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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0520353
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COMPLIANCE INFO
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Last modified
11/28/2018 9:10:17 AM
Creation date
6/10/2018 12:47:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0520353
PE
1921
FACILITY_ID
FA0014264
FACILITY_NAME
Karl Needham Enterprises, Inc.
STREET_NUMBER
4901A
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
Rd
City
Stockton
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4901A E Mariposa Rd
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\M\MARIPOSA\4901A\PR0520353\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
5/31/2016 4:59:04 PM
QuestysRecordID
3060819
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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CERS Consolidated Emergency Response / Contingency Plan — Page 4 of 4 <br />Rev. 06/27/11 <br />H. EARTHQUAKE VULNERABILITY <br />Identify areas of the facility that are vulnerable to hazardous materials releases / spills due to earthquake -related motion. These areas require immediate isolation and <br />inspection. <br />VULNERABLE AREAS: (Check all that apply) rt i LOCATIONS (e.g., shop, outdoor shed, forensic lab) <br />1. HAZARDOUS MATERIALS / WASTE STORAGE .AREA sn n H2. <br />❑ 2. PROCESS LINES / PIPING H3. <br />❑ 3. LABORATORY H4. <br />❑ 4. WASTE TREATMENT AREA xs. <br />Identify mechanicals stems vulnerable to releases / spills due to earthquake -related motion. Theses stems require immediate isolation and inspection. <br />VULNERABLE SYSTEMS: (Check all that apply) H6. i LOCATIONS <br />Q L SHELVES, CABINETS AND RACKS snoulon:ce H7. <br />❑ 2. TANKS (EMERGENCY SHUTOFF) H9. <br />Q 3. PORTABLE GAS CYLINDERS on H9. <br />❑ 4. EMERGENCY SHUTOFF AND/OR UTILITY VALVES Hfo. <br />❑ 5. SPRINKLER SYSTEMS Hil. <br />❑ 6. STATIONARY PRESSURIZED CONTAINERS (e.g., Propane dispensing tank) H12. <br />I. EMPLOYEE TRAINING <br />Explanation of Requirement: Employee training is required for all employees handling hazardous materials and hazardous wastes in day-to-day or clean-up operations <br />including volunteers and/or contractors. Training must be: <br />• Provided within 6 months for new hires; <br />• Amended as necessary prior to chauge in processor work assignment; <br />• Given upon modification to the Emergency Response / Contingency Plan, and updated/refreslted annually for all employees. <br />Required content includes all of the following: <br />• Material Safety Data Sheets; • Communication and alarm systems; <br />• Hazard communication related to health and safety; • Personal protective equipment; <br />• Methods for safe handling of hazardous substances; • Use of ernergency response equipment (e.g. Fire extinguishers, respirators, <br />• Fire hazards of materials / processes; etc.); <br />• Conditions likely to worsen emergencies; • Decontamination procedures; <br />• Coordination of emergency response; • Evacuation procedures; <br />• Notification procedures; • Control and containment procedures; <br />• Applicable laws and regulations; • UST monitoring system equipment and procedures (if applicable). <br />INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED (Check all that apply) tt. <br />❑ 1. FORMAL CLASSROOM; ❑ 2. VIDEOS; 3. SAFETY / TAILGATE MEETINGS; <br />❑ 4. STUDY GUIDES / MANUALS (Specify): L. <br />5. OTHER (Specify): info,-rnaf dans for ali employees t1 snop 13. <br />❑ 6. NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES <br />Large Quantity Generator (LQG) Training Records: Large quantity hazardous waste generators (i.e., who generate more than 270 gallons/1,000 kilograms of <br />hazardous waste per month) must retain written documentation o£employee hazardous waste management training sessions which includes: <br />• A written outline/agenda of the type and amount of both introductory and continuing training that will be given to persons filling each job position having <br />responsibility for the management of hazardous waste (e.g., labeling, manifesting, compliance with accumulation time limits, etc.). <br />• The name, job title, and date of training for each hazardous waste management training session given to an employee filling such a job position; and <br />• A written job description for each of the above job positions that describes job duties and the skills, education, or other qualifications required of personnel assigned <br />to the position. <br />• Current employee training records must be retained until closure of the facility. <br />• Former employee training records must be retained at least three years after termination of em to meat. <br />J. LIST OF ATTACHMENTS <br />(Check one of the following) Jr. <br />❑ 1. NO ATTACHIvfENTS ARE REQUIRED; or <br />❑ 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: <br />K. SIGNATURE/ CER'T'IFICATION <br />Certification: Based on my inquiry of those indid re. onsible for obtaining the information, I certify under penalty of law that I have personally examined and <br />am familiar with the information submitted and believe t c in ,ormation is true, accurate, and complete, and that a copy is available on site. <br />SIGN E OF 0 NER/OP�E%AATOR / <br />DATE WONED Kr. <br />if%f! �,//�P-�'•.' � <br />/8/2015 <br />NAME OF SIGNE#L ni) K2. <br />TITLE OF SIGNER �• <br />3evarly Sa . vat <br />-Office iVianagel <br />HEA!? -H DE-PARThIENT <br />
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