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11 El H. EARTHQUAKE VULNERABILITY Identify areas of the facility that ate vulnerable to hazardous materials releases I spills due to eatthquake-related motion. These arms require immediate isolation and inspection. VULNF,RABLE AREAS: (Check all that apply) tit. ® 1. HAZARDOUS MATERIALS /WASTE STORAGE AREA2. ❑ 2. PROCESS LINES / PIPING ❑ 3. LABORATORY ❑ 4. WASTE TRFATMENT AREA LOCATIONS (e.g., shop, outdoor sited, forensic_ lab) SERVICE AREA, TIRE PARTS STORAGE AREA H _ H3. — -- Int. -- T --- Its. ldenti mechanical systems vulnerable to releases I spills due to eatthquake-related motion. These systems require immediate isolation and inspection. VULNERABLE SYSTEMS: (Check all that apply) Hs- IM 1. SHELVES, CABINETS AND RACKS ® 2. TANKS (EtviER(iENCY SHUTOFF) ® 3. PORTABi.E GAS CYLINDERS ❑ 4. EMERGENCY SHUTOFF AND/OR UTILITY VALVES ❑ 5. SPRINKLER SYSTEMS ❑ 6. STATIONARY PRFSSUR17.ED CONTAINERS (e.g., Propane dispensing tank LOCATIONS SERVICE AREA TIRE PARTS STORAGE AREA H7 SERVICE AREA, TIRE PARTS _STORAGE _AREA Its. TIRE PARTS STORAGE AREAH4• ----' -�v ------ -4 -- -'- ---- 1110. v ---- - --- -- -- w 1. � � - - -- H12. I, EMPLOYEE TRAINING Explanation of Requirement; Employee training is required for all employees handling hazardous materials and hazardous wastes in day-to-day or clean-up operations including volunteers and/or contractors. Training must be: • Provided within 6 months for new hires; • Amended as necessary prior to change in process or work assignment; • Given upon modification to the Emergency Response/ Contingency Plan, and updated/refreshed annually for all cnnploym. Required content includes all of the following: • Material Safety Data Sheets; • Communication and alarm systems; • Hazard communication related to health and safety; • Personal protective equipment; • Methods for safe handling oflmazanious substances; • Use ofetnergency response equipment (e.g. Fin extinguishers, respirators, • Fire hazards of materials / processes; etc.); • Conditions likely to worsen emergencies; • Decontamination procedures; • Coordination ofemergency response; • Evacuation procedures; • Notification procedures; • Control and containment procedtues; • Applicable la%is and re ulationu; • UST monitoring system equipment and procedures (ifapplicable). INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED (Check all that apply) u. ❑ 1. FORMAL CLASSROOM; ❑ 2. VIDEOS; [13. SAFETY /TAILGATE hffiRTINGS; ❑ 4. STUDY GUIDES / MANUALS Specify): 12. ® 5. OTHER (Specify): IN HOUSE ANNUAL TRAINING 13. ❑ 6. NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES Large Quantity Generator (LQG) Training Records: Large quantity hazardous waste generators (i.e„ who generate more than 270 gallons/1,000 kilograms of hazardous waste per month) must retain written documentation ofemployee hazardous waste management training sessions which includes: • A written outline/agenda of the typo and amount of both introductory and continuing training that will be given to persons filling each job position having responsibility for the management of hazardous waste (e.g., labeling, manifesting, compliance with accumulation time limits, etc.). • The name, job title, and date of training for each hazardous waste management training session given to arm employee filling such ajob position; and • A written job description for each of the above job positions that describes job duties and the skills, education, or other qualifications required of personnel assigned to the position. • Current employee training records must be retained until closure ofthe Facility. • Former employee training records must be retained at least three years after termination of em to rent. J. LIST OF ATTACHMENTS (Check one of the following) 3t. ❑ 1. NO ATTACHMP.NTS ARE REQUIRED; or ® 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: EMPLOYEE TRANiNG PLAN n. RECORD KEEPING WITH THE FOLLOWING: HAZARDOUS WASTE TANK SYSTEM DAILY INSPECTION LOG WEEKLY MATERIALS INSPECTION FORM HMBP ANNUAL TRAINING CLASS RECORD K. SIGNATURE/ CERTIFICATION CertlfEcation: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and arm fou ' lar with re ' fomration snbmilied anti ktelieve the information is true, accurate, and complete, and that a copy is available on site. SIGNATUR F PERAR ' ,. DATE SIGNED Kr. - 10/0812013 NAME OF SIGNER (print) K2• DEBRA HAMLIN TITLE OF SIGNER t:3. SENIOR ENVIRONMENTAL PROJECT MANAGER