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E gency Response/Contingency <br /> (Hazardous Materials Business Plan Module) <br /> Authority Cited: HSC, Section 25504(b); Title 22,Div. 4.5, Ch. 12,Art. 3 CCR Page 2 of 15 <br /> 11 acilfacilities that handle hazardous materials in specified quantities must have a written emergency response plan. In addition, <br /> ities that generate 1,000 kilograms or more of hazardous waste per month, or accumulate more than 6,000 kilograms of hazardous <br /> waste on-site at any one time, must prepare a contingency plan. Because the requirements are similar,they have been combined in a <br /> single document, provided below, for your convenience. This plan is a required module of the Hazardous Materials Business Plan <br /> (HMBP). If you already have a plan that meets these requirements, you should not complete the blank plan, below, but you <br /> must include a copy of your existing plan as part of your HMBP. <br /> This site-specific Emergency Response/Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented <br /> immediately whenever there is a fire, explosion, or release of hazardous materials that could threaten human health and/or the <br /> environment. At least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for <br /> inspection by the local agency. Within Santa Clara County,hospitals and police agencies have delegated receipt of these plans to the <br /> local agencies administering Hazardous Materials Business Plans,so additional copies need not be submitted. However, a copy of the <br /> plan and any revisions must be provided to any contractor, hospital, or agency with whom special (i.e. contractual) emergency <br /> services arrangements have been made (see section 3, below). <br /> 1. Evacuation Plan: <br /> a. The following alarm signal(s)will be used to begin evacuation of the facility(check all that apply): <br /> ❑Bells; ❑Horns/Sirens; ®Verbal(i.e.shouting); ® Other(spec)_Telephone and/or Nextel Radio <br /> b. ®Evacuation map is prominently displayed throughout the facility. <br /> Note: A properly completed HMBP Site Plan satisfies contingency plan map requirements. This drawing(or any other drawing that <br /> shows primary and alternate evacuation routes, emergency exits, and primary and alternate staging areas) must be <br /> prominently posted throughout the facility in locations where it will be visible to employees and visitors. <br /> 2. a. Emergency Contacts*: <br /> Fire/Police/Ambulance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Phone No.911 <br /> State Office of Emergency Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Phone No. (800)852-7550 <br /> b. Post-Incident Contacts*: <br /> Fire Department Hazardous Materials Program . . . . . . . . . . . . . . . . . . . Phone No.: (209) 937-8801 <br /> San Joaquin County Environmental Health Department . . . . . . Phone No. (209)468-3440 <br /> California EPA Department of Toxic Substances Control . . . . . . . . . . . . Phone No. (916)255-3545 <br /> Cal-OSHA Division of Occupational Safety and Health . . . . . . . . . . . . . . Phone No.(415)703-5100 <br /> Air Quality Management District . . . . . . . . . . . . . . . . . . . . . . . . Phone No. (209)557-6400 <br /> Regional Water Quality Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . Phone No.(916)464-3291 <br /> *These telephone numbers are provided as a general aid to emergency notification. Be advised that additional agencies may be required to be notified. <br /> c. Emergency Resources: <br /> Poison Control Center . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . Phone No. (800)8764766 <br /> Nearest Hospital: Name: St.Josephs Medical Center Phone No.: (209) 943-2000 <br /> Address: 1800 N. California Street City: Stockton, Ca. 95204 <br /> 3. Arrangements With Emergency Responders: <br /> If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or <br /> local emergency response team to coordinate emergency services,describe those arrangements below: <br /> Wocal Fire Department has been notified about,and is familiar with the operations at this facility and provided a copy of this <br /> Contingency Plan. <br /> Ecology Control Industries(ECI)is under contract to provide emergency repsonse cleanup and/or remediation services. <br /> UN-020UPCF-11/15 www.unidocs.org Rev.01/16/02 <br />