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CERS Consolidated Emergency Response / Contingency Plan <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY (Check all that apply): Cu . <br /> Ful 1 . VERBAL WARNINGS ; E 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3 . TELEPHONE; <br /> ❑ 4. PAGERS; ❑ 5. ALARM SYSTEM; ❑ 6 . PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY (Check all that apply): C12. <br /> n 1 . VERBAL WARNINGS; ❑ 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3 . TELEPHONE; <br /> ❑ 4. PAGERS ; ❑ 5 . ALARM SYSTEM; ❑ 6. PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACT INFORMATION: Store Manager C13. <br /> PRIMARY EMERGENCY COORDINATOR NAME: Lindsey Auxier PHONE NO . : (909 ) 609$020 PHONE NO. : (909 ) 60M020 <br /> ALTERNATE EMERGENCY COORDINATOR NAME: Chittal Shah PHONE NO. : (951 ) 313-7490 PHONE NO . : (951 ) 313-7490 <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 /> Check the applicable boxes to indicate your facility' s procedures for containing spills and preventing and mitigating releases, fires and/or explosions. <br /> DL <br /> 1 . MONITOR FOR LEAKS , RUPTURES, PRESSURE BUILD-UP, ETC. ; <br /> ❑ 2. PROVIDE STRUCTURAL PHYSICAL BARRIERS (e.g., Portable spill containment walls, built-in berms); <br /> Fol 3 . PROVIDE ABSORBENT PHYSICAL BARRIERS (e.g. , Pads, spill pigs, spill pillows); <br /> n 4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS ; <br /> ❑ 5 . LINED TRENCH DRAINS AND/OR SUMPS ; <br /> ❑ 6. AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> 0 7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS ; <br /> no 8 . STOP PROCESSES AND/OR OPERATIONS; <br /> R 9. AUTOMATIC / ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> 0 10, SHUT OFF WATER, GAS, ELECTRICAL UTILITIES ; <br /> Q 11 , CALL 944 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> 12. NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS ; <br /> Fx1 13 . ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION ; <br /> ❑ 14. PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br /> R 15 , REMOVE CONTAINERS AND/OR ISOLATE AREAS ; <br /> [H] 16. HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> 0 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 /> n 20. PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS ; <br /> i <br /> El21 . OTHER (Specify): Dz. <br /> E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNAL(S) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply) : El . <br /> ❑ 1 . BELLS ; Ez. <br /> ❑ 2. HORNS/SIRENS ; <br /> n 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 corner): E3. <br /> Along the street, away from the buildings and dispensers. <br /> Note: The Emergency Coordinator must account for all onsite employees and visitors atter evacuation. <br /> EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS : E4. <br /> Fnj 1 . WRITTEN PROCEDURES DESCRIBING ROUTES, EXITS, AND ASSEMBLY AREAS ; <br /> ❑ 2. EVACUATION MAP(S) DEPICTING ROUTES, EXITS , AND ASSEMBLY AREAS ; <br /> ❑ 3 . OTHER (Specify) : Es. <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 /> ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES (Check one of the following): El . <br /> 1 . HAVE BEEN DETERMINED NOT NECESSARY; <br /> ❑ 2 . THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify): E2. <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 />