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COMPLIANCE INFO 2010 - 2014
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PR0535168
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COMPLIANCE INFO 2010 - 2014
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Last modified
9/25/2019 9:07:18 AM
Creation date
11/1/2018 5:08:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2014
RECORD_ID
PR0535168
PE
2220
FACILITY_ID
FA0020330
FACILITY_NAME
J & H Marine
STREET_NUMBER
401
Direction
N
STREET_NAME
SAN JOSE
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13526016
CURRENT_STATUS
02
SITE_LOCATION
401 N SAN JOSE ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SAN JOSE\401\PR0535168\COMPLIANCE INFO 2010 - 2014.PDF
QuestysFileName
COMPLIANCE INFO 2010 - 2014
QuestysRecordDate
7/24/2017 6:44:58 PM
QuestysRecordID
3527293
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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1 � <br /> Pre-Inspection <br /> Health and Safety Assessment 20 3-s6 <br /> Facility Name '1— ,�-1t Mot.r i A-k FA#: <br /> Location L4 0 N Sa rLocation N J Y�PR##: <br /> Business T : <br /> Initiall Com leted B : Date: <br /> after <br /> Instructions: Fill out this form as best as possi le before the initi pection and complete the remaining inf rmation wring o <br /> the inspection. Subs�uent lnsoectionslnspections: Review facility file and chemical inventory information, along with the information on this <br /> form, to become familiar with potential hazardous substances andlor conditions at the facility and any control or precautionary <br /> W. <br /> measures that should be taken prior to conducting the inspection activity. Updatelcompletefprm as needed.Sign and date belo <br /> Chemical Hazards Ph sical Hazards <br /> t5 Canino ens: ❑ Ox en Deficienc : <br /> Corrosives: ❑ Noise: <br /> Flammables: ❑ Excavations: <br /> ❑ Gases: ❑ Climbin : <br /> ❑ Metals: ❑ Ex losion: <br /> ❑ Oxidizers: Heav E ui menta <br /> ❑ PCBs: ❑ Heat or Cold Stress: <br /> ❑ Explosives: 01 Other: <br /> Biolo ical Hazards Personal Protective Equipment <br /> ❑ Dogs Hard Hat 10 CPC-T vek <br /> ❑ Snakes 1P. Safety Vest ❑ CPC-Other: <br /> ❑ Insects kjEl, Protective Boots ❑ APR Respirator <br /> ❑ Poisonous Plants el� Go les/Glasses ❑ SCBA Res irator <br /> ❑ Other: Hearin Protection ❑ Other: <br /> By signing below, I am declaring that I have reviewed the health and safety information for this facility prior to my <br /> inspection and that I have performed, and will perform during the inspection, the following actions: <br /> I have reviewed this form and the facility file for information on the business type of operation, compliance history, prior <br /> releases and response, and other health and safety related information. <br /> I have reviewed the properties and hazards associated with the chemicals in the chemical inventory submitted by the <br /> facility. <br /> I have searched out and evaluated information on the properties of the chemicals at the facility, using the internet and <br /> other resources,for chemicals I am not familiar with at this time. <br /> I have reviewed the facility information with my supervisor if I could not determine the most appropriate health and safety <br /> precautions needed for this facility. <br /> I have gained an awareness of the potential hazards at the facility and have determined the appropriate health and safety <br /> precautions needed to perform my inspection. <br /> Before beginning the inspection, I will review the facility's health and safety information and rules with the owner/manager <br /> and wear the appropriate personal protective equipment. <br /> During the inspection, I will observe the labeling and condition of hazardous materials containers and conveyances, the <br /> posting of placards and warning signage, and the actions of the facility employees and guests to identify any potential <br /> unsafe conditions that may arise during the ins ection. <br /> Staff Signature Date Staff Signature Date <br /> /0 f <br /> San Joaquin County Environmental Health Department; 1868 E. Hazelton Avenue;Stockton, CA 95205;209.468.3420 <br /> EHD 48- 06-12-2013 Pre-Inspection Health&Safety Assessment <br />
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