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Consolidated Contingency Plan <br /> Hazardous Materials Division for Hazardous Materials,Hazardous Waste&Underground Storage Tanks <br /> FACILITY IDENTIFICATION <br /> BUSINESS NAMEFACILITY ID# DATE: <br /> Jiffy Lube Store #2322 1/20/2014 <br /> EMERGENCY EQUIPMENT <br /> List of available emergency equipment <br /> (check all that apply) <br /> Equipment Available Location Capability(as applicable) <br /> Example: <br /> 3portable fire extinguishers center of each wall in shop rated as"C" <br /> „ <br /> . ........... . ..........................._................ ................................ _......................._............................................................. <br /> Use Category 3 chemical protective gloves spill response kit ono-time use;oil&solvent resistant only <br /> Safety&First Aid chemical protective suits, aprons or <br /> vests <br /> Equipment .............................................__..._......._........_.-.-...--- - <br /> ® chemical protective gloves Employee Room/Lower Bay <br /> ------..._..._......._...------...... ...................................--- ---.............. <br /> chemical protective boots <br /> ® safety glasses/goggles/shields Lower Bay/Employee Room <br /> _®......__.._.........................................._...............................................-.............._......._._.__._..._...............................................__....__..._..._._.........— _...... .....p _._. <br /> ..........._.._._... _....................... <br /> hard hats Lower Bay Bum Caps <br /> __...................._.._.............._.__......_......_.... <br /> _ _ .- ...- —._...- ... _.. ..._.._ ..-.....--- _ <br /> ❑ cartridge respirator <br /> _ .._..................... _..... <br /> ._..._......_..---..— ----------------- <br /> _--- <br /> _._------ <br /> _---- <br /> _..-...._---- <br /> _........-. _-..-_..-................................................... ._.-. <br /> .................................. -_._. <br /> ❑ self-contained breathing apparatus <br /> -----...._.._.............._............................__..................._ _ - .-.._-..-..-.. ..._..._. ... —-- ..__........ -----.._..__......................_.... - -_...... <br /> ® first aid kits/stations Employee Room <br /> .._._.....__._._..__._...................................-.._..........._.. -— -------......_....__......_..................-..._.__...... _..._._.._...._...- ....__... _......-.--_......................------... <br /> ❑ plumbed eyewash fountain I shower <br /> ___..__...._.__.__..__._._..__.---.__..-._.._.-_-_.............-_---__......_.... __...._._.___._....._..._..._._.._ <br /> ® portable eyewash Station Employee Room/Lower Bay 18 Gal.Gravity Fed. <br /> other: <br /> ® portable fire extinguishers Upper&Lower Bay ABC TYPE <br /> FireExtinguishing ---........ ................_..................................�—_......----- -...-...._..............-.........................................----._......................._. <br /> rl fixed fire systems/sprinklers/fire hoses <br /> Equipment _. ................................................. _...- - <br /> ❑ fire alarm boxes or stations <br /> ❑ other: <br /> ® absorbent material Lower Bay 25 gallon cap.Spill Kit <br /> Spill Control &Clean- <br /> Up Equipment __..._..._...._._.--- -- --- ---...._._........______....... <br /> ® container for used absorbent Storage/Dumpeter Area 55 Gal.Container <br /> —......__...._......... <br /> ❑ berming/diking equipment <br /> ® broom Upper and Lower Bay <br /> ® shovel Compressor Room <br /> ® shop vac Lower Bay WeVDry Vacuum <br /> exhaust hood <br /> _.................__.._.......... <br /> emergency sump/holding tank <br /> cl chemical neutralizers <br /> ......................................._............... <br /> ..._... <br /> ❑ gas cylinder leak repair kits <br /> ® spill overpack drums Lower Bay 25 Gallon <br /> .............. ............. ..................--..__ _._....- ------- <br /> ❑ other: <br /> ® telephones(includes cellular) Cashierlemployee room/Upper <br /> Communications& _ ____............................................................................_._..---_...-........... _._.._ .. -----—__._ _ _ _.................._ <br /> E] Intercom/PA system <br /> AlarmSystem - -._................._......... ._.-----_---..__.._....._. ---._.-... -.------..__.____--.._.._-_--- _.....-__._.................__ __-. <br /> portable radios <br /> Equipment _........................_....—....--...................._._..---- .......... _ ---._.. -.......------- <br /> automatic alarm chemical monitoring <br /> equipment <br /> ..._........._......_.........................—_._......................................._...............................—._._.__._..-__._._.. _ ._..............._..-____._-...._.........._...._.......-------.— <br /> ❑ UST monitoring system operations <br /> manual <br /> .--- ---._.__...__..... ............_............ — _ - ...._........_._._- <br /> ® list of notification phone numbers Employee Room <br /> ® other: Cell Phones <br /> .. ........................ .............. .... .................................0..........0..0.....u... <br /> Page CP 4: .Emergency equipment listY <br />