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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) <br />CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br />Prior to completing this Plan, please refer to the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCYPLAN <br />FACILITY ID # <br />I <br />CERS ID # A2. <br />DATE OF PLAN PREPARATION/REVISION <br />A3. <br />(MMIDD/YYYY) <br />BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) <br />A4. <br />B1 SINESS SITE DRESS <br />A5. <br />"1 <br />BUSINESS SITE CITY VA6. <br />ZIP CODE <br />AT <br />CA G � -3 7 � <br />TYPE OF BUSINESS (e.g., Painting Contractor) Al INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) <br />COL <br />A9. <br />THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING (Check all that apply): <br />A10 <br />❑ 1. HAZARDOUS MATERIALS; QV2. HAZARDOUS WASTES <br />INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR BY (Check all that apply): <br />E31. CALLING PUBLIC EMERGENCY RESPONDERS (e.g., 9-1-1) <br />❑ 2. CALLING HAZARDOUS WASTE CONTRACTOR <br />BI <br />[] 3. ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br />In the event of an emergency involving hazardous materials and/or hazardous waste, all facilities must IMMEDIATELY: <br />1. Notify facility personnel and evacuate i€necessary in accordance with the Emergency Action Plan (Title S California Code of Regulations §3220); <br />2. Notify local emergency responders by calling 9-1-1; <br />3. Notify the local Unified Program Agency (UPA) at the phone number below; and <br />4. Notify the State Warning Center at (800) 852-7550. <br />Facilities that generate, treat, store or dispose of hazardous waste have additional responsibilities to notify and coordinate with other response agencies. Whenever there <br />is an imminent or actual emergency situation such as an explosion, fire, or release, the Emergency Coordinator must follow the appropriate requirements for the category <br />of facility and type of release involved: <br />1. Title 22 California Code of Regulations §66265.56, Emergency Procedures for generators of 1,000 kilograms or more of hazardous waste in any calendar month. <br />2. Title 22 California Code of Regulations §66265.196_ Response to Leaks or Spills and Disposition of Leaki" or Unfit -for -Use Tank Systems. <br />3. Title 40 Code of Federal Regulations §302.6. Notification requirements for a release of a hazardous substance equal to or greater than the reportable quantity. <br />4. Title 22 California Code of Regulations §6626234(d)(2) and Title 40 Code of Federal Regulations §262.34(d)(5)(ii) for generators of less than 1000 kilograms of <br />hazardous waste in any calendar month_ <br />Following notification and before facility operations are resumed in areas of the facility affected by the incident, the Emergency Coordinator shall notify the local UPA <br />and the local fire department's hazardous materials program, if necessary, that the facility is in compliance with requirements to: <br />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 <br />the facility; and <br />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 cleanup <br />procedures are completed. <br />EMERGENCY RESPONSE AMBULANCE, FIRE, POLICE AND CHP .................................... I - . 9-1-1 <br />PHONE NUM$ERS: CALIFORNIA STATE WARNING CENTER (CSWC)ICAL OES.................... ....... (800) 852-7550 <br />NATIONAL RESPONSE CENTER (NRC).. _ . . ................ (800) 424-8802 <br />POISON CONTROL CENTER .. . .................................... ................ (800) 222-1222 <br />LOCAL UNIFIED PROGRAM AGENCY (UPA) ...... .................:................ . <br />- _. cz: C3. <br />OTHER (Specify): <br />NEAREST MEDICAL FACILITY / HOSPITAL NAME; <br />C4. <br />AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) .... (91 6 255-3645 <br />REGIONAL WATER QUALITY CONTROL BOARD (RWQCB). <br />U.S. ENVIRONMENTAL PROTECTION AGENCY (US EPA) ........... (800) 300-2193 <br />CALIFORNIA DEPT. OF FISH AND WILDLIFE (CDFW) ...... . ....... (916) 358-2900 <br />U.S. COAST GUARD (USCG) ... . .. . ............. . -- ........... (202) 267-2180 <br />CAL OSTIA .......................... . ............ . . . ... (916) 263-2800 <br />CAL FIRE OFFICE OF THE STATE FIRE MARSHAL (OSFM) ..... µ _µ .. (916) 323-7390 <br />OTHER (Specify): ! C7. I <br />OTHER (Specify): <br />Rev. 03/07/17 Page I of 4 <br />C9. ! C10. <br />