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i nRS Consolidated Emergency Respon Iontingency Plan <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY all that apply): n l <br /> ❑ 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; 3.TELEPHONE; <br /> ❑4.PAGERS; ❑S.ALARM SYSTEM; <br /> ❑6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE FILL OCCUR BY(Check all that apply): a2. <br /> ❑ 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; W.TELEPHONE; <br /> ❑4.PAGERS; ❑S.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACT INFORMATION: CI3 <br /> PRIMARY EMERGENCY COORDINATOR NAME: 4FPKI M 1 L�-�I SPHONE NO.:(q7-53M'O-D 9jgPHONE NO.:( ) <br /> ALTERNATE EMERGENCY COORDINATOR NAME: PHONE NO.:(" ) PHONE NO.:( ) <br /> ❑Check if additional Emergency Coordinator contact and address information is available onsite or by calling( ) <br /> Note:If more than one alternate emergency coordinator is designated,attach a list in order of responsibility. <br /> D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br /> Check the Tplicable boxes to indicate you facility's procedures for containing spills and preventing and mitigating releases,fires and/or explosions. <br /> Na 1. MONITOR FOR LEAKS.EAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; DI <br /> )[31. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containment walls,built-in bens); <br /> PROVIDE ABSORBENT PHYSICAL BARRIERS(e.g.,Pads,spill pigs,spill pillows); <br /> %r,K COVER OR BLOCK FLOOR AND/OR STORM DRAINS; <br /> F 5. LINED TRENCH DRAINS AND/OR SUMPS; <br /> ❑6ESj�2. <br /> AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br /> STOP PROCESSES AND/OR OPERATIONS; <br /> AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; <br /> .CALL 9-1-t FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br /> ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br /> .PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br /> �{ REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br /> 16.HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> W8USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; <br /> VACUUM SUCTION USING APPROPRIATE VACUUM(e.g..Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP; <br /> DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; <br /> 20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS: <br /> ❑ <br /> 21.OTHER(Specify): 6yF LOASI f D2 <br /> 1 E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): Ei <br /> ❑ I. BELLS; Ez. <br /> ❑2. HORNS/SIRENS; <br /> El<VERBAL(i.e.,Shouting): <br /> [14. OTHER(Specify): <br /> THE FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(e.g.,Parking lot.street comer): F3 <br /> Note:The Emergency Coordinator most account for all onsite em to ees and visitors aHcr evacuation. <br /> PMKIIAC, L_OT <br /> EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: E4 <br /> ❑ 1.WRITTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> ❑0•T. OTHER(TION yMAP(S) DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> X1`f S�(aN5 & VEbRL �C�t.RNRT Ofd <br /> Note:Evacuation procedures wi or maps should be pone m visible facility locations and must be included in the Contingency Plan. <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES <br /> ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of the following): FI. <br /> ❑ I HAVE BEEN DETERMINEDNOT NECESSARY; <br /> �0, wAdT')) Cfl- F2 <br /> a,�2 THE FOLLOWING ARRAN4'iEM�-NTS}SAVE BEEN MADE( ify); �V _ <br /> Note:Advance arrangements ocal d ru ents,hospitals, d local emergency response teams,and/or emergency smites <br /> contractors should be made for our facili necessary. lar c uentit Generetors mutt describe arrangements in the Contingency Plan. <br /> Bev.QJV/17 Page 2 of 4 <br /> Scanned with CarnScanner <br />