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HAZARDOUS WASTE CONTINGENCY PLAN <br />For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br />Authority Cited.• Title 22, California Code of Regulations (CCR) §66265.52 as referenced by §66262.34(a)(4) or 67450.3(c)(9)(C) <br />Facilities that generate 1,000 kilograms or more of hazardous waste per month, or accumulate more than 6,000 <br />kilograms of hazardous waste on-site at any one time, must prepare a Contingency Plan. Facilities that generate <br />in any month more than 1 kilogram of acutely hazardous waste (AHW), or more than 100 kilograms of debris <br />resulting from the spill of an AHW, or which treat hazardous waste onsite under the Permit by Rule (PBR) <br />onsite treatment tier must also prepare a Contingency Plan. Many facilities that are required to prepare a <br />Contingency Plan are already subject to Hazardous Materials Business Plan (HMBP) reporting requirements due <br />to the quantities of hazardous materials/wastes they have onsite. If you have already prepared a Unidocs <br />HMBP, or already have a plan which is equivalent in content to the Emergency Response/Contingency Plan <br />module of the Unidocs HMBP, you have satisfied the Contingencv Plan requirements. and are not reauired to <br />This site-specific Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented <br />immediately whenever there is an imminent or actual fire, explosion, or release of hazardous waste or a <br />hazardous waste constituent which could threaten human health and/or the environment. At least one copy of <br />the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the <br />local agency. A copy of the plan and any revisions must be provided to any contractor, hospital, or agency with <br />whom special (i.e. contractual) emergency services arrangements have been made (see Section E, below). <br />A. Facility Information: <br />BUSINESS NAME _]�BUSINESS PHONE. <br />Love's Travel Stop #223 (209) 599-0740 <br />SITE ADDRESS CITY ZIP CODE <br />1553 Colony Road Ripon 195365 <br />B. Emergency Coordinators: <br />All personnel qualified to act as the facility's Emergency Coordinator must be listed in this plan. (Note: <br />Emergency Coordinator responsibilities are described in Section F, below.) If more than two people are <br />qualified, list the names, titles, business and 24-hour telephone numbers, and pager numbers of the additional <br />qualified individuals on an attached page in the order in which they will assume responsibility as alternates, then <br />check the box beneath the Emergency Coordinator information table, below, and indicate the list's page number <br />in the space provided. <br />Primary Emergency Coordinator <br />Secondary Emergency Coordinator <br />NAME <br />NAME <br />Neil Williams <br />Michael Ke <br />TITLE <br />TITLE <br />General Manager <br />Director of Environmental Services <br />BUSINESS PHONE <br />BUSINESS PHONE <br />(209) 599-0740 <br />(405) 302-6640 <br />24-HOUR PHONE <br />24-HOUR PHONE <br />209 648-7465 <br />405 242-2543 <br />PAGER # <br />( ) <br />PAGER # <br />( ) <br />® (Check box only if applicable) Additional Emergency Coordinators are listed on page of this plan. <br />C. Evacuation Plan: <br />1. The following alarm signal(s) will be used to begin evacuation of the facility (check all that apply): <br />❑ Bells; ❑ Horns/Sirens; ® Verbal (i.e., shouting); ❑ Other (specify <br />UN -017 - In www.unidoes.org Rev. 03/27/08 <br />