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Nov 22 2021 02:37PM HP Fax (209)369-0843 page 11 <br />CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) <br />CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br />Prior to completing this Plan, please refer to the I,VSTRUC170NSFOR COMPLETING A CnA{Snr.m.4TFn rommir.Fmi-y pt.ev <br />A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br />FACILITY ID # IF <br />REGIONAL WATER QUALITY CONTROL BOARD (RWQCB)........ <br />A <br />— <br />p <br />0 <br />0 <br />1-1011 <br />(202) 27-2180 <br />3 <br />(916) 203-2800 <br />CAL FIRE OFFICE OF THE STATE FIRE MARSHAL. (OSFVI) ..... _. __ <br />916 3 3-7390 <br />1 <br />CERS 1D # A2 <br />DATE OF PLAN PREPARATION/REVISION A3. <br />OTHERc9. j <br />(Specify): � i <br />Cie. <br />108BOO14 <br />(MM/DD/YYYY) August 30, 2021 <br />BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) A4. <br />Habanero Hots Restaurant <br />BUSINESS SITE ADDRESS As. <br />1024 E. Victor Road <br />BUSNESS SITE CITY Ass. <br />ZIP CODE A3• <br />Lodi <br />CA <br />95240 <br />TYPE OF BUSINESS (e.g., Painting Contractor) AN. <br />INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) A9. <br />Restaurant <br />THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING (Check all that apply): A10. <br />Q I. HAZARDOUS MATERIALS; ❑ 2, HAZARDOUS WASTES <br />B. INTERNAL RESPONSE <br />INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR BY (Check all that apply): si <br />911. CALLING PUBLIC EMERGENCY RESPONDERS (e.g., 9-1-1) <br />I] 2. CALLING HAZARDOUS WASTE CONTRACTOR <br />3. ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br />C. EMERGENCY COMMUNICATIONS, PHONE NUMBERS AND NOTIFICAT ONS <br />In the event of an emergency involving hazardous materials and/or hazardous waste, all facilities must IMMEDIATELY: <br />I. Notify facility personnel and evacuate if necessary in accordance with the Emergency Action Plan (Title 8 California Code of Regulations §3220V; <br />2. Notify local emergency responders by calling 9-1-1; <br />3. Notify the local Unified Program Agency (UPA) at the phone number below; and <br />4. Notify the State Warning Center at (800) 852-7550. <br />Facilities that generate, treat, store or dispose of hazardous waste have additional responsibilities to notify and coordinate with other response agenpies. Whenever there <br />is an imminent or actual emergency situation such as an explosion, fire, or release, the Emergency Coordinator must follow the appropriate require*nts for the category <br />of facility and type of release involved: <br />1. Title 22 California Code of Regulations §66265.56. Emergency Procedures for generators of 1,000 kilograms or more of hazardous waste in any calendar month. <br />2. Title 22 California Code of Regulations §66265.196. Response to Leaks or Spills and Disposition of Leaking or Unfit -for -Use Tank Systems. <br />3. Title 40 Code of Federal Regulations §302.6. Notification requirements for a release of a hazardous substance equal to or greater than the reportable quantity. <br />4. Title 22 California Code of Regulations §66262.34(d)(2) and Title 40 Code of Federal Regulations §262.34(d)(5)(ii) for generators of less thaln 1000 kilograms of <br />hazardous waste in any calendar month. <br />Following notification and before facility operations are resumed in areas of the facility affected by the incident, the Emergency Coordinator shall (notify the local UPA <br />and the local fire department's hazardous materials program, if necessary, that the facility is in compliance with requirements to: <br />1. Provide for proper storage and disposal of recovered waste, contaminated soil or surface water, or any other material that results from an explosion, fire, or release at <br />the facility; and <br />2. Ensure that no material that is incompatible with the released material is transferred, stored or disposed of in areas of the facility affected by the incident until cleanup <br />procedures are completed. <br />EMERGENCY RESPONSE AMBULANCE, FIRE, POLICE AND CHP .............................................. 9-1-1 <br />PHONE NUMBERS: CALIFORNIA STATE WARNING CENTER (CSWC)!CAL OES............................ (800) 852-7550 <br />NATIONAL RESPONSE CENTER (NRC) .............................................. (800) 424-8802 <br />POISON CONTROL CENTER........................................................ (800).42-1222 <br />LOCAL UNIFIED PROGRAM AGENCY (UPA).,... .... . .................................(209) 4 8-3420 <br />cz. c:3. <br />OTHER (Specify) . <br />NEAREST MEDICAL FACILITY/ HOSPITAL NAW: Adventist Heakh Lodi Memorial Hospital ER "' 2093343411 is <br />AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) .... <br />(916) 255-3545 <br />REGIONAL WATER QUALITY CONTROL BOARD (RWQCB)........ <br />Ck. <br />U.S. ENVIRONMENTAL PROTECTION AGENCY (US EPA) ........... <br />(800) 300-2193 <br />CALIFORNIA DEPT. OF FISH AND WILDLIFE (CDFW) ...... ........ <br />(916) 358-2900 <br />U.S. COAST GUARD (USCG) ..................................... <br />(202) 27-2180 <br />CAL OSHA ..................................................... <br />(916) 203-2800 <br />CAL FIRE OFFICE OF THE STATE FIRE MARSHAL. (OSFVI) ..... _. __ <br />916 3 3-7390 <br />C7. <br />OTHER (Specify): I <br />OTHERc9. j <br />(Specify): � i <br />Cie. <br />uPv. m"r'n� Page I of 4 <br />Received Time Nov.22, 2021 1:46PM No -6982 <br />