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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM(CERS) <br /> CONSOLIDATED EMERGENCY RESPONSE/CONTINGENCY PLAN <br /> Prior to completing this Plan,please refer to the INSTRUCTIONS FOR COMPLETING.4 CONSOLIDATED CONTINGENCYPLAN <br /> A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br /> FACILITY ID# 1. CERS ID Al. DATE OF PLAN PREPARATION/REVISION AZ• <br /> BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) 3. <br /> Mvi �6� ,✓ -UriJew <br /> BUSINESS SITE ADDRESS 103. <br /> (( 0 ' <br /> BUSINESS SITECITT 104. ZIP CODE .105. <br /> .49 �J,9M O CA 1,0;_0 <br /> TYPE OFBIISINES_S(e.g.,PaintingContractor) A3 INCIDENTAL OPERATIONS(e.g.,Fleet Maintenance) A4• <br /> I/li� hp <br /> THIS PLAN COVERS CHEMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING: (Check all that apply) A5. <br /> 10 1.HAZARDOUS MATERIALS; ❑ 2.HAZARDOUS WASTES <br /> B. INTERNAL RESPONSE <br /> INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) s1. <br /> 0.CALLING PUBLIC EMERGENCY RESPONDERS(i.e.,9-1-1) <br /> E502.CALLING HAZARDOUS WASTE CONTRACTOR <br /> ❑3.ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br /> C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTIFICATIONS <br /> Whenever there is an imminent or actual emergency situation such as an explosion, fires or release, the Emergency or his/her designee when the <br /> Emergency Coordinator is on call)shall: <br /> 1. Activate internal facility alarms or communications systems,where applicable,to notify all facility personnel. vI <br /> 2.Notify appropriate local authorities(i.e.,call 9-1-1). <br /> 3.Notify the California Emergency Management Agency at(800)852-7550. <br /> Before facility operations are resumed in areas of the facility affected by the incident,the emergency coordinator shall notify the California Department of Toxic <br /> Substances Control(DISC),the local Unified Program Agency(UPA),and the local fire department's hazardous materials program that the facility is in compliance <br /> 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 <br /> cleanup procedures are completed. <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Check all that apply) C1. <br /> W1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑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 apply) cz <br /> ❑1,VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; E�T.TELEPHONE; <br /> ❑4.PAGERS; ❑S.ALARM SYSTEM; [16.PORTABLE RADIO <br /> EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CHP.............................................. 9-1-1 <br /> PHONE NUMBERS: <br /> CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CALBMA)...................... (800)852-7550 <br /> NATIONAL RESPONSE CENTER(NRC)............................................. (800)424-8802 <br /> POISON CONTROL CENTER........................................................ 800 222-1222 <br /> ^ <br /> LOCAL UNIFIED PROGRAM AGENCY UPA/CUPA ................................... %0W C3. <br /> OTHER(Specify):F <br /> C4. i C5. <br /> NEAREST MEDICAL FACILITY/HOSPITAL NAME: C6. I C7. <br /> AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES CONTROL(DTSC) .... 916 255-3545 <br /> RECEIVED REGIONAL WATER QUALITY CONTROL BOARD..................I <br /> ca. <br /> U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800)300-2193 <br /> CALIFORNIA DEPT OF FISH AND GAME(DFG).................... (916)358-2900 <br /> A P I i U.S.COAST GUARD............................................. (202)267-2180 <br /> cAUosHA..................................................... (916)263-2800 <br /> ENVIRONMENTAL STATE FIRE MARSHAL ......................................... 916 445-8200 <br /> HEALTH DEPARTMENT C9. CID. <br /> OTHER(Specify): <br /> OTHER(Specify): c11. C12, <br /> Rcv.06/27/11 <br />