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• 103EGEIVEI; <br /> CERS Consolidated Emergency Response/Contingency Plan-Page 4 of 4 AUG '12 2015Rev.06/27/11 <br /> H.EARTHQUAKE VULNERABILITY <br /> Identify area of the facility that are vulnerable to hazardous materials releases/spills due to earthquake-related motion TheseMkiVRA 4ALspection <br /> VULNERABLE AREAS:(Check all that apply) Hi LOCATIONS(e g,shop,outdoors renFsAQT1f1C:N)T <br /> 1.HAZARDOUS MATERIALS/WASTE STORAGE AREA H2 <br /> Ld 2.PROCESS LINES/PIPING UST PIPING eo <br /> LJ 3.LABORATORY IN <br /> 4.WASTE TREATMENT AREA H, <br /> Idenufv mechanicals stems vulnerable to releases/spills due to earthquake-relation motion These systems require immediate isolation and inspection <br /> VULNERABLE SYSTEMS (Check all that apply) He LOCATIONS <br /> L/J 1.SHELVES.CABINETS AND RACKS INSIDE,STORE H, <br /> E 2.TANKS EMERGENCY SHUTOFF) INSIDE&OUTSIDE STORE ELECTRICAL PANELS nn <br /> 3.PORTABLE GAS CYLINDERS 119 <br /> LJ 4.EMERGENCY SHUTOFF AND/OR UTILITY VALVES Hio <br /> LJ 5.SPRINKLER SYSTEMS w <br /> ❑ 6.STATIONARY PRESSURIZED CONTAINERS(e.g.,Propane <br /> nig <br /> dispensing tank) <br /> I.EMPLOYEE TRAINING <br /> Explanation of Requirement:Employee training is required for all employees handling hazardous materials and hazardous wastes in day-to-day or clean-up operations <br /> including volunteers and/or contractors. Training must be: <br /> •Provided within 30 days 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 updated/refreshed annually for all employees <br /> Required content includes all of the following: <br /> •Material Safety Data Sheets, OCommumcation and alarm systems, <br /> Methods for safe handling of hazardous substances; *Personal protective equipment, <br /> :Conditions <br /> hazards of materials/processes; *Use of emergency response equipment(e.g Fire extinguishers,respirators,etc); <br /> •Conditions likely to worsen emergencies; *Evacuation procedures <br /> Coordination of emergency response, *Control and containment procedures <br /> •Notificaiton procedures, OUST monitoring system equipment and procedta <br /> INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED(Check all that apply) u <br /> ❑ 1.FORMAL CLASSROOM; ❑ 2.VIDEOS; ❑ 3.SAFETY/TAILGATE MEETINGS; <br /> ❑ 4.STUDY GUIDES/MANUALS(Specify): n <br /> E 5.OTHER(Specify): TRAINING PROVIDED BV DESIGNATED OPERATOR ANNUALLY OR AS NEEDED BASED 3 <br /> UPON HIRE DATE OF NEW EMPLOYEES. <br /> ❑ 6.NOT APPLICABLE BECAUSE FACILITY HAS NO EMPLOYEES <br /> Large Quantity Generator(LQG)Training Records: Large quantity hazardous waste generators(i e,who generate more than 270 gallons/1,000 kilograms of hazardous <br /> waste per month)must retain written documentation of employee hazardous waste management training sessions which includes <br /> •A written for outline/agenda of the type and amount of both introductory and continuing training that wilt be given to persons tilling each job position having responsibility <br /> for the management of hazardous waste(e g,labeling,manifesting,compliance with accumulation time limits,etc.) <br /> The name,job title,and date of training for each hazardous waste management training session given to an employee tilling such ajob position;and <br /> •A written job description for each of the above job positions that describes job duties and the skills,education,or other qualifications required of personnel assigned to the <br /> position <br /> *Current employee training records must be retained until closure of the facility <br /> *Former employee training records must be retained at least three years after termination of employment <br /> J.LIST OF ATTACHMENTS <br /> (Check one of the following) , <br /> Ell.NO ATTACHMENTS ARE REQUIRED; or <br /> ❑� 2.THE FOLLOWING DOCUMENTS ARE ATTACHE[ DAILY INSPECTION LOG,MAINTAINED AT THE FACILITY <br /> K.RECORD KEEPING <br /> THE FOLLOWING RECORDS ARE MAINTAINED:•CURRENT ACTIVE EMPLOYEES'TRAINING RECORDS *FORMER EMPLOYEES'TRAINING <br /> RECORDS(TO BE RETAINED FOR 3 YEARS AFTER TERMINATION OF F.MPLOYMENT)DCURRENT COPY OF THE EMERGENCY RESPONSE / <br /> CONTINGENCY PLAN *RECORD OF THE HAZARDOUS WASTE INSPECTIONS •RECORD OF THE RECORDABLE/REPORTABLE HAZARDOUS <br /> L.SIGNATURE/CERTIFICATION <br /> Certification sed on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and am <br /> familiar with he i ormaaon submitted and believe the information is true,accurate,and complete,and that a copy is available on site <br /> SIGNATLIRF; OWNER/0 fiRATOR DATE SIGNED Ki <br /> 1/15/2015 <br /> NAME OF S1 iN- (print) K2 TITLE OF SIGNER K) <br /> SARAH SAMUELS RETAIL ENVIRONMENTAL COMPLIANCE SPECIALIST <br />