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M Cl) -0CtiO <br /> v <br /> m _ - ° <br /> Z) � DO <br /> CD <br /> 0 � m <br /> O0 C N <br /> 0 O <br /> O 0 <br /> 1 V UAL WARKI W <br /> m 04 PACERS; �••,•'+w30RALARIM 3 O <br /> = r`IOTFF7CAT'101Y5 TO CD W <br /> NpGHBpltl LJ l�C g SSS(lp!Nig1 �dM LYIT�t �l <br /> Cit 0 1 VERBAL W NG FACfL �TFM. <br /> 0 4,PAGERS, ARNry4CS' T7IEt T1tAT MAY 8 AFFfr7T R Atat t <br /> ❑2 PlleLlc A o BY AFr oFF:Slyt <br /> EMERGENCY(ppg�INATIDR 5 ALARM SYSTEMS fNTtgr SY00 <br /> STEM. 3 TEl}�f1[]ME, Ill <br /> MARY ENCY COI`1TACT INFORMA7T(Na S Q IORtAB1 E RADIO r <br /> P� EMERG <br /> ORDINATOR NAME 3E CornpRmlaPhartfa Calaa 3 <br /> ALTERNATE EMERGENCY COORDINATOR NAME Slericyzla PHONE NO (800)451-8348 PHONE NO (8OO)451-0348 m <br /> 0 Check ifaddruonel EmergencyPHONE INO (770)409-1500 PHONF NO (770)409-15M r <br /> Cowdrnatmr cameet end eddress information n arulaidc Drone a 6ti calling PHONE NO (757)321-5547 � <br /> Notc If more t � <br /> bait one alternate emer <br /> ge+>n cowdtnelor q C/) <br /> Elft <br /> attach•lm in order of responea6ility, C) <br /> D• EMERGENCY CONT (' <br /> Check thea :icable boxes to i A1NMENT AND CLEANUP PROCEDURES <br /> Ib'Ca1e our facth 's ocedures for comaini O <br /> 0' 1 MONITOR FOR LEAKS.RUPTURESIts and vemm and mite in rekrases frit aid/or esploteaw <br /> ❑2. PROVIDE STRUCTURAL •PRESSURE BUILD-UP,ETC <br /> 0' 3 PROVIDE ABSORSEPHYS[CAL BARRIERS(e.g,Portable spill cohuinmem wells,built-in bermsl, D <br /> Q 4 COVER OR PHYSICAL BARRIERS(e.g-.Pads,spill pigs,spit!pillows)• <br /> BLOCK FLOOR AND/OR ST DgM DRAINS, <br /> 0 5 LINED TRENCH DRAINS AND/OR SUMPS, <br /> C7 6 AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> 07 ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS, <br /> 08 STOP PROCESSES AND/OR OPERATIONS, <br /> 09 AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM, <br /> 10.SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; <br /> Q I I CALL 9.1.1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID, <br /> 0 12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS, <br /> 0 13 ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION, <br /> El 14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM: <br /> 15 REMOVE CONTAINERS AND/OR ISOLATE AREAS, <br /> 16.HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> 17,USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT, <br /> ]18.VACUUM SUCTION USING APPROPRIATE VACUUM(e-g.,Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP, <br /> 19.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 /> 21 OTHER(Specify): All containers with hazard waste must be properly labeled. Repoli and pprtect <br /> P safely hazards imntadptbflr wfyrt epWryb a¢ <br /> E. FACILITY EVACUATION <br /> fE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF TilE FACILITY(Check all dot apple) t <br /> 1. BELLS, <br /> 2 HORNS/SIRENS, C <br /> 3 VERBAL(i a-,Shouting), <br /> 4 OTHER(Specifyy Public Address System <br /> E FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)ie S.Parking let.strex cornerl <br /> ting Lot <br /> I!,The Emergency Coordinator must account for all onsite employees and visitors after evacuation <br /> 1CUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DlsCR18ED AS FOLLOWS <br /> WRJTTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS, <br /> EVACUATION MAP(S)DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS, <br /> OTHER(Spccify) t+ <br /> Evacuation procedures and/or maps should be posted to visible facility locatium and must he included in the('omlhgp ney Ilea <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES n <br /> C:: (D <br /> ANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of the following) h D OO <br /> HAVE BEEN DETERMINED NOT NECESSARY, <br /> THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify) <br /> � N � <br /> (D <br /> N Advance arrangements with local fire and police deparimenu,hospitals.stair and local rtt►arsi nc)r►sPomr teams 40**eatrgwc.*K,M (D <br /> O :ton should be made for your facility.if neeeuery LarlpQttstaity Gm sws wAm describe affLM n ms to thr Cmawomy plea w <br /> w <br /> c0 (D <br /> Page 2 of 4 <br />