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COMPLIANCE INFO_2010-2018
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PR0515864
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COMPLIANCE INFO_2010-2018
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Last modified
12/29/2023 10:44:40 AM
Creation date
6/3/2020 10:00:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0515864
PE
2361
FACILITY_ID
FA0012355
FACILITY_NAME
A&A GAS FOOD MART
STREET_NUMBER
1330
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120053
CURRENT_STATUS
01
SITE_LOCATION
1330 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0515864_1330 E YOSEMITE_2010-2018.tif
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EHD - Public
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• <br />CERS Consolidated Emergency Response / Contingency Plan — Page 4 of 4 <br />0 <br />Rev. 06/27/11 <br />H. EARTHQUAKE VULNERABILITY <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. <br />1. HAZARDOUS MATERIALS / WASTE STORAGE AREA <br />LOCATIONS (e.g., shop, outdoor shed, forensic lab) <br />H2. <br />❑ 2. PROCESS LINES / PIPING <br />k <br />I � �� �%QU/y�C±. TQ`/� `� <br />❑ 3. LABORATORY <br />H3 <br />i( 1 <br />❑ 4. WASTE TREATMENT AREA <br />H5. <br />Identify mechanicals stems vulnerable to releases / spills due to earthquake -related motion. Theses stems require immediate isolation and inspection. <br />VULNERABLE SYSTEMS: (Check all that apply) 116 <br />LOCATIONS <br />HZ <br />❑ 1. SHELVES, CABINETS AND RACKS <br />2. TANKS (EMERGENCY SHUTOFF) <br />.D <br />; H8. <br />N <br />3. PORTABLE GAS CYLINDERS <br />I H9. <br />4 EMERGENCY SHUTOFF AND/OR UTILITY VALVES I <br />5 SPRINKLER SYSTEMS <br />H10. <br />F �; 20 �� <br />Hl 1. <br />❑ 6. STATIONARY PRESSURIZED CONTAINERS (e.g., Propane dispensing tank) <br />1412. <br />I. EMPLOYEE TRAININ 'ENTAL HEALTH <br />Explanation of Requirement: Employee training is required for all employees handling hazardous materials and ha a�eRAW-T alI'EA 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 process or 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 ADMJNISTERED (Check all that apply) 11. <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 />(Check one of the following) n. <br />❑ 1. NO ATTACHMENTS ARE REQUIRED, or <br />❑ 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: J2, <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 />SIGNA E OF O f(ER/OPERATOR <br />DATE SIGNED K1. <br />lei —Z0 <br />rNA�JF SIGNER (print) K2. <br />TITLE OF SIGNER K3. <br />aa C l \ <br />0 1 -e �- <br />
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