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INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): CH. 0 L VERBAL WARNINGS- ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; [13.TELEPHONE; ❑4.PAGERS; ❑5.ALARM SYSTEM; [16.PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY(Check all that apply): ct2- ❑ 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM, El 4.PAGERS: ❑5.ALARM SYSTEM: [3 3.TELEPHU ❑6.PORTABLE RADIO EMERGENCY CORE fNAT(:)R CONTACT INFORMATION: Rudy Laminero Cl;. PRIMARY EMERGENCY COORDINATOR NAME: Rudy Laminero PHONE NO.�O��-��_�cJ�43 PHONE NO.: ALTERNATE EM El' COORDINATOR NAME: Julie Tsutsumi PHONE PHONE NO.: ❑Check if addir.iuuil Enet'gency Coordinator contact and address information is available onsite or by calling PHONE NO.: Note:If more tha,.one aitaruaie emergency coordinator is designated,attach a list in order of responsibility. D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check the applic a+le boxes to indicate your facility's procedures for containing spills and preventing and mitigating releases,fires and/or explosions. _ Q __.1. MONITOR FOR La EKS,RUPTURES,PRESSURE BUILD-UP.ETC.; DI. ❑2. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containment walls,built-in berms); [13. PROVIDE-ABSORBENT PHYSICAL BARRIERS(e.g.,Pacts,spill pigs,spill pillows)., ❑4. COVER.OR BLOCK FLOOR_AND,,OR STORM DRAINS; ❑S. LINED TRrNCIT DRAINS AND'OR SUMPS; ❑6. AUTC)NrA' IC'F`k•E;SUPPRESSION SYSTEM: n 7. ELIiMTNA SC?T RCES OF IGNITION FOR FLAMMABLE-HAZARDS: ❑3. STOP PROC'L-SSES AND/OR OPERATIONS. ❑9. AUTOM,N IC i I[-ECTRONIC EQUIPMENT SHUT-OFF SYSTEM: ❑ 10.SHUT OFF N .T_R,CTAS,ELECTRICAL UTILITIES: Q 11.CALL 9-1-1 FOR P:;BLI:'EMERGEXC Y RESPONDER ASSISTANCE AND/OR MEDICAL AID. 12.NOTIrY,A":D EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; ❑ 14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; Q 15,REMOVE"'O_N'.ATNERS AND/OR ISOLATE AREAS, El 16.HIRE I-ICF.NSED HAZARDOUS WASTE CONTRACTOR; ❑ 17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; ❑ 1 S.VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP; ❑ 19.DEC(?NT.A.'vIIN.ATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; []20.PROVIDE:}AFT:TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; ❑21.OTHER(Specify): D'. E. FACILITY EVACUATION THE FOLLOWIiN 3 ALARM STGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): El. ❑ 1. BELLS: E'_. ❑2. HORNSISIFENS. Q 3. VERBAL(i.e..Shouting): ❑4. OTHER tS Ee L;,: TIS- OLo rr r a a.zn(s Orli IE.Usrrt�t�Aril _ ic�N E;. Burger King Parl mg L.-)t next door Note:The Emerao:cy Co-mlioa_tor must account for all onsite employees and visitors after evacuation. EVACUATION I<OT ITr AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: E4• ❑ L WRITTEN T•ROL'FDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; M 2.EVAC'UAT:JN MAP(S)DEPICTING ROUTES.EXITS.AND ASSEMBLY AREAS; ❑3. OTHER(Specify): E5. Note:Evacuation:_roce:::r.;and/Or maps should be posted in visible facility locations and must be included in the Contingency Plan. F. ARRANGEMENTS FOR EMERGENCY SERVICES ADVANCE 1.R R_.NG-_;vIENT'3 FOR LOCAL EiVER8ENC'Y SERVICES(Check one of the following): Ft. F-1 I. HAVE Bc.-.N )rTt•RD1lINED NOT NECESSARY; E12. THE ARRANGEMENTS HAVE BEEN MADE(Specify): F2. Note:Advancer ngemteuts with local fire and police departments.hospitals.state and local emergency response teams,and/or emergency services contractors shoulcs be nia_le for your facility.if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan. Ree.03/07/17 Page 2 of 4