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COMPLIANCE INFO 2007 - 20111
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COMPLIANCE INFO 2007 - 20111
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Last modified
9/25/2019 9:07:22 AM
Creation date
11/1/2018 5:27:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007 - 20111
RECORD_ID
PR0526856
PE
2220
FACILITY_ID
FA0018188
FACILITY_NAME
CALIFORNIA AUTOTECH
STREET_NUMBER
321
Direction
N
STREET_NAME
STANISLAUS
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13931034
CURRENT_STATUS
01
SITE_LOCATION
321 N STANISLAUS ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\STANISLAUS\321\PR0526856\COMPLIANCE INFO 2007 - 20111.PDF
QuestysFileName
COMPLIANCE INFO 2007 - 20111
QuestysRecordDate
10/2/2017 9:15:48 PM
QuestysRecordID
3657815
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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V <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />SITE HEALTH AND SAFETY PLAN <br />PART <br />GENERAL SITE INFORMATION <br />1. Site Name: A -One Automotive Rei <br />Address: 321 N. Stanislaus St., Ste <br />Contact Person: Humberto Sandoval Phone No: 464-9120_ <br />Sweeps Number: <br />Proposed Date of investigation/inspection: February 5, 2007 <br />2. Description and brief narrative of inspection activity: <br />❑ New UST installation_ <br />❑ UAR Investigation. <br />❑ Tank Closure in Place.. <br />❑ Tank/Pipe Repair. <br />❑ Tank/Pipe Removal. <br />❑ Re -excavation. <br />❑ Installation of Borings / Monitoring <br />Wells. <br />® Hazardous waste inspection <br />❑ Sampling <br />❑ Tiered Permitting inspection <br />3. Specific Site Information: <br />Tank No.: <br />Tank Content: <br />Other: <br />Tank Capacity: <br />Tank Age: <br />4. Type of Operation: Automotive Repair <br />5. Release History: <br />Evidence of leaks / soil contamination: ❑ YES ❑ NO <br />Documented Groundwater contamination: ❑ YES ❑ NO <br />Background and description of any previous investigation or incidence: <br />6. Potential Health and Safety <br />Physical Concerns: (check all that apply & describe) <br />❑ Heat or Cold Stress: °F (high ambient temp.) <br />❑ Noise Sources: <br />❑ Oxygen Deficiency: <br />❑ Excavation: (falls, trips, slipping, cave-ins): <br />❑ Handling and Transfer of a Hazardous Substance: (fire, explosions, <br />etc_ ). <br />❑ Confined space entry: (explosions): <br />❑ Heavy equipment (physical injury & trauma resulting from moving <br />equipment): <br />❑ Other, specify <br />Anticipated Biological Hazards: <br />❑ Snakes ❑ Insects ❑ Rodents ❑ Poisonous Plants <br />❑ Other/Unknown (specify): <br />8. Narrative (provide all information which could impact Health and Safety, <br />e.g., power lines, integrity of dikes, terrain, etc.) <br />EH 23081 (02/19/03) <br />PART II <br />EVALUATION OF POTENTIAL HAZARDS <br />1. Chemicals Hazards <br />® Carcinogens: Waste Oil, used <br />❑ Corrosives: <br />❑ Dusts: <br />❑ Explosives: <br />❑ Flammables: <br />❑ Inorganic Gases: <br />❑ Metals: <br />❑Oxidizers: <br />❑ PCB's: <br />PART III <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />1. Monitoring Equipment (note: Monitoring instruments must be used for all <br />operations unless appropriate rationale or restrictions are provided) <br />❑ Combustible Gas/Oxygen Meter. <br />❑ Detector Tubes (Specify). <br />❑ Photo ionization Detector. <br />❑ Organic Vapor Analyzer. <br />❑ Other, specify. <br />If monitoring instruments are not used, rationale or activity / area restrictions: <br />2. Personal Protective Equipment <br />Level of Protection: ❑ A ❑ B ❑ C ® D <br />® Hard Hat. <br />® Safety Glasses/goggles. <br />® Steel Iced/shank shoes or boots. <br />❑ Flame retardant coveralls. <br />® Hearing protection. <br />❑ Tyvek. <br />❑ Respirator: ❑ APR ❑ SCBA <br />A/P cartridge: <br />® Safety vest. <br />❑ Two-way communication. <br />PART IV - PLAN APPROVAL <br />Plan Prepared by: Ray von Flue Date: <br />Plan Approved by: Date: <br />
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