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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0519766
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/21/2021 11:53:16 AM
Creation date
8/30/2021 1:42:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0519766
PE
1921
FACILITY_ID
FA0000670
FACILITY_NAME
QUIK STOP MARKET #148
STREET_NUMBER
205
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04116115
CURRENT_STATUS
01
SITE_LOCATION
205 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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205 W. Lockeford Ave, Lodi, CA 95240 PRO519766 <br /> 08/27/2021 Program: HMBP <br /> PHOTO 1: <br /> Most current business plan trainin record found on site <br /> ZR,t,INING RECORD <br /> ---- <br /> Qm-k Stop Mukrt N=bcr <br /> `f �Gain�oe/L SAK/�1�� <br /> Employee Name(Pri-t}. <br /> Purpose of Training: New EmPloyecllnuid Training Routine/F4nPmenf <br /> New Assignments or Changes in <br /> _ _-Annual Refresher Training <br /> Topics Covered: <br /> f��M Manage 17TgvlP,aka,Business Plan) <br /> Ba�dous Materials lnventory2m-ation(P I, <br /> Wodcpla.Heallh Hazvds and Phys-al Rasa, <br /> l.p(a110n and Use of Matraial Safety Data Sheets(MSDS) <br /> ✓Methods for Safe Handling of Aazadous Makrials <br /> ents(oullinedbelow) <br /> - cednres and Regulatory RegnnEm <br /> �Emetgency Response Pm <br /> ✓�EA r vencvm�ency Resp Plan(Part II,BMW) <br /> onsePLm/ConsolidntedContingency OrganizaTi°ns <br /> ✓procedmes for Coordination with Local Emergency Response <br /> ✓Use of Emergency Response Equipment and Supplies <br /> /Communication and Alarm Systems <br /> ✓ esto a Release or Threatened Release of Ilaz�dovs Mater als <br /> Rponse <br /> ✓Response to Finis,Explosions,or Earthgoake Related Cnoffid Motion <br /> Hazardous Waste Management <br /> Hazardous Waste Determination,Ac[ Ulatiou Time&Quandt}Tin, <br /> rls above <br /> ✓Release Contingency plan(Integrated with Consolidated Contingency Ian ) <br /> ✓ Storage Area and Contamer Management <br /> Co,�properly Labeled,including EPA ID Number <br /> f <br /> —7 ondn�v&Recording Weekly Inspect ons <br /> Manifest Regaaemeufs for Off-Site Transport&Disposal <br /> ,,,k, wledge that I have received and completed training in the subjects above,so indicated by my initials <br /> on the Imes prQvi <br /> Tremee S Date <br /> Treining verified by TC/l/f/ l�2 7' / <br /> Instructor <br /> r <br /> i <br /> VICKY VANG-LEE, EHS Page 1 of 1 <br />
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