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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514476
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COMPLIANCE INFO_PRE 2019
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Last modified
9/30/2020 1:16:49 PM
Creation date
9/29/2020 3:59:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514476
PE
2229
FACILITY_ID
FA0010973
FACILITY_NAME
JIFFY LUBE #2322
STREET_NUMBER
500
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06208002
CURRENT_STATUS
01
SITE_LOCATION
500 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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Consolidated Contingency Plan <br /> Hazardous Materials Division for Hazardous Materials,Hazardous Waste&Underground Storage Tanks <br /> FACILITY IDENTIFICATION <br /> BUSINESS NAME FACILITY ID# DATE <br /> Jiffy Lube Store #2322 3/23/09 <br /> EMPLOYEE TRAINING FREQUENCY & DOCUMENTATION <br /> Required frequency of training <br /> must be: <br /> i provided within 6 months for new hires, <br /> amended as necessary prior to change in process or work assignment, <br /> given upon modification to emergency response/contingency plan,and <br /> Certify that the facility's employee <br /> ® Employee training is provided,at a minimum,as described above. <br /> training program meets minimum <br /> ❑ Not applicable because facility has no employees. <br /> frequency requirements: <br /> Record of training <br /> training outline I agenda 0 date of training session <br /> employee names&job titles brief job description for hazardous waste generator <br /> Certify that the facility's training ® Employee training documentation is provided,at a minimum,as described above. <br /> documentation meets minimum <br /> record keeping requirements: ❑ Not applicable because facility has no employees. <br /> Training program description or ❑ Not applicable because facility has no employees. <br /> outline attached: <br /> T❑ Employee training pro�ram.outline-is attached. <br /> ® Employee training program is described here: JLI's written Injury and Illness Prevention <br /> Manual which contains the written Hazard Communication Program;JLI's Safety <br /> Certification program;Proposition 65 training;Computer based California Environmental <br /> Training. <br /> i <br /> i <br /> i <br /> LIST OF ATTACHMENTS <br /> List all attachments to this document here: <br /> SIGNATURE/CERTIFICATION <br /> clivi, <br /> amiliar with the information submitteda e information is true,accurate and complete and that a copy is available on-site. <br /> Signature Date of completion <br /> 3/23/09 <br /> Print Name Title/Position <br /> Glen Ganotis HSSE Coordinator <br /> Revised 11/1/06 W:\Data\FORMSARCHIVE\HMD\HMP\MASTER BUSINESS PLAN NEW\CONSOLIDATED CONTINGENCY PLAN 6 PGS.doc <br /> .............................plo...............fregLl......enc..®.,.&..d. cme <br /> .....................ch............................ertif....at...on........... <br /> Page CP 6: Emyee training y ountation, Attament list, Signature& cici <br />
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