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COMPLIANCE INFO_2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514502
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COMPLIANCE INFO_2019
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Last modified
6/26/2020 6:00:52 PM
Creation date
6/26/2020 12:43:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0514502
PE
2228
FACILITY_ID
FA0003747
FACILITY_NAME
Shell Oil Products US - Stockton Terminal
STREET_NUMBER
3515
STREET_NAME
NAVY
STREET_TYPE
Dr
City
Stockton
Zip
95203
APN
161-030-02
CURRENT_STATUS
01
SITE_LOCATION
3515 Navy Dr
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SITE SAFETY ENFORCEMENT LOG (ICS-208-CG SSP-H) <br /> Purpose: The Site Safety Plan Enforcement Log is used to help enforce safety during an incident. <br /> Preparation: The Safety Officer and/or his/her staff complete the Site Safety Plan Enforcement Log. The log is completed as Safety personnel are <br /> on scene reviewing the site. It should be completed at a minimum once per day. The number of enforcement logs to be completed depends on the <br /> size of the incident. Enough should be completed to ensure that site safety is being adequately enforced. <br /> Distribution: The Site Safety Plan enforcement log when completed is delivered to the Safety Officer. The Safety Officer can use the form to <br /> amend the Site Safety Plan(ICS-208-CG SSP-A or B). <br /> Instructions• <br /> Item# Item Title Instructions <br /> 1 Incident Name Print the name assigned to the incident. <br /> 2 Date/Time Prepared Enter date (month, day, ear)pprepared. <br /> 3 Operational Period Enter the time interval for which the assignment applies. <br /> 4 Safety Officer Enter the name of the Safety Officer and means of contact <br /> 5 Supervisor/Leader The Supervisor/Leader who receives this form will enter their name here. <br /> 6 For Emergencies Enter the name and way to contact the individual who handles emergencies. <br /> Contact <br /> 7 Attachments List any attached supporting documentation. <br /> 8 a Job/Task Activity Enter only those Job Task/activities for which a deficiency is noted. <br /> 8 b Hazards Enter the hazard not being sufficiently addressed. <br /> 8 c Deficiency Enter the deficiency. <br /> 8 d Action Taken Enter the corrective action taken to address the deficiency. <br /> 8 e Safety Plan Amended? Enter whether the on site safety plan was amended. <br /> 8 f Signature of Ensure the Supervisor/Leader signs the form to acknowledge the deficiency. <br /> Supervisor/Leader <br /> 9 Pre ared by Enter the name and position of the person completing the worksheet. <br /> 10 Date/Time Briefed: Enter the date/time the document was briefed to the appropriate workers and by whom. <br />
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