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CERS Consolidated Emergency Response / Contingency Plan <br />INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY (Check all that apply): <br />CIL <br />01. VERBAL WARNINGS; [12. PUBLIC ADDRESS OR INTERCOM SYSTEM; E 3. TELEPHONE; <br />❑ 4. PAGERS; JO 5. ALARM SYSTEM; ❑ 6. PORTABLE RADIO <br />NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY (Check all that apply): <br />C12. <br />,9 1. VERBAL WARNINGS; ❑ 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; IN 3. TELEPHONE; <br />❑ 4. PAGERS; Z 5. ALARM SYSTEM; [16. PORTABLE RADIO <br />EMERGENCY COORDINATOR CONTACT INFORMATION: <br />C 13. <br />PRIMARY EMERGENCY COORDINATOR NAME:rn1,15Re I V1110,S{nor PHONE NO.:Ca6�1 goioi " ` y PHONE NO.: <br />ALTERNATE EMERGENCY COORDINATORNAME:�gJj,,,, V;I1(,teA6V PHONE NO(,at� S1 '�"r86-38PHONE NO.: <br />t <br />❑ Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: <br />Note: If more than one alternate emergency coordinator is designated, attach a list in order of responsibility. <br />D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br />Check the applicable boxes to indicate your facility's procedures for containing spills and preventing and mitigating releases fires and/or explosions. <br />1. MONITOR FOR LEAKS, RUPTURES, PRESSURE BUILD-UP, ETC.; <br />Di. <br />2. PROVIDE STRUCTURAL PHYSICAL BARRIERS (e.g., Portable spill containment walls, built-in berms); <br />[:13. PROVIDE ABSORBENT PHYSICAL BARRIERS (e.g., Pads, spill pigs, spill pillows); <br />,K4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; <br />❑ S. LINED TRENCH DRAINS AND/OR SUMPS; <br />❑ 6. AUTOMATIC FIRE SUPPRESSION SYSTEM;3 <br />[g'7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; �" <br />Ej 8. STOP PROCESSES AND/OR OPERATIONS; JUL 1 I. 2018 <br />J019. AUTOMATIC / ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br />A 10. SHUT OFF WATER, GAS, ELECTRICAL UTILITIES; <br />[5Ic1 I. CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; ENVIRONMENTAL <br />9 12. NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br />L7 13. ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; HEAlTH nFPARTMENT <br />❑ 14. PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br />15. REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br />$( 16, HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; <br />17. USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; <br />❑ 18. VACUUM SUCTION USING APPROPRIATE VACUUM (e.g., Intrinsically safe) FOR SPILL CONTROL AND/OR CLEANUP; <br />❑ 19. DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; <br />❑ 20. PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; <br />❑ 21.OTHER (Specify): <br />D2. <br />E. FACILITY EVACUATION <br />THE FOLLOWING ALARM SIGNALS) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply): <br />E1. <br />❑ 1. BELLS; <br />E2. <br />J9 2. HORNS/SIRENS; <br />JR 3, VERBAL (i.e., Shouting); <br />[14. OTHER (Specify): <br />THE FOLLOWING LOCATION(S) WILL BEUSED FOR AN EMERGENCY ASSEMBLY AREA(S) (e.g., Parking lot, street corner): <br />of Fremn-t <br />E3. <br />AG,ToSS' S-re2f <br />Note: The Emergency Coordinator must account for all onsite employees and visitors after evacuation. <br />EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: <br />E4• <br />!. WRITTEN PROCEDURES DESCRIBING ROUTES, EXITS, AND ASSEMBLY AREAS; <br />2. EVACUATION MAP(S) DEPICTING ROUTES, EXITS, AND ASSEMBLY AREAS; <br />❑ 3. OTHER (Specify): Es. <br />Note: Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan. <br />F. ARRANGEMENTS FOR EMERGENCY SERVICES <br />ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES (Check one of the following): <br />P1. <br />21,1. HAVE BEEN DETERMINED NOT NECESSARY; <br />[12. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify): <br />F2. <br />Note: Advance arrangements with local fire and police departments, hospitals, state and local emergency response learns, and/or emergency services <br />contractors should be made for your facility, if necessary, Large Quantity Generators must describe arrangements in the Contingency Plan, <br />Rev. 03/07/17 Page 2 of 4 <br />