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COMPLIANCE INFO_PRE 2019
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2300 - Underground Storage Tank Program
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PR0231532
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
10/5/2022 11:21:35 AM
Creation date
11/8/2018 9:47:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
03
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\C\CAMBRIDGE\16470\PR0231532\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
10/22/2012 8:00:00 AM
QuestysRecordID
131132
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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FKU•I:l-1Kl;LL K 8584116 TO:19512705121 P.4/7 <br /> CALH..NIA ON-SITE STATION TRAINING_.JRM <br /> Site Number �rJ Manager Name <br /> Street Address l �pl { I CA-mvI)e:,Ao <br /> City, ZipCode _L_PrTgq_p(Q <br /> Employee Name (Print) IMAA��rgUt4( � <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas lease initial): <br /> Initial Date <br /> UST System Operations <br /> 1. The types and locations of the tanks at the station 9`t /05 <br /> 2. For electronic monitors, daily monitoring check log and alarm to <br /> 3. For electronic monitors, who to call in the event of an alarm rb <br /> Hazardous Materials Management(Hazardous Materials Management/Business Plan <br /> 1. Which materials at the station are hazardous Pa Z 145 <br /> 2. Where these materials are stored 7 <br /> 3. How these materials are to be handled, stored, and disposed of <br /> 4.What Material Safety Data Sheets SDS are and where they are kept at the station <br /> 5. Training topics included in the HMMP, including review of MSDSs and the emergency <br /> response plan <br /> Waste Management Procedures <br /> 1. The correct management for products in the station y�-f <br /> 2. Proper labelinof wastes p <br /> 3. The importance of manifesting or having a receipt for all hazardous materials that leave the <br /> site store personnel are not to sign hazardous waste manifests a 7 a7 05 <br /> Spill and Leak Response (Spill Response Plan <br /> 1. Location of spill response equipment <br /> Z -r <br /> 2. Location of Spill or leak contact list, reporting rocedures — <br /> 3. Location of emergency fuel shut-off switch sS <br /> InVentoryReconciliation <br /> 1. how to perform accurate fuel invento contIql_ 17 <br /> 2. F!2qow-up of a overs a/shorts a variance <br /> m and maintaining inventory records and fuel delivery receipts <br /> Daily Self Inspection* <br /> 1. Type and operation of vapor recovery equipment at the facility }11 <br /> 2. How to perform daily inspection of equipment d5 <br /> 3. Procedures for non-compliance equipment to out of order),complete maintenance to $. Z 76:5 <br /> Record Keeping aintenanec monitor, testing,wastes, inspections, inventory, permits, training, etc. <br /> 1. Location where records are kc2t -t -T MG <br /> 2. Types <br /> of records maintained at the facility/lcngth of time each record should be kept — %;17 tb <br /> E ployee i store Soc. Sec. #or Emp. ID# lb ate <br /> Training Performed By �Gr RR J fwd $21{�q 7 �— 4L 27 <br /> Designated Operator Name Certificate# D ate <br /> * For facilities within the jurisdiction of the South Coast Air Quality Management District, the training provided to <br /> employees must be certified by the agency. <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00982 2i05 <br />
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