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COMPLIANCE INFO_2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0517801
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COMPLIANCE INFO_2011
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Last modified
9/3/2020 9:51:02 AM
Creation date
9/1/2020 1:12:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011
RECORD_ID
PR0517801
PE
2220
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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CERS Consolidated Emergency Response / Contingency Plan — Page 4 of 4 <br />Rev. 06/27/11 <br />H. EARTHQUAKE VULNERABILITY <br />Identify areas of the facility that are vulnerable to hazardous materials releases / spills due to earthquake -related motion. These areas require immediate isolation and <br />inspection. <br />VULNERABLE AREAS: (Check all that apply) HI. LOCATIONS (e.g., shop, outdoor shed, forensic lab) <br />® 1. HAZARDOUS MATERIALS /WASTE STORAGE AREA H2. <br />❑ 2. PROCESS LINES / PIPING I H3. <br />❑ 3. LABORATORY H4. <br />❑ 4. WASTE TREATMENT AREA I its. <br />Identify mechanicals stems vulnerable to releases / spills due to earthquake- related motion. Theses stems require immediate isolation and inspection. <br />VULNERABLE SYSTEMS: (Check all that apply) H6.7 <br />LOCATIONS <br />® 1. SHELVES, CABINETS AND RACKS <br />i Store Room H7. <br />® 2. TANKS (EMERGENCY SHUTOFF) <br />Fuel Islands Ha. <br />❑ 3. PORTABLE GAS CYLINDERS <br />H9. <br />® 4. EMERGENCY SHUTOFF AND/OR UTILITY VALVES <br />Gas Meter and Fuel Islands HIO. <br />❑ 5. SPRINKLER SYSTEMS <br />Hit. <br />® 6. STATIONARY PRESSURIZED CONTAINERS (e.g., Propane dispensing tank) <br />Truck Yard H12, <br />I. EMPLOYEE TRAININNG <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 6 months 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; • Communication and alarm systems; <br />• Hazard communication related to health and safety; • Personal protective equipment; <br />• Methods for safe handling of hazardous substances; • Use of emergency response equipment (e.g. Fire extinguishers, respirators, <br />• Fire hazards of materials /processes; etc.); <br />• Conditions likely to worsen emergencies; • Decontamination procedures; <br />• Coordination of emergency 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 HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED (Check all that apply) it. <br />Q 1. FORMAL CLASSROOM; ❑ 2. VIDEOS; ❑ 3. SAFETY / TAILGATE MEETINGS; <br />❑ 4. STUDY GUIDES / MANUALS (Specify): 12. <br />❑ 5. OTHER (Specify): 13' <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 <br />hazardous waste per month) must retain written documentation of employee hazardous waste management training sessions which includes: <br />• A written outline/agenda 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 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 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 personnel assigned <br />to the 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) it <br />❑ 1. NO ATTACHMENTS ARE REQUIRED; or <br />n <br />[12. THE FOLLOWING DOCUMENTS ARE ATTACHED: <br />K. SIGNATURE /CERTIFICATION <br />Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and <br />am famil' t he ' n su itted and believe the information is true, accurate, and complete, and that a copy is available on site. <br />SI OP OR <br />DA SIGNED KI. <br />23 - 13 <br />O G R ( K- <br />TITLE OF SIGNER K3. <br />ey CU p <br />Senior Environmental Manager <br />
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