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g <br /> L <br /> Eg2 7 2017 <br /> CAIIFGRNU ENMONMENTALREPORMG SYSTEM(OERS) <br /> CONSOLIDATED GENCY RESPONSE I CONTINGENCY PLANf <br /> Prforto compded#ngr;this Plan,ptease refer to:the fNSTRUC770VSF0R COMPLETING A CONSOLIDATED DONTINGENCYPLAN <br /> A. PACII.,I .: Cly "ON' OPERATIONS OVERVIEW <br /> FACILITY ID# t,- $ a k 1 t cERSIT3 AI. DA oF'FIAxPREPARATION/I2EVISION A2. <br /> srx <br /> BUSINESS AME.( easFacil}tyNameorDBA-Doivgl3asi7essAs) _ <br /> 3. <br /> t S I �%L-- " � t <br /> BUSINESS SITE ADDRESS 9 T0-3 <br /> BUSINESS ST E-CITY1 las. ZIp COD toy. <br /> CA <br /> TYPE OF BUSINESS(e.g.,Painting Contractor Al, INCIDEN'T'AL OPERATIONS(e.g.,Fleet Maintenance) A4. <br /> THIS PLAN COVERS CHEMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING: (Check all that apply) A5. <br /> ® 1.HAZARDOUS MATERIALS; ❑ 2.HAZARDOUS WASTES <br /> B. INTERNAL RESPONSE <br /> INT AL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) B1. <br /> CAII-ING PUBLIC EMERGENCY RESPONDERS(i.e.,9-1-1) <br /> R-rd&6 HAZARDOUS-WASTE CONTRACTOR <br /> ACTIVATING IN-HO-USE EMERGENCY RESPONSE TEAM <br /> C. EMEERGENCY COMMUNICATIONS,PHONE NUM13ERSNOTIFICATIONS <br /> 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 <br /> gency Coordinator is on cal l)shall: <br /> Y Ac"vate internal facility alarms or communications systems,where applicable,to notify all facility personnel. <br /> 2. oti appropriate local authorities(i.e.,call 9-1-1). <br /> 3.N tfy the California Emergency Management Agency at(800)852-7550. <br /> Before facility operations are resumed:in areas of the facility affected.by the incident the emergency coordinator shall notify the California Department of Toxic <br /> Substances Control(DTSC),the local Unified Program Agency(UPA),and the local fire department's`hazardous materials program that the facility ism compliance <br /> with requirements to: <br /> L Provide for proper storage and disposal of recovered waste,contaminated soil or surface water,or any other material that results faom an explosion,fire,or release at <br /> the facility;and <br /> 2; Ensure that no material that is incompatible with the released material is transferred,stored,or disposed of in areas of thefacilityaffected by the,incident until <br /> cleanup Procedures are completed. <br /> INAL FACILITY'EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA: t. <br /> he k all that apply) C <br /> ��`�I VERBAL WARNINGS; ❑2.PUBLIC ADDRESSOR INTERCOM SYSTEM; 3.TELEPHONE; <br /> EJ'4.PACERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE L OCCUR BY:,(Check all that apply) C2. <br /> ❑i.VERBAL WARNINGS; ®2.PUBLIC ADDRESS OR INTERCOM SYSTEM; 3.TELEPHONE; <br /> 4.PAGERS; ❑5.ALARM SYSTEM, ❑6.PORTABLE RADIO <br /> EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CNP. ........................ 9-1-1 <br /> PHONE NUMBERS: <br /> CALIFORNIA EMERGENCY MANAGEMENT AGENCY(C )....................... (800)852-75,50 <br /> NATIONAL:RESPONSE CENTER(NRC)................_............................ (800)424-8802 <br /> POISON CONTROL CENTER.... .......... (800 222-..1222 <br /> LOCAL UNIFIED PROGRAM AGENCY' UPA/CUPA)............ { <br /> Cu: C5. <br /> OTHER(Specify)`... <br /> NEAREST MEDICAL FACILITY/HOSPITAL NAME:s C7. <br /> AGENCY NOTIFICATION PHONE NUMBERS: CAL ORNI 5T 0T S A O OL(D C) .... 916 255-3545 <br /> REGIONAL WATER QUALITY BOARD.................. ca: <br /> Y <br /> U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800)300-2193 <br /> CALIFORNIADEPT OF FISH AND GAME(DFG) ... (916)358-2900 <br /> U.S.COAST GUARD........... .... ........ (202)267-2180 <br /> CALlOSHA.............._.................... .......... .... . (916)263-2800 <br /> STATE FIREMARSHAL ..... ...................... ............ 916 445-8200 <br /> OTHER(Specify): <br /> C9. Clc. <br /> C1t: C12. <br /> OTHER(Specify)- <br /> Rev. <br /> S eciRev.06/27/11 <br />