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05/12/2021 12:17 FAX IA 0005/0008 <br /> CALIFORNIA ENVIRONMF,NTAl,ItE OFFING SYSTEM(CERS) <br /> CONSOLIDATED EMERGENCY RESPONSE/CONTINGENCY PLAN <br /> Prior to c•omplering this Plan,phase refer to the/NS7 k(JC7YO,NS FOR COMPLETING A COAWLIDA'l h7)CONTINGFAICT PLAN <br /> A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br /> FACILITY 1D i1 1 a. ('ERS ID 1 DA'17 01-PLAN PREPARAI'ION/1t1'VISIUN Az, <br /> 03802 11/2021 <br /> 13USINI-'SS NAME:(Sarre err Farilil),Name or Ul3A-I)oing Burisess A.r) t <br /> DaVita Manteca Dialysis <br /> BUSINESS SITE ADDRI?SS -im <br /> 1620 W Yosemite Street <br /> BUSINE:SS SITE:CITY 104, 7..11'CODC: 105 <br /> Manteca CA 195337 <br /> TYPE OF BUSINESS(e.g..Painting Contractor) Az• INC)DL:N'I'Al,OPI'sRA'IIONS(e g.,fleet Maintenance) A4 <br /> Dialysis Clinic <br /> THIS PLAN COVERS CHEMICAL SPILLS.FIRES,AND EARTEIQUAK1:is INVOLVING- (Check all that apply) AS <br /> ® L HAZARDOUS MAT RIALS. ❑ 2.EIAZARDOUS WA&I'LS <br /> B. INTERNAL RESPONSE <br /> INTE-ANAL,PAC1LrrY rwrimi{NCY RESPONSE:WIL L OCCUR VIA:(Check all thal apply) lit <br /> ®I.CALLING PUBLIC EMIiRCiGNC'Y Ith51'ONDIiRS(i.e.,9-1.1) <br /> (9 2.CALLING HAZARDOUS WAS'1 E cowltACTOR <br /> 3.ACI'IVA'I'INCi IN-1IOl1Sli EMERGENCY RI.-'SPONSI:;'I'I.AM <br /> C. EMERGENCY COMMUNICATIONS,PHONE NUMBERS AND NOTIFICATIONS <br /> Whenever there Is un imminent or actual emergency Situation such as an explosion. Pre, or release,the f nwrgency Coordinator(or hitt/her dosignec when the <br /> Esntcigency Coordinator is on call)shall: <br /> 1.Activate internal liteilily alarms or communications systems,where applicable,to nobly all facility personnel. <br /> 2. Notily appropriate local authorities(i.e..call 9-1-1). <br /> 3. Notify the Calil'ornia Emergem:y Management Agency a((800)852-7550. <br /> Belbre facility operations are resumed i»areas of the facility alTecled by the incident,the cin,.Tgency coordinator shall notify the California Department of Toxic <br /> Substances Control(D'I'SC),the local Unified Program Agency(III'A),and tine local fire department's harardouS materials program that thi:facility is in compliance <br /> with requirements to: <br /> 1.Provide for proper storage and disposal of recovered waste,contaminated soil or surface,water,or any other material that resells from an explosion,lire,or release;it <br /> the facility;and <br /> 2. Ensure that no material that is incompatible with the released material Is lransl'emd,stored,or disposed of in areas of the facility affected by the incident until <br /> cleunup procedures arc completed. <br /> ,INFERNAL.FACII-ITY 1iM8126ENCY COMMUNICATIONS OR AI,ARM NOT111CATION WILL OCCUR VIA:(Check all that apply) Cl. <br /> ® 1.VERBAL.WARNINGS; ❑x 2.PUBLIC ADDRESS Olt IN'11:1WOM SYSTEM: ®3.TF1.I:PHONE; <br /> ❑4.PAGERS; ❑X S.ALARM SYS'T'EM; ❑x 6.PORTABLE RADIO <br /> NoTiPICA'IIONS TO NEIGHBORING PACILI.1'IES THAT MAY 131:AhTEC I'ED BY AN OFF-SI'IYi R11.1 ASI"WILL OCCUR BY:(Check Lill that apply) C2. <br /> iJ 1.VTzR13Al.WARNINGS; ❑2.PUBLIC ADDRESS Ok IN'T'ERCOM SYSTEM, X❑3.TELEPHONE,, <br /> ❑4.PAGERS; ©S.ALARM SYSTEM; ®6.PORTABLE-'RADIO <br /> I"MI?RGENC.'YRE'SPONSI: AMBULANCE.FIRE,POLICE:i AND CHP.......I................... 9-1-1 <br /> PHONE:NUMBERS: <br /> CALIFORNIA EMERGENCY MANAGE MINT AGENCY(CAI./I MA).. ................... (800)852-7550 <br /> NATIONAL RESPONSE CEN'T'ER(NRC)......................... (800)424-8802 <br /> 1101SON CONTROL.('INTER....................... (800)222-1222 <br /> LOCAL UNIFIED PROGRAM AGENCY(UI'AICUI'A)...... L(209)468-34tO Ca. <br /> _._. <br /> O'11u:R(Sliecify):'Phillip Cook Disaster Medical Health Specialist San b `4. 1 (209)351-0323 cs <br /> Cr.. i <br /> NEAREST MEDICAL PAC:ILITY/I•IOSPI'1'AL.NAME:.Hospit$I_M_antec_a T—� --w 1 (209)828-3111 <br /> AGENCY NOT'IFICA'TION III iONEi NUMIifiRS: CALIFORNIA DEII',OF'rOXIC SUBSTANCES CONTROL(DISC) .... (916)255-3545 <br /> REGIONAL WATER QUALITY CONTROL BOARD..................� (916)464-3291 cs� <br /> U.S.ENVIRONMiN'I'AL.PROTECTION AGENCY(US EPA)........... (800)300-2193 <br /> CALIFORNIA DEP'1.OF P1SH AND GAME.(DFG).................... (916)358-2900 <br /> U.S.COAST GUARD........... ................... ... ... .... (202)267-2180 <br /> CAI.JOSE•TA..................................................... (916)263-2800 <br /> STATEFIREMARS)IAL ............ ............... .......... (916)445-8200 <br /> O'I'LIER (Spec-if) rn C IQ <br /> OTHER <br /> Rev.06127/11 <br />