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0 <br /> HAZARDOUS WASTE CONTINGENCY PLAN <br /> For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br /> Authority Cited: Title 22, California Code of Regulations(CCR)§66265.52 as referenced by§66262.34(a)(4)or 67450.3(c)(9)(C) <br /> Facilities that generate 1,000 kilograms or more of hazardous waste per month, or accumulate more than 6,000 <br /> kilograms of hazardous waste on-site at any one time, must prepare a Contingency Plan. Facilities that generate <br /> in any month more than 1 kilogram of acutely hazardous waste (AHW), or more than 100 kilograms of debris <br /> resulting from the spill of an AHW, or which treat hazardous waste onsite under the Permit by Rule (PBR) <br /> onsite treatment tier must also prepare a Contingency Plan. Many facilities that are required to prepare a <br /> Contingency Plan are already subject to Hazardous Materials Business Plan (HMBP)reporting requirements due <br /> to the quantities of hazardous materials/wastes they have onsite. Ifyouhave already prepared a Unidocs <br /> HMBP, or already have a plan which is equivalent in content to the Emergency Response/Contingency Plan <br /> module of the Unidocs HMBP, you have satisfied the Contingency Plan requirements, and are not required to <br /> complete the blank plan,below. <br /> This site-specific Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented <br /> immediately whenever there is an imminent or actual fire, explosion, or release of hazardous waste or a <br /> hazardous waste constituent which could threaten human health and/or the environment. At least one copy of <br /> the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the <br /> local agency. A copy of the plan and any revisions must be provided to any contractor, hospital, or agency with <br /> whom special (i.e. contractual) emergency services arrangements have been made (see Section E, below). <br /> A. Facility Information: <br /> BUSINESS NAME BUSINESS PHONE. <br /> FLYING J TRAVEL PLAZA (209) 599-4141 <br /> SITE ADDRESS CITY ZIP CODE <br /> 1501 NORTH JACK TONE ROAD RIPON 95366-9500 <br /> B. Emergency Coordinators: <br /> All personnel qualified to act as the facility's Emergency Coordinator must be listed in this plan. (Note: <br /> Emergency Coordinator responsibilities are described in Section F, below) If more than two people are <br /> qualified, list the names, titles, business and 24-hour telephone numbers, and pager numbers of the additional <br /> qualified individuals on an attached page in the order in which they will assume responsibility as alternates,then <br /> check the box beneath the Emergency Coordinator information table, below, and indicate the list's page number <br /> in the space provided. <br /> Primary Emergency Coordinator Secondary Emergency Coordinator <br /> NAME NAME <br /> Edna Arandia Ricardo Buenrostro <br /> TITLE TITLE <br /> General Manager Facility Manager <br /> BUSINESS PHONE BUSINESS PHONE <br /> 209 599-4141 209 599-4141 <br /> 24-HOUR PHONE 24-HOUR PHONE <br /> 209 388-8515 209 996-6059 <br /> PAGER# PAGER# <br /> ❑ (Check box only if applicable)Additional Emergency Coordinators are listed on page of this plan. <br /> C. Evacuation Plan: <br /> 1. 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(specify PA System <br /> UN-017-1/6 www.unidoes.org Rev.03/27/08 <br />