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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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1900 - Hazardous Materials Program
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PR0541978
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/27/2022 4:10:48 PM
Creation date
6/22/2022 8:57:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0541978
PE
1919
FACILITY_ID
FA0023824
FACILITY_NAME
Subway Franchise #67296
STREET_NUMBER
1601
Direction
S
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1601 S LOWER SACRAMENTO RD
P_LOCATION
02
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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i <br /> CERS Consolidated Emergency Response / Contingency Plan <br /> INTERNALFACILITY EMERGENCY COMMUNICATIONS OR ALARMNOTIFICATION WILL OCCUR BY (Check PH that apply): CIE <br /> I . VERBAL WARNINGS; �2. PUBLIC ADDRESS OR INTERCOM SYSTEM; 03. TELEPHONE; <br /> ❑ 4. PAGERS; JZI S. ALARM SYSTEM; ❑ 6. PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY (Chrok all that apply): Cil. <br /> 1 . VERBAL WARNINGS; �2, PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3. TELEPHONE; <br /> ❑ 4. PAGERS; 5. ALARM SYSTEM; [16. PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACI' INFORMA'T'ION: Cil. <br /> PRIMARY EMERGENCY COORDINA'T'OR NAME: NIDIVB DBDI PHONE NO.:(209) 346.2548 PHONE NO.: <br /> AL'I%FRNA'TE EMERGENCY COORDINATOR NAME: PHONE NO.: PHONE NO.: <br /> ❑ Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: <br /> Note: If mom than one alternate emergency coordinator is designated, attach a list in order of responsibility. <br /> D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br /> Check de applicable boxes to indicate your facility's procedures for containing sp01s and mveni and ruiliSatingreleases, Cues and/or ex lesions. <br /> ml. <br /> O1. MONITOR FOR LEAKS RUPTURES, PRESSUREDUILD-UP, ETC; <br /> ❑ 2. PROVIDE STRUCTURAL PHYSICAL BARRIERS (e.g., Portable spill containment walls, built-in bemu); <br /> ❑ 3. PROVIDE ABSORBENT PHYSICAL BARRIERS (c.g., Pads, spill pigs, spill pillows); <br /> ❑ 4. COVER OR BLOCK FLOOR AND/OR STORM DILVNS; <br /> ❑ 5. LINED TRENCH DRAINS AND/OR SUMPS; <br /> 06, AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> E17. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br /> ❑ 8. STOP PROCESSES AND/OR OPERATIONS; <br /> [19. AUTOMATIC / ELECTRONIC RQUIPME•NT SHUT-OFF SYSTEM; <br /> 0 10. SHUI' OFF WATER, GAS, ELECTRICAL UTILI'T'IES; <br /> 11. CALL 9-14 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> 12. NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br /> 13. ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br /> ❑ W. PROVIDE PROTECTIVE EQUIPMENT FOR ON-SPITE EMERGENCY RESPONSE TEAM; <br /> ❑ IS. REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br /> ❑ 16. HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> ❑ 17. USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; <br /> ❑ 18. VACUUM SUCTION USING APPROPRIATE VACUUM (e.g., Intrinsically safe) FOR SPILL CONTROL AND/OR CLEANUP; <br /> ❑ 19. DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; <br /> ❑ 20. PROVIDE, SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; <br /> ❑ 2L OTHER (Specify): pE. <br /> E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNAL(S) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply): t:n. <br /> 1 . BELLS; <br /> rz. <br /> 2. HORNS)SIRENS; <br /> 3, VERBAL (i.e., Shouling); <br /> ❑ 4. OTHER (S ecif g <br /> THE FOLLOWING LOCATION(S) WILL BE USED FOR AN EMERGENCY ASSEMBLY ARF.A(S) (e.g., Parking lot, street comer): us. <br /> Note: The Emergency Coordinator mus( account for all onsite employees and visitors after evaclmtion. <br /> EVACUA'T'ION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: 1r1 <br /> 1 . WRITTEN PROCEDURES DESCRIBING ROUTES, EXITS, AND ASSEMBLY AREAS; <br /> 2. EVACUATION MAPS) DEPICTING ROUTES, EXITS, AND ASSEMBLY AREAS; <br /> ❑ 3. OTHER (Specify): E5- <br /> Note: Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan. <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES <br /> ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES (Check one of the following): Ft. <br /> 01. HAVE BEEN DETERMINED NOT NECESSARY; <br /> ❑ 2. T'HE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify): F2. <br /> Tota Advance arrangements wire local fire and police depomnents, hesphals, stale and local emergency response leant, and/or emergency services <br /> contractors should be made for your facility, if necessary. Large Quantity Generators muss describe aruangemans in the Contingency Plan. <br /> Rev. 03/07/17 Page 2 of 4 <br />
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