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Emergency Response/Contingency Plan -(HazardowMaterials Business Plan Module) Authority Cited. HSC, Section 25504(6), Title 22, Div 4.5, Ch: 12, Art. 3 CCR Page 7 of 1 I All facilities that handle hazardous materials in specified quantities must have a written emergency response plan. In addition, facilities that generate 1;00f} kilograms or more of hazardous waste per month, or accumulate more than 6,000 kilograms of hazardous waste on-site at any one time, must prepare a contingency plan. Because the requirements are similar, they have been combined in a single document, provided below, for your convenience. This pian is a required module of the Hazardous Materials Business Plan (HMBP). If you already have a plan that meets these requirements, you should not complete the blank plan, below, but you must include a copy of your exhfing plan as part of your MMW. This site-specific Emergency Response/Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented immediately whenever there is a fire, explosion, or release of hazardous materials that could threaten human heatth and/or the environment. At least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. Within Santa Clara County, hospitals and police agencies have delegated receipt of these plans to the local agencies administering Hazardous Materials Business Plans, so additional copies need not be submitted. However, a copy of the plan and any revisions must be provided to any contractor, hospital, or agency with whom special (i.e. contractual) emergency services arrangements have been made (see section 3, below). I. Evacuation Plan: a. The following alarm signal(s) will be used to begin evacuation of the facility (check all that apply): Bells; 0 Horns/Sirens; 0 Verbal (i.e. shoutbW; T1 Other (specify) b. 0 Evacuation map is prominently displayed throughout the facility. Note: A properly completed HMBP Site Plan satisfies contingency plan map requirements. This drawing (or any other drawing that shows primary and alternate evacuation routes; emergency exits, and primary and alternate staging areas) must be prominently posted throughout the facility in locations where it -will be visible to employees and visitors. 2. a. Emergency Con . FhvRolice/Ambutauce......................................... Phone No.911 State Office of Emergency Services .............................. Phone No. (800) 852=7550 b. Post -Incident Contacts'*: Fire Department Hazardous Materials Program ................... Phone No.: San Joaquin County hazardous Materials Compliance Division ...... Phone No. California EPA Department- of Toxic Substances Control ............ Phone No. (510) 540=3739 Cal OSHA Division of Occupational safety and Health .............. Phone No. (408) 452--7288 Air Quality Management District ........................ Phone No. (415) "771-6000 Regional Water Quality Control Board ........................... Phone No. (510) 622-2300 * these idephene numbers areprovi"as ageneral aid to emovency mdjka&iL Be advatedthat adr Moral wencies may be raplmd to be noVed c. Emergency Resources: Poison Control Center Nearest Hospital: Name Address: 3. Arrangements With Emergency Responders: - Phone No. (800) 8764766 Phone No.: City: If you have made special (Le. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements below: VN-DMUPCF - 8/15 www.noldo orb Rev. 01/16/02