Laserfiche WebLink
CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM(CERS) <br /> CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br /> CN <br /> Prior to completing this Plan,please refer to the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCYPLAN <br /> A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br /> FACILITY ID# t• CERS ID At- DATE OF PLAN PREPARATION/REVISION Al <br /> FA0000493 l Q'(8755055 11/3/2019 <br /> BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) 3. <br /> GRAB N GO PLAZA <br /> BUSINESS SITE ADDRESS 103. <br /> 25460 SCHULTE RD <br /> BUSINESS SITE CITY104 ZIP CODE toy. <br /> TRACY CA 95377 <br /> TYPE OF BUSINESS(e.g.,Painting Contractor) INCIDENTAL OPERATIONS(e g.,Fleet Maintenance) A4. <br /> Gasoline Service Station 7 <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 /> INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) Bl. <br /> 0 1.CALLING PUBLIC EMERGENCY RESPONDERS(i.e.,9-1-1) <br /> ❑2.CALLING HAZARDOUS WASTE CONTRACTOR <br /> ®3.ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br /> C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTIFICATIONS <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 /> Emergency Coordinator is on call)shall: <br /> 1.Activate internal facility alarms or communications systems,where applicable,to notify all facility personnel. <br /> 2.Notify appropriate local authorities(i.e.,call 9-1-1). <br /> 3.Notify 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 shalt 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 is in compliance <br /> with requirements to: <br /> 1.Provide for proper storage and disposal of recovered waste,contaminated soil or surface water,or any other material that results from 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 the facility affected by the incident until <br /> cleanup procedures are completed. <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Check all that apply) Cl• <br /> ®1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ®3.TELEPHONE; <br /> ❑4.PAGERS; ®5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY:(Check all that apply) C2 <br /> 1.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 CHP.............................................. 9-1-1 <br /> PHONE NUMBERS: CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CAL/EMA)...................... (800)852-7550 <br /> NATIONAL RESPONSE CENTER(NRC)............................................. (800)424-8802 <br /> POISON CONTROL CENTER........................................................_80�_02-1222 <br /> LOCAL UNIFIED PROGRAM AGENCY(UPAICUPA)......................��.... (209)468-34'20 C3. <br /> _ C4. C5. <br /> OTHER(Specify): <br /> NEAREST MEDICAL FACILITY/HOSPITAL NAME: Alta Bates Hospitl Highlan <br /> ad Medical Center C6 (510)2041626 <br /> AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES CONTROL(DISC) .... 916 255-3545 <br /> REGIONAL WATER QUALITY CONTROL BOARD..................` (510)622-2300 Cs. <br /> U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800)300-2193 <br /> CALIFORNIA DEPT OF FISH AND WILDLIFE(CDFW)............... (916)358-2900 <br /> U.S.COAST GuARD............................................. (202)267-2180 <br /> cAL/osHA..................................................... (916)263-2800 <br /> STATE FIRE MARSHAL ......................................... (916)445-8200 <br /> C9. C10. <br /> OTHER(Specify):v <br /> CIL ± C12. <br /> OTHER(Specify): <br /> Rev.06/27111 <br />