(for example purposes only) Prepared by: Heritage Environmental Services, Indianapolis, IN (http://www.heritage-enviro.com/)

Page 1

For emergency assistance at the site, please contact one of the following coordinators:

Facility Emergency Coordinators (40 CFR 262.262(b)(8))

Role Name Office # Mobile # Radio Channel1

Primary Emergency Coordinator (insert name) (insert number) (insert number) (insert alternate contact information)

Secondary Emergency Coordinator (insert name) (insert number) (insert number) (insert alternate

contact information)

Primary Environmental Coordinator (insert name) (insert number) (insert number) (insert alternate

contact information) 1 – (optional column, example provided) Security personnel at the main gate can provide responders with information on accessing the internal radio frequencies.

One Mile Radius Street Map (40 CFR262.262(b)(5))

Revision: (client example) 1 Aug 2017

RCRA Contingency Plan Quick Reference Guide COMPANY NAME

SITE ADDRESS, STREET, CITY, STATE ZIP EPA ID# (insert here)

(insert company logo here)

(for example purposes only) Prepared by: Heritage Environmental Services, Indianapolis, IN (http://www.heritage-enviro.com/)

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Directions to the Main Gate at the Facility (40 CFR 262.262(b)(5))

Facility Address From the Northwest

From the Northeast From the Southwest From the

Southeast

(insert site address, street, city, state zip)

*All routes can accommodate a 53-foot trailer.

The following hazardous waste may be present at the site:

Hazardous Waste1 (40 CFR 262.262(b)(1), (2) & (3))

Hazardous Waste Name Hazard2 DOT ERG

Number

Max Onsite (lbs)

Point of Generation and/or

Storage Location3

Storage Location Number (see

following map)

1 – The quantity and type of hazardous waste may vary due to production activity. 2 – Toxic, Corrosive, Reactive, Ignitable (or combination of these) 3 – Numbered locations are provided on the following map. Locations are subject to change. Consult with onsite personnel for current information.

(for example purposes only) Prepared by: Heritage Environmental Services, Indianapolis, IN (http://www.heritage-enviro.com/)

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Map of Hazardous Waste Storage Locations (40 CFR 262.262(b)(4))

(for example purposes only) Prepared by: Heritage Environmental Services, Indianapolis, IN (http://www.heritage-enviro.com/)

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Map of Facility and Surrounding Areas (40 CFR 262.262(b)(5))

The facility has the following on-site alarm systems:

Alarm Systems (40 CFR 262.262(b)(7))

System Type Location

(for example purposes only) Prepared by: Heritage Environmental Services, Indianapolis, IN (http://www.heritage-enviro.com/)

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Fire Water Location Map (40 CFR 262.262(B)(6))

*This plan must be updated whenever the Contingency Plan is amended (40 CFR 262.262(c)).

(Insert a facility diagram or map showing the locations of water supply at the facility (e.g., fire hydrant and flow rate)