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<br />d. Owner/operator responsibilities shall be identified in the contingency plan to <br />include, at minimum, the following: <br /> <br />i. Notify the State Department of Health Services and appropriate state <br />and local authorities that the above requirements have been met before <br />operations are resumed in the affected area. <br /> <br />ii. Record the time, date and details of any incident, which requires <br />implementing the contingency plan. <br /> <br />iii. Within fifteen (15) days, submit a written report on the incident to the <br />State Department of Health Services. The report shall include: <br /> <br />(a) Name, address and telephone number of owner/operator; <br /> <br />(b) Name, address and telephone number of the facility; <br /> <br />(c) Date, time, and type of incident; <br /> <br />(d) Name and quantity of materials involved; <br /> <br />(e) Extent of injuries; <br /> <br />(f) Assessment of actual or potential hazards to human health or the <br />environment, where applicable; and <br /> <br />(g) An estimate of the quantity of material recovered and its <br />disposition. <br /> <br />iv. A copy of the contingency plan shall be maintained at the facility. A copy <br />shall be sent to City of San Leandro Hazardous Materials Division, <br />surrounding hospitals, Alameda County Health Care Agency, and other <br />regulatory agencies as deemed appropriate. <br /> <br />v. The contingency plan shall be reviewed and amended when any of the <br />following occur: <br /> <br />(a) The facility permit is revised. <br /> <br />(b) Applicable regulations are revised. <br /> <br />(c) The plan fails in an emergency. <br /> <br />Exhibit G: Proposed Amended Article16 Page 43 <br />Note: underline and bolded text represents new text; strike-through text represents text to be eliminated