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HAZARDOUS WASTE CON,,,INGENCYPLAN For, use,by Unidocs Member Agencies or where approved.by your Local Jurisdiction Authority Cited: Tittle 22; California Code ofRegulations (CCR) §6626S.52 as referenced by§66262,34(a)(4) or 6700 3(c)(9)(C) Facilities that generate 1,000 kilograms .or more of hazardous waste per month, or accumulate more than 6,000 kilograms of hazardous waste on-site at any one-time, must prepare a Contingency Plan. Facilities that generate in any month more than 1 kilogram of acutelyhazardous waste (AHW, ), or more; than 100 kilograms of debris resulting from the spill of an AHW, or. which treat hazardous waste onsite undor the Permit `by Rule (PDR). onsite treatment tier must also prepare a Contingency Plan. Many facilities 'that are ,required to prepare a Contingency Plan are already subject to Hazardous Materials Business Plan (MMP) reporting requirements due to the quantities of hazardous materials/wastes they have onsite. If you have already prepared a Undoes HM BP, or already have a plan which is equivalent in content to the: Emerggggy Resuonse/Cointingency. Plan module of the Unidocs HMBP you have satisfied the Contingency Plan requirements, and are not required to complete the blank plan, below. This site-specific Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented immediately whenever there is an imminent or actual fire, explosion; or release of hazardous waste or a hazardous waste constituent which could threaten human health,and/or the environment. At -least one copy. of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. A copy of the plan and any revisions must be provided to any contractor, hospital, or agency with whom special (i.e. contractual) emergency services arrangements have been made (see Section E, below), A. Facility Information: BUSINEss NANM L Q ACME TRUCK PARTS., BUSINESS PHON E. a. SrrE A7SDRES.s R CITY ' ZIP CODE tNZ.sr i. Li , Cno`Y Ste„o ad B. Emergency Coordinators: All personnel qualified to act as the facility's Emergency Coordinator must be listed in this plan. (Note., Emergency Coordinator responsibilities are described- in Section F, below) If snore than two people are qualified, list the names, titles, business and 24-hour telephone numbers, and pager numbers of the additional qualified individuals onanattached page in the order in which they will assume responsibility as alternates, then check the box beneath the Emergency Coordinator information -table, below, and indicate the list's page number in the space provided. M1. C'N el 'I). h pt"r rnuNE --15bl ❑ (Check box only if applicable):Additional Emergency Coordinators are listed on page of this plan. C. Evacuation Plan: 1. The following alarm signal(s) will be used to begin evacuation of the "facility (check all that apply); Bells; ❑ Horns/Sirens;gVerbal (i.e , shouting); Dther(specifl c UN-017 -1/6 www.un[4ocs.org Rev. 03/27/09