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Consolidated Contingency Plan <br /> Environmental Health Division(CUPA) for Hazardous Materials,Hazardous Waste&Underground Storage Tanks <br /> FACILITY IDENTIFICATION <br /> BUSINESS NAME FACILITY ID# DATE <br /> Jackpot Food Mart, Manteca 2087 1/2/03 <br /> EARTHQUAKE VULNERABILITY <br /> Areas of earthquake vulnerability <br /> In, I oration(o.g.shop,outdoor shed,forensic lab): <br /> Identify areas of facility vulnerable to -- - ----- - - ----- <br /> releases I spills due to earthquake `[}'. hazardous materials l waste storage area Tank Area <br /> related motion: ❑ process lines I piping <br /> (require immediate isolation and inspection) ❑ laboratory <br /> ❑ waste treatmentarea <br /> 4o check all that apply Affected locations: <br /> Identify mechanical systems vulnerable —------------ --- <br /> to releases I spills due to earthquake ❑ shelves,cabinets&racks <br /> related motion: tanks(emergency shutoff) Tank Area <br /> (require immediate isolation and inspection) ❑ portable gas cylinders <br /> ❑ emergency shutoff SJ or utility valves <br /> ❑ sprinkler systems <br /> ❑ stationery pressurized containers (e.g. <br /> tank for dispensing propane) <br /> ARRANGEMENTS FOR EMERGENCY SERVICES <br /> Advance arrangements with local fire&police departments,hospitals and/or contractors for emergency <br /> splanation of Reg_uiremcnl <br /> services should be made as appropriate for your facility;you may determine that advance arrangements <br /> are not necessary for your facility. <br /> Describe any advanceDsterminednotnecessary <br /> arrangements made for local -- <br /> emergency services: ❑ SpeCify: <br /> i <br /> EMPLOYEE TRAINING CONTENT & FORMAT <br /> Employee Training Content&Format <br /> 53 Ex lavation ofRe ulremenl Employee training is required for all employees handling hazardous materials/hazardous wastes in day to <br /> _._.9_._._._._._ <br /> day or clean-up operations including volunteers&/or contractors. <br /> Required content for employee training includes all of the following: <br /> 54 -- • — <br /> communication&alarm systems <br /> • Material Safety Data Sheets <br /> • personal protective equipment <br /> • hazard communication related to health&safety <br /> • use of emergency response equipment <br /> • methods for safe handling of hazardous substances (e.g.fire e,dinguishers,respirators,etc) <br /> • fire hazards of materials/processes <br /> • decontamination procedures <br /> • conditions likely to worsen emergencies <br /> • evacuation procedures <br /> • coordination of emergency response <br /> • control&containment procedures <br /> • notification procedures <br /> • UST monitoring system equipment & <br /> • applicable laws&regulations <br /> procedures(if applicable) <br /> ss check all that apply: <br /> Indicate how employee training <br /> program (with required content) is ❑ Formal classroom ❑ Vidao(s) (specify): <br /> administered: <br /> ❑ Safety I tall-gate meetings Other(specify): <br /> ❑ study Guides/Manuals(specify): <br /> ...r.......................................E.a.rt.......k*e—v'ulnerab.......rrr...............rss......services..,.s......s....straining cs...n"g,'c ....s... <br /> Page: 5 hquake vility, Emergency Employee ontent <br />