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CALIFORNIA ENVIRONM,NTA.L REPORTING SVSTIgM(CF IIS) CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN Prior to completing this Plant,pfeuse refer to tale INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCY PLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW FACILITY 1D# CERS ID hi• DATE OF N T PARATION(REVI.S[ON Az. F Igo �-a3 a� o t ti rs -7 BUSINESS NAME(Same as Facility Name or DBA-Doing Business AT BUSINESS SITE ADDRESS (` , i ti las. 13US1NES SITZ;CITY �] {/t/ W 2� G!� i 104. ZIP CODE los. 6A't CA qEaq TYPE OII��F BUSINESS(e.g.,Painthrg Contractor) A3. INCIDENTAL OPERATIONS(e.g.,Fleet Maintenance) A4_ &w i-►1 TATS PLAN CO CHEMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING_ (Check all that apply) A5 ® 1.HAZARDOUS MATERIALS;B"2.HAZARDOUS WASTES R. INTERNAL RESPONSE INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA_(Check all that aFPIY) L CALLING PUBLIC EMERGENCY RESPONDERS(i-e.,9-1-1) 91. 2.CALLING HAZARDOUS WASTE CONTRACTOR l ❑3.ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTIFICATIONS Whenever there is an imminent or actual emergency situation such as an explosion, We,or release,the Emergency Coordinator(or his/her designee when the Emergency Ceor&mtor is on call)shall: I. Activate internal facility alarms or communications systems,where applicable,to notify all facility personnel. 2.Notify appropriate local authorities(Le.,call 9,1-1). 3.Notify the California Emergency Management Agency at(800)852-7550, Before facility operations arc resumed in areas of the facility affected by the incident;the emergency wordinator shall notify rile Califomia Department of Toxic Substauces Control(DISC),the local Unified Program Agency(UPA),and the local fire department's hazardous materials program that the facility is in compliance with rcquirements 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 cleanupprocedures are completed, INTERNAL FACIT.ITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA_(Check all(lint apply) Cl. 9'1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑4.PAGERS; �3.TELEPHONE; ❑5.ALARM SYSTEIv1 Q b.PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAYBE AFFECTED BY AN OFF-SITE RELFASE WILL OCCUR gy;(Check aft that apply) Cz. ,R I.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; 3.TELEPHONE; ❑4.PAGERS; ❑5.ALARM SYSTEM; F-1 S.PORTABLE RADIO EMERGENCY RESPONSE A1ufI3ULANCE,FIRE,POLICE AND CHP. ......... PHONE NUMBERS: ..................... 9-1-1 CALri?()RNIA EMERGENCY MANAGEMENT AGENCY(CALIEMA)...................... (800)852-7550 NATIONAL RESPONSE CENTER(NRC)..........._ (800)424-8802 POISON CONTROL CENTER........... (800)222-1222 CAL UNIFIED PROGRAM AGENCY UPA/CUPA ........... S ............... •- OTHER(Specify):�- ct. Cs NEAREST MEDICAL FACILITY/HOSPITAL NAME: p�,J � T- c�. AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES CONTROL(D'I'SC) .... (916 255-3545 REGIONAL WATER QUALITY CONTROL BOARD................. U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800 300-2193 CALIFORNIA DEPT OF FISH AND GAME(©FG).................... (916)3558-2900 U.S.COAST GUARD.................. ..... (202)267-2180 CA UOSI-IA......................•- (916)263-2800 STATE FIRE MARSHAL ................... X916)445-8200 OTHER(Specify): ...__.- CIO. OTHER S eci ); cut. Ciz, Rev,06/27/11 3