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Instructions for Completing the CERS Consolidated Emergency Response/Contingency Plan Introduction Health and Safety Code (HSC) §25505(a)(3) requires that a Hazardous Materials Business Plan (HMBP) contain an Emergency Response Plan and Procedures for immediate response to a reportable release or threatened release of a hazardous material. HSC §25505(a)(4)requires that HMRPs include employee twining in safety procedures and emergency response plans and procedures in the event of a reportable release or threatened release. Title 22 California Code of Regulations (22 CCR) §66262.34(a)(4) requires facilities that generate 1,000 kilograms or more of hazardous waste in any one calendar month, or accumulate more than 6,000 kilograms of hazardous waste on-site at any one time, prepare a Contingency Plan. In addition,facilities that generate more than 1 kilogram of acutely hazardous waste(AHW) in any one calendar month,or more than 100 kilograms of debris resulting from the spill of an AHW,or which treat hazardous waste onsite under the Permit by Rule(PBR)onsite treatment tier must also prepare a Contingency Plan. The California Environmental Reporting System (CERS) Consolidated Emergency Response/Contingency Plan is designed to consolidate emergency response and contingency plan requirements for both hazardous materials handlers and hazardous waste generator facilities.It provides a basic emergency response plan and a training plan template for a typical small-to mid-size regulated facility, and simplifies Unified Program regulatory requirements. Attachments and/or other documents may be required for certain facilities due to the size and/or the nature of operations or processes that warrant additional planning. Use of the CERS Consolidated Emergency Response/Contingency Plan is not mandatory. You may use another emergency plan document provided that it satisfies the HSC and 22 CCR emergency response plan/contingency plan content requirements. In addition, please note that the Employee Training section referenced in Section 1. of the CERS Consoliclated Emergency Response/Contingency Plan may not be an acceptable training plan in some jurisdictions and a separate training plan may be required. General Instructions • This plan applies to both HMBP and hazardous waste generator facilities. Consider both programs as you complete each plan section. • Be specific. • Facilities with frequent employee turnover may substitute position titles for specific employee names when identifying emergency coordinators or emergency response team members to avoid frequent plan revisions. • Review the specific line item instructions before completing your plan. • After completion,the plan or its equivalent must be scanned,if necessary,and uploaded to CERS as a PDF document. i Specific Line Item Instructions i Al. FACILITY ID NUMBER — Enter the Facility ID number issued by the certified unified program agency (CUPA) or Participating Agency(PA). A2. CERS ID Number—Enter the CERS ID number obtained from CERS or your local CUPA or PA. A3. DATE OF PLAN PREPARATION/REVISION—Enter the date the plan was initially prepared or recently revised_ A4. BUSINESS NAME—Enter the business name used to identify the facility in CERS. A5. BUSINESS SITE ADDRESS—Enter the site address where the facility is located. A6. CITY—Enter the city or unincorporated area in which the facility is located. AT ZIP CODE—Enter the 5 or 9 digit zip code for the facility. A8. TYPE OF BUSINESS—Briefly describe the type of business. j A9. INCIDENTAL OPERATIONS--Briefly describe any operations at the facility associated with hazardous materials storage or I hazardous waste generation that may not be obvious from the description in A3. I A10. THIS PLAN COVERS CHEMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING—Check box 2"HAZARDOUS WASTES" if the facility generates hazardous waste.Note: Box 1 is always checked since both hazardous waste and non- waste hazardous chemicals are considered hazardous materials. Bi. INTERNAL RESPONSE—Check one or more of the three boxes to indicate how facility personnel will respond to emergency incidents. Rev.03/07/17 Page 1 of 2