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CURS Consolldated Emergency Response / Contdngeney Pimt — Page 4 of 4 <br />Rev. 06/27/11 <br />H. EARTHQUAKE VULNERABILITY <br />Identify areas of the facility tiret aro vulnerable to hazardous materials volemoo / spills duo to orthqueko•rclalod notion. Those areas require fnnncdtato isolation and <br />Ins tion. <br />VULNERABLR AREAS. (Check all that apply) tat• <br />LOCATIONS (pgsahop outdoor sheds forcnsiCtab),__ - . _. <br />BI. <br />f7� I. HAZARDOUS MATERIALS/WASTBST•ORAOHARRA <br />Sam" shop and onnone <br />I� 2. PROCESS LINES /PIPING <br />--Ba. <br />....-__ __... .. _.. ___ ..... - IIA <br />E1 3. LABORATORY <br />-aa <br />0 4.WASTETREATMENTARBA <br />---------_--_- <br />IderalfY mechanicals stems vulnerable to release; /spills duo to eanM1 oko•rololod modem <br />Those s stanis require bnntedlalo Isolation and Inspection, <br />VULNERABLE SYSTEMS: (Chock all that apply) HN <br />LOCATIONS-, <br />® I. SHELVES, CABINETS AND RACKS <br />Pe,l•endsaMe6dapts <br />Jia. <br />® 2• TANKS (EMERGENCY SHUTOFF) <br />cd room <br />Jii <br />❑ 3. PORTABLE, OAS CYLINDERS <br />.__.._-_.. -.—.-. <br />1@ 4. EMERGENCY SHUTOPP AND/OR UTILITY VALVES <br />IM 5. SPRINKLER SYSTEMS <br />Isroush a,uawcy <br />17 6, STATIONARY PRESSURIZED CONTAINERS (o.g., Propanodisponsing lank) <br />tau' <br />I, EMPLOYEE TRAINING <br />Explanation or RequlrernowtHmployao tmtning is required forell employceshandifngltuardays matcdalsand heurdous wastes In day -lo day orclan-up operellons <br />including volunlcere mlNoreonlreetoB•Trelning unustbo: <br />. Provided wllhin6months for nowhires; <br />• Amended as necessary priorio change in proeaaer work assignmonll ' <br />• Given upon modification o the Emergency Responsol Contingency Plan, and updetcd/refreshed annually for ell employees. <br />Required content Includes all of the following: <br />• Material Safety Data Sheets; • Communication and slam system; <br />• Hazard communieollon related to health and safety; a Personal protective equipment; <br />• Methods for sero handling oflumardous substances; • Use ofemergmsy response equlpnlenl (ag. Firs oxl(sguishom, respirators, <br />• Firq hazards at materials/processes; etc.); <br />• Conditions likely to women cmorgeneia; • Decontamination procedures; <br />a Coordination oramcrgoney response; • Evacuation procedures; <br />• Nottleallon procedures; • Control and containment procedures; <br />• Avolloablo laws and rolat1m; • USTmonilodm a Iamedulpmmtandprmodumslfe IicabloL <br />INDICATE HOW EMPLOYEE TRAINING PROGRAM IS ADWIINISTHRHD (Check all that apply) It. <br />W I. FORMAL CLASSROOM;. ©2. VIDEOS; (M 3•SAFETY/TAILGAT13 MEETINGS: <br />®4. STUDY GUIDES/ MANUALS(Spcclly): 12, <br />IJ S. OTHER (Specify): at. <br />1]6. NOT APPLICABLB BECAUSE FACILITY HAS NO EMPLOYEES <br />Large Qngntily Gcncralor(LQC)'l'ralning Rttordst Large quantity hazardous waste generators (Lo., who gencrato mora than 270 gallons/1,000 kilograms of <br />hazardous waste per month) must retain wiltom documentation of employcohezardous "to management training sessions which Includes: <br />• A written oulllne/egende of the type and amount or both introductory and confi olm training that will be given to persons nlling each Job position having <br />responsibility for tho momitemcnl of hazardous wasto (og., labeling, mlanifesling, complianco with eaunmladon tiro limits, ere.). <br />• Thonamo,jobliclo, and data of training forach hazardous waste manegemont treiningsesalon given to an employee fillingsuthajob posltlomand <br />• A written Job description (broach of the sbuvoJob positions that daufbojob delta end thuakills,education, or other qualifications required ofporsonnol assigned <br />to the position. <br />• Cpsrentenlployan training records must be rctslncdunln claucooftho facility. <br />• Porotac em to cosmfnin records trust be attained at least lhrca earaener tennlnelionofnn I mo. <br />J. LIST OF ATTACHMENTS <br />(Clseck ono oft to following) n. <br />®I. NO ATTACIIMHNTS ARE REQUIRED; or /z• <br />[]2. THE FOLLOWING DOCUMENTS ARE ATTACHED: <br />Safety chairman Ron C Agular <br />K. SIGNATURE / CERTITICAnm _ <br />CerlNad Bescdon my Inquiry oflhosoludlviduals responsible for obtaining the infomstlon, I certify under penalty oflaw, that dhow, personally oxantlned and <br />am fi wit rho info 1 hail and bb Have the infornslion is tme,accurate, and eomplelo, and that a copy is available on site. <br />SIG TUE +01 ' R/ P <br />DATHSIONBD RI' <br />�. <br />1/15/2015 <br />NAM BO SIGNER (print) <br />TITLEC STONER xs' <br />Ron C A uiar <br />Service manager <br />