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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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PR0520174
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/22/2025 3:53:19 PM
Creation date
6/11/2018 5:36:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0520174
PE
1921
FACILITY_ID
FA0010200
FACILITY_NAME
COSTCO WHOLESALE #179
STREET_NUMBER
25501
Direction
S
STREET_NAME
GATEWAY
STREET_TYPE
BLVD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
25501 S GATEWAY BLVD BLDG A
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\S\SCHULTE\25862\PR0520174\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
12/8/2017 9:30:56 PM
QuestysRecordID
3745253
QuestysRecordType
12
QuestysStateID
1
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EHD - Public
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CALIFORNIA EWIRONMENTAL REPORTING SYSTEM (CERS) <br />CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br />Prior to complrring this Plan. pleare refer to the 1A'STRUC77ONS FOR C0.11PLETING A CONSOLIDATED CONTINGENCYPLAN <br />A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br />FACILITY ID #C <br />ERS ID At, <br />DATE OF PLAN PREPARATION/REVISION A2, <br />10584298 <br />1115/2017 <br />BUSINESS NAME (Same as Facility, Name or DBA - Doing Business .1s) s <br />Costco Wholesale Depot #725 <br />BUSINESS SITE ADDRESS 103. <br />25149 S Schulte Road <br />BUSINESS SITE CITY to:. <br />ZIP CODE tos. <br />Tracy <br />CA <br />95377 <br />TYPE OF BUSINESS (e.g., Painting Contractor) N_ <br />INCmENTAL OPERATIONS (e.g., Fleet Maintenance) A+ <br />General warehouse <br />THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING: (Check all that apply) As <br />® 1. HAZARDOUS MATERIALS; ❑r 2. HAZARDOUS WASTES <br />B. INTERNAL RESPONSE <br />INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA: (Check all that apply) xt. <br />[ 1. CALLING PUBLIC EMERGENCY RESPONDERS (i.e., 9-1-1) <br />I] 2. CALLING HAZARDOUS WASTE CONTRACTOR <br />3 3. ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br />C. EMERGENCY COMMUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS <br />Whenever there is an imminent or actual emergency situation such as an explosion. Ere, or release, the Emergency Coordinator (or hisrher designee when the <br />Emergency Coordinator is on call) shall: <br />1. Activate internal facility alarms or communications systems, where applicable, to notify all facility personnel. <br />2. Notify appropriate local authorities (i.e., call 9-I-1). <br />3. Notify the California Emergency Management Agency at (800) 952-7550. <br />Before facility operations are resumed in areas of the facility affected by the incident, the emergency coordinator shall notify the California Department of Toxic <br />Substances Control (DTSCk the local Unified Program Agency (UPA), and the local Ere department's hazardous materials program that the facility is in compliance <br />with requirements to: <br />1. Provide for proper storage and disposal of recovered waste, contaminated sail or surface water, or a ty other material that results from an explosion, fire, or release at <br />the facility; and <br />2. Ensure that no material that is incompatible with the released material is transferred, stated, or disposed of in areas of the facility affected by the incident until <br />cleanup procedures are completed. <br />INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA: (Check all that apply) n, <br />I] L VERBAL WARNINGS: ❑ 2. PUBLIC ADDRESS OR INTERCOM SYSTEM: ❑ 3. TELEPHONE; <br />❑ 4. PAGERS; [15. ALARM SYSTEM; I] 6. PORTABLE RADIO <br />NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY: (Check all that apply) Ca. <br />0 I. VERBAL WARNINGS; [12. PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3. TELEPHONE: <br />❑ 4. PAGERS; [15. ALARM SYSTEM: [16. PORTABLE RADIO <br />EMERGENCY RESPONSE AMBULANCE,FIRE, POLICE AND CHP .............................................. 9-1-1 <br />PHONENUMBERS: CALIFORNIA EMERGENCYMANAGEMENT AGENCY(CAIIEMA)...................... (800)852-7550 <br />NATIONAL RESPONSE CENTER (NRC) ............................................. (800) 424-8602 <br />POISON CONTROL CENTER........................................................ (800)222-1222 <br />LOCAL UNIFIED PROGRAM AGENCY URWUPA)................................... (209) 468-3420 c3' <br />Cr f3. <br />OTHER (Specify): <br />NEAREST MEDICAL FACILITY I HOSPITAL NAME:lSUttef Tracy Community Hospital `" ; (209) 835-1500 "' <br />AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) .... (916) 255-3545 <br />REGIONAL WATER QUALITY CONTROL BOARD .................. (916) 464-3291 p' <br />U.S. ENVIRONMENTAL PROTECTION AGENCY NS EPA)........... (600) 300-2193 <br />CALIFORNIA DEPT OF FISH AND GAME (DFG).................... (916) 358-2900 <br />U.S. COAST GUARD ............................................. (202)267-2180 <br />CAL/OSHA ..................................................... (916)263-2800 <br />STATE FIRE MARSHAL ......................................... (916) 445-8200 <br />tna <br />OTHER (Specify): <br />at. eta <br />OTHERS if ): <br />Rev. 06127n <br />
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