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SAN JOAQUIN COUNTY HAZAqTDOUS MATERIALS MANAGEMENT AN <br /> UNSTAFFED FACILITY NETWORK ATTACHMENT Instructions on Reverse Side <br /> This attachment, along with a site map and inventory, must be completed for each separate facility in a <br /> network of unstaffed, similar facilities that contain hazardous materials. There must be one facility in <br /> this network that is designated as the "primary" facility for which an entire Hazardous Materials <br /> Management Plan is completed. These attachments, along with their maps and inventories, should be <br /> attached with that complete plan at the time of submittal. <br /> SITE INFORMATION <br /> Business Name (1) <br /> Address of Primary Facility for <br /> this Network Attachment (2) <br /> Facility Street Address (3) <br /> vR <br /> CITY ZIP <br /> Nearest Intersection to Facility (4) <br /> Property Owner Name (5} ��f �:,y� r,�i��1,�� Telephone (f) ©G _ ,{, <br /> Property Owner Mailing <br /> Address (7) Ck <br /> Fire District (8) CnQ Assessor Parcel Number (9) <br /> SURROUNDING OCCUPANCIES AND LAND USE WITHIN 118 MILE OF SITE <br /> This unstaffed facility is surrounded by the following types of neighbors (e.g. residential, commercial, <br /> open space). Names of hospitals, schools, and day-care centers in close proximity to the site are also <br /> shown. This information should be provided to the 9-1-1 operator if a release is in progress. <br /> NORTH EAST <br /> SOUTH :r��, .�c, G <br /> WEST ' <br /> SPILL CONTROL <br /> The Authorized Spill Control Strategies indicated in the Primary Facility's HAW should include the strategy <br /> for handling spills at this network site. This information will be automatically entered into each site's <br /> electronic record with our office for use in emergency response. Appropriate written procedures for those <br /> strategies selected which address this site must be available for inspection. The business also must have <br /> written records to show that persons responsible to carry them out have been trained in the procedures that <br /> they are to implement. <br /> SIC 12101 <br />