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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0536264
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COMPLIANCE INFO
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Entry Properties
Last modified
6/9/2020 3:21:44 PM
Creation date
6/3/2020 9:22:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536264
PE
2228
FACILITY_ID
FA0020842
FACILITY_NAME
Jazz Group Inc.
STREET_NUMBER
2142
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24130058
CURRENT_STATUS
01
SITE_LOCATION
2142 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2228_PR0536264_2142 W YOSEMITE_.tif
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EHD - Public
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State of California <br />DEPARTMENT OF INDUSTRIAL RELATIONS <br />DIVISION OF OCCUPATIONAL SAFETY & HEALTH <br />-El t-atanty <br />'W.C. Carrier <br />NARRATIVE <br />i ♦ . <br />Covered by Workers' <br />363 S. Airport Road Manteca, CA 95337 <br />610-331-4422 <br />M <br />r <br />AccidentPreliminary . i <br />Imperiali uGroup, dba ImperialRepairbig-rig wash andminor <br />hiredManteca, CA 95337. <br />7-E#1 was on 119112. <br />hydrofluoric acid. EE#1 was not provided any personal protective equipment and suffered burns to <br />bothhands and forearms. <br />EE#1 went to Kaiser Manteca fortransferredwas to Davis <br />admitted from 1113/12 to 1115112. <br />Kaiser Manteca telephoned the Employer to obtain workers compensation information. The <br />• i • r •. i :. r: i r i:.. w r: r Y. i <br />while speaking with Kaiser Hospital Manteca. <br />:Ifor them. EE#1 was brought to the Employers site where a confrontation ensued that was captured <br />,on r' r <br />,During a walk -around with EE#1, other employees identified him as being employed at the <br />establishment <br />CaVOSHA 170A (4/28195) <br />
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