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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN Prior to compleling this Plan. please refer to the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCY PLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW FACILITY iD # /"� 2 / ry�ICERS ID # A2. DATE OF PLAN PREPARATiON/REVTSTONA3. l� l./00I ICJ dO� CAL FiRE OFFICE OF THE STATE FIRE MARSHAL (OSFM) ....... (MM/DD/YYYY)5— BUSINESS NAME (Same as Facility Name or• DBA - Doing Business As) A4. i cs _ �CIO. BUSINESS SiTE A DRESS 45. ai3©p p4tA4-o )r s+If � 1� BUSINESS SiTE CiTY A6.ZIP Rev. 03/07/17 Page 1 of 4 CODE A7. �1 r �c CA q s 30 TYPE OF BUSINESS (e.g., Painting, Contractor) A8. INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) A9. I1 SIV THiS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING (Check all that apply): AN). 1. 11AZARDOUS MATERIALS; X2. HAZARDOUS WASTES t B. INTERNAL RESPONSE INTERNAL I-ACiLiTY EMERGENCY RESPONSE WiLL OCCUR BY (Check all that apply): I. CALLING PUBLIC EMERGENCY RESPONDERS (e.g., 9-1-1) 2. CALLING HAZARDOUS WASTE CONTRACTOR ❑ 3. ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM C. EMERGENCY COMMUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS In the event ofan emergency involving hazardous materials and/or hazardous waste, all facilities must IMMEDIATELY: 1. Noti I•y facility personnel and evacuate if necessary in accordance with the Emergency Action Plan (Title 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 or dispose of hazardous 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 lacility 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 any calendar month. 2. Title 22 California Code of Regulations §66265.196. Response to Leaks or Spills and Disposition of Leaking orUnfit-for-Use Tank Systems. 3. Title 40 Code of Federal Regulations §302.6. Notification requirements for a release of a hazardous substance equal to or greater than the reportable quantity. 4. Title 22 California Code of Regulations §66262.34(4)(2) and Title 40 Code of Federal Regulations §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 incident, the Emergency Coordinator shall notify the local UPA and the local fire department's hazardous materials program, if necessary, that the facility is in compliance with requirements to: 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 the facility'and 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 cleanup procedures are completed. t EMERGENCY RESPONSE AMBULANCE, FiRE, POLICE AND CHP .............................................. 9-1-1 PI IONE NUMBERS: CALIFORNIA STATE WARNING CENTER (CSWC)/CAL OES............................ (800) 852-7550 NATIONAL RESPONSE CENTER (NRC) .............................................. (800) 424-8802 POISON CONTROL CENTER........................................................ (800) 222-`1222 LOCAL UNIFIED PROGRAM AGENCY (UPA)................................. ...... . ---20-7--®---20-7--% 65 3�/ 26 1 c. ct. OTHER (Specify): �^ '2(lp �.t% ��/-A.,k- P 12J 'r C� �T� C5. i /� /� I NEAREST MEDICAL FACILITY /HOSPITAL NAME: 1 I Ae M f et e�� [ �1P / , �. `7 I �AGt�, %'teA4 Pa. L AGENCY NOTIFICATION PHONE NUMBERS: 1 y 1 - r i -.,3,p y CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) .... REGIONAL WATER QUALITY CONTROL BOARD (RWQCB)........ V --r-qL (916)255-3545 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 (OSFM) ....... .. (916) 323-7390 OTHER (Specify): i cs _ �CIO. OTHER (Specify): c9. I Rev. 03/07/17 Page 1 of 4