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0 0 <br />Firestone Complete Auto Care # 3583 720 Hammer Lane Stockton, CA 95210 (209) 951-2403 <br />Record Keeping <br />(Hazardous Materials Business Plan Module) Page of <br />All facilities that handle hazardous materials must maintain records associated with their management. A <br />summary of your record keeping procedures is a required module of the Unidocs Hazardous Materials Business <br />Plan (HMBP). A blank summary has been provided below for you to complete and submit if you do not <br />already have such a document. If you already have a brief written description of your hazardous materials <br />record keeping systems that addresses all subjects covered below, you are not required to complete this <br />page, but you must include a copy of your existing document as part of your UMP. <br />Check all boxes that apply. The following records are maintained at the facility. [Note. Itetns inar ked frith all <br />asterisk (*) are required.]: <br />Note: The above list ofrecords ecordss does not necessarily idents ei}ety type of record mquir ed to be maintained by the facifi ty. <br />Note: The following section applies where local agencies require facility ou nersloperators to perform and <br />doctintent routine facility self -inspections: <br />A copy of the Inspection Check Sheet(s) or Log(s) used in conjunction with required routine self - <br />inspections of your facility must be submitted with your IIMBP. [Exception: Unidocs pros des a <br />Hazardous Materzals/Waste Storage Area Inspection Fortrt that you may rise if you do not already have your <br />ou'n fom). Ifyou itse the Unidocs fibrin (available at www.unidoes.org), you do not treed to attach a copy.] <br />Check the ap2rupriate box: <br />We will use the Unidocs "Hazardous Materials/waste Storage Area Inspection Form" to document ins tions. <br />Q We will use our mvn documents to record ina ections. A blank eo oeacli docitineitt Lased ttitist be attached to lltis HM13P. <br />UN -020 www.unidoes.org 1'3117 - Rev.12114110 <br />Curi-ent em tyeas' training records fLo be mlahmd mtll elosum o A- acifi ) <br />EJ <br />Former em to ees' traiutn records to be retained at least threegems a ter terrailiiatioii o esti to �rtielit <br />Trainitjg Pro ants i.e., w iftten descri tion o itatindaactoa atad cotitlriftlit taritatdtt ? <br />X <br />Current co a of Ns Emergency Re-sponse/Contingency Plan $ <br />X <br />Record of recordabtelrei2ortable hazardous materiallwaste releases <br />Record of hazardous rnaterialhvaste MoraLc area is tions <br />X <br />Record of hazardous waste tank daily in eetions * <br />El <br />Description and documentation of facility curer enc res nse drills <br />Note: The above list ofrecords ecordss does not necessarily idents ei}ety type of record mquir ed to be maintained by the facifi ty. <br />Note: The following section applies where local agencies require facility ou nersloperators to perform and <br />doctintent routine facility self -inspections: <br />A copy of the Inspection Check Sheet(s) or Log(s) used in conjunction with required routine self - <br />inspections of your facility must be submitted with your IIMBP. [Exception: Unidocs pros des a <br />Hazardous Materzals/Waste Storage Area Inspection Fortrt that you may rise if you do not already have your <br />ou'n fom). Ifyou itse the Unidocs fibrin (available at www.unidoes.org), you do not treed to attach a copy.] <br />Check the ap2rupriate box: <br />We will use the Unidocs "Hazardous Materials/waste Storage Area Inspection Form" to document ins tions. <br />Q We will use our mvn documents to record ina ections. A blank eo oeacli docitineitt Lased ttitist be attached to lltis HM13P. <br />UN -020 www.unidoes.org 1'3117 - Rev.12114110 <br />