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0 CERS Consolidated Eiporguicy Response/Contingoncy Plan 19-T-ERNAE-FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): cit. S 1.VE"AL WARNINGS: 2.PUBLIC ADDRESS OR INTERCOM SYSTEM; Q 3,TELEPHONE; El 4.PAGERS; 5.ALARM SYSTEM; ❑6.PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF- ITE RELEASE WILL OCCUR BY(Check all that apply): C12. 1.VERBAL WARNINGS; El 2.PUBLIC ADDRESS OR INTERCOM SYSTEM. 213.TELEPHONE; 4.PAGERS, 17 5.ALARM SYSTEM; 6,PORTABLE RADIO EMERGENCY COORDINATOR CONTACT INFORMATION: CO. PRIMARY EMERGENCY COORDINATOR NAME: PHONE NO-: PHONE NO.: ALTERNATE EMERGENCY COORDINATOR NAME; PHONE NO.; PHONE NO.: C]Check-if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: Note:If more than one alternate emergency coordinator is designated,attach a list in order afresponsibility, D. ]EA"RGENCY CONTAINMENT AND CLEANUP PROCEDURES -Check the app]icable boxes to indicate Your facility's Procedures for containing spills and preverting and mitinting releases,fres and/or exotosions. M7 01. MONITOR FOR LEAKS,RUPTURES,PRESSURE 131ALD-U-P.ETC.: [J2. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e g.,Portable spill containment waits,built-in berms),- C3 3. PROVIDE ABSORBENT PHYS(CAL BARRIERS(e.g.,Pads.spill pigs,spill pillows); 04. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; f-1 S. LINED TRENCH DRAINS AND/OR SUMPS; [3 6. AUTOMATIC PIPE SUPPRESSION SYSTEM; (M 7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; M S. STOP PROCESSES AND/OR OPERATIONS; [j 9- AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM. n- 10.SHUT OFF WATER.GAS.ELECTRICAL UTILITIES, ral 11,CALL 9.1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE ANDIOR MEDICAL AID; [3 12.NOTIFY AND EVACUATE PERSONS IN ALL THIkEATENED AND/OR IMPACTED AREAS; f-I 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATIM R]14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; 0 15.REMOVE CONTArNEIIS AND/OR ISOLATE AREAS: rl 16,HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; (9 17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; C3 18.VACUUM SUCTION USING APPROPRIATE VACUUM(ej.,Intrinsically safe)FOR SPILL CONTROL AND/Olk,CLEANUfl, F1 19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; 0 20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; 21.OTHER(Specify): E. FACILITY EVACUATION THE FOLLOWING ALARM SIGNALS)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply); ❑I. BELLS. Ez. 2' HORNS/SIRENS; • 3. VERBAL(i.e.Shouting); (3 4. OTHER(Spec6): THE FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(e.g.,Parking lot,street corner): F-3. Front Parking Lot,in between office and workshop Note:The Eme!p&cy Coordinator must account for all onsite amplo ees and visitors after evacuation. EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: CI 1.WPJTTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; rl 2,EVACUATION MAP(S)DEPICTING ROUTES,EXrrS,AND ASSEMBLY AREAS-, 0 3. OTHER(Specify): Note:Evacuation procedardS and/or jnaps should be posted in visible facility locations and must be included in the Contingency Plan. F. ARRANGEMENTS FOR EMERGENCY SERVICES ADVANCE ARRANGEMENTS 17011 LOCAL EMERGENCY SERVICES(Check one of the following D 1. HAVE BEEN DETERMINED NOT NECESSARY; 0 2, THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify): Note:Advance arrangements with local fire and police departments,hospitals,state and 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. PAV.03107/17 Page 2 of 4