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COMPLIANCE INFO_PRE 2019
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PR0520571
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/21/2019 1:18:15 PM
Creation date
6/12/2018 8:52:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0520571
PE
1920
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
Active, billable
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\1756\PR0520571\COMPLIANCE INFO 2016 - 2007 .PDF
QuestysFileName
COMPLIANCE INFO 2016 - 2007
QuestysRecordDate
9/6/2017 6:38:32 PM
QuestysRecordID
3306790
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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MAY 21 2018 <br />ENVIRONMENTAL HEALTH <br />PERMMSERVICES <br />CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) <br />CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br />Pnw ro,onp(rnng rha 1'lun. ldmr rrJrr ro rA( LVSTRL('T10YS FOR ( 0.10'LET/.\6.1 C'QYtiOL10.17FD (-O.\"TI:CGf.:4C1' PLAN <br />A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br />FACILITY ID A <br />' CFRS toDALE <br />OF PLAN PREP.IRATIORN VISION 1- <br />0001858 <br />1/3!2017 <br />BUSINESS NAME /Sorer w F¢11)01N eor D11A- Living 8narratiA.la/ 1 <br />My Mini Mart <br />BUSINESS SITE ADDRESS no <br />1756 N. Wilson Way <br />BUSINESS SITE CITY <br />ZIP CODE <br />Stockton <br />CA <br />95205 <br />TYPE OF BUSINESS(ctt. Panning Conuaclor) N <br />INCIDENTAL OPERATIONS Jeg.. Fled Mananarc) At <br />Retail Motor Vehicle Fueling <br />Mini Mart <br />THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING. (Chink all that apply) As <br />1 HAZARDOUS MATERIALS. [7 2. HAZARDOUS WASTES <br />B. INTERNAL RESPONSE <br />INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCI IR VIA (Clw&,sll dim ii h l <br />®1 CALLING PUBLIC EMERGENCY RESPONDERS (.,.3 -I -I) <br />0 2. CALLING HAZARDOUS WASTE CONTRACTOR <br />3. ACTIVATING IN-HOUSE EMERGENCY RESPONSL I EAM <br />C. EMERGENCY COMMUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS <br />V/hrnevef Iherc is An .mm.Ia:nl In x1.1 cmxgcnry ulual.m such as an e\pl...nn. lire. In rel., the Enorg,, K) C.nmlualor Lor hnshcr du.gmv .Lice the <br />Emergerlsy Cooldnlator Is on ,all) shall <br />I Aeti.me mlemal fail" alarms pr cummw.cavonu syslerle. xlcre applluble. W Ilpllr) all ficllay pessonlul <br />2. Notify appWavie Uncal audtunues to e . call R1-1) <br />the Callfo s Emergalc) Managemeu nl AWMI (011952-7550 <br />1 3. Notify in <br />1 <br />Ber02 hwillt) op,rantins afc rcaumW to Arco of the fslhn affected In the .neWent. the emerge coordinator shall muf) the Cabfurnia DuPaOercnl of Touc <br />Subst.,,a C-omrof (DTSC). Ih, I,.al Umfsd Program AW., (UPA), and dte Hal fire derynment's haaarda s muton.!, program dol the fnedlp n m cnmplia xi, <br />'A uh RgYrfentne, I. <br />I. Pnnlde ro, w.Nr!!Drag!' and dnpol 1 of se,,^sn d a,l, i:.tanIM1M,d sail orsurra,e xiYl'f, m un, oda, eta nnl that resniu hnm y1 e\p1111fon rim M feleaSL' al <br />BIC fC1I1,, alld <br />2. Emum that no mnenal that is n+compatrbl, .,in III, released matenal .s n forted, stored, or drspasxl of In anus of the facdn5 nT«Led b ibe Incident until <br />dininup Finkitss are cu Jered <br />1:PCFERNAL <br />FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA.(Chcck all Rle apply l (I <br />IN 1. VERBAL WARNINGS. ❑ 2 PUBLIC ADDRESS OR IN'FERCUM SYSTEM. ® 3. TELEPHONE; <br />❑ 4 PAGERS. ❑ 5. ALARM SYSTEM. ❑ 6. PORTABLE RADIO <br />NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY ICbeck all that apply i -- <br />IF I VERBAL WARNINGS. ❑ 2 PUBLIC ADDRESS OR INTERCOM SYSTEM: ❑ 3 TELEPHONE: <br />❑ 4 PAGERS: [15 ALARM SYSTEM. [36. PORTABLE RADIO <br />EMERGENCY RESPONSE AMBULANCE, FIRE, POLICE ANDCHP.. <br />PHONE NUMBFAS. CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CAL(EMA)... .. (800)852-7550 <br />NATIONAL RESPONSECENTER(HRC).... ... .. .... .. (800)424-8802 <br />POISON CONTROL CENTER .... _ (BOO) 222-1222_, <br />LOCAL UNIFIED PROGRAM AGENCY IUPA.CUPAI. (209)468-3420 ty <br />T tl <br />OTHER iSpe,Iry9. <br />NEAREST MEDICAL FACILITY 1 HOSPITAL NAME: I St. Joseph Hospital(_' (209) 943-2000 <br />AGENCY NOTIFICATION PHONE NUMBERS CALIFORNIA DEJr OF TOXIC SUBSTANCES CONTROL(DTSC). -3545G <br />p(916)(25,5 <br />REGIONAL WATER QUALFFY CONTROL BOARD .... . . 01 w by -Tz / iT` <br />- US. ENVIRONMENTAL PROTECTION AGENCY JUS EPA).. (80 )300-2193 <br />CALIFORNIA DEPT OFFISH AND GAME IDFG) _..... (916)358-2900 <br />US COASTGUARD. (202)267-2180 <br />CALJOSHA _.... ... (916)263-2800 ' <br />STATE FIRE MARSHAL .. .. (916) 445-8200 <br />cle <br />OTHER (Speeif3`I: <br />rat ax <br />OTHER f <br />Rn. 0"111 <br />
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