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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): <br />cit. <br />❑Q 1. VERBAL WARNINGS; [12. PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3. TELEPHONE; <br />❑ 4. PAGERS; ❑ 5. 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): <br />ctz. <br />❑' 1. VERBAL WARNINGS; [:12. PUBLIC ADDRESS OR INTERCOM SYSTEM;'❑ 3. TELEPHONE; <br />❑ 4. PAGERS; ❑ 5. ALARM SYSTEM, ❑ 6. PORTABLE RADIO <br />EMERGENCY COORDINATOR CONTACT INFORMATION: <br />C13, <br />PRIMARY EMERGENCY COORDINATOR NAME: Zohrah Ahmadzai PHONE NO.: g((, =114- 0L4?HONE NO.: <br />ALTERNATE EMERGENCY COORDINATOR NAME: 4V, .�..9trc� PHONE NO.: tM -'1(oV- ZS"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 spills and preventing and mitigating releases, fires and/or explosions. <br />DI <br />❑' 1. MONITOR FOR LEAKS, RUPTURES, PRESSURE BUILD-UP, ETC., <br />[32. 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);;=C F" <br />❑ 4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; ,�° <br />E5 <br />❑ 5. LINED TRENCH DRAINS AND/OR SUMPS; <br />[36. AUTOMATIC FIRE SUPPRESSION SYSTEM, CUL 1 ! z o <br />'❑ 7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br />518. STOP PROCESSES AND/OR OPERATIONS; <br />SHUT-OFF SYSTEM, EN ENTAL HEALTH <br />9. AUTOMATIC /ELECTRONIC EQUIPMENT <br />[3FERh11T� <br />ERMI SERVIC�$ <br />10. SHUT OFF WATER, GAS, ELECTRICAL UTILITIES; <br />11. CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br />Q 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 />Q 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 />❑ 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 />D2. <br />E. FACILITY EVACUATION <br />THE FOLLOWING ALARM SIGNAL(S) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply): <br />El. <br />❑ I. BELLS; <br />ts. <br />❑ 2. HORNS/SIRENS; <br />3. VERBAL (i.e., Shouting); <br />4. OTHERS iNv : <br />THE FOLLOWING LOCATIONS) WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S) (e.g., Parking lot, street comer): <br />E3 <br />Comer of Stanislaus St. and Miner Ave. <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: <br />E4. <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): E-` <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): <br />Ft. <br />1. HAVE BEEN DETERMINED NOT NECESSARY; <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 />