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State of California California Integrated Waste <br /> CIWMB 503 (Rev.9/02) Management Board <br /> WASTE TIRE FACILITY <br /> EMERGENCY RESPONSE PLAN <br /> I. GENERAL INFORMATION(please print or type) SWIS#: <br /> Facility Name: PGM Recycling,Inc. <br /> Facility Mailing Address: 19414 North Hwy 99 <br /> City: Acampo County: San Joaquin State: CA Zip: 95220 1 Phone: 209-339=8282 <br /> Facility Operator's Name: James A.Capis <br /> Mailing Address: 19414 North Hwy 99 <br /> City: Acampo County: San Joaquin State: CA Zip: 95220 1 Phone: 209-339-8282 <br /> Property Owner's Name(if different from operator): <br /> Mailing Address: <br /> City: County: State: Zip: Phone: <br /> II. EMERGENCY CONTACT LIST <br /> List the names and telephone numbers of the persons and appropriate agencies to be contacted in case of emergency: <br /> Name Phone <br /> Facility Owner: James A.Capis 209-333-8282 <br /> Facility Operator: James A.Capis 209-333-8282 <br /> Local Fire Authority: Woodbridge Fire Dept.—Steve Butler,Captain 209-369-1945 <br /> Local Environmental Health Dept: San Joaquin County EHD 209-468-3420 <br /> Regional Water Quality Control Board: Central Valley Reg. Water Quality 916-464-3291 <br /> Any additional numbers that may be needed: FGL Environment 209-942-0181 <br /> Ramos Environmental(Chemical cleanup) 916-371-2570 <br /> III. EQUIPMENT <br /> Emergency Response Equipment Available: <br /> ® 1. Minimum equipment required: <br /> ® One,dry chemical fire extinguisher Weight: 10 lbs. <br /> ❑ One,2'h gallon water extinguisher <br /> ❑ One,pike pole at least 10 feet in length <br /> ❑ One round point and one square point shovel <br /> OR <br /> ® 2. Equipment in lieu of the list above(attach fire authority approved requirements): We have three 5 lb dry chemical fire <br /> extinguishers,as well as three more 10 lb dry chemical fire extinguishers <br />