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i Consolidated Contingency Plan Hazardous Materials Division for Hazardous Materials,Hazardous Waste&Underground Storage Tanks FACILITY IDE14TIFICATION BUSINESS NAME FACILITY ID k DATE Jiffy Lube Store#2322 110183993 2/121/2020 EMERGENCY COMMUNICATIONS If PHONE NUMBERS V NOTIFICATIONS Internal&External Emergency Communications [neighboring responsible for on-alto and off-alto Name I Position: General Manager alarm notifications I communications: check,all that appy . facility omergeney communications or ® verbal warnings ❑ public address or intercom system larm notification will occur via: ® telephone __— ❑ pagers ❑ alarm system ❑ portable radio check all that apply: IAL notifications I communications to ® verbal warnings ❑ public address or intercom system facilities that may be affected by an off- ® telephone ❑ pagers site release will occur by: ❑ alarm system ; ❑ portable radio n Emergency Phone Numbers I Notification Lists Ambulance,Fire,Sheriff&CHP 911 i-- 209-468-3420(8am-5pm) Emergency response phone numbers ) San Joaquin County Hazardous Materials Division i 209-468-3420(24 hour number) Poison Control Center 1-800-876-4766 22 Nearest imedical facility I hospital Name:Lodi Memorial Hospital 975 Fairmont Ave.Lodi Phone#: 209-334-3411 i Your medical facility I hospital Name:Lodi Urgent Care 8,45 S. Fairmont Ave. Phone#:209-339-7441 zn CA Dept of Toxic Substances Control 1-916-255-3545 CA Office of Emergency Services 1-800-852-7550 CA Water Quality Control Board,Central Valley Region 1-916-255-3000 US Environmental Protection Agency(US EPA) 1-800-300-2193 Agency Notification Phone List National Response Center 1-800-424-8802 i CA Dept of Fish&Game 1-916.358-2900 US Coast Guard(spill response) 1-202-267-2180 Cal OSHA 1-916-263-2800 State Fire Marshall 1-916-445-8200 I i 7 Other Important Numbers 26 Neighbor Notification List f30contact List all businesses/structures bordering Wor adjacent to your facility: Business name:Lodi Seventh-0ay Adventist School i at i Business name: pep Boys Auto Parts s facility's n address: 1240 S.Central Ave.Lodi,CA.95240 ; southern i address: : ; phone#: 209-368-5341 border: ! phone#:209-368-5341 contact name/position: School Office i ; contact name!position: t?lusiness name:Pep Boys Auto Parts at Business name:Council for the Spanish Speaking facility's s i facility's i---— 11 address: 1401 S.Cherokee Lodi,CA.95240 i western address:498 E.Kettleman Lane border: i phone#:209-365-0175 phone#: 209-334 3742 ~ ' contact name/position:Store Manager contact name 1 position:Property Manager ... ... ... ....................................................... page CP 2: .Emelrgency communications,�Phone•#s &•Notification.lists