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2217 – Appliance Recycler Program
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PR0536119
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COMPLIANCE INFO
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Last modified
8/31/2018 11:43:49 AM
Creation date
8/31/2018 11:41:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2217 – Appliance Recycler Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536119
PE
2217
FACILITY_ID
FA0003761
FACILITY_NAME
ST JOSEPHS HOSPITAL
STREET_NUMBER
1800
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12718044
CURRENT_STATUS
01
SITE_LOCATION
1800 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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8.) In an attached document, descriL, ,n detail your ability to properly remove ani ,anage all materials that require <br />special handling (MRSH) (HSC 25211.4(a)), found in appliances. The list below describes the level of detail that <br />DTSC would like to see: <br />• General Knowledge- What types of MRSH are found in specific appliances? <br />Training- Who will provide training to personnel responsible for removing MRSH from appliances at your <br />facility? What are the contents of the training and what MRSH will be covered? How frequently will staff be <br />trained? When will new staff be trained? What hard copy and electronic training and reference materials will <br />be made available to staff? <br />• Health and Safety- Describe your facility's health and safety plan and/or the duties of a safety officer. What <br />personal protective equipment is used during the removal of MRSH? Provide information for spill kits <br />available at your facility. <br />• Proposed removal processes- List the tools and equipment you use to remove each type MRSH. Briefly <br />describe how each MRSH is identified and the procedure used to remove each type of MRSH from the <br />appliance. <br />• Storage'- How long do you plan to accumulate removed MRSH at your facility? Describe the containment of <br />the MRSH. How are the containers labeled for each MRSH? Describe how materials will be packaged to <br />avoid breakage. Describe your record-keeping system. <br />• Disposition of Waste- What will be the disposition of each MRSH? Please provide the name of the company <br />that picks up waste, or a description of where the waste is sent and/or how it gets there. <br />What else should we know in order determine that you are capable of properly removing & managing MRSH? <br />Optional: Site Information: <br />Days and hours of operation of the facility: 24 hours a day, 7 days a week <br />Open to the public? ® Yes ❑ No <br />Type, expected source, expected number or weight of appliances to be handled per month at your facility: <br />Compressors from refrigerators and ice machines. Average number of appliances per montli is 3 to 4, <br />CERTIFICATION <br />CERTIFICATION <br />I certify under penalty of perjury that this document and all attachments were prepared under <br />my direction or supervision to assure that qualified personnel properly gathered and evaluated <br />the information submitted. Based on my inquiry of the person or persons directly responsible <br />for gathering the information, the information submitted is, to the best of my knowledge and <br />belief, true, accurate and complete. <br />Signature: <br />Date: March 15, 2011 <br />rV <br />Printed Name:--�ey,� (, • l'%7r'r-/�/ Title:,- � ✓ , <br />' Any MRSH that is a hazardous waste must be managed in accordance with Ch. 12 of 22 CCR <br />
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