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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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JACK TONE
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2200 - Hazardous Waste Program
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PR0539709
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COMPLIANCE INFO_PRE 2019
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Last modified
12/6/2018 1:21:55 PM
Creation date
11/6/2018 8:39:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0539709
PE
2220
FACILITY_ID
FA0017952
FACILITY_NAME
PACIFIC SOUTHWEST IRRIGATION CORP
STREET_NUMBER
8372
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18308005
CURRENT_STATUS
01
SITE_LOCATION
8372 S JACK TONE RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\J\JACK TONE\8372\PR0539709\COMPLIANCE INFO .PDF
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EHD - Public
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RECEIVE® <br /> CERS Consolidated Emergency Response/Contingency Plan-Page 4 of 4 FEB 2 4 20f v.06/27/11 <br /> H. EARTHQUAKE VULNERABILITY ENVIRONMENTAL <br /> ldentify areas of the facility that are vulnerable to hazardous materials releases/spills due to earthquake-related motion.These A4abT ih€1FFRkM3"F To and <br /> ins ection. <br /> VULNERABLE AREAS:(Check all that apply) HI. LOCATIONS(e.g.,shop,outdoor shed,forensic lab) <br /> ® 1.HAZARDOUS MATERIALS/WASTE STORAGE AREA Fuel ASTs area&Oil Boom Storage Container Hz. <br /> ❑ 2.PROCESS LINES/PIPING - H3. <br /> ❑ 3.LABORATORY 144. <br /> ❑ 4.WASTE TREATMENT AREA Hs. <br /> Identify mechanicals stems vulnerable to releases/spills due to earthquake-related motion.Theses stems require immediate isolation and inspection. <br /> VULNERABLE SYSTEMS:(Check all that apply) H6. LOCATIONS <br /> ® 1.SHELVES,CABINETS AND RACKS Inside Parts Warehouse H9, <br /> ® 2.TANKS(EMERGENCY SHUTOFF) Pumps are on top of tanks located South of Office Hs. <br /> ® 3.PORTABLE GAS CYLINDERS East wall of Pans Warehouse H9. <br /> ® 4.EMERGENCY SHUTOFF AND/OR UTILITY VALVES Main Water Shut off at pump South of main gate.Electrical Shut off at panel same areaffIc <br /> ❑ 5.SPRINKLER SYSTEMS HIL <br /> ❑ 6.STATIONARY PRESSURIZED CONTAINERS(e.g.,Propane dispensing tank) x12. <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 must 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 /> • Hazard 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 /> • <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) n. <br /> ®1. FORMAL CLASSROOM; 17 2. VIDEOS; ®3. SAFETY/TAILGATE MEETINGS; <br /> ❑4. STUDY GUIDES/MANUALS(Specify): 12. <br /> I]5. OTHER(Specify): Consuaanls provide training, Internet training as necessary for key employees 13. <br /> ❑6. NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES <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)must 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 must be retained until closure of the facility. <br /> • Former employee training records must be retained at least three years after termination of employment, <br /> J. LIST OF ATTACHMENTS <br /> (Check one of the following) 1r <br /> ❑ 1. NO ATTACHMENTS ARE REQUIRED;or <br /> ®2. THE FOLLOWING DOCUMENTS ARE ATTACHED: 32. <br /> 1. Evacuation Map <br /> 2. Safety Training 2.9.15 with initial Employee Roster,Outline &Test <br /> 3. Posted Emergency numbers at Key locations <br /> O <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 /> m fRE <br /> amiliar with the information submitted and believe the information is true,accurate,and complete,and that a copy is available on site. <br /> SIGNATUOF OWNER/OPERATOR DATE SIGNED KI. <br /> /3 ao�s <br /> NAME OF SIGNER(print) TITLE OF SIGNER K3.64hoxs S .�C <br />
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