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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) : CIL <br /> 1 . VERBAL WARNINGS ; E] 2 . PUBLIC ADDRESS OR INTERCOM SYSTEM; W . TELEPHONE; <br /> ❑ 4. PAGERS ; . ALARM SYSTEM; 6 . PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY (Check all that apply) : cit. <br /> 0 1 . VERBAL WARNINGS ; ❑ 2 . PUBLIC ADDRESS OR INTERCOM SYSTEM; 0 3 . TELEPHONE; <br /> ❑ 4. PAGERS ; ❑ 5 . ALARM SYSTEM; ❑ 6 . PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACT INFORMATION: 4 c13 . <br /> PRIMARY EMERGENCY COORDINATOR NAME : C4 v I®,S .& 1 � HONE NO . : <br /> ALTERNATE EMERGENCY COORDINATOR NAME: t � crcl M; , t PHONE NO . : t 94t5 - 2ONE 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 spills and preventing and mitigating releases, fires and/or explosions . <br /> D1 . <br /> 5a 1 . MONITOR FOR LEAKS , RUPTURES , PRESSURE BUILD -UP, ETC. ; <br /> ❑ 2 . PROVIDE STRUCTURAL PHYSICAL BARRIERS (e. g. , Portable spill containment walls, built-in berms) ; <br /> ❑ 3 . PROVIDE ABSORBENT PHYSICAL BARRIERS (e . g. , Pads , spill pigs, spill pillows) ; <br /> ® 4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS ; <br /> ❑ 5 . LINED TRENCH DRAINS AND/OR SUMPS , <br /> ❑ 6 . AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> [:174 ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS ; <br /> ❑ 8 . STOP PROCESSES AND/OR OPERATIONS ; <br /> ❑ 9 . AUTOMATIC / ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> 10 . SHUT OFF WATER, GAS , ELECTRICAL UTILITIES ; <br /> 11 . CALL 9- 14 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 /> ❑ 18 . VACUUM SUCTION USING APPROPRIATE VACUUM (e. g. , Intrinsically safe) FOR SPILL CONTROL AND/OR CLEANUP ; <br /> [9-19 . 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 /> Dz. <br /> F121 . OTHER (Specify) : <br /> E <br /> E . FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNALS) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply) : E1 . <br /> ❑ 1 . BELLS ; E2, <br /> 2 . HORNS/SIRENS ; <br /> 3 . VERBAL (i . e., Shouting) ; <br /> ❑ 4. OTHER (Specify): <br /> THE FOLLOWING LOCATIONS) WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S) (e.g. , Parking lot, street corner) : E3 . <br /> Note: The Emergency Coordinator must account for all onsite employees and visitors after evacuation. <br /> EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS : E4. <br /> 1 . WRITTEN PROCEDURES DESCRIBING ROUTES , EXITS, AND ASSEMBLY AREAS ; <br /> . EVACUATION MAP(S ) DEPICTING ROUTES , EXITS , AND ASSEMBLY AREAS ; <br /> 3 . OTHER (Specify) : E5 . <br /> Note : Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan. <br /> i <br /> F . ARRANGEMENTS FOR EMERGENCY SERVICES <br /> ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES (Check one of the following) : Fl . <br /> al . HAVE BEEN DETERMINED NOT NECESSARY; <br /> ❑ F2. <br /> 2 . THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify) : <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 />