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CALIFORNIA ENVIRONMENTAL REPORTTNG SYSTEM(CERS) CONSOLIDATED EMERGENCY RESPONSE I CONTINGENCY PLAN Prior to campleing Ibis Plan,please refer la 111e INSI'RUC7ONS FOR COMPLETING ACONSOfJDATED CONTINGENCY PLAN A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW FACILITY ID# CERS 1D Al. rA oo DATE DFP AAf t' PARATiD1VlREVtSIDN az. �"�3� a� 011 1 15 j-7 BUSINESS NAME(Same as FaciliryNanze or DBA-Doing AnsinessAS) s- BUSINESS SITE ADDRESS I toy. � s: W1 w BUSINEs SITE CI IN_ G��1 CODE CA zCODE TYPE OF BUSINESS(e.g.,Painting Contractor) Aa. lATCIDENfAL OPERATIONS(e.g.,Fleet Maintenance) A,l. 0 -,A THIS PLAN COVEqd CHEMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING_ (Check all that apply) As. ® 1.HAZARDOUS MATERIALS;J'2.HAZARDOUS WASTES B, INTERNAL RESPONSE INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) Bl. 1.CALLING PUBLIC EMERGENCY RESPONDERS 0-e.,9-I-1) 2.CALLING HAZARDOUS WASTE CONTRACTOR ❑3.ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTIFICATIONS Whenever there is an imminent or actual emergency situation strep as an explosion, fire,or release,the Emergency Coordinator(or his/her designee when the Emergency Coorduiator is on call)shall: 1. Aetivatc internal facility alarms or commtmicaGons systems,where applicable,to notify all facility personnel. 2.Notify appropriate local authorities(i.e.,call 9-1-1). 3. Notify the California Emergency Management Agency at(800)852-7550. Before facility operations are resumed in areas of the facility affected by the incident,the emergency coordinator shall notify the California Department of Toxic Substances Control(DTSC),the local Unified Program Agency(UPA),and the local fire department's hazardous materials program drat the facility is in compliance with requirements to: 1.Provide for proper storage and disposal of recovered waste,contaminated soil or surface water,or any other material that results from an explosion,fire,or rolease at the facility;and 2.Ensure that no material that is incompatible with the released material is transferred,stored,or disposed of in areas of the facility affected by the incident tuttil cleanup Procedures are completed. INTERNALFACILTIY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Check all that apply) CL 1Ti.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; 93.TELEPHONE; ❑4.PAGERS; ❑5,ALARM SYSTEM; 1-16.PORTABLE Illy➢IO NOTIFICATIONS TO NEIGHBORING FACLLITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY:(Check all that apply) Cz. J91.VERBAL WARNINGS; ❑2_PUBLIC ADDRESS OR INTERCOM SYSTEM; 193.TELEPHONE; ❑4.PAGERS; ❑5.ALARM SYSTEK- El6.PORTABLE RADIO EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CHP.............. PHONE NUMBERS: CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CAL/EMA),..................... (800)852-7550 NATIONAL RESPONSE CENTER(NRC)............................................. (800)424-8802 POISON CONTROL CENTER..................................................... (800 222- 1222 40 A V LOCAL UNIFIED PROGRAM AGENCY UPA/CUPA ................................... [JJ OTHER(Specify): NEAREST MEDICAL FACIL _ ca. I cs_ I7 Y 1 HOSPITAL VAMC:• � + SM � _ AGENCY NOTIFICATION PHGNE NUMBERS: CALIFORNIA DEPT-OF TOXIC SUBSTANCES CONTROL(DTSC) .... (916 285-8548 REGIONAL WATER QUALITY CONTROL BOARD.................. U.S.ENVIRONMENTAL PROTECTION AGENCY(US EPA)........,.. (800 300-2193 CALIFORNIA DEPT OF FISH AND GAME(DFG).................... (916)388-2900 U.S.COASTGUARD............................................. (202)267-2180 CAL/OSIIA.............. ...................................... (916)263-2800 STATE FIRE MARSHAL ......................................... (91 M 445-8200 UTIIERry)S cci : E p OTHER(Specify)]): ett. Ctz Rev.06/27/11