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CALIFORNIA ENVIRONMENTAL REPORTING SYSTEM (CERS) <br />CONSOLIDATED EMERGENCY RESPONSE / CONTINGENCY PLAN <br />Prior to completing this Plan, please refer to the INSTRUCTIONS FOR COMPLETING A CONSOLIDATED CONTINGENCY PLAN <br />A. FACILITY IDENTIFICATION AND OPERATIONS OVERVIEW <br />FACILITY ID # A1. <br />— — <br />CERS ID # A2. DATE OF PLAN PREPARATION/REVISION A3. <br />(MM/DD/YYYY) <br />BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) <br />A4. <br />BUSINESS SITE ADDRESS A5. <br />BUSINESS SITE CITY A6. <br />CA <br />ZIP CODE A7. <br />TYPE OF BUSINESS (e.g., Painting Contractor) A8. INCIDENTAL OPERATIONS (e.g., Fleet Maintenance) A9. <br />THIS PLAN COVERS CHEMICAL SPILLS, FIRES, AND EARTHQUAKES INVOLVING (Check all that apply): A10. <br />1. HAZARDOUS MATERIALS; 2. HAZARDOUS WASTES <br />B. INTERNAL RESPONSE <br />INTERNAL FACILITY EMERGENCY RESPONSE WILL OCCUR BY (Check all that apply): B1. <br /> 1. CALLING PUBLIC EMERGENCY RESPONDERS (e.g., 9-1-1) <br /> 2. CALLING HAZARDOUS WASTE CONTRACTOR <br />3. ACTIVATING IN-HOUSE EMERGENCY RESPONSE TEAM <br />C. EMERGENCY COMMUNICATIONS, PHONE NUMBERS AND NOTIFICATIONS <br />In the event of an emergency involving hazardous materials and/or hazardous waste, all facilities must IMMEDIATELY: <br />1. Notify facility personnel and evacuate if necessary in accordance with the Emergency Action Plan (Title 8 California Code of Regulations §3220); <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 agencies. Whenever there <br />is an imminent or actual emergency situation such as an explosion, fire, or release, the Emergency Coordinator must follow the appropriate requirements 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 than 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) 222-1222 <br />C1. LOCAL UNIFIED PROGRAM AGENCY (UPA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />C2. C3. OTHER (Specify): <br />C4. C5. NEAREST MEDICAL FACILITY / HOSPITAL NAME: <br />AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT. OF TOXIC SUBSTANCES CONTROL (DTSC) . . . . <br />REGIONAL WATER QUALITY CONTROL BOARD (RWQCB). . . . . . . . <br />U.S. ENVIRONMENTAL PROTECTION AGENCY (US EPA) . . . . . . . . . . . <br />CALIFORNIA DEPT. OF FISH AND WILDLIFE (CDFW) . . . . . . . . . . . . . . <br />U.S. COAST GUARD (USCG) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />CAL OSHA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />CAL FIRE OFFICE OF THE STATE FIRE MARSHAL (OSFM) . . . . . . . . . <br />OTHER (Specify): <br />C9.OTHER (Specify): <br />(916) 255-3545 <br />C6. <br />(800) 300-2193 <br />(916) 358-2900 <br />(202) 267-2180 <br />(916) 263-2800 <br />(916) 323-7390 <br />C7. C8. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />C10. <br />Rev. 03/07/17 Page 1 of 4