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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM(CERS) CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN Prior to completing Nis Plan,pleaserj le the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCYPLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW FACR.ITYID# t CFRSID# Az. DATEOFPLAN PREPARATIONIREVISION As. 1 S7 (MMIDD/YYYY) ( I BUSINESS NAME(Same as Facility Name ar DBA-Doing Business As) At. n BUSINESS SITE ADDRESS As. -1Rb1 ar BUSINESS SITE CITY As. ZIP CODE A]. CA 4S2oa TYPE OF BUSINESS(e.g.,Painting Commover) As. INCIDENTAL OPERATIONS(e.g.,Fleet knobs since) A9. f Ck' r, THIS PLAN COVERS C EMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING(Check all that apply): An. L HAZARDOUSMATERIALS,'[+] 2.HAZARDOUS WASTES B. INTERNAL RESPONSE INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR BY(Check all that apply} ori. 1.CALLING PUBLIC EMERGENCY RESPONDERS R.g.,9-1-1) ❑2.CALLING HAZARDOUS WASTE CONTRACTOR 3.ACTIVATING IN-HOUSE EMERGENCYRESPONSE TEAM C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND,NOTIFICATIONS To the event of so emergency involving hazmdous materials and/or haurdous waste,all facilities must IMMEDIATELY: 1.Notify facility persomel and evacuate if necessary in accordance with the Emergency Action Plan(Tide 8 California Code of Regulations§3220); 2. Notify local emergency responders by calling 9-1-1; 3.Notify the local Unified Program Agency(UPA)at the phone number below;and 4. Notify the State Warning Center at(800)852-7550. Facilities that generate,treat,store c r dispose of bazardous waste have additional responsibilities to notify and coordinate with other response agencies.Whenever there is an imminent or actual emergency situation such as an explosion,fire,or release,the Emergency Coordinator must follow the appropriate requirements for the category of facility and type of release involved: 1. Title 22 California Code of Regulations§66265.56.Emergency Procedures for generators of 1,000 kilograms or more of hazardous waste in aay calendar month. 2. Title 22 California Cade of Regulations§66265.196.Response to Lacks or Spills and Disposition of Leaking or Unfit-for-Use Ford,Systems. 3. Title 40 Code of Federal Regulations§302.6.Notification requlremeMs for a release of a launders substance equal to or greater than the reportable quantity. 4.Title 22 Califnmia Code of Regulations§66262.34(d)(2)and Tide 40 Code of Federal Refuted.,§262.34(d)(5)(ii)for generators of less than 1000 kilograms of hazardous waste in any calendar month. Following notification and before facility operations are resumed in areas of the facility affected by the incidem,the Emerge ry Coordinator shall mlify the Inial UPA And the local two deportment's hazardo smderials program,if necessary,that the facility is in compliance with requirements to: 1. Provide for proper storage and disposal ofineovcre t waste,contaminated soil or surface water,or any other material that romIN from an explosion,fire,or release at the facility;and 2. Ensure that no material that is incompatible with the released material isnansf mid,stored,or disposed of in areas ofthe facility affected by the incident until cleanup procedures are completed. EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CHP._........................................... 9-1-1 PHONE NUMBERS: CALIFORNIA STATE WARNING CENTER(CSWC)ICAL OES............................ (800)852-7550 NATIONAL RESPONSE CENTER(NRC).............................................. (800)424-8802 POISON CONTROL CENTER........................................................ 800 222-1222 LOCAL UNTIED PROGRAM AGENCY(UPAI._...... .. .. (209)468-3420 ct q�aryry/g �OTHER(Specify): u� `Yd74A'44L�nF$5&�irt cfbLR . ... s � G. (2u9) Ll GS Say..To>q„ rn Ger-.c.,.l Nem r'�a,l (.8. 6Wv AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES CONTROL ETSC) .... 916 255-3545 �. REGIONAL WATER QUALITY CONTROL BOARD(RWQCH)........ Q I b 1 U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800)300-2193 CALIFORNIA DEPT.OF FISH AND WILDLIFE(CDFW)...... ........ (916)358-2900 U.S.COAST GUARD(USCG)..................................... (202)267-2180 CAL OSHA..................................................... (916)263-2800 CAL FIRE OFFICE OF THE STATE FIRE MARSHAL (916 323-7390 8. OTHER(gpecrTy) OTHER(Specify): -._ -. - - C, cm.