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CERS ConWhdated Ernergenc) Response i Contingency flan INTERNAL FACILITY EMERGENCY CONIMUNiCAT1ONS OR ALARA{NOTIFICATION WILL OCCUR BY(Check all that apply} cli l VERBAL WARNINGS. ❑2 PUBLIC ADDRESS OR INTERCOM SYSTEM; 3 TELEPHONE: ❑4 PAGERS; ❑5.ALARM SYSTEM: ❑b.PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAYBE AFFECTED BY AN OFF SITE RELEASE WILLOCCUR BY(Check all that apply). t'- ❑I.VERBAL WARNINGS, ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM, ©3.TELEPHONE; ❑4_PAGERS; ❑5-ALARM SYSTEM; ❑6 PORTABLE RADIO C13. EMERGENCY COORDINATOR CONTACT INFORMATION: PRIMARY EMERGENCY COORDINATOR NAME: (�"14V(4 ia'o(�,�+t PHONE NO.: glf,0I 6SSZarPHONE NO.. � ALTERNATE EMERGFNCY COORDINATOR NAME. >vL-4�arA PHONE NO.: 9>a O$3APHONE NO.: ❑Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: Note:If more than one alternate emergency coordinator 1s designated,attach a list in order of respotimbtlity. D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check the applicabeboxestoindicaleyour facility's procedures for containin ills and rel entin and mitt sting releases,fires andlor ex lesions- `ri IMI. NJONETOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; 02. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containment walls,built-in berms); ❑3. PROVIDE ABSORBENT PIJYS1CAL BARRIERS(e.g.,Pads.spill pigs,Will pillows); (X 4. COVER OR BLOCK FLOOR ANDIOR STORM DRAINS. ❑S. LINED TRENCH DRAINS ANDIOR SUMPS, [:16 AUTOMATIC FIRE SUPPRESSION SYSTEM. 7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; (�S. STOP PROCESSES AND OR OPERATIONS; 9. AUTOMATIC i ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; 10_SHUT OFF WATER.GAS,ELECTRICAL UTILITIES: 11,CALL 9-1-1 FOR PUBLIC EMFRGENCY RESPONDER ASSISTANCE ANIDIOR MEDICAL AID; 12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED ANID+OR IMPACTED AREAS: 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION, ❑14.PROS IDE PROTECTIVE EQUIpMENT FOR ON-SITE EMERGENCY RESPONSE TEAM, ❑15.RENJOVE CONTAINI=RS ANWOR ISOLATE AREAS; 16.HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; 17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; 18,VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL AND-OR CLEANUP; TNEL AND❑ 19.PROVO DSAS FNATE PERSONE TEMPORARY STORAGE OF 1IAZARDO S WASTE GENERATED DURING EMERGENCY ACTIONSEUIPMENT WITHIN DESlCjNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; D2- g2I OTHER(Specify): E. FACILITY EVACUATION El. I FF-:.F::�',ISNG�ALAP-'A�S,I.GNAL(�SI OLLOWILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): � III1 1. BELLS;2HORNSIIRENS.3. VERBA (i.e.,Shouting []4. OTHER(S eeifv): 711£FOLLOl%'ING LOCATIONS)WILL BE USED FOR.AN EMERGENCY ASSEMBLY AREA(S)(C,9,Parking,h-t.+meet wrner). PARui� AreA b1 6 r .- ciy% Note:The Emcr en Coordinator must account for all onsite em to es and visitors after evacuation. E4 EVACUATION ROUTE 5 AND ALTERNATE EVACUATION ROUTES ARE DESCRIQED AS FOLLOWS: ❑1.WRITTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; [12,EVACUATION MAPS)DEPICTING ROUTES.EXITS,AND ASSEMBLY AREAS, Es ®3. OTHER(Specify): M*? V&MAL► Note:Evacuation Procedures and�ar maps should be posted in risible facility locations and must be included in the Contingency Plan, F. ARRANGEMENTS FOR EMERGENCY SERVICES fl F1. 4AVE RRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one or the following): BEEN DETERMINED NOT NECESSARY; fl- THE =THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify): Note:Advance arrangements with local fire and police departments,hospitals,elate and 10ca1 emergency response teams,andlor emergency sen ices contractors should be made for your facility,if necessary. Large Quantity Generators must describe arrangernents in the Contittgericy Plan. Ile..o3)a7r 17 Page 2 of 4