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COMPLIANCE INFO_2021
Environmental Health - Public
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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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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) <br />CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br />Prior to completing this Plan, please refer to the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCY PLAN <br />FACILITY ID # <br />CERS ID # A2. <br />DATE OF PLAN PREPARATION/REVISION A3. <br />111, <br />10180635 <br />(MM/DD/YYYY) 4/13/2021 <br />BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) A4. <br />McDonald's #3580 <br />BUSINESS SITE ADDRESS A5. <br />200 W Lodi Ave <br />BUSINESS SITE CITY A6.ZIP <br />CODE A7. <br />Lodi CA <br />95240 <br />TYPE OF BUSINESS (e.g., Painting Contractor) A8. <br />INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) A9. <br />Fast Food Restaurant <br />I <br />THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING (Check all that apply): AIO. <br />04 1. HAZARDOUS MATERIALS; ❑ 2. HAZARDOUS WASTES <br />INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR BY (Check all that apply): BI. <br />1. CALLING PUBLIC EMERGENCY RESPONDERS (e.g., 9-1-1) <br />2. CALLING HAZARDOUS WASTE CONTRACTOR <br />❑ 3. ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br />In the event of an emergency involving hazardous materials and/or hazardous waste, all facilities must IMMEDIATELY: <br />1. Notify facility personnel and evacuate if necessary in accordance with the Emergency Action Plan (Title 8 California Code of Regulations §3220); <br />2. Notify local emergency responders by calling 9-1-1; <br />3. Notify the local Unified Program Agency (UPA) at the phone number below; and <br />4. Notify the State Warning Center at (800) 852-7550. <br />Facilities that generate, treat, store or dispose of hazardous waste have additional responsibilities to notify and coordinate with other response agencies. Whenever there <br />is an imminent or actual emergency situation such as an explosion, fire, or release, the Emergency Coordinator must follow the appropriate requirements for the category <br />of facility and type of release involved: <br />1. Title 22 California Code of Regulations §66265.56. Emergency Procedures for generators of 1,000 kilograms or more of hazardous waste in any calendar month. <br />2. Title 22 California Code of Regulations §66265.196. Response to Leaks or Spills and Disposition of Leaking or Unfit -for -Use Tank Systems. <br />3. Title 40 Code of Federal Regulations §302.6. Notification requirements for a release of a hazardous substance equal to or greater than the reportable quantity. <br />4. Title 22 California Code of Regulations §66262.34(d)(2) and Title 40 Code of Federal Regulations §262.34(d)(5)(ii) for generators of less than 1000 kilograms of <br />hazardous waste in any calendar month. <br />Following notification and before facility operations are resumed in areas of the facility affected by the incident, the Emergency Coordinator shall notify the local UPA <br />and the local fire department's hazardous materials program, if necessary, that the facility is in compliance with requirements to: <br />1. Provide for proper storage and disposal of recovered waste, contaminated soil or surface water, or any other material that results from an explosion, fire, or release at <br />the facility; and <br />2. Ensure that no material that is incompatible with the released material is transferred, stored, or disposed of in areas of the facility affected by the incident until cleanup <br />procedures are completed. <br />EMERGENCY RESPONSE AMBULANCE, FIRE, POLICE AND CHP .............................................. <br />PHONE NUMBERS: CALIFORNIA STATE WARNING CENTER (CSWC)/CAL OES............................ (800) 852-7550 <br />NATIONAL RESPONSE CENTER (NRC) ................................ . ........ . .... (800) 424-8802 <br />POISON CONTROL CENTER........................................................ 800 222-1222 <br />LOCAL UNIFIED PROGRAM AGENCY .(UPA)..................... ._ ...... . . ....... .,__ (209) 468-3420 cI. <br />C2. i C3. <br />OTHER (Specify): ................._ ...... __...... _......_...... _ -__............. —_............. ...... _......._._..._........_...._._.......---'— <br />_ <br />NEAREST MEDICAL FACILITY / HOSPITAL NAME:. Adventist Health Lodi Memorial c4. (209) 334-3411 cs. <br />AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) .... L9� 255-3545_ <br />REGIONAL WATER QUALITY CONTROL BOARD (RWQCB)........L(916)-464-3291 c6. <br />U.S. ENVIRONMENTAL PROTECTION AGENCY (US EPA) ........... (800) 300-2193 <br />CALIFORNIA DEPT. OF FISH AND WILDLIFE (CDFW) ...... ........ (916) 358-2900 <br />U.S. COAST GUARD (USCG) ..................................... (202) 267-2180 <br />CAL OSHA ..................................................... (916) 263-2800 <br />CAL FIRE OFFICE OF THE STATE FIRE MARSHAL (OSFM) ......... ( 916) 323-7390 <br />OTHER (Specify): <br />OTHER (Specify): <br />Rev. 03/07/17 Page 1 of 4 <br />CA 1 CIO. <br />
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