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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN Prior to comnpk ting this Plus, please refer to the 7NSFRUCT10, SFGR COMPLETING A CONSOLIDATED CONTINGENCY PIAN A FACILITY IDENTIFICATION - ND.OPERATIONS OVkRNUW FACILITY ID # CERS ID ^r DATE OF PLAN PREPARATIONIRJ- VISION A2. INBSS NAME (Sarno as Faculty Nan1P or 08A - Doing Busrrxm As) BSll+iESS SFI E ADORI SS 6131 Pacific Avenue BUSNF.SS SCi7: Cl'I'Y ZIP CODE IDS Stockton CA 95297 T'YPF OF BUSINESS (e -.g., Painting Cuntimaor) ^' INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) Aa. Gas Station THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING: (Check all that apply) As. I. HAZARDOUS MAITERiALS; © 2, HAZARDOUS WASTES B. -INTERNAL RESPONSE INTERNAL. FACILITY I AViF.RGENCY RESPONSE WILL OCCUR VIA: (Check all that apply) 81, ® 1. CALLING PUBLIC EMERGENCY RESPONDERS (i.e., 9-1-1) ® 2. CALLING HAZARDOUS WASTE CONTRACTOR ® 3 ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM _ . *M ENCY COMWNWATYONS, ;PRONE NUMBERS AND NOTIFICATIONS Whenever there is an imm*m or actual emergency situation such as an explosion, fire, or release, the Emergency Coordinator (or hisrlim designee when the Emergency Coordinator is on call) shall: 1. Activate internal facility alarms or communications systans, where applicable, to notify all facility personnel. 2. Notify appropriate local authorities (i -e,, call 9-1-1). 3. Notify tine California Emergency ergency Management Agency at (800) 852-7530. Before hdity operations �src resumed in areas of the facility affected by the incident, the emergency coordinator shall notify the California Department of Toxic Substances Control (DTSq the local Unified Program Agency (UPA), and the local fire department's hazardoms materials program that the facility is in compliance with requirements to: ` 1. Provide for proper sto and disposal of recovered waste, contaminated soil or surface water, or any other material that results from an explosion, fire, or release at the facility; and 2. Ensure that no material at is incompatible with the released material is transferred, stored, or diapostd of in areas of the facility affected by the incident until oleanuP procedures are cos ltted, INTERNAL FACILITY F,MFR0FNCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA: (Check all that apply) Cr. ® 1. VERBAL WARNINGS; ❑ 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; ® 3. TLLEPIZONE; ❑ 4. PAGERS; 1❑ 5. ALARM SYSTEM; ❑ 6. PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITF RELEASE WILL OCCUR BY: (Check all that apply) C2 ® 1. VERBAL WARNINGS; C3 2, PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑ 3. TELEPHONE; ❑ 4. PAGERS; ❑ 5. ALARM SYSTEM: ❑ 6. PORTABLE RADIO EMERGENCY RESPONS� AMBULANCE, FIRE, POLICE AND CHP .......... . . . . ....... ... . . . . .. . ..... . . ..... 9-1-1 PHONE NUMBERS: CALIFORNIA EMERGENCY MANAGEMENT AGENCY (CAI/F.MA) .................. .... (800) 852-7550 NATIONAL RESPONSE CENTER (NRC) . . . . . . .. . .............. . ... . ..... . — - . - ...... (800) 4248802 POISON CONTROL. CENTER .... . ............................. . ............. . . ..... . _-(800)_Z22-1222 LOCAL UNIFIED PROGRAM AGENCY (UPA/CUPA) ..... . . . ......... ...... . .. . . .... .1 (209) 468-3420 cr. OTHER (Specify): IY �•---..�_. NEAREST MEDICAL FACILITY/ HOSPITAL NAME! ST. JOSEPH MEDICAL CENTER — � i 209) 943-2000 " AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) .... (916) 255-355455 REGIONAL WATER QUALITY CONTROL BOARD . ................ L(916464-3291 ---Cs. U.S. ENVIRONMENTAL PROTF.CI'ION AGENCY (US EPA) ........ , . , (800) 800-2198 CALIFORNIA DEPT OF FISH AND GAMF (DFG) .......... . . . . . . . . (916) 358-2900 U.S_ COAST GUARD ........................ . . ....... . ....... . . . . (202) 267-2180 CAuoSI [A .......... ... ....... . .. . . . . ... _ .......... _ ...... — (916) 263-2800 STATE FIRE MARSHAL ... . - .tip . . . . . . . . . .. . . . . .. . . .........916) 445-6200 OTHER (Specify): ca J ( ) CIO. 011-MR(SpEify) CII C12 Rev. 061271t 1