COMPLIANCE INFO_2021 - Laserfiche WebLink

Home Browse Search

05/12/2021 12:18 FAX a 0008/0008 CERS Consolidated Emergency Response/Contingency Plan—Page 4 of 4 Rev.06/27/11 H. EARTHQUAKE VULNERABILITY Identify areas of the fancility that are vulnerable to hazardous materials relcuses/spills due to earthquake-related motion.'I'hcse areas require imtnediatc isolation and inspection. VULNf:RABLE AREAS:(Click all that apply) 11t. I LOCATIONS(e.g-shop,outdoor shed,forensic lab) ❑x I.IiAZA12DOUS MA'I'GItIAI.S/WAS'1'I:S'f(.)ItACi Li A121iA (Water Storage room 112 ❑X 2.1'ROCESS LINES/PIPING Water room,Treatment floor,clinic 143 ® 3.LABORATORY NIA H4 ® 4.WASTE TREATMENT AREA 18io•hazard room door shut and locked at all times. 145. Identify mechanicals systems vulnerable to releases/shills due to earthquake-related motion.'These sysie ns require immcdiatc isolation and inspection. VULNERABLE SYSTEMS:(Check all that apply) no I LOCATIONS ❑X 1.SIIELVES,CA131NF I'S ANI)RACKS .Nurses Station 117. ❑X 2.TANKS(LiMI:ItGI:NC:Y SIi1J'I'UPI') IWaterheater,soltner,chlormine.R/O system ifs. [X] 3.PORTABLE GAS CYLINDERS INDERS 102 tanks 119 j] 4.EMERGENCY S1-1UIUFFAND/ORUTILITY VALVES ;Gas Shut oltValve Outside Ofthe building aro. (] 5.SPRINKLIRSYSTEMS IFire depanmeminspection tilt ❑ 6.S'['A'I'IONARY PRIiSStJR1I.I:D CONTAINERS(e.g..Propane dispensing tank) 1 012 I. EMPLOYEE TRAININ(.11 Explanation of Requirement:Employee training is required fix till employees handling hazardous materials and hazardous wastes in day-m-day or clean-up operations including volunteers and/or contractors.Training must be: • Provided within 6 months for new hires: • Amended as necessary prior to change in process or work assignincnt: • Given upon modification to the limcigency Response/Contingency Plan,and updated/refreshed annually for all employees. Required content includes all of the fitllowmg: • Material Safcty Data Sheets, • Commmunicaton and alarm systems. • Iiazard communication related h)hcallh and safely: • Personal protective equipment: • Methods 11or sale handling of hazardous Sul»wnccs: • Use of emergency response equipment(e.g.Fire extinguishers,respirators, • Fire hazards ormaterials/processes: etc.). • Conditions Likely to worsen emergencies: • Decontamination procedures: • Coordination ofennrgeney response: • Evacuation procedures: • Notification procedures: • Control and containment procedures. • Applicable laws and regulations; • UST nnonitorin,system equipment andprocedures(il'a nlicable). INDICATE HOW IiiMPLOYE1i'fRAININ(.i PROGRAM IS ADMINISTERED(Check ail that apply) it 0 1. FORMAL.CLASSROOM: ❑x 2. VIDEOS: ®3.SAKI�fl'/'I'AILGA'fl3 Mfnls PINGS; E]4. STUDY GUIDf:S/MANUAI.S(Spccil),): Star teaming,Disaster Plan 12 Eli. Mock Drills with toammatos and patients u ❑6. NOT APPLICABLE BECAUSE FACILITY HAS NO I MI'I.,OYEFS Large Quantity Cenerator(I"QG)Training Records: Large quantity hazardous waste generators(i.e.,who generate more than 270 gallons/I,000 kilograms of hazardous waste per month)must retain written documentation of employee hazardOUS waste management training sessions which includes: • A written oulline/agenda of the type and amount of both introductory and continuing training that will be given to persons filling each job position having responsibility tier the management of hazardell5 waste(e.g.,labeling,manifesting,compliance with accumulation time limils,etc.). • 'llnc Hume,lob title,and date of training for each hazardous waste management training session given to an employee 1 filling such a job position:and • A written job description liar each of the alxnve job positions that describes job duties and the skills,education,or outer qualifications required of personnel assigned to the position. • Current cmployLL training records must he retained until closure ofthe facility. • Former em filo ee(rainin•records must he retained at Icusi three years alter termination ores hie mens. J. LIST OF ATTACHMENTS (Check one or the following) n. ❑X 1. NO AI-rAC1iMEN'fS ARI'i REQUIREI),oi- ❑2. THE FOLLOWING DOCUMENTS ARL ATTACIiEll: J2. K. SIGNATURE/CERTIFICATION Certification: Based on my inquiry of those individuals responsible for obtaining the inlbrmation,I certify wader penalty of law that I have personally examined and am fimniliar with the int'ormauon s «cd and believe the information is true,aceurulc,and complete,and that it copy is available on site. SIGNA'L'UREOFOWNER/OPL Z 01 DATE DATE SIGNED ----- w— ki. Robert Valerizuela Jr 5/11/2021 NAME OF SIGNER(print) h2. TITLE OF SIGNER t r Robert ValenzuelaJr FA