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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# 1 CERS ID Al DATE OF PLAN PREPARATION/REVISION A2 <br /> BUSINESS NAME(Same as Facilitv Name or DBA-Doing Business As) 3 <br /> City of Lodi <br /> BUSINESS SITE ADDRESS 103 <br /> BUSINESS SITE CITY 104 ZIP CODE 105 <br /> Lodi CA 95240 <br /> TYPE OF BUSINESS(e.g.,Painting Contractor) A3 INCIDENTAL OPERATIONS(e g,Fleet Maintenance) A4 <br /> City Water Wells <br /> THIS PLAN COVERS CHEMICAL SPILLS,FIRES,AND EARTHQUAKES INVOLVING: (Check all that apply) AS. <br /> ® I HAZARDOUS MATERIALS; ❑ 2.HAZARDOUS WASTES <br /> B. INTERNAL RESPONSE <br /> INTERNAI.FACILITY EMERGENCY RESPONSE WILL OCCUR VIA:(Check all that apply) al <br /> ® 1 CALLING PUBLIC EMERGENCY RESPONDERS(i e.,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 /> Whenever there is an imminent or actual emergency situation such as an explosion, fire, or release,the Emergency Coordinator (or his/her designee when the <br /> Emergency Coordinator is on call)shall: <br /> 1 Activate internal facility alarms or communications systems,where applicable,to notify all Facility personnel. <br /> 2 Notify appropriate local authorities(i.e.,call 9-1-1). <br /> 3. Notify the California Emergency Management Agency at(800)852-7550 <br /> Before facility operations are resumed in areas of the facility affected by the incident,the emergency coordinator shall notify the California Department of Toxic <br /> Substances Control(DTSC),the local Unified Program Agency(UPA),and the local fire department's hazardous materials program that the facility is in compliance <br /> with requirements to: <br /> I 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 <br /> cleanup procedures are completed <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR VIA:(Chuck all Ilia(apply) I 1 <br /> ®1.VERBAL WARNINGS; ❑2 PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑3 TELEPHONE; <br /> ❑4 PACII?RS: ®5.ALARM SYSTEM, ❑6 PORTABLE RADIO <br /> NO•11F'ICA77ON5'ID NEEGI]HORINCi FAC:ILTTIES'THAT MAY BE Al'FF.CTEf)BY AN OFF-SITE RELEASE WILL OCCUR BY:(Check all that apply) Ca <br /> ® I VERBAL WARNINGS. ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑3 TELEPHONE; <br /> ❑4 f AtiERS; ❑5 ALARM SYSTEM, ❑6 PORTABLE RADIO <br /> EMERGENCY RESPONSE AMBULANCE,FIRE,POLICE AND CHP 9-1-1 <br /> PHONE NUMBERS: <br /> CALIFORNIA EMERGENCY MANAGEMENT AGENCY(CAL/EMA) (800)852-7550 <br /> NATIONAL RESPONSE CENTER(NRC) (800)424-8802 <br /> POISON CONTROL CENTER 800 222-1222 <br /> LOCAL UNIFIED PROGRAM AGENCY UYAICUPA (209) 468-3420 <br /> rs <br /> OTHER(Specify) c4 <br /> NEAREST MEDICAL FACILITY/HOSPITAL NAME: Lodi Memorial t b � (209)334-3411 <br /> AGENCY NOTIFICATION PHONE NUMBERS: CALIFORNIA DEPT.OF TOXIC SUBSTANCES CONTROL(DTSC) (916)255-3545 _ <br /> REGIONAL WATER QUALITY CONTROL BOARD ... . . I ra <br /> U S ENVIRONMENTAL PROTECTION AGENCY(US EPA) (800)300-2193 <br /> CALIFORNIA DEPT OF FISH AND GAME(DFG) (916)358-2900 <br /> u S.COAST GUARD (202)267-2180 <br /> CALIOSHA (916)263-2800 <br /> STATE FIRE MARSI[AL (916)445-8200 <br /> OTHER(Specify): <br /> (Al ciz <br /> OTl1ER S •c1Tv. <br /> Rev.06/27/11 <br />