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�(;-, ' <br /> I CERS Consolidated Ei iergency Response/Contin en Plan-Pa <br /> g y age g Rev.06/27/11 <br /> H. EARTH UAKE VULNERABILITY <br /> Identify areas of the facili tat are vulnerable I <br /> ,� 1.HAZARDOUS MATE AIS/WASTE STORAGE AREA <br /> 11 <br /> lenses/spills due to earthquake-related r of r"'�'���aA.de isolation and <br /> inspection. t�r Y'L1C <br /> VULNERABLE AREAS: Ch k all that apply) - 'Tlmm <br /> HI ATIONS e. sho outdoor shed,forensic lab <br /> O�.gs__P <br /> ❑ 2.PROCESS LINES/PI ING � - - - <br /> p ❑ 3.LABORATORY -- - - - .. W <br /> _ , <br /> El 4.WASTE TREATME AREA H4. <br /> IIdenti mechanical stems Inemble to releases/s ills due to earth Jake-related motion.Theses stems r <br /> VULNERABLE SYSTEMS:( heck all that apply) Hs uire immediate isolation and inspection,LOCATIONS <br /> 1.SHELVES,CABINET AND RACKS - — - _ <br /> ❑ 2.TANKS _ .. 117.- <br /> (EIvtERGENC SHUTOFF) --- <br /> ..-. .. H8. <br /> ZS 3.PORTABLE GAS C ENDERS - - -� ��� <br /> P H9-. <br /> ❑ 4.EMERGENCY SHUT FF AND/OR UTILITY VALVES - --�© -- -- - - - . <br /> ❑ 5.SPRINKLER SYS S Me. <br /> El 6.6.STATIONARY PRES ED CONTAINERS(e. .,Propane dispensing tank) Hlz <br /> I. E LOYEE TRAINING <br /> Explanation of Requiremen Employee training is required for all em oyem handling hazardous materials and hazardous wastes in day-to-day or clean-up operations <br /> including volunteers and/or co tractors,Training must be: <br /> • Provided within 6 months f r new hires; <br /> • Amended as necessary prio to change in process or work assignment{, <br /> • Given upon modification to the Emergency Response/Contingency Plan,and updated/refreshed annually for all employees. <br /> Required content includes all f the following <br /> • Material Safety Data Sheets • Communication and alarm systems; <br /> • Hazard communication r0a ed to health and safety; • Personal protective equipment; <br /> • Methods for safe handling hazardous substances; • Use of emergency response <br /> • Fire hazards of materials/p eases; - g Y <br /> equipment(e.g.Fire extinguishers,respirators, <br /> etc.); <br /> • Conditions likely to worsen mergencies; • Decontamination procedures; <br /> • Coordination of emergency esponse; • Evacuation procedures; <br /> • Notification procedures; • Control and containment procedures; <br /> • A livable laws and re lat ons- • UST monitoring system a uipment and procedures(if a livable). <br /> INDICATE FLOW EMPLO TRAINING PROGRAM IS ADMINIS RED(Check all that apply) u <br /> ❑ 1. FORMAL CLASSROO ; [12. VIDEOS; 3.S FETY/TAILGATE MEETINGS; <br /> ❑4. STUDY GUIDES/MA UALS(Specify): <br /> ❑5. OTHER(Specify); u. <br /> ❑6. NOT APPLICABLE B CAUSE FACILITY HAS NO EMPLO ES m <br /> Large Quantity G¢$nerator( QG)Training Records: Large quantity hazardous waste generators (i.e., wh generate more than 270 gallons/1,000 kilograms of <br /> hazardous waste pe}month)must retain written documentation of employee hazardous waste management traini g sessions which includes: <br /> • A written outiin agenda of the type and amount of both introductory and continuing training that will be given to persons filling each job position having <br /> responsibility to the management of hazardous waste(e.g.,labeling,manifesting,compliance with accumula ion time limits,etc.). <br /> • The name,job ti e,and dot of training for each hazardous waste management training session given to an a ployee filling such ajob position;and <br /> • A written job d cription fo each of the above job positions that describes job duties and the skills,educatio ,or other qualifications required of personnel assigned <br /> to the position <br /> • Current employtraining records must be retained until closure of the facility. <br /> • Former employ trainin cords must be retained at least three years after termination of em to mens <br /> J. LIST OF ATTACHMENTS <br /> (Check one of the fdllowing) <br /> I. NO ATTACHMENTS ARE REQUIRED;or II' <br /> EJ2. THE FOLLOWING DOCUMENTS ARE ATTACHED: rz <br /> i <br /> K. SIGNATURE/CERTIFICATIO <br /> Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and <br /> am Familiar with the information submitted and believe the information is true,accurate,and complete,and that a copy is available on site. <br /> SIGN OF OWNER/OP TOR DATE SIGNED <br /> >I I5 KL <br /> N OF SIGNS (pen[)^ � . TITLE OF SIGNER <br /> K3. <br />