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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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PR0519805
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COMPLIANCE INFO_2021
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Last modified
6/16/2021 1:17:03 PM
Creation date
5/18/2021 10:13:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0519805
PE
1921
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
01
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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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. LOCATIONS (e.g., shop, outdoor shed, forensic lab) <br />1. HAZARDOUS MATERIALS / WASTE STORAGE AREA H2. <br />2. PROCESS LINES / PIPING H3. <br />3. LABORATORY H4. <br />4. WASTE TREATMENT AREA 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. LOCATIONS <br />1. SHELVES, CABINETS AND RACKS H7. <br />2. TANKS (EMERGENCY SHUTOFF)H8. <br />3. PORTABLE GAS CYLINDERS H9. <br />4. EMERGENCY SHUTOFF AND/OR UTILITY VALVES H10. <br />5. SPRINKLER SYSTEMS H11. <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 process or 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; <br />Hazard communication related to health and safety; <br />Methods for safe handling of hazardous substances; <br />Fire hazards of materials / processes; <br />Conditions likely to worsen emergencies; <br />Coordination of emergency response; <br />Notification procedures; <br />Applicable laws and regulations; <br />Communication and alarm systems; <br />Personal protective equipment; <br />Use of emergency response equipment (e.g. Fire extinguishers, respirators, <br />etc.); <br />Decontamination procedures; <br />Evacuation procedures; <br />Control and containment procedures; <br />UST monitoring system equipment and procedures (if applicable). <br />INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED (Check all that apply) I1. <br /> 1. FORMAL CLASSROOM; 2. VIDEOS; 3. SAFETY / TAILGATE MEETINGS; <br /> 4. STUDY GUIDES / MANUALS (Specify):I2. <br /> 5. OTHER (Specify):I3. <br /> 6. 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 a job position; and <br />A written job description for each of the above job positions that describes job duties and the skills, 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) <br /> 1. NO ATTACHMENTS ARE REQUIRED; or <br />J1. <br /> 2. THE FOLLOWING DOCUMENTS ARE ATTACHED: J2. <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 />SIGNATURE OF OWNER/OPERATOR DATE SIGNED K1. <br />NAME OF SIGNER (print) K2. TITLE OF SIGNER K3.
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