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CERS Consolidated Emergency Response / Contingency Plan <br /> INAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR B Check all that apply): CIL <br /> 1 . VERBAL WARNINGS; 03 2. UBLIC ADDRESS OR INTERCOM SYSTEM; 3 . TELEPHONE; <br /> ❑ 4. PAGERS; L: 5. ALARM SYSTEM; ❑ 6. PORTABLE RADIO <br /> NOTH4CATIONS TO NEIGHBORING FACILITIES THAT MAYBE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY (Check all that apply): Cie <br /> 1 , VERBAL WARNINGS; E❑ 2, LIC ADDRESS OR INTERCOM SYSTEM; TELEPHONE; <br /> ❑ 4. PAGERS; LA'S. ALARM SYSTEM; ❑ 6. PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACT INFORMATION: C13. <br /> PRIMARY EMERGENCY COORDINATOR NAME: alllP G IOIMMVt PHONE NO. : PHONE NO . : <br /> ALTERNATE EMERGENCY COORDINATOR NAME: VA.I&tW6vk0 PHONE NO, : 'Lbe - "l - L ( t ( PHONE NO. : <br /> ❑ Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO. : <br /> Note: If more than one alternate emergency coordinator is designated, attach a list in order of responsibility. <br /> D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br /> Checlethea licable boxes to indicate your facility' s procedures for containing spills and preventing and mitigating releases, fires and/or explosions. <br /> Dl . <br /> M ONITOR FOR LEAKS, RUPTURES, PRESSURE BUILD-UP, ETC.; <br /> L� PROVIDE STRUCTURAL PHYSICAL BARRIERS (e.g., Portable spill containment walls, built-in berms); <br /> PROVIDE ABSORBENT PHYSICAL BARRIERS (e.g., Pads, spill pigs, spill pillows); <br /> . OVER OR BLOCK FLOOR AND/OR STORM DRAINS ; <br /> 5 LINED TRENCH DRAINS AND/OR SUMPS ; <br /> L k <br /> AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS ; <br /> CJ 8, STOP PROCESSES AND/OR OPERATIONS; <br /> ❑ AUTOMATIC /ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> . SHUT OFF WATER, GAS, ELECTRICAL UTILITIES; <br /> CALL 944 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> 2 NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br /> 3 . ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br /> VI <br /> OVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br /> MOVE CONTAINERS AND/OR ISOLATE AREAS; <br /> E LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> E 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): D2. <br /> E . FACILITY EVACUATION <br /> OLLOWING ALARM SIGNALS) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply): El . <br /> 1 . BELLS; E2. <br /> 2 . HORNS/SIRENS; <br /> ❑ 3 . VERBAL (i.e. , Shouting); <br /> ❑ 4. OTHER (Specify): <br /> THE FOLLOWING LOCATION(S) WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S) (e.g., Parking lot, street comer): E3. <br /> Note: The Emergency Coordinator must account for all onsite employees and visitors after evacuation. <br /> EEUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS : E4. <br /> WRITTEN PROCEDURES DESCRIBING ROUTES, EXITS , AND ASSEMBLY AREAS; <br /> 2. EVACUATION MAP(S) DEPICTING ROUTES, EXITS, AND ASSEMBLY AREAS; <br /> ❑ 3 . OTHER (Specify): E5. <br /> Note: Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan. <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES <br /> ADV E ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES (Check one of the following): Fl. <br /> HAVE BEEN DETERMINED NOT NECESSARY; <br /> THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify): F2_ <br /> Note: Advance arrangements with local fire and police departments, hospitals, state and local emergency response teams, and/or emergency services <br /> contractors should be made for your facility, if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan, <br /> Rev. 03/07/17 Page 2 of 4 <br />