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COMPLIANCE INFO_PRE 2019
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COMPLIANCE INFO_PRE 2019
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Last modified
11/26/2024 2:41:56 PM
Creation date
11/6/2018 8:40:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0517911
PE
2227
FACILITY_ID
FA0010183
FACILITY_NAME
SPACERAK
STREET_NUMBER
214
Direction
S
STREET_NAME
KELLY
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04906026
CURRENT_STATUS
01
SITE_LOCATION
214 S KELLY ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\K\KELLY\214\PR0517911\COMPLIANCE 2000 - 2015.PDF
Tags
EHD - Public
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Pre -Inspection <br />Health and Safety Assessment <br />Facility Name: Heartland Steel Products FA#: FA0010183 <br />Location: 214 S. Kelly St. Lodi, CA 95240 PR#: PR0517911 <br />Business Type: Storage systems manufacturing plant <br />Initiallv Completed Bv: Aris Veloso Date- Mar 6. 2015 <br />Instructions: Fill out this form as best as possible before the initial inspection and complete the remaining information during or after <br />the inspection. Subsequent Inspections: Review facility file and chemical inventory information, along with the information on this <br />form, to become familiar with potential hazardous substances and/or conditions at the facility and any control or precautionary <br />measures that should be taken prior to conducting the inspection activity. Update/complete form as needed. Sign and date below. <br />Chemical Hazards Physical Hazards <br />® Carcinogens: coolant, oil, petroleum products ❑ Oxygen Deficienc : <br />❑ Corrosives: ❑ Noise: <br />® Flammables: propane ❑ Excavations: <br />® Gases: argon, oxygen, carbon dioxide ❑ Climbing: <br />® Metals: metal fines ❑ Explosion: <br />❑ Oxidizers: ❑ Heavy Equipment: <br />❑ PCBS: ® Heat or Cold Stress: inclement weather <br />❑ Explosives: ❑ I Other: <br />Bio lo ical Hazards Personal Protective Equipment <br />❑ Dos ® Hard Hat ❑ CPC - T vek <br />❑ Snakes ® Safety Vest ❑ CPC — Other: <br />® Insects ® Protective Boots ❑ APR Respirator <br />❑ Poisonous Plants ® Goggles/Glasses ❑ SCBA Respirator <br />❑ 1 Other: ® Hearing 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 theappropriate 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 Burin the inspection. <br />to 'g ture <br />Date <br />Staff Signature <br />Date <br />rnnr. nnn <br />ACO 7Ann <br />San Joaquin County Environmental Heaan uepartment, 1000 C. ndceuvii rwcuua, wt,nLUII, vn oVc Vu, LVJ.TVV.VTLV <br />EHD 48- 06-12-2013 Pre -Inspection Health & Safety Assessment <br />
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