVD SE 0 - 1/8 (0.013 mi.) A3 9 BLUE HILLS MEDICAL G 20555 PROSPECT RD S 0 - 1/8 (0.013 mi.) A7 22 SAI GAS STATION 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A34 89 Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SARATOGA SHELL 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A20 43 DE ANZA AUTO 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A26 77 SWIFT CLEANERS 1628 S DE ANZA BLVD E 0 - 1/8 (0.061 mi.) B42 128 RAMGOPAL, LAKSHMI DM 20445 PROSPECT RD 8 ESE 0 - 1/8 (0.085 mi.) D46 172 DAI-CHEN LIU DDS & F 20445 PROSPECT RD 7 ESE 0 - 1/8 (0.085 mi.) D47 174 DONALD M DITULLIO DD 20445 PROSPECT RD 2 ESE 0 - 1/8 (0.085 mi.) D51 180 M G HANSON JR DDS IN 20445 PROSPECT RD 3 ESE 0 - 1/8 (0.085 mi.) D52 182 CESAR ESCUDERO DDS 20445 PROSPECT RD 4 ESE 0 - 1/8 (0.085 mi.) D53 183 0808 KELLY-MOORE PAI 1505 S DE ANZA BLVD N 1/8 - 1/4 (0.151 mi.) E64 193

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 14
Local Lists of Registered Storage Tanks
SWEEPS UST: Statewide Environmental Evaluation and Planning System. This underground storage tank listing was updated and maintained by a company contacted by the SWRCB in the early 1990’s. The listing is no longer updated or maintained. The local agency is the contact for more information on a site on the SWEEPS list.

A review of the SWEEPS UST list, as provided by EDR, and dated 06/01/1994 has revealed that there are 3 SWEEPS UST sites within approximately 0.25 miles of the target property.

Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SARATOGA SHELL BUD R 1698 SARATOGA-SUNNYV ESE 0 - 1/8 (0.029 mi.) A13 32 Comp Number: 400707
SARATOGA SHELL BUD R 1698 SARATOGA-SUNNYV ESE 0 - 1/8 (0.029 mi.) A16 33 Status: A
Tank Status: A
Comp Number: 400707
CHEVRON #9-4818 1699 SARATOGA-SUNNYV SE 0 - 1/8 (0.032 mi.) A18 36 Status: A
Tank Status: A
Comp Number: 62678
HIST UST: Historical UST Registered Database.

A review of the HIST UST list, as provided by EDR, and dated 10/15/1990 has revealed that there are 3 HIST UST sites within approximately 0.25 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ UNOCAL #6859 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A37 115 Facility Id: 00000021162
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SHELL 1698 SARATOGA SUNNYV ESE 0 - 1/8 (0.029 mi.) A17 35 SARATOGA SHELL INC 1698 S DE ANZA BLVD ESE 0 - 1/8 (0.034 mi.) A22 60 Facility Id: 00000019254
CERS TANKS: List of sites in the California Environmental Protection Agency (CalEPA) Regulated Site Portal which fall under the Aboveground Petroleum Storage and Underground Storage Tank regulatory programs.

A review of the CERS TANKS list, as provided by EDR, and dated 10/21/2019 has revealed that there are 3 CERS TANKS sites within approximately 0.25 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CHEVRON STATION NO 9 1699 S DE ANZA BLVD SE 0 - 1/8 (0.013 mi.) A3 9 SAI GAS STATION 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A34 89 Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SARATOGA SHELL 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A20 43

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 15
Other Ascertainable Records
RCRA NonGen / NLR: RCRAInfo is EPA’s comprehensive information system, providing access to data supporting the Resource Conservation and Recovery Act (RCRA) of 1976 and the Hazardous and Solid Waste Amendments (HSWA) of 1984. The database includes selective information on sites which generate, transport, store, treat and/or dispose of hazardous waste as defined by the Resource Conservation and Recovery Act (RCRA). Non-Generators do not presently generate hazardous waste.

A review of the RCRA NonGen / NLR list, as provided by EDR, and dated 12/16/2019 has revealed that there are 17 RCRA NonGen / NLR sites within approximately 0.25 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CHEVRON STATION NO 9 1699 S DE ANZA BLVD SE 0 - 1/8 (0.013 mi.) A4 19 EPA ID:: CAR000125377
SHELDON ZITMAN MD/B 20555 PROSPECT RD S 0 - 1/8 (0.013 mi.) A8 25 EPA ID:: CAL000363834
BLUE HILLS MEDICAL G 20555 PROSPECT RD S 0 - 1/8 (0.013 mi.) A10 27 EPA ID:: CAL000420050
Not reported 20775 MAUREEN WAY WSW 1/8 - 1/4 (0.172 mi.) F68 201 EPA ID:: CAC003015531
ALICE KAO 7540 BARNHART PLACE W 1/8 - 1/4 (0.198 mi.) 72 210 EPA ID:: CAC002975463
Not reported 20808 MAUREEN WAY WSW 1/8 - 1/4 (0.217 mi.) F74 212 EPA ID:: CAC003037285
Not reported 12305 JULIE LN S 1/8 - 1/4 (0.230 mi.) 77 214 EPA ID:: CAC003026707
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ DE ANZA AUTO LLC 1686 SOUTH DE ANZA B E 0 - 1/8 (0.025 mi.) A12 31 EPA ID:: CAL000429575
SHELL OIL PRODUCTS S 1698 S DE ANZA BLVD ESE 0 - 1/8 (0.034 mi.) A23 67 EPA ID:: CAR000172437
SARATOGA SHELL TRUTH 1698 S DE ANZA BLVD ESE 0 - 1/8 (0.034 mi.) A25 76 EPA ID:: CAL000439939
DE ANZA AUTO LLC 1698 S DE ANZA BLVD ESE 0 - 1/8 (0.034 mi.) A27 85 EPA ID:: CAL000429985
DAI-CHEN LIU DDS & F 20445 PROSPECT RD ST ESE 0 - 1/8 (0.085 mi.) D49 177 EPA ID:: CAL000303545
DONALD DITULLIO DDS 20445 PROSPECT RD ESE 0 - 1/8 (0.085 mi.) D50 179 EPA ID:: CAL923173172
KELLY MOORE PAINT CO 1510 S DE ANZA BLVD NNE 1/8 - 1/4 (0.132 mi.) E62 191 EPA ID:: CAL000281198
KELLY-MOORE PAINT CO 1505 S DE ANZA BLVD N 1/8 - 1/4 (0.151 mi.) E66 200 EPA ID:: CAL000426766
WISELY YANG 12133 NATOMA COURT SE 1/8 - 1/4 (0.188 mi.) 71 209 EPA ID:: CAC002992832
LESLIE’S POOL SUPPLY 1424 S. DE ANZA BLVD NNE 1/8 - 1/4 (0.222 mi.) G75 213

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 16
EPA ID:: CAC002971848
CUPA Listings: A listing of sites included in the county’s Certified Unified Program Agency database.

California’s Secretary for Environmental Protection established the unified hazardous materials and hazardous waste regulatory program as required by chapter 6.11 of the California Health and Safety Code. The Unified Program consolidates the administration, permits, inspections, and enforcement activities.

A review of the CUPA Listings list, as provided by EDR, has revealed that there are 29 CUPA Listings sites within approximately 0.25 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CHEVRON STATION NO 9 1699 S DE ANZA BLVD SE 0 - 1/8 (0.013 mi.) A3 9 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 BLUE HILLS MEDICAL G 20555 PROSPECT RD S 0 - 1/8 (0.013 mi.) A7 22 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 ARNOLD R HENDERSON D 20555 PROSPECT RD D S 0 - 1/8 (0.013 mi.) A9 27 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 PRIYA GAS 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A31 88 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 OM SARATOGA GAS 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A32 88 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 SAI GAS STATION 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A34 89 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 WESTERN DEALER HOLDI 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A35 113 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 HO GAS STATION 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A36 114 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 CONOCOPHILLIPS COMPA 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A38 118 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 AGARWAL AUTO 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A39 118 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 SHAW CHIROPRACTIC 12220 SARATOGA-SUNNY SSE 1/8 - 1/4 (0.210 mi.) 73 211 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SHELL STATION #13598 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A21 60 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 SARATOGA SHELL 1698 S DE ANZA BLVD ESE 0 - 1/8 (0.034 mi.) A24 74 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 DE ANZA AUTO 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A26 77 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 COUNTY OF SANTA CLAR 1601 S DE ANZA BL ST N 0 - 1/8 (0.038 mi.) 28 86 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 SWIFT CLEANERS 1628 S DE ANZA BLVD E 0 - 1/8 (0.061 mi.) B42 128 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 DONALD DITULLIO DDS 20445 PROSPECT RD ESE 0 - 1/8 (0.085 mi.) D45 147 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 RAMGOPAL, LAKSHMI DM 20445 PROSPECT RD 8 ESE 0 - 1/8 (0.085 mi.) D46 172 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 17
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ DAI-CHEN LIU DDS & F 20445 PROSPECT RD 7 ESE 0 - 1/8 (0.085 mi.) D47 174 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 JOHN R LUND DDS 20445 PROSPECT RD 6 ESE 0 - 1/8 (0.085 mi.) D48 177 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 DONALD M DITULLIO DD 20445 PROSPECT RD 2 ESE 0 - 1/8 (0.085 mi.) D51 180 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 M G HANSON JR DDS IN 20445 PROSPECT RD 3 ESE 0 - 1/8 (0.085 mi.) D52 182 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 EDWARD F O’LESKE DMD 20445 PROSPECT RD 4 ESE 0 - 1/8 (0.085 mi.) D54 184 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 IA 081114 BRENDON J 20445 PROSPECT RD ST ESE 0 - 1/8 (0.085 mi.) D55 185 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 MARK E VENES, DC 20445 PROSPECT RD 7 ESE 0 - 1/8 (0.085 mi.) D56 185 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 HOLIDAY CLEANERS #1 12148 SARATOGA-SUNNY SSE 0 - 1/8 (0.112 mi.) C59 187 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 KELLY-MOORE PAINT CO 1510 S DE ANZA BL NNE 1/8 - 1/4 (0.132 mi.) E63 193 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 KELLY-MOORE PAINT CO 1505 S DE ANZA BLVD N 1/8 - 1/4 (0.151 mi.) E65 196 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 VERIZON WIRELESS 7246 SHARON DR NE 1/8 - 1/4 (0.157 mi.) E67 201 Database: CUPA SANTA CLARA, Date of Government Version: 11/18/2019 DRYCLEANERS: A list of drycleaner related facilities that have EPA ID numbers. These are facilities with certain SIC codes: power laundries, family and commercial; garment pressing and cleaners’ agents; linen supply; coin-operated laundries and cleaning; drycleaning plants except rugs; carpet and upholster cleaning; industrial launderers; laundry and garment services.

A review of the DRYCLEANERS list, as provided by EDR, has revealed that there are 2 DRYCLEANERS sites within approximately 0.25 miles of the target property.

Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SWIFT CLEANERS 1628 S SARATOGA BLVD ENE 0 - 1/8 (0.024 mi.) B11 28 Database: DRYCLEANERS, Date of Government Version: 09/06/2019 EPA Id: CAL000272950
EPA Id: CAL000310038
SWIFT CLEANERS 1628 S DE ANZA BLVD E 0 - 1/8 (0.061 mi.) B42 128 Database: DRYCLEANERS, Date of Government Version: 09/06/2019 EPA Id: CAL000283953
HIST CORTESE: The sites for the list are designated by the State Water Resource Control Board [LUST], the Integrated Waste Board [SWF/LS], and the Department of Toxic Substances Control [CALSITES]. This listing is no longer updated by the state agency.

A review of the HIST CORTESE list, as provided by EDR, and dated 04/01/2001 has revealed that there

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 18
are 6 HIST CORTESE sites within approximately 0.5 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ CHEVRON 1699 SARATOGA SUNNYV SE 0 - 1/8 (0.013 mi.) A2 9 Reg Id: 43-0295
UNOCAL #6859 12015 SARATOGA-SUNNY SSE 0 - 1/8 (0.050 mi.) A37 115 Reg Id: 43-2129
RAYNE PLUMBING SEWER 12244 SARATOGA - SUN S 1/4 - 1/2 (0.265 mi.) H78 215 Reg Id: 43-1098
GILMORE FLOWERS 12230 SARATOGA-SUNNY SSE 1/4 - 1/2 (0.267 mi.) H81 222 Reg Id: 43-0647
Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ G.K. TRUCKING 20201 MERIDA DR ESE 1/4 - 1/2 (0.319 mi.) 84 240 Reg Id: 43-2090
SRI SERVICES 1325 SARATOGA SUNNYV N 1/4 - 1/2 (0.401 mi.) 87 247 Reg Id: 43-1377
HAZMAT: San Jose Hazmat Facilities.

A review of the HAZMAT list, as provided by EDR, has revealed that there are 6 HAZMAT sites within approximately 0.25 miles of the target property.

Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SARATOGA SHELL 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A20 43 Database: SAN JOSE HAZMAT, Date of Government Version: 10/30/2019 File Num: 400707
DE ANZA AUTO 1698 S DE ANZA BL ESE 0 - 1/8 (0.034 mi.) A26 77 Database: SAN JOSE HAZMAT, Date of Government Version: 10/30/2019 File Num: 600346
SWIFT CLEANERS 1628 S DE ANZA BLVD E 0 - 1/8 (0.061 mi.) B42 128 Database: SAN JOSE HAZMAT, Date of Government Version: 10/30/2019 File Num: 406530
KELLY-MOORE PAINT CO 1510 S DE ANZA BL NNE 1/8 - 1/4 (0.132 mi.) E63 193 Database: SAN JOSE HAZMAT, Date of Government Version: 10/30/2019 File Num: 405382
VERIZON WIRELESS 7246 SHARON DR NE 1/8 - 1/4 (0.157 mi.) E67 201 Database: SAN JOSE HAZMAT, Date of Government Version: 10/30/2019 File Num: 408378
LESLIE’S POOL SUPPLI 1424 S DE ANZA BL NNE 1/8 - 1/4 (0.222 mi.) G76 214 Database: SAN JOSE HAZMAT, Date of Government Version: 10/30/2019 File Num: 412190

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 19

EDR HIGH RISK HISTORICAL RECORDS
EDR Exclusive Records
EDR Hist Auto: EDR has searched selected national collections of business directories and has collected listings of potential gas station/filling station/service station sites that were available to EDR researchers. EDR’s review was limited to those categories of sources that might, in EDR’s opinion, include gas station/filling station/service station establishments. The categories reviewed included, but were not limited to gas, gas station, gasoline station, filling station, auto, automobile repair, auto service station, service station, etc. This database falls within a category of information EDR classifies as "High Risk Historical Records", or HRHR. EDR’s HRHR effort presents unique and sometimes proprietary data about past sites and operations that typically create environmental concerns, but may not show up in current government records searches.

A review of the EDR Hist Auto list, as provided by EDR, has revealed that there are 3 EDR Hist Auto sites within approximately 0.125 miles of the target property.

Equal/Higher Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ KREGERS CHEVRON INC 1699 DEANZA BLVD SE 0 - 1/8 (0.013 mi.) A5 21 WESTGATE UNION SERVI 12015 SARATOGA SUNNY SSE 0 - 1/8 (0.050 mi.) A29 87 Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ C & S SHELL SERVICE 1698 S SARATOGA SUNN ESE 0 - 1/8 (0.029 mi.) A15 33 EDR Hist Cleaner: EDR has searched selected national collections of business directories and has collected listings of potential dry cleaner sites that were available to EDR researchers. EDR’s review was limited to those categories of sources that might, in EDR’s opinion, include dry cleaning establishments. The categories reviewed included, but were not limited to dry cleaners, cleaners, laundry, laundromat, cleaning/laundry, wash & dry etc. This database falls within a category of information EDR classifies as "High Risk Historical Records", or HRHR. EDR’s HRHR effort presents unique and sometimes proprietary data about past sites and operations that typically create environmental concerns, but may not show up in current government records searches.

A review of the EDR Hist Cleaner list, as provided by EDR, has revealed that there are 5 EDR Hist Cleaner sites within approximately 0.125 miles of the target property.

Lower Elevation Address Direction / Distance Map ID Page ____________________ ________ ___________________ _____ _____ SCOTTYS CLEANERS 1628 S SARATOGA-SUNN ESE 0 - 1/8 (0.029 mi.) A14 32 SWIFT CLEANERS & DRA 1628 S DE ANZA BLVD E 0 - 1/8 (0.061 mi.) B41 127 ONE HOUR MARTINIZING 12021 SARATOGA-SUNNY SSE 0 - 1/8 (0.079 mi.) C44 146 HOLIDAY CLEANERS OF 12148 SARATOGA SUNNY SSE 0 - 1/8 (0.112 mi.) C58 187 HOLIDAY CLEANERS OF 12101 SARATOGA SUNNY SSE 0 - 1/8 (0.124 mi.) C60 188

EXECUTIVE SUMMARY
TC6029600.2s EXECUTIVE SUMMARY 20
Due to poor or inadequate address information, the following sites were not mapped. Count: 2 records.

Site Name Database(s)
____________ ____________
CDL

FRANCISCO A SERRANO LUST, HIST LUST, HIST UST
EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc. 220 kV
230 kV
2 4 0
240
6 0 0
4 80
8 00
7 2 0
2 8 0
2 8 0
5 6 0
3 2 0
3 2 0
320
3 2 0
3 6
3 6 0
360
3 6 0
3 6 0
0 6 0
0 7 6 0
7 2 0
7 2 0
2 0
680
6 8 0
0 6 4 0
6 4 0
0 6 4 0
6 4 0
6 0 0
6 0 0
6 0 0
6 0 0
6 0 0
5 6 0
5 6 0
5 6 0
5 6 0
5 6 0
5 6 0
5 2 0
5 2 0
5 2 0
5 2 0
5 2 0
4 8 0
4 8 0
4 8 0
4 8 0
4 4
440
4 4 0
4 4 0
4 0 0
4 0 0
4 0 0
EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.EDR Inc.

MAP FINDINGS SUMMARY
Search
Distance Target Total
Database Property (Miles) < 1/8 1/8 - 1/4 1/4 - 1/2 1/2 - 1 > 1 Plotted

STANDARD ENVIRONMENTAL RECORDS
Federal NPL site list
NPL 1.000 0 0 0 0 NR 0
Proposed NPL 1.000 0 0 0 0 NR 0
NPL LIENS 1.000 0 0 0 0 NR 0
Federal Delisted NPL site list
Delisted NPL 1.000 0 0 0 0 NR 0
Federal CERCLIS list
FEDERAL FACILITY 0.500 0 0 0 NR NR 0
SEMS 0.500 0 0 0 NR NR 0
Federal CERCLIS NFRAP site list
SEMS-ARCHIVE 0.500 0 0 0 NR NR 0
Federal RCRA CORRACTS facilities list
CORRACTS 1.000 0 0 0 0 NR 0
Federal RCRA non-CORRACTS TSD facilities list
RCRA-TSDF 0.500 0 0 0 NR NR 0
Federal RCRA generators list
RCRA-LQG 0.250 0 0 NR NR NR 0
RCRA-SQG 0.250 3 1 NR NR NR 4
RCRA-VSQG 0.250 0 0 NR NR NR 0
Federal institutional controls /
engineering controls registries
LUCIS 0.500 0 0 0 NR NR 0
US ENG CONTROLS 0.500 0 0 0 NR NR 0
US INST CONTROLS 0.500 0 0 0 NR NR 0
Federal ERNS list
ERNS TP NR NR NR NR NR 0
State- and tribal - equivalent NPL
RESPONSE 1.000 0 0 0 0 NR 0
State- and tribal - equivalent CERCLIS
ENVIROSTOR 1.000 0 0 0 0 NR 0
State and tribal landfill and/or
solid waste disposal site lists
SWF/LF 0.500 0 0 0 NR NR 0
State and tribal leaking storage tank lists
LUST 0.500 6 2 6 NR NR 14
TC6029600.2s Page 4

MAP FINDINGS SUMMARY
Search
Distance Target Total
Database Property (Miles) < 1/8 1/8 - 1/4 1/4 - 1/2 1/2 - 1 > 1 Plotted INDIAN LUST 0.500 0 0 0 NR NR 0
CPS-SLIC 0.500 0 0 2 NR NR 2
HIST LUST 0.500 4 0 4 NR NR 8
State and tribal registered storage tank lists
FEMA UST 0.250 0 0 NR NR NR 0
UST 0.250 4 0 NR NR NR 4
AST 0.250 0 0 NR NR NR 0
INDIAN UST 0.250 0 0 NR NR NR 0
State and tribal voluntary cleanup sites
VCP 0.500 0 0 0 NR NR 0
INDIAN VCP 0.500 0 0 0 NR NR 0
State and tribal Brownfields sites
BROWNFIELDS 0.500 0 0 0 NR NR 0

ADDITIONAL ENVIRONMENTAL RECORDS
Local Brownfield lists
US BROWNFIELDS 0.500 0 0 0 NR NR 0
Local Lists of Landfill / Solid
Waste Disposal Sites
WMUDS/SWAT 0.500 0 0 0 NR NR 0
SWRCY 0.500 0 0 0 NR NR 0
HAULERS TP NR NR NR NR NR 0
INDIAN ODI 0.500 0 0 0 NR NR 0
ODI 0.500 0 0 0 NR NR 0
DEBRIS REGION 9 0.500 0 0 0 NR NR 0
IHS OPEN DUMPS 0.500 0 0 0 NR NR 0
Local Lists of Hazardous waste /
Contaminated Sites
US HIST CDL TP NR NR NR NR NR 0
HIST Cal-Sites 1.000 0 0 0 0 NR 0
SCH 0.250 0 0 NR NR NR 0
CDL TP NR NR NR NR NR 0
CERS HAZ WASTE 0.250 11 1 NR NR NR 12
Toxic Pits 1.000 0 0 0 0 NR 0
US CDL TP NR NR NR NR NR 0
PFAS 0.500 0 0 0 NR NR 0
Local Lists of Registered Storage Tanks
SWEEPS UST 0.250 3 0 NR NR NR 3
HIST UST 0.250 3 0 NR NR NR 3
CA FID UST 0.250 0 0 NR NR NR 0
CERS TANKS 0.250 3 0 NR NR NR 3
Local Land Records
LIENS TP NR NR NR NR NR 0
TC6029600.2s Page 5

MAP FINDINGS SUMMARY
Search
Distance Target Total
Database Property (Miles) < 1/8 1/8 - 1/4 1/4 - 1/2 1/2 - 1 > 1 Plotted LIENS 2 TP NR NR NR NR NR 0
DEED 0.500 0 0 0 NR NR 0
Records of Emergency Release Reports
HMIRS TP NR NR NR NR NR 0
CHMIRS TP NR NR NR NR NR 0
LDS TP NR NR NR NR NR 0
MCS TP NR NR NR NR NR 0
SPILLS 90 TP NR NR NR NR NR 0
Other Ascertainable Records
RCRA NonGen / NLR 0.250 9 8 NR NR NR 17
FUDS 1.000 0 0 0 0 NR 0
DOD 1.000 0 0 0 0 NR 0
SCRD DRYCLEANERS 0.500 0 0 0 NR NR 0
US FIN ASSUR TP NR NR NR NR NR 0
EPA WATCH LIST TP NR NR NR NR NR 0
2020 COR ACTION 0.250 0 0 NR NR NR 0
TSCA TP NR NR NR NR NR 0
TRIS TP NR NR NR NR NR 0
SSTS TP NR NR NR NR NR 0
ROD 1.000 0 0 0 0 NR 0
RMP TP NR NR NR NR NR 0
RAATS TP NR NR NR NR NR 0
PRP TP NR NR NR NR NR 0
PADS TP NR NR NR NR NR 0
ICIS TP NR NR NR NR NR 0
FTTS TP NR NR NR NR NR 0
MLTS TP NR NR NR NR NR 0
COAL ASH DOE TP NR NR NR NR NR 0
COAL ASH EPA 0.500 0 0 0 NR NR 0
PCB TRANSFORMER TP NR NR NR NR NR 0
RADINFO TP NR NR NR NR NR 0
HIST FTTS TP NR NR NR NR NR 0
DOT OPS TP NR NR NR NR NR 0
CONSENT 1.000 0 0 0 0 NR 0
INDIAN RESERV 1.000 0 0 0 0 NR 0
FUSRAP 1.000 0 0 0 0 NR 0
UMTRA 0.500 0 0 0 NR NR 0
LEAD SMELTERS TP NR NR NR NR NR 0
US AIRS TP NR NR NR NR NR 0
US MINES 0.250 0 0 NR NR NR 0
ABANDONED MINES 0.250 0 0 NR NR NR 0
FINDS TP NR NR NR NR NR 0
ECHO TP NR NR NR NR NR 0
DOCKET HWC TP NR NR NR NR NR 0
UXO 1.000 0 0 0 0 NR 0
FUELS PROGRAM 0.250 0 0 NR NR NR 0
CA BOND EXP. PLAN 1.000 0 0 0 0 NR 0
Cortese 0.500 0 0 0 NR NR 0
CUPA Listings 0.250 25 4 NR NR NR 29
TC6029600.2s Page 6

MAP FINDINGS SUMMARY
Search
Distance Target Total
Database Property (Miles) < 1/8 1/8 - 1/4 1/4 - 1/2 1/2 - 1 > 1 Plotted DRYCLEANERS 0.250 2 0 NR NR NR 2
EMI TP NR NR NR NR NR 0
ENF TP NR NR NR NR NR 0
Financial Assurance TP NR NR NR NR NR 0
HAZNET TP NR NR NR NR NR 0
ICE TP NR NR NR NR NR 0
HIST CORTESE 0.500 2 0 4 NR NR 6
HWP 1.000 0 0 0 0 NR 0
HWT 0.250 0 0 NR NR NR 0
MINES 0.250 0 0 NR NR NR 0
MWMP 0.250 0 0 NR NR NR 0
NPDES TP NR NR NR NR NR 0
PEST LIC TP NR NR NR NR NR 0
PROC 0.500 0 0 0 NR NR 0
Notify 65 1.000 0 0 0 0 NR 0
HAZMAT 0.250 3 3 NR NR NR 6
UIC TP NR NR NR NR NR 0
UIC GEO TP NR NR NR NR NR 0
WASTEWATER PITS 0.500 0 0 0 NR NR 0
WDS TP NR NR NR NR NR 0
WIP 0.250 0 0 NR NR NR 0
MILITARY PRIV SITES TP NR NR NR NR NR 0
PROJECT TP NR NR NR NR NR 0
WDR TP NR NR NR NR NR 0
CIWQS TP NR NR NR NR NR 0
CERS TP NR NR NR NR NR 0
NON-CASE INFO TP NR NR NR NR NR 0
OTHER OIL GAS TP NR NR NR NR NR 0
PROD WATER PONDS TP NR NR NR NR NR 0
SAMPLING POINT TP NR NR NR NR NR 0
WELL STIM PROJ TP NR NR NR NR NR 0
MINES MRDS TP NR NR NR NR NR 0
HWTS TP NR NR NR NR NR 0

EDR HIGH RISK HISTORICAL RECORDS
EDR Exclusive Records
EDR MGP 1.000 0 0 0 0 NR 0
EDR Hist Auto 0.125 3 NR NR NR NR 3
EDR Hist Cleaner 0.125 5 NR NR NR NR 5

EDR RECOVERED GOVERNMENT ARCHIVES
Exclusive Recovered Govt. Archives
RGA LF TP NR NR NR NR NR 0
RGA LUST TP NR NR NR NR NR 0
- Totals -- 0 86 19 16 0 0 121
TC6029600.2s Page 7

MAP FINDINGS SUMMARY
Search
Distance Target Total
Database Property (Miles) < 1/8 1/8 - 1/4 1/4 - 1/2 1/2 - 1 > 1 Plotted NOTES:

TP = Target Property
NR = Not Requested at this Search Distance
Sites may be listed in more than one database
TC6029600.2s Page 8
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Longitude: -122.03271
Latitude: 37.29425
Permitting Agency: Santa Clara County Environmental Health Facility ID: Not reported
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 S DE ANZA BL
Name: VIKHAR VALERO
UST:
66 ft. Site 1 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
306 ft.
< 1/8 CUPERTINO, CA 95014
SE 1699 S DE ANZA BL N/A
A1 VIKHAR VALERO UST U004266679
Reg Id: 43-0295
Reg By: LTNKA
Facility County Code: 43
Region: CORTESE
City,State,Zip: CUPERTINO, CA
edr_fadd1: 1699 SARATOGA SUNNYVALE
edr_fname: CHEVRON
HIST CORTESE:
66 ft. Site 2 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
306 ft.
< 1/8 CUPERTINO, CA
SE 1699 SARATOGA SUNNYVALE N/A
A2 CHEVRON HIST CORTESE S105027653
Address: 1699 S. DE ANZA BLVD
Name: Not reported
CHMIRS:

CERS Description: Underground Storage Tank
CERS ID: 10347295
Site ID: 169138
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 S DE ANZA BL
Name: VIKHAR VALERO
CERS TANKS:

CERS Description: Hazardous Waste Generator
CERS ID: 10347295
Site ID: 169138
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 S DE ANZA BL
Name: VIKHAR VALERO
CERS HAZ WASTE:

HWTS
CERS
66 ft. Site 3 of 38 in cluster A HAZNET

0.013 mi. CUPA Listings
Relative:

Higher
Actual:
306 ft.
< 1/8 CUPERTINO, CA 95014 CHMIRS
SE 1699 S DE ANZA BLVD CERS TANKS N/A
A3 CHEVRON STATION NO 94818 CERS HAZ WASTE S112347120
TC6029600.2s Page 9
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Evacuations: Not reported
Substance #3: Not reported
Substance #2: Not reported
Unknown: Not reported
Quantity Released: 34
Substance: Gasoline
E Date: Not reported
Site Type: Not reported
Contained: Yes
Amount: Not reported
Admin Agency: Santa Clara County Department of Environmental Health Incident Date: 03/28/2018
Agency: Santa Clara County Fire Department
Year: 2018
Date/Time: 2244
Other: Not reported
Measure: Gal(s)
Type: PETROLEUM
Other: Not reported
Measure: Not reported
Type: Not reported
What Happened: Not reported
Containment: Not reported
Cleanup By: Station Personnel
Spill Site: Service Station
Waterway: Not reported
Waterway Involved: No
Facility Telephone: Not reported
Report Date: Not reported
Reporting Officer Name/ID: Not reported
Company Name: Not reported
CA DOT PUC/ICC Number: Not reported
Vehicle Id Number: Not reported
Vehicle State: Not reported
Vehicle License Number: Not reported
Vehicle Make/year: Not reported
Others Number Of Fatalities: Not reported
Others Number Of Injuries: Not reported
Others Number Of Decontaminated: Not reported
Responding Agency Personel # Of Fatalities: Not reported Responding Agency Personel # Of Injuries: Not reported
Resp Agncy Personel # Of Decontaminated: Not reported
More Than Two Substances Involved?: Not reported
Property Management: Not reported
Estimated Temperature: Not reported
Surrounding Area: Not reported
Time Completed: Not reported
Time Notified: Not reported
Agency Incident Number: Not reported
Agency Id Number: Not reported
Property Use: Not reported
Date Completed: Not reported
OES Time: Not reported
OES Date: Not reported
OES notification: 03/29/2018
OES Incident Number: 18-2031
City,State,Zip: CUPERTINO, CA 95014
CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 10
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tons: 1.4595
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 223 - Unspecified oil-containing waste
TSD EPA ID: CAD044003556
Gepaid: CAR000125377
Year: 2013
Mailing Address: PO BOX 6004
Mailing Name: Not reported
Telephone: 8773866044
Contact: KATHY NORRIS-SLUSHER
City,State,Zip: CUPERTINO, CA 950145301
Address 2: Not reported
Address: 1699 S DE ANZA BLVD
Name: CHEVRON STATION NO 94818
HAZNET:

Facility ID: FA0259676
Record ID: PR0380496
Longitude: -122.032326
Latitude: 37.294041
Program Description: GENERATES < 100 KG/YR
PE#: 2202
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 S DE ANZA BL
Name: VIKHAR VALERO
Facility ID: FA0200768
Record ID: PR0317943
Longitude: -122.032326
Latitude: 37.294041
Program Description: GENERATES < 100 KG/YR
PE#: 2202
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 S DE ANZA BL
Name: VIKHAR VALERO
CUPA SANTA CLARA:
of the emergency shutoff equipment worked.

Description: Per the caller the hose came off a pump and none Comments: Not reported
Fatals: No
Injuries: No
Evacs: No
#3 Vessel >= 300 Tons: No
#2 Vessel >= 300 Tons: No
#1 Vessel >= 300 Tons: No
#3 Pipeline: No
#2 Pipeline: No
#1 Pipeline: No
Number of Fatalities: Not reported
Number of Injuries: Not reported
CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 11
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Description: Failure to properly manage used oil and/or fuel filters in accordance Section(s) 25250.22
Citation: HSC 6.5 25250.22 - California Health and Safety Code, Chapter 6.5, Violation Date: 03-18-2019
Site Name: VIKHAR VALERO
Site ID: 169138
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health Violation Notes: Not reported
hazardous waste.
disposing of, transporting or offering for transportation any Violation Description: Failure to obtain an Identification Number prior to treating, storing, 12, Section(s) 66262.12
Citation: 22 CCR 12 66262.12 - California Code of Regulations, Title 22, Chapter Violation Date: 03-18-2019
Site Name: VIKHAR VALERO
Site ID: 169138
Violations:

CERS Description: Chemical Storage Facilities
CERS ID: 10347295
Site ID: 169138
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 S DE ANZA BL
Name: VIKHAR VALERO
CERS:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 350
Quantity Tons: 1.4595
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No RCRA Code: Not reported
CA Waste Code: 223 - Unspecified oil-containing waste
TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: RAMOS ENVIRONMENTAL SERVICES
TSDF EPA ID: CAD044003556
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: ICON ENVIRONMENTAL SERVICES INC
Trans EPA ID: CAL000362980
Manifest ID: 006868686FLE
Receipt Date: 20130820
Creation Date: 10/17/2013 22:15:26
Shipment Date: 20130730
Gen EPA ID: CAR000125377
Year: 2013
Additional Info:

CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 12
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Date: 03-18-2019
Eval General Type: Compliance Evaluation Inspection
Evaluation:

Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health provided to you and post it on a wall near a telephone.

Violation Notes: Posted emergency procedures were not observed. Complete the form numbers.
containing the location of emergency equipment, contact names and Violation Description: Failure to post, next to the telephone, Emergency Information (SQG) 40, Chapter 1, Section(s) 262.34(d)(5)(ii)
Citation: 40 CFR 1 262.34(d)(5)(ii) - U.S. Code of Federal Regulations, Title Violation Date: 09-06-2013
Site Name: VIKHAR VALERO
Site ID: 169138
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health your current EPA ID number (CAL000288045).
letter to DTSC providing the correct generator name and address plus previous owner listed on the document. Send a manifest correction name, generator address, and EPA ID number (CAR000125377) from a Violation Notes: Manifest 006868686 FLE for waste shipped on 7/30/13 had the generator Violation Description: Failure to properly complete the Hazardous Waste manifest.

Chapter 12, Section(s) 66262.23(a)
Citation: 22 CCR 12 66262.23(a) - California Code of Regulations, Title 22, Violation Date: 09-06-2013
Site Name: VIKHAR VALERO
Site ID: 169138
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health It is unknown how long this condition has existed.

Violation Notes: . The Used Oil UST Spill Container/Bucket was filled with oily water. the environment.
to air, soil, or surface water which could threaten human health or non-sudden release of hazardous waste or hazardous waste constituents possibility of a fire, explosion, or any unplanned sudden or Violation Description: Failure to maintain and operate the facility to minimize the 1, Section(s) 265.31
Citation: 40 CFR 1 265.31 - U.S. Code of Federal Regulations, Title 40, Chapter Violation Date: 03-18-2019
Site Name: VIKHAR VALERO
Site ID: 169138
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health Hazardous Waste. .
date. Either Used Fuel Filters for Recycling, or Contaminated Solid closed container with a proper label, including an accumulation start Violation Notes: . The Fuel Filters were not managed properly. Requirements include a with the requirements.

CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 13
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-27-2017
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-10-2014
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-10-2014
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-23-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
[Truncated]
we were there. Provide the last three years of records for hazardous Hazardous Waste receipts and or records were available on site while business is in violation of the requirements. Records Review; No as recyclable fuel filters. Either means of managing the filters, the storage enclosure. These are hazardous waste unless they are managed in a position to drain on a absorbent pad on the floor of the waste removed from dispensers recently (time unknown) were observed sitting today as the spill bucket was filled with oily water. Fuel Filters, Facility Review; The volume in the UST is not able to be verified active EPA ID. CERS; The Waste Oil UST is permitted to hold Used Oil. consent to inspect and review of the records. DTSC; The DTSC shows no was contacted on the phone, by the Cashier on site, for us to get 2019 Hazardous Waste Generator Permit inspection. Atam Sandhu, Owner Eval Notes: We (Jean Nguyen and I) are on site, 1699 S De Anza, Cupertino, for the Eval Type: Routine done by local agency
Violations Found: Yes
CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 14
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-27-2017
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-20-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 07-02-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-23-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Ocupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 06-20-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
available for responding to chemical spills.
relocated to the front room near the cashier in order to be readily (RTV). Spill absorbent buried in the rear crowded storage room was chemical soaps and concentrates are waiting to be returned to vendor gallon and 2 x 30 gallon empty drums that previously contained available for use. The trash dumspter was inspected and was OK. 2 x 15 and concluded today. 4 fire extinguishers were properly charged and Eval Notes: A hazardous waste inspection was started on Wednesday, September 4th Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 09-06-2013
Eval General Type: Compliance Evaluation Inspection
CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 15
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Zip: 95037
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings court
Entity Title: Not reported
Entity Name: Atam Sandhu
Affiliation Type Desc: Property Owner
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: self
Affiliation Type Desc: Document Preparer
Affiliation Phone: (408) 918-3400
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
Affiliation:

Enf Action Source: CERS
Enf Action Program: HW
Enf Action Division: Santa Clara County Environmental Health Enf Action Notes: Not reported
Enf Action Description: Notice of Violation Issued by the Inspector at the Time of Inspection Enf Action Type: Notice of Violation (Unified Program)
Enf Action Date: 09-06-2013
Site Zip: 95014
Site City: CUPERTINO
Site Address: 1699 S DE ANZA BL
Site Name: VIKHAR VALERO
Site ID: 169138
Enforcement Action:

Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Fire Department
Eval Notes: Occupancy ID: 1193
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 07-02-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Fire Department
CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 16
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation City: Cupertino
Affiliation Address: 1800 Silverwings ct
Entity Title: Not reported
Entity Name: Atam P Sandhu
Affiliation Type Desc: UST Tank Owner
Affiliation Phone: Not reported
Affiliation Zip: 95037
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Court
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: VIKHAR VALERO
Affiliation Type Desc: Parent Corporation
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: CEO
Entity Name: Atam Sandhu
Affiliation Type Desc: Identification Signer
Affiliation Phone: (408) 406-3158
Affiliation Zip: 95037
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Ct
Entity Title: Not reported
Entity Name: Atam P Sandhu
Affiliation Type Desc: UST Property Owner Name
Affiliation Phone: (408) 406-3158
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: CEO
Entity Name: Atam P Sandhu
Affiliation Type Desc: UST Permit Applicant
Affiliation Phone: (408) 406-3158
CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 17
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Mailing Address: PO BOX 6004
Mailing Name: WATE DESK
Last Act Date: 07/03/2014
Create Date: 03/04/2003
Inactive Date: 06/30/2013
EPA ID: CAR000125377
City,State,Zip: CUPERTINO, CA 950145301
Address 2: Not reported
Address: 1699 S DE ANZA BLVD
Name: CHEVRON STATION NO 94818
HWTS:

Affiliation Phone: (408) 406-3158
Affiliation Zip: 95037
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Ct
Entity Title: Not reported
Entity Name: Atam P Sandhu
Affiliation Type Desc: UST Tank Operator
Affiliation Phone: (408) 406-3158
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Atam P Sandhu
Affiliation Type Desc: Operator
Affiliation Phone: (408) 406-3158
Affiliation Zip: 95037
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Court
Entity Title: Not reported
Entity Name: Vikhar Inc,
Affiliation Type Desc: Legal Owner
Affiliation Phone: Not reported
Affiliation Zip: 95037
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Court
Entity Title: Not reported
Entity Name: Atam Sandhu
Affiliation Type Desc: Environmental Contact
Affiliation Phone: (408) 406-3158
Affiliation Zip: 95037
Affiliation Country: United States
Affiliation State: CA
CHEVRON STATION NO 94818 (Continued) S112347120
TC6029600.2s Page 18
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility Zip: 950145301
Facility State: CA
Facility County: 43
Facility City: CUPERTINO
Facility Address 2: Not reported
Facility Address: 1699 S DE ANZA BLVD
Facility Name: CHEVRON STATION NO 94818
Inactive Date: 2013-06-30 00:00:00
Issued EPA ID Date: 2003-03-04 14:25:35
NAICS Description: Gasoline Stations with Convenience Stores NAICS Code: 447110
Create Date: 2011-08-17 14:36:26
EPA ID: CAR000125377
Facility Zip: 950145301
Facility State: CA
Facility County: 43
Facility City: CUPERTINO
Facility Address 2: Not reported
Facility Address: 1699 S DE ANZA BLVD
Facility Name: CHEVRON STATION NO 94818
Inactive Date: 2013-06-30 00:00:00
Issued EPA ID Date: 2003-03-04 14:25:35
NAICS Description: Gasoline Stations with Convenience Stores NAICS Code: 44711
Create Date: 2003-10-23 13:13:52
EPA ID: CAR000125377
NAICS:

City,State,Zip: SAN RAMON, CA 94583
Contact Address 2: Not reported
Contact Address: 6101 BOLLINGER CANYON RD.

Contact Name: KATHY NORRIS-SLUSHER
Owner City,State,Zip: SAN RAMON, CA 945830000
Owner Address 2: Not reported
Owner Address: PO BOX 6004
Owner Name: CHEVRON
Mailing City,State,Zip: SAN RAMON, CA 945830000
Mailing Address 2: Not reported
CHEVRON STATION NO 94818 (Continued) S112347120
SAN RAMON, CA 94583
Contact address: PO BOX 6004
Contact: KATHY NORRIS SLUSHER
SAN RAMON, CA 94583
Mailing address: PO BOX 6004
EPA ID: CAR000125377
CUPERTINO, CA 95014
Facility address: 1699 S DE ANZA BLVD
Facility name: CHEVRON STATION NO 94818
Date form received by agency: 2013-03-13 00:00:00.0
RCRA NonGen / NLR:
66 ft. Site 4 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
306 ft.
< 1/8 CUPERTINO, CA 95014 ECHO
SE 1699 S DE ANZA BLVD FINDS CAR000125377
A4 CHEVRON STATION NO 94818 RCRA NonGen / NLR 1006805274 TC6029600.2s Page 19
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Classification: Small Quantity Generator
Site name: CHEVRON STATION NO 94818
Date form received by agency: 2002-06-17 00:00:00.0
Historical Generators:

Used oil transporter: No
Used oil transfer facility: No
Used oil Specification marketer: No
Used oil fuel marketer to burner: No
User oil refiner: No
Used oil processor: No
Used oil fuel burner: No
Furnace exemption: No
On-site burner exemption: No
Underground injection activity: No
Treater, storer or disposer of HW: No
Transporter of hazardous waste: No
Recycler of hazardous waste: No
Mixed waste (haz. and radioactive): No
U.S. importer of hazardous waste: No
Handler Activities Summary:

Owner/Op end date: Not reported
Owner/Op start date: 2011-08-18 00:00:00.

Owner/Operator Type: Owner
Legal status: Private
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 877-386-6044
Owner/operator country: US
SAN RAMON, CA 94583
Owner/operator address: PO BOX 6004
Owner/operator name: CHEVRON USA
Owner/Op end date: Not reported
Owner/Op start date: 2011-08-18 00:00:00.

Owner/Operator Type: Operator
Legal status: Private
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: Not reported
Owner/operator country: US
Not reported
Owner/operator address: Not reported
Owner/operator name: KATHY NORRIS SLUSHER
Owner/Operator Summary:

Description: Handler: Non-Generators do not presently generate hazardous waste Classification: Non-Generator
EPA Region: 09
Contact email: [email protected]
Contact telephone: 877-386-6044
Contact country: US
CHEVRON STATION NO 94818 (Continued) 1006805274
TC6029600.2s Page 20
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 S DE ANZA BLVD
Name: CHEVRON STATION NO 94818
DFR URL: http://echo.epa.gov/detailed-facility-report?fid=110013308955 Registry ID: 110013308955
Envid: 1006805274
ECHO:
additional FINDS: detail in the EDR Site Report.

Click this hyperlink while viewing on your computer to access corrective action activities required under RCRA.
program staff to track the notification, permit, compliance, and and treat, store, or dispose of hazardous waste. RCRAInfo allows RCRA events and activities related to facilities that generate, transport, Conservation and Recovery Act (RCRA) program through the tracking of RCRAInfo is a national information system that supports the Resource facilities.
generators, transporters, and treatment, storage, and disposal provides California with information on hazardous waste shipments for California Hazardous Waste Tracking System - Datamart (HWTS-DATAMART) Environmental Interest/Information System:
registry_id=110013308955
Facility URL: http://ofmpub.epa.gov/enviro/fii_query_detail.disp_program_facility?p_ Registry ID: 110013308955
FINDS:

Violation Status: No violations found
. Waste name: BENZENE
. Waste code: D018
. Waste name: IGNITABLE WASTE
. Waste code: D001
Hazardous Waste Summary:

CHEVRON STATION NO 94818 (Continued) 1006805274
2004 A & A SMOG Automotive Maintenance Services
2003 KREGERS CHEVRON INC Gasoline Service Stations
2003 KREGER ENTERPRISES INC Gasoline Service Stations, NEC 2002 KREGERS CHEVRON INC Gasoline Service Stations
2002 KREGER ENTERPRISES INC Gasoline Service Stations, NEC 2001 KREGERS CHEVRON INC Gasoline Service Stations
2001 KREGER ENTERPRISES INC Gasoline Service Stations, NEC 2000 KREGERS CHEVRON INC Gasoline Service Stations
1999 KREGERS CHEVRON INC Gasoline Service Stations
1998 KREGERS CHEVRON INC Gasoline Service Stations
1997 KREGERS CHEVRON INC Gasoline Service Stations
1996 KREGERS CHEVRON Gasoline Service Stations
Year: Name: Type:

EDR Hist Auto
66 ft. Site 5 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
306 ft.
< 1/8 CUPERTINO, CA 95014
SE 1699 DEANZA BLVD N/A
A5 KREGERS CHEVRON INC EDR Hist Auto 1020876915
TC6029600.2s Page 21
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
2014 VIKHAR VALERO GAS Gasoline Service Stations
2014 VALERO Gasoline Service Stations, NEC
2013 VALERO Gasoline Service Stations
2013 VIKHAR VALERO GAS Gasoline Service Stations
2012 VIKHAR VALERO GAS Gasoline Service Stations
2012 VALERO Gasoline Service Stations
2012 A & A SMOG Automotive Maintenance Services
2011 VALERO Gasoline Service Stations
2011 VIKHAR VALERO GAS Gasoline Service Stations
2011 A & A SMOG Automotive Maintenance Services
2010 A & A SMOG Automotive Maintenance Services
2010 VIKHAR VALERO GAS Gasoline Service Stations
2009 VIKHAR VALERO GAS Gasoline Service Stations
2009 A & A SMOG Automotive Maintenance Services
2008 A & A SMOG Automotive Maintenance Services
2008 SANDHU ATAM Gasoline Service Stations
2008 VIKHAR VALERO GAS Gasoline Service Stations
2007 A & A SMOG Automotive Maintenance Services
2007 VIKHAR VALERO GAS Gasoline Service Stations
2006 A & A SMOG Automotive Maintenance Services
2006 VIKHAR VALERO GAS Gasoline Service Stations
2005 A & A SMOG Automotive Maintenance Services
KREGERS CHEVRON INC (Continued) 1020876915
Longitude: -122.0313289
Latitude: 37.2956026
Permitting Agency: CAMPBELL,CUPERTINO,LOS GATOS,MORGAN HILL Facility ID: 37
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 SARATOGA- SUNNYVALE RD
Name: CHEVRON SERVICE STATION #94818
UST:
66 ft. Site 6 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
306 ft.
< 1/8 CUPERTINO, CA 95014
SE 1699 SARATOGA- SUNNYVALE RD N/A
A6 CHEVRON SERVICE STATION #94818 U003976744 UST
Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 03-14-2017
Eval General Type: Compliance Evaluation Inspection
Evaluation:

CERS Description: Hazardous Waste Generator
CERS ID: 10349023
Site ID: 12734
City,State,Zip: CUPERTINO, CA 95014
Address: 20555 PROSPECT RD
Name: BLUE HILLS MEDICAL GROUP
CERS HAZ WASTE:
68 ft. Site 7 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
308 ft.
< 1/8 CUPERTINO, CA 95014 HWTS
South 20555 PROSPECT RD CUPA Listings N/A
A7 BLUE HILLS MEDICAL GROUP CERS HAZ WASTE S109423766
TC6029600.2s Page 22
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: Not reported
Affiliation Zip: 95014
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 20555 PROSPECT RD
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: (408) 996-9339
Affiliation Zip: 95014
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Cupertino
Affiliation Address: 20555 Prospect Avenue
Entity Title: Not reported
Entity Name: BHMCA
Affiliation Type Desc: Property Owner
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: BLUE HILLS MEDICAL GROUP
Affiliation Type Desc: Parent Corporation
Affiliation:

Longitude: -122.033210
Latitude: 37.294240
Ref Point Type Desc: Center of a facility or station.

Coord Name: Not reported
Program ID: 10349023
Env Int Type Code: HWG
Facility Name: BLUE HILLS MEDICAL GROUP
Site ID: 12734
Coordinates:

Eval Source: CERS
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
Procedures template was provided and posted during inspection. during inspection: Emergency information was not posted. Emergency EPA ID# CAL000420050 is active The following violations were corrected waste management Disposal records were reviewed and are in good order are inspected weekly Employees are thoroughly familiar with hazardous purpose wipes 1 steam autoclave on site for sanitizing Container areas traditional x rays Surfaces are disinfected using Clorox general solutions 1 x 1 quart RCRA waste container (empty) Facility uses containers on site: 1 x 5 gallon container of waste photographic medical office with a small pharmacy. Observed the following waste Eval Notes: On site to conduct a routine hazardous waste inspection. Facility is a BLUE HILLS MEDICAL GROUP (Continued) S109423766
TC6029600.2s Page 23
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
PE#: 2202
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 20555 PROSPECT RD
Name: BLUE HILLS MEDICAL GROUP
CUPA SANTA CLARA:

Affiliation Phone: (408) 996-9339
Affiliation Zip: 95014
Affiliation Country: United States
Affiliation State: CA
Affiliation City: CUPERTINO
Affiliation Address: 20555 PROSPECT RD
Entity Title: Not reported
Entity Name: BLUE HILLS MEDICAL GROUP
Affiliation Type Desc: Legal Owner
Affiliation Phone: Not reported
Affiliation Zip: 95014
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Cupertino
Affiliation Address: 20555 Prospect Avenue
Entity Title: Not reported
Entity Name: Kathleen Smith
Affiliation Type Desc: Environmental Contact
Affiliation Phone: (408) 996-9339
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: BLUE HILLS MEDICAL GROUP
Affiliation Type Desc: Operator
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Chief Operations Officer
Entity Name: Kathleen Smith
Affiliation Type Desc: Identification Signer
Affiliation Phone: (408) 918-3400
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
BLUE HILLS MEDICAL GROUP (Continued) S109423766
TC6029600.2s Page 24
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility Zip: 95014
Facility State: CA
Facility County: 43
Facility City: CUPERTINO
Facility Address 2: Not reported
Facility Address: 20555 PROSPECT RD
Facility Name: BLUE HILLS MEDICAL GROUP
Inactive Date: Not reported
Issued EPA ID Date: 2016-09-02 15:23:38
NAICS Description: Freestanding Ambulatory Surgical and Emergency Centers NAICS Code: 621493
Create Date: 2016-09-02 15:23:38
EPA ID: CAL000420050
NAICS:

City,State,Zip: CUPERTINO, CA 95014
Contact Address 2: Not reported
Contact Address: 20555 PROSPECT RD
Contact Name: KATHLEEN SMITH
Owner City,State,Zip: CUPERTINO, CA 95014
Owner Address 2: Not reported
Owner Address: 20555 PROSPECT RD
Owner Name: SHELDON ZITMAN
Mailing City,State,Zip: CUPERTINO, CA 95014
Mailing Address 2: Not reported
Mailing Address: 20555 PROSPECT RD
Mailing Name: Not reported
Last Act Date: 10/08/2018
Create Date: 09/02/2016
Inactive Date: Not reported
EPA ID: CAL000420050
City,State,Zip: CUPERTINO, CA 95014
Address 2: Not reported
Address: 20555 PROSPECT RD
Name: BLUE HILLS MEDICAL GROUP
HWTS:

Facility ID: FA0200883
Record ID: PR0315498
Longitude: -122.033141
Latitude: 37.294057
Program Description: GENERATES < 100 KG/YR
BLUE HILLS MEDICAL GROUP (Continued) S109423766
Contact address: 20555 PROSPECT RD
Contact: KATHLEEN SMITH
EPA ID: CAL000363834
CUPERTINO, CA 95014
Facility address: 20555 PROSPECT RD
Facility name: SHELDON ZITMAN MD/B SOFIA JALILIE MD
Date form received by agency: 2011-05-20 00:00:00.0
RCRA NonGen / NLR:
68 ft. Site 8 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
308 ft.
< 1/8 CUPERTINO, CA 95014
South 20555 PROSPECT RD CAL000363834
A8 SHELDON ZITMAN MD/B SOFIA JALILIE MD 1024829822 RCRA NonGen / NLR TC6029600.2s Page 25
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Status: No violations found
Used oil transporter: No
Used oil transfer facility: No
Used oil Specification marketer: No
Used oil fuel marketer to burner: No
User oil refiner: No
Used oil processor: No
Used oil fuel burner: No
Furnace exemption: No
On-site burner exemption: No
Underground injection activity: No
Treater, storer or disposer of HW: No
Transporter of hazardous waste: Yes
Recycler of hazardous waste: No
Mixed waste (haz. and radioactive): No
U.S. importer of hazardous waste: No
Handler Activities Summary:

Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Operator
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-996-9339
Owner/operator country: Not reported
CUPERTINO, CA 95014
Owner/operator address: 20555 PROSPECT RD
Owner/operator name: KATHLEEN SMITH
Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Owner
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-996-9339
Owner/operator country: Not reported
CUPERTINO, CA 95014
Owner/operator address: 20555 PROSPECT RD
Owner/operator name: SHELDON ZITMAN MD/B SOFIA JALILIE
Owner/Operator Summary:

Description: Handler: Non-Generators do not presently generate hazardous waste Classification: Non-Generator
EPA Region: 09
Contact email: [email protected]
Contact telephone: 408-996-9339
Contact country: Not reported
CUPERTINO, CA 95014-0000
SHELDON ZITMAN MD/B SOFIA JALILIE MD (Continued) 1024829822 TC6029600.2s Page 26
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility ID: FA0250963
Record ID: PR0315555
Longitude: -122.033141
Latitude: 37.294057
Program Description: SILVER WASTE ONLY <100 KG/MO
PE#: 2271
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 20555 PROSPECT RD D
Name: ARNOLD R HENDERSON DDS
CUPA SANTA CLARA:
68 ft. Site 9 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
308 ft.
< 1/8 CUPERTINO, CA 95014
South 20555 PROSPECT RD D N/A
A9 ARNOLD R HENDERSON DDS CUPA Listings S121471739
Owner/operator telephone: 408-996-1603
Owner/operator country: Not reported
CUPERTINO, CA 95014
Owner/operator address: 20555 PROSPECT RD
Owner/operator name: KATHLEEN SMITH
Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Owner
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-996-1603
Owner/operator country: Not reported
CUPERTINO, CA 95014
Owner/operator address: 20555 PROSPECT RD
Owner/operator name: SHELDON ZITMAN
Owner/Operator Summary:

Description: Handler: Non-Generators do not presently generate hazardous waste Classification: Non-Generator
EPA Region: 09
Contact email: [email protected]
Contact telephone: 408-996-1603
Contact country: Not reported
CUPERTINO, CA 95014
Contact address: 20555 PROSPECT RD
Contact: KATHLEEN SMITH
EPA ID: CAL000420050
CUPERTINO, CA 95014
Facility address: 20555 PROSPECT RD
Facility name: BLUE HILLS MEDICAL GROUP
Date form received by agency: 2016-09-02 00:00:00.0
RCRA NonGen / NLR:
68 ft. Site 10 of 38 in cluster A

0.013 mi.

Relative:

Higher
Actual:
308 ft.
< 1/8 CUPERTINO, CA 95014
South 20555 PROSPECT RD CAL000420050
A10 BLUE HILLS MEDICAL GROUP RCRA NonGen / NLR 1024856295 TC6029600.2s Page 27
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Status: No violations found
Used oil transporter: No
Used oil transfer facility: No
Used oil Specification marketer: No
Used oil fuel marketer to burner: No
User oil refiner: No
Used oil processor: No
Used oil fuel burner: No
Furnace exemption: No
On-site burner exemption: No
Underground injection activity: No
Treater, storer or disposer of HW: No
Transporter of hazardous waste: Yes
Recycler of hazardous waste: No
Mixed waste (haz. and radioactive): No
U.S. importer of hazardous waste: No
Handler Activities Summary:

Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Operator
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
BLUE HILLS MEDICAL GROUP (Continued) 1024856295
Mailing City: SAN JOSE
Mailing Address 2: Not reported
Mailing Address 1: 1628 S SARATOGA BLVD
Mailing Name: MUNIR AHNED
Contact Telephone: 4082572666
Contact Address 2: Not reported
Contact Address: 1628 S SARATOGA BLVD
Contact Name: MUNIR AHNED
Owner Telephone: 4082572666
Owner Address 2: Not reported
Owner Address: 1628 S SARATOGA BLVD
Owner Name: SILICATE VALLEY ENTERPRISE
Facility Addr2: Not reported
Inactive Date: 06/30/2004
Facility Active: No
Create Date: 07/08/2003
SIC Description: Power Laundries, Family and Commercial SIC Code: 7211
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) NAICS Code: 81232
EPA Id: CAL000272950
City,State,Zip: SAN JOSE, CA 951290000
Address: 1628 S SARATOGA BLVD
Name: SWIFT CLEANERS
DRYCLEANERS:
128 ft. Site 1 of 4 in cluster B

0.024 mi.

Relative:

Lower
Actual:
300 ft.
< 1/8 SAN JOSE, CA 95129
ENE 1628 S SARATOGA BLVD HWTS N/A
B11 SWIFT CLEANERS DRYCLEANERS S106077117
TC6029600.2s Page 28
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
NAICS:

City,State,Zip: SAN JOSE, CA 951290000
Contact Address 2: Not reported
Contact Address: 1628 S SARATOGA SUNNYVALE RD
Contact Name: JOSEPH CHANG
Owner City,State,Zip: SAN JOSE, CA 951290000
Owner Address 2: Not reported
Owner Address: 1628 S SARATOGA SUNNYVALE RD
Owner Name: JOSEPH CHANG
Mailing City,State,Zip: SAN JOSE, CA 951290000
Mailing Address 2: Not reported
Mailing Address: 1628 S SARATOGA SUNNYVALE RD
Mailing Name: Not reported
Last Act Date: 04/23/2009
Create Date: 08/09/2006
Inactive Date: 06/30/2008
EPA ID: CAL000310038
City,State,Zip: SAN JOSE, CA 95129
Address 2: Not reported
Address: 1628 S SARATOGA SUNNYVALE RD
Name: SWIFT CLEANERS LLC
HWTS:

Region Code: 2
Owner Fax: Not reported
Mailing Zip: 951290000
Mailing State: CA
Mailing City: SAN JOSE
Mailing Address 2: Not reported
Mailing Address 1: 1628 S SARATOGA SUNNYVALE RD
Mailing Name: Not reported
Contact Telephone: 4082570770
Contact Address 2: Not reported
Contact Address: 1628 S SARATOGA SUNNYVALE RD
Contact Name: JOSEPH CHANG
Owner Telephone: 4082570770
Owner Address 2: Not reported
Owner Address: 1628 S SARATOGA SUNNYVALE RD
Owner Name: JOSEPH CHANG
Facility Addr2: Not reported
Inactive Date: 06/30/2008
Facility Active: No
Create Date: 08/09/2006
SIC Description: Power Laundries, Family and Commercial SIC Code: 7211
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) NAICS Code: 81232
EPA Id: CAL000310038
City,State,Zip: SAN JOSE, CA 95129
Address: 1628 S SARATOGA SUNNYVALE RD
Name: SWIFT CLEANERS LLC
Region Code: 2
Owner Fax: Not reported
Mailing Zip: 951290000
Mailing State: CA
SWIFT CLEANERS (Continued) S106077117
TC6029600.2s Page 29
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility Zip: 951290000
Facility State: CA
Facility County: 43
Facility City: SAN JOSE
Facility Address 2: Not reported
Facility Address: 1628 S SARATOGA BLVD
Facility Name: SWIFT CLEANERS
Inactive Date: 2004-06-30 00:00:00
Issued EPA ID Date: 2003-07-08 10:10:45
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) NAICS Code: 81232
Create Date: 2003-07-08 10:10:45
EPA ID: CAL000272950
NAICS:

City,State,Zip: SAN JOSE, CA 951290000
Contact Address 2: Not reported
Contact Address: 1628 S SARATOGA BLVD
Contact Name: MUNIR AHNED
Owner City,State,Zip: SAN JOSE, CA 951290000
Owner Address 2: Not reported
Owner Address: 1628 S SARATOGA BLVD
Owner Name: SILICATE VALLEY ENTERPRISE
Mailing City,State,Zip: SAN JOSE, CA 951290000
Mailing Address 2: Not reported
Mailing Address: 1628 S SARATOGA BLVD
Mailing Name: MUNIR AHNED
Last Act Date: 11/09/2004
Create Date: 07/08/2003
Inactive Date: 06/30/2004
EPA ID: CAL000272950
City,State,Zip: SAN JOSE, CA 951290000
Address 2: Not reported
Address: 1628 S SARATOGA BLVD
Name: SWIFT CLEANERS
Facility Zip: 95129
Facility State: CA
Facility County: 43
Facility City: SAN JOSE
Facility Address 2: Not reported
Facility Address: 1628 S SARATOGA SUNNYVALE RD
Facility Name: SWIFT CLEANERS LLC
Inactive Date: 2008-06-30 00:00:00
Issued EPA ID Date: 2006-08-09 08:24:17
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) NAICS Code: 81232
Create Date: 2006-08-09 08:24:17
EPA ID: CAL000310038
SWIFT CLEANERS (Continued) S106077117
TC6029600.2s Page 30
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Furnace exemption: No
On-site burner exemption: No
Underground injection activity: No
Treater, storer or disposer of HW: No
Transporter of hazardous waste: Yes
Recycler of hazardous waste: No
Mixed waste (haz. and radioactive): No
U.S. importer of hazardous waste: No
Handler Activities Summary:

Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Owner
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-646-2546
Owner/operator country: Not reported
SANTAOSE, CA 95118
Owner/operator address: 5664 SEIFERT AVENUE
Owner/operator name: DE ANZA AUTO LLC
Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Operator
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-646-2546
Owner/operator country: Not reported
SAN JOSE, CA 95118
Owner/operator address: 5664 SEIFERT AVENUE
Owner/operator name: SARGON SHAHBAZ
Owner/Operator Summary:

Description: Handler: Non-Generators do not presently generate hazardous waste Classification: Non-Generator
EPA Region: 09
Contact email: [email protected]
Contact telephone: 408-646-2546
Contact country: Not reported
SAN JOSE, CA 95118
Contact address: 5664 SEIFERT AVENUE
Contact: SARGON SHAHBAZ
EPA ID: CAL000429575
SAN JOSE, CA 95129
Facility address: 1686 SOUTH DE ANZA BOULEVARD
Facility name: DE ANZA AUTO LLC
Date form received by agency: 2017-07-27 00:00:00.0
RCRA NonGen / NLR:
130 ft. Site 11 of 38 in cluster A

0.025 mi.

Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129
East 1686 SOUTH DE ANZA BOULEVARD CAL000429575
A12 DE ANZA AUTO LLC RCRA NonGen / NLR 1024861109
TC6029600.2s Page 31
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Status: No violations found
Used oil transporter: No
Used oil transfer facility: No
Used oil Specification marketer: No
Used oil fuel marketer to burner: No
User oil refiner: No
Used oil processor: No
Used oil fuel burner: No
DE ANZA AUTO LLC (Continued) 1024861109
Number Of Tanks: 1
Content: Not reported
STG: WASTE
Tank Use: OIL
Active Date: Not reported
Capacity: 550
Tank Status: Not reported
SWRCB Tank Id: 43-060-400707-000005
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: Not reported
Number: Not reported
Comp Number: 400707
Status: Not reported
City: SAN JOSE
Address: 1698 SARATOGA-SUNNYVA E RD
Name: SARATOGA SHELL BUD ROOT,
SWEEPS UST:
152 ft. Site 12 of 38 in cluster A

0.029 mi.

Relative:

Lower
Actual:
302 ft.
< 1/8 SAN JOSE, CA 95129
ESE 1698 SARATOGA-SUNNYVA E RD N/A
A13 SARATOGA SHELL BUD ROOT, SWEEPS UST S106931921
1983 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1982 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1980 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1979 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1978 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1977 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1976 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1975 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
1974 SCOTTYS CLEANERS Drycleaning Plants, Except Rugs
Year: Name: Type:

EDR Hist Cleaner
152 ft. Site 13 of 38 in cluster A

0.029 mi.

Relative:

Lower
Actual:
302 ft.
< 1/8 SAN JOSE, CA 95129
ESE 1628 S SARATOGA-SUNNYVALE N/A
A14 SCOTTYS CLEANERS EDR Hist Cleaner 1020082695
TC6029600.2s Page 32
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
1992 ROOT BUD INC Gasoline Service Stations
1991 ROOT BUD INC Gasoline Service Stations
1990 ROOT BUD INC Gasoline Service Stations
1989 ROOT BUD INC Gasoline Service Stations
1988 ROOT BUD INC Gasoline Service Stations
1987 ROOT BUD INC Gasoline Service Stations
1987 BUD ROOT INC Gasoline Service Stations
1986 BUD ROOT INC Gasoline Service Stations
1986 ROOT BUD INC Gasoline Service Stations
1985 ROOT BUD INC Gasoline Service Stations
1980 SARATOGA SHELL SERVICE Gasoline Service Stations
1979 SARATOGA SHELL SERVICE Gasoline Service Stations
1978 SARATOGA SHELL SERVICE Gasoline Service Stations
1977 SARATOGA SHELL SERVICE Gasoline Service Stations
1976 SARATOGA SHELL SERVICE Gasoline Service Stations
1975 SARATOGA SHELL SERVICE GASOLINE STATIONS
1974 SARATOGA SHELL SERVICE Gasoline Service Stations
1973 SARATOGA SHELL SERVICE Gasoline Service Stations
1970 C & S SHELL SERVICE GASOLINE STATIONS
Year: Name: Type:

EDR Hist Auto
152 ft. Site 14 of 38 in cluster A

0.029 mi.

Relative:

Lower
Actual:
302 ft.
< 1/8 SAN JOSE, CA
ESE 1698 S SARATOGA SUNNYVALE RD N/A
A15 C & S SHELL SERVICE EDR Hist Auto 1009002567
Status: Active
City: SAN JOSE
Address: 1698 SARATOGA-SUNNYVA E RD
Name: SARATOGA SHELL BUD ROOT
Number Of Tanks: 4
Content: REG UNLEADED
STG: P
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 12000
Tank Status: A
SWRCB Tank Id: 43-060-400707-000001
Owner Tank Id: Not reported
Created Date: 02-29-88
Action Date: 09-08-92
Referral Date: 09-30-92
Board Of Equalization: Not reported
Number: 9
Comp Number: 400707
Status: Active
City: SAN JOSE
Address: 1698 SARATOGA-SUNNYVA E RD
Name: SARATOGA SHELL BUD ROOT
SWEEPS UST:
152 ft. Site 15 of 38 in cluster A

0.029 mi.

Relative:

Lower
Actual:
302 ft.
< 1/8 SAN JOSE, CA 95129
ESE 1698 SARATOGA-SUNNYVA E RD N/A
A16 SARATOGA SHELL BUD ROOT SWEEPS UST S106931920
TC6029600.2s Page 33
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Number Of Tanks: Not reported
Content: Not reported
STG: W
Tank Use: OIL
Active Date: Not reported
Capacity: 550
Tank Status: A
SWRCB Tank Id: 43-060-400707-000004
Owner Tank Id: Not reported
Created Date: 02-29-88
Action Date: 09-08-92
Referral Date: 09-30-92
Board Of Equalization: Not reported
Number: 9
Comp Number: 400707
Status: Active
City: SAN JOSE
Address: 1698 SARATOGA-SUNNYVA E RD
Name: SARATOGA SHELL BUD ROOT
Number Of Tanks: Not reported
Content: REG UNLEADED
STG: P
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 12000
Tank Status: A
SWRCB Tank Id: 43-060-400707-000003
Owner Tank Id: Not reported
Created Date: 02-29-88
Action Date: 09-08-92
Referral Date: 09-30-92
Board Of Equalization: Not reported
Number: 9
Comp Number: 400707
Status: Active
City: SAN JOSE
Address: 1698 SARATOGA-SUNNYVA E RD
Name: SARATOGA SHELL BUD ROOT
Number Of Tanks: Not reported
Content: REG UNLEADED
STG: P
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 12000
Tank Status: A
SWRCB Tank Id: 43-060-400707-000002
Owner Tank Id: Not reported
Created Date: 02-29-88
Action Date: 09-08-92
Referral Date: 09-30-92
Board Of Equalization: Not reported
Number: 9
Comp Number: 400707
SARATOGA SHELL BUD ROOT (Continued) S106931920
TC6029600.2s Page 34
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Container Construction Thickness: Not reported
Type of Fuel: Not reported
Tank Used for: Not reported
Tank Capacity: Not reported
Year Installed: Not reported
Container Num: Not reported
Tank Num: Not reported
Total Tanks: Not reported
Owner City,St,Zip: Not reported
Owner Address: Not reported
Owner Name: Not reported
Telephone: Not reported
Contact Name: Not reported
Other Type: Not reported
Facility Type: Not reported
Facility ID: Not reported
Region: Not reported
URL: http://geotracker.waterboards.ca.gov/ustpdfs/pdf/0002089F.pdf File Number: 0002089F
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 SARATOGA SUNNYVALE RD
Name: SARATOGA SHELL INC
HIST UST:

Closed Date: Not reported
Date Listed: 2001-08-05 00:00:00
Oversite Agency: SCCDEH
SCVWD ID: 07S2W25G01
Region Code: 2
Region: SANTA CLARA
City: San Jose
Address: 1698 Saratoga Sunnyvale Rd
Name: Shell
HIST LUST SANTA CLARA:

Date Post Remedial Action Monitoring Began: Not reported Date Remediation Action Underway: Not reported
Pollution Remediation Plan Submitted: Not reported
Pollution Characterization Began: 7/20/2001
Preliminary Site Assesment Began: 7/20/2001
Prelim. Site Assesment Wokplan Submitted: Not reported
Oversight Program: LUST
Date Leak Confirmed: Not reported
Leak Source: Not reported
Leak Cause: Not reported
How Discovered: Not reported
Case Number: 07S2W25G01f
Facility Status: Pollution Characterization
Facility Id: Not reported
Region: 2
LUST REG 2:
152 ft. Site 16 of 38 in cluster A

0.029 mi.

Relative:

Lower
Actual:
302 ft.
< 1/8 SAN JOSE, CA 95129 HIST UST
ESE 1698 SARATOGA SUNNYVALE RD HIST LUST N/A
A17 SHELL LUST S105512911
TC6029600.2s Page 35
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Click here for Geo Tracker PDF:

Leak Detection: Not reported
SHELL (Continued) S105512911
Action Type: RESPONSE
Global Id: T0608500352
Action: Leak Reported
Date: 06/20/1986
Action Type: Other
Global Id: T0608500352
LUST:

Phone Number: 4089183400
Email: Not reported
City: SAN JOSE
Address: 1555 Berger Drive, Suite 300
Organization Name: SANTA CLARA COUNTY LOP
Contact Name: UST CASE WORKER
Contact Type: Local Agency Caseworker
Global Id: T0608500352
Phone Number: Not reported
Email: Not reported
City: OAKLAND
Address: 1515 CLAY ST SUITE 1400
Organization Name: SAN FRANCISCO BAY RWQCB (REGION 2)
Contact Name: Regional Water Board
Contact Type: Regional Board Caseworker
Global Id: T0608500352
LUST:

Site History: Not reported
Potential Contaminants of Concern: Gasoline
Potential Media Affect: Aquifer used for drinking water supply Local Case Number: Not reported
File Location: All Files are on GeoTracker or in the Local Agency Database Local Agency: SANTA CLARA COUNTY LOP
RB Case Number: Not reported
Case Worker: UST
Status Date: 07/26/2004
Status: Completed - Case Closed
Longitude: -122.032549381256
Latitude: 37.294164350207
Global Id: T0608500352
Geo Track: http://geotracker.waterboards.ca.gov/profile_report.asp?global_id=T0608500352 Case Type: LUST Cleanup Site
Lead Agency: SANTA CLARA COUNTY LOP
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON #9-4818
LUST:
167 ft. Site 17 of 38 in cluster A

0.032 mi. CERS
Relative:

Lower
Actual:
305 ft.
< 1/8 CUPERTINO, CA 95014 SWEEPS UST
SE 1699 SARATOGA-SUNNYVALE RD HIST LUST N/A
A18 CHEVRON #9-4818 LUST S105027707
TC6029600.2s Page 36
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Action: Well Destruction Report
Date: 07/14/2004
Action Type: RESPONSE
Global Id: T0608500352
Action: Staff Letter - #21039
Date: 09/15/2001
Action Type: ENFORCEMENT
Global Id: T0608500352
Action: Staff Letter - #41436
Date: 05/18/2003
Action Type: ENFORCEMENT
Global Id: T0608500352
Action: Notice of Responsibility - #39421
Date: 06/18/1991
Action Type: ENFORCEMENT
Global Id: T0608500352
Action: Unauthorized Release Form
Date: 01/21/2004
Action Type: RESPONSE
Global Id: T0608500352
Action: Correspondence
Date: 03/24/2004
Action Type: RESPONSE
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 07/17/2003
Action Type: RESPONSE
Global Id: T0608500352
Action: Other Workplan
Date: 08/28/1989
Action Type: RESPONSE
Global Id: T0608500352
Action: Other Report / Document
Date: 08/09/1991
Action Type: RESPONSE
Global Id: T0608500352
Action: Preliminary Site Assessment Report
Date: 11/07/1989
Action Type: RESPONSE
Global Id: T0608500352
Action: Correspondence
Date: 04/23/1999
Action Type: RESPONSE
Global Id: T0608500352
Action: Other Workplan
Date: 01/23/2001
CHEVRON #9-4818 (Continued) S105027707
TC6029600.2s Page 37
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Action Type: RESPONSE
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 01/30/2003
Action Type: RESPONSE
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 07/31/2003
Action Type: RESPONSE
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 04/30/2003
Action Type: RESPONSE
Global Id: T0608500352
Action: Closure/No Further Action Letter
Date: 07/26/2004
Action Type: ENFORCEMENT
Global Id: T0608500352
Action: Verbal Communication
Date: 07/11/2001
Action Type: RESPONSE
Global Id: T0608500352
Action: Soil and Water Investigation Report
Date: 07/20/2001
Action Type: RESPONSE
Global Id: T0608500352
Action: Other Workplan
Date: 11/20/2000
Action Type: RESPONSE
Global Id: T0608500352
Action: Soil and Water Investigation Workplan
Date: 08/16/1999
Action Type: RESPONSE
Global Id: T0608500352
Action: Other Report / Document
Date: 03/07/2001
Action Type: RESPONSE
Global Id: T0608500352
Action: Other Report / Document
Date: 10/27/1992
Action Type: RESPONSE
Global Id: T0608500352
Action: Tank Removal Report / UST Sampling Report
Date: 12/06/2002
Action Type: RESPONSE
Global Id: T0608500352
CHEVRON #9-4818 (Continued) S105027707
TC6029600.2s Page 38
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Date Remediation Action Underway: Not reported
Pollution Remediation Plan Submitted: Not reported
Pollution Characterization Began: 12/16/1999
Preliminary Site Assesment Began: 8/9/1989
Prelim. Site Assesment Wokplan Submitted: Not reported
Oversight Program: LUST
Date Leak Confirmed: Not reported
Leak Source: Not reported
Leak Cause: Not reported
How Discovered: Not reported
Case Number: 07S2W25F01f
Facility Status: Case Closed
Facility Id: Not reported
Region: 2
LUST REG 2:

Status Date: 07/26/2004
Status: Completed - Case Closed
Global Id: T0608500352
Status Date: 12/16/1999
Status: Open - Site Assessment
Global Id: T0608500352
Status Date: 08/09/1989
Status: Open - Site Assessment
Global Id: T0608500352
Status Date: 06/20/1986
Status: Open - Case Begin Date
Global Id: T0608500352
LUST:

Action: Staff Letter - #37824
Date: 12/01/2001
Action Type: ENFORCEMENT
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 10/30/2001
Action Type: RESPONSE
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 07/30/2002
Action Type: RESPONSE
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 04/30/2002
Action Type: RESPONSE
Global Id: T0608500352
Action: Monitoring Report - Quarterly
Date: 10/30/2002
CHEVRON #9-4818 (Continued) S105027707
TC6029600.2s Page 39
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tank Status: Not reported
SWRCB Tank Id: 43-012-062678-000002
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-026435
Number: Not reported
Comp Number: 62678
Status: Not reported
City: CUPERTINO
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON U S A INC
Number Of Tanks: 3
Content: REG UNLEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 6000
Tank Status: Not reported
SWRCB Tank Id: 43-012-062678-000001
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-026435
Number: Not reported
Comp Number: 62678
Status: Not reported
City: CUPERTINO
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON U S A INC
SWEEPS UST:

Closed Date: 2004-07-26 00:00:00
Date Listed: 1987-01-01 00:00:00
Oversite Agency: SCVWD
SCVWD ID: 07S2W25F01
Region Code: 2
Region: SANTA CLARA
City: Cupertino
Address: 1699 Saratoga-Sunnyvale Rd
Name: Chevron #9-4818
HIST LUST SANTA CLARA:

EDR Link ID: 07S2W25F01F
Date Closed: 07/26/2004
SCVWD ID: 07S2W25F01F
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON #9-4818
LUST SANTA CLARA:

Date Post Remedial Action Monitoring Began: Not reported CHEVRON #9-4818 (Continued) S105027707
TC6029600.2s Page 40
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Created Date: 02-29-88
Action Date: 05-26-93
Referral Date: 01-21-93
Board Of Equalization: 44-026435
Number: 1
Comp Number: 62678
Status: Active
City: CUPERTINO
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON U S A INC
Number Of Tanks: 4
Content: WASTE OIL
STG: W
Tank Use: OIL
Active Date: 02-18-92
Capacity: 1000
Tank Status: A
SWRCB Tank Id: 43-012-062678-000004
Owner Tank Id: WC7742C
Created Date: 02-29-88
Action Date: 05-26-93
Referral Date: 01-21-93
Board Of Equalization: 44-026435
Number: 1
Comp Number: 62678
Status: Active
City: CUPERTINO
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON U S A INC
Number Of Tanks: Not reported
Content: REG UNLEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 5000
Tank Status: Not reported
SWRCB Tank Id: 43-012-062678-000003
Owner Tank Id: Not reported
Created Date: Not reported
Action Date: Not reported
Referral Date: Not reported
Board Of Equalization: 44-026435
Number: Not reported
Comp Number: 62678
Status: Not reported
City: CUPERTINO
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON U S A INC
Number Of Tanks: Not reported
Content: LEADED
STG: PRODUCT
Tank Use: M.V. FUEL
Active Date: Not reported
Capacity: 3000
CHEVRON #9-4818 (Continued) S105027707
TC6029600.2s Page 41
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
CERS Description: Leaking Underground Storage Tank Cleanup Site CERS ID: T0608500352
Site ID: 186865
City,State,Zip: CUPERTINO, CA 95014
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON #9-4818
CERS:

Number Of Tanks: Not reported
Content: REG UNLEADED
STG: P
Tank Use: M.V. FUEL
Active Date: 09-16-93
Capacity: 12000
Tank Status: A
SWRCB Tank Id: 43-012-062678-000007
Owner Tank Id: 1
Created Date: 02-29-88
Action Date: 05-26-93
Referral Date: 01-21-93
Board Of Equalization: 44-026435
Number: 1
Comp Number: 62678
Status: Active
City: CUPERTINO
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON U S A INC
Number Of Tanks: Not reported
Content: PLUS UNLEADED
STG: P
Tank Use: M.V. FUEL
Active Date: 09-16-93
Capacity: 12000
Tank Status: A
SWRCB Tank Id: 43-012-062678-000006
Owner Tank Id: 2
Created Date: 02-29-88
Action Date: 05-26-93
Referral Date: 01-21-93
Board Of Equalization: 44-026435
Number: 1
Comp Number: 62678
Status: Active
City: CUPERTINO
Address: 1699 SARATOGA-SUNNYVALE RD
Name: CHEVRON U S A INC
Number Of Tanks: Not reported
Content: PRM UNLEADED
STG: P
Tank Use: M.V. FUEL
Active Date: 09-16-93
Capacity: 12000
Tank Status: A
SWRCB Tank Id: 43-012-062678-000005
Owner Tank Id: 3
CHEVRON #9-4818 (Continued) S105027707
TC6029600.2s Page 42
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: 4089183400
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: SAN JOSE
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: UST CASE WORKER - SANTA CLARA COUNTY LOP
Affiliation Type Desc: Local Agency Caseworker
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: OAKLAND
Affiliation Address: 1515 CLAY ST SUITE 1400
Entity Title: Not reported
Entity Name: Regional Water Board - SAN FRANCISCO BAY RWQCB (REGION 2) Affiliation Type Desc: Regional Board Caseworker
Affiliation:

CHEVRON #9-4818 (Continued) S105027707
Longitude: -122.03183
Latitude: 37.2944
Permitting Agency: Santa Clara County Environmental Health Facility ID: FA0268508
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
Longitude: -122.03183
Latitude: 37.2944
Permitting Agency: Santa Clara County Environmental Health Facility ID: FA0268508
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: NAKASH ENTERPRISES #7006
UST:
177 ft. Site 18 of 38 in cluster A

0.034 mi.

Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129
ESE 1698 S DE ANZA BL N/A
A19 NAKASH ENTERPRISES #7006 UST U004266058
Site ID: 137099
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
CERS HAZ WASTE:
177 ft. Site 19 of 38 in cluster A

0.034 mi. CERS
Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129 HAZMAT
ESE 1698 S DE ANZA BL CERS TANKS N/A
A20 SARATOGA SHELL CERS HAZ WASTE S123097673
TC6029600.2s Page 43
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health found and the response or repair that was conducted. .

Inspection Record was not available for review. Identify the problem from 1/4/2019, as noted on the 1/17/2019 DUSTO 30 day Facility Violation Notes: . The response record to the alarm of sensor L-3, 91 Annular Space maintain records of appropriate follow-up actions.

Violation Description: Failure to maintain monitoring records for release detection and/or 23, Chapter 16, Section(s) 2712(b)(1) and (2)
Citation: 23 CCR 16 2712(b)(1) and (2) - California Code of Regulations, Title Violation Date: 01-29-2019
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health 6/30/2015.

Violation Notes: This facility’s EPA ID number (CAL000014711) has been inactive since hazardous waste.
disposing of, transporting or offering for transportation any Violation Description: Failure to obtain an Identification Number prior to treating, storing, 12, Section(s) 66262.12
Citation: 22 CCR 12 66262.12 - California Code of Regulations, Title 22, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violations:

CERS Description: Chemical Storage Facilities
CERS ID: 10347286
Site ID: 137099
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
CERS:

Class: Gasoline Station
File Num: 400707
Region: SAN JOSE
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
SAN JOSE HAZMAT:

CERS Description: Underground Storage Tank
CERS ID: 10347286
Site ID: 137099
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
CERS TANKS:

CERS Description: Hazardous Waste Generator
CERS ID: 10347286
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 44
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Description: Failure to properly label hazardous waste accumulation containers and Chapter 12, Section(s) 66262.34(f)
Citation: 22 CCR 12 66262.34(f) - California Code of Regulations, Title 22, Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health of testing is done in August of 2020.

August of 2017 and was not done until 9/7/2017. Ensure that next round Violation Notes: Every-36-month testing of UST secondary containment systems was due in service technician or a licensed tank tester.
standard, or professional engineer approval.Performed by a certified applicable manufacturer guidelines, industry codes, engineering demonstrates the system works as well as at installation.Use installation and every 36 months thereafter.Use a procedure that the following requirements: Perform the test within six months of Violation Description: Failure to conduct secondary containment testing, or one or more of Section(s) 2637
Citation: 23 CCR 16 2637 - California Code of Regulations, Title 23, Chapter 16, Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health not been submitted.

Violation Notes: Report documenting secondary containment testing done on 9/7/2017 has the UPA within 30 days after the test.

Violation Description: Failure to submit a copy of the secondary containment test results to 16, Section(s) 2637(e)
Citation: 23 CCR 16 2637(e) - California Code of Regulations, Title 23, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health the business ownership changed on 1/24/2017.
of changes in Emergency Contact and Environmental Contact persons when Violation Notes: The HMBP was not revised and electronically submitted within 30 days requires modification to any portion of the business plan. business name. A substantial change in the handler’s operations that quantities. A change of business address, business ownership, or previously undisclosed hazardous materials at or above reportable quantity of a previously disclosed material. Any handling of a one of the following events: A 100 percent or more increase in the Violation Description: Failure to electronically update business plan within 30 days of any

6.95, Section(s) 25508.1(a)-(f)
Citation: HSC 6.95 25508.1(a)-(f) - California Health and Safety Code, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 45
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health of change in UST ownership.
compliance with California UST Regulations as required within 30 days identifying the facility’s Designated UST Operator(s) and certify Violation Notes: UST owner/operator failed to electronically submit notification identification and/or change of the DO within 30 days.

Violation Description: Failure to submit the UPA. of the designated operator (DO) 16, Section(s) 2715(a)
Citation: 23 CCR 16 2715(a) - California Code of Regulations, Title 23, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health all errors and omissions and resubmit within 30 days.
copy of submittal that will be provided later today via email. Correct (CERS) website on 7/8/2014 contains minor errors. Refer to marked up Violation Notes: Information submitted via California Environmental Reporting System operate an underground storage tank, or for renewal of the permit.

Violation Description: Failure to submit an complete and accurate application for a permit to Section(s) 25286(a)
Citation: HSC 6.7 25286(a) - California Health and Safety Code, Chapter 6.7, Violation Date: 01-28-2015
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health below have been corrected.
will be issued to Truth In Love, Inc. after all UST violations noted issued until facility is in compliance with UST Regulations. Permit owner/operator which occurred on 1/24/2017. New permit cannot be Violation Notes: This facility’s UST Permit to Operate expired with change of UST not limited to unpaid permit fees.

Violation Description: Failure to obtain a valid permit to operate from the UPA including but Section(s) 25284
Citation: HSC 6.7 25284 - California Health and Safety Code, Chapter 6.7, Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health on the drum label with the information described below.

Waste label has faded and is no longer readable. Replace the markings Violation Notes: All information formerly marked on the used absorbent drum’s Hazardous date.
characteristics of the Hazardous Waste, and starting accumulation name and address of the generator, physical and chemical portable tanks with the following requirements: "Hazardous Waste", SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 46
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health 1/30/2018 Notice of Inspection. .
on1/25/2017 has not been submitted. This remains outstanding from the Violation Notes: . Form documenting monitoring system certification testing done UPA within 30 days of completion of the test.

Violation Description: Failure to submit the G Monitoring System Certification FormG to the 16, Section(s) 2638(d)
Citation: 23 CCR 16 2638(d) - California Code of Regulations, Title 23, Chapter Violation Date: 01-29-2019
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health submitted within 30 days of the date of testing as required.

Submit a copy within 30 days and ensure that all test reports are Violation Notes: Form documenting testing done on 1/2/2014 has not been submitted. certification to the CUPA within 30 days of completion of the test (VPH, sensor, LLD, ATG, etc.) and/or submit monitoring system Violation Description: Failure to test leak detection equipment as required every 12 months Section(s) 2638
Citation: 23 CCR 16 2638 - California Code of Regulations, Title 23, Chapter 16, Violation Date: 01-28-2015
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health 1/25/2017 was not available at the facility.

Violation Notes: Monitoring System Certification form documenting testing done on or off site if approved by the UPA, for the life of the UST.

Violation Description: Failure to maintain records of repairs, lining, and upgrades on site, 16, Section(s) 2712(b)
Citation: 23 CCR 16 2712(b) - California Code of Regulations, Title 23, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health UST Operator.]
training is not the same as the training provided by your Designated Violation Notes: No records of HMBP training are available at the facility. [Note: This records for a minimum of three years.
hazardous material or failure to document and maintain training safety procedures in the event of a release or threatened release of a Violation Description: Failure to provide initial and annual training to all employees in

6.95, Section(s) 25505(a)(4)
Citation: HSC 6.95 25505(a)(4) - California Health and Safety Code, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 47
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health CERS."]
CERS UST submittal element. Do not note, "Submitted Elsewhere in days. [Note: Upload a PDF copy of your UST Monitoring Site Plan in the via email. Correct all errors and omissions and resubmit within 30 Refer to marked up copy of submittal that will be provided later today Violation Notes: Plan submitted via CERS website on 7/8/2014 contains minor errors.

Violation Description: Failure to maintain on site an approved monitoring plan. 16, Section(s) 2712(i)
Citation: 23 CCR 16 2712(i) - California Code of Regulations, Title 23, Chapter Violation Date: 01-28-2015
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health trained by the DO within the past 12 months.

There were no employees on site during this inspection that were 12/16/2014) Katia Rodriguez (new employee as of November 2015) *Note:

Raymond (last trained on 12/16/2014) Juan Cortez (last trained on training is required for the following facility employees: George Violation Notes: ___________________________________________________________ DO the UST system.
hours that has been trained in the proper operation and maintenance of hire and/or to have at least one employee present during operating responsible for proper operation and maintenance within 30-days of maintenance every 12 months and/or train new employee(s) who are to facility employee(s) responsible for proper operation and Violation Description: Failure to comply with one or more of the following: provide training 16, Section(s) 2715(f)
Citation: 23 CCR 16 2715(f) - California Code of Regulations, Title 23, Chapter Violation Date: 01-28-2016
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ or Steve. Submit an updated DUSTO notification form to CERS.

Notification has not been submitted for a DO change to either Israel Systems, Inc. is scheduled to perform the monthly DO inspection today.

Service Station Systems, Inc. Steve Parmenter with Service Station for the December 14, 2015 monthly inspection was Israel Santillan with Thomas is no longer the Designated Operator. The Designated Operator Violation Notes: ___________________________________________________________ Dave 30 days after a change.
inform the CUPA or any change in the designated UST operator(s) within Violation Description: The owner/operator has failed to designate an UST operator or to 16, Section(s) 2715(a)
Citation: 23 CCR 16 2715(a) - California Code of Regulations, Title 23, Chapter Violation Date: 01-28-2016
Site Name: SARATOGA SHELL
Site ID: 137099
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 48
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
required for this violation.
as well as pump shut down. Violation Corrected. No further action sensor functioned properly by triggering an audible and visual alarm during this inspection. Following replacement and retesting, the "L6" replaced and retested by Service Station Systems, Inc. technicians alarm or positive shut down of the pump when tested. This sensor was sensor monitoring piping within the 87-1 STP sump did not trigger an Violation Notes: ___________________________________________________________ "L6" detected.
visual alarm or restricts or stops flow at dispenser when a leak is be continuously monitored with a system that activates an audible and Violation Description: Failure of the double wall pressurized piping in the turbine sump to Chapter 16, Section(s) 2636(f)(1)
Citation: 23 CCR 16 2636(f)(1) - California Code of Regulations, Title 23, Violation Date: 01-28-2016
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health Plan for this station that contains all information specified below. for a different facility (King Tully Shell). Upload and submit a Site Violation Notes: UST Monitoring Site Plan most recently submitted via CERS website is Violation Description: Failure to submit or maintain a current facility plot plan. 2632(d)(1)(c),2641(h),2711(a)(8)
Regulations, Title 23, Chapter 16, Section(s)
Citation: 23 CCR 16 2632(d)(1)(c),2641(h),2711(a)(8) - California Code of Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health previous inspection on 12/13/2018. .

Violation Notes: . The 1/17/2019 DUSTO inspection was more than 30 days after the days.
the designated UST operator visual inspection at least once every 30 inspections conducted on and after October 1, 2018, failure to conduct accordance with 23 CCR 2715(c). For designated operator (DO) 30 day documented. Verify that all facility employees have been trained in visit. Check that all testing and maintenance has been completed and debris in containment sumps where an alarm occurred with no service monitoring equipment is positioned correctly. Inspect for liquid or liquid/debris in under dispenser containment (UDC) and ensure that the liquid/debris in spill containers. Inspect for the presence of to appropriately, and attach a copy. Inspect for the presence of alarm history report, check that alarms are documented and responded requirements: Be performed by an ICC certified DO. Inspect monthly October 1, 2018, failure to comply with one or more of the following Violation Description: For designated operator (DO) monthly inspections conducted before 23, Chapter 16, Section(s) 2716(a) through (e)
Citation: 23 CCR 16 2716(a) through (e) - California Code of Regulations, Title Violation Date: 01-29-2019
Site Name: SARATOGA SHELL
Site ID: 137099
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 49
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
electronically submit a UST Certification of Financial Responsibility Violation Notes: UST owner/operator stores petroleum in USTs and failed to Financial Responsibility or other mechanism of financial assurance.

Violation Description: Failure to submit and maintain complete and current Certification of Chapter 6.75, Section(s) 25299.30-25299.34
Citation: HSC 6.75 25299.30-25299.34 - California Health and Safety Code, Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health 1/25/2017 has not been submitted.

Violation Notes: Form documenting monitoring system certification testing done on the UPA within 30 days of completion of the test.

Violation Description: Failure to submit the Annual Monitoring System Certification Form to 16, Section(s) 2638(d)
Citation: 23 CCR 16 2638(d) - California Code of Regulations, Title 23, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ reports to HMCD within 30 days.
the inspection report issued today, 1/28/2016. Submit both completed violations documented in the 1/28/2015 inspection report, as well as report dated 1/28/2015. Complete and note all corrective actions for not received a written response to the Official Notice of Inspection Violation Notes: ___________________________________________________________ HMCD has Ordinance only
Violation Description: UST Program - Administration/Documentation - For use of Local Citation: Un-Specified
Violation Date: 01-28-2016
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health Violation Notes: The most recent HMBP electronic submittal occurred on 9/21/2016. date.
business plan is complete and accurate on or before the annual due Violation Description: Failure to annually review and electronically certify that the Section(s) 25508.2
Citation: HSC 6.95 25508.2 - California Health and Safety Code, Chapter 6.95, Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 50
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Description: Failure to have an approved UST Response Plan. 16, Section(s) 2641(h)
Citation: 23 CCR 16 2641(h) - California Code of Regulations, Title 23, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health operation. Apply for a repair permit as directed below. the needed step to return the UDC to full integrity for permitted follow-up work has been done on this issue. Repair was identified as Breckenridge confirmed today it was the 5/7 dispenser and that no dispenser containment (UDC) sump for "Dispenser # "5/6" failed. Ron Violation Notes: The 9/7/2017 secondary containment test report states that the under containment testing).

Violation Description: Failure to maintain secondary containment (e.g., failure of secondary 25290.1(c),25290.2(c),25291(a)(2),2529.1(e)
Health and Safety Code, Chapter 6.7, Section(s)
Citation: HSC 6.7 25290.1(c),25290.2(c),25291(a)(2),2529.1(e) - California Violation Date: 01-29-2019
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health Plans as required within 30 days of change in UST owner/operator.

Violation Notes: UST operator failed to electronically submit updated UST Monitoring Violation Description: Failure to have an approved UST Monitoring Plan. 16, Section(s) 2641(h)
Citation: 23 CCR 16 2641(h) - California Code of Regulations, Title 23, Chapter Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health are able, then submit a copy back to this office. .

Actions Taken" and complete the "Certification of Compliance" as you office dated 1/30/2018 has been received. Identify the "Corrective Violation Notes: . No record of the response to the Notice of Inspection from this the UPA or special inspector.
report within 30 days of receiving an inspection report from either Violation Description: Failure to implement the corrections specified in the inspection 16, Section(s) 2712(f)
Citation: 23 CCR 16 2712(f) - California Code of Regulations, Title 23, Chapter Violation Date: 01-29-2019
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health as required within 30 days of change in UST ownership.

SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 51
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
1/2/2014: -3 UST Annular space sensors (VR-301, single point & 91) with double walled fiberglass piping. Components tested today, comprised of three double walled fiberglass gasoline tanks (87-1, 87-2 #2406 Exp. 9/24/15). The underground storage tank (UST) system is Exp. 6/29/14, Veeder Root (VR) #B35546 Exp. 5/3/14, VMI LDT-890 Tester Service Station Systems, Inc. Technician Alex Barajas (ICC# 5275949-UT Eval Notes: A Monitoring System Equipment Certification was performed today by Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 01-02-2014
Eval General Type: Compliance Evaluation Inspection
Evaluation:

Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health station.)]
agreement. (Such an agreement was observed in the UST binder at the currently incorrectly states that you are exempt from having such an holder (i.e., UST owner Nakash Enterprises) and UST the operator. CERS also submit a copy of the written agreement between the UST permit financial officer letter via CERS within 30 days. [Note: Be sure to current Certification of Financial Responsibility form and chief now expired, as have documents available at the station. Submit Violation Notes: Financial responsibility documentation submitted via CERS website has Financial Responsibility or other mechanism of financial assurance.

Violation Description: Failure to submit and maintain complete and current Certification of Chapter 6.75, Section(s) 25299.30-25299.34
Citation: HSC 6.75 25299.30-25299.34 - California Health and Safety Code, Violation Date: 01-28-2015
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health failed and apply for a repair permit as directed below. clear which of those two dispensers failed. Determine which dispenser numbered 5/6. There are dispensers numbered 5/7 and 6/8, so it is not hydrostatic testing, but there is no dispenser at this station dispenser containment (UDC) sump for "Dispenser # 5/6" failed Violation Notes: The 9/7/2017 secondary containment test report states that the under containment testing).

Violation Description: Failure to maintain secondary containment (e.g., failure of secondary 25290.1(c),25290.2(c),25291(a)(2),2529.1(e)
Health and Safety Code, Chapter 6.7, Section(s)
Citation: HSC 6.7 25290.1(c),25290.2(c),25291(a)(2),2529.1(e) - California Violation Date: 01-30-2018
Site Name: SARATOGA SHELL
Site ID: 137099
Violation Source: CERS
Violation Program: UST
Violation Division: Santa Clara County Environmental Health owner/operator.

Response Plan as required within 30 days of change in UST Violation Notes: UST owner/operator failed to electronically submit an updated UST SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 52
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
test) *All [Truncated]
& "Fail Safe" alarms; PS -3 Fill Spill Buckets (one hour hydrostatic Pressurized Line Leak Detectors (ELLD/PLLD; VR 8484); PS -"Sensor Out" Containment (UDC) pan liquid sensors (VR-208); PS -2 Electronic (VR-208); PS -3 Fill Sump sensors (VR-208); PS -4 Under Dispenser (VR-208); Positive Shutdown (PS) of pumps observed -3 TLM Sump sensors space sensors (VR-301, single point hydrostatic) -3 STP Sump sensors installed on 1/1/1987. Components tested today, 1/28/2016: -3 Annular information reported to CERS on 2/25/2015, all three tanks were motor vehicle fuel tanks with double walled fiberglass piping. Per system is comprised of three 12,000 gallon double walled fiberglass LDT-890 Tester #2379 Exp. 7/14/17). The underground storage tank (UST) 3/19/17, Veeder Root (VR) #A28780 Level 4 Technician Exp. 3/2/16, VMI Station Systems, Inc. Technician Steve Parmenter (ICC# 5311561-UT Exp.

Eval Notes: A Monitoring System Certification was performed today by Service Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-28-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
gauge probe riser sump, [Truncated]
[3 submersible turbine pump (STP) sump, 3 fill sump, 3 automatic tank visual alarms on the Veeder-Root TLS-350 console. Thirteen sump bottom removing them from the tank interstitial fluid and triggered audible & Model 794380-301 hydrostatic tank annular sensors were tested by (exp. 4/6/2016). TLS-350 programming is correct. The 3 Veeder-Root Manufacturing (VMI) LDT-890 line leak detector testing certification Monitoring Technician certification (exp. 1/13/2017), and Vaporless Technician certification (exp. 10/30/2015), Veeder-Root Certified UST properly. Mr. Rodriguez has current ICC California UST Service Jesse Rodriguez of Service Station Systems, Inc. and functioned leak detection equipment was tested today by UST Service Technician Inspection to Nakash Enterprises as soon as possible. All UST system the inspection today. Please forward a copy of this Official Notice of Eval Notes: Nobody from the permit holder, Nakash Enterpises, was on-site during Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-28-2015
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
Positive shutdown of [Truncated]
components listed above passed functional testing today, 1/2/2014. "Fail Safe" alarms; PS -2 Emergency Shut Off (ESO) switches; PS *All Pressurized Line Leak Detectors (PLLD, VR 8484); PS -"Sensor Out" & Under Dispenser Containment (UDC) pan sensors (VR-208); PS -2 (VR-208); PS -3 Fill Spill Buckets (one hour hydrostatic test) -4 pumps observed -3 STP Sump sensors (VR-208); PS -3 TLM Sump sensors hydrostatic) -3 Fill Sump sensors (VR-208); Positive Shutdown (PS) of SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 53
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Source: CERS
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
most recent 36 month period.
drained. Records of all shipments of used filters must be kept for the accordance with Drained Used Fuel Filter requirements if they are are not drained, or sent for metal recycling and otherwise managed in advised that used filters must be managed as Hazardous Waste if they Note: It is not clear when the dispenser filters were last changed. Be than 100 kilograms of used absorbent contaminated with petroleum.

The only hazardous waste currently on-site is a drum containing less Eval Notes: Facility is a conditionally exempt small quantity generator (CESQG).

Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-30-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
using water to obtain audible and visual fuel alarms [Truncated] riser sumps, and 4 under dispenser containment (UDC) sumps were tested (STP) sumps, 3 tank fill sumps, 3 automatic tank gauge (ATG) probe model 794380-208 sensors monitoring the 3 submersible turbine pump High Liquid alarms on the Veeder-Root TLS-350 console. Veeder-Root interstitial fluid, then inverting them to obtain both Low Liquid and annular sensors were tested by raising them out of the tank (exp. 12/8/2018). The Veeder-Root Model 794380-301 hydrostatic tank Manufacturing (VMI) LDT-890 line leak detector tester certification Veeder-Root certification (exp. 12/7/2018), and Vaporless current ICC UST Service Technician certification (exp. 6/10/2018), Petroleum Services and functioned properly. Mr. Breckenridge has Ron Breckenridge Enterprises, Inc. (CSLB Lic. # 787836) dba RB tested today by UST Service Technician Ronald (Ron) Breckenridge of Eval Notes: All underground storage tank (UST) system leak detection equipment was Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-30-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Environmental Health
86290-81-5 USTs 12,000 gallons Accepted.

Gasoline 86290-81-5 USTs 24,000 gallons Premium Unleaded Gasoline Used Absorbent Behind Store/Service Bay 100 pounds Regular Unleaded VALERO (CUPERTINO, CA) Comments by submitter: 2018 Annual Submittal 10347286 on 9/27/2018 3:03PM by Gina (Pimentel) Campigli of VIKHAR Property Owner is Business Owner. CERS Review; Submitted for CERS ID Inventory confirmed, OK Emergency Supplies, OK Annual Training, OK to allow facility access and records review. Facility Review:

Inspection Sarabjit (Paul) Sing, Cashier, Saratoga Shell, is on site Eval Notes: I am on site for the 2019 Hazardous Materials Business Plan Permit Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 01-29-2019
Eval General Type: Compliance Evaluation Inspection
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 54
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
sump and the 91 and 87-2 Probe [Truncated]
Alarms, Print, OK Power Out, All STP shutdown, OK NOTE; The 91 STP Alarms, Print, OK Sensor Out, All STP shutdown, Audio and Visual Print, OK 6 other sumps (fill and probe) tested, Audio and Visual Sump Testing; 3 sumps, All STP shutdown, Audio and Visual Alarms, dispensers, All STP shutdown, Audio and Visual Alarms, Print, OK STP there was no drop observed. OK Dispenser sensors testing; 4 buckets in sumps, tested with water and measured. After 60 minutes 12/3/2020, VMI, expires, 12/13/2020. Overspill Container Testing; 3 Inspection. ICC # 5246819, expires 5/25/2020, Veerder-Root, expires Monitoring System Testing and the Overfill Prevention Device Breckenridge, UST Servic Tech, is on site to conduct the 2019 UST Shell, is on site to allow facility access and records review. Ron Operating Permit Inspection. Sarabjit (Paul) Sing, Cashier, Saratoga Eval Notes: I am on site at 1698 S. De Anza Blvd. in San Jose for the 2019 UST Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-29-2019
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
15 DAYS.
1/28/2015 AND 1/28/2016 OFFICIAL NOTICE OF INSPECTION REPORTS WITHIN was trained on 4/25/2016. *PROVIDE WRITTEN RESPONSES TO HMCD FOR Cortez and Katia Rodriguez were trained on 2/15/2016. George Raymond DUSTO training records observed on site appear to be up to date. Juan to CERS on 3/30/2016. T040: DUSTO TRAINING FOR FACILITY EMPLOYEES - T032: DUSTO CHANGE - An updated DUSTO notification form was submitted Official Notice of Inspection reports. Corrected violation comments:

HMCD has not received responses to the 1/28/2015 and 1/28/2016 exception of the following: T900: RESPONSE TO NOTICE OF VIOLATION - noted on the 1/28/2016 inspection report have been corrected with the Official Notice of Inspection Report dated 1/28/2016. *All violations Eval Notes: On site to perform a follow up inspection for violations noted in the Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 05-10-2016
Eval General Type: Other/Unknown
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Environmental Health
Gasoline stored in the USTs.

Materials Business Plan (HMBP)-reportable quantities is the Unleaded observed currently being handled by Truth In Love, Inc. in Hazardous business collocated at this address. The only hazardous material Eval Notes: The auto repair bays are operated by De Anza Auto, LLC, a separate Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-30-2018
Eval General Type: Compliance Evaluation Inspection
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 55
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
[email protected]
OFFICE WHEN REPAIR WORK IS COMPLETED, FOR CONFIRMATION TESTING.

START ABOVE ALL PENETRATIONS, OBSERVABLE DROP, FAIL. CONTACT THIS BOTH PASS, OK 87 - 2 (CENTER), 1 SUMP, TANK PROBE SUMP, WATER TEST,

SUMP, WATER TEST, ABOVE ALL PENETRATION FITTINGS, NO DROP OBSERVED, OK 3 SUMPS TO TEST 91 - 1 (WEST), 2 SUMPS, TANK PROBE SUMP AND TURBINE CONFIRMATION TESTING. ICC# 5248052, EXP. 1/8/2016 CALDWELL - 10/2006.

MORTERA, UST SERVICE TECH, BALCH PETROLIUM, ON SITE TO PERFORM Eval Notes: ON SITE TO CONFIRM UST SUMP REPAIR WORK FOR PIPING PENETRATIONS. ELMER Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 12-10-2014
Eval General Type: Other/Unknown
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Environmental Health
outside
gallon drum of used oil filters -5 gallon containers of propane stored drums of used oil -2 x 55 gallon drums of waste antifreeze -1 x 55 0W-20 oil (double-walled aboveground tank inside shop) -2 x 55 gallon (double-walled aboveground tank inside shop) -1 x 120 gallon tank of aboveground tank inside shop) -1 x 120 gallon tank of 5W-40 oil drum of 5W-30 oil -1 x 120 gallon tank of 5W-30 oil (double-walled was made on 3/31/2016. Hazardous materials observed: -1 x 55 gallon performed today. CERS ID# 10091989 A CERS submittal for HMBP reporting Eval Notes: Routine Hazardous Materials Business Plan (HMBP) program inspection Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 05-10-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
spoke [Truncated]
a current list of trained facility employees on-site. Atam Sandhu employees during operating hours shall have current training. Maintain training for all facility employees annually. At least one of the employees within 30 days of the date of hire and provide refresher from the Designated Operator. Have the Designated Operator train new your new facility employees with UST responsibilities receive training reports Training records Repair and maintenance records Ensure all of Secondary Containment Test Results Monthly Designated Operator (DO) today and were in proper order: Monitoring System Certification Forms day prior on 1/24/2017. The following UST documents were reviewed completed on 1/25/2017. Atam Sandhu had just taken over as owner the the inspection and annual UST monitoring equipment testing that was of the annual UST inspection. The documents were not available during Eval Notes: Onsite for a follow-up inspection to review the UST documents as part Eval Type: Other, not routine, done by local agency
Violations Found: No
Eval Date: 02-08-2017
Eval General Type: Other/Unknown
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 56
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Zip: 95037
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Ct.

Entity Title: Not reported
Entity Name: Atam Sandhu
Affiliation Type Desc: Environmental Contact
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Stantec Consulting Services Inc.

Affiliation Type Desc: Document Preparer
Affiliation:

Enf Action Source: CERS
Enf Action Program: UST
Enf Action Division: Santa Clara County Environmental Health Enf Action Notes: Not reported
Enf Action Description: Notice of Violation Issued by the Inspector at the Time of Inspection Enf Action Type: Notice of Violation (Unified Program)
Enf Action Date: 01-28-2015
Site Zip: 95129
Site City: SAN JOSE
Site Address: 1698 S DE ANZA BL
Site Name: SARATOGA SHELL
Site ID: 137099
Enforcement Action:

Eval Source: CERS
Eval Program: UST
Eval Division: Santa Clara County Environmental Health
across the street: FA0259676, [Truncated]
[email protected] Note: Atam Sandhu also owns the gas station maintenance records New Owner information: Atam Sandhu (408) 406-3158 Designated Operator (DO) reports Training records Repair and System Certification Forms Secondary Containment Test Results Monthly Mr. Price to get the missing UST documents including: Monitoring from the previous owner, Chris Price. Atam Sandhu said he will contact http://cers.calepa.ca.gov. There were not any UST documents onsite the California Environmental Reporting System (CERS) website at submit the UST permit application within 30 days electronically via phone during the inspection and told him that he must update and underground storage tanks as of 1/24/2017. I spoke with Atam Sandhu by Atam Sandhu is the new owner/operator of this gas station and the completed by UST service technician Ron Breckenridge of RB Petroleum.

Eval Notes: Onsite to observe the annual UST monitoring equipment testing Eval Type: Routine done by local agency
Violations Found: No
Eval Date: 01-25-2017
Eval General Type: Compliance Evaluation Inspection
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 57
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: VIKHAR VALERO
Affiliation Type Desc: Parent Corporation
Affiliation Phone: Not reported
Affiliation Zip: 95037
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Ct.

Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: (408) 918-3400
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
Affiliation Phone: (408) 252-0862
Affiliation Zip: 95037
Affiliation Country: United States
Affiliation State: CA
Affiliation City: Morgan Hill
Affiliation Address: 1800 Silverwings Ct.

Entity Title: Not reported
Entity Name: Atam Sandhu
Affiliation Type Desc: UST Tank Operator
Affiliation Phone: (510) 657-9150
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Project Manager
Entity Name: Sunny Goyal
Affiliation Type Desc: UST Permit Applicant
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: CEO
Entity Name: Atam Sandhu
Affiliation Type Desc: Identification Signer
Affiliation Phone: Not reported
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 58
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: (408) 406-3158
Affiliation Zip: 95129
Affiliation Country: United States
Affiliation State: CA
Affiliation City: SAN JOSE
Affiliation Address: 1698 S DE ANZA BL
Entity Title: Not reported
Entity Name: Truth In Love, Inc.

Affiliation Type Desc: Property Owner
Affiliation Phone: (408) 406-3158
Affiliation Zip: 95037
Affiliation Country: United States
Affiliation State: CA
Affiliation City: MORGAN HILL
Affiliation Address: 1800 SILVERWINGS CT
Entity Title: Not reported
Entity Name: Truth in Love, Inc.

Affiliation Type Desc: Legal Owner
Affiliation Phone: (408) 252-0862
Affiliation Zip: 95129
Affiliation Country: United States
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1698 S De Anza Blvd
Entity Title: Not reported
Entity Name: Truth In Love, Inc.

Affiliation Type Desc: UST Property Owner Name
Affiliation Phone: (408) 406-3158
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Atam Sandhu
Affiliation Type Desc: Operator
Affiliation Phone: (408) 252-0862
Affiliation Zip: 95129
Affiliation Country: United States
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1698 S De Anza Blvd
Entity Title: Not reported
Entity Name: Truth in Love, Inc.

Affiliation Type Desc: UST Tank Owner
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
SARATOGA SHELL (Continued) S123097673
TC6029600.2s Page 59
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility ID: FA0263832
Record ID: PR0397642
Longitude: -122.031787
Latitude: 37.294384
Program Description: HAZARDOUS MATERIALS BUSINESS PLAN
PE#: 2501
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: SHELL STATION #135984
Facility ID: FA0263832
Record ID: PR0392525
Longitude: -122.031787
Latitude: 37.294384
Program Description: GENERATES 100 KG YR TO <5 TONS/YR
PE#: 2205
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: SHELL STATION #135984
CUPA SANTA CLARA:
177 ft. Site 20 of 38 in cluster A

0.034 mi.

Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129
ESE 1698 S DE ANZA BL N/A
A21 SHELL STATION #135984 CUPA Listings S121474175
Petroleum Hydrocarbons (TPH) as Gasoline (TPHg), 33 ppm TPH as Diesel contamination remained in soil of 91 parts per million (ppm) Total storage tank (UST) in 1987. At the time of closure, residual investigation was related to the removal of a waste oil underground was closed on 10/13/94 (closure summary attached). This previous Site History: A previous fuel leak investigation case (07S2W25G01f) for this site Potential Contaminants of Concern: MTBE / TBA / Other Fuel Oxygenates, Gasoline Potential Media Affect: Other Groundwater (uses other than drinking water) Local Case Number: 07S2W25G01f
File Location: All Files are on GeoTracker or in the Local Agency Database Local Agency: SANTA CLARA COUNTY LOP
RB Case Number: 14-630
Case Worker: GOR
Status Date: 02/14/2013
Status: Completed - Case Closed
Longitude: -122.031761
Latitude: 37.294342
Global Id: T0608501264
Geo Track: http://geotracker.waterboards.ca.gov/profile_report.asp?global_id=T0608501264 Case Type: LUST Cleanup Site
Lead Agency: SANTA CLARA COUNTY LOP
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S. DE ANZA BLVD.

Name: SHELL
LUST:
177 ft. Site 21 of 38 in cluster A

0.034 mi.

Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129 CERS
ESE 1698 S DE ANZA BLVD HIST UST N/A
A22 SARATOGA SHELL INC LUST U001603010
TC6029600.2s Page 60
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Phone Number: Not reported
Email: gerald.o’[email protected]
City: SAN JOSE
Address: 1555 BERGER DRIVE STE 300
Organization Name: SANTA CLARA COUNTY LOP
Contact Name: Gerald O’Regan
Contact Type: Local Agency Caseworker
Global Id: T0608501264
LUST:
associated with the UST removal.
phthalate. 42 tons of pea gravel were removed from the site lead, 101 ppm nickel, 56.0 ppm zinc, and 2.6 ppm bis (2 ethylhexyl) 150 ppm oil and grease, 100 ppm TPHd, 83.3 ppm chromium, 23.8 ppm (WO-1-11 and WO-2-11) from the UST excavation which contained up to Environmental Technology, Inc. (Cambria) collected two samples one 550-gallon, double-walled fiberglass waste oil UST. Cambria 2006 Waste Oil UST Removal: In May 2006, Wayne Perry, Inc. removed commenced on a semi-monthly basis and continued through August 2006.

Oxygen Sparging: In September, oxygen sparging into well MW-2 was TBA, and 0.91 ppb toluene in offsite borings CPT4 and CPT2. 2005 TBA. Grab groundwater samples contained up to 85 ppb MTBE, 50 ppb of 45.5, 59.5, and 74.5 fbg contained up to 0.43 ppm MTBE and 2.0 ppm collected from boring CPT-6 (located adjacent to well MW-2) at depths in soil samples collected from CPT-1 through CPT-5. Soil samples CPT-6) on and offsite. No TPHg, BTEX or fuel oxygenates were detected drilled six cone penetrometer test (CPT) borings (CPT-1 through pounds of TPHg. 2004 Subsurface Investigation: In April 2004, Shaw approximately 0.34 pounds of MTBE, 0.001 pounds of benzene, and 0.17 extraction program removed 13,200 gallons of groundwater containing extraction program was terminated on October 10, 2003. The batch concentration in well MW-2 had decreased to 44 ppb and the batch initiated on February 20, 2003. By September 23, 2003, the MTBE fourth quarter of 2002, a temporary batch extraction program was ppb MTBE detected in a groundwater sample from well MW-2 during the 2003 Groundwater Extraction (GWE): Based on a concentration of 28,000

1.3 ppm TBA. Periodic monitoring of groundwater began at this time. ppm TPHg, 0.010 ppm ethylbenzene, 0.11 ppm xylenes, 2.3 ppm MTBE, and wells (MW-1 through MW-3) to 65 fbg. Soil samples contained up to 1.2 borings (S-1 through S-6) and installed three groundwater monitoring Investigation: In January and February 2002, IT drilled six soil samples were not collected from the other borings. 2002 Subsurface detected in the soil or grab groundwater samples. Grab groundwater TPHg, benzene, toluene, ethylbenzene, or total xylenes (BTEX) were contained up to 150 parts per billion (ppb) MTBE and 23 ppb TBA. No fbg). A grab groundwater sample was collected from boring B-1 surface [fbg]) and 0.40 ppm tertiary-butyl alcohol (TBA; B-1 at 30 contained up to 1.3 ppm MTBE (B-1 at 15.5 feet below the ground area of the fuel USTs and dispensers. Soil samples from the borings Corporation (IT) drilled four soil borings (B-1 through B-4) in the impacted the site. 2001 Subsurface Investigation: In July 2001, IT investigation to determine if methyl tertiary-butyl ether (MTBE) had November 7, 2000 letter requested a soil and groundwater Opened: San Francisco Bay Regional Water Quality Control Boards ppm Pyrene, and 2.2 ppm Bis(2-ethylhexyl) phthalate. 2000 Case

0.0076 ppm Toluene, 0.023 ppm Ethylbenzene, 0.050 ppm Xylenes, 0.69 (TPHd), 4,800 ppm Total Oil and Grease (TOG), 0.0056 ppm Benzene, SARATOGA SHELL INC (Continued) U001603010
TC6029600.2s Page 61
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Action Type: RESPONSE
Global Id: T0608501264
Action: Unauthorized Release Form
Date: 06/09/2006
Action Type: RESPONSE
Global Id: T0608501264
Action: Well Destruction Report
Date: 08/21/2012
Action Type: RESPONSE
Global Id: T0608501264
Action: Other Report / Document
Date: 10/14/2011
Action Type: RESPONSE
Global Id: T0608501264
Action: Other Report / Document
Date: 01/20/2004
Action Type: RESPONSE
Global Id: T0608501264
Action: Soil and Water Investigation Report
Date: 04/15/2004
Action Type: RESPONSE
Global Id: T0608501264
Action: Staff Letter
Date: 07/13/2012
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Leak Reported
Date: 11/09/2001
Action Type: Other
Global Id: T0608501264
Action: Closure/No Further Action Letter
Date: 02/14/2013
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Staff Letter
Date: 08/19/2008
Action Type: ENFORCEMENT
Global Id: T0608501264
LUST:

Phone Number: Not reported
Email: Not reported
City: OAKLAND
Address: 1515 CLAY ST SUITE 1400
Organization Name: SAN FRANCISCO BAY RWQCB (REGION 2)
Contact Name: Regional Water Board
Contact Type: Regional Board Caseworker
Global Id: T0608501264
SARATOGA SHELL INC (Continued) U001603010
TC6029600.2s Page 62
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Action: Verbal Communication
Date: 02/05/2003
Action Type: RESPONSE
Global Id: T0608501264
Action: Interim Remedial Action Report
Date: 09/03/2003
Action Type: RESPONSE
Global Id: T0608501264
Action: Tank Removal Report / UST Sampling Report
Date: 08/08/2006
Action Type: RESPONSE
Global Id: T0608501264
Action: Other Report / Document
Date: 01/16/2004
Action Type: RESPONSE
Global Id: T0608501264
Action: Other Report / Document
Date: 08/03/1994
Action Type: RESPONSE
Global Id: T0608501264
Action: Staff Letter
Date: 12/17/2010
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Staff Letter
Date: 05/25/2011
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Staff Letter
Date: 08/25/2011
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Correspondence
Date: 02/13/2013
Action Type: RESPONSE
Global Id: T0608501264
Action: Remedial Progress Report
Date: 02/17/2005
Action Type: RESPONSE
Global Id: T0608501264
Action: Other Report / Document
Date: 07/25/2002
Action Type: RESPONSE
Global Id: T0608501264
Action: Soil and Water Investigation Report
Date: 07/26/2011
SARATOGA SHELL INC (Continued) U001603010
TC6029600.2s Page 63
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Action Type: RESPONSE
Global Id: T0608501264
Action: Staff Letter
Date: 04/16/2012
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Notification - Public Notice of Case Closure
Date: 02/27/2012
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: In Situ Biological Treatment
Date: 09/30/2005
Action Type: REMEDIATION
Global Id: T0608501264
Action: Pump & Treat (P&T) Groundwater
Date: 02/20/2003
Action Type: REMEDIATION
Global Id: T0608501264
Action: Request for Closure
Date: 10/17/2011
Action Type: RESPONSE
Global Id: T0608501264
Action: Monitoring Report - Other
Date: 07/31/2011
Action Type: RESPONSE
Global Id: T0608501264
Action: Leak Discovery
Date: 07/20/2001
Action Type: Other
Global Id: T0608501264
Action: Staff Letter - #43024
Date: 01/26/2004
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Staff Letter - #42548
Date: 11/07/2003
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Soil and Water Investigation Workplan
Date: 10/02/2003
Action Type: RESPONSE
Global Id: T0608501264
Action: Correspondence
Date: 05/15/2012
Action Type: RESPONSE
Global Id: T0608501264
SARATOGA SHELL INC (Continued) U001603010
TC6029600.2s Page 64
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Tank Capacity: 00005000
Year Installed: Not reported
Container Num: 1
Tank Num: 001
Total Tanks: 0007
Owner City,St,Zip: SAN BRUNO, CA 94066
Owner Address: 1150 BAYHILL DR.

Owner Name: SHELL OIL CO
Telephone: 4082520862
Contact Name: RAYMOND ROOT
Other Type: Not reported
Facility Type: Gas Station
Facility ID: 00000019254
Region: STATE
URL: Not reported
File Number: Not reported
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BLVD
Name: SARATOGA SHELL INC
HIST UST:

EDR Link ID: 07S2W25G01F
Date Closed: 02/14/2013
SCVWD ID: 07S2W25G01F
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA
Address: 1698 S. DE ANZA BLVD.

Name: SHELL
LUST SANTA CLARA:

Status Date: 02/14/2013
Status: Completed - Case Closed
Global Id: T0608501264
Status Date: 07/20/2001
Status: Open - Verification Monitoring
Global Id: T0608501264
Status Date: 07/20/2001
Status: Open - Site Assessment
Global Id: T0608501264
Status Date: 07/20/2001
Status: Open - Case Begin Date
Global Id: T0608501264
LUST:

Action: Staff Letter - #42397
Date: 10/16/2003
Action Type: ENFORCEMENT
Global Id: T0608501264
Action: Well Destruction Report
Date: 09/04/2012
SARATOGA SHELL INC (Continued) U001603010
TC6029600.2s Page 65
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Container Construction Thickness: Not reported
Type of Fuel: Not reported
Tank Used for: WASTE
Tank Capacity: 00000000
Year Installed: Not reported
Container Num: 7
Tank Num: 007
Leak Detection: Visual
Container Construction Thickness: Not reported
Type of Fuel: Not reported
Tank Used for: WASTE
Tank Capacity: 00000000
Year Installed: Not reported
Container Num: 6
Tank Num: 006
Leak Detection: Visual
Container Construction Thickness: Not reported
Type of Fuel: WASTE OIL
Tank Used for: WASTE
Tank Capacity: 00000000
Year Installed: Not reported
Container Num: 5
Tank Num: 005
Leak Detection: Visual
Container Construction Thickness: Not reported
Type of Fuel: REGULAR
Tank Used for: PRODUCT
Tank Capacity: 00008000
Year Installed: Not reported
Container Num: 4
Tank Num: 004
Leak Detection: Visual
Container Construction Thickness: Not reported
Type of Fuel: UNLEADED
Tank Used for: PRODUCT
Tank Capacity: 00005000
Year Installed: Not reported
Container Num: 3
Tank Num: 003
Leak Detection: Visual
Container Construction Thickness: Not reported
Type of Fuel: UNLEADED
Tank Used for: PRODUCT
Tank Capacity: 00005000
Year Installed: Not reported
Container Num: 2
Tank Num: 002
Leak Detection: Visual
Container Construction Thickness: Not reported
Type of Fuel: UNLEADED
Tank Used for: PRODUCT
SARATOGA SHELL INC (Continued) U001603010
TC6029600.2s Page 66
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: SAN JOSE
Affiliation Address: 1555 BERGER DRIVE STE 300
Entity Title: Not reported
Entity Name: Gerald O’Regan - SANTA CLARA COUNTY LOP
Affiliation Type Desc: Local Agency Caseworker
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: OAKLAND
Affiliation Address: 1515 CLAY ST SUITE 1400
Entity Title: Not reported
Entity Name: Regional Water Board - SAN FRANCISCO BAY RWQCB (REGION 2) Affiliation Type Desc: Regional Board Caseworker
Affiliation:

CERS Description: Leaking Underground Storage Tank Cleanup Site CERS ID: T0608501264
Site ID: 198157
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S. DE ANZA BLVD.

Name: SHELL
CERS:

Leak Detection: Visual
SARATOGA SHELL INC (Continued) U001603010
Owner/Operator Summary:

Description: Handler: Non-Generators do not presently generate hazardous waste Classification: Non-Generator
EPA Region: 09
Contact email: [email protected]
Contact telephone: 317-291-7007
Contact country: Not reported
INDIANAPOLIS, IN 46278-0000
Contact address: 6520 CORPORATE DRIVE
Contact: KIM KWOK
CARSON, CA 90810-0000
Mailing address: 20945 S. WILMINGTON AVE
EPA ID: CAR000172437
SAN JOSE, CA 95129-0000
Facility address: 1698 S DE ANZA BLVD
Facility name: SHELL OIL PRODUCTS SAP 135984
Date form received by agency: 2006-08-15 00:00:00.0
RCRA NonGen / NLR:
177 ft. Site 22 of 38 in cluster A

0.034 mi.

Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129 HWTS
ESE 1698 S DE ANZA BLVD HAZNET CAR000172437
A23 SHELL OIL PRODUCTS SAP 135984 RCRA NonGen / NLR 1009398258 TC6029600.2s Page 67
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Transporter of hazardous waste: Yes
Recycler of hazardous waste: Yes
Mixed waste (haz. and radioactive): No
U.S. importer of hazardous waste: No
Handler Activities Summary:

Owner/Op end date: Not reported
Owner/Op start date: 1998-08-01 00:00:00.

Owner/Operator Type: Owner
Legal status: Private
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: Not reported
Owner/operator country: US
HOUSTON, TX 77252
Owner/operator address: PO BOX 2099
Owner/operator name: SHELL OIL PRODUCTS US
Owner/Op end date: Not reported
Owner/Op start date: 1998-08-01 00:00:00.

Owner/Operator Type: Operator
Legal status: Private
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: Not reported
Owner/operator country: US
Not reported
Owner/operator address: Not reported
Owner/operator name: SHELL OIL PRODUCTS US
Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Operator
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 317-291-7007
Owner/operator country: Not reported
INDIANAPOLIS, IN 46278
Owner/operator address: 6520 CORPORATE DRIVE
Owner/operator name: KIM KWOK
Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Owner
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 241-483-5460
Owner/operator country: Not reported
CARSON, CA 90810
Owner/operator address: 20945 S. WILMINGTON AVE
Owner/operator name: EQUILON ENTERPRISE LLC DBA SHELL
SHELL OIL PRODUCTS SAP 135984 (Continued) 1009398258
TC6029600.2s Page 68
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Year: 2008
Tons: 0.03
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 352 - Other organic solids
TSD EPA ID: CAD008302903
Gepaid: CAR000172437
Year: 2008
Tons: 0.1668
Without Treatment)
Disposal Method: H135 - Discharge To Sewer/Potw Or Npdes(With Prior Storage--With Or CA Waste Code: 122 - Alkaline solution without metals pH >= 12.5 TSD EPA ID: CAD097030993
Gepaid: CAR000172437
Year: 2009
Mailing Address: PO BOX 3127
Mailing Name: Not reported
Telephone: 3172917007
Contact: Adam Estes
City,State,Zip: SAN JOSE, CA 951290000
Address 2: Not reported
Address: 1698 S DE ANZA BLVD
Name: SHELL OIL PRODUCTS SAP 135984
HAZNET:

Violation Status: No violations found
. Waste name: BENZENE
. Waste code: D018
. Waste name: LEAD
. Waste code: D008
. Waste name: IGNITABLE WASTE
. Waste code: D001
Hazardous Waste Summary:

Classification: Small Quantity Generator
Site name: SHELL OIL PRODUCTS SAP 135984
Date form received by agency: 2006-03-31 00:00:00.0
Historical Generators:

Used oil transporter: No
Used oil transfer facility: No
Used oil Specification marketer: No
Used oil fuel marketer to burner: No
User oil refiner: No
Used oil processor: No
Used oil fuel burner: No
Furnace exemption: No
On-site burner exemption: No
Underground injection activity: No
Treater, storer or disposer of HW: Yes
SHELL OIL PRODUCTS SAP 135984 (Continued) 1009398258
TC6029600.2s Page 69
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 110
Quantity Tons: 0.4587
Site
Disposal Method: H111 - Stabilization Or Chemical Fixation Prior To Disposal At Another RCRA Code: D002
CA Waste Code: 122 - Alkaline solution without metals (pH > 12.5 TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: BURLINGTON ENVIRONMENTAL INC KENT FACILITY
TSDF EPA ID: WAD991281767
Trans 2 Name: SLT EXPRESS
Trans 2 EPA ID: UTR000007708
Trans Name: 21ST CENTURY EMI
Trans EPA ID: CAR000164012
Manifest ID: 001953796JJK
Receipt Date: 20070306
Creation Date: 7/22/2008 18:30:07
Shipment Date: 20070227
Gen EPA ID: CAR000172437
Year: 2007
Additional Info:

Tons: 0.76
Disposal Method: R01 - Recycler
CA Waste Code: 221 - Waste oil and mixed oil
TSD EPA ID: CAT080013352
Gepaid: CAR000172437
Year: 2006
Tons: 0.4587
Site
Disposal Method: H111 - Stabilization Or Chemical Fixation Prior To Disposal At Another CA Waste Code: 122 - Alkaline solution without metals pH >= 12.5 TSD EPA ID: WAD991281767
Gepaid: CAR000172437
Year: 2007
Tons: 0.3753
Regeneration, Organics Recovery Ect
Disposal Method: H039 - Other Recovery Of Reclamation For Reuse Including Acid CA Waste Code: 122 - Alkaline solution without metals pH >= 12.5 TSD EPA ID: NVT330010000
Gepaid: CAR000172437
Year: 2008
Tons: 0.2085
Regeneration, Organics Recovery Ect
Disposal Method: H039 - Other Recovery Of Reclamation For Reuse Including Acid CA Waste Code: 133 - Aqueous solution with total organic residues 10 percent or more TSD EPA ID: CAT080013352
Gepaid: CAR000172437
SHELL OIL PRODUCTS SAP 135984 (Continued) 1009398258
TC6029600.2s Page 70
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: P
Waste Quantity: 60
Quantity Tons: 0.03
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No RCRA Code: D018
CA Waste Code: 352 - Other organic solids
TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: VEOLIA ES TECHNICAL SOLUTIONS
TSDF EPA ID: CAD008302903
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: AMERICAN INTEGRATED SERVICES INC
Trans EPA ID: CAR000148338
Manifest ID: 004521495JJK
Receipt Date: 20081010
Creation Date: 11/17/2008 18:30:18
Shipment Date: 20081006
Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: D001
Quantity Unit: G
Waste Quantity: 50
Quantity Tons: 0.2085
Regeneration, Organics Recovery Ect
Disposal Method: H039 - Other Recovery Of Reclamation For Reuse Including Acid RCRA Code: D018
CA Waste Code: 133 - Aqueous solution with 10% or more total organic residues TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: DEMENNO KERDOON
TSDF EPA ID: CAT080013352
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: AMERICAN INTEGRATED SERVICES INC
Trans EPA ID: CAR000148338
Manifest ID: 004523515JJK
Receipt Date: 20081204
Creation Date: 2/2/2009 18:30:25
Shipment Date: 20081201
Gen EPA ID: CAR000172437
Year: 2008
Additional Info:

Additional Code 5: Not reported
Additional Code 4: Not reported
SHELL OIL PRODUCTS SAP 135984 (Continued) 1009398258
TC6029600.2s Page 71
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Year: 2006
Additional Info:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 40
Quantity Tons: 0.1668
Without Treatment)
Disposal Method: H135 - Discharge To Sewer/Potw Or Npdes(With Prior Storage--With Or RCRA Code: D002
CA Waste Code: 122 - Alkaline solution without metals (pH > 12.5 TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: SIEMENS WATER TECHNOLOGIES
TSDF EPA ID: CAD097030993
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: AMERICAN INTEGRATED SERVICES INC
Trans EPA ID: CAR000148338
Manifest ID: 004030264JJK
Receipt Date: 20090123
Creation Date: 3/11/2009 18:30:09
Shipment Date: 20090119
Gen EPA ID: CAR000172437
Year: 2009
Additional Info:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 90
Quantity Tons: 0.3753
Regeneration, Organics Recovery Ect
Disposal Method: H039 - Other Recovery Of Reclamation For Reuse Including Acid RCRA Code: D002
CA Waste Code: 122 - Alkaline solution without metals (pH > 12.5 TSDF Alt Name: Not reported
TSDF Alt EPA ID: Not reported
Trans Name: US ECOLOGY INC
TSDF EPA ID: NVT330010000
Trans 2 Name: PACIFIC TRANS
Trans 2 EPA ID: CAD981412356
Trans Name: AMERICAN INTEGRATED SERVICES INC
Trans EPA ID: CAR000148338
Manifest ID: 004028328JJK
Receipt Date: 20080501
Creation Date: 9/4/2008 18:30:17
Shipment Date: 20080421
SHELL OIL PRODUCTS SAP 135984 (Continued) 1009398258
TC6029600.2s Page 72
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
City,State,Zip: INDIANAPOLIS, IN 462780000
Contact Address 2: Not reported
Contact Address: 6520 CORPORATE DRIVE
Contact Name: KIM KWOK
Owner City,State,Zip: CARSON, CA 908100000
Owner Address 2: Not reported
Owner Address: 20945 S. WILMINGTON AVE
Owner Name: EQUILON ENTERPRISE LLC DBA SHELL
Mailing City,State,Zip: CARSON, CA 908100000
Mailing Address 2: Not reported
Mailing Address: 20945 S. WILMINGTON AVE
Mailing Name: Not reported
Last Act Date: 09/10/2019
Create Date: 08/15/2006
Inactive Date: Not reported
EPA ID: CAR000172437
City,State,Zip: SAN JOSE, CA 951290000
Address 2: Not reported
Address: 1698 S DE ANZA BLVD
Name: SHELL OIL PRODUCTS SAP 135984
HWTS:

Additional Code 5: Not reported
Additional Code 4: Not reported
Additional Code 3: Not reported
Additional Code 2: Not reported
Additional Code 1: Not reported
Quantity Unit: G
Waste Quantity: 200
Quantity Tons: 0.76
Disposal Method: R01 - Recycler
RCRA Code: Not reported
CA Waste Code: 221 - Waste oil and mixed oil
TSDF Alt Name: Not reported
TSDF Alt EPA ID: CAT080013352
Trans Name: DEMENNO KERDOON
TSDF EPA ID: CAT080013352
Trans 2 Name: Not reported
Trans 2 EPA ID: Not reported
Trans Name: ADAMS SERVICES INC
Trans EPA ID: CAL922125668
Manifest ID: 24779125
Receipt Date: 20060601
Creation Date: 9/14/2006 18:36:07
Shipment Date: 20060530
Gen EPA ID: CAR000172437
SHELL OIL PRODUCTS SAP 135984 (Continued) 1009398258
TC6029600.2s Page 73
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Particulate Matter Tons/Yr: Not reported
SOX - Oxides of Sulphur Tons/Yr: Not reported
NOX - Oxides of Nitrogen Tons/Yr: Not reported
Carbon Monoxide Emissions Tons/Yr: Not reported
Reactive Organic Gases Tons/Yr: 0.380997805
Total Organic Hydrocarbon Gases Tons/Yr: 0.380997805
Consolidated Emission Reporting Rule: Not reported
Community Health Air Pollution Info System: Not reported Air District Name: BAY AREA AQMD
SIC Code: 5411
Air District Name: BA
Facility ID: 112257
Air Basin: SF
County Code: 43
Year: 2017
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BLVD
Name: SARATOGA SHELL
EMI:

Facility ID: FA0268508
Record ID: PR0398240
Longitude: -122.032192
Latitude: 37.294027
Program Description: UNDERGROUND STORAGE TANK PROGRAM RECORD PE#: 2399
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA 95119
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
Facility ID: FA0268508
Record ID: PR0401199
Longitude: -122.032192
Latitude: 37.294027
Program Description: GENERATES < 100 KG/YR
PE#: 2202
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA 95119
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
Facility ID: FA0268508
Record ID: PR0398241
Longitude: -122.032192
Latitude: 37.294027
Program Description: HMBP FACILITY, 1-3 CHEMICALS
PE#: Not reported
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA 95119
Address: 1698 S DE ANZA BL
Name: SARATOGA SHELL
CUPA SANTA CLARA:
177 ft. Site 23 of 38 in cluster A

0.034 mi. HWTS
Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129 HAZNET
ESE 1698 S DE ANZA BLVD EMI N/A
A24 SARATOGA SHELL CUPA Listings S103635334
TC6029600.2s Page 74
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility Zip: 95129
Facility State: CA
Facility County: 43
Facility City: SAN JOSE
Facility Address 2: Not reported
Facility Address: 1698 S DE ANZA BLVD
Facility Name: SARATOGA SHELL
Inactive Date: 2016-06-30 00:00:00
Issued EPA ID Date: 2015-12-15 13:46:30
NAICS Description: Other Gasoline Stations
NAICS Code: 44719
Create Date: 2015-12-15 13:46:30
EPA ID: CAL000413202
NAICS:

City,State,Zip: FREMONT, CA 94538
Contact Address 2: Not reported
Contact Address: 41805 ALBRAE ST
Contact Name: JOHN ELLIS
Owner City,State,Zip: FREMONT, CA 94538
Owner Address 2: Not reported
Owner Address: 41805 ALBRAE ST
Owner Name: AU ENERGY LLC
Mailing City,State,Zip: FREMONT, CA 94538
Mailing Address 2: Not reported
Mailing Address: 41805 ALBRAE ST
Mailing Name: Not reported
Last Act Date: 01/12/2017
Create Date: 12/15/2015
Inactive Date: 06/30/2016
EPA ID: CAL000413202
City,State,Zip: SAN JOSE, CA 95129
Address 2: Not reported
Address: 1698 S DE ANZA BLVD
Name: SARATOGA SHELL
HWTS:

Tons: 0.125
Treatment/Reovery (H010-H129) Or (H131-H135)
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No CA Waste Code: 352 - Other organic solids
TSD EPA ID: CAL000330453
Gepaid: CAL000413202
Year: 2016
Mailing Address: 41805 ALBRAE ST
Mailing Name: Not reported
Telephone: 5102703418
Contact: JOHN ELLIS
City,State,Zip: SAN JOSE, CA 95129
Address 2: Not reported
Address: 1698 S DE ANZA BLVD
Name: SARATOGA SHELL
HAZNET:

Part. Matter 10 Micrometers and Smllr Tons/Yr: Not reported SARATOGA SHELL (Continued) S103635334
TC6029600.2s Page 75
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Underground injection activity: No
Treater, storer or disposer of HW: No
Transporter of hazardous waste: Yes
Recycler of hazardous waste: No
Mixed waste (haz. and radioactive): No
U.S. importer of hazardous waste: No
Handler Activities Summary:

Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Owner
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-406-3158
Owner/operator country: Not reported
MORGAN HILL, CA 95037
Owner/operator address: 1800 SILVERWINGS CT
Owner/operator name: ATAM SANDKU
Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Operator
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-406-3158
Owner/operator country: Not reported
MORGAN HILL, CA 95037
Owner/operator address: 1800 SILVERWINGS CT
Owner/operator name: ATAM SANDKU
Owner/Operator Summary:

Description: Handler: Non-Generators do not presently generate hazardous waste Classification: Non-Generator
EPA Region: 09
Contact email: [email protected]
Contact telephone: 408-406-3158
Contact country: Not reported
MORGAN HILL, CA 95037
Contact address: 1800 SILVERWINGS CT
Contact: ATAM SANDKU
MORGAN HILL, CA 95037
Mailing address: 1800 SILVERWINGS CT
EPA ID: CAL000439939
SAN JOSE, CA 95129-4608
Facility address: 1698 S DE ANZA BLVD
Facility name: SARATOGA SHELL TRUTH IN LOVE INC
Date form received by agency: 2018-10-17 00:00:00.0
RCRA NonGen / NLR:
177 ft. Site 24 of 38 in cluster A

0.034 mi.

Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129
ESE 1698 S DE ANZA BLVD CAL000439939
A25 SARATOGA SHELL TRUTH IN LOVE INC 1024871295 RCRA NonGen / NLR TC6029600.2s Page 76
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Status: No violations found
Used oil transporter: No
Used oil transfer facility: No
Used oil Specification marketer: No
Used oil fuel marketer to burner: No
User oil refiner: No
Used oil processor: No
Used oil fuel burner: No
Furnace exemption: No
On-site burner exemption: No
SARATOGA SHELL TRUTH IN LOVE INC (Continued) 1024871295 Class: Auto Wrecking/Misc Simple Facility
File Num: 600346
Region: SAN JOSE
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: DE ANZA AUTO SHOP
SAN JOSE HAZMAT:

Facility ID: FA0206880
Record ID: PR0397741
Longitude: -122.032192
Latitude: 37.294027
Program Description: HMBP FACILITY, 1-3 CHEMICALS
PE#: Not reported
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: DE ANZA AUTO
Facility ID: FA0206880
Record ID: PR0313395
Longitude: -122.032192
Latitude: 37.294027
Program Description: GENERATES 100 KG YR TO <5 TONS/YR
PE#: 2205
Region: SANTA CLARA
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BL
Name: DE ANZA AUTO
CUPA SANTA CLARA:

CERS Description: Hazardous Waste Generator
CERS ID: 10756234
Site ID: 433890
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BLVD
Name: DE ANZA AUTO
CERS HAZ WASTE:
177 ft. Site 25 of 38 in cluster A

0.034 mi. CERS
Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129 HAZMAT
ESE 1698 S DE ANZA BL CUPA Listings N/A
A26 DE ANZA AUTO CERS HAZ WASTE S121469459
TC6029600.2s Page 77
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
storing/handling a hazardous material at or above reportable Violation Description: Failure to complete and electronically submit a business plan when

6.95, Section(s) 25508(a)(1)
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter Violation Date: 01-30-2018
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health Violation Notes: This remains outstanding from 2018 Notice of Violation records for a minimum of three years.
hazardous material or failure to document and maintain training safety procedures in the event of a release or threatened release of a Violation Description: Failure to provide initial and annual training to all employees in

6.95, Section(s) 25505(a)(4)
Citation: HSC 6.95 25505(a)(4) - California Health and Safety Code, Chapter Violation Date: 01-29-2019
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health Violation Notes: Not reported
copy from the owner or the owner’s agent.
owner’s agent within five working days after receiving a request for a Violation Description: Failure to provide a copy of the business plan to the owner or the Section(s) 25505.1
Citation: HSC 6.95 25505.1 - California Health and Safety Code, Chapter 6.95, Violation Date: 01-30-2018
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ Violation Notes: Returned to compliance on 03/01/2017.
numbers.
containing the location of emergency equipment, contact names and Violation Description: Failure to post, next to the telephone, Emergency Information (SQG) 40, Chapter 1, Section(s) 262.34(d)(5)(ii)
Citation: 40 CFR 1 262.34(d)(5)(ii) - U.S. Code of Federal Regulations, Title Violation Date: 05-10-2016
Site Name: De Anza Auto
Site ID: 433890
Violations:

CERS Description: Chemical Storage Facilities
CERS ID: 10756234
Site ID: 433890
City,State,Zip: SAN JOSE, CA 95129
Address: 1698 S DE ANZA BLVD
Name: DE ANZA AUTO
CERS:

DE ANZA AUTO (Continued) S121469459
TC6029600.2s Page 78
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health Violation Notes: Not reported
records for a minimum of three years.
hazardous material or failure to document and maintain training safety procedures in the event of a release or threatened release of a Violation Description: Failure to provide initial and annual training to all employees in

6.95, Section(s) 25505(a)(4)
Citation: HSC 6.95 25505(a)(4) - California Health and Safety Code, Chapter Violation Date: 01-30-2018
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health Notice of Inspection dated 1/30/2018. .

Violation Notes: . No record of a response has been recieved by this office for the General
Violation Description: Hazardous Waste Generator Program - Administration/Documentation - Section(s) Multiple
Citation: HSC 6.5 Multiple - California Health and Safety Code, Chapter 6.5, Violation Date: 01-29-2019
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health Violation Notes: This remains outstanding from 2018 Notice of Violation. copy from the owner or the owner’s agent.
owner’s agent within five working days after receiving a request for a Violation Description: Failure to provide a copy of the business plan to the owner or the Section(s) 25505.1
Citation: HSC 6.95 25505.1 - California Health and Safety Code, Chapter 6.95, Violation Date: 01-29-2019
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health Violation Notes: . Add the used oil filters and solid waste filters to the inventory. . at or above reportable quantities.
inventory information for all reportable hazardous materials on site Violation Description: Failure to complete and electronically submit hazardous material

6.95, Section(s) 25508(a)(1)
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter Violation Date: 01-29-2019
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HMRRP
Violation Division: Santa Clara County Environmental Health Violation Notes: Not reported
quantities.

DE ANZA AUTO (Continued) S121469459
TC6029600.2s Page 79
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ accumulation start date is not observed on the red drum. with a Safety Kleen solvent label and a hazardous waste label. An drum stored behind the building containing spent absorbent is labeled hoses from dispensers is not labeled. Additionally, one red 30 gallon tan 30 gallon drum stored behind the building containing spent fuel ___________________________________________________________ One pale Violation Notes: Returned to compliance on 03/01/2017.

Waste, and starting accumulation date.
generator, physical and chemical characteristics of the Hazardous the following requirements: "Hazardous Waste", name and address of the Violation Description: Failure to properly label hazardous waste accumulation containers with Chapter 12, Section(s) 66262.34(f)
Citation: 22 CCR 12 66262.34(f) - California Code of Regulations, Title 22, Violation Date: 05-10-2016
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ reactivate your EPA ID number.
of the correct EPA ID number and submit DTSC Form 1358 to the state to Environmental, Inc. Notify all hazardous waste disposal vendors used all used oil and waste antifreeze disposal receipts from CleanTech assigned to Nakash Enterprises at this same location), is observed on Additionally, a different EPA ID number, CAL000357375 (currently current EPA ID number for this business, CAL000014711, is inactive. ___________________________________________________________ Your Violation Notes: Returned to compliance on 03/01/2017.

Violation Description: Failure to obtain and/or maintain an Active EPA ID. 12, Section(s) 66262.12
Citation: 22 CCR 12 66262.12 - California Code of Regulations, Title 22, Chapter Violation Date: 05-10-2016
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health 87725210 or by another knowledgeable trainer. .
https://www.eventbrite.com/o/hazardous-materials-compliance-division-3 office at
Violation Notes: . Obtain training for Hazardous Waste Management, either from this responsibilities during normal facility operations and emergencies. proper waste handling and emergency procedures, relevant to their Violation Description: Failure to ensure that all employees are thoroughly familiar with 40, Chapter 1, Section(s) 262.34(d)(5)(iii)
Citation: 40 CFR 1 262.34(d)(5)(iii) - U.S. Code of Federal Regulations, Title Violation Date: 01-29-2019
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
DE ANZA AUTO (Continued) S121469459
TC6029600.2s Page 80
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Notes: . The accumulation start date is 2/9/2018 This is a repeat violation with the requirements.

Violation Description: Failure to properly manage used oil and/or fuel filters in accordance Section(s) 25250.22
Citation: HSC 6.5 25250.22 - California Health and Safety Code, Chapter 6.5, Violation Date: 01-29-2019
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health Violation Notes: Not reported
department, unless the facility has a direct alarm.
present, fire alarm; and (C) The telephone number of the fire Location of fire extinguishers and spill control material, and, if The name and telephone number of the emergency coordinator; (B) Violation Description: Failure to post the following information next to the telephone: (A) 40, Chapter 1, Section(s) 262.34(d)(5)(ii)
Citation: 40 CFR 1 262.34(d)(5)(ii) - U.S. Code of Federal Regulations, Title Violation Date: 01-30-2018
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health that it can no longer be read.
dates on Used Oil and Used Antifreeze drums) or faded to the point name Saratoga Shell on Used Antifreeze drums, 2016 accumulation start but the information on the labels is either outdated (i.e., generator Violation Notes: All containers holding hazardous wastes have Hazardous Waste labels, date.
characteristics of the Hazardous Waste, and starting accumulation name and address of the generator, physical and chemical portable tanks with the following requirements: "Hazardous Waste", Violation Description: Failure to properly label hazardous waste accumulation containers and Chapter 12, Section(s) 66262.34(f)
Citation: 22 CCR 12 66262.34(f) - California Code of Regulations, Title 22, Violation Date: 01-30-2018
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health marked with the accumulation start date.

Violation Notes: The drum holding the metallic Drained Used Oil and Fuel Filters is not with the requirements.

Violation Description: Failure to properly manage used oil and/or fuel filters in accordance Section(s) 25250.22
Citation: HSC 6.5 25250.22 - California Health and Safety Code, Chapter 6.5, Violation Date: 01-30-2018
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
DE ANZA AUTO (Continued) S121469459
TC6029600.2s Page 81
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Eval Division: Santa Clara County Environmental Health
gallons Ethylene Glycol (Used ATF) 107-21-1 Outside Shop 110 gallons . 5W-40 Inside Shop 110 gallons Motor Oil (Used) Outside Shop 140 gallons Motor Oil SAE 0W-20 Inside Shop 110 gallons Motor Oil SAE waste filters to the inventory. Motor Oil SAE 5W-30 Inside Shop 165 County Environmental Health Need to add the used oil filters and solid Submittal was Not Accepted on 1/29/2019 by Andrew Dyer for Santa Clara 3:07PM by Ashoor Shahbazi of DE ANZA AUTO REPAIR (SAN JOSE, CA) review. . CERS Review Submitted for CERS ID 10756234 on 2/2/2018 Shahbiz, Co-Owner, is on site to allow facility access an records the 2019 Hazardous Materials Busines Plan Permit Inspection. Saragon Eval Notes: I am on site, 1698 S. De Anza, San Jose, at DE ANZA AUTO REPAIR, for Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-29-2019
Eval General Type: Compliance Evaluation Inspection
Evaluation:

Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health ___________________________________________________________ filters will be managed as hazardous waste.
*Remove all paper filters and manage them separately unless all oily solids managed as hazardous waste, such as spent absorbent.

WASTE. Paper filters may be accumulated in the same container with PAPER FILTERS. CONTAMINATED PAPER FILTERS MUST BE MANAGED AS HAZARDOUS DRAINED USED OIL AND FUEL METAL FILTERS. THIS INCLUDES CONTAMINATED filters from hazardous waste management. *DO NOT MIX OTHER WASTES WITH with metal filters voids the regulatory allowance to exempt the metal paper filters mixed with metal filters. Mixing other hazardous wastes oil filter container stored outside adjacent to the shop contains ___________________________________________________________ One used Violation Notes: Returned to compliance on 03/01/2017.
fuel filters.

Violation Description: Failure to properly handle, manage, label, and recycle used oil and Chapter 16, Section(s) 66266.130
Citation: 22 CCR 16 66266.130 - California Code of Regulations, Title 22, Violation Date: 05-10-2016
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health Violation Notes: Business does not have a Hazardous Waste Generator Permit.

General Local Ordinance
Violation Description: Hazardous Waste Generator Program - Administration/Documentation - Citation: Un-Specified
Violation Date: 01-30-2018
Site Name: De Anza Auto
Site ID: 433890
Violation Source: CERS
Violation Program: HW
Violation Division: Santa Clara County Environmental Health from 2018. .

DE ANZA AUTO (Continued) S121469459
TC6029600.2s Page 82
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
-Used oil filters (1 x 55 gallon drum observed) -Spent parts washer gallon drums observed) -Waste antifreeze (1 x 55 gallon drum observed) EPA ID# CAL000014711 (Inactive) Wastes generated: -Used Oil (2 x 55 Eval Notes: Routine Hazardous Waste Generator program inspection performed today.

Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 05-10-2016
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HMRRP
Eval Division: Santa Clara County Environmental Health
used filter elements, automotive [Truncated]
Used Oil and Fuel Filters, 1 x 55 gallon drum holding non-metallic HMBP-repoartable quantities include 1 x 55 gallon drum holding Drained Waste used Antifreeze. Other materials observed in less than containers holding Used Oil; 2 x 55 gallon drums holding Hazardous in tanks inside building; 2 x 55 gallon drums and 3 roll-around drain each SAE 0W-20 synthetic motor oil and SAE 5W-40 synthetic motor oil oil in a 55 gallon drum and tank inside building; approx. 110 gallons were observed today: approx. 165 gallons of SAE 5W-30 synthetic motor Auto in Hazardous Materials Business Plan (HMBP)-reportable quantities Anza Auto LLC. The following hazardous materials handled by De Anza leased from the property owner, Truth In Love LLC, and operated by De Business Plan (HMBP). The gas station’s auto repair bays are now mid-July of 2017 and whic has not submitted a Hazardous Materials Eval Notes: This is a new auto repair business that commenced operation in Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-30-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
operation, the [Truncated]
currently in use. Notes: 1. Based on when the busines started provides receipts. The facility has a parts washer, but it is not used and the battery supplier swaps fresh batteries for cores and pads in a spill kit are available for larger spills. A rag service is service tags. Rags are available to clean up minor drips and absorbent occurred since the business opened. Fire extinguishers have current Mr. Shahbazi, no shipments of Used Antifreeze or used filters have Used Oil (100 gallons on 8/17/2017 and 155 gallons on 10/12/2017). Per and are in order. Records were available to document two shipments of tracking System (HWTS) data and hazardous waste records were reviewed point-of-generation accumulation rules do not apply. Hazardous Waste bays, all Hazardous Waste containers are located outside the shop, so Other than the roll-around oil drain containers inside the service Eval Notes: De Anza Auto, LLC’s EPA ID # is CAL000429985. The number is active.

Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-30-2018
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HMRRP
DE ANZA AUTO (Continued) S121469459
TC6029600.2s Page 83
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Address: 1698 S De Anza Bllvd
Entity Title: Not reported
Entity Name: Mailing Address
Affiliation Type Desc: Facility Mailing Address
Affiliation Phone: Not reported
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: DE ANZA AUTO REPAIR
Affiliation Type Desc: Parent Corporation
Affiliation Phone: (408) 918-3400
Affiliation Zip: 95112-2716
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1555 Berger Drive, Suite 300
Entity Title: Not reported
Entity Name: Santa Clara County Environmental Health
Affiliation Type Desc: CUPA District
Affiliation:

Eval Source: CERS
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
the used oil filters and solid waste filters to the inventory.

Andrew Dyer for Santa Clara County Environmental Health Need to add REPAIR (SAN JOSE, CA) Submittal was Not Accepted on 1/29/2019 by CERS ID 10756234 on 2/2/2018 3:07PM by Ashoor Shahbazi of DE ANZA AUTO Response to the 2018 Notice of Inspection. CERS Review Submitted for 360 days on site. No Training records are available on site. No next few weeks. Used Antifreeze is past due for pick up, greater than Oil Filters, Last picked up 2/2018, The next pick up is due within the Records Review; Used Oil Pick-up, 110 gallons every other month. Used Co-Owner, is on site to allow facility access an records review. the 2019 Hazardous Waste Generator Permit Inspection. Saragon Shahbiz, Eval Notes: I am on site, 1698 S. De Anza, San Jose, at DE ANZA AUTO REPAIR, for Eval Type: Routine done by local agency
Violations Found: Yes
Eval Date: 01-29-2019
Eval General Type: Compliance Evaluation Inspection
Eval Source: CERS
Eval Program: HW
Eval Division: Santa Clara County Environmental Health
two waste antifreeze drums were closed during this inspection. labels on both waste antifreeze drums. G023: Two used oil drums and inspection: G020: Accumulation start date added to the hazardous waste hazardous waste disposal. Minor violations corrected during this contracted with CleanTech Environmental, Inc. and Safety Kleen for waste (disposed of through hardware store) This business has Interstate) -Soiled rags (laundered through Prudential) -Universal cleaning solvent -Spent absorbent -Waste batteries (recycled through DE ANZA AUTO (Continued) S121469459
TC6029600.2s Page 84
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Affiliation Phone: (408) 646-2546
Affiliation Zip: Not reported
Affiliation Country: Not reported
Affiliation State: Not reported
Affiliation City: Not reported
Affiliation Address: Not reported
Entity Title: Not reported
Entity Name: Ashoor Shahbazi
Affiliation Type Desc: Operator
Affiliation Phone: (408) 646-2546
Affiliation Zip: 95129
Affiliation Country: United States
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 1698 S De Anza Bllvd
Entity Title: Not reported
Entity Name: De Anza Auto LLC
Affiliation Type Desc: Legal Owner
Affiliation Phone: Not reported
Affiliation Zip: 95118
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
Affiliation Address: 5664 Seifert Ave.

Entity Title: Not reported
Entity Name: Ashoor Shahbazi
Affiliation Type Desc: Environmental Contact
Affiliation Phone: Not reported
Affiliation Zip: 95129
Affiliation Country: Not reported
Affiliation State: CA
Affiliation City: San Jose
DE ANZA AUTO (Continued) S121469459
Description: Handler: Non-Generators do not presently generate hazardous waste Classification: Non-Generator
EPA Region: 09
Contact email: [email protected]
Contact telephone: 408-646-2546
Contact country: Not reported
SAN JOSE, CA 95118
Contact address: 5664 SEIFERT AVE
Contact: SARGON SHAHBAZ
EPA ID: CAL000429985
SAN JOSE, CA 95129
Facility address: 1698 S DE ANZA BLVD
Facility name: DE ANZA AUTO LLC
Date form received by agency: 2017-08-10 00:00:00.0
RCRA NonGen / NLR:
177 ft. Site 26 of 38 in cluster A

0.034 mi.

Relative:

Lower
Actual:
301 ft.
< 1/8 SAN JOSE, CA 95129
ESE 1698 S DE ANZA BLVD CAL000429985
A27 DE ANZA AUTO LLC RCRA NonGen / NLR 1024861507
TC6029600.2s Page 85
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Violation Status: No violations found
Used oil transporter: No
Used oil transfer facility: No
Used oil Specification marketer: No
Used oil fuel marketer to burner: No
User oil refiner: No
Used oil processor: No
Used oil fuel burner: No
Furnace exemption: No
On-site burner exemption: No
Underground injection activity: No
Treater, storer or disposer of HW: No
Transporter of hazardous waste: Yes
Recycler of hazardous waste: No
Mixed waste (haz. and radioactive): No
U.S. importer of hazardous waste: No
Handler Activities Summary:

Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Operator
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-646-2546
Owner/operator country: Not reported
SAN JOSE, CA 95118
Owner/operator address: 5664 SEIFERT AVE
Owner/operator name: SARGON SHAHBAZ
Owner/Op end date: Not reported
Owner/Op start date: Not reported
Owner/Operator Type: Owner
Legal status: Other
Owner/operator extension: Not reported
Owner/operator fax: Not reported
Owner/operator email: Not reported
Owner/operator telephone: 408-646-2546
Owner/operator country: Not reported
SAN JOSE, CA 95118
Owner/operator address: 5664 SEIFERT AVE
Owner/operator name: DE ANZA AUTO LLC
Owner/Operator Summary:

DE ANZA AUTO LLC (Continued) 1024861507
PE#: 2502
Region: SANTA CLARA
City,State,Zip: CUPERTINO, CA 95014
Address: 1601 S DE ANZA BL STE 148
Name: COUNTY OF SANTA CLARA SHERIFF - WEST VALLEY FACILITY CUPA SANTA CLARA:
201 ft.

0.038 mi.

Relative:

Lower
Actual:
303 ft.
< 1/8 CUPERTINO, CA 95014
North 1601 S DE ANZA BL STE 148 N/A
28 COUNTY OF SANTA CLARA SHERIFF - WEST VALLEY FACILI S118585135 CUPA Listings TC6029600.2s Page 86
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility ID: FA0264600
Record ID: PR0390271
Longitude: -122.032678
Latitude: 37.295607
Program Description: HAZMAT STORAGE FACILITY-MINIMAL STORAGE SITE COUNTY OF SANTA CLARA SHERIFF - WEST VALLEY FACILITY (Continued) S118585135 2004 WESTGATE UNION SERVICE INC Gasoline Service Stations 2003 WESTGATE UNION SERVICE INC Gasoline Service Stations 2002 WESTGATE UNION SERVICE INC Gasoline Service Stations 2001 WESTGATE UNION SERVICE INC Gasoline Service Stations 2000 WESTGATE UNION SERVICE INC Gasoline Service Stations 1999 WESTGATE UNION SERVICE INC Gasoline Service Stations 1998 WESTGATE UNION SERVICE INC Gasoline Service Stations 1997 WESTGATE UNION SERVICE INC Gasoline Service Stations 1996 WESTGATE UNION SERVICE INC Gasoline Service Stations 1995 WESTGATE UNION SERVICE INC Gasoline Service Stations 1994 WESTGATE UNION SERVICE INC Gasoline Service Stations 1993 WESTGATE UNION SERVICE INC Gasoline Service Stations 1992 WESTGATE UNION SERVICE INC Gasoline Service Stations 1991 WESTGATE UNION SERVICE INC Gasoline Service Stations 1974 BARBATTI TEXACO Gasoline Service Stations
1973 BARBATTI TEXACO Gasoline Service Stations
1972 BARBATTI TEXACO Gasoline Service Stations
1971 BARBATTI TEXACO Gasoline Service Stations
Year: Name: Type:

EDR Hist Auto
262 ft. Site 27 of 38 in cluster A

0.050 mi.

Relative:

Higher
Actual:
307 ft.
< 1/8 SARATOGA, CA 95070
SSE 12015 SARATOGA SUNNYVALE N/A
A29 WESTGATE UNION SERVICE INC EDR Hist Auto 1020766989 Date Post Remedial Action Monitoring Began: Not reported Date Remediation Action Underway: Not reported
Pollution Remediation Plan Submitted: Not reported
Pollution Characterization Began: Not reported
Preliminary Site Assesment Began: 2/27/2003
Prelim. Site Assesment Wokplan Submitted: Not reported
Oversight Program: LUST
Date Leak Confirmed: Not reported
Leak Source: Not reported
Leak Cause: Unknown
How Discovered: Not reported
Case Number: 07S2W25L03f
Facility Status: Preliminary site assessment underway
Facility Id: Not reported
Region: 2
LUST REG 2:
262 ft. Site 28 of 38 in cluster A

0.050 mi.

Relative:

Higher
Actual:
307 ft.
< 1/8 SARATOGA, CA 95070
SSE 12015 SARATOGA-SUNNYVALE RD HIST LUST N/A
A30 CONOCOPHILLIPS # 6859 LUST S106112801
TC6029600.2s Page 87
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Closed Date: Not reported
Date Listed: 2003-08-01 00:00:00
Oversite Agency: SCCDEH
SCVWD ID: 07S2W25L03
Region Code: 2
Region: SANTA CLARA
City: Saratoga
Address: 12015 Saratoga-Sunnyvale Rd
Name: ConocoPhillips # 6859
HIST LUST SANTA CLARA:

CONOCOPHILLIPS # 6859 (Continued) S106112801
Facility ID: FA0260281
Record ID: PR0381488
Longitude: -122.032466
Latitude: 37.293464
Program Description: HAZARDOUS MATERIALS BUSINESS PLAN
PE#: 2501
Region: SANTA CLARA
City,State,Zip: SARATOGA, CA 95070
Address: 12015 SARATOGA-SUNNYVALE RD
Name: PRIYA GAS
Facility ID: FA0260281
Record ID: PR0381485
Longitude: -122.032466
Latitude: 37.293464
Program Description: GENERATES < 100 KG/YR
PE#: 2202
Region: SANTA CLARA
City,State,Zip: SARATOGA, CA 95070
Address: 12015 SARATOGA-SUNNYVALE RD
Name: PRIYA GAS
CUPA SANTA CLARA:
262 ft. Site 29 of 38 in cluster A

0.050 mi.

Relative:

Higher
Actual:
307 ft.
< 1/8 SARATOGA, CA 95070
SSE 12015 SARATOGA-SUNNYVALE RD N/A
A31 PRIYA GAS CUPA Listings S121473748
Record ID: PR0317553
Longitude: -122.032466
Latitude: 37.293464
Program Description: GENERATES < 100 KG/YR
PE#: 2202
Region: SANTA CLARA
City,State,Zip: SARATOGA, CA 95070
Address: 12015 SARATOGA-SUNNYVALE RD
Name: OM SARATOGA GAS
CUPA SANTA CLARA:
262 ft. Site 30 of 38 in cluster A

0.050 mi.

Relative:

Higher
Actual:
307 ft.
< 1/8 SARATOGA, CA 95070
SSE 12015 SARATOGA-SUNNYVALE RD N/A
A32 OM SARATOGA GAS CUPA Listings S121470718
TC6029600.2s Page 88
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Facility ID: FA0212875
OM SARATOGA GAS (Continued) S121470718
Longitude: -122.0327
Latitude: 37.29363
Permitting Agency: Santa Clara County Environmental Health Facility ID: FA0271816
City,State,Zip: SARATOGA, CA 95070
Address: 12015 SARATOGA-SUNNYVALE RD
Name: SAI GAS STATION
Longitude: -122.032820284367
Latitude: 37.2935455480753
Permitting Agency: SANTA CLARA COUNTY
Facility ID: 212874
City,State,Zip: SARATOGA, CA 95070
Address: 12015 SARATOGA-SUNNYVALE RD.

Name: CONOCOPHILLIPS CO. #256859
UST:
262 ft. Site 31 of 38 in cluster A

0.050 mi.

Relative:

Higher
Actual:
307 ft.
< 1/8 SARATOGA, CA 95070
SSE 12015 SARATOGA-SUNNYVALE RD. N/A
A33 CONOCOPHILLIPS CO. #256859 UST U003942581
collect soil and depth discrete grab groundwater samples. MtBE was borings (CPT1 through CPT3) were advanced offiste to 80 feet to (MW1 through MW3) and groundwater monitoring began. 1/05 3 hydropunch reported to have 17,000 ppb MtBE. 4/04 installed 3 monitoring wells investigation at an active gas station. Grab groundwater sample was Site History: 6/03 advanced 3 borings in response to RWQCB request for MtBE Potential Contaminants of Concern: MTBE / TBA / Other Fuel Oxygenates, Gasoline Potential Media Affect: Aquifer used for drinking water supply Local Case Number: 07S2W25L03f
File Location: All Files are on GeoTracker or in the Local Agency Database Local Agency: Not reported
RB Case Number: Not reported
Case Worker: Not reported
Status Date: 02/11/2010
Status: Completed - Case Closed
Longitude: -122.0326365
Latitude: 37.293692942
Global Id: T0608550689
Geo Track: http://geotracker.waterboards.ca.gov/profile_report.asp?global_id=T0608550689 Case Type: LUST Cleanup Site
Lead Agency: SANTA CLARA COUNTY LOP
City,State,Zip: SARATOGA, CA 95070
Address: 12015 SARATOGA-SUNNYVALE ROAD
Name: CONOCOPHILLIPS # 6859
LUST:
262 ft. Site 32 of 38 in cluster A CERS

0.050 mi. CUPA Listings
Relative:

Higher
Actual:
307 ft.
< 1/8 SARATOGA, CA 95070 CERS TANKS
SSE 12015 SARATOGA-SUNNYVALE RD CERS HAZ WASTE N/A
A34 SAI GAS STATION LUST S103993555
TC6029600.2s Page 89
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Action: Soil and Water Investigation Workplan
Date: 01/30/2004
Action Type: RESPONSE
Global Id: T0608550689
Action: Soil and Water Investigation Workplan
Date: 07/16/2004
Action Type: RESPONSE
Global Id: T0608550689
Action: Email Correspondence
Date: 03/18/2003
Action Type: ENFORCEMENT
Global Id: T0608550689
Action: Closure/No Further Action Letter
Date: 02/11/2010
Action Type: ENFORCEMENT
Global Id: T0608550689
Action: Staff Letter
Date: 04/15/2009
Action Type: ENFORCEMENT
Global Id: T0608550689
Action: Staff Letter - #80315
Date: 05/13/2008
Action Type: ENFORCEMENT
Global Id: T0608550689
Action: Leak Reported
Date: 06/17/2003
Action Type: Other
Global Id: T0608550689
Action: Staff Letter
Date: 03/19/2003
Action Type: ENFORCEMENT
Global Id: T0608550689
LUST: