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05/12/2021 12:17 FAX U0005/0008 CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM(CERS) CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN Prior to c•ompleling this Plan,please refer to tile INSTR(.'1C770A`S I.OR COMP1 STING A CONSOLIDA FED COATIAGF..NC I"PLAA, A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW 1=AclhrlY I I{ _ ('l3RS II) n€ D:1'll?(11'PLAN Pltb:!'AIi;1"E'fONIRI;1rIS10N A2 03802 5/11/2021 13USINILSS NAMI (S'ame as or D1311-Doing Rustness AN) DaVita Manteca Dialysis RUSINBS SITE'ADDRFSS 1620 W Yosemite Street 131JSINiSS SITE CITY 7.I!'C0D1: a5. Manteca CA 95337 TYPH O BUSINESS(e.g.,Painting Contractor) �11- IN '11 NTA1.OPI:RAT10NS(c- _,lrluet Maintenance) — 1� Dialysis Clinic I'1IIS PLAN COVI_iRS CliIiMICAI..SPILLS,FIR1:iS,AND IcAR'1TIQIIAICIiS INVOI_VIN(7: (Check all ihal apply) -- A5. ® I-IIA(ARDOUS MATERIALS, ❑ 2.HAZARDOUS WAS]1?S B. INTERNAL RESPONSE INI'€FRNAL FACILITY I::MI?.R(iLiNCY RFS[IONS F WILI,OCCUR VIA:(Check all that apply) n€ ❑x I.CALLINC3Pi.J€31,ICI3MERGIiNCYRFSPONDFIRS(i.e.,9-1-1) 2.CALLING HA/.AIMOUS WASTI CONTRACLOR ®3.ACTIVATING IN-HOUSE I MI:R(;I N(Y R13SPONSPF"ITAM C. EMERGENCY COMMUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS Whenever Ihere is an inunincnl or ircu€al emergency situation such as an explosto��_ fiat_ ni rclet€sc-the limc€gc€tcy Coadirtator (oa hisllter designee Sshcn the 1{mcrgcnoy Coordinator is on cull)shall I_ Activale internal Iacihly alarms or aomrnunicationS Systems,where applicable,to nolily all facility 11momtcl 2. Notify appropriate local authonlies(i_c-,call IM-I), 3. Notify the California limergency Mana4enwill Agency at(800)852-7550 13e1bre lacility operations are resumed in areas of the f€cility affcGed by the incident, the enlcrge-ney coordinator shall notify the California Depm-lment of Toxic Subslances Control(DTSC),the local Unifed Program Agency(UPA),and the local lire..department-s hazardous materials prograur that 111c facility is in compliance with requirements to: I Provide for proper storage and disposal of recovered waste,contaminated soil or surft€ce water,or any other material that results!'ran an explosion,fire,or release at the facility;and l 2 h1sure that no material that is incompatible Nvilh the released material is lranslerred,stored,or disposed of in areas of Ole lacility afSccied by the incident 1€1161 cleanu p procedures arc cunt Jleled. INTHMAL FACILITY I MI?RGL:NCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCtJR VIA:(Check all that apply? C€. © 1.VERBAL WARNINGS; ❑x 2.PUM,IC ADDRESS OR INTFRCOM SYS'I I M: 0 3.'1"I:LE-:PiIONli; ❑4.PAGERS; ❑x 5.ALARM$1'S'I r.3M:. 0 6.PORTAI31,f-:RADIO NOTIFICATIONS TO NEIGr11301ZING 1,ACI1111F:S TI IAT MAY 13F,AI FIi:CFIsD I3Y AN OFF-SITE RF"L1FASH WEL,I,OCCUR BY:(Check all that(apply) ('= I.V11MA1,WARNINGS; ❑2, 131II3LIC ADDRESS OR IN'I'I_iRCOM SYS 11M, DX 3,T ELI PIIONF, ❑4 PAGERS; ❑X 5,ALARM SYS FM; [)6 P0Ii'I'A13I,1: RADIO €M13ROENCY RE:SI'ONS1 AMBULANCV..FIRI,POIACI:AND CIIP PHONE NUMBERS CAI.IFORNIA I-N4I`RGI.NCY MANAGI:MI=.NT AGL:NCY(CAI,IIiMA)....... (800)852-7550 NA'IIONAI-lziFSPOTlsI: cl:iN'rl Iz(NRC)... . ....... . ... (800)424-8802 POISON CONTROL CIM'EIR. ............. .......... ... (800)222-1222 LOCAL(JNIFIEiD PROGRAM AGI NCY(UPAICIJPA)-. _-- - (209)468-7494 (; l Phillip Cook_Disaster Medical Health Specialist San 41 (209)351-0323 OI'€i1:iR(S�ecify) NEAR ST MEDICAL FACILITY I I IOS17FLAL.NAME Doctors Hospital Manteca " (209}823-3111 (' _.-._ AGENCY NOT[ III 10NF"NUM13i:RS: CAI..I]ORNIA nr=Pf.01,'1'OXIC SU13S I-ANCI S CON i lzoi,(I)l SC) -.. (916)255-3545 RL"(IIONAI,WA'F1_.R QUALITY CONTROL BOARD (916)464-3291 ` _._.-. US,EiNVIRONMI:NTAI,PROTCC ION AGENCY(US 1:12A). ... (800) 300-2193 CA1.I1'ORNIA DEFT OF FISH AND CiAMI'(DPCs) ........ ... (916) 358-2900 l US COAST(:;IJARD... (202)267-2180 CAL.IOSI IA...... ............. (916)263-2800 STA'I F FIRE MA16HA1. (916)445-8200 cn c€o OTHER(Specify): (I€. Ci2 O'1'I IIR(S�ccily): Rey'.0612711 1