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CERS Consolidated Emergency Response / Contingency Plan INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY (Check all that apply) : C 1 . 1- 1 . VERBAL WARNINGS ; E] 2 . PUBLIC ADDRESS OR INTERCOM SYSTEM; RH . TELEPHONE; ❑ 4 . PAGERS ; RqJ . ALARM SYSTEM; RL64 PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY (Check all that apply) : c12. 0C 1 . VERBAL WARNINGS ; ❑ 2 . PUBLIC ADDRESS OR INTERCOM SYSTEM; 3 . TELEPHONE; ❑ 4. PAGERS ; ❑ 5 . ALARM SYSTEM; ❑ 6 . PORTABLE RADIO EMERGENCY COORDINATOR CONTACT INFORMATION: c136 PRIMARY EMERGENCY COORDINATOR NAME : v 10,5 � � HONE NO . : ' ` PHONE NO . : ALTERNATE EMERGENCY COORDINATOR NAME: t5. tires } S PHONE NO . : - ? � ONE NO . : ` ❑ Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO . : Note : If more than one alternate emergency coordinator is designated, attach a list in order of responsibility. D . EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check the applicable boxes to indicate your facility ' s procedures for containing spills and preventing and mitigating releases, fires and/or explosions . We 5414 MONITOR FOR LEAKS , RUPTURES , PRESSURE BUILD -UP , ETC . ; ❑ 2 . PROVIDE STRUCTURAL PHYSICAL BARRIERS (e. g. , Portable spill containment walls, built-in berms) ; ❑ 3 . PROVIDE ABSORBENT PHYSICAL BARRIERS (e . g. , Pads, spill pigs, spill pillows) ; 4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS ; ❑ 5 . LINED TRENCH DRAINS AND/OR SUMPS ; ❑ 6 . AUTOMATIC FIRE SUPPRESSION SYSTEM; ❑ 7 . ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS ; [:184 STOP PROCESSES AND/OR OPERATIONS ; ❑ 9 . AUTOMATIC / ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM ; 10 . SHUT OFF WATER, GAS , ELECTRICAL UTILITIES ; 11 . CALL 9- 1 - 1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID ; ® 12 . NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS ; R13 , ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; 14. PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; 15 , REMOVE CONTAINERS AND/OR ISOLATE AREAS ; ❑ 16 . HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; ❑ 17 . USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; ❑ 18 . VACUUM SUCTION USING APPROPRIATE VACUUM (e. g. , Intrinsically safe) FOR SPILL CONTROL AND/OR CLEANUP ; [919 . DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; ❑ 20 . PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS ; D2. ❑ 21 . OTHER (Specify) : E . FACILITY EVACUATION THE FOLLOWING ALARM SIGNALS) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply) : Er . ❑ 1 . BELLS ; E2. C . HORNS/SIRENS; . VERBAL (i . e. , Shouting); ❑ 4 . OTHER (Specify) : THE FOLLOWING LOCATION(S) WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S) (e.g. , Parking lot, street corner): E3 . Note : The Emergency Coordinator must account for all onsite employees and visitors after evacuation . EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS : E4. L WRITTEN PROCEDURES DESCRIBING ROUTES , EXITS, AND ASSEMBLY AREAS ; EVACUATION MAP(S ) DEPICTING ROUTES , EXITS , AND ASSEMBLY AREAS ; 3 . OTHER (Specify) : E5 . Note : Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan, F . ARRANGEMENTS FOR EMERGENCY SERVICES ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES (Check one of the following) : Fl . ,� 1 . HAVE BEEN DETERMINED NOT NECESSARY; F2. ❑ 2 . THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify) : Note : Advance arrangements with local fire and police departments, hospitals, state and local emergency response teams , and/or emergency services contractors should be made for your facility, if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan. Rev. 03 /07/17 Page 2 of 4