VIEWS: 13 PAGES: 6 POSTED ON: 4/21/2010
Yuba County EMERGENCY RESPONSE AND CONTINGENCY PLAN Certified Unified Program Agency Hazardous Materials Programs I. FACILITY IDENTIFICATION FACILITY NAME: FACILITY ID#: HM DATE: FACILITY SITE ADDRESS: CITY/ZIP: WORK PHONE: FACILITY/PROPERTY OWNER NAME: HOME PHONE: ELEMENTS COVERED BY THIS PLAN Hazardous Materials (HSC6.95/CCR Title 19) Hazardous Waste (CCR Title 22) Underground Storage Tanks (HSC 6.7) Aboveground Storage Tank Other: PRINCIPAL BUSINESS ACTIVITY: DESCRIPTION OF DAYS/HOURS OF OPERATION: OPERATIONS: NUMBER OF SHIFTS: NUMBER OF EMPLOYEES: HAZARDS/EVENTS COVERED BY PLAN (i.e., chemical spills, fire, earthquake, etc.) II. EMERGENCY COORDINATOR, EMERGENCY RESPONDERS, and TECHNICAL ADVISORS Primary Emergency Coordinator (EC) Name/Position: EC has the expertise to classify the Address: release determine appropriate response and the authority to make Phone #’s Business: 24-Hour: management decisions & Responsible spill prevention contacting facility responders for: emergency assessment/management authorizing spill response work . initiating alarms interfacing with emergency responders agency notification proper disposal of hazardous waste other.(Specify) . Alternate EC Name/Position Address City/Zip Day/Eve Phone Technical Advisors Name: Name: Available to provide site-specific technical advice to local emergency Expertise: Expertise: responders. Emergency Response Team Members Level of Training Role/Responsibilities Team (ERT) Personnel (name/position) ERT available on-site 1. Team Members, level of 2. training, and roles and 3. responsibilities are listed. 4. Outside Contractor(s) Company Name: Role/Responsibilities: Will be contacted for spill Address: clean-up. 24-hr. Phone#(s): Call Local Emergency Responders--911 Emergency Communications Name: Name: Individual(s) named is responsible to notify Position: Position: INTERNAL: Verbal communications or personal contact public address/intercom system evacuation notifications will occur via: telephone pagers alarm system: Automatic Manual portable radio EXTERNAL: Notification of neighbors who personal contact public address/intercom system may be affected by a spill/release will occur telephone pagers via: alarm system: Automatic Manual portable radio CUPA04 Page 1 of 6 Yuba County EMERGENCY RESPONSE AND CONTINGENCY PLAN Certified Unified Program Agency Hazardous Materials Programs FACILITY IDENTIFICATION: HM# III. EMERGENCY COMMUNICATIONS AND NOTIFICATIONS Emergency Notifications Emergency Phone Numbers Ambulance, Fire, Sheriff 911 To be contacted for any hazardous Yuba County CUPA (530) 749-5450 8-5 p.m. Materials release Yuba County Sheriff (530) 749-7777 (24-hour) CA Office of Emergency Services 1-800-852-7550 Warning Center Nearest medical facility: Name/Address: Rideout Hospital Phone: 749-4300 426 4th Street Marysville, CA 95901 Designated medical facility, Name/Address: Sutter North Occupational Phone: 751-9675 urgent care facility, or occu- Health 886 Plumas Ave. Yuba City pational health care provider: Agency Notification List National Response Center 1-800-424-8802 The following agencies will be contacted CA Central Valley RWQCB (916) 255-3000 as needed. US EPA (415)744-1500 CA Dept. of Toxics Substances Control (916)324-1824 CA Dept. of Fish and Game (916) 445-0045 US Coast Guard (Spill Response) (510)437-3073 Cal OSHA (916) 263-2800 State Fire Marshal (916) 445-8200 Feather River Air Quality Mgmt. District (530) 741-6484 Yuba Co. Ag Commissioners Office (530) 749-5400 Other Important Numbers Poison Control Center 1-800-342-9293 Notification of Adjacent Properties/Businesses (adjacent to facility) Orientation: North of Facility. Orientation: South of Facility. Business Name: Business Name: Address: Address: Phone # Phone # Contact Name: Contact Name: Orientation: East of Facility. Orientation: West of Facility Business Name: Business Name: Address: Address: Phone # Phone # Contact Name: Contact Name: CUPA04 Page 2 of 6 Yuba County EMERGENCY RESPONSE AND CONTINGENCY PLAN Certified Unified Program Agency Hazardous Materials Programs FACILITY IDENTIFICATION: HM# IV. HAZARDOUS MATERIALS EMERGENCY PLANNING AND RESPONSE Methods for Prevention, Containment, and Clean-Up of a Release Preventing spill and release Containing spills, releases, fires or Mitigating associated harm to persons, explosions property and the environment. Daily visual inspection Provide structural, physical barrier and Stop processes/operations Weekly visual inspection secondary containment. Eliminate ignition sources Monthly visual inspection. Cover or block floor /storm drains Remove/isolate containers/area as needed. Containers/raw materials inspected Built-in berms in storage area(s) Call 911 for emergency assistance and prior to acceptance Provide absorbent physical barrier medical aid Monitor for leaks, ruptures, Shut-off water, gas, and electrical Notify and evacuate persons in all pressure build-up, etc . utilities as appropriate. threatened areas Waste discharge points monitored Automatic/electronic equipment shut- Provide protective equipment for on-site Automatic shutoffs down system response team Tank monitoring/testing Automatic fire suppression system Account for evacuated persons immediately Storm water sampling Secondary containment of tanks/drums after evacuation call. Air monitoring device Other (Specify) Liquid monitoring device Other (Specify) Routine preventative maintenance Other (Specify) Clean-up Procedures HAZWOPER Trained Use absorbent materials for spills and properly label, Small Spill Large Spill Personnel: store and dispose of hazardous waste. Number of Personnel Suction using shop vacuum with subsequent proper Small Spill Large Spill Trained to HAZWOPER – storage, labeling, and hazardous waste disposal as Awareness Level: appropriate Operations Level: Wash/decontaminate equipment and dispose of effluent/ Small Spill Large Spill Technician Level: rinsate as hazardous waste Incident Commander: Provide safe temporary storage of emergency-generated Small Spill Large Spill wastes. Hire licensed hazardous waste contractor Small Spill Large Spill Other (Specify) Emergency Evacuations Evacuation Coordinator will initiate Name/Position: evacuations and account for all employees and site visitors after an evacuation Emergency Assembly Area Location: Location where Evacuation Posting: Procedures/Routes posted Evacuation Procedures Procedures: Arrangements with local emergency service providers Advance arrangements have been made with local fire and police departments, hospitals and/or contractors for emergency services to familiarize them with this facility. Special arrangements: CUPA04 Page 3 of 6 Yuba County EMERGENCY RESPONSE AND CONTINGENCY PLAN Certified Unified Program Agency Hazardous Materials Programs FACILITY IDENTIFICATION: HM # Emergency Equipment √ Indicates equipment available on site for response to chemical leaks, spills, or fires. Use Category Equipment Available Location Capability/Description Examples: Portable fire extinguisher center of N wall/shop rated as “5A,10BC” Chemical protective gloves spill response kit One-use, oil/solvent resistant Safety and First chemical protective suits, aprons or vests Aid Equipment chemical protective gloves boots safety glasses goggles shields hard hats shields cartridge respirator SCBA first aid kits/ stations emergency eye-wash plumbed portable emergency shower other Fire portable fire extinguishers Extinguishing fixed fire prot.systems sprinklers CO2 fire hoses fire hydrant Equipment fire alarm boxes or stations other Spill Control absorbent material and Clean-up container for used absorbent Equipment berming/diking equipment broom shovel shop vacuum exhaust hood emergency sump/holding tank chemical neutralizers gas cylinder leak repair kits spill overpack drums other Communication telephones, including cellular & Alarm intercom/PA System System portable radios Equipment automatic alarm w/monitoring equipment UST monitoring system operations manual list of notification phone numbers other Areas of Earthquake Vulnerability Areas /systems vulnerable to hazardous materials/waste storage area tanks (emergency shutoff) releases / spills due to process lines/ piping portable gas cylinders earthquake related motion laboratory emergency shutoff/utility valves The areas identified may require waste treatment area sprinkler systems immediate isolation and inspection. shelves, cabinets, & racks stationary pressurized containers other: other: CUPA04 Page 4 of 6 Yuba County EMERGENCY RESPONSE AND CONTINGENCY PLAN Certified Unified Program Agency Hazardous Materials Programs FACILITY IDENTIFICATION: HM# V. EMPLOYEE TRAINING PROGRAM Training Plan Training Requirements: Training is required for all employees handling hazardous materials or hazardous wastes as part of routine job duties and day-to-day operations or who may be exposed in the event of a spill or emergency release. Training Subject Areas: Training subject areas vary according to the assigned duties of the employees. Topics includes the following:: All Personnel: Chemical Handlers: Special Assignments: Hazard Communication/MSDSs safe handling of hazardous substances UST monitoring equipment and procedures (if safety policies and procedures fire hazards associated with materials applicable) notification procedures and processes hazardous waste management procedures (if evacuation /re-entry procedures conditions likely to worsen in an applicable) location/contents of emergency emergency fire brigade/fire suppression response plans coordination of emergency response hazardous chemical spill clean-up and large spill spill reporting requirements proper use of chemical protective clean-up Injury and Illness Prevention clothing and equipment CPR/First Aid Program use of emergency response equipment Hearing Conservation personal protective clothing/ communications and alarm systems Respiratory Protection equipment issued - decontamination procedures Welding and Cutting control and containment procedures Forklift Safety Other Other Ladder Safety Spill Prevention, Control and Countermeasures (SPCC) Plan requirements Other Formats Classroom TRAINING TOPICS Study guides are listed under each Safety/tail-gate meetings format or as follows: Videos Manuals OTHER: Frequency prior to any work with or around hazardous materials or hazardous wastes as necessary prior to change in process or work assignment Employee training is upon modification to emergency response/ contingency plan provided as indicated periodically to maintain awareness, competency and performance standard (i.e. Do employees know the by . hazards of the materials they work with and how to work safely? What PPE to use and when?) annually as required by HAZWOPER, HazWaste, and Training frequency is, at a minimum, as described above. Training frequency is, at a minimum, as follows: Documentation Written records of employee training include: Training records are Date and hours of training Employee name kept for a minimum of Brief job description (for hazardous waste workers) Job Title 3 years. Training outline, agenda, or list of topics covered Trainers name and qualifications OTHER: Employee training is provided, at a minimum, as described above. A separate written Employee Training Plan is attached. Employee training records are maintained in the following location _ _ Employee training records are maintained in the following manner:_ _ CUPA04 Page 5 of 6 Yuba County EMERGENCY RESPONSE AND CONTINGENCY PLAN Certified Unified Program Agency Hazardous Materials Programs FACILITY IDENTIFICATION: HM# VI. RECORDKEEPING REQUIREMENTS The following records are maintained at this facility: ( * Required, if applicable) Current employees training records to be retained until closure of this facility.* Former employees training records to be retained at least 3 years after termination of employment.* Training program (written description of initial and continuing training).* Current copy of the Hazardous Materials Emergency Response and Contingency Plan.* Record of hazardous materials/waste releases in Facility Log.* Monitoring and daily/weekly/monthly visual inspection records.* Documentation and description of facility emergency response drills. Uniform Hazardous Waste (HW) Manifests are kept for minimum of 3 years after shipment.* Record of all HW disposals, including manifests, recycling receipts, bills of lading are kept a minimum of 3 years.* Record of all UST alarm logs and responses are kept for 3 years.* Record of all AGT inspections and removals from secondary containment are kept for 3 years.* Other: specify VII. SIGNATURE AND CERTIFICATION I certify under penalty of perjury of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete to the best of my knowledge, and that a copy of this plan is available on-site. Signature Date of completion Print Name Title/Position VIII. LIST OF ATTATCHMENTS: The following documents are attached to this plan. Site/facility map Training plan Inspection forms Aboveground Tank Storage Statement SPCC Evacuation Plan UST Monitoring Plan Other: CUPA04 Page 6 of 6
"Hazardous Materials Business Response and Contingency Plan"