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COMPLIANCE INFO_1997-2006
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231766
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COMPLIANCE INFO_1997-2006
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Last modified
12/20/2023 3:52:47 PM
Creation date
6/3/2020 9:53:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1997-2006
RECORD_ID
PR0231766
PE
2361
FACILITY_ID
FA0003717
FACILITY_NAME
CHEVRON STATION #99840*
STREET_NUMBER
4344
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95215
APN
10102156
CURRENT_STATUS
01
SITE_LOCATION
4344 E Waterloo Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231766_4344 E WATERLOO_1997-2006.tif
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EHD - Public
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Attachment C <br />Field Checklist for Implementation <br />Fill in blanks and circle yes or no as appropriate for each. if an item does not apply, write N/A after <br />question. <br />Site Safety Officer <br />Project <br />Job No. <br />Date <br />Location <br />(City) (State) <br />Weather Conditions <br />1. <br />Is a copy of the site safety and health plan (SSHP) on site? <br />YES <br />NO <br />2. <br />Is the personal protective equipment required by the SSHP available <br />and being used correctly? <br />YES <br />NO <br />3. <br />Have the work zones been delineated? <br />-YES <br />NO <br />4. <br />Has a decontamination station been set up as required by the SSHP? <br />YES <br />NO <br />5. <br />Are the decontamination procedures being followed? <br />YES <br />NO <br />6. <br />Is access to the exclusion zone being controlled? <br />YES <br />NO <br />7. <br />Has the site activities' briefing and tailgate safety meeting been <br />provided? <br />YES <br />NO <br />8. <br />Is the list of emergency telephone numbers posted at the support zone? <br />YES <br />NO <br />9. <br />Are the directions to the nearest emergency medical assistance posted <br />at the support zone? <br />YES <br />NO <br />M <br />Is emergency equipment, as identified in the SSHP, readily available <br />and functional? <br />YES <br />NO <br />11. <br />Has the nearest toilet facility been ideentified or a portable facility <br />been set up? <br />YES <br />NO <br />
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