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Consolidated Contingency Plan Hazardous Materials,Hazardous Waste&Undergromid Storage Tanks FACILITY IDENTIFICATION BUSINESS NAME FACILITY NUMBER Jackpot Food Mart, Manteca 2087 EMERGENCY COMMUNICATIONS / PHONE NUMBERS / NOTIFICATIONS Internal &External Emergency Communications Individual responsible for on-site and off-site emergency Name i Position:Alfred Youman(on-site)Anne Wilkinson(00-site) alarm notifications I communications: check all that apply: verbal warnings public addressor Intercom system /NTERNAL facility emergency communications or alarm ', Cly ,________,,,,,,,,,,,,,,,,,, ❑ notification will occur via: telephone ❑ pagers L] alarm system ❑ portable radio ,7 check all that apply: EXTERNAL notifications/communications to neighboring - --- -- - -- ❑ verbal waminga ❑ public address or Intercom system facilities that may be affected by an off-site release will -- ----- — ---- ---- occur by: telephone Pagers................___ ..............-._ ------ ---- ❑ alarm system ❑ portable radio Emergency Phone Numbers I Notification Lists Ambulance,Fire,Sheriff&CHP-use for all emergencies 911 Emergency response phone numbers 209-557-6400(8 am-5 pm) San Joaquin Co.Environmental Health ------------------------------------ - 911(24 hour emergency number) Poison Control Center 1-800-342-9293 20 Nearest medical facility l hospital Name: St. Dominic's Phone#: 209.825.3500 21 Your medical facility I hospital Name: Same Phone M: CA Dept of Toxic Substances Control 916 324-1824 __......................... CA Office of Emergency Services 1-800.852-7550 CA Water Quality Control Board,Central Valley Region 916 255.3000 US Environmental Protection Agency(US EPA) 1.415.7441500 .................. Agency Notification Phone List National Response Center 1-800-424-8802 CA Dept of Fish&Game 916 445-0045 US Coast Guard(spill response) 1-510-437-3073 Cal OSHA 916 263-2800 State Fire Marshall 916445-8200 Other Important Numbers Neighbor Notification List all businesses I structures bordering&tor adjacent to your facility: _.-._.... ..............__-_--------- -----....-..-.—_-_---.....------ 2e at facility's Business name: at facility's Business name: Several Houses northern ....................... __ _ southern _______—___ border: address: Watson Avenue border: address: _................. phone#:-- - phone#: contact name I position: contact name I position: 29 at facility's Business name: atfacility's Business name: Open Field eastern ------ western border: address: W. Yosemite border: address: phone#: phone#: 30 contact name I position: contact name I position: .............................................................................................................................. Page: 2 Emergency containment& clean-up procedures, Evacuation coordinator