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County of San Joaquin Consolidat* Contingency Plan <br /> Hazardous Materials Division for Hazardous Materials,Hazardous Waste&Underground Storage Tanks <br /> FACILITY IDENTIFICATION /OPERATIONS OVERVIEW <br /> BUSINESS NAME FACILITY ID# DATE <br /> Jiffy Lube Store #2497 11/28/08 <br /> BUSINESS ADDRESS <br /> 4715 N. West Lane Stockton, CA. <br /> Check elements covered by this consolidated <br /> plan. Hazardous Materials ® Hazardous Waste ® I Underground Storage Tanks <br /> Supplemental elements submitted: UST Written Monitoring Plan ❑ <br /> TYPE OF BUSINESS(e.g.painting contractor) INCIDENTAL OPERATIONS (e.g.fleet maintenance) <br /> Automotive Quick Lube Facility <br /> HAZARDS I EVENTS COVERED BY PLAN(e.g.chemical spills,fire,earthquake,etc) <br /> Chemical Spills, Fire, Flood, Earthquake <br /> EMERGENCY COORDINATOR & ON-SITE TECH ADVISORS/ INTERNAL RESPONSE <br /> Identify your Emergency Coordinator&On-site Technical <br /> Advisors: <br /> Name f Position: .,' Stephen Tran <br /> Emergency coordinator: Address: '; 4715 N. West Lane, Stockton, CA. <br /> Must have the authority to classify the Phone#s: I Day.209-952-1662 After hours: <br /> release,make management decisions, 8 ' <br /> determine appropriate response Responsible for: spill prevention ® ranfactirrg facility responders <br /> emergency assessment I <br /> (check all that apply) I mana_gemenl ® authorizing spill response work <br /> Person is: ®on-site or ❑on-call iinterfacing with public emergency <br /> initiating alarms ® I responders ❑ <br /> ! agency notification ❑ ' other: ❑ <br /> Alternate#1 Alternate#2 <br /> Name/Postion: Doug Brown Glen Ganotis <br /> Address: 1471 Shore St. ; 1471 Shore St. <br /> Alternate Emergency Coordinators: Dity: West Sacramento ( West Sacramento <br /> ZIP: 95691 _ 95691 <br /> Day phone: 916-375-1155 916-375-1155 <br /> After hours phone: 209-298-4827 1209-298-5373 <br /> Person is: -- ❑on-site or 0 on-call ❑on-site a ®on-call <br /> On-Site Technical Advisors <br /> table to provide site-specific technical ! Owner. ; Supervisor. <br /> .Nice to off-site emergency responders) Manager. Store Manager&AWL Manager Other. <br /> Identify type of Internal response: <br /> 12 Team Members(name or position): Responsibilities: <br /> ❑ Internal facility I <br /> response team 1. General Manager Spill Prevention Control &Cleanup <br /> ---- ---- <br /> Options: ! (attach additional pages if needed: Regional Manager Emergency Assessment/Mgmt <br /> indicate an attachment by Assbbntasneser Serve in place during GM absence <br /> (check checking this box Lit 3. HESE Coordinator ' Guidance for spill response <br /> 13 ens or Name:Asbury Environmental Services <br /> El Contractor Describe role I responsibilities <br /> 3eddreas E.Oaks Street Compton,CA.90221 Used-Oil&Filters,Transporter&Recycler. <br /> '. <br /> 800-727-2879---- Provide response for oil Spills. <br /> Phorre#: <br /> ® Call public emergency responders 1911 <br /> Page CP 1: Facility identification, Emergency coordinator & Tech Advisors, Internal response C Documents and SettingslGlen <br /> GanotisWy DocumentslConsolidatedContingencyPlan Template San Joaquin-County.doc <br />