My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
R
>
R A BRIDGEFORD
>
7900
>
1900 - Hazardous Materials Program
>
PR0520980
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/15/2019 2:26:50 PM
Creation date
6/11/2018 5:21:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0520980
PE
1920
FACILITY_ID
FA0013603
FACILITY_NAME
FEDERAL AVIATION ADMINISTRATION
STREET_NUMBER
7900
Direction
S
STREET_NAME
R A BRIDGEFORD
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17726006
CURRENT_STATUS
01
SITE_LOCATION
7900 S R A BRIDGEFORD ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\R\RA BRIDGEFORD\7900\PR0520980\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
11/2/2016 3:44:02 PM
QuestysRecordID
3247575
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
0 Pre-Inspection 0 <br /> Health and Safety Assessment " <br /> Facility Name: FA#: FAOO l 3((�p3 <br /> Location:TO g A e( U PR#: PR05 Z—OnpD <br /> Business Type bI TIClYI N-ay)a4�a� <br /> Initially Completed By: Jamie DeLaRosa Date: <br /> Instructions: Fill out this form as best as possible before the initial inspection and complete the remaining information during or after <br /> the inspection. Subsequent Inspections: Review facility file and chemical inventory information, along with the information on this <br /> form, to become familiar with potential hazardous substances and/or conditions at the facility and any control or precautionary <br /> measures that should be taken prior to conducting the inspection activity. Update/complete form as needed. Sign and date below. <br /> Chemical Hazards Ph sical Hazards <br /> ❑ Carcinogens: ❑ Oxygen Deficiency: <br /> ❑ Corrosives: ❑ Noise: <br /> ❑ Flammables: ❑ Excavations: <br /> ❑ Gases: ❑ Climbing: <br /> ❑ Metals: ❑ Explosion: <br /> ❑ Oxidizers: ❑ Heavy Equipment: <br /> ❑ PCBs: ❑ Heat Stress: <br /> ❑ Explosives: ❑ Cold Stress: <br /> ❑ Other: 01 Other: <br /> Bio lo ical Hazards Personal Protective E ui ment <br /> ❑ Dos X Hard Hat ❑ CPC-T vek <br /> ❑ Snakes X Safety Vest ❑ CPC—Other: <br /> ❑ Insects X Protective Boots ❑ APR Respirator <br /> ❑ Poisonous Plants ❑ Go les/Glasses ❑ SCBA Respirator <br /> ❑ Other: ❑ Hearinq Protection ❑ Other: <br /> By signing below, I am declaring that I have reviewed the health and safety information for this facility prior to my <br /> inspection and that I have performed, and will perform during the inspection, the following actions: <br /> I have reviewed this form and the facility file for information on the business type of operation, compliance history, prior <br /> releases and response, and other health and safety related information. <br /> I have reviewed the properties and hazards associated with the chemicals in the chemical inventory submitted by the <br /> facility. <br /> I have searched out and evaluated information on the properties of the chemicals at the facility, using the intemet and <br /> other resources, for chemicals I am not familiar with at this time. <br /> I have reviewed the facility information with my supervisor if I could not determine the most appropriate health and safety <br /> precautions needed for this facility. <br /> I have gained an awareness of the potential hazards at the facility and have determined the appropriate health and safety <br /> precautions needed to perform my inspection. <br /> Before beginning the inspection, I will review the facility's health and safety information and rules with the ownerlmanager <br /> and wear the appropriate personal protective a uipment. <br /> During the inspection, I will observe the labeling and condition of hazardous materials containers and conveyances, the <br /> posting of placards and warning signage, and the actions of the facility employees and guests to identify any potential <br /> unsafe conditions that may arise during the ins ection. <br /> Staff Signature Date Staff Signature Date <br /> San Joaquin County Environmental Health Department; 1868 E. Hazelton Avenue; Stockton, CA 95205; 209.468.3420 <br /> EHD 48- 06-12-2013 Pre-Inspection Health&Safety Assessment <br />
The URL can be used to link to this page
Your browser does not support the video tag.