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EMpprx1e Ial + _ <br /> rTn Cope Permits antl lnspaclions �'�,d��` <br /> Fw0 Permits B Inspedmns I'�b r <br /> 7 SDS <br /> Man fed` <br /> Ne papa rko n inlnc to the aDp a tam toR'sk ageme nt Fax#(4 1718747102 A <br /> it <br /> _dot <br /> milly Aug <br /> POST FOR EMPLOYEES <br /> EMERGENCY NOTIFICATION <br /> During an emergency involving a release or a threatened release of a hazardous material you must <br /> notify appropriate agencies.Information you should be prepared to supply includes: <br /> 1.Name find telephone number of the reporting party; <br /> 2.Name and address of business; <br /> 3.Time and type of release(e.g.,damaged containers,malfunctioning equipment,etc.); <br /> 4.Name and quantity of material(s)involved; <br /> 5.Extent and number of injuries; <br /> 6.Actions taken or being taken to mitigate or reduce emergency; tl <br /> 7.Potential hazards to human health or the environment surrounding the business. <br /> EC <br /> AGENCY NOTIFICATION: EC 1 <br /> EC <br /> Fire Department :c h r <br /> Ambulance/Paramedic 911 EC t <br /> Police/Sheriff 911 :C H <br /> C— 911 EC h <br /> Hospital .�U♦l c��LRCat ECH <br /> Phone#(YEq)$3S-Ieop EC <br /> Primary Facility Emergency Contact Person(DM) <br /> Name Al Dk LL<4SL�7/� ,�t <br /> 24 Hour Phonek2V,- <br /> �7�Nf✓Peeyi�r Emergency COMact Person ISM) <br /> Namal NW.ttil �-�,i n <br /> 24 Hour Phone# <br /> Weal Fire Department <br /> Caplomia Emergency Mana eman { 1 y 9 tAgency {9161845— <br /> Center fe001451-an-46 <br /> Center <br /> pals Cleanup C.on 001424 Og <br /> _ isom22 1z---22 — .J <br /> 4� <br /> _ 'rib Tp:"'iW",• w....sSe6 <br /> 006i'77672 SKSLLC <br /> -etaa' APTue ur o..,x•o�..,.. <br /> 9e029 <br /> urr, lase— <br /> ,''' .WISTE:fyyaxtaLFi <br /> rt <br /> WASTE fUaatR&.E LI41 es ---- -- Del <br /> Dt <br /> Dal peel 3" <br /> as 77994W OR143e4 <br /> GSrir <br /> � <br /> /TEI{pnurect etetnetl by prnarat ar c y�N b,�°��t�XnC itionelWt r�a�n e� onr <br /> rter.on ere a e^�Y aetnprf y <br /> wmvia, ry0P°m"'•rks'0"'°4^wiw�u.a,v ^mw�voo,ywo� <br /> b amwtmgn <br /> —�—'�q'Y I�e°�"'m"�wnMvmn„nma en'nrc�n,me,.sr <br /> dwrea <br /> smaere <br /> �./ti..., ___ ❑v'va' Elv, ❑fugyinrY.. <br /> - as+w�x++wxu,roe, <br /> d <br /> bSy3I <br /> GENERATOR'S INITIAL COP) GENERATOR'S INITIAL COPY <br />