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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 EVSTRUC77ONSFOR COMPLETBVGA CONSOLIDATED CONTEVGENCYPLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW Q Q t. CERS ID At. DATE OF PLAN PREPARATION/ItEVISION FACILIIYID# %1 !Q1EJ�� BUS SS NAME (Same as Facility Name or DBA- Doing Business As) 3. in 7P-ac1e (f)1 vro .as. BUSINESS SITE ADDRESS i f}49 W • T/'HQdPAdTOi l ,2,D BUSINESS SITE CITY 106 ZIP CODE los. /--0 b 1 CA 95 a -Y -P- TYPE OF B�USxIN,E�S (e.g., Painting Contractor) A3. INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) A4' ►r'blbl-1 r, Stk-v ` 0 S'3A THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING: (Check all that apply) As. ® 1. HAZARDOUS MATERIALS; ❑ 2. HAZARDOUS WASTES B. INTERNAL RESPONSE INTERNAL FACI[:iTY EMERGENCY RESPONSE WH.f.00CUR VIA: (Check all that apply) BI' ❑ 1. CALLING PUBLIC EMERGENCY RESPONDERS (i.e., 9-1-1) ❑ 2. CALLING HAZARDOUS WASTE CONTRACTOR 3. ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM C. EMERGENCY COMMUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS Whenever there is an imn» neat cr actual craergency situation such as an explosion, fire, or release, the Emergency Coordinator (or his/her designee when the Emergency Coordinator is on call) shall: 1. 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 sball 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: 1. Provide for proper storage and disposal of recovered waste, contaminated sod or surface water, or any other rnaterial that results from an explosion, fae, 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 meas of the facility affected by the incident until cleanup procedures are completed. INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA: (Check all that apply) Cl. ❑ 1. VERBAL WARNINGS; Rr2. PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3. TELEPHONE; ❑ 4. PAGERS; [15. 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) Q. ❑ 1. VERBAL WARNINGS; ❑ 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3. TELEPHONE; ❑ 4. PAGERS; ❑ 5. ALARM SYSTEM; ❑ 6. PORTABLE RADIO EMERGENCY RESPONSE AMBULANCE, FIRE, POLICE AND CHP .............................................. 9-1-1 PHONE NUMBERS: CALIFORNIA EMERGENCY MANAGEMENT AGENCY (CAUEMA) ...................... (800) 852-7550 NATIONAL RESPONSE CENTER (NRC) ............................................. (800) 424-8802 POISON CONTROL CENTER........................................................ 800 222-1222 cs. LOCAL UNIFIED PROGRAM AGENCY A/CUPA................................... ca. OTHER (Specify):: ! 0.006. NEAREST MEDICAL FACILITY/ HOSPITAL NAME: AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (Disc) .... 916 2555-3545 REGIONAL WATER QUALITY CONTROL BOARD .................. ( N f LS -• 116C8. U.S. ENVIRONMENTAL PROTECTION AGENCY (US EPA) ........... (800) 300-2193 S i_—_ CALIFORNIA DEPT OF FISH AND GAME (DEG) .................... (916) 358-Z9OO A ,+ j� d W,/ us. coasr cuARD ...... _.................................... (202) 267-2189 CAvosHA..................................................... (916) 263-2800 MAR 29 2012 STATE FIRE MARSHAL ......................................... (916) 445-8200 C5. CID. OTHER (Specify): CII. cD. s;aN Joaouhv couN or1IER (Snecifv): -- IIEALTH DEPMI fAENT Rev. 06/27111