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gency Plan Consolidated .- ~.~"~,~ , HazarclOUS Material Division woste&Undprground Storage Tanks FACILITY IDENTIFICATION BUSINESS NAME FACILITY ID# DATE Jiffy Lube Store #2322 1/20/2014 EMERGENCY COMMUNICATIONS/ PHONE NUMBERS/ NOTIFICATIONS Internal&External Emergency Communications Individual responsible for on-site and off-site emergency alarm notifications/communications: Name/Position: General Manager check all that apply: INTERNAL facility emergency communications or verbal warnings public address or intercom system alarm notification will occur via: telephone pagers E] alarm system check all that apply: EXTERNAL notifications/communications to neighboring facilities that may be affected by an off- Z verbal warnings E] public address or Intercom system telephone pagers site release will occur by: E] alarm syste portable radio —T—Emergency Phone Numbers I Notification Lists I Ambulance,Fire,Sheriff&CHP 911 209-468-3420(Sam-5pm) Emergency response phone numbers San Joaquin County Hazardous Materials Division .........................— 209-468-3420(24 hour number) Poison Control Center 1-800-876-4766 Nearest medical facility/hospital Name:Lodi Memorial Hospital 975 Fairmont Ave.Lodi Phone#: 209-334-3411 Your medical facility I hospital Name:Lodi Urgent Care 845 S. Fairmont Ave. Phone#:209-339-7441 CA Dept of Toxic Substances Control 1-916-255-3545 CA Office of Emergency Services 1-800-852-7550 CA Water Quality Control Board,Central Valley Region 1-916-25153-3000 US Environmental Protection Agency(US EPA) 1-800-300-2193 Agency Notification Phone List National Response Center 1-800-424-8802 CA Dept of Fish&Game 1-916-358-2900 US Coast Guard(spill response) 1-202-267-2180 Cal OSHA 1-916-263-2800 State Fire Marshall 1-916-445-8200 Other Important Numbers Neighbor Notification List List all businesses structures bordering Wor adjacent to your facility: at I Business name: at Business name:Lodi Seventh-Day Adventist School Residential northern address: 1240 S.Central Ave.Lodi,CA.95240 southern address: border: phone#: 209-368-5341 phone#: contact name I position: School Office contact name I position: 29 at Business name:Pep Boys Auto Parts at Business name:Concilio Cal Works .s address:498 E.Kettleman Lane easter dd s: 1401 S.Cherokee Lodi,CA.95240 western phone#: border: phone#:209-365-0175 border: contact name I position:Store Manager contact name/position:Property Manager '^^^~~`^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~^~~^~^~^~^~^^^~^^^~^^^~^~^~^^^~^~^~^~~~^~^~^~^~^~^~^~^~^~^~^^^`^ PuReCP 2: Emergency coin mLin ioaUnns. Phone#n &Notification lists