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ARCHIVED REPORTS_XR0008921
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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1400
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3500 - Local Oversight Program
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PR0545129
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ARCHIVED REPORTS_XR0008921
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Last modified
10/10/2020 11:26:14 PM
Creation date
1/7/2020 8:58:04 AM
Metadata
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Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008921
RECORD_ID
PR0545129
PE
3528
FACILITY_ID
FA0006171
FACILITY_NAME
Mizkan America, Inc.
STREET_NUMBER
1400
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205-3743
APN
14115002
CURRENT_STATUS
02
SITE_LOCATION
1400 E WATERLOO RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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• The PM will ensure that any injured employee's supervisor completes a <br /> Supervisor's Employee Injury Report (SEIR) Form and forwards the form to the <br /> HS Department within 24 hours of the incident <br /> 12.3 Safety SignalS <br /> Vehicle or portable air horns will be used for safety signals as follows. <br /> • One long blast Emergency evacuation of the site <br /> • Two short blasts Clear working area around powered or moving equipment <br /> 12.4 Medical Emergency <br /> All employee injuries must be promptly reported to the FC The Field Coordinator will <br /> • Ensure that the injured employee receives prompt first aid and medical attention <br /> • Contact EMR, Inc (1-800-416-3669) whenever medical attention is required to <br /> ensure that appropriate services are provided <br /> • Complete the appropriate form or forms and submit them to the HS Department <br /> within one business day of an incident Forms include <br /> - Supervisor's Employee Injury Report (SEIR, form HS020A, to be completed <br /> by the employee's supervisor) <br /> - Velucle Accident Report (form HS020B) <br /> - General Liability, Property Damage and Loss Report (form HS020C) <br /> Ensure that the PM and HS Representative are immediately notified of the <br /> incident <br /> • Initiate an investigation of the incident, with the assistance of an HS <br /> representative <br /> Chemical Inhalation <br /> Any employee complaining of symptoms of chemical overexposure will be removed from the <br /> work area and transported to the designated medical facility for examination and treatment. <br /> The FC must contact EMR and the HS Representative as soon as possible. <br /> Eye Contact <br /> Project personnel who have had contaminants splashed in their eyes or who have experienced <br /> eye irritation while in the contaminated zone, shall immediately proceed to the eyewash <br /> station, set up in the decontamination zone Do not decontaminate prior to using the <br /> MZIll-29.94/RHS/HASP/'94-0037.JAF 12-2 <br />
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