COMPLIANCE INFO PRE 2019 - Laserfiche WebLink

Home Browse Search

CF.RS Consolidated Frncrgcncy Response / Contingency Nan INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NO'fIFICA'T lON WILL (X:CUR BY (Check all that apply)C11 Q 1. VERBAL WARNINGS; ❑ 2 PUBLIC ADDRESS OR INTERCOM SYSTEM. Q 3 TELEPHONE. ❑ 4 PAGERS, 0 5 ALARM SYSTEM, ❑ 6. PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING pACILITIES THAT MAY BE AFFECI"LD BY AN OFF-SITE RELEASE: WILL OCCUR BY (('heck all that apply) C12 E I. VERBAL WARNINGS; [12. PUBLIC ADDRESS OR INTERCOM SYSTEM; E 3 TELEPHONE; ❑ 4. PAGFRS, ❑ 5 ALARM SYSTFM; ❑ ti PORTABLE RADIO EMERGENCY COORDINATOR CONTACTINFORMA'170N cn PRIMARY F.MF.RGF.NCY COORDINATOR NAME JACK BISHOP PHONE NO.: (209) 466-6324 PHONE NO.: (209) 466-3554 ALTERNATE EMERGENCY COORDINATOR NAME NATHAN MARLEAU PHONE NO.: (209) 466-6324 PHONE NO.: (209) 466-3554 El Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: Note. H'more than one alternate emergency coordinator is designated, attach a list in order of responsibility. D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check the applicable boxes to indicate your facility's rp aScdtucs for containi s ills and preventing and mitigarm releases, fires and/or explosions -te ni I- MONITOR FOR LEAKS, RUPTURES, PRESSURE BUILD-UP, ETC.; ❑ 2 PROVIDF. STRUCTI_rRAI. PHYSICAL BARRJERS (e g., Portable spill containment walls, built-in berms), El 3. PROVIDE ABSORBENT PHYSICAL BARRIERS (e.g., Pads, spill pigs, spill pillows); 0 4 COVER OR BLOCK FLOOR AND/OR STORM DRAINS. ❑ 5 LINED TRENCII DRAINS AND/OR SUMPS; ❑ 6 AUTOMATIC FIRE. SUPPRESSION SYSTEM, Gj 7 ELIMINA'T'E SOURCES OF IGNITION FOR FLAMMABLE HAZARDS, Q 8. STOP PROCESSES AND/OR OPERATIONS; ❑ 9 AUTOMATIC /ELECTRONIC EQUIPMENT SIIUT-OFF SYSTEM, [� 10. SHUT OFF WATER, GAS, ELFCTRIC.AL UTLI.ITiFS; I I CAIS. 9.1 .1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; Q 12. NOT11,Y AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; 13 ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER FVACLIATION, 14 PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; 0 15. REMOVE CONTAINERS AND/OR ISOLATE AREAS; [j 16 HIRE LICENSED HAZARDOUS WASTF CONTRACTOR; n 17 USE ABSORBENT MATERIAL FOR SPILL, CONTAINMENT-, Q 18. VACUUM SUCTION USING APPROPRIA-I'F. VACUUM (c.g , Intrinsically sate) FOR SPILT. CONTROL AND/OR CLEANUP; 19. DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE. OF WASTEWATER AS HAZARDOUS WASTE, ❑' 20. PROVIDE SME TEMPORARY S'T'ORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS, ❑ 21 OTHER (Specify)' D2. E. FACILITY EVACUATION THE FOLLOWING ALARM SIGNALIS) WILL BE: IJSF.D TO BEGIN EVACUATION OF THE FACILITY (Check all that apply) r ❑ 1. BELLS; E2 [j]2. HORNS/SIRENS; Q 3 VERBAL (i c , Shouting): ❑4. OIITER(S ccifv): _ THE FOLLOWING LOCATION(S) WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S) (e.g., Parking lot, street comer) ID EL DORADO STREET TO THE SOUTH SIDE OF THE PROPERTY Note The F.mer encu Coordinator must account for all onstle eni to ees and vtsiiols ager evacuation. FVACLJATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS. F^ ❑ 1. WRITTEN PROCEDURES DESCRIBING ROUTES, EX1Ts, AND ASSEMBLY AREAS; Q 2. EVACUA'IlON MAP(S) DEPICTING RO(ITES, EXITS, AND ASSEMBLY AREAS; ❑ 3. OTHER (Specify). F.5 Note Evacuation procedures and/or maps should be posted in visible facility locations and Must be included in the Contingency Plan. F. ARRANGEMENTS FOR EMERGENCY SERVICES ADVANCE ARRANGEMENTS FOR LOCAL F.MF.RGFNCY SERVICES (Check one of the. following) Ft Q 1 HAVE. BEEN DETERMINED NOT NECESSARY; ❑ 2. TI4E FOLLOWING ARRANGEMENTS HAVE BbEN MADE (Speedy) F Nota Advance arrangements with local fire and police departments. hospitals, state arid local emergency response teams. and/or emergency services contractors should be made for your facility, if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan. Rev. 03/07/17 Page 2 of 4