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 OPERATIONS: / DAYS/HOURS OF OPERATION:
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 release determine appropriate / Address:
response and the authority to make management decisions & /
Phone #’s
/ Business: / 24-Hour:
Responsible for: / spill prevention
emergency assessment/management / contacting facility responders
authorizing spill response work
. / initiating alarms
agency notification / interfacing with emergency responders
proper disposal of hazardous waste
other.(Specify) / .
Alternate EC / Name/Position
Address
City/Zip
Day/Eve Phone
Technical Advisors
Available to provide site-specific technical advice to local emergency responders. / Name:
Expertise: / Name:
Expertise:
Emergency Response Team (ERT) Personnel / Team Members (name/position) / Level of Training / Role/Responsibilities
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
Individual(s) named is responsible to notify / Name: / Name:
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 via: / telephone
alarm system: Automatic Manual / pagers
portable radio
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 Warning Center / 1-800-852-7550
Nearest medical facility: / Name/Address: Rideout Hospital
426 4th Street Marysville, CA 95901 / Phone: 749-4300
Designated medical facility,
urgent care facility, or occu-pational health care provider: / Name/Address: Sutter North Occupational Health 886 Plumas Ave. Yuba City / Phone: 751-9675

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: NorthSouthEastWest of Facility.
Business Name:
Address:
Phone #
Contact Name: / Orientation: South of Facility.
Business Name:
Address:
Phone #
Contact Name:
Orientation: East of Facility.
Business Name:
Address:
Phone #
Contact Name: / Orientation: West of Facility
Business Name:
Address:
Phone #
Contact Name:
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 explosions / Mitigating associated harm to persons, property and the environment.
Daily visual inspection
Weekly visual inspection
Monthly visual inspection.
Containers/raw materials inspected prior to acceptance
Monitor for leaks, ruptures, pressure build-up, etc . / Provide structural, physical barrier and secondary containment.
Cover or block floor /storm drains
Built-in berms in storage area(s)
Provide absorbent physical barrier
Shut-off water, gas, and electrical utilities as appropriate. / Stop processes/operations
Eliminate ignition sources
Remove/isolate containers/area as needed.
Call 911 for emergency assistance and medical aid
Notify and evacuate persons in all threatened areas
Waste discharge points monitored
Automatic shutoffs
Tank monitoring/testing
Storm water sampling
Air monitoring device / Automatic/electronic equipment shut-down system
Automatic fire suppression system
Secondary containment of tanks/drums / Provide protective equipment for on-site response team
Account for evacuated persons immediately after evacuation call.
Other (Specify)
Liquid monitoring device
Routine preventative maintenance / Other (Specify)
Other (Specify)
Clean-up Procedures
HAZWOPER Trained Personnel: / Use absorbent materials for spills and properly label, store and dispose of hazardous waste. / Small Spill Large Spill
Number of Personnel
Trained to HAZWOPER –
Awareness Level: / Suction using shop vacuum with subsequent proper storage, labeling, and hazardous waste disposal as appropriate / Small Spill Large Spill
Operations Level:
Technician Level: / Wash/decontaminate equipment and dispose of effluent/ rinsate as hazardous waste / Small Spill Large Spill
Incident Commander: / Provide safe temporary storage of emergency-generated wastes. / Small Spill Large Spill
Hire licensed hazardous waste contractor / Small Spill Large Spill
Other (Specify)

Emergency Evacuations

Evacuation Coordinator will initiate evacuations and account for all employees and site visitors after an evacuation / Name/Position:
Emergency Assembly Area / Location:
Location where Evacuation Procedures/Routes posted / Posting:
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:
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:
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:
Hazard Communication/MSDSs
safety policies and procedures
notification procedures
evacuation /re-entry procedures
location/contents of emergency response plans
spill reporting requirements
Injury and Illness Prevention Program
personal protective clothing/ equipment issued -
Other / Chemical Handlers:
safe handling of hazardous substances
fire hazards associated with materials and processes
conditions likely to worsen in an emergency
coordination of emergency response
proper use of chemical protective clothing and equipment
use of emergency response equipment
communications and alarm systems
decontamination procedures
control and containment procedures
Other / Special Assignments:
UST monitoring equipment and procedures (if applicable)
hazardous waste management procedures (if applicable)
fire brigade/fire suppression
hazardous chemical spill clean-up and large spill clean-up
CPR/First Aid
Hearing Conservation
Respiratory Protection
Welding and Cutting
Forklift Safety
Ladder Safety
Spill Prevention, Control and Countermeasures (SPCC) Plan requirements
Other
Formats
TRAINING TOPICS are listed under each format or as follows: / Classroom
Study guides
Safety/tail-gate meetings
Videos
Manuals
OTHER:
Frequency
Employee training is provided as indicated by . / prior to any work with or around hazardous materials or hazardous wastes
as necessary prior to change in process or work assignment
upon modification to emergency response/ contingency plan
periodically to maintain awareness, competency and performance standard (i.e. Do employees know the 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

Training records are kept for a minimum of 3 years.

/ Written records of employee training include:
Date and hours of training Employee name
Brief job description (for hazardous waste workers) Job Title
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:__
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:

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