COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

H. EARTHQUAKE, VULNERABILITY ,are Confhese arm require'' identity areas or the facility that arc vulnerable to hazardous materials releases earthquake related me i spills due to carthq mid inspection. VULNERABLE AREAS: (Check all that apply) Hi- LOCATIONS (e.g., shop, outdoor shed, rownsic lab) 1127 TIRE PARTS STORAGE AREA I. HAZARDOUS MATERIALS I WASTE STORAGE AREA ❑ 2. PROCESS LINES /PIPING HJ. 114. ❑ 3. LABORATORY 115, ❑ 4. WASTE TREATMENT AREA Identify mcchanicnigstems vulnemblo to releases / spills duo to earth take -related (notion. ThescgjLe�usr uire immediate isolation and ingnction. VULNERABLE SYSTEMS: (Check all that apply) H6. N 1, SHELVES, CABINETS AND RACKS LOCATIONS SERVICE AREA, TIRE PARTS STORAGE AREA H7. SERVICE AREA, TIRE PARTS STORAGE AREA 114. 2. TANKS (EMERGENCY SHUTOFF) TIRE PARTS STORAGE AREA 11y. 3. POICIABLE GAS CYLINDERS ❑ 4. EMERGENCY SHUTOFF AND/OR UTILITY VALVES Hit. ❑ 5. SIIRTNKir-R SYSTEMS ❑ 6. STATIONARY PRESSURIZED CONTAINERS (e.g., Propane dispensing tank) I. EMPLOYEE TRAINING ExplaunflunafRequirement: Employee training is required for all employees handling hazardous materials and hazardous wastes in day-to-day or clean-up operations including volunteers and/or contractors. 'Training must be: • Provided within 6 months for new hires; • Amended as necessary prior to change in process or work assignment; • Given upon modification to the Emergency Response / Contingency Plan, and updated/rcrreslied annually for all employees. Required content includes all of the following: • Material Surety Data Sheets; • Communication and alarm systems; • Hazard communication related to health and safety; • Personal protective equipment-, • Methods for sure handling of haziudous substances; • Use of emergency response equipmerit (e.g. Fire extinguishers, respirators, • Fire hazards or materials / processes; etc.); • Conditions likely to worsen cinergeimies; Decontamination procedures. • Coordination of emergency response; Evacuation procedures; 0 Control and containment procedures; • Notification procedures; • Applicable laws and reattlat"Is', * LIST monitoring system equipient and procedures (ifapplicable), INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED (Check all that apply) 0 1. FORMAL CLASSROOM; 0 2. VIDEOS; [13. SAI-ETY/TAILGATEMFFTINGS-, 12. El 4. STUDY GUIDES I MANUALS Specify): 13. s, OTHER (Specify): IN HOUSE ANNUAL -TRAINING ❑ 6. NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES lAirge Quantity Generator (LQG) Training Records: Large quantity hazardous waste generators (i.e., who generate more titan 270 gallons/1,0DO kilograms of hazardous waste per month) must retain written documentation of employee hazardous waste management training sessions which includes; • A written outlinelagenda of the type and amount of both introductory and continuing training that will be given to persons filling each job position having responsibility ror the management or hazardous waste (e.g., labeling, manifesting, compliance with accumulation time limits, etc.). • The name, job title, and date or (raining for each hazardous waste management (mining session given to all employee filling such a job position-, and • A written job description for each or the above job positions that describes job duties and the skills, cdwution, or other qualifications required of personnel assigned to the positiort. • Current employee training records must be retained until closure of the facility. • Former ein0ace training records must. be retained at (east dime Mrs after termination ofempleyment. J. LIST OF ATTACHMENTS It (Check one of the following) [11. NO ATTACHMENTS ARE REQUIRED; or J1 02. THE FOLLOWING DOCUMENTS ARE KI"I'ACHPD: EMPLOYEE TRANING PLAN RECORD KEEPING WITH THE FOLLOWING: HAZARDOUS WASTE TANK SYSTEM DAILY INSPECTION LOG WEEKLY MATERIALS INSPECTION FORM HMEIP ANNUAL TRAINING CLASS RECORD K. SIGNATURE/ CERTIFICATION Certification: Based on my inquiry ofthoso individuals responsible for obtaining the information, I certify under penalty of luta dint I have personally examined and am familiar with the inforination submitted and believe the inrorriunion is true, accurate, and complete, and that a copy is available on site. SIONATUR.111 OF OWNLR10PFJKATX)R DATE SIGNED K1. KAREN MOECKER Ck le I &V 011 0912015_ NAME OF STONER (print) F -t TITLE OF SIGNER K3. KAREN MOECKER I RETAIL ENVIRONMENTAL SPECIALIST M