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Home My WebLink AboutContingency Plan 2022 D IEC 0 ICBLPATH A Sonic Haolthcoro Com ar7y�tS DEC 19 2022 V{I+v 1 BUILD OF RY__ ENT N opie December 16, 2022 Mr. Christopher Bradbury/Michael Izzo Village of Rye Brook Fire Department 938 King Street Rye Brook, NY 10573-1226 Dear Gentleman, On December S`h, CBLPath's Emergency Response Coordinators sent you our Contingency Plan. Unfortunately that version needed additional information related to naming a primary and alternative contact, a revised descriptive emergency equipment listing with floor plans, and our waste removal vendor's audit packet. Please review and accept this revised 2023 Contingency Plan for CBLPath, Inc with the effective date of 12/16/2022 and discard the previous plan dated 12/2/2022. If we do not hear from you by January 1, 2023 our company will assume that you will graciously respond to our facility in the event of an emergency or chemical spill when dispatched. If you should have further questions, please contact any one of our emergency coordinators listed in the Contingency Plan. Sincerely, CBLPath Emergency Response Coordinators Cc:Casey Eganey, Environmental Program Specialist I—RCRA Compliance Division of Material Mgt., NYSDEC 760 Westchester Avenue,Rye Brook,NY 10573 toll free 1.877.225.7284 fox 866.329.2252 Lv )sit c CBLPath.com 01 CBLPATH A 30MICi H0011-0- C-P-Y Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Qualijj4t- Contingency Plan SOPM CON-001 Institdtional Assurance,Integrity and Compliance IMC DATE:8/10/2010 REVISION:H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C. Urmacher,MD 12/16/2022 Facilities Managing and Laboratory Director - CONTINGENCY PLAN CBLPath, Inc. 760 Westchester Avenue Rye Brook, STY 10573 REVIS PLANS DEC 19 2022 DATED. ILDING DEPARTMENT 1 • CIBLIPATH Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C. Urmacher,MD 12/16/2022 Facilities Managing and Laboratory Director This plan is reviewed annually and amended whenever changes occur that will significantly affect the ability of this facility to respond to an emergency situation. This includes revision of the regulations,if the plan fails in an emergency,if this facility changes in a way that materially increases the potential for an emergency or changes in the response necessary in an emergency,if the list of emergency coordinators changes or if the list of emergency equipment changes or if the list of hazardous chemical use changes. When warranted,revisions are made to the plan within 24 hours and emergency response coordinators notified. TABLE OF CONTENTS 1. General Facility Information 2. Purpose and Scope of the Plan 3. Overview of Facility Operations,Wastes,and Processes Generating Wastes 4. Emergency Response Coordinator 5. Coordinated Response Services with Off-Site Emergency Responders 6. Evacuation Plans 7. Location of 90-day and Satellite Accumulation Areas 8. Emergency Procedures and Responsibilities 9. Optional Components 1.GENERAL FACILITY INFORMATION Name:CBLPath, Inc. Owner:Sonic Healthcare Facility Address:760 Westchester Avenue, Rye Brook, NY 10573 County:Westchester Mailing Address:Same as above Telephone:914-698-5706 Fax:914-698-6624 EPA ID Number:OHDO48415665 This facility is within an established fire protection district.The building is 66,000 square feet and consists of three floors(and one unoccupied penthouse used for minimal storage)with each floor fully equipped with an automated sprinkler system and emergency pull boxes which is tested regularly by our local fire marshal. Every hallway, boardroom and most laboratories have strobe lights and alarms when activated. The floors have two stairways at opposite ends of the building with exit signs that are in full view and well lit.There is an elevator which will be deactivated during an emergency.The building is owned and managed by RPW. 2 • CBLPATH A Sal- Healfhcale Company Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C. Urmacher,MD 12/16/2022 Facilities Managing and Laboratory Director 2.PURPOSE AND SCOPE OF PLAN Although this facility is designed,constructed,maintained and operated in a manner that minimizes the possibility for emergency incidents such as fire,explosions and any unplanned sudden or non-sudden release of hazardous waste or hazardous waste constituents to air,soil or surface water,this plan is designed to minimize hazards to human health and the environment in the unlikely event of such incidents.This plan is designed to satisfy the requirements of RCRA, NYS EPA,DEC,OSHA,CAP,and NYS DOH Regulations. 3.OVERVIEW OF FACILITY OPERATIONS,WASTES,AND PROCESSES GENERATING WASTES CBLPath, Inc.is a pathology laboratory. We diagnose cancer and other diseases of the human body. In the process of creating slides from human tissue,our laboratory uses the following chemicals mainly: xylene,alcohol,and formalin. These are hazardous wastes and we are a large quantity generator. We recycle a portion of these chemicals and use a licensed transporter to remove said used chemicals for processing and proper disposal. 4. EMERGENCY REPSONSE COORDINATORS AND CONTACTS The following designated emergency response coordinators/responders are on call and/or on premise in the case of an emergency listed in order of notification: Primary Contact-Alvaro Galicia, Facilities Cell#914-491-8470 Alternate Contacts- Juan Macedo, Facilities Cell#914-255-4175 Jen Plass,Cytoprep Technician Cell#646-398-2707 Shaddai Morales, Histology Manager Cell#845-461-5300 Julius Laino,Vice President of QIAIC Cell#914-424-0094 Carlos Urmacher, M.D., Managing/Laboratory Director Cell#914-409-8115 Contingency Plan Development, Maintenance and Emergency Response Coordinators listed below have the same office phone number and address as listed in the general facility information,section 1. Emergency response coordinator cell phone numbers have been provided as well. 4A.EMERGENCY RESPONDERS AND CONTACTS Listed are the local emergency first responder contacts. ➢ Police/Ambulance/Fire 9-911 ➢ Poison Control 9-1-800-336-6997 ➢ Greenwich Hospital 9-1-203-863-3000 ➢ White Plains Hospital 9-1-914-681-0600 3 ® 'iCBLPATH Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C. Urmacher,MD 12/16/2022 Facilities Managing and Laboratory Director ➢ ChemTrec(Chemical Emergency) 9-1-800-424-9300 5.COORDINATED EMERGENCY SERVICES WITH OFF-SITE EMERGENCY RESPONDERS The local emergency planning committee is the CBLPath, Inc.Safety Committee. This Committee meets regularly in-house or by Zoom.CBLPath's laboratory located at 760 Westchester Avenue, Rye Brook NY is within an established fire protection district in the Village of Rye Brook. When we dial 9-911 from our facility(we must dial 9 first to get an outside line from a land line phone), we have an arrangement with the Village of Rye Brook EMS, Police and Fire Department that they will come out to our facility in an emergency and service whomever and whatever needs help/servicing. Correspondence letters along with a copy of our contingency plan to our local emergency responders emergency responders. 6.SPILL CONTRACTOR AND EVACUATION PLANS Our spill contractor for large scale spills-is CHEMTREC. Our emergency in house personnel and safety officers have been spill trained to know that this contractor is called anytime there is a large quantity spill that is unmanageable(over one liter or noxious). In the event of a large spill all employees will be instructed to evacuate. The emergency responders who respond to our facility will be escorted by one of our emergency coordinators to the area identified who will come equipped to deal with the appropriate chemical hazard and type that is called in to their dispatch day or night.Additional employee safety policies related to spills and other facility emergencies including evacuations can be found on site in our safety and facility standard operating procedures. Evacuation floor plans can be found in the attachments. 7. LOCATION OF 90-DAY AND SATELLITE ACCUMULATION AREAS CBLPath, Inc.does not have a 90-day or satellite accumulation area for hazardous chemical storage or waste at our facility. All waste is stored on site for 2 to 3 weeks maximum and then removed by a certified and licensed waste hauler currently CleanEarth and Republic Environmental Systems Transport Group. 8.EMERGENCY PROCEDURES AND RESPONSIBILITIES Our CBLPath, Inc.emergency coordinators are trained to: • Be onsite or on call at all times to coordinate emergency response activities • Be intimately familiar with the contingency plan,the operations and activities occurring at our facility,the physical layout of our facility,the location and characteristics of wastes generated, stored and/or managed onsite,and the location of all records necessary to implement this plan • Know to activate all facility alarms to alert facility personnel of an emergency • Notify CHEMTREC as written in this plan 4 • CBLPATH Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C.Urmacher,MD 12/16/2022 Facilities Managing and Laboratory Director • Identify the biological,chemical,and physical properties of any released material,the source of the release,the amount released,and the areal extent of the material;environment that may result from the incident and identify threatened resources and receptors • Determine if the incident could threaten human health or the environment outside the facility and if evacuation of local areas outside the facility is required • Notify the National Response Center 1-800-424-8802 as needed All reporting must include: ■ Name and telephone number of the person reporting the incident ■ Name/address of the facility ■ Time and type of incident ■ Name and quantity of materials involved,to the extent known ■ Extent of injuries,if any ■ Possible hazards to human health or environment outside the facility • If facility operations cease,emergency responders will monitor for leaks, pressure buildup,gas generation,or ruptures in valves,pipes and other equipment will be required by a certified licensed vendor • After an emergency utilizing the services of ChemTrec get a full report of their services and clean up activities • Ensure all wastes are managed and disposed of in accordance with Federal,State and Local requirements • Ensure that no waste incompatible with the released material is processed until cleanup procedures are completed • Ensure that all emergency equipment is cleaned and fit for its intended use before operations are resumed • Coordinate with Federal,State and Local regulatory agencies to determine that appropriate response actions have been successfully completed and terminate emergency response • Provide details of the incident to the Owner/Operator and notify them with emergency response has terminated and that all emergency equipment is ready for use and the environment is safe for operations to continue Owner/Operator responsibilities: • Notify the NYS Department of Public Health and Safety,the EPA and the appropriate local authorities that the facility has implemented the contingency plan and is in compliance with the requirements of the plan before operations are resumed; • Record the time,date and details of the incident in the facility files; • Submit a written report to the authorities within fifteen days of the incident that includes: o Name,address,and telephone number of the owner/operator; o Name,address and telephone number of the facility; o Date,time and type of incident; 5 ® CBLPATH Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C.Urmacher,MD 12/16/2022 Facilities Managing and Laboratory Director o Name and quantity of material(s)involved; o Extent of injuries(if any); o Assessment of actual or potential hazards to human health or environment,if applicable; o Estimated quantity and disposition of recovered material that resulted from the incident o Name and contact of emergency response and responder and provide the service report Emergency Coordinator Responsibilities: • Be thoroughly familiar with the operations and activities occurring at this facility,the physical layout of this facility,the location and characteristics of wastes generated,stored and/or managed onsite,and the location,operation,capabilities and limitations of all spill response equipment. • When instructed by the ERC or other designated authority, implement appropriate response actions to stop,contain and clean up spills and releases; • Participate in periodic emergency response training. 9.APPENDICES Appendix A—Authorized Waste Transporter Manifest and Audit Packet Appendix B—Emergency Exit Floor Plans Appendix C—Emergency Equipment Listing Appendix D—Standard Operating Procedure SAF-003 Evacuation Procedure Appendix E—Contingency Plan Notification Letter to Emergency Responders Appendix F—Spill Response Contact Information(Below) CHEMTREC Customer Support Center CHEMTREC Customer Service-1-800-262-8200(within the U.S.) Email:chemtrec@chemtrec.com Web:www.chemtrec.com COMPANY: CBLPath, Inc. CUSTOMER NUMBER: CCN656455 ADMINISTRATIVE CONTACT: Alvaro Galicia 1. Click on 'Update Account'in the top right-hand corner 2. Enter your email address user name Latif@cblpath.com 3. Enter your website password: 2022673 Appendix G—Chemical Listing and Capabilities(Below) 6 • CBLPATH Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C. Urmacher,MD 12/16/2022 Facilities Managing and Laboratory Director Spip Medical Primary Chemical Stabili Neutralizer Containment Miscellaneous Eves Skin Lungs Capabilities Location Neutrasorb Flush Flush Production acid PPE,spill pillow, 9-911;Do not w/ w/ Do not Labs/Acid Acetic Acid Stable unless heated neutralizer hazmat bag induce vomiting water water inhale Fatal if swallowed Cabinet Flammable. Production Labs Incompatible w/bases, Flush Flush oxidizers,reducing PPE,spill pillow, 9-911;Do not w/ w/ Do not Acetone agents,moisture Baking soda hazmat bag induce vomiting water water inhale Flammable/Irritant Flush Flush Production Labs Acetone- Stable;Incompatible w/ Base PPE,spill pillow, 9-911;Get fresh w/ w/ Do not Avoid heat,sparks, alcohol acids,oxidizers,moisture neutralizer hazmat bag air water water inhale open flame Incompatible w/copper, Flush Flush Ammonium acids,dimethyl sulfate, Dilute w/ PPE,spill pillow, 9-911;Get fresh w/ w/ Do not Hydroxide iron/zinc/aluminum water hazmat bag air water water inhale Harmful/corrosive Production Labs Basic Fuchsin Flush Flush Production Labs working Incompatible w/strong Base PPE,spill pillow, 9-911;Get fresh w/ w/ Do not solution oxidizers neutralizer hazmat bag air water water inhale Irritant Absorb w/ 9-911;lnduce Flush Flush Histology/IHC Dilute w/ vermiculite or vomiting if w/ w/ Do not Lab Bouins fixative Stable water sand swallowed water water inhale Burns 9-911;Drink Facilities PPE,paper water if Flush Flush Chlorox clean None towels,hazmat swallowed, w/ w/ Do not up Stable required bag fresh air water water inhale Irritant Incompatible w/strong Flush Flush Histology/IHC oxidizers,strong acids. Base PPE,spill pillow, 9-911;Get fresh w/ w/ Do not Toxic,combustible, Lab Crystal Violet Light sensitive neutralizer hazmat bag air water water inhale possible carcinogen Use non-spark Flush Flush Cytology Lab Stable under normal absorb with spill 9-911;Get fresh w/ w/ Do not CytoLyt conditions pillow air water I water inhale Flammable/Irritant Flush Flush Explosion hazard, PPE,spill pillow, 9-911;fresh air, w/ w/ Do not Cytology Lab EA 50 evacuate Evacuate hazmat bag induce vomiting water water inhale Flammable/explosive Flush Flush Cytology Lab Incompatible w/strong Base PPE,spill pillow, 9-911;Induce w/ w/ Do not Eosin Y oxidizers neutralizer hazmat bag vomiting water water inhale Irritant Flammable,Stable; Flush Flush Production Labs Ethyl Alcohol forms explosive mixtures Alcohol PPE,spill pillow, 9-911;Induce w/ w/ Do not 95% with air;hygroscopic resistant foam hazmat bag vomiting water water inhale Flammable/Irritant Flush Flush Moderate fire Production Labs Formalin 10% FSC-1 spill PPE,spill pillow, 9-911;Get fresh w/ w/ Do not hazard, buffered Combustible powder hazmat bag air water water inhale combustible/Irritant 9-911;Drink 2 Production Labs Geltol aqueous glasses Flush Flush mounting Incompatible w/strong Base PPE,spill pillow, water/dilution, w/ w/ Do not medium oxidizers,strong acids neutralizer hazmat bag no vomiting water water inhale Do not freeze 7 ® IC B L PAT H .1 I'll i. 1-11 ill. .i 1 .1-11 - Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C.Urmacher,MD 12/16/2022 Facilities Managing,and Laboratory Director Flush Flush Histology/IHC Incompatible w/strong None PPE,spill pillow, Do not induce w/ w/ Do not Lab Giemsa Stain oxidizers required hazmat bag vomiting water water inhale Irritant Flush Flush Histology/IHC Giemsa Stain Stable;incompatible w/ None PPE,spill pillow, Do not induce w/ w/ Do not Combustible at high Lab Stock strong oxidizers required hazmat bag vomiting water water inhale temperature Drink 2 glasses Flush Flush Histology/IHC Pyrolysis will release Thiosulfate PPE,spill pillow, water/dilution, w/ w/ Do not Lab Gram's Iodine strong vapors neutralizer hazmat bag no vomiting water water inhale Irritant Drink 2 glasses Flush Flush Production Labs Hematoxylin, Poisonous gas produced Base PPE,spill pillow, water/dilution, w/ w/ Do not Gill in fire neutralizer hazmat bag vomit water water inhale Irritant Flush Flush Production Labs Base PPE,spill pillow, Do not induce w/ w/ Do not Histo Clear II Flammable neutralizer hazmat bag vomiting water water inhale Irritant Neutrasorb Drink 2 glasses Flush Flush Production Hydrochloric Explosion hazard w/ acid PPE,spill pillow, water/dilution, w/ w/ Do not Toxic by inhalation, Labs/Acid Acid heat,evacuate neutralizer hazmat bag no vomiting water water inhale severe burns Cabinets Neutrasorb Drink 2 glasses Flush Flush Production Hydrochloric Explosion hazard w/ acid PPE,spill pillow, water/dilution, w/ w/ Do not Toxic by inhalation, Labs/Acid Acid 0.5N heat,evacuate neutralizer hazmat bag no vomiting water water inhale severe burns Cabinets Incompatible w/strong Facilities Isoamyl oxidizers,strong bases, Wash out mouth Flush Flush Flash back caution; Acetate strong acids,reducing PPE,spill pillow, w/water if w/ w/ Do not avoid (banana oil) agents Baking soda hazmat bag exposed water water inhale spark/flame/heat Drink 2 glasses Flush Flush Histology/IHC Mayers Incompatible w/strong Base PPE,spill pillow, water/dilution, w/ w/ Do not Pyrolysis will release Lab Hematoxylin oxidizers neutralizer hazmat bag vomit water water inhale strong vapors Solusorb Absorb w/ Drink 2 glasses Flush Flush Production Labs solvent vermiculite or water/dilution, w/ w/ Do not Flammable, Methyl Alcohol Flammable,poison absorbant sand vomit water water inhale poisonous,irritant Wash out mouth Flush Flush Histology/IHC Nuclear Fast Stable;Incompatible w/ Base PPE,spill pillow, w/water if w/ w/ Do not Harmful if inhaled or Lab Red strong oxidizers neutralizer hazmat bag exposed water water inhale swallowed Drink 2 glasses Flush Flush Flammable/Irritant Base PPE,spill pillow, water/dilution, w/ w/ Do not Explosion risk w/ Cytology Lab Orange G6 Flammable neutralizer hazmat bag vomit water water inhale heat Flush Flush Poisonous gas produced Base PPE,spill pillow, Do not induce w/ w/ Do not Toxic gases Para Gard in fire neutralizer hazmat bag vomiting water water inhale produced in fire Stable. Combustible. Flush Flush Histology Lab Incompatible w/strong None PPE,allow to dry Do not induce w/ w/ Do not Melted paraffin will Parraffin oxidizers required and scrape up vomiting water water inhale burn skin Drink 2 glasses Flush Flush Production Labs Permount Base PPE,spill pillow, water/dilution, w/ w/ Do not Media Flammable neutralizer hazmat bag no vomiting water water inhale Irritant Absorb w/ Flush Flush Production RPMI medium Base vermiculite or w/ w/ Do not Labs/Flow Lab w/L Glutamine Stable neutralizer sand 9-911 water water inhale Irritant Drink 2 glasses Flush Flush Possible cancer Histology/IHC Baking soda,then water/dilution, w/ w/ Do not hazard,based on Lab Schiff Reagent Flammable Baking soda vermiculite/sand no vomiting water water inhale exposure Sodium Stable None PPE,spill pillow, 9-911 Flush Flush Do not Irritant Production Labs 8 • CBLPATH Prepared By: TITLE: DOCUMENT NO.: Jules Laino Vice President of Quality Contingency Plan SOPM CON-001 Institutional Assurance,Integrity and Compliance IAIC DATE: 8/10/2010 REVISION: H-5 REVIEWED BY: APPROVED: EFFECTIVE DATE: Alvaro Galicia, C. Urmacher,MD 12/16/2022 Facilities Mana in and Laboratory Director Bicarbonate required hazmat bag w/ w/ inhale water water Stable;Incompatible w/ Flush Flush Cytology Lab Sodium strong oxidizers and Base PPE,spill pillow, w/ w/ Do not Metabisulfate acids neutralizer hazmat bag 9-911 water water inhale Irritant Drink 2 glasses Flush Flush Histology Lab Tissue Marking Poisonous gas produced Base PPE,spill pillow, water/dilution, w/ w/ Do not Dye in fire neutralizer hazmat bag vomit water water inhale Irritant Absorb w/ Drink 2 glasses Flush Flush Histology/IHC Wright's stain Base vermiculite or water/dilution, w/ w/ Do not Lab buffer Stable,non-flammable neutralizer sand no vomiting water water inhale Irritant Stable;Highly Production Labs flammable,harmful, Flush Flush incompatible w/strong PPE,spill pillow, w/ w/ Do not Xylene oxidizers Baking soda hazmat bag 9-911 water water I inhale Flammable/Irritant 10. HISTORY: H-1 This procedure has been written by J.Laino on 8/10/2010 to reflect the current header format and content. H-2 This procedure was revised by by Nina Bowman-Sekscenski on June 26,2011. H-3 This procedure was revised by J.Laino on 7/9/2014 to reflect the current header format and content. H-4 This procedure was revised by J.Laino on 10/24/2018 to reflect the current header format and content. H-5 This procedure was revised by J.Laino on 12/16/2022 to reflect the current header format and content. 9 Appendix A Authorized waste,'Tranport Manifest NEW YORK STATE DFPARi/A F N RV11T{ON PART 364 WASTE TRANSPORTER PERW NO.PA-168 Pun/ri n Mkk p,Ttir 7 aM'ID d tfn ErMmaereAl GDr•R'��rttl 6 HYCRR 261 PERMIT ISSUED TO: PERMIT TYPE. REPUBLIC EWRONMENTAL SYSTEM TRANS D NEW GROUP [3 RENEWAL 21 CHURCH ROAD MODIFICATION HATFIELD,PA 19440 p ,IEFFERYDIAZrAIPHGRILLO EFFECi1VEd1TE: ttAOAr1022 CONERCIUNTY: OUT OF STATE tJ3 NAME O US EPA NUMBER:OATS FA $381 TELEPHOW No, (21SP34-%W EPA U11TMORM WASTE r M 8Y DfiT"IM FAW11M. TM PammtMaa Is MNW112 dtD Trarto tt.Fa.OV Vb w Type(.)b Wa Dedfn—F-M,Ided FYW"Tywo) tADb p.dAtatltxt Fae+'ty t.oea'tle" .. ADVA-IED ENVIRON A TAL RECYCLk3GALLENTOM-PA - CO.U.C. AEtiC RECYCLING EOlLMOW MTN SI)ALUWOM,PA Uar•rad WA" AERC FMCYCUNG SOLLTVM ALJ tiOYYN.PA HttserdotteMtOtIMrWC " - (MITCHELL MRMMO�".AL 1im0011�1dWYYCon�aMd� AUWVD MLLC - MduMrYYCanrRdr_—__-_---- AMERtCAN tAND�LL MC -.VtAYNEBJRG_OH Mon�lmrd� t3ERy E►EM APPARATIis COMPANY MC 18LE'"y"N-I Na►Mo�d°�� —. --^— CLEAN EARTH OF NORTH JERSEY IY•NJn CLEAN NMSORb ENV.SERVICES Coxw4gn,OM HRndam Odin ci.anNYter a Na.York trwl- StslenWd.NY --- --- - CovatAa(is we I.LLC Nrapers Fdb.NY Flw�itaedo�M ne1� C,M ChEMrAL SERVIC-ES LLC MODEL Cm,NY Nwomm-dar al�Drnrttaroal AobN10a Psoobun ConWdrb@W Soo kiQardeua 1m&wUwjc—mrcw LEy RY.PA N W#M pNDne ktdartrbYCcr CYCLE CFEM MA) - - Mtaebu►kv*wm YOt--d ---'YiDWC PA Fleroy'ittmdooandt�tri�YComM EhINRRE OF PENNSYLVANA~ P�alNltur GoeYrr�nKb Shc MItAWWA�__ d ---•---«AtirttowzED wAs�1�vPEs er DEeTu+AT1oM FACILm'u�{�+�°A^�pwl"' NOTE:elf aDr W..d Yrla Pamet,ttte P6111 06 WWI vo the DwqS M��we WM the Emlrarnnerut CDroer 400n Low.W aPA�raq�l liarts,and 1M Gonad Cordttona prYrad ADDRESS: MFu.W.StACa DepnbrbrN a ylbeu TT-wo,'-P"Iwn OMison d kgl.Beu wfw«ea>r- SM 6roa&".Mh Flm Aftor y.NY 12233-n5i Laura Stevens,•.�„�,r>«n«� AUfHDRRED StGNATURE: .-- ---- - PAGE 1 OF 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF MATERIALS MANAGEMENT PART 364 WASTE TRANSPORTER PERMIT NO.PA468 Pusueni tD Ankle 27,T&s 3 aid 15 of the Enviror nentai Comervaen Lew aid 6 NYCRR 364 PERMIT ISSUED TO: PERMIT TYPE: REPUBLIC ENVIRONMENTAL SYSTEM TRANS O NEW GROUP ❑ RENEWAL 21 CHURCH ROAD ■ MODIFICATION HATFIELD,PA IWO CONTACT NAME: JEFFERY DIAZJRALPH GRILLO EFFECTIVE DATE 1110412C22 COUNTY: OUT OF STATE EXPIRATION DATE: 0913Wn23 TELEPHONE NO: (215)734-1400 US EPA ID NUMBER: PAD982561381 AUTHORIZED WASTE TYPES BY DESTINATION FACILTTY:(COFz lmmd) The Pern"se is Authorized to Transport the Following Waste Type(s)to the Destination Fadity tided: DeatlnatlonFacfftgr Location Was%rype(s) Note ENVIRITE OF PENNSYLVANIA YORK,PA Waste ON GIANT RESOURCE RECOVERY-SUMTER SUMTER,SC Non•Hazardous lr4u8t9dC4mnm0id Hazardous IndudnaVCommercW Wade ON GREYMART ENVIRONMENTAL SERVICES BROOKLYN,NY Non-Ho rdous IndudrisVConarrercJal -- -------- - - --- - Hempstead ReswomRsoowry Fooft Wadbury,,NY NoD+iwwdow Ir4u0rWC4mmw" INMETCO ELLWOOD CITY,PA Non-Hazardous Induddal/Cmvnerdal Hazwd"tndudri WCommercal MAUMEE EXPRESS INC LEBANON,NJ Nan Hazardous IndusIn*Cormnarcal Hazardous lrdudriaUCarvnardal — — - NORLITE,LLC COHOES,NY Hazardous InduddsUCommaraN NORTHLAND ENVIRONMENTAL,LLC PROVIDENCE,Rl Nom4iozardous IndudrldrComfnerdW Asbestos Petro)eum Cordarrinaled Sol Wade Tires Grease Trap Waste Hazardous IndudridlComnxrdal Waste Oil Universal Wade NORTHLIGHT REDEVELOPMENT PERTH AMBOY,NJ UnNwed Wade PROJECT _ NORTRU,LLC DETROIT,MI Nor"Hazardous IndustftYComtlerdal Asbestos Pebvieum Corderrdnded Sail Waste Tires Grease Trap V"e Hazardous Indudnd/Commemai Wade OR Universal Wade NORWALKWATP NORWALK CT Unwrad Wade RENSSELAER POLYTECHNIC INSTITUTE TROY.NY Universal VAW9 (SLAW KNOX RPI USE ONLY) REPUBLIC ENVIRONMENTAL SYSTEMS HATFIELD,PA Non4iazardous IndustriallCommercd (PA)INC. Asbestos _ — -- ---- —- ---- ------ AUTHORIZED WASTE TYPES BY DESTINATION FACILITY LISTING(continued on next page)— PAGE 2 OF 5 To: Clem F:^r h Cris amers From: Wrde Sc%eel,i iraLfior of 11egul3tcry.:ffairs,.lean Earth 0aw: 10,11/2072 Re: Sag iacry irzpact:ons in the State cf New York Cor,:menv; lecantiy Updated Information: Thi inturmation has been updated to reflect current permit nfermation as of 10-21-2021. Oean Eart)has been informed that the State of New York Department of Environmental Con_=.rvation has recently conducted hazardous waste inspections of Clean Earth customers and the inspectors h;,ve requested information on transporter and Treatment,Storage,Disposal %cility(TSDF)authorizations and transportation permits. The requests are based upon certain regulations found in Part 372 of New York's Codes,Rules and Regulation(NYCRR). The specific regulatory citations are as follows: NY—CRR—372.2(b)(2)(i)—requiring designated facilities to be authorized to accept manifested waste NY—CRR—372.2(b)(2)(ii)—requiring transporters to be authorized to deliver manifested wastes to the designated facilities NY—CRR—372.2(b)(5)(ii)—requiring transporters to be properly permitted under NY—CRR— Part 364 Clean Earth has developed the attached letter to provide all the information necessary to satisfy these regulatory requirements. The information included on this letter is based upon the most frequently used transporters and TSDF's for waste materials we manage from Customer locations X. State of New York. Manifests from your services may have additional TSDF's or transporters li- . J,and in that case,we are able to amend this letter to include permit information for those T� `s or transporters as well. Please provide this information to all of your locations in the State of New York and instruct your a -rdous waste program managers to provide this letter to any New York Department of Conservation Inspector asking for this information. Questions related to this information may be directed to: Clean Earth Environmental Solutions Attention:`Made Scheel,Director of Regulatory Affairs ?.'So 1000 Court NE Blaine,MN SE449 612-235-ES65 wscheel rz ha rsco.com I I ;lyanE.aiti,m 9.33 Fist Avenue,Sui,::200,Kin^of Pi uss[a,PA A06 USA r ,_V.;.,pb .v v ar,,!arthic:.c�m CleanEarthe This information is prov;ded by Clean Earth to satisfy the foflowing regulatory requirements for hazardous waste generators in the State of New York: NY—CRR—372.2(b)(2)(i)-requiring designated facilities to be authorized to accept manifested waste NY—CRR—372.2(b)(2)(ii)—requiring transporters to be authorized to deliver manifested wastes to the designated facilities NY—CRR—372.2(b)(5)(ii)—requiring transporters to be properly permitted under NY—CRR—Part 364 Clean Earth confirms the Designated Facilities listed below are authorized to accept manifested hazardous waste from New York generators,and Transporters listed below are authorized to deliver manifested waste to the listed Designated Facilities,according to approved profiles for customer locations in the State of New York. Clean Earth confirms that Transporters listed below maintain valid permits under NY CRR Part 364 authorizing them to deliver waste offered for shipment to the Designated Facilities. Desi nated Facility and Trans orter Information Facility Name Address city State Zip (Permit NumbeL Expiration Date , Clean Eartil Environmental 2670 Executive Drive Indianapolis IN 46241 INR000110797 8/10/2026 Solutions,Inc. Northland Environmental, 275 Aliens Avenue Providence RI 02905 RID040098352 12/01/2022 LLC Petro-Chem Processing 421 Lycaste Detroit MI 48214 MID980615298 12/18/2022 Group of Nortru,LLC R-npu�lic Environmental 2869 Sandstone Hatfield PA 19440 PAD085690592 R 12/1/10/2024 Part B- Systems(Pennsylvania),LLC Drive Environmental Enterprises Inc 446550 Spring Grove Cincinnati OH 46241 OHDO83377010 08/27/2030 Ave Republic Environmentai 50 Howard Street Piscataway NJ 08854 NJR986653756 NA—Exempt 10-Day Systems I Transfer Facility Allworth,LLC 500 Medco Road Birmingham AL 35217 ALD094476793 08/31/2027 NY Transporter Name Address city State Zip EPA ID DOT# Permit# Clea-,Ea&Specialty.Waste Solutions,Inc 2850100"h Ct NE Blaine MN 55449 MNS000110924 1348411 MN-014 (Transportation) Stericycle Specialty Waste Solutions,Inc 2850100th Ct NE Blaine MN 55449 MNS000110924 1348411 MN-014 (Transportation) Stericycle,Inc. 28161 North Keith Lake Forest IL 60045 CTD983872698 397962 IL-033 Drive Republic Environmental 21 Church Rd Hatfield PA 19440 PAD982661381 267146 PA-158 Systems LLC(Transportation) Nortru LLC(Trar,3portabon) 11700 Freud St Detroit MI 48214 MID021087275 337503 OH-136 Chemical Polluticn Control 71 E Industry Ct LLC of New York Unit 2 Deer Park NY 11729 NYD082785429 236275 1A-042 (Transportation) CleanEarth. 933 Fist Avenue,suite 200,King of Prussia,PA 19406 USA t 215.734.1400 v.,- c;ea:,earthinc.com NYPeimitLetterv1310-11-2021 le& a ft- �n 2111 Century Envirinme,,tal l Management,'.LC 275 F.',enc Ave Prov',der,cs RI 02905 RIR000508457 018090 RI-752 (Transportation) I Stericycle,Inc 26161 Nat;,,t(elth Dr Lake^orest I IL 60045 ILR000126920 397962 {L-033 j (TransPortaticn) Dispic l Consultant Services, 50 Howard Street Piscataway NJ 08854 NJR000063677 1303409 NJ-814 Inc. Freehold Cortege 825 Highway 33 Freehold NJ 07728 NJD054126164 190713 NJ-113 US Environment5l,Inc. 409 Boot Road Downingtow PA 19335 PAR000524041 888666 PA-396 SJ Transportafisn Company, 1176 US Route 40 Woodstown NJ 08098 NJD071629976 154323 NJ-044 Inc.In Clean Venture,Inc. 201 South First Elizabeth NJ 07206 NJ0000027193 200827 NJ-396 Street Envirc ,,antal Products and 273 Commerce St Williston VT 05495 NYR000115733 887504 VT-043 Servic. -,of VT inc. questions related to this information may be directed to: Ican Earth Environnnental Solutions Attention:Wade Scheel,Director of Regulat Affairs 2670 i0 h Court NE ?4aine,'V".N J449 !a�sah aiharsco.com Glean!Enith 933 Hmt y?venue,Suite 20Q,X!ng of Pr;ts�;a,PA 191r,6 U5A t 715.734.1400 w desnearthinc.corr NY Permit Lette-xrl3'l 't-t021 Appendix B _ k cu LL m � m - a � - W j _ 1 in L:jQ O W f 4 jay a d s y a o £ s L6. ►T- t w w CO at t� � Appendix B CD - i uEil R LIL CO E _ �I' ram-- -► 4 f �L y a e y 3A 4 r Q 4 tca a _ r � � I� r Illii�•I� C � C � C �- � ►�` tit �I n Appendix e LL LL I �- a � s o Y i EMERGENCY EQUIPMENT LISTING Appendix-C TYPE LOCATION CAPABILITY Throughout the facility on all floors and floor stairwell entries(reference floor FIRE EXTINGUISHERS plans) ABC for all types of fires Throughout the facility(both hallways and rooms)and on all floors. Hallway SPRINKLED FIRE sprinkles placed 10 feet apart in every SYSTEM direction and one in each room. For most types of fires Audible and visual emergency alert system. Monitored system when activated will notify the emergency AUDIBLE Throughout the facility and on all responders (fire and police)and landlord facilities ALARMS/STROBES floors,offices and stairwells department. Triggers audible and visual emergency alert system, notifies emergency responders(fire and police)and Throughout the facility and on all landlord facilities department.In some cases will activate SMOKE DETECTORS floors,offices and stairwells the sprinkler system. Throughout the facility and on all Will activate audible and visual emergency alert system, floors,offices and stairwells(reference notifies emergency responders(fire and police)and FIRE PULL BOXES floor plans) landlord facilities department. clothing or cooking fires.They can also provide a fire Throughout the facility and on all floors retardant wrap for people to wear as they escape a fire. FIRE BLANKETS except PH (reference floor plans) Fire blankets are ideal for extinguishing grease and EYE WASH STATIONS Inside and outside laboratories and Plumbed chemical rooms(reference floor plans) Tempered tap water for a continuous rinse EYE WASH STATIONS Inside and outside laboratories and Mounted chemical rooms(reference floor plans) Room temperature solution for immediate rinse EMERGENCY Inside and outside laboratories and SHOWER chemical rooms(reference floor plans) For minor heat,solvent or chemical burns Throughout the facility and on all floors SPILL KITS except PH(reference floor plans) For minor solvent,caustic,acid and base spill clean up Throughout the facility and on all floors FIRST AID KITS except PH (reference floor plans) For minor first aid and illness HEARTSTART One on each floor except PH (reference Able to deliver a shock in 10 seconds to an individual DEFIBRILLATOR floor plan) who is suspect of cardiac arrest PPE available to protect eyes,face,hands,mouth,lungs PPE IOne on each floor except PH(reference and body against areoles,solids, powders,and liquids floor plan) I chemical bio hazard fluids EMERGENCE EQUIPMENT LISTING l:a!)endi::-C Detailed information about chemical identity,hazards, composition,first-aid,fire fighting measures,accidental release measures, handling and storage,exposure controls and PPE,physical and chemical properties, stability and reactivity, toxicity information, ecological Throughout the facility and on all floors information,disposable recommendations,transport SDS Binders except PH (reference floor plans) and regulatory information First Aid Kit Content: Item Capability Assorted adhesive bandages For minor cuts,scrapes,burns and wounds First aid to reduce bacteria in small cuts,scrapes,burns Antiseptic towelette and wounds First aid to prevent infection and for the temporary relief First aid cream of pain in minor cuts,scrapes, burns and wounds First aid antibiotic to prevent infection in minor cuts, Triple antibiotic scrapes,burns and wounds Ibuprofen For minor headaches Low dose asprin For minor headaches Cough drops For minor throat irritation and soreness Lens wipes For eye ware cleaning Pocket guide Basic first aid,CPR and AED information Spill Kit Contents: Item Capability Goggles,clean-up gown,chemical resistant gloves, boots,face shield and respirator Personal protective equipment 2,3 and 8 foot berms,spill pads,and spill pillows For minor spill containment Oil dry absorbent For spill absorbing and clean up Spill-X-Solvent Absorbent for minor spill and clean up of solvents Absorbent for minor spill and clean up of caustic Spill-X-Caustic substances Spill-X-Acids Absorbent for minor spill and clean up of acids Sasco Spill Powder Absorbent for minor spill and clean up of acids Baking soda Absorbent for minor spills Dry Neutralizer for bases Absorbent for minor spill and clean up of bases Chlorine control Absorbent for minor spill and clean up of chlorine Formalin spill control Absorbent for minor spill and clean up of formalin Yellow trash bags For collection of contaminated trash Chemical clean up instruction guide User instruction guide I PPE Cabinet Contents: Item Capability Latex free gloves nitrite(all sizes) Hand protection from chemical and bio-hazara exposure Face shields Face protection from splashes Shoulder,torso,leg protection from chemical and bio- Gowns(all sizes) hazard exposure_ I i Ar...;-c.ectors Arm protection frorr chemical an( ':ic-hazard exposure i EMERGENCY EQUIPMENT LISTING AppE ndix-C I Goggles Eye protection from chemical and bio-hazard exposure Right to Know online Safety Training modules from Training Today: Module Capability Active shooter on site what every employee should know Active shooter awareness Bloodborne Pathogens Bloodborne Pathogen awareness Disaster Plaining Disaster Plaining Emergency Action and Fire Prevention Emergency Action and Fire Prevention Laboratory/Office Ergonomics Laboratory/Office Ergonomics Hazardous Waste Safety in the Laboratory Hazardous Waste Safety in the Laboratory How to Prevent Workplace Violence How to Prevent Workplace Violance Laboratory PPE Laboratory PPE and use Sexual Harassment Training for Sexual Harassment Training for Supervisors and Supervisors and Employees Employees Working Safely with Formaldehyde Working Safely with Formaldehyde CBLPath Emergency Equipment Listing 12/14/2022;v3 ® ICBLPATH Appendix D A Sonlc Healthcare Ccm >on PREPARED BY: TITLE: DOCUMENT NO.: Jules Laino, Vice President of Quality SAF-003 Institutional Assurance, BUILDING EVACUATION AND Integrity and Compliance EVACUATION MARSHAL RESPONSIBILITIES IAIC DATE:July 8,2005 REVISION: A-11 REVIEWED BY: APPROVED: EFFECTIVE DATE: Laaziza Atif, November 11,2022 QLAIC Administrator C.Urmacher,MD Laboraoty and Managing Director PAGE: I OF 6 1.0 PURPOSE: To provide an organized plan for all CBLPath,Inc.appointed Fire Marshals and regarding the orderly evacuation of CBLPath's 760 Westchester Avenue and to establish the necessary procedures for fire emergencies,bomb threats,floods,or other natural disasters. 2.0 SCOPE: This procedure defines required steps for all CBLPath,Inc.appointed evacuation marshals dealing with emergencies that require building evacuation and followed by all employees located at 760 Westchester Avenue,Rye Brook,NY. 3.0 DEFINITION: P-A-S-S:Pull,Aim, Squeeze,Sweep. (See References section) R-A-C-E: Rescue,Alarm,Confine/Contain,Extinguish. (See References section) First Responder:Referees to an official outside entity that responds to the emergency(Fire,Police,etc.) Designated building muster areas:All employees must muster directly across the parking lots from the building at least 100 feet from the face of the building;this applies to egress through all exit doors and venues. ERT—Emergency Response Team EMT—Executive Management Team Managing Director EMT Rye Brook,NY X712101 Facilities ERT Rye Brook,NY 845-702-9023 VP QA,Reeulatory,Compliance and Safety EMT/ERT Rye Brook,NY X712125 Security Officer ERT NE Division 800-782-0282 x1532 Laboratory Manager EMT/ERT Rye Brook,NY X712305 Chief Security Officer EMT Central Office 512.439.1675 Safety Conunittee Members ERT 5-ye Brook,NY I Safety Marshals ERT I Rve Brook,NY 0 iCBLPATH A Sonic Healthcare Com ,on - PREPARED BY: TITLE: DOCUMENT NO.: Jules Laino, BUILDING EVACUATION AND Vice President of Quality EVACUATION MARSHAL RESPONSIBILITIES SAF-003 Institutional Assurance, Integrity and Compliance REVISION: H-11 EFFECTIVE DATE:November 11,2022 PAGE: 2 OF 6 4.0 PROCEDURE: Prelude: The Director of Facilities(or designee)and the Safety Officer have the overall responsibility for the emergency evacuation plans.In the event that the Facilities Manager is absent during an emergency situation,the Safety Officer will fill the role,followed by the Executive Management Team.The Director of Facilities is responsible for ensuring that said plan is implemented and has appointed an adequate number of Marshals,assures everyone is familiar with this plan,and communicates to building occupants when to evacuate,where to muster and when it's safe to reenter the building. Marshals will assist in the implementation of this plan by understanding and communicating evacuation routes to occupants(visitors and staff)during an emergency evacuation,that all evacuation routes are clear and to ensure that every person on his/her floor or area has been notified and evacuated.The Marshals must ensure that all office/lab doors are closed and that all bathrooms/closets/cubicles/common areas and the like are checked and they are the last ones out. Upon leaving the floors,the Marshals will report the status of the floor evacuation to the Director of Facilities and Safety Officer immediately before going to their muster station so that this information may be conveyed to the Fire Department. The Director of Facilities and Safety Officer will ensure all employees are at a safe distance from the building(at least 150 feet)and a Marshal wave off will take place to denote that everyone has evacuated his/her areas. In the case of severe weather or acts of terrorism,the Director of Facilities will communicate the safe haven location to occupants and report the status of occupant evacuation to the safe haven to the Safety Officer and officials(police,fire,first responders,etc.). Marshals will also assist the Director of Facilities in monitoring radios and other emergency communication devices if necessary. PREPARATION&PLANNING FOR EMERGENCIES: Pre-planning for emergencies is a crucial element of this plan.The following steps have been taken in planning for emergency evacuation of 760 Westchester Avenue: 1. All exits are,lighted,labeled and operable. 2. Evacuation route diagrams have been approved by the Safety Officer and Safety Committee and are posted on all floors,and by elevator areas. 3. Occupants do not block exits,hoses,extinguishers,corridors or stairs by storage or rearrangement of furniture or equipment.Good housekeeping is everyone's responsibility. 4. All Marshals have been trained in their specific duties and all building occupants will be instructed in what to do in case of an emergency evacuation. 5. Fire evacuation drills are held at least annually and are critiqued and documented.Prior to holding a fire evacuation drill where the alarm is to be triggered,the Rye Brook Fire Department is notified. EMPLOYEE EVACUATION PROCEDURE: l. In the event of a fire drill or actual emergency,the Marshals(both primary and alternates)will put on their fluorescent hats and immediately begin to do a"sweep"of their assigned areas to look for employees that need to be vacating to a muster zone. All employees must leave the building,regardless of whether it is a drill or actual emergency. 2. The sweep occurs with the Marshal going to each assigned room door to door,making sure occupants have vacated the room closing the door and making sure they all vacate the building using the stairs and exit doors only(NO ELEVATOR). 3. Once a complete sweep is finished and all responsible areas have been safely vacated,the Marshal is to go outside to their assigned area.Each Marshal should have a clear view of their wave off Marshal and position. • ICBLPATH A Sonic Healthcare Com -an PREPARED BY: TITLE: DOCUMENT NO.: Jules Laino, EVACUATION PROCEDURES AND FIRE Vice President of Quality MARSHAL RESPONSIBILITIES SAF-003 Institutional Assurance, Integrity and Compliance REVISION:H-11 EFFECTIVE DATE:November 11,2022 PAGE: 3 OF 6 4. Once the Lead Marshal in position 1 sees that the employees are safely mustered outside the Marshal will wave off(using their hat)to the second/next position and initiate a"wave off'. The first Fire Marshal waves to the second,the second to the third,and so on until all 6 positions are clear. 5. When the"wave off'goes completely around the building and goes back to the#1 Fire Marshal,they will let the Facilities Director know that the"wave off'is complete. Facilities Director will then either sound the hom once or wave a flag to signal that a drill is complete.Employees must wait for instructions from first responders or Facilities Director re:whether it is okay to return to the building,and after being told that it is,will sound the air hom twice for an all clear.All drills must be timed and evaluated for the Safety Officer and Committee review. FLOODS OR OTHER NATURAL DISASTERS: 1. In case of a serious flood warning,the Director of Facilities or Safety Officer will advise if an evacuation is necessary.The Director of Facilities or Safety Officer will notify Marshals and their employees of the need to take shelter via word of mouth. Do not use fire alarms as notification of severe weather. 2. Safe places of haven in the case of a hurricane are inside the building.The C13LPath safe haven,in the event of a severe hurricane,will be the first floor laboratory area away from the windows. 3. Listen to a radio and text alerts for the latest information and instructions.Do not tie up the telephone lines. 4. Do not leave the safe haven until you are advised to do so by the Director of Facilities,Safety Officer or first responder. FIRE,CHEMICAL SPILLS AND SPILL CONTAINMENT: Fires and chemical spills can be life threatening,therefore,it is imperative that safety precautions,safety safeguards,and good common sense come into play in the laboratory at all times. In the event of a chemical spill,quick thinking and assessment are key. The Laboratory Supervisor,Manager or Director of Facilities should be immediately notified at all times and as quickly as possible. After that is done,the following should be completed: Level I Emergencies a. If the spill is considered non-caustic,not fire causing,and vapors are minimal secure the area and notify the emergency response team to assess the situation.For small controllable fires grab a fire extinguisher and initiate PASS. b. Place the spill signage around the area and employees around the spill area must be informed so that they do not step in the spill. c. Using appropriate PPE immediately contain the spill using a spill pillow,spill blanket,or vermiculite. The appropriate spill neutralizer can be found in any of the CBLPath spill cabinet locations. d. Once the spill is contained,the neutralizer should be swept up and disposed of in a red bag. e. An incident report must he filled out and given to the Facility Director for documentation. Level 11 or III Emergencies a. Evacuate all employees that may be in danger and contain the area(close doors).Call 9-911 and notify the emergency response and management teams. b. An incident report should be filled out and given to the Facility Director for documentation. c. Injuries or illness must be addressed by first getting the employee stable and medical help then followed up by documentation on an injury report provided to HR with copies to the Facilities Director and Compliance and Safety Officer. Persons with Disabilities(mobility,hearing,sight,other): Any individual who requires assistance to evacuate is responsible for pre-arranging with someone else in their immediate work area to assist them(a buddy system)to help ensure that any needed assistance will be available to them in an emergency.Anyone knowing • ICBLPATH A Sonic Heolthcale Company PREPARED BY: TITLE: DOCUMENT.NO.: Jules Laino, EVACUATION PROCEDURES AND FIRE Vice President of Quality MARSHAL RESPONSIBILITIES SAF-003 Institutional Assurance, Integrit%_and Compliance__ REVISION: H-11 EFFECTIVE DATE: November 11,2022 PAGE: 4 OF 6 of a person with a disability or injury who was not able to evacuate will report this immediately to a Marshal,Facilities Director or to the Safety Officer.The Facilities Director,Safety Officer and Marshals will be responsible for assisting CBLPath staff with disabilities in the event an evacuation becomes necessary. They will also be responsible for assisting CBLPath staff with disabilities in taking shelter at the designated safe haven in the event of a hurricane or severe weather. TERRORISTIC THREATS OR ACTIVE SHOOTER If you receive a terror threat,carefully note all information the caller gives you(request,location of the bomb,time the bomb is set to go off,exact time and duration of the call,any background noises at the caller's location,any voice characteristics like male/female, accent,speech particularities,etc.).Call 9-91 l immediately and then notify the Director of Facilities,Safety Officer and an executive.We may use the fire alarms as an evacuation means for other emergencies.If an evacuation is necessary the Marshals will conduct their duties as outlined above EXCPET in an active shooter situation.If you are in immediate danger go to a safe area and hide(please refer to safety training BLR modules for further instructions). Occupants must report to the authorities any observation or report of a suspicious person or package seen in the work areas or along the evacuation route.Occupants will not attempt to inspect or move suspicious packages or engage an active shooter situation. GENERAL EVACUATION INSTRUCTIONS 1. Anyone who receives information or observes an emergency situation should immediately call 9-911 and activate the building notification system(emergency response and executive teams). 2. Occupants will be notified of emergencies by fire alarm,text,and phone and/or by word of mouth. 3. Know at least two exits from the building. 4. Be familiar with the evacuation routes posted on the diagram on your floor. 5. To report a fire or emergency,call 9-911.Give your name,floor number,room location that locates the emergency. State exactly what is burning,or what is smoking or what smells like a fire to you.Then notify the Director of Facilities or Safety Officer. 6. When notified to evacuate,do so in a calm and orderly fashion: a. Walk,don't run b. Keep the conversation level down c. Take your valuables and outer garments(if possible) d. Close all doors behind you e. Use the stairs,not the elevators f. Assist others in need of assistance 7. Go to the designated muster area or as instructed during the notification. If exiting the building,move at least 150 feet from the building to allow others to also safely exit the building.In case of a fire,the building assembly area will be the parking lots 150 feet from the building;this applies to egress through all exit doors and venues. 6.Do not re-enter the building(even if the fire alarm bell/horns stop)until you are advised to do so by the Director of Facilities or Safety Officer. 8. If authorities,members of the press or others approach you with questions,refer them to an Executive or the Compliance Officer. Do not speak to the media. 9. Persons with Disabilities(mobility,hearing,sight):Each individual who requires assistance to evacuate is responsible for Pre-arranging with someone else in their immediate work area to assist them(a buddy system)to help ensure that any needed assistance will be available to them in an emergency. 0 �CBLPATH A Sonic Hoa:th- ar Co puny PREPARED BY: TITLE: DOCUMENT NO.: Jules Laino, EVACUATION PROCEDURES AND FIRE Vice President of Quality MARSHAL RESPONSIBILITIES SAF-003 Institutional Assurance, Integrity and Compliance REVISION:H-11 EFFECTIVE DATE:November 11,2022 PAGE: 5 OF 6 PREVENTATIVE MAINTENANCE: Both Rye Brook,NY are equipped with automatic sprinkler systems in the event of a fire. Fire Extinguishers are checked monthly by the Director of Facilities for operation and safety. Facilities will test all alarms at least twice annually. 5.0 REFERENCES: A. How to Use a Fire Extinguisher: It's easy to remember how to use a fire extinguisher if you remember the acronym PASS Pull Aim Squeeze Sweep B.In A Fire Emergency,You?Must Remember Four Things: x Rescue anyone in immediate danger An Alert,call 9-911 and activate the fire alarm C Contain the fire-,close doors,windows,etc. E Evacuate the area and assemble at the designated location;extinguish if safe to do so C.Emergency Responders: Fire/Police/Ambulance 9-911 White Plains Hospital 9-1-681-0600 Greenwich Hospital 9-1-203-863-3000 Poison Control Center 9-1-800-336-6997 0 �CBLPATH A Sanic Healthcare Carn .an PREPARED BY: TITLE: DOCUMENT NO.: Jules Laino, EVACUATION PROCEDURES AND FIRE Vice President of Quality MARSHAL RESPONSIBILITIES SAF-003 Institutional Assurance, Integrity and Compliance REVISION: H-11 EFFECTIVE DATE: November 11,2022 PAGE:6 OF 6 D.List of Fire Marshals by location and area of responsibility. Important:The numbered order below denotes the hand off procedure for outside the building only. Please see what number you are assigned,numbers originally assigned have changed. You will receive a wave off from the number before you and will wave off to the number after you. We start at number one. We end with number one. A=Alternate P=Primary Fire Marshals have been given fluorescent yellow caps for emergency identification and the Facilities Director wears a fluorescent orange cap with his/her title on it. E.Annual manditory Right to Know Safety modules in Training Today 6.0 HISTORY: H-1 Procedure created by Nina Bowman-S ekscenski on 7-8-05 to reflect the current header format. H-2 Procedure revamped 7-25-05 by Nina Bowman-Sekscenski to show chemical spill procedures,chemical fire procedures,and employee responder roster by name and title. H-3 Procedure revamped 6-9-06 by Nina Bowman-Sekscenski to reflect the addition of a formalized Fire Marshal procedure for 760 Westchester Avenue. H-4 Procedure updated October 31,2007 by Nina Bowman-Sekscenski to reflect a change in fire marshal procedure,and to reflect Juan Rodriguez as the new Facilities Director. H-5 Procedure updated July 14,2009 by Nina Bowman-Sekscenski to reflect Boris Gindin as the new Facilities Director. H-6 Procedure updated September 10,2010 by Boris Gindin to reflect changes in fire marshals. H-7 Procedure updated December 21,2011 by Boris Gindin to reflect changes in fire marshals. H-8 This procedure has been updated by J. Laino on June 14,2012 and change the document control number from COM-005 to the current header format. H-9 This procedure has been updated by J. Laino on November 11,2019 and reflects the current header format and content.It also replaces SOP SAF-001. H-10 This procedure has been updated by J.Laino on November 11,2021 and reflects the current header format and content. H-11 This procedure has been updated by J. Laino on November 11,2022 and reflects the current header format and content. 0 ICBLPATH A Sonic Healthcare Company APPENDIX-E December 16, 2022 Mr. Christopher Bradbury/Michael Izzo Village of Rye Brook Fire Department 938 King Street Rye Brook, NY 10573-1226 Dear Gentleman, CBLPath, Inc. located at 760 Westchester Avenue, Rye Brook, NY is an anatomic pathology laboratory. We receive surgical biopsy specimens to diagnose cancer and other human diseases. In order to process these specimens our laboratory uses and stores bulk chemicals (approximately 600-1000 gallons at a time) of xylene, alcohol, and formalin. These chemicals are considered hazardous and because of the volume on hand (both fresh and waste)we are considered a large quantity generator of hazardous waste. We do recycle a small portion of xylene as part of our waste reduction program and use a licensed transporter to remove said waste chemicals for processing and proper disposal. The building is 66,000 square feet and consists of three floors with one unoccupied penthouse used for minimal storage. Each floor is equipped with a wet-sprinkled system throughout and monitored twenty- four hours a day by a central station. The monitoring system,with battery back-up, utilizes phone lines in the event of a utility outage. Any detection of a pressure drop in the system will trigger the monitoring system. Alarms are reported directly to the Fire Department and to the 760 facility emergency coordinator contacts as well as the facilities staff located at 800 Westchester Avenue, Rye Brook, NY (Landlord). Each floor has emergency pull boxes mostly located at stairwells and tested by our local fire marshal. Every hallway, boardroom and most laboratories have strobe lights and alarms when activated. The floors have two stairways at opposite ends of the building with exit signs that are in full view and well lit.There is an employee and service elevator(one) but deactivated during an emergency or drill. Potential personal injuries are a threat in the case of a large scale chemical spill or fire. Physical burns would be common if exposed to flames and/or the heat of combustible and flammable materials as well as from a small number of chemicals (acids) being stored. Inhalation of chemical fumes in the case of a large scale spill or fire is a real possibility. Please review and accept our 2023 Contingency Plan for CBLPath, Inc. If we do not hear from you by January 1, 2023 our company will graciously assume that you will respond to our facility in the event of an emergency or chemical spill when dispatched. If you should have further questions, please contact any one of our emergency coordinators listed in the Contingency Plan. Sincerely, 4�"ye.-,,,c7. ca�Zo� CBLPath Emergency Response Coordinators Cc:Casey Eganey, Environmental Program Specialist I—RCRA Compliance Division of Material Mgt., NYSDEC 760 Westchester Avenue,Rye Brook,NY 10573 tell ficc 1.877.225.7284 f(x 866.329.2252 �vt,b,nc CBLPath.com • ICBLPATH A Sonic Haoit Fhcoro Compony 760 Westchester Avenue,Rye Brook,NY 10573 toll free 1.877.225.7284 fox 866.329.2252 website CBLPath.com