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m cn10C-0m <br /> CD = 1Z N <br /> CD O N� <br /> v 0 K) C) <br /> m �� <br /> O CD N <br /> O_ roW <br /> � O � <br /> 0 N <br /> M <br /> (w <br /> _ (a o <br /> U) (D <br /> m <br /> onsolidated Emergency Response/Contingency Plan—Page 2 of 4 Rev.06t27/11 <br /> D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br /> SPILL PREVENTION,CONTAINMENT,AND CLEANUP PROCEDURES: (Check all boxes that apply to indicate your procedures for containing spills,releases, r <br /> fires orex losiens and.preventing and mitcoling associated harm to persons,property,and the environment) O <br /> Ell. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-ITP,ETC.; pl Q- <br /> E32 PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill conWrunent wells); n <br /> 03 PROVIDE ABSORBENT PHYSICAL BARRIERS(t g.,Pads,pigs,pillows); D <br /> [14. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; <br /> ❑5. BUB.T-IN BERM IN WORK ISTORAGE AREA; <br /> 196. AITFOMATIC FIRE SUPPRESSION SYSTEM; <br /> [9 7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS(e.g.Flammable liquids,Propane); <br /> ®S. STOP PROMS ES ANWOR OPERATIONS; <br /> f ❑9. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT--OFF SYSTEM; <br /> ❑10.SHUT-OFF WATER,GAS,ELECTRICAL UTILITIES AS APPROPRIATE; <br /> ®11.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE/MEDICAL AID; <br /> [rIJ 12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AREAS; <br /> Q 13.ACCOUNT FOR EVACUATED PERSONS naEDIATELY AFTER EVACUATION CALL, <br /> p 14,PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE RESPONSE TEAM; <br /> [r]15.REMOVE OR ISOLATE CONTAINERS/AREA AS APPROPRIATE; <br /> 0 T6.]ERE LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> 17.USE ABSORBENT MATERIAL FOR SPILLS WITH SUBSEQUENT PROPER LABELING,STORAGE,AND HAZARDOUS WASTE DISPOSAL AS <br /> APPROPRIATE; <br /> ❑18,SUCTION USING SHOP VACUUM WITH SUBSEQUENT PROPER LABELING,STORAGE,AND HAZARDOUS WASTE DISPOSAL AS <br /> APPROPRIATE; <br /> A ❑19-WASH/DECONTAMINATE EQUIPMENT W/CONTAINMENT and DISPOSAL OF EFFLUENT/RINSATE AS HAZARDOUS WASTE; <br /> x❑20.PROVIDE SAFE TEMPORARY STORAGE OF EMERGENCY-GENERATED WASTES; <br /> 0 2L OTHER(Spocify): <br /> - oa <br /> E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(CHECK ALL THAT APPLY) E I <br /> ❑I. BELLS; <br /> ®2. HORNS/SnIENS; <br /> 0 J. VERBAL(TE,SHOUTING); <br /> []4. OTT-iER S i <br /> TItE FOLLOWING LOCATIONS)IS/ARE EVACUEE EMERGENCY ASSEMBLY AREA(S Ea' <br /> )(i.e.,Front parking lot,specific street comer,etc.) Es <br /> Note:The Enter en Coordinator must account for all on site em fo ees and/or site visitors after evacuation_ <br /> 0 EVACUATION ROUTE MAP(5)POSTED AS REQiJIRED <br /> Note:The s must show rim E4 <br /> primary and alternate evacuation routes,emergency exits,and primary and altcmatc staging areas,and must be prominently posted <br /> throu hout the facili in focatiens where it will be visible to employees and visitors. <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES <br /> Explanation of Requirement;Advance arrangements with local fire and police departments,hospitals,and/or emergency services contractors should be made as <br /> appropriate for your facility.You may determine that such arrangements are----------- <br /> ADVANCE <br /> ntnecessaryADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of the following) <br /> 01. HAVE BEEN DETERMMD NOT NECESSARY,or Ft <br /> ❑2. THE FOLLOWING ARRANGEMENIS HAVE BEEN MADE(Specify)', Pz <br /> n � <br /> C SOD <br /> DQ <br /> I _ <br /> 2 � <br /> N <br /> N �] <br /> Q o <br /> m o <br /> N <n <br /> N 1 p] <br /> O I / , , , i :06A, (p <br /> (31 <br />