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CERS Consolidated I'mcrgency Ikespollse/Contlilgency MR11 1 ERNAI.FACII.II'Y EMGR(if.NCY COMMl1NICA'IlONS Olt ALARM NO1111CA'lION WII,I,(1C(;Ilit IIY(Chcck I'll Ih:,I apply) 0I 1. IER)AI.WANINGS; ❑2.1'1111LIC1 AS1D'SD'II'INNM", Olt IN I IMCOM SYS I'I?M; (]f. I I'.I,I"III low:, IOkI'Allfl ( AI)fUISC1 4.V1A ; S.ALAln NOTIFICATIONS TO NI:'IG11110RINU I'AC'lI.II ll?S'll1AT MAY Illi AFFIEC 11'.1)BY AN OFF-811 I,III{LEAVE WILL OC(;(/l(BY((:heck.all that rpply)• err 14-1.VERNAL WARNINGS; ❑2.1'11111.1C A1)1)1tI�SS 0 1(IN I I?RCUM SY4I NM; L)3 'I'll,TI'l 101W, ❑4.PAGERS-, ❑5.ALARM SYS ITM, [__16 POPTAIIIJ MINO Eh1ERGENCY COORDINATOR CON I'A(:I'INFORM Al 1 cu PRIMARY EAIERGIENCY COOItDINA'11)It NAhili:3eaA 3a�\aN 11 PI IONE NO.:a°1 6 3 q �� PHONI:t10,: ALTERNATE EMERGI"NCY COORDINA'FOIt NA MF,:A34fty_ -tk\r!J f I IONE NO.:aM la 60,51 PHONE NO.: ❑Check if additional Emergency C-rdinator contact nod address infonnntion is nvnilnble onsite or by calling, P)PONE NO.: Note:if more than one alternate emergency coordinator is designated,attach a list in order ortesponsibility. D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check ttie appliesble bores to indicate)-our facility's procedures for containing spills nod preventing and mitigating releases,fires and/or"plosions LI 4;§-1. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,CCC.; R2.(� PROVIDE STRUCTURAL.PHYSICAL BARMERS(e.g.,Portable spill containment walls,built-in berms); 3. PROVIDE ABSORBENT PHYSICAL BARRIERS(e.g.,Pads,spill pigs,spill pillows); ❑d. COVER OR BLOCK FLOOR ANLVOR STORM DRAINS; �TS. LINED TRENCH DRAINS AND/OR SUMPS; ❑6. AUTOMATIC FIRE SUPPRESSION SYSTEM; �. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; QA STOP PROCESSES ANWOR OPERATIONS; [:19" 9. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; [110.SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; )9]1.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; f;jL12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; 903.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; ❑ 14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; ❑ IS.REMOVE CONTAINERS AND/OR ISOLATE AREAS; 16,TARE LICENSED HAZARDOUS WASTE CONTRACTOR; 17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; ❑ 18.VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP; ❑19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE, ❑20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; a. 021.OTHER(Spactfyr E. FACILITY EVACUATION THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): er_ 01. BELS; 2. HORNS/SMENS; . VERBAL(Le,Shoutingr 4. OTHER S MMFOUMMG LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(e.g.,Parking lot,street comer): Not=The Emagericy Coordinator must account for all onsite employees and visitors after evacuation_ EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: O 1.WRrrIENPROCxX)URES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; 1 �2.EVACUA17ON MAP(S)DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS, :0j-�." l�ffit(gpecily) Es. f NOiK10 iovtiodProeedtrres VWM/ enapls dmdd be posted in visible facility locations and must be included in the Contingency Plan. F. ARRANGEMENTS FOR EML'IZGENCY SERVICES ARRANGEMWM FOR LOCAL Etv1ERGENCY SERVICES(Check one of the following): Ft. DMZKMINED NOT NECESSARY; `,u ARRANGEMEN T5 HAVE BEEN MADI3(Specil}): F2 Wilhlocal flim and police deparlmenb,hospitals,slate and local emergency response trams,and/or emergency services yoi"finility,(fnetxssary. Large Quantity Generators must describe arrangements in the Contingency Plan. Page 2 of 4 Scanned by CamScanner