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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 />A I. VERBAL WARNINGS; ❑ 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; 13.3. TELEPHONE; <br />❑ 4. PAGERS; ❑ 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 <br />apply): C12. <br />06 1. VERBAL WARNINGS; ❑ 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; /M'3. TELEPHONE; <br />❑ 4. PAGERS; ❑ 5. ALARM SYSTEM; ❑ 6. PORTABLE RADIO <br />EMERGENCY COORDINATOR CONTACT INFORMATION: <br />Cli. <br />y411 <br />PRIMARY EMERGENCY COORDINATOR NAME: Arhl %\d& Jjd4 PHONE NO� I `� C <br />I 'PHONE NO.: <br />ALTERNATE EMERGENCY COORDINATOR NAMEAX I W� t PHONE NO.: / .1 6 q HONE NO.: <br />yr (Arn 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 />,-,t 1. MONITOR FOR LEAKS, RUPTURES, PRESSURE BUILD-UP, ETC.; <br />ILr <br />Dl. <br />❑ 2. PROVIDE STRUCTURAL PHYSICAL BARRIERS (e.g., Portable spill contaimuent walls, built-in berms); <br />La3. PROVIDE ABSORBENT PHYSICAL BARRIERS (e.g., Pads, spill pigs, spill pillows); <br />E:14, COVER OR BLOCK FLOOR AND/OR STORM DRAINS; <br />❑ 5. LINED TRENCH DRAINS AND/OR SUMPS; <br />❑ 6. AUTOMATIC FIRE SUPPRESSION SYSTEM; <br />076 ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br />N 8, STOP PROCESSES AND/OR OPERATIONS; <br />�+] 9. AUTOMATIC / ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br />10, SHUT OFF WATER, GAS, ELECTRICAL UTILITIES; <br />11, CALL 9-1-I FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br />®'l2.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br />RA 13, ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br />❑ 14. PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br />015, REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br />0'166 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 />2T20, PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; <br />❑ 21. OTHER (Specify): <br />Dz. <br />E. FACILITY EVACUATION <br />THE FOLLOWING ALARM SIGNAL(S) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply): <br />Ell <br />❑ 1. BELLS; <br />Ez. <br />❑ 2. HORNS/SIRENS; <br />3. VERBAL (i.e., Shouting); <br />❑ 4. OTHER (Specify): <br />THE FOLLOWING LOCAT[ON(S) WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S) (e.g., Parking lot, street corner): <br />67. <br />ak 81 Sho;iee+ G'd^Ke4- o of -Q4oY f& 4 �h1*y &)suety <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 />❑ 1. WRITTEN PROCEDURES DESCRIBING ROUTES, EXITS, AND ASSEMBLY AREAS; <br />& 2. EVACUATION MAP(S) DEPICTING ROUTES, EXITS, AND ASSEMBLY AREAS; <br />❑ 3, OTHER (Specify): E5, <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 />Fl. <br />1. HAVE BEEN DETERMINED NOT NECESSARY; <br />❑ 2. 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 leans, 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 />