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CERS Consolidated Emergency Response 1 Contingency Pilon-Page 4 of 4 FEB 27 2017 Rev.06/27/11 <br /> H. EARTHQUAKE VULNERABILITY <br /> Identify areas of the facility that are:vulnerable to,hazardous materials releases,/spills due to earthquake-related motion,These:areas require immediate isolation and <br /> VU <br /> ❑ 2.PROCES�OLII ESALS/hOdAS at apply) moi' LOCATIOI±7S(e.g.,shop outdoor shed,forensic lab)_ <br /> (Check1. TE STORAGE AREA <br /> Fit. <br /> 113. <br /> ❑ 3.LABORATORY __. ... <br /> � Ka. <br /> ❑ 4:WASTE TREATMENT AREA I _...... .--xs. <br /> IdeEqALjnechanicaI ms vulnerable-to releases/spills due w earth cake-related motion.These systems require immediate isolation and inspection. <br /> VUI XaE .ABLE SYSTEMS:(Check all that apply) H6 I LOCATIONS <br /> �:SHELVES,CABINETS AND RACKS __ _._ xt.. <br /> — - ------ __. .._... ._......_ <br /> 2.TANKS(EMERGENCY SHUTOFF) <br /> ❑ <br /> ry WORTABLE GAS CYLINDERS r - <br /> 4,EMERGENCY SHUTOFF AND/OR UTILITY VALVES I aro. <br /> ❑ 5,SPRINKLER SYSTEMS Wit• <br /> ❑ 6.STATIONARY PRESSURIZED CONTAINERS(e,g-,Propane dispensing tank) <br /> 1. EMPLOYEE E ' LO E T `' INING <br /> Explanation of Requirement:Empl ogee taming is required for all employees handling hazardous materials and hazardous wastes in day-today or clean-up operations <br /> including volunteers and/or contractors.Trainin mustbe: <br /> • Provided within 6 months for new hires; <br /> • Amended as necessary.prior to change-inprocessor work assignment; <br /> • Given upon modification to the Emergency Response/Contingency Plan,and updated/refreshed annually for all employees, <br /> Required content includes all of the following: <br /> • Material Safety Data Sheets; Communication.and alarm systems; <br /> • Hazard communication related to health and safety; • Personal protective equipment; <br /> • Methods for safe handling ofhazardous substances;. • Use of emergency response equipment(e:g.Fire.extinguishers,respirators, <br /> • Fire lzazardsofmaterials/processes; etc.); <br /> • Conditions likely to worsen emergencies, • Decontamination procedures; <br /> • Coordination of emergency response; yaeuation procedures; <br /> • Notification procedures; ontrol and containment procedures; <br /> ® A likable laws and r lation• Tmonitoringsystem equipanentand procedures(ifapplicable). <br /> INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADMINISTERED(Check all that apply) n. <br /> ❑ i, FORMAL CLASSROOM; ❑2. VIDEOS;; ❑3.SAFETY/TAILGATE MEETINGS; <br /> ❑4. STUDY GUIDES/MANUALS(Specify): <br /> 5. OTHER(Specify): to <br /> ❑6. NOT APPLICABLE BE SE FACILITY HAS O EMPLOYEESO <br /> Large Quantity Generator(LQG)Training Records: Large quantity hazardous waste generators(i:e.; who generate more than 270 gallons/1,000 kilograms of <br /> hazardous waste per month)must retain written documentation of employee hazardous waste management training sessions which includes: <br /> • A written outline/agenda of the type and amount of both introductory and continuing training that will be given to persons filling each job position having <br /> responsibility for-the management of hazardous waste(e.g.,labeling,manifesting;compliance with accumulation time limits,etc.). <br /> • The name,job title,and date of training for each hazardous wastemanagement training.session given to an employee.filling such a job position;and <br /> • A written job description for each of the above job positions that describes job duties and the skills,education,or other qualifications required of personnel assigned <br /> to the position. <br /> • Current employee training records must be retained until closure'ofthe facility, <br /> • Former employee ee trainin records must be retained at least three years after-termination ofemployment. <br /> J. LIST OF ATTACHMENTS <br /> (Check one of the following) n. <br /> 1. NO ATTACHMENTS ARE REQUIRED;or <br /> ❑2. THE FOLLOWING DOCUMENTS ARE ATTACHED: 12, <br /> K. SIGNATURE/CERTIFICATION <br /> Certification: Based on imy inquiry ofthpse individuals,responsible.for obtaining the.information,I certify under penalty of law that I have,personally examined and <br /> am familiar with the information sub d believe the information is true,accurate,and complete,,and that a copy is available onsite.. <br /> SIGNATURE OF OWNEMPERA R DATE SIGNED KF. <br /> NAME OF SIGNERtint) KZ TITLE OF SIGNER x3. <br /> f L L - <br />