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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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CERS Consolidated Emergency Response/Contingency Plan—Page 4 of 4 FEB 2 4 2015 Ray.06/27/11 <br /> H. EARTHQUAKE VULNERABILITY ^VVIR NMENTAL <br /> j Identify areas of the facility that are vulncrablc to hazardous materials reloases/spills due to carih uake-related motion.Thom areas d�T•^ed'S <br /> q require immc n to isolation and <br /> inspection. <br /> VULNERABLE AREAS:(Check all that apply) to LOCATIONS(e.g.,shop,outdoor shed,forensic lab) <br /> ® I.HAZARDOUS MATERIALS/WASTE STORAGE AREA Fuel ASTs area&of Room Storage Container lu. <br /> ❑ 2.PROCESS LINES/PIPING w. <br /> ❑ 3.LABORATORY Ho. <br /> ❑ 4.WASTE TREATMENT AREA xs <br /> Identifysystem vulnerable to releases/spills due to earth uake•relalod motion,Theses stems require immediate isolation and inspection, <br /> VULNERABLE SYSTEMS:(Cheek all that apply) . LOCATIONS <br /> ® 1.SHELVES,CABINETS AND RACKS Inside Pads warehouse xr. <br /> ® 2.TANKS(EMERGENCY SHUTOFF) Pumps are on top of tanks located South of Office Ha, <br /> 199 3,PORTABLE GAS CYLINDERS East well at Pads Warehouse H9. <br /> 99 4.EMERGENCY SHUTOFF AND/OR UTILITY VALVES Mein Water Shut on at pump South amain Bete.ElecMcal Shut Ml at panel same agaHm. <br /> ❑ 5.SPRINKLER SYSTEMS HIL <br /> ❑ 6.STATIONARY PRESSURIZED CONTAINERS(e.g.,Propane dispensing lank) H12. <br /> I. EMPLOYEE TRAINING <br /> Explanation of Requirement:Employee training is required for all employees handling h®nrdous materials and hazardous wastes in dayto•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 updalc&mf cslted annually for all employees. <br /> Required content includes all of the following: <br /> • Material Safely Data Sheets; • Communication and alarm systems; <br /> • Hazard communication related to health and safety; • Personal protective equipment; <br /> • Methods for safe handling of harrardous substances; • Use ofemergency 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 procedures; <br /> . Applicable laws and regulations: a UST monitoring system equipment and procedures(if applicable). <br /> INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED(Check all that apply) x <br /> f] I. FORMAL CLASSROOM: 02. VIDEOS; ®3.SAFETY/TAILGATE MEETINGS; <br /> ❑4. STUDY GUIDES/MANUALS(Specify): Iz. <br /> 915. OTHER(Specify): consultants pmNde training. Internet training as necessary for key errptoyees 13. <br /> ❑6. NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES <br /> Large Quantity Generstor(LQG)Training Records: Large quantity hazardous waste generators (i.e., who generate mora than 270 gallons/1,000 kilograms of <br /> hazardous waste per month)most retain written documentation ofemployce hazardous waste management training sessions which includes: <br /> • A written oulline/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 huardous waste(c.g,labeling,mentfesting,compliance with accumulation time limits,etc.). <br /> • The name,job title,and date of training for each huardous waste management training session given to an employee filling such ajob position;and <br /> • A written job description for each of the abovejob positions that describcsjob duties and the skills,education,or other qualifications required of pcmannel assigned <br /> to the position. <br /> • Current employee training records must be retained until closure ofthe facility. <br /> • Fomno employee training records must be retained at least Wrec yours after termination ofemployment. <br /> J. LIST OF ATTACHMENTS <br /> (Check one of the following) t t. <br /> ❑ I. NO ATTACHMENTS ARE REQUIRED;or <br /> ®2. THE FOLLOWING DOCUMENTS ARE ATTACHED: It <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 /> D <br /> K. SIGNATURE/CERTIFICATION <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information,I polity,under penalty of law that I have personally examined and <br /> sm familiar with the information submitted and believe the information is Ime,accurate,and complete,and that a copy is available on site. <br /> 7SIGNATURE OF OWNER/OPERA DATE SIGNED xt <br /> gh 3 z /5 <br /> NAME OF SIGNER(print) az. I TITLE OF SIGNER xs. <br /> M /�. r K So-i'G1L C�o /Glrelccf'O/' <br />
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