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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM(CERS) <br /> CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br /> Prior to compkBng tius Plan,pleetse refer to the MSTRUCTIONSFOR COMPLETING A CONSOLIDATED CONT WGENCYPLAN <br /> A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br /> ACILITY ID 4", _� _ I ' CERS ID % DATE OF PLAN P PARATIONIREVISION <br /> l i I I I D j <br /> BUSINESS NAME(Same as FacilityName or DBA-Doing Business As) 3. <br /> r- <br /> A <br /> BUSINESS SIT ADDRESS tat. <br /> O toC <br /> BUSINESS SI CICO <br /> MTW <br /> �� � <br /> CA . <br /> TYPE OF BUSINESS(e.g.,Painting Contractor) INCIDENTAL OPERATIONS(e.g.,Fleet Maintenance) A4. <br /> J <br /> THIS PLAN COVERS CHEMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING: (Check all that apply) As. <br /> ® L HAZARDOUS MATERIALS; ❑ 2.HAZARDOUS WASTES <br /> B. INTERNAL RESPONSE <br /> INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) et. <br /> 251.CALLING PUBLIC EMERGENCY RESPONDERS(i.e.,9-1-1) <br /> ❑2.CALLING HAZARDOUS WASTE CONTRACTOR <br /> ❑3.ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br /> C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTIFICATIONS <br /> Whenever there is an imminent or actual emergency situation such as an explosion, fine, or release, the Emergency Coordinator (or his/her designee when the <br /> Emergency Coordinator is on call)shall: <br /> 1.Activate internal facility alarms or communications systems,where applicable,to notify all facility personnel <br /> 2. Notify appropriate local authorities(i.e.,call 9-1-1). <br /> 3.Notify the California Emergency Management Agency at(800)852-7550. <br /> Before facility operations are resumed in areas of the facility affected by the incident.the emergency coordinator shall notify the California Department of Toxic <br /> Substances Control(DTSC),the local Unified Program Agency(UPA),and the local fire department's hazardous materials program that the facility is in compliance <br /> 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 <br /> cleanup procedures are Completed. <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Check all that apply) ct. <br /> 9 L VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM, 3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFFSITE RELEASE WILL OCCUR BY:(Check all that apply) n <br /> 9 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; [13.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CHP.............................................. 9-1-1 <br /> PHONE NUMBERS: CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CAUEMA)...................... (800)852-7550 <br /> NATIONAL RESPONSE CENTER(NRC)............................................. (800)424-8802 <br /> POISON CONTROL CENTER........................................................-WO)222-1222 <br /> LOCAL UNIFIED PROGRAM AGENCY UPA/CUPA ................................... +3 20 <br /> OTHER(Specify): G. Cs. <br /> G. <br /> NEAREST MEDICAL FACILITY/HOSPITAL NAME: o. <br /> AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF IGGC SUBSTANCES CONTROL(DTSC) .... 255-3545 <br /> CCo. <br /> REGIONAL WATER QUALITY CONTROL BOARD................. � I- <br /> U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800)300-2193 <br /> CALIFORNIA DEPT OF FISH AND GAME(DFG).................... (916)358-2900 <br /> U.S.COAST GUARD............................................. (202)267-2180 <br /> CAUOSHA....................................:................ (916)263-2800 <br /> STATE FIRE MARSHAL ......................................... 916 445-8200 <br /> OTHER(Specify): <br /> OTHERS i cu. C12. <br /> Rev.06/29/11 <br />