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FIVE® JUN 117 ' Q47 Toffy �70cl) Rev. 06127/11 L CALIjk IA ENVIRONMENTAL REPORTING SYSTEM (CERS) CONSOLIDATEMERGENCY RESPONSE / CONTINGEN(�MENTAL Prior to completing this Planre/ter to theINSTRUCTIONS FOR COMPLETINGA CONSOL/DATED CONTIN PAQT�"lA. FACILIDENTIFICATION AND OPERATIONS OVERVIEW FACILITY IDN CERS;DATE OF PLAN PREPARATIONMEWSION Ar BUSINESSNAME (Some to Eocility Name or DB - Doing Business Aa1 a BUSINESS SITE ADDRESS a�SL 'tuPc 01 z B oa. BLUE CITY 5-t 0c,k-1cn is ZIP CODE ros. CA 45aos TYPE OF BUSINESS (e.g., Painting Contractor) At INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) A(. rvlanvEaG'fdnYx Po.,�n-Ifn / S THIS PLAN COVERS CHEMICAL SPILLS, FIR , AND EARTHQUAKES INVOLVING: (Check all the apply) u. ® 1. HAZARDOUS MATERIALS; [12. H US WASTES B. INTERNAL RESPONSE INTERNAL FACILITY EMERGENCY RESWN-S ff1. CALLING PUBLIC EMERGENCY RESPO FWILL OCCUR VIA: (Check all that apply) at. ❑ 2. CALLING HAZARDOUS WASTE CONTRA ERS (i.e., 9-1.1) CTOR ❑ 3. ACTIVATING IN-HOUSE EMERGENCY R SPONSE TEAM C. EMERGENCY CON MUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS Whenever there is an imminent or actual emerge cy situation such as an explosion, fire, a release, the Emergency Coordinator (or hisiber designee when the Emergency Coordinator is on call) shall: I. Activate internal facility alarms or communicalto is systems, where applicable, to notify all facility personnel. 2. Notify appropriate local authorities (i.e., call 9-1- ). 3. Notify the California Emergency Management A •ncy at (ROI) 852-7550. Before facility operations arc resumed in gens of Substances Control (DTSC), the local Unit Prng c 6wilin affected by the incident. the emergency coordinator shall notify the California Department of Toxic in Agency (UPA), and the local fire department's hvo:,v s materials program that the facility is in compliance with requirements to: 1. Provide for proper storage and disposal of recove ad wase, contaminated soil or surface water, or any other material that results from an explosion, fire, or release at the facility: and 2. Ensure that no material that is incompwible will the released material is transferred, stored, or disposed of in areas of the facility affected by the incident until cleanup procedures are completed. INTERNAL FACILITY EMERGENCY COMMUN CATIONS OR ALARM NOTIFICATION WILL OCCUR VIA: (Check all that apply) cl ® 1. VERBAL WARNINGS; ❑ 2. PI IBLIC ADDRESS OR INTERCOM SYSTEM; 1.3. TELEPHONE; ❑ 4. PAGERS; ❑ 5, A,ARM SYSTEM; [16. PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAYBE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY: (Check all that apply) C2 %L VERBAL WARNINGS; ❑ 2. P BLIC ADDRESS OR INTERCOM SYSTEM; 3. TELEPHONE; ❑ 4. PAGERS; ❑ 5. A ARM SYSTEM; ❑ 6. PORTABLE RADIO EMERGENCY RESPONSE AMBULANCE, FE LIE, POLICE AND CHP .............................................. 9-1-1 PHONE NUMBERS: CALIFORNIA EM iRGJE24CY MANAGEMENT AGENCY (CALIEMA)...................... (800) 652-7550 NATIONAL RES NSE CENTER (NRC) .................... ........................ (800) 424-8802 POISON CONTRO L CENTER........................................................ (800) 222-1222 LOCAL UNIFIED OGRAM AGFNCY UPA/CUPA ....... ............................ oi) (s if - 14:4 0 0 OTHER (Specify): n Cs NEAREST MEDICAL FACILITY/ HOSPITAL NA:i -i �oit.Oh-_t\tl4yPriA� C5 I -qyI �JdOrn AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (Di ....j (916) 2SS-3645 REGIONAL WATER QUALITY CONTROL BOARD .................. ly t(0 - q ra`' -'ja q I `a U.S. ENVIRONMENTAL PROTECTION AGENCY (US EPA)........... (800)300-2193 CALIFORNIA DEPT OF FISH AND GAME(DFG).................... (916)368-2900 U.S.COASTGUARD ............................................. (202)267-2180 CALroSHA................................................... . . (916) 263-2800 STATE FIRE MARSHAL ......................................... (916) 445-8200 OTHER (Specify): Co CIO. OTHER (Specify): CII CH Toffy �70cl) Rev. 06127/11