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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
Tags
EHD - Public
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CERS Consolidated Emergency Response / Contingency Plan — Page 4 of 4 <br />Rev. 0627/11 <br />H. EARTHQUAKE VULNERABILITY <br />Identify utas of the facility that arc vulnerable to hazardous materials releases / spills due to carthquakc-rclatcd motion. Thcsc areas require immediate isolation and <br />inspection. <br />VULNERABLE AREAS: (Check all dust apply) m. <br /> <br /> <br /> <br /> <br /> <br />Identify mechanical systems vulnerable to releases / spills due to earth uakc-rclatcd motion. These systems require immediate isolation and inspection. <br />VULNERABLE SYSTEMS: (Check all that apply) Iib. <br /> <br /> <br /> <br /> <br /> <br /> <br />I. EMPLOYEE TRAINING <br />Explanation of Requirement: Employee training is required for all employees handling hazardous materials and hazardous u'asics in day -today or clean-up operations <br />including yolunt"m andlor contractors. "training must be: <br />• Provided within 6 months for new hires; <br />• Amended as necessary, prior to change in processor work assignment; <br />• Given upon modification to the Emergency Response /Contingency Plan, and updated refreshed annually for all employees. <br />Required content includes all o(the following: <br />• Material Safety Data Sheets; • Communication and alarm systems; <br />• llazard communication related to health and safet}'; • Personal prolective equipment; <br />• Methods for safe handling of hazardous substances; • Use of emergency response equipment (e.g. Fire extinguishers, respirators, <br />• Fire hazards ofmaterials/processes; etc.): <br />• Conditions likely to worsen emergencies; • Decontamination procedures; <br />• Coordination of emergency response; • Evacuation procedures; <br />• Notification procedures; • Control and containment proccdmes; <br />• Applicable laws and regulations: • UST monitoring system equipment and procedures (if applicable). <br />INDICATE I IOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED (Check all that apply) u <br />❑l. FORMAI- CLASSROOM; 02. VIDEOS: ❑+ 3. SAFETY/ TAILGATE MEETINGS; <br />❑ 4. STUDY GUIDES / MANUALS (Specify): c. <br />[35. OTI IER (Specify): u. <br />[16. NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES <br />Large Quantity Generator(LOG) Training Records: Large quantity hazardous waste generators (i.e., who generate more Than 270 gallons/1,000 kilograms of <br />hazardous waste per month) must retain written documentation of employee hazardous waste management training sessions which includes: <br />• A written outlinc.!agenda of the type and amount of both introductory and continuing training that will be given to persons filling each jab position having <br />responsibility for the management of hazardous waste fe.g., labeling, manifesting, compliance with accumulation time limits, etc.). <br />• 'Ihe name, job title. and date of training for each hazardous waste management Veining 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 training records must be retained at (cast three years ager termination of employment. <br />J. LIST OF ATTACHMENTS <br />(Check one of the following) It. <br />[11. NO ATTACHMENTS ARE REQUIRED; or <br />❑x 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: l2. <br />Costco Wholesale Supplemental Jnrumen4dion <br />K. SIGNATURE/ CERTIFICATION <br />Cenithandon: Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under penally of law that I have personally examined and <br />auto familiar with the information submitted and believe the information is we, accurate, and complete, and that a copy is available on site. <br />SIGNATURE OF OWNER/OPERATOR <br />DATESIGNED KI. <br />� <br />1/15/201 l <br />NAME OF SIGNER (print)I <br />TITLE OF SIGNER Ks. <br />Stephan Horn, Agent for CostL Wholesale Corporation <br />Regulatory Compliance Specialist, 3E Company <br />
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