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COMPLIANCE INFO_2021
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PR0531101
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COMPLIANCE INFO_2021
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Last modified
6/23/2021 3:23:58 PM
Creation date
5/18/2021 3:17:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0531101
PE
2220
FACILITY_ID
FA0007461
FACILITY_NAME
7-ELEVEN INC #14113
STREET_NUMBER
3040
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10027018
CURRENT_STATUS
01
SITE_LOCATION
3040 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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CERS Consolidated Emergency Response/Contingency Plan-Page 4 of 4 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. LOCATIONS(e.g.,shop,outdoor shed,forensic lab) <br /> ❑ 1.HAZARDOUS MATERIALS/WASTE STORAGE AREA Dispenser Area H2. <br /> ❑X 2.PROCESS LINES/PIPING H3 <br /> ❑ 3.LABORATORY H4. <br /> ❑ 4.WASTE TREATMENT AREA 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) H6. LOCATIONS <br /> ❑X 1.SHELVES,CABINETS AND RACKS In Store HT <br /> ❑X 2.TANKS(EMERGENCY SHUTOFF) Dispenser Area,Front of Store,Behind Counter H8. <br /> ❑x 3.PORTABLE GAS CYLINDERS Back Room H9. <br /> ❑X 4.EMERGENCY SHUTOFF AND/OR UTILITY VALVES Dispenser Area,Front of Store,Behind Counter HIo. <br /> ❑ 5.SPRINKLER SYSTEMS H11. <br /> ❑ 6.STATIONARY PRESSURIZED CONTAINERS(e.g.,Propane dispensing tank) H12. <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 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 ADMINISTERED(Check all that apply) H. <br /> ❑ 1. FORMAL CLASSROOM; E12. VIDEOS; ❑3. SAFETY/TAILGATE MEETINGS; <br /> 0 4. STUDY GUIDES/MANUALS(Specify): EHS Manual 12. <br /> 0 5. OTHER(Specify): Annual Trainng 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) it. <br /> 0 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 bel c e in ormation is true,accurate,and complete,and that a copy is available on site. <br /> SIGNATURE OF OWNER/OPERATOR DATE SIGNED Kl. <br /> 6/7/2021 <br /> NAME OF SIGNER(print) K2. TITLE OF SIGNER K3. <br /> Ethan Valburg Regional Environmental Compliance Specialist <br />
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