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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) <br />CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br />Prior to completing tlds Plan, please refer io the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCY PLAN <br />A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br />FACILITY ID #t <br />(800) 300-2193 <br />CALIFORNIA DEPT. OF FISH AND WILDLIFE (CDFW) .............. <br />— <br />U.S. COAST GUARD (USCG) ..................................... <br />(202) 267-2180 <br />CAL OSHA ..................................................... <br />— <br />CAL FIRE OFFICE OF THE STATEFIRE MARSHAL (OSFM) ......... <br />_ _ <br />916 323-7390 <br />a. <br />OTHER (Specify): <br />ca. <br />C9. <br />OTHER (Specify): <br />CIO. <br />CERS ID # <br />DATE OF PLAN PREPAR41IO EVISION As. <br />/o I <br />(MM/DD/YYYY) / b <br />BUSINESS NAME(Same as Facility Name at, DBA - D ng Business As) A4. <br />Alley <br />I! f le -F�e,- 67 Xn c . <br />BUSINESS SITY ADDRESS -95— <br />s/1 <br />ts- 'r. u�fs <br />/1/,!57 <br />BUSINESS SITE CITY Al. <br />Sf ockfoi,-i <br />CA <br />ZIP CODE A7• <br />1-7Q oS <br />TYPE OF BUSINESS (e.g., Painting Contractor) A8 <br />Rd" n <br />INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) �. <br />THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING (Check all that apply): Ala• <br />1. HAZARDOUS MATERIALS; ❑ 2. HAZARDOUS WASTES <br />B. INTERNAL RESPONSE <br />INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR BY (Check all that apply): et. <br />9 1. CALLING PUBLIC EMERGENCY RESPONDERS (e.g., 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 />In the event of an emergency involving hazardous materials and/or hazardous waste, all facilities must IMMEDIATELY: <br />1. Notify facility personnel and evacuate if necessary in accordance with the Emergency Action Plan (Title 8 California Code of Regulations §3220); <br />2. Notify local emergency responders by calling 9-1-1; <br />3. Notify the local Unified Program Agency (UPA) at the phone number below, and <br />4. Notify the State Warning Center at (800) 852-7550. <br />Facilities that generate, treat, store or dispose of hazardous waste have additional responsibilities to notify and coordinate with other response agencies. Whenever there <br />is an imminent or actual emergency situation such as an explosion, tire, or release, the Emergency Coordinator must follow the appropriate requirements for the category <br />of facility and type of release involved: <br />1. Title 22 California Code of Regulations §66265.56. Emergency Procedures for generators of 1,000 kilograms or more of hazardous waste in any calendar month. <br />2. Title 22 Califomia Code of Regulations §66265.196. Response to Leaks or Spills and Disposition of Leaking or Unfit -for -Use Tank Systems. <br />3, Title 40 Code of Federal Regulations §302.6. Notification requirements for a release of a hazardous substance equal to or greater than the reportable quantity. <br />4. Title 22 California Code of Regulations §66262.34(d)(2) and Title 40 Code of Federal Regulations §262.34(d)(5)(ii) for generators of less than 1000 kilograms of <br />hazardous waste in any calendar month. <br />Following notification and before facility operations are resumed in areas of the facility affected by the incident, the Emergency Coordinator shall notify the local UPA <br />and the local fire department's hazardous materials program, if necessary, that the facility is in compliance 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 cleanup <br />procedures are completed. <br />EMERGENCY RESPONSE AMBULANCE, FIRE, POLICE AND CHP .............................................. 9-1-1 <br />PHONE NUMBERS: CALIFORNIA STATE WARNING CENTER (CSWC)/CAL OES............................ (800) 852-7550 <br />NATIONAL RESPONSE CENTER (NRC) .............................................. (800) 424-8802 <br />POISON CONTROL CENTER........................................................ 800 222-1222 <br />LOCAL UNIFIED PROGRAM AGENCY UPA ........................ a o C2. C3. 3 aft. <br />OTHER (Specify): _ <br />NEAREST MEDICAL FACILITY / HOSPITAL NAMEd [26 e et, <br />AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) .... <br />916 255-3545 <br />REGIONAL WATER QUALITY CONTROL BOARD (RWQCB)........ <br />1 - It 6. <br />U.S. ENVIRONMENTAL PROTECTION AGENCY (US EPA) ........... <br />(800) 300-2193 <br />CALIFORNIA DEPT. OF FISH AND WILDLIFE (CDFW) .............. <br />(916) 358-2900 <br />U.S. COAST GUARD (USCG) ..................................... <br />(202) 267-2180 <br />CAL OSHA ..................................................... <br />(916) 263-2800 <br />CAL FIRE OFFICE OF THE STATEFIRE MARSHAL (OSFM) ......... <br />_ _ <br />916 323-7390 <br />a. <br />OTHER (Specify): <br />ca. <br />C9. <br />OTHER (Specify): <br />CIO. <br />Rev. 03/07/17 Page 1 of 4 <br />