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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0537976
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COMPLIANCE INFO
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Entry Properties
Last modified
9/20/2018 10:46:47 AM
Creation date
6/11/2018 6:07:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537976
PE
1921
FACILITY_ID
FA0021922
FACILITY_NAME
TUFF SHED 130
STREET_NUMBER
2754
Direction
(none)
STREET_NAME
TEEPEE
STREET_TYPE
DR
City
STOCKTON
Zip
95205
CURRENT_STATUS
Active, billable
SITE_LOCATION
2754 TEEPEE DR STE B
P_LOCATION
01
P_DISTRICT
002
CASE_ID
10614430
Supplemental fields
FilePath
\MIGRATIONS\T\TEEPEE\2754\PR0537976\COMPLIANCE INFO 2016 - PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2016 - PRESENT
QuestysRecordDate
3/23/2017 8:26:45 PM
QuestysRecordID
3358350
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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RECEIVED <br />CERS Consolidated Emergency Respoise/ Con I ingency Plan —Page 4 of 4 JUN o7 2017 Rev. N=11 <br />EARTHQUAKE VULNERABILITY ENVIRONMENTAL <br />Identify areas of the facility that are vulnerable to <br />"dour materials releases / spills due to earthquake -related motion. These areas require immediate isolation and <br />insticcim <br />VULNERABLE AREAS: (Check all that apply) <br />It1 LOCATIONS(c.g'. slarP, outdoor shed, forensic lab) <br />ZA <br />1. HAZARDOUS MATERIALS / WASTE ST <br />RAGE AREA 5 �d to <br />❑ 2. PROCESS LINES /PIPING <br />w <br />❑ 3. LABORATORY <br />ets. <br />❑ 4. WASTE TREATMENT AREA <br />to. <br />Identify mechanical systems vulnerable to releases / <br />mills due to card cake -related motion. These svucm require immediate isolation and inspection. <br />VULNERABLE SYSTEMS: (Check all that apply) <br />LOCATIONS <br />LSHELVES, CABINETS AND RACKS <br />�(^fe 5� SL17C l�� QW L(-OpVCr nr <br />❑ 2. TANKS (EMERGENCY SHUTOFF) <br />xf <br />3. PORTABLE GAS CYLINDERS <br />oro. <br />d` 4. EMERGENCY SHUTOFF AND/OR UTILI1 <br />Y VALVES wu <br />5. SPRINKLER SYSTEMS <br />HII <br />❑ 6. STATIONARY PRESSURIZED CONTAINERS <br />(e.g., Propane dispensing junk) 1112 <br />I. EMPLOYEE TRAINING <br />Explanation of Requirement: Employee training is <br />rquired dor all employees handling hazardous materials and hazardous wastes in day -today or clean-up operations <br />including volunteers and/or contractors. Training ran <br />t be: <br />• Provided within 6 months for new hires; <br />• Amended as necessary prior in change in process <br />r work assignment; <br />• Given upon codification m the I(mergeney Res <br />se /Contingency Plan, and updaedirefvshed annually for all employees. <br />Required content includes all of the following. <br />• Material Safety Data Sheets; <br />Communication and alarm systems; <br />• Hazard communication related to health and solei <br />; • Personal projective equipment. <br />• Methods for safe handling of hazardous substane <br />; • Use of emergency response equipment (e.g. Fire extmguishem. mpirotors, <br />• Fire hazards of materials/processes; <br />etc.); <br />• Conditions likely to worsen cimigencim <br />• Dewntaminatiun procedures; <br />• Coordination of emergency response; <br />• Evacuation procedures; <br />• Notification procedures; <br />• Control and containment procedures; <br />• Amilicalsic laws and remulations. <br />• UST monitoring system equipment and procedures (if applicable). <br />INDICATE HOW EMPLOYEE TRAINING PROGI <br />AM IS ADMINISTERED (Check all that apply) It <br />❑ 1. FORMAL CLASSROOM; ❑ 2. VIDEOS; <br />® 3 SAFETY / TAILGATE MEETINGS: <br />❑ 4. STUDY GUIDES / MANUALS (Specify): <br />12 <br />❑ 5. OTHER (Specify): <br />n <br />❑ 6. NOT APPLICABLE BECAUSE FACILITY I <br />LAS NO EMPLOYEES <br />Large Quantity Generator (LQG) Training Reco <br />s: 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 dosis <br />nentation of employee hazardous waste management training sessions which includes: <br />• A written outlinclagenda of the type and amour <br />I of both introductory and continuing training that will be given to persons filling each job position having <br />responsibility for the management of hazardous w <br />sic (e.g.. labeling, manifesting, compliance with accumulation time limits, etc.). <br />• The nmte,job tide, and date of training for each Is <br />duos waste management training session given to an employ" filling such ajob position; and <br />• A written job description for each of the abovejol <br />positions than describesjob duties and the skills, education. nr other qualifications required of personnel assigned <br />to the position. <br />• Curren employee training records must be relainc <br />I until closure of the facility. <br />• Former employee trainins records most be retaires <br />I at Icm3 three years after termination of employment. <br />J. LIST OF ATTACHMENTS <br />JC)ieck one of the following) <br />n <br />J54 NO ATTACHMENTS ARE REQUIRED; or <br />❑ 2. THE FOLLOWING DOCUMENTS ARE AT <br />FACETED: t2 <br />K. SIGNATURE/ CERTIFICATION <br />Certification: Based on my inquiry of those individuals <br />responsible for otmoning the information, 1 certify under penalty of law that I have personally examined and <br />am familiar wish ation submitted and bcl' <br />a the information u true, accurate and complete, and that a copy is available on site. <br />SIGNATU F R/OPERATOR <br />DATF.'GNE Ki. <br />/ <br />-SAME OrSIGNEER (print) <br />K2 <br />TITLE OF SIGNER <br />
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