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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0521241
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
4/15/2020 5:07:22 AM
Creation date
2/14/2020 9:05:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0521241
PE
1921
FACILITY_ID
FA0002463
FACILITY_NAME
PAQ Inc. DBA Food-4-Less
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
Way
City
Stockton
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
678 N Wilson Way
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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1 � <br /> CERS Consolidated Emergency Response/Contingency Plan <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): C 1 1 <br /> Q 1.VERBAL WARNINGS; 0 2.PUBLIC ADDRESS OR INTERCOM SYSTEM; El 3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY(Check all that appl ;): C1= <br /> E 1.VERBAL WARNINGS; (j]2.PUBLIC ADDRESS OR INTERCOM SYSTEM; Q 3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACT INFORMATION: JESUS JURADO C11 <br /> PRIMARY EMERGENCY COORDINATOR NAME: BRANDON NESSLER PHONE NO.: (209)466-2751 PHONE NO.: <br /> ALTERNATE EMERGENCY COORDINATOR NAME: Cary Kobayashi PHONE NO.: (209)466-2751 PHONE NO.: <br /> [j]Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: (209)992-1463 <br /> Note:If more than one alternate emergency coordinator is designated,attach a list in order of responsibility. <br /> D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br /> Check the applicable boxes to indicate your facility's procedures for containing spills and preventing and mitigating releases,fires and/or explosions. <br /> Dl. <br /> ❑Q I. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; <br /> ❑2. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containment walls,built-in berms); <br /> 0 3. PROVIDE ABSORBENT PHYSICAL BARRIERS(e.g.,Pads,spill pigs,spill pillows); <br /> 4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; <br /> ❑5. LINED TRENCH DRAINS AND/OR SUMPS; <br /> 6. AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> 0 7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br /> 0 8. STOP PROCESSES AND/OR OPERATIONS; <br /> ❑9. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> 0 10.SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; <br /> El 11.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> 12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br /> 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br /> Q 14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM, <br /> Q 15.REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br /> 16.HIRE LICENSED HAZARDOUS WASTE CONTRACTOR, <br /> 17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; <br /> ❑ 18.VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP; <br /> ❑ <br /> 19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUSASTE; <br /> Q 20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; <br /> ❑21.OTHER(Specify): Dz. <br /> E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): a <br /> ❑ 1. BELLS; <br /> ❑2. HORNS/SIRENS; <br /> E]3. VERBAL(i.e.,Shouting); <br /> ❑4. OTHER(Specify): <br /> THE FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(e.g.,Parking lot,street comer): <br /> THE EVACUATION ASSEMBLY LOCATION IS ON THE PARKING LOT NEXT TO FREMONT STREET. <br /> Note:The Emergency Coordinator must account for all onsite employees and visitors after evacuation. <br /> EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: F:4 <br /> ❑ 1.WRITTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> 2.EVACUATION MAP(S)DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> ❑3. OTHER(Specify): ES. <br /> Note:Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan. <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES <br /> ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of the following): Fl. <br /> ❑ I. HAVE BEEN DETERMINED NOT NECESSARY; <br /> El 2. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify): CLEAN HARBORS ENVIRONMENTAL SERVICES Fz. <br /> Note:Advance arrangements with local fire and police departments,hospitals,state and local emergency response teams,and/or emergency services <br /> contractors should be made for your facility,if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan. <br /> Rev.03/07/17 Page 2 of 4 <br />
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