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an Joaquin County Hazardous MAWS XX 1993 Worksheet JW Businesses completing 1992 HMMPs should use this worksheet to determine if submittal updates are necessary. If you answer "yes" to any of the following questions, you are then required to submit the updated sections of the HMMP to OES by JANUARY 15.194. You can obtain any necessary forms or plan sections from OES. �exM e Has your business name or address changed? ------------------------------- Have emergency notification personnel and/or telephone numbers changed?-- - - - - - - - - - - - - - X • ..__._..,___._. .. . ___-1__,_____ __ -.. . Have you reassigned emergency responsibilities for employees?--------------------- X Has the nature of your business changed?--------------------------------- Did you forget to document your Dun and Bradstreet number?- - - - - - - - - - - - - - - - - - - - - - New Information Needed: Type of Organization: 0 Single Owner O Partnership 0 Corp 17 Other Business Owner(s) Name: Atchison, Topeka & Santa Fe Railway Owner(s) Address: 740.E- Carnegie Dr., San Bernardino, CA 92408 Have you reassigned an evacuation leader?________________________________ Have you changed shift hours and number of employees per shift?- - - -- - - - - - - - - - - - - - - - Have you changed evacuation routes and evacuation assembly areas? ------------------ Has ----------------- Has the area surrounding your business changed (i.e. new developments)................ ; , Iii x. • rtassigned a spill all • :.:.. >. added, deleted. or r your safety, / • I control equipment.or monitoring � -. n wl JUve you designated or changed a clean-up company which can assist you during a hazardous Materials incident? ------------------ Have you changed your written spW and leak procedures? 1111- ------------------- ft o 1 Has your • • and training program changed? --------------------- Section ) z Does your facility diagram or topograpitical map need to be updated? ----------------- Chettllt�8� )(nVe COPY: A completed chemical inventory must be submitted to OES every year. Please complete the invenwry form and submit with this workshoet Return only the 1493 forms to OES by JANUARY 15,1443. Copies of forms from previous years will not be accepted. I deekru ander the penahy of peelwy that the above ionf ' a is ocrunde to the best of my ltwowkdge. I mderawd d,ar Jajse woecurote L%fbrxg&&x may con"ute to compUcations during a haranfout auoterld incideaL Thk deckrarion k mode in the City of San Bernardino Csfif"WAL Manager -Environmental Print Names Mick Hardin Job Title: Hazardous Materials Control