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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILSON
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1250
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2200 - Hazardous Waste Program
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PR0542205
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COMPLIANCE INFO_2019
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Last modified
9/15/2020 9:29:57 AM
Creation date
8/18/2020 2:35:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0542205
PE
2220
FACILITY_ID
FA0024237
FACILITY_NAME
Lane Masters/California Bowling LLC
STREET_NUMBER
1250
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
Stockton
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
1250 S WILSON WAY STE 7, 8
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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CERS Consolidated Ernergency Response/Cantingeney PIan—Page 4 of 4 Rev,06f27/I <br /> U. EARTHQUAKE V[7LNER"MITY <br /> Identify areas of the facility(hat are vulnerable to ha7ardDUS materials releases/spills due to earthquake-relaled motion.These areas require immediate isalation and <br /> ins tion. <br /> VULNERABLE AREAS:(Check all that apply) Hu. LOCATIONS(c.g_,shop,outdoor shed,forensic lab) <br /> I.HAZARDOUS MATERIALS I WASTE STORAGE AREA ���J,e xz. <br /> ❑ 2.PROCESS LINES/PIPING <br /> [] 3.LABORATORY xt_ <br /> ❑ 4.WASTE TREATMENT AREA <br /> H4. <br /> ITS. <br /> Identi mechanicals sterns vulnerable to releases/Spills due to eartl uake-related motion.These pystems require immediate isolation and' ction <br /> VULNERABLE SYSTEMS:(Check all that apply) x6• LOCATIONS <br /> 1.SHELVES,CABINETS AND RACKS ���ON ��v 117 <br /> El 2.TANKS(EMERGENCY SHUTOFF) I �$ - <br /> ❑ 3•POR'IABLF GAS CYLINDERS <br /> tt9. <br /> ❑ 4.EMERGENCY SHUTOFF AN17lOR EI3'ILI'I•Y VALVES - x[a <br /> ❑ S.SPRINKLER SYSTEMS <br /> ❑ 6.STATIONARY PRESSURIZED CONTAINERS(e.g.,Propane dispensing tank) x€z. <br /> I, EMPLOYEE TRAINING <br /> FP <br /> ation of Reguiremento Employee training is required for all employees handling hazardous materials and hazardous wastes in day-to-day or clean-up operations <br /> ng volunteers and/or contractors.Training must be: <br /> ided within 6 months far new lilies; <br /> nded as necessary prior to change in process or work assignment; <br /> • Given upon modification to the Emergency Response/Contingency Plan,and updated/refreshed am€^nal ly for all employees. <br /> Required content includes all ofthe following: <br /> • Material Safety Data Sheets; • Communication and'alarm systems; <br /> • hazard communication related to health and safety; • Personal protective equipment; <br /> + Methods for safe handling of hazardous substances, • Use <br /> ofemer ency response equipment e.g'Firee extinguishers,respirators,hazards ofmaterials/processes; etc, <br /> • Conditions likely to worsen emergencies; • Decontamination procedures; <br /> + Coordination ofemergency response; + Evacuation procedures; <br /> • Notification procedures; • Control and containment procedures; <br /> • Applicable laws and regulations; • UST monitoring system equipment and procedures(if applicable), <br /> INDICATE NOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED(Check all that apply) [t. <br /> El 1. FORMAL CLASSROOM, LJ 2, VIDEOS; SAFETY/TAILGATEMEFTINGS; <br /> ❑4. STUDY GUIDES/MANUALS(Specify): U <br /> ❑5. OTHER(Specify): <br /> ❑6. NOT APPLICABBLE BECAUSE FACILITY HAS NO EMPLOYEES H. <br /> .Large Quantity Generator(LQG)Training Records- Large quantity hazardous waste generators(i.e.,who generate more than 270 gallons/I,000 kilograms of <br /> hazardous waste per month)must retain written documentation ofemployee hazardous waste management training sessions which includes: <br /> + A written outlindagenda of the type and amount of both introductory and continuing training that will be given to persons filling each job position having <br /> responsibility for the management of hazardous"Ste(e.g.,labeling,manifesting,Compliance with accumulation time limits,etc.). <br /> • The name,job tile,and date of training£or each hazardous waste management training session given to an employee filling such a job 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 personnet assigned <br /> to the position. <br /> • Current employee training records must be retained until closure of the facility. <br /> • Fanner employee training records must be retained at least three years after termination cifempl2ymcnL <br /> J. LIST OF ATTACHMENTS <br /> (Check one of the following) <br /> Al. NO ATTACI3NIENTS ARE REQUIRED, <br /> [I 2. THE FOLLOWING DOCUMENTS ARE ATTACIIED- r2 <br /> K. SIGNATURE/CERTIFICATION <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information.I certify under penally of law that I have personally examtned and <br /> am familiar with the information submitted and b ieve the information is true,accurate,and complete,and that a copy is available on site. <br /> SIGNA"MME OF OWNER/OPERATOR DATE SIGNED K€. <br /> NAME OF SIGNER(print) Kz <br /> TITLE OF SIGNER <br /> ' cc, Ir <br />
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