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COMPLIANCE INFO_2015-2019
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COMPLIANCE INFO_2015-2019
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Last modified
10/11/2023 2:05:16 PM
Creation date
6/3/2020 9:50:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0231497
PE
2361
FACILITY_ID
FA0000279
FACILITY_NAME
ESCALON MINI MART
STREET_NUMBER
1097
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22510001
CURRENT_STATUS
01
SITE_LOCATION
1097 YOSEMITE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231497_1097 YOSEMITE_2015-2019.tif
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EHD - Public
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CERS Consolidated Emergency Response / Contingency Plan — Page 4 of 4 <br />of-Ittit <br />• FEB 0 5 2015 <br />ENVIRONMENTAL Rev. 06/27/11 <br />H. EARTHQUAKE VULNERABILITYt`"�_ --_. <br />Identify areas of the facility that are vulnerable to hazardous materials releases / spills due to earthquake -related motion. These areas require immediate isolation and <br />inspection. <br />VULNERABLE AREAS: (Check all that apply) Hl. LOCATIONS (e.g., shop, outdoor shed, forensic lab) <br />E]1. HAZARDOUS MATERIALS / WASTE STORAGE AREA H2. <br />F12. PROCESS LINES / PIPING H3. <br />❑ H4. <br />3. LABORATORY <br />❑ 4. WASTE TREATMENT AREA Hs. <br />Identify mechanicals stems vulnerable to releases / spills due to earthquake -related motion. These s stems require immediate isolation and inspection. <br />VULNERABLE SYSTEMS: (Check all that apply) H6• I LOCATIONS <br />❑ 1. SHELVES, CABINETS AND RACKS H�' <br />El2. TANKS (EMERGENCY SHUTOFF) H$' <br />❑ 3. PORTABLE GAS CYLINDERS H9' <br />❑ 4. EMERGENCY SHUTOFF AND/OR UTILITY VALVES HIO. <br />❑ 5. SPRINKLER SYSTEMS HI1. <br />El 6. STATIONARY PRESSURIZED CONTAINERS (e.g., Propane dispensing tank) Hiz. <br />I. EMPLOYEE TRAINING <br />Explanation of Requirement: Employee training is required for all employees handling hazardous materials and hazardous wastes in day-to-day or clean-up operations <br />including volunteers and/or contractors. Training must be: <br />• Provided within 6 months for new hires; <br />• Amended as necessary prior to change in processor work assignment; <br />• Given upon modification to the Emergency Response / Contingency Plan, and updated/refreshed annually for all employees. <br />Required content includes all of the following: <br />• Material Safety Data Sheets; Communication and alarm systems; <br />• Hazard communication related to health and safety; Personal protective equipment; <br />• Methods for safe handling of hazardous substances; Use of emergency response equipment (e.g. Fire extinguishers, respirators, <br />• Fire hazards of materials / processes; etc.); <br />• Conditions likely to worsen emergencies; Decontamination procedures; <br />• Coordination of emergency response; Evacuation procedures; <br />• Notification procedures; Control and containment procedures; <br />• Applicable laws and regulations; UST monitoring system equipment and procedures (if applicable). <br />INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED (Check all that apply) tt' <br />❑ 1. FORMAL CLASSROOM; ❑ 2. VIDEOS; 3. SAFETY / TAILGATE MEETINGS; <br />❑ 4. STUDY GUIDES / MANUALS (Specify): 12' <br />❑ 5. OTHER (Specify): 13. <br />❑ 6. NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES <br />Large Quantity Generator (LQG) Training Records: Large quantity hazardous waste generators (i.e., who generate more than 270 gallons/1,000 kilograms of <br />hazardous waste per month) must retain written documentation of employee hazardous waste management training sessions which includes: <br />• A written outline/agenda of the type and amount of both introductory and continuing training that will be given to persons filling each job position having <br />responsibility for the management of hazardous waste (e.g., labeling, manifesting, compliance with accumulation time limits, etc.). <br />• The name, job title, and date of training for each hazardous waste management training session given to an employee filling such a job position; and <br />• 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 <br />to the position. <br />• Current employee training records must be retained until closure of the facility. <br />• Former employee training records must be retained at least three years after termination of employment. <br />J. LIST OF ATTACHMENTS <br />one of the following) it. <br />Vk <br />NO ATTACHMENTS ARE REQUIRED; or <br />❑ 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: ' <br />K. SIGNATURE/ CERTIFICATION <br />Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and <br />am familiar with the information submitted and believe the information is true, accurate, and complete, and that a copy is available on site. <br />SIGNATURE OFOWNER/OPERATOR <br />DATE SIG ESDI KI. <br />`/ <br />NAME OF SIGNER(print) <br />TITLE SIG R K3. <br />'J <br />
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