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Emergency Response/Contingency Plan (Hazardous Materials Business Plan) Authority Cited: HSC§25504(b); 19 CCR§2731;22 CCR§66262.34(a)(4) All facilities that handle hazardous materials in HMBP quantities must have a written emergency response plan. In addition,facilities that generate 1,000 kilograms or more of hazardous waste (or more than 1 kilogram of acutely hazardous waste or 100 kilograms of debris resulting from the spill of an acutely hazardous waste)per month,or accumulate more than 6,000 kilograms of hazardous waste on-site at any one time, must prepare a hazardous waste contingency plan. Because the requirements are similar, they have been combined in a single document, provided below, for your convenience. This pian is a required module of the Hazardous Materials Business Plan (HMBP). If you already have a plan that meets these requirements, you should not complete the blank plan, below,but you must include a copy of your existing plan as part of your HMBP. This site-specific Emergency Response/Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented immediately whenever there is a fire, explosion, or release of hazardous materials that could threaten human health and/or the environment. At least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. A copy of the plan and any revisions must be provided to any contractor, hospital, or agency with whom special(i.e.,contractual)emergency services arrangements have been made(see section 3, below). 1. Evacuation Plan a. The following alarm signal(s)will be used to begin evacuation of the facility(check all that apply): ❑Bells; ❑Homs/Sirens; ®Verbal(i.e., shouting); ®Other(specify PA system announcements&instructions b. ®Evacuation map is prominently displayed throughout the facility. Note: A properly completed HMBP Site Plan satisfies contingency plan map requirements. This drawing(or any other drawing that shows primary and alternate evacuation routes, emergency exits, and primary and alternate staging areas) must be prominently posted throughout the facility in locations where it will be visible to employees and visitors. 2. a. Emergency Contacts Fire/Police/Ambulance Phone No.: 911 -------------------------------------------------------- State Office of Emergency Services Phone No.: (800)852-7550 -------------------------------------------- b.Post-Incident Contacts Certified Unified Program Agency(CUPA) _ _ __ ______ Phone No.: (209)468-3420 Local Hazardous Materials Program _ Phone No.: (209)953-6200/468-4400 California EPA Department of Toxic Substances Phone No.: (800)728-6942 Cal OSHA Division of Occupational Safety and Health __ _ Phone No.: (916)274-5721 Air-Quality Management District Phone No.: (209)557-6400 Regional Water Quality Control Board Phone No. (916)341-5568 *Phone numbers for agencies in Undoes Member Agency geographic jurisdictions are available at www.unidocs.ore. c. Emergency Resources Poison Control Center* Phone No.: (800)876-4766 Nearest Hospital: Name: Lodi Memorial Hospital Phone No.: (209)334-3411 Address: 975 S Fairmont Avenue City:Lodi 3. Arrangements with Emergency Responders If you have made special(i.e.,contractual)arrangements with any police department,fire department,hospital,contractor,or State or local emergency response team to coordinate emergency services,describe those arrangements below: No special arrangements have been made with local or State departments, contractors, emergency response teams or services S-Mart#209 Page 5 of 16 March 2011