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CERS Consolidated Emergency Response/Contingency Pian INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): CIT. ❑ 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; J?1.TELEPHONE; ❑4.PAGERS; X5.ALARM SYSTEM; PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY(Check all that apply): C12. X1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; .,NTTF,LEPHONE; ❑4.PAGERS; X.ALARM SYSTEM; ❑6.PORTABLE RADIO EMERGENCY COORDINATOR CONTACT INFORMATION: /� C13.PRIMARY EMERGENCY COORDINATOR NAME�Q �Z/3 PHONE NO.:ot`�1'� ' baa! PHONE NO.:a�/191 �°15 ALTERNATE EMERGENCY COORDINATOR NAM :L_1 'v^C`v�l e�I��A-' PHONE NO.:0909 41�'K}l PHONE NO.:'x9 ❑Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: Note:If more than one alternate emergency coordinator is designated,attach a list in order of responsibility. D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check the applicable.boxes to indicate your facility's procedures for containing spills and preventing and mitigating releases,fires and/or explosions. ❑1. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; DI, ❑2. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containment walls,built-in berms); §J�3. PROVIDE ABSORBENT PHYSICAL BARRIERS(e.g.,Pads,spill pigs,spill pillows); ❑4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; ❑5, LINED TRENCH DRAINS AND/OR SUMPS; ❑6. AUTOMATIC FIRE SUPPRESSION SYSTEM; ❑7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; e8. STOP PROCESSES AND/OR OPERATIONS; ❑9. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; ❑10.SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; WI 1.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; III ,a'12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; I ❑ 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; 4 ❑ 14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; 5r15.REMOVE CONTAINERS AND/OR ISOLATE AREAS; j ❑16.HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; W7.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; ❑ 18.VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP; ❑ 19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; ❑20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; ❑ 21.OTHER(Specify): b2 1 -..,E,...FACILI-TY--EVACUATION-- THE VACUATION ---THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): El. ❑1. BELLS; 62. ❑2. HORNS/SIRENS; JR'�. VERBAL(i.e.,Shouting); ❑4. OTTIER(Speci : THE FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(e.g.,Parking lot,street comer): Ea. i Note:The Emergency Coordinator must account for all onsite employees and visitors after evacuation. EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: Ea. i ❑1.WRITTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; j ..Jj�72.EVACUATION MAP(S)DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS; ❑3. OTHER(Specify): E5. I Note:Evacuation procedures and/or maps should be posted invisible facility locations and must be included in the Contingency Plan. F. ARRANGEMENTS FOR EMERGENCY SERVICES ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of the following): Fl. 0 1. HAVE BEEN DETERMINED NOT NECESSARY; ❑2. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify): R. Note:Advance arrangements with local fire and police departments,hospitals,state and local emergency response teams,and/or emergency services contractors should be made for your facility,if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan. Rev.03/07/17 Page 2 of 4