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CA IFORNIA ENVIRONMENTAL REPORTING SYSTEM(CERS) CONSOLIDA ED EMERGENCY RESPONSE / CONTINGENCY PLAN Prior to completing this Ian,please refer to the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCY'PLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW FACILITY ID# _i j I 17RS ID A� CEDATE OF PLAN PREPARATION/REVISION A2 i BUSIN SS NAME(Same as Facility r Nam or DBA-Doing Business As) 3. BUSINESS SITE ADDRESS 103. 1,02/0 S. &alwil ' /A BUSINESS SITE CITY 104 ZIP CODE 105, ®& / CA TYPE OF BUSINESS(e.g.,Painting Contr ctor) A3. INCIDENTAL OPERATIONS(e.g.,Fleet Maintenance) A4. 4We0 THIS PLAN COVERS CHEMICAL SPILL ,FIRES,AND EARTHQUAKES INVOLVING: (Check all that apply) A5. ® 1.HAZARDOUS MATERIALS; ❑ 2.HAZARDOUS WASTES B. INTERNAL RESPONSE IN NAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) B1 1.CALLING PUBLIC EMERGENCYESPONDERS(i.e.,9-1-1) [12.CALLING HAZARDOUS WASTE NTRACTOR ❑3.ACTIVATING IN-HOUSE EMERG CY RESPONSE TEAM C. EMERGENCY OMMUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS Whenever there is an imminent or actual emergency situation such as an explosion, fire, or release, the Emergency Coordinator (or his/her designee when the Emergency Coordinator is on call)shall: 1. Activate internal facility alarms or comm inications systems,where applicable,to notify all facility personnel. 2. Notify appropriate local authorities(i.e., all 9-1-I). 3.Notify the California Emergency Manage ent Agency at(800)852-7550. Before facility operations are resumed in eas of the facility affected by the incident,the emergency coordinator shall notify the California Department of Toxic Substances Control(DTSC),the local Unifi d Program Agency(UPA),and the local fire department's hazardous materials program that the facility is in compliance with requirements to: 1. Provide for proper storage and disposal o recovered waste,contaminated soil or surface water,or any other material that results from an explosion,fire,orrelease at the facility;and 2. Ensure that no material that is incompati le with the released material is transferred,stored,or disposed of in areas of the facility affected by the incident until cleanup procedures are completed. INTERNAL FACILITY EMERGENCY COAMVNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Check all that apply) CL ❑ 1.VERBAL WARNINGS; 2r2.PUBLIC ADDRESS OR INTERCOM SYSTEM, W3'ELEPHONE, ❑4.PAGERS; 5.ALARM SYSTEM, ❑6.PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FA ALITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE W OCCUR BT(Check all that apply) C2. ❑ 1.VERBAL WARNINGS; 2,PUBLIC ADDRESS OR INTERCOM SYSTEM; .TELEPHONE; ❑4.PAGERS; 5.ALARM SYSTEM; [16.PORTABLE RADIO EMERGENCY RESPONSE AMBULAI CE,FIRE,POLICE AND CHP.............................................. 9-1-1 PHONE NUMBERS: CALIFOR IA EMERGENCY MANAGEMENT AGENCY(CAL/EMA)...................... (800)852-7550 NATIONA RESPONSE CENTER(NRC)............................................. (800)424-8802 POISON CONTROL CENTER........................................................ (800)„222-1222 C3. LOCAL IFIED PROGRAM AGENCY(UPA/CUPA)_____;........................... (831 454-2022 . ............................ -._ - .-.__.- __. ... _._._. i C4. � C5. OTHER(S cify):(�_. --- .".•....C..�1�_r.: � _ -_ .L_!. ... ill - C6. �p C7. NEAREST MEDICAL FACILITY/HOSPI AL NAME:'- 0PI Aeofa� 16 fO�i �^ � 3/�` �� AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES CONTROL(DISC) ....(916)255-3545 _ C8. REGIONAL WATER QUALITY CONTROL BOARD.................. _ U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800)300-2193 CALIFORNIA DEPT OF FISH AND GAME(DEG).................... (916) 358-2900 U.S.COAST GUARD............................................. (202)267-2180 CAL/OSHA..................................................... (916)263-2800 STATE FIRE MARSHAL ......................................... (916)445-8200 OTHER(Specify): eft ._- ' f . ..- I , gh b _ -....... c OTHER(S eci d n. cit. Rev.06/27/11