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CERS Consolidated Emergency Response/Contingency Plan <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): ell. <br /> ® 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ®3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAYBE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY(Check all that apply): C12• <br /> ❑ 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ®3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACT INFORMATION: ` C13. <br /> PRIMARY EMERGENCY COORDINATOR NAME: M 1Kt_`.ZLLr-\k 1�y PHONE NO.: ?WR-GO1-476PHONE NO.: <br /> ALTERNATE EMERGENCY COORDINATOR NAME.,5Af- A A4)"" SO/U PHONE NO.: ;LO°I-3Q-13-9 PHONE NO.: <br /> ❑Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: <br /> Note:If more than one alternate emergency coordinator is designated,attach a list in order of responsibility. <br /> D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br /> Check the applicable boxes to indicate your facility's procedures for containing ills and preventingand mitigating releases,fires and/or explosions. <br /> r)t. <br /> ® 1. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; <br /> 02. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containment walls,built-in bums); <br /> ❑3. PROVIDE ABSORBENT PHYSICAL BARRIERS(e.g.,Pads,spill pigs,spill pillows); <br /> ❑4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; <br /> 05. LINED TRENCH DRAINS AND/OR SUMPS; <br /> [16. AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> ❑7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br /> 98, STOP PROCESSES AND/OR OPERATIONS; <br /> 99. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> ❑ 10.SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; <br /> ® 11.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> 12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br /> ❑ 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br /> ❑ 14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br /> ❑ 15.REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br /> 16.HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> ❑ 17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; <br /> ❑ I&VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP; <br /> 19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; <br /> 20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; <br /> ©21.OTHER(Specify): <br /> 02. <br /> E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): E1. <br /> ❑1. BELLS; E <br /> ❑2. HORNSISIRENS; <br /> 3. VERBAL(i.e_,Shouting); <br /> ❑4. OTHER(Specify): <br /> TETE FOLLOWING LOCATION(S)WILL BE USED FOR. EMERGENCY ASSEMBLY,ARBA(S)( g.,Parking lot,street can&r): E3. <br /> �'�on - a�� twC5+ o✓� S�C)e �.�1�� %%43 Cri Vii V, r���"�cf�U►� <br /> Note:The Emergency Coordinator must account for all onsite a to ces and visitors after evacuation. <br /> EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: <br /> 1.WRITTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> ®2.EVACUATION MAP(S)DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> ❑3. OTHER(Specify): es. <br /> Note:Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan. <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES <br /> ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of the following): tt. <br /> ❑1. HAVE BEEN DETERMINED NOT NECESSARY; <br /> 2. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify):Meet With Fire Department on Site annually F2. <br /> Note:Advance arrangements with local fire and police departments,hospitals,state and local emergency response teams,and/or emergency services <br /> contractors should be made for your facility,if necessary_ Large Quantity Generators must describe arrangements in the Contingency Plan. <br /> Rev.03/07/17 Page 2 of 4 <br />