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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"PLA A, A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW 1=AclhrlY 1D I{ _ ('l3RS II) n€ D:1'll?(11'PIAN 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) X11- IN '11 NTA1.OPI:RAT10NS(c- _,lrluet Maintenance) — 1� Dialysis Clinic I'1IIS PLAN COVI_iRS CliIiMICAI..SPILLS,FIR1:iS,ANE)IcAR'111QIIAICIiS INVOI_VIN(7: (Check all ihal apply) -- A5. ® I-IIA(ARDOUS MATERIALS, ❑ 2.HAZARDOUS WAS]1?S B. INTERNAL RESPONSE INT€RNAL FACILITY I::MI?.R(iLiNCY RFS[IONS E 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 There 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 facility alarms or aomnxmicationS Systems,where applicable,to nolily all facility 11momtcl 2. Notify appropriate local authonlies(i c,call 4-I-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 malerial that results!'ran an explosion,fire,or release at the facility;and l 2 h1sure that no material that is incompa ble Nvilh the released material is lranslerred,stored,or disposed of in areas of Ole lacility afSccied by the incident 1€1111 cleanu p procedures arc cont Jleled. INTHMAL FACILITY I MI?RGL:NCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCtJR VIA:(Check all that apply? C€. © 1.VERBAL WARN)NGS; ❑x 2.PUM,IC ADDRESS OR IN'LERCOM SYS'I I M: Q 3.I"I:LE-:PiIONli; ❑4.PAGFRS; ❑X 5.ALARM$1'S'I r.3M:. Q 6.PORTAI31,E-:RADIO NOTIFICATIONS TO NEIGE11301ZING 1,ACI111IIJ:S TI IAT MAY 13F,AI FIi:CFIsD I3Y AN OFF-SITZ:RF"L€EASE,;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; [)(i P0Ii'I'A13I,1: RADIO €MERGENCY RE:SI'ONS1 AMBULANCV..FIRIE,POIACI:AND CIIP PHONE NUMBERS CALIFORNIA I-N4I`RGI.NCY MANAGI:MI=.NT AGENCY(CAI,IIiKM)....... (800)852-7550 NA'IIONAI-lz1ESPOTlsI: cl:iN'rl Iz(NRC)... . ....... . ... (800)424-8802 POISON CONTROL CIM'EIR. ............. .......... ... (800)222-1222 LOCAL(1NIFIEiD 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 IOS1>ITAL.NAME Doctors Hospital Manteca " (209}823-3111 (' _.-._ AGENCY NOT[FICATION€IIIiONF"NUM131:RS: CAL.IFORNIA DI=PI'.01,'1'OXIC SU13S I-ANCI S CON I Izol,(f)l SC) -.. (916)255-3545 RL"(IIONAI,WA'F1_.R QUALITY CONTROL BOARD (916)464-3291 ` _._.-. US,EiNVIRONMI:NTAI,PROTE'C ION AGENCY(US 1:12A). ... (800) 300-2193 CA1.11'ORNIA DEPT 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€n OTHER(Specify): (I€. Cf2 O'1'I ITR(5�ccily): Rei'.06127/11