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COMPLIANCE INFO_2021
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1900 - Hazardous Materials Program
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PR0520448
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COMPLIANCE INFO_2021
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Last modified
10/5/2021 2:46:07 PM
Creation date
9/14/2021 2:16:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0520448
PE
1920
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Oct 31 22 , 12 : 58p p . 5 <br /> SAN JOAQUIN <br /> -- --- C C) U N T Y ---- - <br /> Environmental Health Department <br /> Hazardous Materials Business Plan ( HMBP ) Training Program <br /> Per Health and Safety Code 25505 (a ) ( 4), training for all employees and annual training, <br /> including refresher courses, shall include familiarity with the facility ' s Emergency response <br /> plans and procedures in the event of a release or threatened release of a hazardous material . <br /> Training shall cover, but not limited to , all of the following : <br /> (A ) immediate notification contacts to the appropriate local emergency response personnel and <br /> to the unified program agency. <br /> ( B ) Procedures for the mitigation of a release or threatened release to minimize any potential <br /> harm or damage to persons, property, or the environment . <br /> ( C ) Evacuation plans and procedures, including immediate notice, for the business site . <br /> These training programs may take into consideration of each employee . The use of this sign - in <br /> sheet is optional , The facility can choose to use any acceptable form to record the training (s) . <br /> Employees) Training Sign In Form <br /> Course Name : Date : <br /> Facility Name : � � � Instructor' s Name : V <br /> fit, , TF Y 76 �rAAXM �Z <br /> Facility Address : CERS ID : ( D <br /> 3q zq3o <br /> Type ( s) of Training: ❑ Classroom Lecture ❑ Tabletop Exercise o Hands on <br /> ❑ Field Exercise Safety Meeting <br /> Summary of Training Topics Discussed : <br /> rbc w >zF _ vc hs A. rLE "42 47'FV r.v ZAE <br /> STI) Py 1.,OcA- Tl civ eF 5TH &r' &P, E) p d4d;ZAA Dt5 ltJ ,9sT & <br /> AMS <br /> loz , <br /> Nns�1 ' <br /> ! d� <br /> u <br /> REV . 11/ 18/2019 HMBP Program <br /> Received Time Sep , 30 . 2021 12 : 42PM No . 6920 <br />
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