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• 0 <br /> Consolidated Contingency Plan <br /> Environmental Health DIViSIOn(CU 3A For Hazardous Materials,Hazardous Waste&Underground Storage Tanks <br /> FACILITY IDENTIFICATION eu SS AMC cof FAIAI\le—or <br /> FACILITY,NUMBER <br /> O �? <br /> EMERGENCY COMMUNICATIONS/PHONE UMBERS!NOTIFICATIONS <br /> 14 <br /> Internal&External Emergency Communications <br /> 15 Individual responsible for on-site and off-site emergency <br /> alarm notifications/communications: Name/Position: <br /> 16 <br /> check all that apply: <br /> INTERNAL facility emergency communications or alarm verbal warnings public addressorintercom aystam <br /> notification Will occur Via: telephone <br /> pagers <br /> � -rrp�tt alarm system <br /> 17 KI` portable radio <br /> check all that apply: <br /> EXTERNAL notifications/communications to neighboring varbal warnings <br /> facilities that may be affected by an off-site release will public address or intercomayetem <br /> occur by: telephone El pagers " <br /> 18 alarm system portable radio <br /> Emergency Phone Numbers I Notification Lists <br /> 18 i Ambulance,Fire,Sheriff&CHP-use for all <br /> emergencies 911 <br /> Emergency response phone numbers 590.538.7281(8 am-5 pm) <br /> Butte County Environmental Health <br /> _ _ 911(24 hour emergency number) <br /> Poison Control Center 1-800-342-9293 <br /> 20 <br /> Nearest medical facility I hospital Name: <br /> Phone#: <br /> 21 <br /> Your medical facility I hospital <br /> Name: Phone#: <br /> 22 CA Dept of Toxic Substances Control 916324-1824 <br /> CA Office of Emergency Services 1-800-852-7550 <br /> CA Water quality Control Board,Central Valley Region 976 2553000 <br /> US Environmental Protection Agency(US EPA) 1.415-7441500 <br /> Agency Notification Phone List National Response Center 1300-4248802 <br /> CA Dept of Fish&Game 916445-0046 <br /> US Coast Guard(spill response) 1510.437-3073 <br /> Cal OSHA 916 263-2800 <br /> State Fire Marshall 9164453200 <br /> 23 Other Important Numbers <br /> 26 <br /> Neighbor Notification List <br /> 27 List all businesses I structures bordering&/or adjacent to your facility: <br /> 28 at facility's Business name: atfscilit <br /> ys Business name: 2 <br /> northern southern _ <br /> border. address: t� address: <br /> O`(�'yy''� border: <br /> phone#: �'L/ Phone ik a V C/ <br /> contact name I position. Contact name/posi on: <br /> 29 at facili 's Business name: atfacilit Is <br /> eastern I y Business name: l-O <br /> western tN <br /> border: address: �� r address: n ^ <br /> phone#: =949 11/S/ Phone#: <br /> ao 00 <br /> contact name I n: V <br /> contact name/ on: <br /> ......................................................................................................... <br /> Page .......................................... <br />