COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

CERS Consolidated Emergency Response / Contingency Plan INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY (Check all that apply): CH . 1 . VERBAL WARNINGS ; 1712 . PUBLIC ADDRESS OR INTERCOM SYSTEM ; FEI 3 . TELEPHONE; ❑ 4 . PAGERS ; ❑ 5 . ALARM SYSTEM; ❑ 6 . PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF- SITE RELEASE WILL OCCUR BY (Check all that apply) : C12. ❑n 1 . VERBAL WARNINGS ; ❑ 2 . PUBLIC ADDRESS OR INTERCOM SYSTEM; Q 3 . TELEPHONE; ❑ 4 . PAGERS ; ❑ 5 . ALARM SYSTEM; ❑ 6 . PORTABLE RADIO EMERGENCY COORDINATOR CONTACT INFORMATION: cts . PRIMARY EMERGENCY COORDINATOR NAME: Michael Ludwick PHONE NO . : (650 ) 272-8033 PHONE NO. : ALTERNATE EMERGENCY COORDINATOR NAME: Kent Smedley PHONE NO . : (925) 724 -8422 PHONE NO. : ❑ 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 thea plicable boxes to indicate your facility 's procedures for containing spills and preventin and miti atin releases, fires and/or explosions . M . Q 1 , MONITOR FOR LEAKS , RUPTURES , PRESSURE BUILD-UP, ETC . ; ❑ 2 . PROVIDE STRUCTURAL PHYSICAL BARRIERS (e.g. , Portable spill containment walls, built-in berms); 93 , PROVIDE ABSORBENT PHYSICAL BARRIERS (e.g. , Pads, spill pigs, spill pillows); 0 4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS ; ❑ 5 . LINED TRENCH DRAINS AND/OR SUMPS ; ❑ 6 . AUTOMATIC FIRE SUPPRESSION SYSTEM; Rl 7 . ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS ; 8 . STOP PROCESSES AND/OR OPERATIONS ; ❑ 9 . AUTOMATIC / ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; ❑ 10. SHUT OFF WATER, GAS, ELECTRICAL UTILITIES ; ❑ 11 . CALL 9- 1 - 1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; ❑ 12 . NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS ; ❑ 13 . ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION ; ❑ 14 . PROVIDE PROTECTIVE EQUIPMENT FOR ON- SITE EMERGENCY RESPONSE TEAM; 0 15 . REMOVE CONTAINERS AND/OR ISOLATE AREAS ; ❑ 16 . HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; I Q 17, USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; FmI 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; on 20 . PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS ; Dz ❑ 21 . OTHER (Specify) : E. FACILITY EVACUATION THE FOLLOWING ALARM SIGNAL(S) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply): Et . E2. ❑ 1 . BELLS ; ❑ 2 . HORNS/SIRENS ; 3 . VERBAL (i. e., Shouting); ❑ 4 . OTHER (Specify) : THE FOLLOWING LOCATIONS ) WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S ) (e.g. , Parking lot, street corner) : Es . 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 : F4' ❑ 1 . WRITTEN PROCEDURES DESCRIBING ROUTES, EXITS, AND ASSEMBLY AREAS ; R1 2 . EVACUATION MAP(S) DEPICTING ROUTES, EXITS, AND ASSEMBLY AREAS ; Es. El 3 . OTHER (Specify): Note: Evacuation procedures and/or maps should be posted in visible 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) : F1 rmC 1 . HAVE BEEN DETERMINED NOT NECESSARY; Ez ❑ 2 . THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify) : 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