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COMPLIANCE INFO_PRE 2019
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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PR0536194
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COMPLIANCE INFO_PRE 2019
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Last modified
9/25/2020 11:29:36 AM
Creation date
9/24/2020 4:15:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0536194
PE
2247
FACILITY_ID
FA0015387
FACILITY_NAME
CVS Pharmacy #9830
STREET_NUMBER
6632
STREET_NAME
PACIFIC
STREET_TYPE
Ave
City
Stockton
Zip
95207
APN
08126020
CURRENT_STATUS
01
SITE_LOCATION
6632 Pacific Ave
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CERS Consolidated Emergency Response Contingency Plan-Page 4 of 4 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) H1. I LOCATIONS(e.g.,shop,outdoor shed,forensic lab) <br /> 1.HAZARDOUS MATERIALS/WASTE STORAGE AREA H2. <br /> Receiving Area and Pharmacy ......... <br /> ............ <br /> ❑ 2.PROCESS LINES/PIPING H3. <br /> r13.LABORATORY <br /> ❑ 4.WASTE TREATMENT AREA i H5. <br /> Identify mechanical systems vulnerable to releases/spills due to earthquake-related motion.These systems require immediate isolation and inspection. <br /> VULNERABLE SYSTEMS:(Check all that apply) H6. I LOCATIONS <br /> 1.SHELVES,CABINETS AND RACKS Throughout StoreH7. <br /> H8. <br /> ❑ 2.TANKS(EMERGENCY SHUTOFF) <br /> ❑ 3.PORTABLE GAS CYLINDERS <br /> 4.EMERGENCY SHUTOFF AND/OR UTILITY VALVES East side of building <br /> 5.SPRINKLER SYSTEMS Throughout. I Store Hit. <br /> ❑ 6.STATIONARY PRESSURIZED CONTAINERS(e.g.,Propane dispensing tank) H12. <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 6 months for new hires; <br /> • Amended as necessary prior to change in processor 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; a 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; e Evacuation procedures; <br /> • Notification procedures; * Control and containment procedures; <br /> • Applicable laws and regulations; * UST monitoring system equipment and procedures(if!Tplicable). <br /> INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED(Check all that apply) u. <br /> [3 1. FORMAL CLASSROOM; ❑2. VIDEOS; 90 3.SAFETY/TAILGATE MEETINGS; <br /> 0 4. STUDY GUIDES/MANUALS(Specify): 12.13. <br /> 9 5. OTHER(Specify): Hazardous Waste Training Program <br /> [16. 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 ajob position;and <br /> • A written job description for each of the above job positions that describes job duties and the ski"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) rl <br /> [11. NO ATTACHMENTS ARE REQUIRED;or <br /> 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: CVS Supplemental Contingency Attachment;Weekly hazardous waste 32. <br /> storage area inspection form. <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 familiar with the information submitted and believe the information is true,accurate,and complete,and that a copy is available on site. <br /> SIG ATUR <br /> ,JEF OWNER/OPnTOR DATE SIGivED K1. <br /> 1/31/2014 <br /> -_K2. TITLE OF SIGNER K3. <br /> f <br /> nie Fleischer,Agent for Longs Drug Stores California, L.L.C. Regulatory Compliance Specialist,3E Company <br /> N <br /> [ShaOSIGNER(print) <br /> t p <br />
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