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CERS Consolidated Emergency Response/Contingency Plan INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): en, Qg 1.VERBAL WARNINGS: ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; off 3.TELEPHONE; ❑4.PAGERS; ❑5.ALARM SYSTEM; 0 6.PORTABLE RADIO 1NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY(Check all that apply): ci ay 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑3.TELEPHONE; ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO EMERGENCY COORDINATOR CONTACT INFORMATION: C moi/ as. PRIMARYEMERGENCYCOORDINATOR NAME: 111,COLc �EQG PH ONE NO.:��gqQ��O,�g7436gS+/ PHONE/`N0 7)" -1Z�Z- ALTERNATE EMERGENCY COORDINATOR NAME:/(QT/E 1�1 PHONE NORM 43 L'g'YT PHON4N "I) 403-9531- 0 Check ifadditional Emergency Coordinator contactand address informmion is availableensiteorbycalling PHONE NO.: Note:lfmore than one alternate emergency coordinator is designated,attach a list in order of responsibility. D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check the applicable boxes to indicate your facility', rocedure,forcontainin sills and .fn and inhicaloo,releases,fires and/or ex losions. in, ❑1. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; ❑2. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containmanl writs,built-in berms); ❑3. PROVIDE ABSORBENT PI IYSICAL BARRIERS(e.g.,Pads,spill pigs,spill pillows); ❑4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; ❑5. LINED TRENCH DRAINS AND/OR SUMPS; ®6. AUTOMATIC FIRE SUPPRESSION SYSTEM; ❑7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; ®S. STOP PROCESSES AND/OR OPERATIONS: ❑9. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; ®lo.SHUT OFF NATER GAS,ELECTRICAL UTILITIES; m 11.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; ® 12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; Q 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; ❑14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; ❑ 15.REMOVE CONTAINERS AND/OR ISOLATE AREAS; ❑16.1 Hap LICENSED HAZARDOUS WASTE CONTRACTOR; ❑17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; ®IS.VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL ANDIOR CLEANUP; ❑19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE: [120.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; ❑ 22.OTHER(Specify): ox. E. FACILITY EVACUATION THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF TH E FACILITY(Checkall Bat apply): EL I. BELLS; Ex. 2. HORNS/SIRENS; J03. VERBAL(i.e.,Shouting); 04. OTHER(Specify): THE FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(ag.,Parking lot,street comer): El Foyer b- UL Pwrk�m�l S Noe: UAEra ON en Coordinator ALTERNATE fe Il ousEVACUATION to ¢wand vEDEafter R ration. EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: U. ❑1.WRITTEN PROCEDURES DESCRIBING ROUTES,ERRS,AND ASSEMBLY AREAS; 192.EVACUATION MAPS)DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS; ❑3. OTHER(Specify): sa, Nate:Evacuation procedures.&or maps should be posted in visible facility locations and must be included in the Contingency Plan. F. ARRANGEMENTS FOR EMERGENCY SERVICES ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of We following): m ❑1. HAVE BEEN DETERMINED NOT NECESSARY; ;.2. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify): CLINIC W(f.0 GVCG 9// ra Note:Advance arrangements with local fire and police departments,hospitals,slate and local emergency response trams,andloremergency services camacmrs shauld be..or for your facility,ifnecessary. Large Quantity Generators must describe artangemems in the Contingency Plan. Re,03102117 Page 2 of 4