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COMPLIANCE INFO_2021
EnvironmentalHealth
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1900 - Hazardous Materials Program
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PR0519809
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/22/2021 3:26:55 PM
Creation date
12/20/2021 4:50:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0519809
PE
1921
FACILITY_ID
FA0002541
FACILITY_NAME
7-ELEVEN INC #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11002003
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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4627 Da Vinci Drive PR0519809 <br /> December 15, 2021 Program: HM <br /> PHOTO 2: Outdated contingency plan on site. <br /> CALIFORNIA ENVIRONI1fENTAL REPORTING SYSTEM(CERS) <br /> CONSOLIDATED EMERGENCY RESPONSE/CONTINGENCY PLAN <br /> Prior ro romplertng rho Plon,p/sue refn roWelN RUCTIONSFOR COMPLE7 04 CONSOLIDATED COhT/NGENCY—N <br /> i <br /> lDa A.FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br /> FaclLrrY <br /> BUSINESS NAME/S me ar Fac/!l Nnme w DEA- 10165883 r0 ^B/31/2017p�NeRRPARAnONmeNaION •r. <br /> 7-ELEVEN INC#20632 °o/"g B""""'A� <br /> BUSINESS ITEADDRESS <br /> 4627 DA VINCI DRIVE <br /> BUSINESS SITE CITY <br /> Stockton '°° zm CODE i <br /> TYPEOFBUSINESS(e.g„PynHng Coneacmr) CA 95207 <br /> Gasoline Retail Store "'r' INCIDENTAL OPERATIONS(eg.,Fleet Mainterence) <br /> 2U C-Store a <br /> 9Q TW1.PLAN COVER$CHEM S;SP/LLS,FIRES,AND EARTHQUAKES MVOLVMG:(Checkallthatapply) <br /> C J ®I.HAZARDOUS MATERfALS; <br /> Q ®2.HAZARDOUS WASTES <br /> INTERNAL RESPONSE <br /> INTERNAL FACILITY EMERGENCY RESPONSE WILL OCC UR VIA:(Checkall Nat apply) <br /> z t` 191.CALLING PUBLIC EMERGENCYRESPONDERS <br /> �C AC 4 Ix]3..CALLMG HAZARDOUSWASTE CONTRACTOR <br /> 3.ACTIVATINGM-HOUSE EMERGENCY RESPONSETEAM <br /> e`e C.EMERGENCY COMMUNICATIONS,PHONE N <br /> FQ Whatever there is an imminent or actual sena p UMBERS AND NOTIFICATIONS <br /> i0 Emergerrcy Con n nor is on call)shall: rBencY s'a'°r'on such to an ex OnOn,Fire,or relAttoarse,the Emergency Coordivtor(or hisNer tlesignee when the <br /> ymyea 2.Natives internal alalarms or(i.e call9-1-)systems,whereapp lioable,to notify ell facilityrso <br /> Pennel. <br /> 6 ppmPnmelocal authorities 1 <br /> 6'. <br /> 3.Notify in <br /> Califomia Emergency Management Agency U(NO)952-7550. <br /> O <br /> ` Before facility oPOedons are resumed in erects of Hie facility nfro,,M by Hie iner t the emergenq copreinamr shell[ratify the Califomia Departrnent of Tonic <br /> ArQ Substances Control(DTSC),Ne local Unified Pmgmm All NPA),and the local fire department's hamrdous materiels program Nat the facility is in n compliance <br /> N reep.m. .m: <br /> (`r LPmvldeNrpropersmmlooddisposal ofrecovero`-11ontaminamdsoil or"Doe rater,or any other material that results from an explosion,fl or release at <br /> �2 Ne re iliry;and <br /> 40t 2.Ensure Nat no material Nat is incompatible with the released material is nsf <br /> clone Weed.-ere cam leted had,stared,or disposed of in areas of One III aRechd by the III&.umil <br /> J\ea INTERNAL FACIT <br /> B. Y EMERGENCY COMMUNICATIONS OR ALARM <br /> I.VERBAL WARNINGS; WILL OCCUR VIA:(Check all Net apply) <br /> 'GrOa ® ❑2.PUBLICADDRESS OR INTERCOM SYSTEM; O <br /> 04.PAGERS; ❑5.ALARM SYSTEM; ❑3.TELEPHONE; <br /> SOC, NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BYAN OFF- [16.PORTABLE RADIO <br /> ❑1.VERBAL WARNINGS: SITE RELEASE WB,L OCCUR BY:(Check all Nat aPPN) <br /> ❑4 PAGERS, 0 2.PUBLIC ADDRESS OR INTERCOM SYSTEM; (]3.TELEPHONE; <br /> EMERGENCY RESPONSE 5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> PHONE NUMBERS: AMBULANCE,FIRE,POLICE AND CHP................................. <br /> CALIFORNIA EMERGENCY MANAGEMENTAGENCY(CAUEMA)........ <br /> NATIONAL RESPONSE CENTER(NRC). (800)652-7550 <br /> D PPOISON CONTROL CENTER, ... ... (800)424-8802 <br /> O - ”" <br /> LOCAL UNIFIED PROGRAM AGENCY NCUPA...... ... 800 <br /> e (SON)222-1222— <br /> OTHER(specify): Dispatch 1 - - <br /> (209)468-3420 ca. <br /> NEARESTMEDICAL FACILITY/HOSPITAL NAME:DamerDn Hospital ca (800)628-0711 Cs. <br /> AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES—TEC, <br /> DTSC—x(209)944 5550 h <br /> / REGIONAL WATER QUALITY CONTROL BOARD.. ( ) 916)255-3545 <br /> .. (916)3 41-5455 <br /> n <br /> U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA),,._. (8 00)300-2193 <br /> / CALIFORNIA DEPT OF FISH AND GAME(DFG)............. <br /> U.S.COAST GUARD......................._.................... (916)358-2900 <br /> CAuosHA.......... (202)267-2180 <br /> .......................................... <br /> STATE FIRE MARSHAL (916)263-2800..... <br /> .. .... ...... <br /> .. .....cy... (9161445-8200 <br /> OTHER(Specify): _ <br /> OTHERS i cn. <br /> cu. <br /> ctz <br /> Rev.06/27/11 <br /> AA <br /> Lydia Baker, SR. REHS Page 2 of 3 <br />
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