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Holt of California Consolidated Contingency Plan <br /> For Hazardous Materials,Hazardous Waste F,Underground Storage Tanks <br /> FACILITY IDENTIFICATION <br /> 15 BUSINESS NAME FACILITY ID DATE <br /> Holt of California Stockton 1521 Facility 01/03/2020 <br /> EMERGENCY COMMUNICATIONS/PHONE NUMBERS/NOTIFICATIONS <br /> 16 Internal&External Emergency Communications <br /> 17 <br /> Individual responsible for on-site and off-site <br /> p Name I Position: Johnaton Jasso/ Service Manager <br /> emergency alarm notifications I communications: <br /> 18 check all that apply: <br /> —_.........................—........._............_......_....._ —..— -- ..__....... ---..... _...._._.........................._.._...... <br /> verbal warnings i public address or intercom system <br /> 1WERNAL facility emergency communications or _® . <br /> alarm notification will occur via: ® telephone E] pagers <br /> _.._....._............__.._._... ......._.._.._........_.....-.....,-- — ---._...-....._........... <br /> ❑ alarm system portable radio <br /> 19 check all that apply: <br /> ......_..._.._..__......._..............__....__.....__........__..................................................._.................. ..........-- <br /> EXTERNAL notifications/communications to 1 ® verbal warnings ❑ public address or intercom system <br /> neighboring facilities that may be affected by an off- ---.............-._..._......_......-..................-.-------......... <br /> .....;..........._._...............--..__.._.............._........................................._...._.....__.......... <br /> site release will occur by: ® telephone p g <br /> a ers <br /> alarm system ij portable radio <br /> 20 Emergency Phone Numbers/Notification Lists <br /> 21 I Ambulance,Fire,Sheriff&CHP 911 <br /> g................._..._.._........._..__._..........__.._._.._....._....._..__...--...___................_...._.......__....__.---..._..___....._............. <br /> ..__......_.._.....--.............. ...._................. ---......---.. <br /> Emergency response phone numbers Stockton Fire Department (209)937-8801 <br /> 911 For Emergency Response <br /> p....._.._..._......._._.............._......__._...._..._...............-......_.-............__.._._.__._....... _._............_............................__.............._........_.....--_.-._..._......_..................._........ <br /> Poison Control Center 1-800-222-1222 <br /> 22 <br /> Nearest medical facility/hospital Name: Dameron Hospital Phone#: (209) 944-5550 <br /> 23 <br /> Your medical facility/hospital [ Name: Dameron Hospital Phone#: 209 944-5550 <br /> 24 CA Dept of Toxic Substances Control 916-255-3545 <br /> CA Office of Emergency Services 800-852-7550 <br /> f._.........................-..........._.................-.._......__............__......-........_............. <br /> _-......... <br /> ...... <br /> ............._......__.........._......... _.. ---._ ........... <br /> ........ .............. <br /> -....... <br /> _.---.............. <br /> .... <br /> _.........__................................__.-.......__.............._.......-_.._.._............_............................................._.......--..........__..............__._._ ._..................-.............._..._.........._._.................- <br /> CA Water Quality Control Board,Central Valley Region 559-445-5116 <br /> ....................._.........._..........-................ ._._.........__........_............. ....._.._......_.._........_..............._....................._........................_.................-------._......................................__..._..................... <br /> US Environmental Protection Agency(US EPA) 800-300-2193 or 415-947.8000 <br /> €............._...-_..__...........__.....__..__........_...-.-----............------.............................................._-.-............_._._....__..__....__._......_....._.....................................__............----.............. <br /> Agency Notification Phone List National Response Center 800-424-8802 <br /> ................ ............_... --...................__...............-....................................................._..._.._._.._......_-.._............-......... .___....._._ <br /> € CA Dept of Fish&Game 916-445-0045 <br /> ..................__.............__........................_.... -...............-- ---........................_........................................................................__...__..............._.........._..........................---......----........ <br /> `:. US Coast Guard(spill response) 415-399-3547 <br /> ;..............-—.........__................_.__...—............-_..._.. _------....._-........_.....................................3-2800..._...... ._...-......................._......................._...._---- <br /> CaIOSHA 916-26 <br /> State Fire Marshall 916-445-8200 <br /> 25 Other Important Numbers San Joaquin County CUPA (209)468-3420 <br /> 26 <br /> Neighbor Notification List <br /> 27 List all businesses/structures bordering&/or adjacent to your facility: <br /> 26 at Business name: Residential at Business name: <br /> Residential <br /> facility's � — ....................... _._................- facility's ....................--............................. ...- --.....................----..... <br /> northern I address: Unknown j southern address: Unknown <br /> border: ..._......................._...._._......_._..........._ .....---.-.-_...__.-_—-------......_......—.....- border: t.....-. <br /> i <br /> phone#: Unknownphone#: Unknown <br /> _.. . ._. .......-- <br /> ........................._._._.. -----..........__......_....--...-i --................__................._............_.............................._._.....__.... _....__....._....._....................... <br /> F._.......... <br /> _........ <br /> contact name I position: Unknown contact name I position:Unknown <br /> J <br /> i <br /> 0000000000000000000000a0000oa.00000000000000000000000a0000000000a0000000000000000000a0000000000.............................. <br /> Page CCP 2: Emergency communications, Phone#s & Notification lists <br />