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2231-2238 – Tiered Permitting Program
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PR0536534
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COMPLIANCE INFO
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Last modified
6/30/2020 10:41:52 AM
Creation date
6/23/2020 6:37:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536534
PE
2238
FACILITY_ID
FA0020975
FACILITY_NAME
TRACY MUNICIPAL AIRPORT (SJC HHW COLLECTION)
STREET_NUMBER
5749
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
953778116
APN
25311016
CURRENT_STATUS
04
SITE_LOCATION
5749 S TRACY BLVD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\TP\TP_2238_PR0536534_5749 S TRACY_.tif
Tags
EHD - Public
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0 0 <br />Health and Safety Assessment <br />Facility Name: Tracy Municipal Airport Temporary HHW collect event FA#: FA0020975 <br />Location: 5749 Tracy Blvd. Tracy, CA 95377 PR#: PRO536534 <br />Business Type: Temporary HHW Collection Event <br />lnitiallv Com leted B : Aris Caca pit Date: Aug23 2013 <br />Instructions: Fill out this form as best as possible before the initial inspection and complete the remaining information during or after <br />the inspection. Subsequent Inspections: Review facility file and chemical inventory information, along with the information on this <br />form, to become familiar with potential hazardous substances and/or conditions at the facility and any control or precautionary <br />measures that should be taken prior to conducting the inspection activity. Update/complete form as needed. Sign and date below. <br />Chemical Hazards Physical Hazards <br />® Carcinogens: ❑ Oxygen Deficiency: <br />® Corrosives: ® Noise: traffic, airplanes, trucks <br />® Flammables: ❑ Excavations: <br />® Gases: ❑ Climbing: <br />® Metals: ❑ Explosion: <br />® Oxidizers: ❑ HeavyE ui ment: <br />® PCBs: ® Heat or Cold Stress: 9o* <br />® Explosives: ❑ 1 Other: <br />Bio lo ical Hazards Personal Protective Equipment <br />❑ Dos ® Hard Hat ❑ CPC - T vek <br />® Snakes ® SafetyVest ❑ CPC — Other: <br />® Insects ® Protective Boots ❑ APR Res irator <br />❑ Poisonous Plants ® Goggles/Glasses ❑ SCBA Respirator <br />❑ 1 Other: ® Hearing Protection ❑ Other: <br />By signing below, I am declaring that I have reviewed the health and safety information for this facility prior to my <br />inspection and that I have performed, and will perform during the inspection, the following actions: <br />I have reviewed this form and the facility file for information on the business type of operation, compliance history, prior <br />releases and response, and other health and safety related information. <br />I have reviewed the properties and hazards associated with the chemicals in the chemical inventory submitted by the <br />facility. <br />I have searched out and evaluated information on the properties of the chemicals at the facility, using the internet and <br />other resources, for chemicals I am not familiar with at this time. <br />I have reviewed the facility information with my supervisor if I could not determine the most appropriate health and safety <br />precautions needed for this facility. <br />I have gained an awareness of the potential hazards at the facility and have determined the appropriate health and safety <br />precautions needed to perform my inspection. <br />Before beginning the inspection, I will review the facility's health and safety information and rules with the owner/manager <br />and wear the appropriate personal protective equipment. <br />During the inspection, I will observe the labeling and condition of hazardous materials containers and conveyances, the <br />posting of placards and warning signage, and the actions of the facility employees and guests to identify any potential <br />unsafe conditions that may arise during the ins ection. <br />aff Signature <br />Date <br />Staff Signature <br />Date <br />�. <br />San Joaquin County Environmental Health Department; 1868 E. Hazelton Avenue; Stockton, CA 95205; 209.468.3420 <br />EHD 48- 06-12-2013 Pre -Inspection Health & Safety Assessment <br />
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