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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0520662
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COMPLIANCE INFO_2021
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Last modified
4/15/2021 1:08:05 PM
Creation date
4/15/2021 1:05:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0520662
PE
1919
FACILITY_ID
FA0000647
FACILITY_NAME
MCDONALDS #3580
STREET_NUMBER
200
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04502057
CURRENT_STATUS
01
SITE_LOCATION
200 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\dsedra
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EHD - Public
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CERS Consolidated Emergency Response / Contingency Plan <br />H. EARTHQUAKE VULNERABILITY <br />Identif-e areas of the facililw that are vulnerable to hazardous materials releases due to seismic motion. These areas require immediate isolation and inspection. <br />VULNERABLE AREAS (Check all that apply): Hl. <br />LOCATIONS (e.g., Shop, outdoor shed, lab): H2. <br />® 1. HAZARDOUS MATERIALS AND/OR WASTE STORAGE AREAS <br />❑ 2. PROCESS LINES AND PIPING <br />I Waste storage is in outside dumpster in parking lot <br />❑ 3. LABORATORY <br />❑ 4. WASTE TREATMENT AREA <br />f <br />Identify mechanical systems vulnerable to releases / spills due to earthquake -related motion. These m stems require immediate isolation and inspection. <br />VULNERABLE SYSTEMS AND/OR EQUIPMENT (Check all that apply): H3. LOCATIONS: xa. <br />❑ 1. SHELVES, CABINETS AND/OR RACKS <br />® 2. TANKS AND SHUT-OFF VALVES 2 - Stock Room <br />® 3. PORTABLE GAS CYLINDERS 3 - On the tank <br />® 4. EMERGENCY SHUT-OFF AND/OR UTILITY VALVES 4 - Outside <br />❑ 5. SPRINKLER SYSTEMS <br />❑ 6. STATIONARY PRESSURIZED CONTAINERS (e.g., Propane tank) <br />I. EMPLOYEE TRAINING <br />Employee training is required for all employees and/or contractors handling hazardous materials and/or hazardous wastes during normal and/or emergency operations. <br />Most facilities will need to submit a separate Training Plan. However, your CUPA may accept this section as the Training Plan for some small facilities. <br />Employee training plans may include the following content: <br />• Applicable laws and regulations; 0 Communication and alarm systems; <br />• Emergency response plans and procedures; • Personal protective equipment; <br />• Safety Data Sheets; • Use and maintenance of emergency response equipment and supplies <br />• Hazard communication related to health and safety; (e.g. Fire extinguishers, respirators, spill control materials); <br />• Methods for safe handling of hazardous substances; • Decontamination procedures; <br />• Hazards of materials and processes (e.g., fire, explosion, asphyxiation); • Evacuation procedures and evacuation staging locations; <br />• Hazard mitigation, prevention and abatement procedures; a Identification of facility areas, equipment, and systems vulnerable to <br />• Coordination of emergency response actions; earthquakes and other natural disasters. <br />• Notification procedures for local emergency responders, CUPA, . OTHER (Specify): <br />Cal OES, and onsite personnel; <br />Check the applicable boxes below to indicate how the employee training program is administered. <br />❑ 1. FORMAL CLASSROOM ❑ 2. VIDEOS 3. SAFETY MEETINGS ❑ 4. STUDY GUIDES / MANUALS <br />❑ 5. OTHER (Specify): 12. <br />❑ 6. NOT APPLICABLE SINCE FACILITY HAS NO EMPLOYEES <br />❑ 7. CHECK IF A SEPARATE EMPLOYEE TRAINING PLAN IS USED AND UPLOADED TO CERS AS A PDF DOCUMENT D. <br />8. CHECK IF EMPLOYEE TRAINING IS COVERED BY THE ABOVE REFERENCED CONTENT AND OTHER DOCUMENTS ONSITE 14. <br />EMPLOYEE TRAINING FREQUENCY AND RECORDKEEPING TRAINING MUST BE: <br />• Provided initially for new employees as soon as possible following the date of hire. New employees should not work in an unsupervised position that involves <br />hazardous materials handling and/or hazardous waste management without proper training; <br />• Provided within six months from the date of hire for new employees at a large quantity generator; <br />• Ongoing and provided at least annually; <br />• Amended prior to a change in process or work assignment; <br />• Given upon modification to the Emergency Response/Contingency Plan. <br />Large Quantity Generator Training: Large quantity generators (1,000 kg or more) must retain written plan and documentation of employee training which includes: <br />• A written description of the type and amount of both initial and ongoing training that will be given to persons filling each job position having responsibility for hazardous <br />waste management and/or emergency response. <br />• The name, job title and job description for each position at the facility related to hazardous waste management. <br />• Current employee training records must be retained until closure of the facility and former employee training records must be retained for at least three years after <br />termination of employment. <br />Small Quantity Generator Training: Small quantity generators (less than 1,000 kg) must include basic hazardous waste management and emergency response <br />procedures but a written employee training plan and training records are not required. In order to show that the facility has met the small quantity generator employee <br />training requirement, an employee training plan and training records may be made available. <br />Hazardous Materials Business Plan Training: Businesses must provide initial and annual employee training that includes the content referenced above. The training <br />may be based on the job position and training records must be made available for a period of at least three years. <br />J. LIST OF ATTACHMENTS <br />Check one of the following: J1 <br />® 1. NO ATTACHMENTS ARE REQUIRED; or <br />�] 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: J2. <br />Rev. 03/07/17 Page 4 of 4 <br />
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