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05/12/2021 12:17 FAX U0007/0008 <br /> CERS Consolidated Emergency Response/Cotitiugettcy flan--Page 3 of 4 Rev.06/27/11 <br /> G. EMERGENCY EQUIPMENT <br /> Check all boxes that apply to list einei-gency response equipment available at the facility and identify the Incalion(s)where the equipment is kept aril the <br /> egtripntent's capability,if applicable.[c,g..®Cl1EMK'Al.PRO FIX-FIVE'GI,OVi:S I Spill response kit I One tirne use,Oil&solvent resistant only.] <br /> TYPE <br /> - EQU111N1 ENT AVAILA13L1s c'1 � � LOCA'ITON _-�� � CAPABILITY(ff y7hcahle) <br /> Sai'ety 1. 0 Cl IFMICAI,PROI fiCTTVI.i SUITS.APRONS. G2 GO <br /> and OR VIi,S'1S Clinic Floor,Supply area,front lobby PPE readily available to all who enter Dialysis unit. <br /> First Aid 2 0 Cl ll-MICAL PRO'FF:CTIVE,GLOVI":S G4 W. <br /> Clinic Floor,Supply area,front lobby PPE readily available to all who enter Dialysis unit. <br /> 3. ❑ CHEMICAL PROI R—IIVF,BOOTS 01 67 <br /> 4. Z SAFI'I-Y GLASSES/GOGGLEI S/SI HE LDS (A Ga <br /> Clinic Floor,Supply area,front lobby PPE readily available to all who enter Dialysis unit. <br /> 5. ❑ IIARD I IA'l-S alo- G1I <br /> G. ❑ CARTRIDGE:RI?SPIRA-FORS G12 c,13 <br /> 7, ❑ SI:LI'-CON-LAINL D 13REXI-11ING APPARATUS 614. GI5 <br /> SC13A <br /> 8. ❑x FIRST AID KITS IS7'A7-IONS GIb- cl7 <br /> Evacuation klls,Clinic Floor,Front of PA Room office Evac Kits,Nurse Station <br /> 9, 0 PJAJ NIB ED 11"Y[:WASI I FOUN]-AIN/SI IOW:R is. GIci. <br /> 3 Eye wash stations Nurse Station,supply room,water room. <br /> 10. ❑ PORT'AI11 e I-:Yt:WAS1I Icrl-S c20 cal <br /> I I- ❑ O I11:1Z (;2 . G23 <br /> 12. ❑ OTHER G24, G21 <br /> Fir¢ 13. ❑x POR'FA131.11i FIRE FX'IIN(iUISHFiRS G26 627 <br /> h'it;hlinf; <br /> 14, 0 FIXED FIRI_i SYSTEMS/SPRINKHAS/ 629 621) <br /> PIRP;IiOSISS Sprinklers,Alarm system <br /> 15, ❑x FIRL:ALARM BOXEN OR STATIONS G30 Gil <br /> IG, ❑ 0'I-1i1;R G32 c1a. <br /> Shill 17. ❑x ALL.-IN-ONI:SPILL KF Gs4, Gas <br /> 11111 t-0 Spill Kit <br /> IS. A13Si)R13I:N'I'MA'ITi,ItIAf., v. <br /> arEfl Bi-carb,Towels,Mop bucket c3 07. <br /> Clear i Ip 19. ❑X CONTAINLIZ FOR USPD A13SORI3IiN't caa G37 <br /> Spill Kit in supply room off Tx floor <br /> 20- ❑ B RMING/DIKING Ii,QUIPMEN-1 6140. 641. <br /> 21. © BROOM G42 643. <br /> 22. ❑ SIIOVEL G-14 G45- <br /> 23. ® S1 101)VAC G t6 647. <br /> 24. ❑ I XHAUST HOOT) G-ta G49- <br /> 25. ❑x I�:MI:RGI NCY Si/HOLDING'i'ANK Gw 651- <br /> Waler Holding tank <br /> 26- ❑x C1IINICAL NI IrI-RAI.-I/I RS G52 653. <br /> B i-Carb <br /> 2T ❑ GAS C'YI,INDfiIt LEAK RIiPAIR KIT Gs4 css. <br /> Shut off valve,No repair kit <br /> 28. ❑ SPILLOVLJZPACIC DRUMS Gsn Gs7- <br /> 29, OTHER GsA 65,1. <br /> MSf3S <br /> ('.tfmntuni- 30, '1E'Ll Pl-iON6S(Includeseellulw) GCo Gvr- <br /> catiotts <br /> arld IL ❑x IN'II-RCOM/PA SYSTEM [i62 <br /> Alarm 32. POR-LABLI:RADIOS 1j64 cCS. <br /> Systelits <br /> 33. ❑x AUTOMATIC ALARM CI111 MICAL GCE 667- <br /> MONITORING I?,)UIPMEN1T <br /> bthcr 34. ❑ OTHER GCx G6q. <br /> 35- ❑ OTI IER Cr70 671. <br />