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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0513433
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
10/23/2019 2:01:53 PM
Creation date
6/9/2018 9:00:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513433
PE
1919
FACILITY_ID
FA0001361
FACILITY_NAME
EDDIES PIZZA CAFE
STREET_NUMBER
1304
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403040
CURRENT_STATUS
01
SITE_LOCATION
1304 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
FRuiz
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1304\PR0513433\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
7/24/2017 10:27:32 PM
QuestysRecordID
3527633
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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jI — — -It <br /> CERS Consolidated Emergency Response/Contingency Plan—Page 4 of 4 J U L 0 2 2015 Rev.06/27/11 <br /> NME <br /> H. EARTHQUAKE VULNERABILIT ,n�� - ` <br /> „�•,T, <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) H1. LOCATIONS(e.g.,shop,outdoor✓shed,forensic lab)_ <br /> ] . 1.HAZARDOUS MATERIALS/WASTE STORAGE AREA <br /> ❑ 2.PROCESS LINES/PIPING <br /> ❑ 3.LABORATORY --_-_ --._- --.. ...__. .H4.. <br /> ❑ 4.WASTE TREATMENT AREA Hs. <br /> Identify mechanicals stems vulnerable to releases/spills due to earthquake-related motion.Tlese systems require immediate isolation and inspection. <br /> VULNERABLE SYSTEMS:(Check all that apply) 116. 1 LOCATION'S _ <br /> ❑ H <br /> 1.SHELVES,CABINETS AND RACKS _]. <br /> 2.TANKS(EMERGENCY SHUTOFF) I�¢yrrE 9S ffljOUG "s' <br /> ❑ 3.PORTABLE GAS CYLINDERS - x9. <br /> ❑ 4.EMERGENCY SHUTOFF AND/OR UTILITY VALVES _ HIO. <br /> ❑ 5.SPRINKLER SYSTEMS HIL <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 most 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 /> • Hazazd 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; ❑2. VIDEOS; ❑3.SAFETY/TAILGATE MEETINGS; <br /> ❑4. STUDY GUIDES/MANUALS(Specify): 1 <br /> 12 <br /> 5. OTHER(Specify): k1all L w "V 0 AqS PIS °' <br /> ❑6. NOT APPLICABLE BECAUSE FACILITY HAS NO WLOYEES r/ <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)most 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 ajob 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 most be retained until closure of the facility. <br /> • Former employee trainin records must be retained at least three years after termination of employment. <br /> J. LIST OF ATTACHMENTS <br /> (Check one of the following) ri <br /> 1. NO ATTACHMENTS ARE REQUIRED;or <br /> ❑2. THE FOLLOWING DOCUMENTS ARE ATTACHED: rz. <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 wi the information submitte nd believe the information is true,accurate,and complete,and that a copy is available on site. <br /> SIGNAT OWNE PE DATE SIGN K]. <br /> NAME F SIGNER(prin M. TITLE O IG x3. <br /> L E <br />
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