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0 0 CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM(CERS) CONSOLIDATED EMERGENCY RESPONSE/ CONTINGENCY PLAN Prior to completing this Plan,please refer to the INSTRUCTIONSFOR COMPLETING A CONSOLIDATED CONTLVGENCYPLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW FACILITY ID# 1 1. CERS ID Ah. DATE PFPLAN P ARATION/REVISION Al 6/ zo BUSINESS NAM (Same as Facility Narria or DBA-Doing Business As) 3. .AM Z . z B SINESS SITEADDRESS 103. BUSINESS SITE CITY IN. ZIP CODE Ins. io CAdg TYPE OF BU SS(e.g.,Painting Contractor) A3. INCIDENTAL OPERATIONS(e.g.,Fleet a Aa THIS PLAN OVERS CHEMICAL SPII.LS,FB2ES,AND EARTHQUAKES INVOLVING: (Check all that apply) ® L HAZARDOUS MATERIALS; ❑ 2.HAZARDOUS WASTES B. INTERNAL RESPONSE INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VI :(Check al that apply) --NVIRQNMENTN ,1.CALLING PUBLIC EMERGENCY RESPONDERS(i.e.,9-1-1) 02.CALLINGHAZARDOUS WASTE CONTRACTOR ❑3.ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTIFICATIONS Whenever there is an inuninent or actual emergency situation such as an explosion, fine, or release, the Emergency Coordinator(or his/her designee when the Emergency Coordinator is on call)shall: I. Activate internal facility alarms or communications systems,where applicable,to notify all facility personnel. 2.Notify appropriate local authorities(i.e.,call 9-1-1). 3.Notify the California Emergency Management Agency at(800)852-7550. Before facility operations are resumed in areas of the facility affected by the incident,the emergency coordinator shall notify the California Department of Toxic Substances Control(DTSC),the local Unified Program Agency(UPA),and the local fire department's hazardous materials program that the facility is in compliance with requirements to: L Provide for proper storage and disposal of recovered waste,contaminated soil or surface water,or any other material that results from an explosion,fire,or release at the facility;and 2.Ensure that no material that is incompatible with the released material is transferred,stored,or disposed of in areas of the facility affected by the incident until cleanup promdures are completed. INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Check all that apply) CI. K1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; g3.TELEPHONE; ❑4.PAGERS; ❑S.ALARM SYSTEM; ❑6.PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY:(Check all that apply) Cz. Pr1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑3.TELEPHONE; ❑4.PAGERS; El 5.ALARM SYSTEM; El 6.PORTABLE RADIO EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CHP.............................................. 9-1-1 PHONE NUMBERS: CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CALBMA)...................... (800)852-7550 NATIONAL RESPONSE CENTER(NRC)............................................. (800)424-8802 POISON CONTROL CENTER........................................................ 800)222-1222 c�h LOCAL UNIFIED PROGRAM AGENCY A/CUPA ................................... ZO G�' Zrff OTHER(Specify): C, p /ice C7. NEAREST MEDICAL FACILITY/HOSPITAL NAME: �' l Y�`-fy7Cl AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TO C SUBSTANCES CONTROL(DTSC) .... 916) 255-3545 REGIONAL WATER QUALITY CONTROL BOARD.................. _' 7f7 -Sa� Ca. U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........... (800) 300-2193 CALIFORNIA DEPT OF FISH AND GAME(DFG).................... (916)358-2900 U.S.COAST GUARD............................................. (202)267-2180 CAIIOSHA..................................................... (916)263-2800 STATE FIRE MARSHAL ......................................... (916)445-8200 e. CIO. OTHER(Specify): u CIz. OTHER(Specify): Rev.06/27/11