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The ALCO-EMS plan will be activated if medical service needs, resulting from an incident, will overwhelm the resources of a single ALCO-EMS zone. Each base hospital will coordinate emergency response within its zone and between other zones. An emergency dispatch system (Alameda County Central Medical Emergency Dispatch [ALCO-CMED]) is in place to alert all hospitals in the plan. The Fire Department and Health Services Department have radio links with ALCO-CMED. ALCO-CMED is located in the Alameda County Regional Emergency Communications Center and operated under the Alameda County Emergency Dispatch Consortium Mutual Aid Agreement. ALCO-CMED will send ambulances to the disaster site and maintain receiving hospital bed count status. Air transportation via helicopter may be used if the overall time for transport to a hospital is at least 20 minutes less than ground transportation. Other hospitals will cancel routine services to prepare to receive patients. In the event of an emergency, requests for outside assistance will be channeled through the LLNL Emergency Notification System, and outside authorities will be contacted via telephone or radio. 4. EMERGENCY CONTROL PROCEDURES Response to an incident at a WAA is designed to be at a level appropriate to the incident. Incidents are defined based on the event and the potential hazard to onsite personnel and offsite populations. Guidelines for determining whether an incident is small or large are established in Section 1.2. The appropriate procedures to follow in the event of small and large incidents are outlined in this section. �% I RECE 4.1 LLNL Site 300 Site -wide Emergencies JAN 14 2016 The LLNL Emergency Plan addresses LLNL site -wide emergencies. ENVIRONMENTAL 4.2 Emergency Situations HEALTH DEPARTMENT 4.2.1 Fire or Explosion If a fire or explosion occurs in a WAA, the incident is considered large, as described in Section 1.2. In WAAs that could possibly contain explosive materials, there should be no attempt to fight any fire and the area should be evacuated immediately. The fire must be reported immediately to the Fire Department by telephone or radio. The WAA Operator shall take the following actions in the event of a fire or explosion: 1. From a safe place, dial extension 911, or use call sign "MIKE' if using a handheld radio to contact the CAS Operator. 2. Identify his/her name. 3. Give the location (including the fact that it is at Site 300) of the fire or explosion and any injured parties. Include WAA number, cross streets, and significant landmarks. 12 January 2016