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2200 - Hazardous Waste Program
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PR0514019
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COMPLIANCE INFO
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Last modified
12/5/2018 10:43:29 AM
Creation date
10/31/2018 12:37:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514019
PE
2220
FACILITY_ID
FA0009750
FACILITY_NAME
PNP Stockton Premier
STREET_NUMBER
4223
Direction
E
STREET_NAME
CLARK
STREET_TYPE
DR
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4223 E CLARK DR
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CLARK\4223\PR0514019\COMPLIANCE INFO 1993 - 2011.PDF
QuestysFileName
COMPLIANCE INFO 1993 - 2011
QuestysRecordDate
8/28/2017 10:13:06 PM
QuestysRecordID
3607576
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Ruh. <br /> s mon <br /> ENVIRONMENTAL HEALTH DePARTMENT <br /> Donna K.Heron,R.E.H.S. SAN JOAQUIN COUNTYProgram Coordinators <br /> Director 600 East Main Street, Stockton, California 95202 Kasey L.Foley,R.E.H.S. <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Robert McClellon,R.E.H.S. <br /> Jeff Cannesco,R.E.H.S. <br /> Web:www.sjgov.org/ehd Linda Turkatte,R.E.H.S. <br /> SITE HEALTH& SAFETY PLAN <br /> PART I PART II <br /> GENERAL SITE INF^O,F'MATION EVALUATION OF POTENTIAL HAZARDS <br /> 1. Site Name: P1 ck-- Al AW Oaf Orn_ 3�n&4s 1. Gals Hazards <br /> Address: mmogens: 0 q i a.12 W!'nT/' <br /> Contact Person:_ ❑Corrosives: <br /> Phone N: 20 ❑Dusts: <br /> Proposed Date of investigation inspection: el <br /> ❑Explosives: <br /> ❑Flammables: <br /> 2. Description and brief narrative of inspection activity: ❑Inorganic Gases: <br /> ❑New UST installation ❑UAR Investigation ❑Metals: <br /> ❑Tank Closure in Place ❑Tank/Pipe Repair ❑Oxidizers: <br /> ❑Tank/Pipe Removal ❑Re-excavation ❑PCBs: <br /> ���....❑]pSSampling ❑ Boring/Monitoring Well installation ❑Other: <br /> LHazardow Waste inspection ❑Tiered Permitting inspection <br /> PART III <br /> 3. Specific Site Information: REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Tank No.: Tank Capacity: I. Monitoring Equipment(Note:Monitoring instruments must be used for all <br /> Tank Content: Tank Age: operations unless appropriate rationale or restrictions are provided): <br /> Other: ❑Combustible Gas/Oxygen Meter <br /> �- ,I,�_- � <br /> E] Detector Tubes(specify): <br /> 4. Type of Operation: r l"` """ ❑Photo ionization Detector <br /> ❑Organic Vapor Analyzer <br /> 5. Release History: ❑Other(specify): <br /> Evidence of leaks/soil contamination: ❑YES ❑NO lone(see below) <br /> Documemed Groundwater contamination: ❑YES ❑NO If monitoring instruments are not used,rationale or activity/area restrictions: <br /> Background and description of any previous investigation or incidence: <br /> 2. Personal Protective Equipment <br /> 6. Paential Health&Safety Physical Concerns:(✓all that apply&describe) Level of Protection: ❑A ❑B ❑C ® D <br /> ❑Heat m Cold Stress: °F(high ambient temp.) ®Hard Hat <br /> C]Noise Sources: ®Safety Glasses/Goggles <br /> ❑Oxygen Deficiency: <br /> ®Steel toed/shank shoes or boots <br /> �ccavation(falls,trips,slipping,cave-ins): ❑Flame retardant coveralls <br /> �ioandling and Transfer of a Hazardous Substance(fire,explosions,etc.): ®Hearing protection <br /> ❑Tyvek <br /> ❑Confined space entry(explosions): ❑Respirator: ❑APR ❑SCBA <br /> Heavy equipment(physical injury&trauma resulting from moving A/P Cartridge: <br /> equipment): ®Safety vest <br /> ❑Other(specify): Two-way communication -PhDi)e. <br /> ❑Other(specify): <br /> 7. Anticipated Biological Hazards: <br /> &S-kes kasixrts Rodents ❑Poisonous Plants PART IV <br /> ❑Other/Unlmown(specify): PLAN APPROVAL <br /> 8. Narrative(provide all information which could impact Health and Safety, Plan Prepared <br /> e.g.,power lines,integrity of dikes,terrain,etc.): Ftp 1 <br /> Plan Approved by: �j Date: <br /> EH 23081(8/11/2011) ���� <br />
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