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r CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM(CEMS) CONSOLIDATED EMERGENCY RESPONSE I CONTINGENCY PLAN Prior to eonvk ft d*Plmr,pkaor n*to dw IAWRU 770M FOR COMPLETING.1 CONSOMDAM CONTINGENCY PLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW FACILITY ID 1E " CERS ID AL DATE OF PLAN PREPARATION/REVISION Al 1 01010 418 M 51 1�1 sDSnS_ ?121 X2020 BUSINESS NAME(Some as FacilrryName or DBA-Doing Business As) 3' Flag City Chevron BUSINESS SITE ADDRESS 10� 6421 Capitol Avenue BUSINESS SITE CITYto ; ZIP CODE res. Lodi 7 1 CA 195242 iTYPE OF BUSINESS(e.g..Painhq Contrac lor) - - 'U INCIDENTAL OPERATIONS(e.g Fled Maintenance) A4 Gas station THIS PLAN COVERS CIREMICAL SPILLS.FIRES,AND EARTHQUAKES INVOLVING: (Chock all that apply) As. ® 1.HAZARDOUS MATERIALS; px 2.HAZARDOUS WASTES B. INTERNAL RESPONSE INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) Ht n 1.CALLING PUBLIC EMERGENCY RESPONDERS(Le.,9-14) ❑2.CALLING HAZARDOUS WASTE CONTRACTOR 3-ACTIVATING IN-HOUSE EMERGENCY RESPONSE TRAM C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTMCATIONS Whm=cr there is an iamtirtamt or wtW emergency utuatian such as an explosion, fire, or release, the Emergatwy Coordinator(or hiaAw desigkta when the Emergency CoordioW is on=11)shall: 1. Active*inkrol facility aimns or communications systems.where applicable,to notify all facility pefsomel. I Notify appropriate local authorkics ox"call 9-1-1). 3.Notify the Caldbmia Emergency Manseemerrt Agency at(800)832-7550. Before faclikyy ops'tions are resumed in areae of the facility affected by the incident, the cnxgpaey aoordinaiot"I notify the Califomis Dcpattment of Toxic Substances Control MTSC),the local Unified Program Agency(UPA).nod the kcal foo dcpertment's havardous materials progrAm that the facility is in coniplimm wi&requirements 1o: 1.Provide for proper storage and disposal of recovered waste,conhirninated soil or surface water,or any other material that results Eros an explosion,fire,or release at the facility;and 2.Ensure that no material that is incompa ft with the releaacd rr awiel is transferred,snored,or disposed of in areas of the facility affected by the incident uatil ck_anup prod aro complated. rINTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Check all that apply) C t ®1.VERBAL WARNINGS; ❑2.PUBLIC ADDRM OR INTERCOM SYSTEM; [33.TELEPHONE; ❑4.PAGERS; ❑S.ALARM SYSTEM; _ El 6.PORTABLE RADIO NOTIFICATIONS TO NE10E®ORiNO FACILITIES THAT MAY BE AFFECTED BY AN OFF-STM RELEASE WILL OCCUR BY:(Chock all that apply) C2 ®1.VERBAL WARNINGS; ❑1 PUBLIC ADDRESS OR INTERCOM SYSTEM; )]3.TELEPHONE; ❑4.PAGERS; ❑5.ALARM SYSTEM; Cl 6.PORTABLE RADIO EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CHP.............................................. 9-1-1 PHONE NUMBERS: CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CAL W A)...................... (800)852-7550 NATIONAL RESPONSE CENTER(NRc)........................... (Boa)42443802. POISON CONTROL CENTER........................................................_S_W)222-1222 LOCAL UNIFIED PROGRAM AG Y A/CUPA -( 209 ) 468-342(? OTHER(Specify): c:. NEAREST MEDICAL FACILITY/HOSPITALAME:NLodi Memorial Hosipita} 4' L209) 334-3411 AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES CONTROL(DISC) .... 916 255-3545 REGIONAL WATER QUALITY CONTROL BOARD................. (530)224-4845 p' U.S.ENVIRONMENTAL PROTWn0N AGENCY(US EPA)........... (800)300-2193 CALIFORNIA DEPT OF FISH AND GAME(DFG).................... (916)358-2900 U.S.COAST GUARD............................................. (202)267-2180 CAL"HA..................................................... (916)263-2800 STATE FIRE MARSHAL . (91)445-8200 OTHER(Specify): cCta OTHER :� Cu. L C12. Rev.06127n1