NCG030238_COMPLETE FILE - HISTORICAL_20160607

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV� U3�a3t�
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ ,1, n) (P D
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SIEMENS
June 17, 2016
3050 Westinghouse Road
Rural Hall, NC 27045
Tel. [phone]
Fax [phone]
FcdEx 5-10 3 1.7,// ?'IS 6
Signature Required
NC Department of
North Carolina Department of Environmental Equality Environmental Quality
Division of Energy, Mineral and Land Resources Received
585 Waughtown St JUN 2 0 2016
Winston-Salem, NC 27107
Winston-Salem
Regional Of`sce
Subject: Siemens Energy, Inc. 2016 Updated Emergency Action Plan Rev6
Rural Hall Facility; 3050 Westinghouse Road, Rural Hall_ NC 27045
To Whom It May Concern:
Enclosed is an updated copy of our Integrated Emergency Action Plan (EAP) and Contingency Plan for
your records.
lblost recently updated:
• Page 1-5, Appendix A Changed IYR Manager to Chris Graham; added cell number
• Page 15, Appendix A — Removed Operations Afanager
• Page 15. Appendix A — Updated 3T`t shift Manager to Lewis jVoran; added cell number
• Pages 25 & 26. Appendix D — Updated Spill Kit Inventory list
If you have any questions or require further information on this hatter, please contact me at (336) 969-
1265, or the facility QEHS Manager, Mr. Srikanth Parvathaneni; at [phone].
Sincerek"
James Whiticar
EI-1S Officer
Siemens Energy_ Inc.
Cc: Srikanth Parvathaneni, Siemens Energy, Inc.
Siemens Energy, Inc.
3050 Westinghouse Rd
Rural Nall, NC 27046

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
SIEMENS
Document type
No.:
SIEMENS
QEHS Procedures Manual
Revision/Date: 6 2016-06-03
Winston Service Center
Issued by: EHS Department
Title
Integrated EAP and Contingency Plan
Handling: For Internal Use Only
ISO-9001 ISO-14001 OHSAS-1 &001
Table of Contents
Revision Sheet
1.0 Purpose
2.0 Scope
3.0 Authority
4.0 Organization
5.0 Emergency Action Plan
6,0 Contingency Plan
Released by:
Reviewed by,
Reviewed by:
Srikanth Parvathaneni QEHS Manager
ReviewerlStakeholder a-QMS
Reviewer/Stakeholder a-QMS
Page: 1 of 26 Appendices: 4
NC Department of
Environmental Quality
Received
.SUN 2 0 2016
Winston-Salem
Regional Office
e-QMS 7/25/2013
e-QMS a-QMS
e-GEMS
e-QMS
Reviewed by: Reviewer/Stakeholder a-QMS a-QMS a-QMS
Prepared by: James Whiticar EHS Department e-QMS 7/25/2013
Name Org. Unit Signature Date
Siemens Energy, Inc. ®Siemens Energy, Inc. 2011 All Rights Reserved.
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Integrated Emergency Action Plan and Contingency Plan
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Revision Sheet
SIEMENS
Revision
Reissue
Date
Section
Description Of Change
1
7-25-13
Appendix A
Change name of coordinators and 2" i3` Shift Supervisors
2
8-21-13
5.3
Modified evacuation process.
3
4-21-14
Appendix A
Change alternative E.0 Sam Myers to Michael Cox
4
8-10-15
5.6.3
Add AED locations
4
8-10-15
Appendix A
Third Shift contact information
4
8-10-15
Appendix A
Security Phone number
4
8-10-15
Appendix A
Siemens Corporate ENS Director
5
11-24-15
Appendix A
Plant Manager Changed to Cory Phillips
5
11-24-15
Appendix A
Plant Manager cell phone updated
5
11-24-15
A2pendix A
2" shift Su v. Ed Majersk — updated cell phone number
6
06-03-16
Appendix A
Changed HR Manager to Chris Graham; added cell number
6
06-03-16
Appendix A
Removed Operations Manager
6
06-03-16
Appendix A
Added 3` shift Manager, Lewis Moran; added cell number
6
06-03-16
Appendix A
Added 3` shift Mana er, Lewis Moran, added cell number
6
06-16-16
Appendix D
Updated Spill Kit Inventory List 2 pages)
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INTEGREGRATED EAP AND CONTINGENCY PLAN
1.0 PURPOSE:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) describes a course of action to
follow in order to assure the safety of personnel (employees, contractor personnel, visitors, and the
general public) who are present on the site, the environment, and equipment when an emergency
occurs. This plan also details communication requirements with the sublet EAP emergency and
management personnel. External reporting requirements are also detailed in this plan. The plan
provides the guidelines and procedures to meet these needs at the Siemens facility in Rural Hall, N.C.
2.0 SCOPE:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) provides information such as
examples of the types of emergencies that could occur at the Rural Hall site, procedures to follow in the
event of an emergency, and responsibilities of personnel during an emergency. Our plans describe
actions facility personnel will take, what emergency response equipment is available, what procedures
will be followed, and arrangements made with local emergency response authorities in order to minimize
hazards to human health or to the environment in the event of an accident involving hazardous materials.
3.0 AUTHORITY:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) was developed and
implemented to comply with OSHA 29CFR 1910.38 and 40 CFR 264.50 thru 56 and to assure for the
safety of personnel, protection of the environment and the protection of physical assets at the Siemens
Winston Service Center has documented and issued this Integrated Emergency Action Plan and
Contingency Plan.
The emergency coordinator has the full authority to commit resources needed to respond to emergencies
at this facility. The emergency coordinators can deputize other employees to assist them in the event of
an emergency.
The authority to review, revise and approve this procedure is defined within our document control
procedures. Only the owners and approvers of this document are authorized to approve revisions made
to this document.
The Emergency Action Plan and Contingency Plan must be reviewed, and immediately amended
as necessary, whenever the following situations apply;
• Applicable regulations are revised;
• The plan fails in an emergency;
• The facility changes in its design, construction, operation, maintenance, or other
circumstances in a way that materially increases the potential for fires, explosions, or
releases;
• The list of emergency coordinators changes;
• Or the list of emergency equipment changes.
When changes are made that impact the Fire, Explosion or Spill Sections of this plan, revised copies of
this plan are to be sent to the following personnel or agencies:
1) Rural Hall Fire Department
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2) Forsyth County Fire Department
3) Forsyth County Sheriffs Office
4) Wake Forest Baptist Medical Center
5) Spill Response Contractor
6) Security
7) Tenant(s) Human Resource Manager
8) Emergency Coordinators
9) Plant Manager
4.0 Organization
4.1 Emergency Coordinator
Facilities and Maintenance Manager
The Facilities and Maintenance Manager shall be the primary Emergency Coordinator and have
primary responsibility for emergency responses to include the local fire department, training,
equipment, and evacuation. He/she shall consult with the Plant/General Manager, Operations
Management, and the Human Resources Manager. He/she will also communicate with the
tenant(s) HR Manager in order to ensure plant -wide coordination when required. The Emergency
Coordinator will be responsible for recording events, coordinating internal and external resources,
consulting with Siemens EHS personnel as appropriate and reporting status and creating incident
reports.. Security, although contracted by the Siemens Real Estate Facility Manager
(SREFM)„ will be given directions by the Emergency Coordinator, since our primary
objective in an emergency is the safety of all personnel.
Alternate Emergency Coordinator
The alternate emergency coordinator has been designated to identify in Appendix A. In the event
that the Primary Emergency Coordinator is unavailable, the Alternate Emergency Coordinator
shall assume emergency response responsibilities. At all times there must be at least one
Emergency Coordinator on site or on call, with the ability to reach the facility in a short amount of
time, with the responsibility for coordinating all emergency response measures.
Continuity of Emergency Coordination
The emergency coordinator first arriving at the scene shall have the responsibility as the
emergency coordinator for the duration of the emergency, unless properly relieved by the
Facilities and Maintenance/QEHS manager. The emergency coordinator will be responsible for
recording events, coordinating internal and external resources, consulting with Siemens and
Siemens Corporate EHS personnel as appropriate and reporting status and creating incident
reports. The oncoming emergency coordinator assumes all responsibilities including record
keeping and notifications from the point of assuming emergency coordinator responsibilities.
4.2 Personnel Responsibilities Outside of Emergency Team
Management Personnel
The management personnel snail be responsible for maintaining organization within their area as
well as other measures that are called for to protect personnel and company property in their
assigned areas of responsibility. Management is responsible for maintaining posted sketches in
the area outlining emergency routes for employees in their area. They shall advise all new,
incoming employees of these routes during their orientation.
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Security
Security shall be responsible for evaluating the type of emergency to determine whether the
emergency coordinator should be contacted in accordance with Section B. Security shall
communicate and coordinate a plant wide evacuation with the tenant(s) in the event that an
evacuation is ordered. Security shall call 911 in the event of a fire alarm or upon observation or
notification of emergencies as defined in this plan.
Second Shift, Third Shift and Weekend Shift
The primary role of the second, third and weekend shift supervisors is to coordinate the initial
response (contain, assist and notify) according to the specific emergency procedure contained in
Section 5.1, and contact Security as quickly as possible.
Personnel Outside of Emergency Team
All Siemens WSC staff is part of the Emergency Response Organization and is the organization
established to help in an emergency. The Siemens WSC staff will be responsible for the
communications systems, record keeping, and facilities status during the emergency_
Liaison with External Organizations and the Press
The Emergency Coordinator will maintain liaison with Siemens and the tenant(s) management,
emergency organizations, Siemens and government officials.
The Siemens WSC HR Manager is the only person authorized to talk with reporters or the press.
All inquiries by the press are to be answered with "no comment" and forwarded to the Siemens
WSC HR Manager.
Emergency Support
Immediately following either decision, evacuate and search or search without evacuating, the
Emergency Coordinator shall notify the appropriate emergency organizations (Fire, Police,
Sheriff, Regulatory Agencies) giving them information that is available, outlining the plan for
action within the plant, and requesting advice and assistance as necessary.
Recorder
The Emergency Coordinator shall be responsible for recording the chronology of events, to
document changes that take place and to provide a record for the future. It is recommended that
the emergency coordinator assign record keeping responsibilities to a designated employee.
4.3 Arrangements with Local Authorities
Arrangements have been made with local authorities such as police, fire and local hospitals to
familiarize the local authorities with our facility layout, waste handling and generating activities,
and the types of injuries or illness that could result from fires, explosions, or releases. The local
emergency response agencies, identified in Appendix A, and various state agencies have been
requested to respond to this Hazardous Waste Contingency Plan. Also, their Chief
Administrators are invited to visit the facility in order to better coordinate potential hazardous
waste related emergency response procedures_
If more than one law enforcement agency or fire department responds to an emergency at our
facility, The Emergency Coordinator will hand over control of the incident to the agency that best
addresses the mitigation needs.
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5.0 Emergency Action Plan
5.1 General Guidelines for Specific Emergencies
Whenever there is a release, fire, explosion, the Emergency Coordinator must be notified in order
to immediately identify the character, exact source, amount, and areal extent of any release
material. The Emergency Coordinator may do this by observation or review of facility records or
manifests and, if necessary, by chemical analysis.
Concurrently, the emergency coordinator must assess possible hazards to human health or the
environment that may result from the release, fire, or explosion. This assessment must consider
both direct and indirect effects of the release, fire, or explosion (e.g. the effects of any toxic,
irritating, or asphyxiating gases that are generated, or the effects of any hazardous surface water
run-offs from water or chemical agents used to control fire and heat -induced explosions.)
If the emergency coordinator determines that the facility has had a spill, release, fire, or explosion
which could threaten human health, or the environment, outside the facility, he must report his
findings in accordance under Section 5.0 of this plan.
During an emergency, the emergency coordinator must take all reasonable measures necessary
to ensure that fires, explosions, and releases do not occur, recur, or spread to other hazardous
materials at the facility. These measures must include, where applicable, stopping processes
and operations, collecting and containing released waste, and removing or isolating containers.
If the facility stops operations in response to a fire, explosion, or release, the emergency
coordinator must monitor for leaks, pressure buildup, gas generation, or ruptures in valves, pipes,
or other equipment, wherever this is appropriate. Immediately after an emergency, the
emergency coordinator must provide for treating, storing, or disposing of recovered waste,
contaminated soil or surface water, or any other material that results form a release, fire, or
explosion at the facility.
The emergency coordinator must ensure that, in the affected areas of the facility:
• No materials that may be incompatible with the released material is treated, stored, or
disposed of until cleanup procedures are completed; and
• All emergency equipment listed in the Emergency Action Plan and Contingency Plan is
cleaned in the designated decontamination area and fit for its intended use before operations
are resumed.
5.2 FIRE AND EXPOLOSION
5.2.1 Small (incipient) Fire:
• An incipient fire is a small isolated fire that has not spread to the structure of the building or to
other equipment.
• If a member of the Incipient Fire Brigade is present then that member must initially evaluate
the situation and determine what type of fire extinguisher to use.
• If the incipient fire is located in chemical stripping, FIC, or where aluminum powder is present
then the fire department is to handle the situation.
• Security shall contact the Emergency Coordinator from the list in Appendix A.
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• If the Emergency Coordinator is on site he/she shall conduct an initial evaluation of the
situation. If the Emergency Coordinator is off site, Security shall conduct the initial evaluation
and advise the Emergency Coordinator immediately.
The initial evaluation consists of the following:
• The fire could cause the release of toxic fumes;
• If the fire spreads, it could ignite material at other locations at the site or cause heat -induced
explosions;
• The fire could spread to off -site areas;
• Use of water or water and chemical fire suppressant could result in contaminated run-off
and/or a violent chemical reaction,
• If any of these conditions exist or could exist, appropriate actions should be taken.
5.2.2 Structural Fire or Explosion:
• A structural fire is a fire that has spread to other equipment or the structure of the building.
• Personnel, who discover major fire or explosion should leave the immediate area, pull the
nearest fire alarm pull box and call Emergency Coordinator and/or security at extension 1359.
• Security shall contact the Emergency Coordinator from the list in Appendix A.
• If the Emergency Coordinator is on site he/she shall conduct an initial evaluation of the
situation. If the Emergency Coordinator is off site, Security shall conduct the initial evaluation
and advise the Emergency Coordinator immediately (if feasible).
The initial evaluation consists of the following:
• The Emergency Coordinator will ensure that evacuation procedures have been initiated.
He/she will also communicate with the Tenant(s) HR Manager in order to ensure plant wide
coordination.
• Contact the appropriate local, state, or federal agencies as warranted.
5.3 Evacuation Alert System
The facility is equipped with audible work area alarms and visual strobes. The annunciation is
monitored by Security and the alarm monitoring service. The annunciation panel is located in the
lobby next to Security.
• The fire alarm can be initiated by any of the following:
1. Automatic initiation of water flow system and heat sensors.
2. Notifying Security by phone or other means.
3. Activating a fire alarm pull box.
If the evacuation alarm fails to operate when activated, security shall be notified and will
take the following steps:
1. Phones and radios can be used to announce the evacuation or; Security and/or
supervisors will physically go through the facility, announcing the evacuation.
5.3.1 Evacuation Process
Step 1
Once the fire alarm is activated, all employees are required to evacuate the building.
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Evacuation Routes and Assembling Area
• When the evacuation signal sounds, all employees, contractors, salesmen and visitors
shall proceed via the nearest exit identified on the attached plans and proceed to their
assembly area as designated on attached plans located in Appendix B.
• The escort (Siemens WSC employee) is responsible for ensuring that the visitor and/or
contractor are accounted for and they know where the assembly area is located.
• After evacuating and walking to the assembly area, employees will remain in the
assembly area until notified that it is safe to re-enter the building.
• Employees are not authorized to leave the evacuation area or facility grounds unless
directed to do so by the Emergency Coordinator, Plant Management or emergency
personnel (e.g. Fire Department)
Step 2: Make Sure Everyone Gets Out
The following steps will be initiated to ensure that everyone gets out:
• Once the evacuation signal has sounded, all employees are required to evacuate the
building.
Employees are to follow the evacuation routes identified in the evacuation maps posted
throughout the facility. If a route is blocked by the release of hazardous materials or fire,
and alternate route should be found using the evacuation maps located in Appendix B.
Department managers or designee should report to their assigned assembly areas and
see that personnel remain at proper distances from the building until the all clear signal is
received. Employees are not authorized to leave the evacuation area or facility grounds
unless directed to do so by the Emergency Coordinator, Plant Management or emergency
personnel (i.e. Fire Department)
Step 3: Roll Call
In the event of an evacuation, each department manager or designee will perform a roll call to
ensure that every employee in their department is accounted. At the assembly area, each
department manager will verbally inform the EHS Officer if every employee has been accounted
for. Once inside, each department manager or designee will send the EHS Officer an e-mail to
verify that all employees have been accounted for (present or not present at the facility).
Step 4: Decision After Evacuation:
After evacuation of an actual emergency, the Emergency Coordinator in consultation with
Siemens Real Estate, the County Emergency Personnel, and the Plant Manager shall make a
decision regarding:
• Waiting period before employees may re-enter the building;
• Shutting off or turning back on utilities (electricity, gas, steam, etc.);
• Evacuation times in relation to end of shift, deciding whether to send
employees home or hold in assembly area;
Whether next shift should be notified not to report to work;
Returning to the building for additional searching.
Once decision has been made to allow employees to re-enter the building, the Emergency
Coordinator will be instructed to communicate to all Siemens Management, HR Manager or the
tenant(s) Plant Manager, Siemens Real Estate, and any contractors on site that all is clear -
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After evacuation a non emergency situation, the Emergency Coordinator or designee will
communicate the message to re-enter the building to the employees in the assembly area once
the cause of the evacuation has been discussed and determined.
5.3.2 Second Shift, Third Shift or Weekend
After evacuation of a non emergency during second shift, third shift or the weekend, the shift
supervisor(s) will take the role of the Emergency Coordinator and communicate the message to
re-enter the building to the employees in the assembly area once the cause of the evacuation has
been discussed and determined with maintenance and security. The supervisor will provide the
EHS Officer a report that ensures that all employees have been accounted for and a detailed
description of the situation.
After evacuation of an emergency situation, the shift supervisor will contact the Emergency
Coordinator or designee of the situation. During the emergency situation, the Emergency
Coordinator or designee will come to the facility to initiate the Contingency Plan_ Also, the
supervisor will provide a report that ensures that all employees have been accounted for and a
detailed description of the situation.
5.4 Chemical Spill — Liquid or Solid
Facilities and Maintenance employees will respond to any reported chemical spill. These
employees have been properly trained in basic spill response. These employees can be notified
in person or by calling extension 1359. If maintenance cannot be reached then security is to be
notified (extension 1359).
5.4.1 Spill Evaluation
Answer the following questions when responding to a spill:
• What is the chemical?
• What is the PPE requirement?
• Do I have the necessary spill clean up and containment material present?
• What are the potential physical and toxic risks?
• If the spill occurs outside, am I aware of the requirements listed in the Stormwater Pollution
Prevention Plan (SWPPP) and the Spill Prevention, Control, and Countermeasures Plan
(SPCC)?
• If the spill reaches a certain level, do I know the Emergency Coordinator?
1. The Emergency Coordinator must determine when to contact the list of contacts in
Appendix A, which is dependent upon the nature of the spill.
5.4.2 Gas Release
If chlorine or fluorine gas was released into the facility then the evacuation order would be given,
However, to confirm a chlorine gas release has occurred, a chlorine gas meter would be used to
determine the amount of gas released. If fluorine gas released in the fluorine ion cleaning (FIC)
area then ammonia would be released to suppress the fluorine gas_
5.5 Emergency Procedures for Severe Weather
5.5.1 Tornadoes
The facility utilizes a NOAA weather radio to be alerted to any tornado warnings. If a tornado
warning is issued by the National Weather Service for the Rural Hall area then all employees are
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to report to the designated tornado shelter_ While in the tornado shelter, the HR Specialist will
take a roll call to ensure that all employees are accounted for_ Once the tornado warning is lifted
then employee will resume normal operations.
5.5.2 Winter storm
If a winter storm occurs that has been determined to make roads impassable or has a utility
outage for the facility then the employees will call 866-367-7972 or on-line at
www.siemens.com/energy/darkwebsite for information about the plant closing. If the storm
occurs during the shift then the supervisors will notify the employees that the plant is closing.
5.5.3 Flood
If the facility is being flooded then the facility will follow the evacuation procedure listed in
Section 5.3.
6.6 Medical Emergency:
6.6.1 General Guidelines
A medical emergency includes injuries and/or illnesses that will require more than the routine first
aid treatment.
5.6.2 Person Discovering the Emergency
The person discovering an employee in need of emergency medical assistance should follow
these steps:
1. Do not activate the fire alarm.
2. Call the radio access channel (extension 1359) from the nearest phone.
3. Stay with the employee needing medical assistance until trained emergency personnel
arrives, but do not attempt to move therm unless they are in imminent danger.
4_ Always be sure to follow blood borne pathogen protocols_
5.6.3 On -Site Emergency Medical Technician (Siemens EMT or Security)
1. Provide initial or stabilizing assistance and determine if additional medical treatment is
required.
2. If the EMT goes to the scene of an incident then they must take the AED and first aid
bag. There are five AEDs in the building — Security office, Outside of the front office,
Outside of the Manufacturing offices, Across from David Cox's office, and on the wall at
the restroom near Forged Blade Machining and New Parts.
3. Call 911 if a life threatening condition exists.
4. Call an ambulance, if necessary. Notify doctor and hospital of the emergency.
5. Notify the EHS Officer or QEHS Manager immediately of the emergency situation.
6. The On -site Emergency Medical Technician or EHS Officer may also contact WorkCare
for assistance (24-hr Triage Assistance).
5.6.4 HR Manager
Notify the employee's designated emergency contact of the injury or illness and of the action that
has been taken. Notify the employee's supervisor of the emergency. Ensure that all necessary
accident reports are completed.
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5.7 Threats Against the Facility
5.7.1 General Guidelines for Bomb Threat
If an employee receives a call concerning a bomb threat then the employee should try to get as
much information as possible from the caller. Afterwards, the employee should notify the
Emergency Coordinator and/or the HR Manager immediately, so they can contact the proper
authorities in order to determine the best course of action. If the authorities authorize the
evacuation of the facility then the evacuation protocol will be followed as in Section 5.3.1. Also,
the HR Manager will notify the Plant/General Manager and the tenant(s) Manager in order to
ensure plant -wide coordination when required.
If the call occurs during night shift working hours then the employee or Security would take the
call. if an employee answers the phone then he/she will contact Security and then Security would
contact the Emergency Coordinator to alert he/she of the situation.
5.7.2 Procedures to follow if taking the call of a bomb threat
1. Record the time and exact words of the message;
2. Have the caller repeat the message and keep the caller on the line as long as possible;
3. Have someone nearby notify the Emergency Coordinator
4. Ask the caller the reason for making the threat;
5. Note the caller's sex, speech, mannerisms, signs of intoxication, phrases, etc.; and
6. Determine if the caller is using an internal or external line (look at caller ID).
5.7.3 Written Threats:
Threats received in writing should be preserved for investigation for possible fingerprints and if
possible should not be handled once the letter has been opened. When the threat is received, the
person receiving the letter shall personally contact the Emergency Coordinator.
5.8 Emergency Procedures for Civil Disturbance
5.8.1 General Guidelines
The purpose of this procedure is to detail action to be taken in order to protect personnel and
property from any negative effects as a result of civil disturbance. These actions include
notification of the proper authorities for resolving the disturbance, providing a protective
separation between the disturbance and our personnel, and taking necessary steps to protect our
property from destruction as a result of the disturbance.
5.8.2 Responsibilities
Security
Secure Guard Station --Call 911 (if necessary), the Human Resources Manager and the
Emergency Coordinator
Human Resources Manager
Notify local authorities. Notify the tenant(s) HR Manager to determine need for coordination. Have
plant management personnel give direction to their employees. Provide liaison with the police.
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Management Personnel
Keep employees and other individuals away from the disturbance.
6.0 Contingency Plan
6.1 Reporting of Significant Event Requirements to initiate the Contingency Plan
A Significant event is defined as:
• Serious accident, life threatening illness, risk of epidemic
• Definition of a "serious accident" — fatal accident, life endangering injuries, poisoning
• Large-scale damage to plant or equipment, Fires (extinguished by external fire fighters, and/
or having influence on the production), explosion
Crises (e.g. terror attacks, criminal threats, kidnapping, bomb scare, putsch), civil unrest,
natural catastrophes (e.g. flood, earthquake, hurricane, tornado),
• Loss of radio -active sources or contamination by radio -active material,
• Technical emergency (Impacts from outside: Fire, implosions, plane crash, gas release,
power supply interruptions)
• Imminent or actual (unplanned sudden or non -sudden) release of hazardous materials to
the air, soil or water of the environment, and release of hazardous substances of which the
reportable quantity require reporting to regulatory agency.
+ Failure to follow permit requirements which result in self reporting or notice of violation or
citation by a regulatory agency.
• Accident during the transport of dangerous goods in conjunction with release of dangerous
goods
• Indications 1 suspected cases
1. that are capable of becoming events with negative results to the Image of Siemens
Energy Sector
2. respectively unplanned contact to authorities as a result of these events
3. for the occurrence of one of the events described above_
• >_ 3 persons injured respectively affected by a single event
• Loss of limb(s)
• Any Electric shock accident
• Motor vehicle accident resulting in hospitalization of two or more persons
+ The Emergency Coordinator is responsible to ensure events are reported to Siemens.
• All significant events must be reported within 2 hours by phone to the Siemens Corporate
Contacts listed in Appendix A of this document. The purpose of this contact is to notify and
gain guidance on what we are to communicate to external entities.
• After notification to Siemens Corporate, the facility Siemens representative identified in
Siemens Procedure P00-057-A01 shall notify the appropriate external entities based on
event being reported.
6.2 Incident Reporting Requirements
The Emergency Coordinator must document the incident by recording the time, date, and details
of any incident which requires implementing the contingency plan. Within 15 days after the
incident, the EHS Manager must submit a written report on the Environmental incident to the
Regional Administrator identified in Appendix A. The report must include:
(1) Name, address, and telephone number of the owner or operator;
(2) Name, address, and telephone number of the facility;
Integrated Emergency Action Plan and Contingency Plan I I bate: 06-03-16 1 12 of 26

Winston Service Center
EHS Programs SIEMENS
ENVIRONMENTAL, HEALTH & SAFETY
(3) Date, time, and type of incident (e.g., fire, explosion);
(4) Name and quantity of material(s) involved;
(5) The extent of injuries, if any;
(6) An assessment of actual or potential hazards to human health or the environment, where this
is applicable; and
(7) Estimated quantity and disposition of recovered material that resulted from the incident.
6.3 Evacuation of Local Areas (Evaluation, Action and Notification)
If the Emergency Coordinator in conjunction as applicable with the Emergency Responding
Agency (e.g. Fire Department) assessment indicates that evacuation of local areas may be
advisable, the emergency coordinator must immediately notify the appropriate local authorities
identified and either the government official designated as the on -scene coordinator for that
geographical area, or the National Response Center using their 24-hour toll free number listed in
Appendix A. The emergency coordinator must be available to help appropriate officials decide
whether local areas should be evacuated.
6.4 Contingency Plan Resources
Siemens Real Estate Facilities Management
The Siemens Real Estate Response Center should be notified during any emergency situation
concerning the building and/or property. They will assign personnel from Siemens Real Estate
Facilities Management and/or their contractors accordingly to remove/restore utility services and
assess/repair damages.
Maintenance Support
The Siemens Facility Maintenance group will be directed, as needed, by the emergency
personnel to assist in removal of services (power, water, etc.) during such emergencies.
Security
Plant Security will assist in controlling access to emergency locations and to direct outside
emergency response services to proper locations on the plant property.
6.5 Command Post (if needed)
Purpose
The Command Post provides a location for responsible personnel to collect data, make decisions,
and resolve immediate problems at the scene of the emergency.
Location and Function
The command post will be established at the Security Control Office ('B' Building). The Plant
Security will man it with other personnel designated by the Emergency Coordinator.
Alternate Command Post
An alternate command post will be designated by Security and/or the Emergency Coordinator, as
needed.
Integrated Emergency Action Plan and Contingency Plan I I Bate: 06-03-16 1 13 of 26

Winston Service Center SIEMENS
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
Staff
All Siemens WSC staff is part of the Emergency Response Organization and is the organization
established to help in an emergency. The Siemens WSC staff will be responsible for the
communications systems, record keeping, and facilities status during the emergency.
Liaison with External Organizations and the Press
The Emergency Coordinator will maintain liaison with Siemens and the tenant(s) management,
emergency organizations, Siemens and government officials. The Siemens HR Manager is the
only person authorized to talk with reporters or the press. All inquiries by the press are to be
answered with "no comment" and forwarded to the Siemens HR Manager.
Emergency Support
Immediately following either decision, evacuate and search or search without evacuating, the
Emergency Coordinator shall notify the appropriate emergency organizations (Fire, Police,
Sheriff, Regulatory Agencies) giving them information that is available, outlining the plan for
action within the plant, and requesting advice and assistance as necessary.
Arrangements made with Local Authorities
Arrangements have been made with local authorities such as police, fire and local hospitals to
familiarize the local authorities with our facility layout, waste handling and generating activities,
and the types of injuries or illness that could result from fires, explosions, spills, or releases. The
local emergency response agencies, identified in Appendix A, and various state agencies have
been requested to respond to this Hazardous Waste Contingency Plan. Also, their Chief
Administrators are invited to visit the facility in order to better coordinate potential hazardous
materials and/or waste related emergency response procedures.
If more than one law enforcement agency or fire department responds to an emergency at our
facility, The Emergency Coordinator will hand over control of the incident to the agency that best
addresses the mitigation needs.
Integrated Emergency Action Plan and Contingency Plan I I Date: 06-03-16 1 14 of 26

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
Appendix A
Emergency Contact Information
EMERGENCY COORDINATORS
• Primary Emergency Coordinator - Gary Gingras — Facilities Manager
1500 Oscar Frye Road
Pinnacle, NC 27043
[phone] (Work)
[phone] (Cell)
SIEMENS
Alternate Emergency Coordinator — Michael Cox - Support Services Supervisor
125 Prestwick,
Rural Hall, NC 27045
[phone] (Work)
[phone] (Cell)
• Alternate Emergency Coordinator — James Whiticar — EHS Officer
6504 Dornoch Drive
Greensboro, NC 27410
[phone]
[phone]
■ Alternate Emergency Coordinator — Srikanth Parvathaneni — QEHS Manager
4702 Jefferson Wood Court,
Greensboro, NC 27410
[phone] (Work)
[phone] (Cell)
Siemens Winston Service Center Management/Supervision
Plant/General Manager
Controller
Human Resources Mgr
Second Shift (3:30pm — 11:30pm)
Third Shift (11:30pm-7:30am)
Security
Cory Phillips
James Rochester
Chris Graham
Ed Majersky
Lewis Moran
Security
[phone] (Cell)
[phone] (Cell)
[phone] (Cell)
[phone] (Cell)
[phone] (Cell)
[phone] (Radio)
[phone] (Security Office)
ment
Integrated Emergency Action Plan and Contingency Plan I I Hate: 06-03-16 1 15 of 26

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
Tennant(s) Management/Supervision
Security maintains a current list of contacts and their phone numbers.
SIEMENS CORPORATE CONTACTS
Siemens Energy EHS Director
Janaina Gameiro [phone] (Work)
Siemens Real Estate Response Center [phone]
WorkCare (24-hr Triage Assistance) [phone]
SIEMENS
WINSTON-SALEMIFORSYTH COUNTY EMERGENCY ORGANIZATIONS
Rural Hall Fire Department [phone] or 911
Winston Salem City Muddy Creek Water Treatment Plant
6am-6pm [phone]
6pm-6am [phone]
Forsyth County Fire Department [phone] or 911
Forsyth County Sheriff's Office [phone] or 911
Forsyth County Ambulance Service [phone] or 911
N.C. State Highway Patrol [phone] or 911
Wake Forest Baptist Medical Center [phone] or 911
Regional Coordinator:
Winston-Salem/Forsyth County Office of Emergency Management
Smith Reynolds Airport, Room 104 [phone]
Winston-Salem, NC 27105 [phone] - secondary number
Forsyth County Environmental Affairs [phone]
Forsyth County Government Center
201 N, Chestnut St.
Winston Salem, NC 27101-4120
N.C. Department of Environmental Quality (NCDEQ)
Division of Energy, Mineral and Land Resources [phone]
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
o.
Integrated Emergency Action Plan and Contingency Plan I I Date: 06-03-16 1 16 of 26

. Winston Service Center SIEMENS
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
EMERGENCY ORGANIZATIONS - CONTRACTORS
Shamrock Environmental Corporation
503 Patton Avenue
Greensboro, NC 27406
24 Hour Emergency Response 800-881-1098
Non -Emergency [phone]
In the event of an emergency, Shamrock Environmental is contracted by Siemens to provide
comprehensive environmental services to include emergency response, wastewater treatment,
industrial services, waste management, remedial and stream and wetland restoration.
NORTH CAROLINA EMERGENCY ORGANIZATION
N.C. Emeraencv Response Commission
Hotline [phone] or (9191 733-1361
NC EPCRA
4714 Mail Service Center
Raleigh, NC 27699-4714
FEDERAL ORGANIZATIONS
NATIONAL RESPONSE CENTER_(NRC) [phone]
United States Environmental Protection Agency
Region 4
Sam Nunn Atlanta Federal Center
61 Forsyth Street, SW
Atlanta, GA 30303-8960
FEDERAL BUREAU OF INVESTIGATION
Charlotte [phone]
Raleigh [phone]
Greensboro [phone]
US EPA HOTLINE [phone]
Integrated Emergency Action Plan and Contingency Plan
o.: Rev. 6 Page No.:
Date: 06-03-16 17 of 26

Winston Service Center
EHS Programs
ENVIRONMENTAL., HEALTH & SAFETY
Appendix B
Site Maps
SIEMENS
Description: _ Document No.: Rev. 6 Page No..
Integrated Emergency Action Plan and Contingency Plan Date 06-03.16 18 of 26

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
EXIT GS
R �III]IOCAp�jVAC31R. IIVi PL-S\ml tMN \C-Ao-v-"
n:
SIEMENS
EXIT G6 EXIT G7
EXIT G4 EXIT G3 EXIT G2
EVACUATION PLAN
BUILDING G
;L—) EXIT G1
REV. 7-21-11
Integrated Emergency Action Plan and Contingency Plan I I Date: 06-03-16 1 19 or 26

Winston Service Center
EHS Programs
SIEMENS
ENVIRONMENTAL, HEALTH & SAFETY
R
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SIEMENS
WINSTON SERVICE CENTER
ment No.: Rev. 6 Page No.:
Date: 06-03-16 20 of 26

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
jai
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SIEMENS
iption: Document No.: Rev. 6 Page No.
Integrated Emergency Action Plan and Contingency Plan Date: 06-03-16 21 of 26
EVACUATION PLAN
BUIL131NGS A AND 8
SIEMENS
WINSTON SERVICE CENTER
yen .-i+-ss

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
SIEMENS
eW 2M
EVACUATION PLAN
MANUFACTURING BUILDING C Dar za 'ti
SIEMENSWINSTON SERVICE CENTER i r I } }
ears {�
INDICATES oar wsTx AREA of RESCUE ❑ ear sz
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Integrated Emergency Action Plan and Contingency Plan I Date: 06-03-16 22 of 26

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
EXI T 21
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A I
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SIEMENS
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EVACUATION PLAN
BUILDING F
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EXIT 22
--> EXIT 23
a: v. 7-20 -t 1
Integrated Emergency Action Plan and Contingency Plan Date: 06-03-16 23 of 26

Procedure No.:
Page: 24 of 26
Appendix C
The DOT identification of hazardous materials located at the Rural Hall
Facility
The following are examples of hazardous materials located at the facility:
➢ 2.1 — Flammable Gases — Acetylene, Hydrogen, Propane
➢ 2.2 — Non Flammable Gases — Argon, Nitrogen
➢ 3 — Flammable Liquid — Acetone
➢ 4.3 — Water Reactive — Aluminum Powder
➢ 5.1 — Oxidizer — Oxygen gas
➢ 6.1 — Toxic — Chromium metal powder
8 - Corrosive — Hydrochloric Acid, Hydrofluoric Acid, Sulfuric Acid, Potassium
Hydroxide
Siemens Energy, Inc. OOSiemens Energy, Mr. 2011 All Rights Reserved. TO! INTEGRATED EAP AND
CONTINGENCY PLAN REV6_06-56,DOC
Hard Copies of this procedure are uncontrolled.

Procedure No.:
Page: 25 of 26
Appendix D.
Siemens Energy, Rural Hall: SPILL KIT INVENTORY LIST
EDM AISLE
QTY
ITEM
30
Absorbent Pigs
1
Spark Arresting Shovel
1
Broom
3
50 lb Absorbent
1
Nitrile Gloves
1
T ek Suit
1
Faceshield
SHIPPING
QTY
ITEM
6
Chemical Pigs
2
Chemical Boom
11
2 x 2 White Absorbent Pads
6
2 x 2 Green Pads
7
2 x 2 Chemical Pads
4
Special Snakes soft, unsure of use
1
Large Drain Cover (Dirty, in tube
2
Drain Covers
3
50 lb Absorbent
2
Hazardous Material Clean-up Bags, Lar e
23
Hazardous Material Clean-up Bags, Small
1
Clear Plastic Bag
1
Labels, Misc Pack
2
Overboots
2
Yellow Suits
1
Black Gloves
1
Silver Gloves
2
Nitrile Gloves
19
Wipes
i
Tyvek Suit
2
Goggles
1
Drum Lifter
1
Drum Tourniquet
1
Spark Arresting Shovel
E-BLDG (CLOSE TO TOWER)
QTY
ITEM
8
Petroleum Booms
1,5
50 lb Absorbent
1
Yellow Rope
1
T ek Suit
1
Faceshield
1
Nitrile Gloves
4
Pi s
E-BLDG (CLOSE TO DOOR)
QTY
IT EM
7
Chemical Suckers, Pink
10
2 x 2 White Absorbent Pads
16
White Snakes
3
Long Blue Snakes
6
Pink Snake
1
Large Pink Snake
1
Boom
1
Bag of Acid Neutralizer hard
1
1 Broom
1
Spark Arresting Shovel
3
50 lb Absorbent
1
Drum Lifter
1
Faceshield
1
Labels, Misc Pack
24
Hazardous Material Clean-up Bags, Small
3
Yellow Suits
3
Nitrile Gloves
2
Overboots
19
Wipes
1
Drum Tourniquet
2 ]Goggles
CHEM STRIP LINE #1
QTY
IT EM
1
Acid Neutralizer
1
Base Neutralizer
27
Gra Absorbent Pads
2
1 Silver Gloves
2
Nitrile Gloves
4
Hazardous Material Clean-up Bags, Large
1
Emergency Response Guidebook & Labels
1
Overboots
2
Goggles
6
IYellow Snakes, Lon
7
White Snakes, Short
19
2 x 2 White Pillows
1
Spill Area Sign
I
!
FORGED BLADE MACHINING (FBM)
QTY
ITEM
30
Absorbent Pigs
1
Spark Arresting Shovel
1
Broom
3
50 lb Absorbent
i
1 Nitrile Gloves
1
Tyvek Suit
1
IFaceshield
Appendix D
Siemens Energy, Inc. ©Siemens Energy, Inc 2011 All Rights Reserved TQ:INIEGRATE❑ EAP AND
CONTINGENCY PLAN REVfi_ 06-16.DOC
Hard Copies of this ProCedure are uncontrolled.

' Procedure No.:
Page: 26 of 26
Siemens Energy, Rural Hall: SPILL KIT INVENTORY LIST(2)
CHEM STRIP LINE #2
QTY
ITEM
1
Acid Neutralizer
1
Base Neutralizer
4
Hazardous Material Clean-up Bags, Large
2
Silver Gloves
2
Nitrile Gloves
2
Goiciciles
1
Emergency Response Guidebook & Labels
20
2 x 2 White Pillows
14
White Snakes, Short .
3
White Snakes, Lon
1
Spill Area Sign
IF IC
QTY
ITEM
42
Gray Absorbent Pads
2
Silver Gloves
2
Nitrile Gloves
4
Hazardous Material Clean-up Bags, Large
1
Emergency Response Guidebook & Labels
2
Goaales
6
Yellow Snakes, Lon
12
White Snakes, Short
21
2 x 2 White Pillows
1
Spill Area Sign
1
Yellow Suit
1
Base Neutralizer
HAZARDOUS WASTE STORAGE AREA
QTY
ITEM
2
Silver Gloves
1
Nitrile Gloves
4
Hazardous Material Clean-up Bags, Large
1
Emergency Response Guidebook & Labels
2
Goggles
2
White Snakes, Lon
15
White Snakes, Short
20
2 x 2 White Pillows
1
Spill Area Sign
2
Yellow Suit
Siemens Energy, Inc. 05iemens Energy, Inc. 2011 All Rights Reserved. TQ:INTEGRATED EAP AND
CONTINGENCY PLAN REV6_ 06-16.DOC
Hard Copies of this procedure are uncontrolled.

r�
NC Department of
Environmental Quality
Received
REQUESTED BY:
DATE: 06-17-16
15
Leigh Frazier
Winston -sal
^r.
rr
Regior,a3
SHIP TO:
NCDEQ (North Carolina Division of Energy,
Mineral & Land Resources)
NCDEQ
585 Waughtown St
Winston Salem, NC 27107 - 2241
ATTN :
TELE#i: [phone]
J-g pj /"?, //'yY-5rV
Fed -Ex Standard Signature Required
DESCRIPTION: DESCRIPTION: Updated Emergency Action
Plan Rev6, Siemens Energy
From: Lei h Frazier
Siemens, Inc.
3050 Westinghouse Rd.
Rural Hall NC 27045
Phone [phone]
Email: lei h.frazier siemens.com
VALUE:
qTtankyou,
Leigh TrazierforJames Whiticar
MS Support
,Siemens
3050 Westinghouse Rd.
RurafYfaff, -VC 2 704 5
336-969-1350
fetah.{razier@siemens. com

/�IG'C�434Z�o° t'14�
RECE WED
f
N.C. Deft. of ENR SIEMENS
DEC 0 k 2015 �f 3050 Westinghouse Road
Rural Hall, NC 27045
Winston-salern Tel. [phone]
Regional Oftce f, Fax [phone]
November 30, 2015
9,rrs
Signature Required
North Carolina Department of Environmental and Natural Resources
585 Waughtown St
Winston-Salem, NC 27107
Subject: Siemens Energy, Inc. 2015 Updated Emergency Action Plan Revs
Rural Hall Facility, 3050 Westinghouse Road; Rural Hall, NC 27045
To Whom It May Concern:
Enclosed is an updated copy of our Integrated Emergency Action Plan (EAP) and Contingency Plan for
your records.
Most recently revised:
• Page 15, Appendix A — New Plant Manager, Cory Phillips
• Page 15, .Appendix A —Added Cory Phillips ' cell phone number under Plant Manager
• Page 151, Appendix A — 2"d shift Supervisor, Ed Majersky, updated cell phone number
If you have any questions or require further information on this matter, please contact me at (336) 969-
1265, or the facility QEHS Manager, Mr. Srikanth Panrathaneni, at [phone].
Sincerely,
James Whiticar
EI-IS Officer
Siemens Energy, Inc.
Cc: Srikanth Parvathaneni, Siemens Energy, Inc.
Siemens Energy, Inc.
3050 Westinghouse Rd
Rural Nall, NC 27045

REQUESTED BY:
DATE: 12-2-2015
Leigh Frazier
SHIP TO:
North Carolina Department of Environment and
Natural Resources (NCDENR)
585 Waughtown St
Winston Salem, NC 27107 - 2241
ATTN :
TELE# [phone]
sqa 3 Id/0 9s-r-r'
Fed -Ex Standard, Signature Required
DESCRIPTION: DESCRIPTION: Updated Emergency Action
Plan RevS, Siemens Energy
From: Leigh Frazier
Siemens, Inc.
3050 Westinghouse Rd.
Rural Hall, NC 27045
Phone [phone]
Email: lei h.frazier siemens.com
VALUE:
Zhankyou,
Leigh 'Frazierfor James `iNhiticar
E9TS Support
Siemens
3050 Westinghouse 1R
R,urafYfaCC, XC 27045
33 6-969-1350
Ceigh. {razier@siemens. cam

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
RECEIVED
N.C. Dept. of ENR
DEC 0 4 2015 .
Winston-Salem ; x
Regional Office.
SIEMENS
Document type
No.:
SIEMENS
QEHS Procedures Manual
Revision/Date: 5 2015-08-10
Winston Service Center
Issued by: EHS Department
Title
Integrated EAP and Contingency Plan
Handling: For Internal Use Only
I S O-9001 I I S O-14001 I O H SA S-18001
Table of Contents
Revision Sheet
1.0 Purpose
2.0 Scope
3.0 Authority
4.0 Organization
5.0 Emergency Action Plan
6.0 Contingency Plan
Page: 1 of 25 Appendices: 4
Released by:
Srikanth Parvathaneni
QEHS Manager a-QMS
7/25/2013
Reviewed by:
Reviewer/Stakeholder
a-QMS a-QMS
a-QMS
Reviewed by:
ReviewerlStakeholder
a-QMS a-QMS
a-QMS
Reviewed by:
Reviewer/Stakeholder
a-QMS a-QMS
a-QMS
Prepared by:
James Whiticar
EHS Department a-QMS
7/25/2013
Name
Org. Unit Signature
Date
Siemens Energy, Inc.
©Siemens Energy, Inc. 2011 All Rights Reserved.
Description:
Document No.:
Rev, 5
Page No.:
Integrated Emergency Action Plan and Contingency Plan
Date: 11-24-15
1 of 25
E103. DOT

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
Revision Sheet
SIEMENS
Revision
Reissue
Date
Section
Description Of Change
1
7-25-13
Appendix A
_Change name of coordinators and 2" 13 Shift Supervisors
2
8-21-13
5.3
Modified evacuation process
3
4-21-14
Appendix A
Change alternative E.0 Sam Myers to Michael Cox
4
8-10-15
5.6.3
Add AED locations
4
8-10-15
Appendix A
Third Shift contact information
4
8-10-15
Appendix A
Security Phone number
4
8-10-15
Appendix A
Siemens Corporate EHS Director
5
11-24-15
Appendix A
Plant Manager Changed to Cory Phillips
5
11-24-15
Appendix A
Plant Manager cell phone updated
5
11-24-15
Appendix A
2" shift Su v. Ed Majersk — updated cell phone number
Integrated Emergency Action Plan and Contingency Plan I I Date: 11-24-15 I 2 of25
E103.DOT

Winston Service Center SIEMENS
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
INTEGREGRATED EAP AND CONTINGENCY PLAN
1.0 PURPOSE:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) describes a course of action to
follow in order to assure the safety of personnel (employees, contractor personnel, visitors, and the
general public) who are present on the site, the environment, and equipment when an emergency
occurs. This plan also details communication requirements with the sublet EAP emergency and
management personnel. External reporting requirements are also detailed in this plan. The plan
provides the guidelines and procedures to meet these needs at the Siemens facility in Rural Hall, N.C.
2.0 SCOPE:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) provides information such as
examples of the types of emergencies that could occur at the Rural Hall site, procedures to follow in the
event of an emergency, and responsibilities of personnel during an emergency. Our plans describe
actions facility personnel will take, what emergency response equipment is available, what procedures
will be followed, and arrangements made with local emergency response authorities in order to minimize
hazards to human health or to the environment in the event of an accident involving hazardous materials.
3.0 AUTHORITY:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) was developed and
implemented to comply with OSHA 29CFR 1910.38 and 40 CFR 264.50 thru 56 and to assure for the
safety of personnel, protection of the environment and the protection of physical assets at the Siemens
Winston Service Center has documented and issued this Integrated Emergency Action Plan and
Contingency Plan.
The emergency coordinator has the full authority to commit resources needed to respond to emergencies
at this facility. The emergency coordinators can deputize other employees to assist them in the event of
an emergency.
The authority to review, revise and approve this procedure is defined within our document control
procedures. Only the owners and approvers of this document are authorized to approve revisions made
to this document.
The Emergency Action Plan and Contingency Plan must be reviewed, and immediately amended
as necessary, whenever the following situations apply;
• Applicable regulations are revised;
• The plan fails in an emergency;
• The facility changes in its design, construction, operation, maintenance, or other
circumstances in a way that materially increases the potential for fires, explosions, or
releases;
• The list of emergency coordinators changes;
• Or the list of emergency equipment changes.
When changes are made that impact the Fire, Explosion or Spill Sections of this plan, revised copies of
this plan are to be sent to the following personnel or agencies:
1) Rural Hall Fire Department
me
Integrated Emergency Action Plan and Contingency Plan I I Date: 11-24-15 I 3 of 25
E103. DOT

Winston Service Center SIEMENS
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
2) Forsyth County Fire Department
3) Forsyth County Sheriff's Office
4) Wake Forest Baptist Medical Center
5) Spill Response Contractor
6) Security
7) Tenant(s) Human Resource Manager
8) Emergency Coordinators
9) Plant Manager
4.0 Organization
4.1 Emergency Coordinator
Facilities and Maintenance Manager
The Facilities and Maintenance Manager shall be the primary Emergency Coordinator and have
primary responsibility for emergency responses to include the local fire department, training,
equipment, and evacuation. He/she shall consult with the Plant/General Manager, Operations
Management, and the Human Resources Manager. He/she will also communicate with the
tenant(s) HR Manager in order to ensure plant -wide coordination when required. The Emergency
Coordinator will be responsible for recording events, coordinating internal and external resources,
consulting with Siemens EHS personnel as appropriate and reporting status and creating incident
reports.. Security, although contracted by the Siemens Real Estate Facility Manager
(SREFM)„ will be given directions by the Emergency Coordinator, since our primary
objective in an emergency is the safety of all personnel.
Alternate Emergency Coordinator
The alternate emergency coordinator has been designated to identify in Appendix A. In the event
that the Primary Emergency Coordinator is unavailable, the Alternate Emergency Coordinator
shall assume emergency response responsibilities. At all times there must be at least one
Emergency Coordinator on site or on call, with the ability to reach the facility in a short amount of
time, with the responsibility for coordinating all emergency response measures.
Continuity of Emergency Coordination
The emergency coordinator first arriving at the scene shall have the responsibility as the
emergency coordinator for the duration of the emergency, unless properly relieved by the
Facilities and Maintenance/QEHS manager. The emergency coordinator will be responsible for
recording events, coordinating internal and external resources, consulting with Siemens and
Siemens Corporate EHS personnel as appropriate and reporting status and creating incident
reports. The oncoming emergency coordinator assumes all responsibilities including record
keeping and notifications from the point of assuming emergency coordinator responsibilities.
4.2 Personnel Responsibilities Outside of Emergency Team
Management Personnel
The management personnel shall be responsible for maintaining organization within their area as
well as other measures that are called for to protect personnel and company property in their
assigned areas of responsibility. Management is responsible for maintaining posted sketches in
the area outlining emergency routes for employees in their area. They shall advise all new,
incoming employees of these routes during their orientation.
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Security
Security shall be responsible for evaluating the type of emergency to determine whether the
emergency coordinator should be contacted in accordance with Section 8. Security shall
communicate and coordinate a plant wide evacuation with the tenant(s) in the event that an
evacuation is ordered. Security shall call 911 in the event of a fire alarm or upon observation or
notification of emergencies as defined in this plan.
Second Shift, Third Shift and Weekend Shift
The primary role of the second, third and weekend shift supervisors is to coordinate the initial
response (contain, assist and notify) according to the specific emergency procedure contained in
Section 5.1, and contact Security as quickly as possible.
Personnel Outside of Emergency Team
All Siemens WSC staff is part of the Emergency Response Organization and is the organization
established to help in an emergency. The Siemens WSC staff will be responsible for the
communications systems, record keeping, and facilities status during the emergency.
Liaison with External Organizations and the Press
The Emergency Coordinator will maintain liaison with Siemens and the tenant(s) management,
emergency organizations, Siemens and government officials.
The Siemens WSC HR Manager is the only person authorized to talk with reporters or the press.
All inquiries by the press are to be answered with "no comment" and forwarded to the Siemens
WSC HR Manager.
Emergency Support
Immediately following either decision, evacuate and search or search without evacuating, the
Emergency Coordinator shall notify the appropriate emergency organizations (Fire, Police,
Sheriff, Regulatory Agencies) giving them information that is available, outlining the plan for
action within the plant, and requesting advice and assistance as necessary.
Recorder
The Emergency Coordinator shall be responsible for recording the chronology of events, to
document changes that take place and to provide a record for the future. It is recommended that
the emergency coordinator assign record keeping responsibilities to a designated employee.
4.3 Arrangements with Local Authorities
Arrangements have been made with local authorities such as police, fire and local hospitals to
familiarize the local authorities with our facility layout, waste handling and generating activities,
and the types of injuries or illness that could result from fires, explosions, or releases. The local
emergency response agencies, identified in Appendix A, and various state agencies have been
requested to respond to this Hazardous Waste Contingency Plan. Also, their Chief
Administrators are invited to visit the facility in order to better coordinate potential hazardous
waste related emergency response procedures.
If more than one law enforcement agency or fire department responds to an emergency at our
facility, The Emergency Coordinator will hand over control of the incident to the agency that best
addresses the mitigation needs.
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5.0 Emergency Action Plan
5.1 General Guidelines for Specific Emergencies
Whenever there is a release, fire, explosion, the Emergency Coordinator must be notified in order
to immediately identify the character, exact source, amount, and areal extent of any release
material. The Emergency Coordinator may do this by observation or review of facility records or
manifests and, if necessary, by chemical analysis.
Concurrently, the emergency coordinator must assess possible hazards to human health or the
environment that may result from the release, fire, or explosion. This assessment must consider
both direct and indirect effects of the release, fire, or explosion (e.g. the effects of any toxic,
irritating, or asphyxiating gases that are generated, or the effects of any hazardous surface water
run-offs from water or chemical agents used to control fire and heat -induced explosions.)
If the emergency coordinator determines that the facility has had a spill, release, fire, or explosion
which could threaten human health, or the environment, outside the facility, he must report his
findings in accordance under Section 5.0 of this plan.
During an emergency, the emergency coordinator must take all reasonable measures necessary
to ensure that fires, explosions, and releases do not occur, recur, or spread to other hazardous
materials at the facility. These measures must include, where applicable, stopping processes
and operations, collecting and containing released waste, and removing or isolating containers.
If the facility stops operations in response to a fire, explosion, or release, the emergency
coordinator must monitor for leaks, pressure buildup, gas generation, or ruptures in valves, pipes,
or other equipment, wherever this is appropriate. Immediately after an emergency, the
emergency coordinator must provide for treating, storing, or disposing of recovered waste,
contaminated soil or surface water, or any other material that results form a release, fire, or
explosion at the facility_
The emergency coordinator must ensure that, in the affected areas of the facility:
No materials that may be incompatible with the released material is treated, stored, or
disposed of until cleanup procedures are completed; and
All emergency equipment listed in the Emergency Action Plan and Contingency Plan is
cleaned in the designated decontamination area and fit for its intended use before operations
are resumed.
5.2 FIRE AND EXPOLOSION
5.2.1 Small (incipient) Fire:
• An incipient fire is a small isolated fire that has not spread to the structure of the building or to
other equipment.
• If a member of the Incipient Fire Brigade is present then that member must initially evaluate
the situation and determine what type of fire extinguisher to use.
• If the incipient fire is located in chemical stripping, FIC, or where aluminum powder is present
then the fire department is to handle the situation.
Security shall contact the Emergency Coordinator from the list in Appendix A.
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• If the Emergency Coordinator is on site he/she shall conduct an initial evaluation of the
situation. If the Emergency Coordinator is off site, Security shall conduct the initial evaluation
and advise the Emergency Coordinator immediately.
The initial evaluation consists of the following:
• The fire could cause the release of toxic fumes;
• If the fire spreads, it could ignite material at other locations at the site or cause heat -induced
explosions;
• The fire could spread to off -site areas;
• Use of water or water and chemical fire suppressant could result in contaminated run-off
and/or a violent chemical reaction.
• If any of these conditions exist or could exist, appropriate actions should be taken.
5.2.2 Structural Fire or Explosion:
• A structural fire is a fire that has spread to other equipment or the structure of the building.
• Personnel, who discover major fire or explosion should leave the immediate area, pull the
nearest fire alarm pull box and call Emergency Coordinator and/or security at extension 1359.
• Security shall contact the Emergency Coordinator from the list in Appendix A.
• If the Emergency Coordinator is on site he/she shall conduct an initial evaluation of the
situation. If the Emergency Coordinator is off site, Security shall conduct the initial evaluation
and advise the Emergency Coordinator immediately (if feasible).
The initial evaluation consists of the following:
» The Emergency Coordinator will ensure that evacuation procedures have been initiated.
He/she will also communicate with the Tenant(s) FIR Manager in order to ensure plant wide
.coordination.
• Contact the appropriate local, state, or federal agencies as warranted.
5.3 Evacuation Alert System
The facility is equipped with audible work area alarms and visual strobes. The annunciation is
monitored by Security and the alarm monitoring service. The annunciation panel is located in the
lobby next to Security.
• The fire alarm can be initiated by any of the following:
1. Automatic initiation of water flow system and heat sensors.
2. Notifying Security by phone or other means.
3. Activating a fire alarm pull box.
• If the evacuation alarm fails to operate when activated, security shall be notified and will
take the following steps:
1. Phones and radios can be used to announce the evacuation or; Security and/or
supervisors will physically go through the facility, announcing the evacuation.
5.3.1 Evacuation Process
Step I
Once the fire alarm is activated, all employees are required to evacuate the building_
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Evacuation Routes and Assembling Area
• When the evacuation signal sounds, all employees, contractors, salesmen and visitors
shall proceed via the nearest exit identified on the attached plans and proceed to their
assembly area as designated on attached plans located in Appendix B.
• The escort (Siemens WSC employee) is responsible for ensuring that the visitor and/or
contractor are accounted for and they know where the assembly area is located.
• After evacuating and walking to the assembly area, employees will remain in the
assembly area until notified that it is safe to re-enter the building.
• Employees are not authorized to leave the evacuation area or facility grounds unless
directed to do so by the Emergency Coordinator, Plant Management or emergency
personnel (e.g. Fire Department)
Step 2: Make Sure Everyone Gets Out
The following steps will be initiated to ensure that everyone gets out:
• Once the evacuation signal has sounded, all employees are required to evacuate the
building.
• Employees are to follow the evacuation routes identified in the evacuation maps posted
throughout the facility. If a route is blocked by the release of hazardous materials or fire,
and alternate route should be found using the evacuation maps located in Appendix B.
• Department managers or designee should report to their assigned assembly areas and
see that personnel remain at proper distances from the building until the all clear signal is
received. Employees are not authorized to leave the evacuation area or facility grounds
unless directed to do so by the Emergency Coordinator, Plant Management or emergency
personnel (i.e. Fire Department)
Step 3: Roll Call
In the event of an evacuation, each department manager or designee will perform a roll call to
ensure that every employee in their department is accounted. At the assembly area, each
department manager will verbally inform the EHS Officer if every employee has been accounted
for. Once inside, each department manager or designee will send the EHS Officer an e-mail to
verify that all employees have been accounted for (present or not present at the facility).
Step 4: Decision After Evacuation:
After evacuation of an actual emergency, the Emergency Coordinator in consultation with
Siemens Real Estate, the County Emergency Personnel, and the Plant Manager shall make a
decision regarding:
• Waiting period before employees may re-enter the building;
• Shutting off or turning back on utilities (electricity, gas, steam, etc.);
• Evacuation times in relation to end of shift, deciding whether to send
• employees home or hold in assembly area;
• Whether next shift should be notified not to report to work;
• Returning to the building for additional searching.
Once decision has been made to allow employees to re-enter the building, the Emergency
Coordinator will be instructed to communicate to all Siemens Management, HR Manager or the
tenant(s) Plant Manager, Siemens Real Estate, and any contractors on site that all is clear.
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After evacuation a non emergency situation, the Emergency Coordinator or designee will
communicate the message to re-enter the building to the employees in the assembly area once
the cause of the evacuation has been discussed and determined.
5.3.2 Second Shift, Third Shift or Weekend
After evacuation of a non emergency during second shift, third shift or the weekend, the shift
supervisor(s) will take the role of the Emergency Coordinator and communicate the message to
re-enter the building to the employees in the assembly area once the cause of the evacuation has
been discussed and determined with maintenance and security. The supervisor will provide the
EHS Officer a report that ensures that all employees have been accounted for and a detailed
description of the situation.
After evacuation of an emergency situation, the shift supervisor will contact the Emergency
Coordinator or designee of the situation. During the emergency situation, the Emergency
Coordinator or designee will come to the facility to initiate the Contingency Plan. Also, the
supervisor will provide a report that ensures that all employees have been accounted for and a
detailed description of the situation.
5.4 Chemical Spill — Liquid or Solid
Facilities and Maintenance employees will respond to any reported chemical spill. These
employees have been properly trained in basic spill response. These employees can be notified
in person or by calling extension 1359. If maintenance cannot be reached then security is to be
notified (extension 1359).
5.4.1 Spill Evaluation
Answer the following questions when responding to a spill:
• What is the chemical?
• What is the PPE requirement?
• Do I have the necessary spill clean up and containment material present?
• What are the potential physical and toxic risks?
• If the spill occurs outside, am I aware of the requirements listed in the Stormwater Pollution
Prevention Plan (SWPPP) and the Spill Prevention, Control, and Countermeasures Plan
(SPCC)?
• If the spill reaches a certain level, do I know the Emergency Coordinator?
1. The Emergency Coordinator must determine when to contact the list of contacts in
Appendix A, which is dependent upon the nature of the spill.
5.4.2 Gas Release
If chlorine or fluorine gas was released into the facility then the evacuation order would be given.
However, to confirm a chlorine gas release has occurred, a chlorine gas meter would be used to
determine the amount of gas released. If fluorine gas released in the fluorine ion cleaning (FIC)
area then ammonia would be released to suppress the fluorine gas.
5.5 Emergency Procedures for Severe Weather
5.5.1 Tornadoes
The facility utilizes a NOAA weather radio to be alerted to any tornado warnings. If a tornado
warning is issued by the National Weather Service for the Rural Hall area then all employees are
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to report to the designated tornado shelter. While in the tornado shelter, the HR Specialist will
take a roll call to ensure that all employees are accounted for_ Once the tornado warning is lifted
then employee will resume normal operations.
5.5.2 Winter storm
If a winter storm occurs that has been determined to make roads impassable or has a utility
outage for the facility then the employees will call 866-367-7972 or on-line at
www.siemens.com/energy/darkwebsite for information about the plant closing. If the storm
occurs during the shift then the supervisors will notify the employees that the plant is closing.
6.5.3 Flood
If the facility is being flooded then the facility will follow the evacuation procedure listed in
Section 5.3.
5.6 Medical Emergency:
5.6.1 General Guidelines
A medical emergency includes injuries and/or illnesses that will require more than the routine first
aid treatment.
5.6.2 Person Discovering the Emergency
The person discovering an employee in need of emergency medical assistance should follow
these steps:
1. Do not activate the fire alarm.
2_ Call the radio access channel (extension 1359) from the nearest phone.
3_ Stay with the employee needing medical assistance until trained emergency personnel
arrives, but do not attempt to move them unless they are in imminent danger.
4_ Always be sure to follow blood borne pathogen protocols_
5.6.3 On -Site Emergency Medical Technician (Siemens EMT or Security)
1. Provide initial or stabilizing assistance and determine if additional medical treatment is
required.
2. If the EMT goes to the scene of an incident then they must take the AED and first aid
bag. There are five AEDs in the building — Security office, Outside of the front office;
Outside of the Manufacturing offices, Across from David Cox's office, and on the wall at
the restroom near Forged Blade Machining and New Parts.
3. Call 911 if a life threatening condition exists.
4. Call an ambulance, if necessary. Notify doctor and hospital of the emergency.
5. Notify the EHS Officer or QEHS Manager immediately of the emergency situation.
B. The On -site Emergency Medical Technician or EHS Officer may also contact WorkCare
for assistance (24-hr Triage Assistance).
5.6.4 HR Manager
Notify the employee's designated emergency contact of the injury or illness and of the action that
has been taken. Notify the employee's supervisor of the emergency. Ensure that all necessary
accident reports are completed.
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5.7 Threats Against the Facility
5.7.1 General Guidelines for Bomb Threat
If an employee receives a call concerning a bomb threat then the employee should try to get as
much information as possible from the caller. Afterwards, the employee should notify the
Emergency Coordinator and/or the HR Manager immediately, so they can contact the proper
authorities in order to determine the best course of action. If the authorities authorize the
evacuation of the facility then the evacuation protocol will be followed as in Section 5.3.1. Also,
the HR Manager will notify the Plant/General Manager and the tenant(s) Manager in order to
ensure plant -wide coordination when required.
If the call occurs during night shift working hours then the employee or Security would take the
call. If an employee answers the phone then he/she will contact Security and then Security would
contact the Emergency Coordinator to alert he/she of the situation.
5.7.2 Procedures to follow if taking the call of a bomb threat
1. Record the time and exact words of the message;
2. Have the caller repeat the message and keep the caller on the line as long as possible;
3. Have someone nearby notify the Emergency Coordinator
4. Ask the caller the reason for making the threat;
5. Note the caller's sex, speech, mannerisms, signs of intoxication, phrases, etc.; and
6. Determine if the caller is using an internal or external line (look at caller ID).
5.7.3 Written Threats:
Threats received in writing should be preserved for investigation for possible fingerprints and if
possible should not be handled once the letter has been opened. When the threat is received, the
person receiving the letter shall personally contact the Emergency Coordinator.
5.8 Emergency Procedures for Civil Disturbance
5.8.1 General Guidelines
The purpose of this procedure is to detail action to be taken in order to protect personnel and
property from any negative effects as a result of civil disturbance. These actions include
notification of the proper authorities for resolving the disturbance, providing a protective
separation between the disturbance and our personnel, and taking necessary steps to protect our
property from destruction as a result of the disturbance.
5.8.2 Responsibilities
Security
Secure Guard Station --Call 911 (if necessary), the Human Resources Manager and the
Emergency Coordinator
Human Resources Manager
Notify local authorities. Notify the tenant(s) HR Manager to determine need for coordination. Have
plant management personnel give direction to their employees. Provide liaison with the police.
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Keep employees and other individuals away from the disturbance_
6.0 Contingency Plan
6.1 Reporting of Significant Event Requirements to initiate the Contingency Plan
A Significant event is defined as:
• Serious accident, life threatening illness, risk of epidemic
* Definition of a "serious accident" -- fatal accident, life endangering injuries, poisoning
• Large-scale damage to plant or equipment, Fires (extinguished by external fire fighters, and/
or having influence on the production), explosion
• Crises (e.g. terror attacks, criminal threats, kidnapping, bomb scare, putsch), civil unrest,
natural catastrophes (e.g. flood, earthquake, hurricane, tornado),
• Loss of radio -active sources or contamination by radio -active material,
• Technical emergency (Impacts from outside: Fire, implosions, plane crash, gas release,
power supply interruptions)
• Imminent or actual (unplanned sudden or non -sudden) release of hazardous materials to
the air, soil or water of the environment, and release of hazardous substances of which the
reportable quantity require reporting to regulatory agency.
• Failure to follow permit requirements which result in self reporting or notice of violation or
citation by a regulatory agency.
• Accident during the transport of dangerous goods in conjunction with release of dangerous
goods
• Indications 1 suspected cases
1. that are capable of becoming events with negative results to the Image of Siemens
Energy Sector
2. respectively unplanned contact to authorities as a result of these events
3. for the occurrence of one of the events described above.
• > 3 persons injured respectively affected by a single event
• Loss of limb(s)
• Any Electric shock accident
• Motor vehicle accident resulting in hospitalization of two or more persons
• The Emergency Coordinator is responsible to ensure events are reported to Siemens.
• All significant events must be reported within 2 hours by phone to the Siemens Corporate
Contacts listed in Appendix A of this document. The purpose of this contact is to notify and
gain guidance on what we are to communicate to external entities.
• After notification to Siemens Corporate, the facility Siemens representative identified in
Siemens Procedure P00-057-A01 shall notify the appropriate external entities based on
event being reported.
6.2 Incident Reporting Requirements
The Emergency Coordinator must document the incident by recording the time, date, and details
of any incident which requires implementing the contingency plan_ Within 15 days after the
incident, the EHS Manager must submit a written report on the Environmental incident to the
Regional Administrator identified in Appendix A. The report must include:
(1) Name, address, and telephone number of the owner or operator;
(2) Name, address, and telephone number of the facility;
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(3) Date, time, and type of incident (e.g., fire, explosion);
(4) Name and quantity of material(s) involved,
(5) The extent of injuries, if any;
(6) An assessment of actual or potential hazards to human health or the environment, where this
is applicable; and
(7) Estimated quantity and disposition of recovered material that resulted from the incident.
6.3 Evacuation of Local Areas (Evaluation, Action and Notification)
If the Emergency Coordinator in conjunction as applicable with the Emergency Responding
Agency (e.g. Fire Department) assessment indicates that evacuation of local areas may be
advisable, the emergency coordinator must immediately notify the appropriate local authorities
identified and either the government official designated as the on -scene coordinator for that
geographical area, or the National Response Center using their 24-hour toll free number listed in
Appendix A. The emergency coordinator must be available to help appropriate officials decide
whether local areas should be evacuated.
6.4 Contingency Plan Resources
Siemens Real Estate Facilities Management
The Siemens Real Estate Response Center should be notified during any emergency situation
concerning the building and/or property. They will assign personnel from Siemens Real Estate
Facilities Management and/or their contractors accordingly to remove/restore utility services and
assess/repair damages.
Maintenance Support
The Siemens Facility Maintenance group will be directed, as needed, by the emergency
personnel to assist in removal of services (power, water, etc_) during such emergencies.
Security
Plant Security will assist in controlling access to emergency locations and to direct outside
emergency response services to proper locations on the plant property.
6.5 Command Post (if needed)
Purpose
The Command Post provides a location for responsible personnel to collect data, make decisions,
and resolve immediate problems at the scene of the emergency.
Location and Function
The command post will be established at the Security Control Office ('B' Building). The Plant
Security will man it with other personnel designated by the Emergency Coordinator_
Alternate Command Post
An alternate command post will be designated by Security and/or the Emergency Coordinator, as
needed.
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Staff
All Siemens WSC staff is part of the Emergency Response Organization and is the organization
established to help in an emergency. The Siemens WSC staff will be responsible for the
communications systems, record keeping, and facilities status during the emergency.
Liaison with External Organizations and the Press
The Emergency Coordinator will maintain liaison with Siemens and the tenant(s) management,
emergency organizations, Siemens and government officials. The Siemens HR Manager is the
only person authorized to talk with reporters or the press. All inquiries by the press are to be
answered with "no comment" and forwarded to the Siemens HR Manager.
Emergency Support
Immediately following either decision, evacuate and search or search without evacuating, the
Emergency Coordinator shall notify the appropriate emergency organizations (Fire, Police,
Sheriff, Regulatory Agencies) giving them information that is available, outlining the plan for
action within the plant, and requesting advice and assistance as necessary.
Arrangements made with Local Authorities
Arrangements have been made with local authorities such as police, fire and local hospitals to
familiarize the local authorities with our facility layout, waste handling and generating activities,
and the types of injuries or illness that could result from fires, explosions, spills, or releases. The
local emergency response agencies, identified in Appendix A, and various state agencies have
been requested to respond to this Hazardous Waste Contingency Plan. Also, their Chief
Administrators are invited to visit the facility in order to better coordinate potential hazardous
materials and/or waste related emergency response procedures.
If more than one law enforcement agency or fire department responds to an emergency at our
facility, The Emergency Coordinator will hand over control of the incident to the agency that best
addresses the mitigation needs.
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Appendix A
Emergency Contact Information_
EMERGENCY COORDINATORS
■ Primary Emergency Coordinator - Gary Gingras — Facilities Manager
1500 Oscar Frye Road
Pinnacle, NC 27043
[phone] (Work)
[phone] (Cell)
SIEMENS
■ Alternate Emergency Coordinator — Michael Cox - Support Services Supervisor
125 Prestwick,
Rural Hall, NC 27045
[phone] (Work)
[phone] (Cell)
• Alternate Emergency Coordinator — James Whiticar — EHS Officer
6504 Dornoch Drive
Greensboro, NC 27410
[phone]
[phone]
■ Alternate Emergency Coordinator — Srikanth Parvathaneni — QEHS Manager
4702 Jefferson Wood Court,
Greensboro, NC 27410
[phone] (Work)
[phone] (Cell)
Siemens Winston Service Center Management/Supervision
Plant/General Manager
Operations
Controller
Human Resources Mgr
Second Shift (3:30pm — 11:30pm)
Third Shift (11:30pm-7:30am)
Security
Cory Phillips
Cory Phillips
James Rochester
Samara Satterfield
Ed Majersky
Security
Security
[phone] (Cell)
[phone] (Cell)
[phone] (Cell)
[phone] (Cell)
[phone]'(Cell)
[phone] (Radio)
[phone] (Radio)
[phone] (Security Office)
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Tennant(s) Management/Supervision
Security maintains a current list of contacts and their phone numbers.
SIEMENS CORPORATE CONTACTS
Siemens Energy EHS Director
Janaina Gameiro [phone] (Work)
Siemens Real Estate Response Center [phone]
Workfare (24-hr Triage Assistance) [phone]
SIEMENS
WINSTON-SALEM/FORSYTH COUNTY EMERGENCY ORGANIZATIONS
Rural Hall Fire Department 969-9368 or 911
Winston Salem City Muddy Creek Water Treatment Plant
6am-6pm 765-0130
6pm-6am 784-4710
Forsyth County Fire Department 727-2222 or 911
Forsyth County Sheriffs Office 727-2112 or 911
Forsyth County Ambulance Service 727-2222 or 911
N.C. State Highway Patrol 761-2441 or 911
Wake Forest Baptist Medical Center 716-2255 or 911
Regional Coordinator:
Winston-Salem/Forsyth County Office of Emergency Management
Smith Reynolds Airport, Room 104 [phone]
Winston-Salem, NC 27105 [phone] - secondary number
Forsyth County Environmental Affairs [phone]
Forsyth County Government Center
201 N. Chestnut St.
Winston Salem, NC 27101-4120
N,C. Department of Environmental and Natural Resources
(NCDENR) [phone]
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
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EMERGENCY ORGANIZATIONS - CONTRACTORS
Shamrock Environmental Corporation
503 Patton Avenue
Greensboro, NC 27406
24 Hour Emergency Response 800-881-1098
Non -Emergency [phone]
In the event of an emergency, Shamrock Environmental is contracted by Siemens to provide
comprehensive environmental services to include emergency response, wastewater treatment,
industrial services, waste management, remedial and stream and wetland restoration.
NORTH CAROLINA EMERGENCY ORGANIZATION
N.C. Emeraencv Response Commission
Hotline [phone] or [phone]
NC EPCRA
4714 Mail Service Center
Raleigh, NC 27699-4714
FEDERAL ORGANIZATIONS
NATIONAL RESPONSE CENTER (NRC) [phone]
United States Environmental Protection Agency
Region 4
Sam Nunn Atlanta Federal Center
fit Forsyth Street, SW
Atlanta, GA 30303-8960
FEDERAL BUREAU OF INVESTIGATION
Charlotte
Raleigh
Greensboro
US EPA HOTLINE
[phone]
[phone]
[phone]
[phone]
Description:
Integrated Emergency Action Plan and Contingency Plan
Date: 11-24-15 1 17 of 25
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E;HS Programs
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Site Maps
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EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
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Integrated Emergency Action Plan and Contingency Plan
Date: 11-24-15 1 23 of 25
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Procedure No.:
Page: 24 of 25
Appendix C.
The DOT identification of hazardous materials located at the Rural
Hall Facility
The following are examples of hazardous materials located at the
facility:
> 2.1 — Flammable Gases — Acetylene, Hydrogen, Propane
> 2.2 — Non Flammable Gases — Argon, Nitrogen
➢ 3 — Flammable Liquid — Acetone
➢ 4.3 — Water Reactive — Aluminum Powder
> 5.1 — Oxidizer — Oxygen gas
➢ 6.1 — Toxic — Chromium metal powder
➢ 8 - Corrosive — Hydrochloric Acid, Hydrofluoric Acid, Sulfuric Acid, Potassium
Hydroxide
Siemens Energy, Inc. Merren$ Energy, Inc 2011 All Rights Reserved TO INTEGRATED EAP AND
CONTINGENCY PLAN REVS11-25-
_
15.DOC
Hard Copies of this procedure are uncontrolled.

Procedure No.:
Page: 25 of 25
Appendix D
List of Emergency Spill Response Equipment
Aisle/Area
Column C12
Column C12
Column F11
Column F11
Column F11
Shipping/Receiving
Shipping/Receiving
Column B11
Column B11
Waste Storage & Shipping Area
Waste Storage & Shipping Area
Throughout the plant
Emergency Spill Response Equipment
Oil Spill Kit (95 gal over pack with oil socks)
Spill Control Kit with Shovel & Broom
Wash Station
(1) Vacuum Tank (250 gallon)
(1) Vacuum Tank (175 gallon)
Multi Chemical Spill Kit (65 gal over pack)
Spill Control Kit with Shovel & Broom
Oil Spill Kit (95 gal over pack with oil socks)
Spill Control Kit with Shovel & Broom
Multi Chemical Spill Kit (65 gal over pack)
Spill Control Kit with Shovel & Broom
Emergency Eye Wash/Shower Stations
Siemens Energy, Inc. ®Siemens Energy, Inc 2011 All Rights Reserved. TO: INTEGRATED EAP AN❑
CONTINGENCY PLAN REVS 11-25-
15_DOC
Hard Copies of this procedure are uncontrolled.

SIEMENS
May 19, 2014
RECEIVED 7
N.C, Dept. of ENR z
MAY 2 0 2014
WINSTON-SALEM '
REGIONAL OFFICE '=
3050 Westinghouse Road
Rural Hall, NC 27045
Tel. [phone]
Fax [phone]
FedEx 5c1C>3 I;j95 rqt
Signature Required
North Carolina Department of Environmental and Natural Resources
585 Waughtown St
Winston-Salem, NC 27107
Subject: Siemens Energy, Inc. 2014 Updated Emergency Action Plan
Appendix A
Rural Hall Facility, 3050 Westinghouse Road, Rural Hall, NC 27045
To Whore It May Concern:
Enclosed is an updated copy of our Integrated Emergency Action Plan (EAP) and Contingency Plan for
your records. Most recently revised is Appendix A: Changed Alternate Emergency Coordinator from
Sam Myers to Michael Cox.
If you have any questions or require further information on this matter, please contact me at (336) 969-
1265, or the facility QHSE Manager, Mr. Srikanth Parvathaneni, at [phone].
Sincerely,
/.4�;'� 4---
James Whiticar
EHS Officer
Siemens Energy, Inc.
Cc: Srikanth Parvathaneni, Siemens Energy, Inc.
Siemens Energy, Inc.
3050 Westinghouse Rd
Rural Hall, NC 27045

RECEIVED
N.C. Dept. of ENR
MAY 2 0 2014
REQUESTED BY:
DATE: 5/ 19/2014 gEdre; AL C
Leigh Frazier
SHIP TO:
North Carolina Department of Environment and
Natural Resources NCDENR)
585 Wau htown St
Winston Salem, NC 27107 - 2241
ATTN :
TELE# [phone]
Fed -Ex Standard, Signature Required
DESCRIPTION: DESCRIPTION: Updated Emergency Action
Plan, Siemens Energy (Appendix A)
From: Leigh Frazier
Siemens Inc.
3050 Westinghouse Rd.
Rural Half NC 27045
Phone [phone]
Email: [e-mail]
VALUE:
Thankyou,
Leigh Frazier
E3fS Support
Siemens
3050 Westinghouse R
Rura(Yfaff, XC 27045
33 6-969-1350
Leigh' frazier@siemens. coma
#LEM
=FICE

Winston Service Center
EHS Programs
s
ENVIRONMENTAL, HEALTH & SAFETY
- RECEIVED
N.C. Dept. of ENR
MAY 2 0 2014
WINSTON-SALEM
RF-r,InNAI OFF12P
SIEMENS
Document type
No.:
SIEMENS
QEHS Procedures Manual
Revision/Date: 0 2013-08-22
Winston Service Center
Issued by: EHS Department
Title
Integrated EAP and Contingency Plan
Handling: For Internal Use Only
ISO-9001 ISO-14001 OHSAS-18001
Table of Contents
Revision Sheet
1.0 Purpose
2.0 Scope
3.0 Authority
4.0 Organization
5.0 Emergency Action Plan
6.0 Contingency Plan
Page: 1 of 4 Appendices: 4
Released by:
Srikanth Parvathaneni
QEHS Manager
a-QMS
7/2512013
Reviewed by:
Reviewer/Stakeholder
a-QMS
a-QMS
a-QMS
Reviewed by.
Reviewer/Stakeholder
a-QMS
a-QMS
a-QMS
Reviewed by:
Reviewer/Stakeholder
e•QMS
a-QMS
a-QMS
Prepared by:
James Whiticar
EHS Department
a-QMS
7/25/2013
Name
Org. Unit
Signature
Date
Siemens Energy, Inc.
CGiamens Energy. Inc. 2011 All Rights Reserved
iption: I Document No.: Rev. 8 Page No.:
Integrated Emergency Action Plan and Contingency Plan Date: 41ni3 1 of 25
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Revision Sheet
SIEMENS
Revision
Reissue
Date
Section
Description Of Change
1
7-25-13
Appendix A
Change name of coordinators and 2r"/3ra Shift Supervisors
2
8-21-13
5.3
Modified evacuation process
3
4-21-14
Appendix A
Change alternative E.0 Sam Myers to Michael Cox
n:
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INTEGREGRATED EAP AND CONTINGENCY PLAN
1.0 PURPOSE:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) describes a course of action to
follow in order to assure the safety of personnel (employees, contractor personnel, visitors, and the
general public) who are present on the site, the environment, and equipment when an emergency
occurs. This plan also details communication requirements with the sublet EAP emergency and
management personnel. External reporting requirements are also detailed in this plan. The plan
provides the guidelines and procedures to meet these needs at the Siemens facility in Rural Hall, N.C.
2.0 SCOPE:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) provides information such as
examples of the types of emergencies that could occur at the Rural Hall site, procedures to follow in the
event of an emergency, and responsibilities of personnel during an emergency. Our plans describe
actions facility personnel will take, what emergency response equipment is available, what procedures
will be followed, and arrangements made with local emergency response authorities in order to minimize
hazards to human health or to the environment in the event of an accident involving hazardous materials.
3.0 AUTHORITY:
The Integrated Emergency Action Plan (EAP) and Contingency Plan (CP) was developed and
implemented to comply with OSHA 29CFR 1910.38 and 40 CFR 264.50 thru 56 and to assure for the
safety of personnel, protection of the environment and the protection of physical assets at the Siemens
Winston Service Center has documented and issued this Integrated Emergency Action Plan and
Contingency Plan.
The emergency coordinator has the full authority to commit resources needed to respond to emergencies
at this facility. The emergency coordinators can deputize other employees to assist them in the event of
an emergency.
The authority to review, revise and approve this procedure is defined within our document control
procedures. Only the owners and approvers of this document are authorized to approve revisions made
to this document.
The Emergency Action Plan and Contingency Plan must be reviewed, and immediately amended
as necessary, whenever the following situations apply;
• Applicable regulations are revised;
• The plan fails in an emergency;
• The facility changes in its design, construction, operation, maintenance, or other
circumstances in a way that materially increases the potential for fires, explosions, or
releases;
• The list of emergency coordinators changes;
• Or the list of emergency equipment changes.
When changes are made that impact the Fire, Explosion or Spill Sections of this plan, revised copies of
this plan are to be sent to the following personnel or agencies:
1) Rural Hall Fire Department
o.:
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2) Forsyth County Fire Department
3) Forsyth County Sheriffs Office
4) Wake Forest Baptist Medical Center
5) Spill Response Contractor
6) Security
7) Tenant(s) Human Resource Manager
8) Emergency Coordinators
9) Plant Manager
4.0 Organization
4.1 Emergency Coordinator
Facilities and Maintenance Manager
The Facilities and Maintenance Manager shall be the primary Emergency Coordinator and have
primary responsibility for emergency responses to include the local fire department, training,
equipment, and evacuation. He/she shall consult with the Plant/General Manager, Operations
Management, and the Human Resources Manager. He/she will also communicate with the
tenant(s) HR Manager in order to ensure plant -wide coordination when required. The Emergency
Coordinator will be responsible for recording events, coordinating internal and external resources,
consulting with Siemens EHS personnel as appropriate, reporting status of emergency response,
and creating incident reports. Security, although contracted by the Siemens Real Estate
Facility Manager (SREFM), will be given directions by the Emergency Coordinator, since
our primary objective in an emergency is the safety of all personnel.
Alternate Emergency Coordinator
The alternate emergency coordinator has been designated to identify in Appendix A. In the event
that the Primary Emergency Coordinator is unavailable, the Alternate Emergency Coordinator
shall assume emergency response responsibilities. At all times there must be at least one
Emergency Coordinator on site or on call, with the ability to reach the facility in a short amount of
time, with the responsibility for coordinating all emergency response measures.
Continuity of Emergency Coordination
The emergency coordinator first arriving at the scene shall have the responsibility as the
emergency coordinator for the duration of the emergency, unless properly relieved by the
Facilities and Maintenance/QEHS manager. The emergency coordinator will be responsible for
recording events, coordinating internal and external resources, consulting with Siemens and
Siemens Corporate EHS personnel as appropriate and reporting status and creating incident
reports. The oncoming emergency coordinator assumes all responsibilities including record
keeping and notifications from the point of assuming emergency coordinator responsibilities.
4.2 Personnel Responsibilities Outside of Emergency Team
Management Personnel
The management personnel shall be responsible for maintaining organization within their area as
well as other measures that are called for to protect personnel and company property in their
assigned areas of responsibility. Management is responsible for maintaining posted sketches in
the area outlining emergency routes for employees in their area. They shall advise all new,
incoming employees of these routes during their orientation.
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Security
Security shall be responsible for evaluating the type of emergency to determine whether the
emergency coordinator should be contacted in accordance with Section 8. Security shall
communicate and coordinate a plant wide evacuation with the tenant(s) in the event that an
evacuation is ordered. Security shall call 911 in the event of a fire alarm or upon observation or
notification of emergencies as defined in this plan.
Second Shift, Third Shift and Weekend Shift
The primary role of the second, third and weekend shift supervisors is to coordinate the initial
response (contain, assist and notify) according to the specific emergency procedure contained in
Section 5.1, and contact Security as quickly as possible.
Personnel Outside of Emergency Team
All Siemens WSC staff is part of the Emergency Response Organization and is the organization
established to help in an emergency. The Siemens WSC staff will be responsible for the
communications systems, record keeping, and facilities status during the emergency.
Liaison with External Organizations and the Press
The Emergency Coordinator will maintain liaison with Siemens and the tenant(s) management,
emergency organizations, Siemens and government officials.
The Siemens WSC HR Manager is the only person authorized to talk with reporters or the press.
All inquiries by the press are to be answered with "no comment" and forwarded to the Siemens
WSC HR Manager.
Emergency Support
Immediately following either decision, evacuate and search or search without evacuating, the
Emergency Coordinator shall notify the appropriate emergency organizations (Fire, Police,
Sheriff, Regulatory Agencies) giving them information that is available, outlining the plan for
action within the plant, and requesting advice and assistance as necessary.
Recorder
The Emergency Coordinator shall be responsible for recording the chronology of events, to
document changes that take place and to provide a record for the future. It is recommended that
the emergency coordinator assign record keeping responsibilities to a designated employee.
4.3 Arrangements with Local Authorities
Arrangements have been made with local authorities such as police, fire and local hospitals to
familiarize the local authorities with our facility layout, waste handling and generating activities,
and the types of injuries or illness that could result from fires, explosions, or releases. The local
emergency response agencies, identified in Appendix A, and various state agencies have been
requested to respond to this Hazardous Waste Contingency Plan. Also, their Chief
Administrators are invited to visit the facility in order to better coordinate potential hazardous
waste related emergency response procedures.
If more than one law enforcement agency or fire department responds to an emergency at our
facility, The Emergency Coordinator will hand over control of the incident to the agency that best
addresses the mitigation needs.
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5.0 Emergency Action Plan
5.1 General Guidelines for Specific Emergencies
Whenever there is a release, fire, explosion, the Emergency Coordinator must be notified in order
to immediately identify the character, exact source, amount, and areal extent of any release
material. The Emergency Coordinator may do this by observation or review of facility records or
manifests and, if necessary, by chemical analysis.
Concurrently, the emergency coordinator must assess possible hazards to human health or the
environment that may result from the release, fire, or explosion. This assessment must consider
both direct and indirect effects of the release, fire, or explosion (e.g. the effects of any toxic,
irritating, or asphyxiating gases that are generated, or the effects of any hazardous surface water
run-offs from water or chemical agents used to control fire and heat -induced explosions.)
If the emergency coordinator determines that the facility has had a spill, release, fire, or explosion
which could threaten human health, or the environment, outside the facility, he must report his
findings in accordance under Section 5.0 of this plan.
During an emergency, the emergency coordinator must take all reasonable measures necessary
to ensure that fires, explosions, and releases do not occur, recur, or spread to other hazardous
materials at the facility. These measures must include, where applicable, stopping processes
and operations, collecting and containing released waste, and removing or isolating containers.
If the facility stops operations in response to a fire, explosion, or release, the emergency
coordinator must monitor for leaks, pressure buildup, gas generation, or ruptures in valves, pipes,
or other equipment, wherever this is appropriate. Immediately after an emergency, the
emergency coordinator must provide for treating, storing, or disposing of recovered waste,
contaminated soil or surface water, or any other material that results form a release, fire, or
explosion at the facility.
The emergency coordinator must ensure that, in the affected areas of the facility:
• No materials that may be incompatible with the released material is treated, stored, or
disposed of until cleanup procedures are completed; and
• All emergency equipment listed in the Emergency Action Plan and Contingency Plan is
cleaned in the designated decontamination area and fit for its intended use before operations
are resumed.
5.2 FIRE AND EXPOLOSION
5.2.1 Small (incipient) Fire;
• An incipient fire is a small isolated fire that has not spread to the structure of the building or to
other equipment.
• If a member of the Incipient Fire Brigade is present then that member must initially evaluate
the situation and determine what type of fire extinguisher to use.
• If the incipient fire is located in chemical stripping, FIC, or where aluminum powder is present
then the fire department is to handle the situation.
• Security shall contact the Emergency Coordinator from the list in Appendix A.
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• If the Emergency Coordinator is on site he/she shall conduct an initial evaluation of the
situation. If the Emergency Coordinator is off site, Security shall conduct the initial evaluation
and advise the Emergency Coordinator immediately.
The initial evaluation consists of the following:
• The fire could cause the release of toxic fumes;
• If the fire spreads, it could ignite material at other locations at the site or cause heat -induced
explosions;
• The fire could spread to off -site areas;
• Use of water or water and chemical fire suppressant could result in contaminated run-off
and/or a violent chemical reaction.
• If any of these conditions exist or could exist, appropriate actions should be taken.
5.2.2 Structural Fire or Explosion:
• A structural fire is a fire that has spread to other equipment or the structure of the building.
• Personnel, who discover major fire or explosion should leave the immediate area, pull the
nearest fire alarm pull box and call Emergency Coordinator and/or security at extension 1359.
• Security shall contact the Emergency Coordinator from the list in Appendix A.
• if the Emergency Coordinator is on site he/she shall conduct an initial evaluation of the
situation. If the Emergency Coordinator is off site, Security shall conduct the initial evaluation
and advise the Emergency Coordinator immediately (if feasible).
The initial evaluation consists of the following:
• The Emergency Coordinator will ensure that evacuation procedures have been initiated.
He/she will also communicate with the Tenant(s) HR Manager in order to ensure plant wide
coordination.
• Contact the appropriate local, state, or federal agencies as warranted.
5.3 Evacuation Alert System
The facility is equipped with audible work area alarms and visual strobes. The annunciation is
monitored by Security and the alarm monitoring service. The annunciation panel is located in the
lobby next to Security.
• The fire alarm can be initiated by any of the following:
1. Automatic initiation of water flow system and heat sensors.
2. Notifying Security by phone or other means.
3. Activating a fire alarm pull box.
• If the evacuation alarm fails to operate when activated, security shall be notified and will
take the following steps:
1. Phones and radios can be used to announce the evacuation or; Security and/or
supervisors will physically go through the facility, announcing the evacuation.
5.3.1 Evacuation Process
Step 1
Once the fire alarm is activated, all employees are required to evacuate the building.
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Evacuation Routes and Assembling Area
• When the evacuation signal sounds, all employees, contractors, salesmen and visitors
shall proceed via the nearest exit identified on the attached plans and proceed to their
assembly area as designated on attached plans located in Appendix B.
• The escort (Siemens WSC employee) is responsible for ensuring that the visitor and/or
contractor are accounted for and they know where the assembly area is located.
• After evacuating and walking to the assembly area, employees will remain in the
assembly area until notified that it is safe to re-enter the building.
• Employees are not authorized to leave the evacuation area or facility grounds unless
directed to do so by the Emergency Coordinator, Plant Management or emergency
personnel (e.g. Fire Department)
Step 2: Make Sure Everyone Gets Out
The following steps will be initiated to ensure that everyone gets out:
• Once the evacuation signal has sounded, all employees are required to evacuate the
building.
• Employees are to follow the evacuation routes identified in the evacuation maps posted
throughout the facility. If a route is blocked by the release of hazardous materials or fire,
and alternate route should be found using the evacuation maps located in Appendix B.
• Department managers or designee should report to their assigned assembly areas and
see that personnel remain at proper distances from the building until the all clear signal is
received. Employees are not authorized to leave the evacuation area or facility grounds
unless directed to do so by the Emergency Coordinator, Plant Management or emergency
personnel (i.e. Fire Department)
Step 3: Roll Call
In the event of an evacuation, each department manager or designee will perform a roll call to
ensure that every employee in their department is accounted. At the assembly area, each
department manager will verbally inform the EHS Officer if every employee has been accounted
for. Once inside, each department manager or designee will send the EHS Officer an e-mail to
verify that all employees have been accounted for (present or not present at the facility).
Step 4: Decision After Evacuation:
After evacuation of an actual emergency, the Emergency Coordinator in consultation with
Siemens Real Estate, the County Emergency Personnel, and the Plant Manager shall make a
decision regarding:
• Waiting period before employees may re-enter the building;
• Shutting off or turning back on utilities (electricity, gas, steam, etc.);
• Evacuation times in relation to end of shift, deciding whether to send
employees home or hold in assembly area;
Whether next shift should be notified not to report to work;
Returning to the building for additional searching.
Once decision has been made to allow employees to re-enter the building, the Emergency
Coordinator will be instructed to communicate to all Siemens Management, HR Manager or the
tenant(s) Plant Manager, Siemens Real Estate, and any contractors on site that all is clear.
Integrated Emergency Action Plan and Contingency Plan
Rev. 8 Page No.:
Date: anzr,s 1 8 of 25
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After evacuation a non emergency situation, the Emergency Coordinator or designee will
communicate the message to re-enter the building to the employees in the assembly area once
the cause of the evacuation has been discussed and determined.
5.3.2 Second Shift, Third Shift or Weekend
After evacuation of a non emergency during second shift, third shift or the weekend, the shift
supervisor(s) will take the role of the Emergency Coordinator and communicate the message to
re-enter the building to the employees in the assembly area once the cause of the evacuation has
been discussed and determined with maintenance and security. The supervisor will provide the
EHS Officer a report that ensures that all employees have been accounted for and a detailed
description of the situation.
After evacuation of an emergency situation, the shift supervisor will contact the Emergency
Coordinator or designee of the situation. During the emergency situation, the Emergency
Coordinator or designee will come to the facility to initiate the Contingency Plan. Also, the
supervisor will provide a report that ensures that all employees have been accounted for and a
detailed description of the situation.
5.4 Chemical Spill — Liquid or Solid
Facilities and Maintenance employees will respond to any reported chemical spill. These
employees have been properly trained in basic spill response. These employees can be notified
in person or by calling extension 1359. If maintenance cannot be reached then security is to be
notified (extension 1359).
5.4.1 Spill Evaluation
Answer the following questions when responding to a spill:
• What is the chemical?
• What is the PPE requirement?
• Do I have the necessary spill clean up and containment material present?
• What are the potential physical and toxic risks?
• If the spill occurs outside, am I aware of the requirements listed in the Stormwater Pollution
Prevention Plan (SWPPP) and the Spill Prevention, Control, and Countermeasures Plan
(SPCC)?
• If the spill reaches a certain level, do I know the Emergency Coordinator?
1. The Emergency Coordinator must determine when to contact the list of contacts in
Appendix A, which is dependent upon the nature of the spill.
5.4.2 Gas Release
If chlorine or fluorine gas was released into the facility then the evacuation order would be given.
However, to confirm a chlorine gas release has occurred, a chlorine gas meter would be used to
determine the amount of gas released. if fluorine gas released in the fluorine ion cleaning (FIC)
area then ammonia would be released to suppress the fluorine gas.
5.5 Emergency Procedures for Severe Weather
5.5.1 Tornadoes
The facility utilizes a NOAA weather radio to be alerted to any tornado warnings. If a tornado
warning is issued by the National Weather Service for the Rural Hall area then all employees are
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to report to the designated tornado shelter. While in the tornado shelter, the HR Specialist will
take a roll call to ensure that all employees are accounted for. Once the tornado warning is lifted
then employee will resume normal operations.
5.5.2 Winter storm
If a winter storm occurs that has been determined to make roads impassable or has a utility
outage for the facility then the employees will call 866-367-7972 or on-line at
www.siemens.com/energy/darkwebsite for information about the plant closing. If the storm
occurs during the shift then the supervisors will notify the employees that the plant is closing.
5.5.3 Flood
If the facility is being flooded then the facility will follow the evacuation procedure listed in
Section 5.3.
6.6 Medical Emergency:
5.6.1 General Guidelines
A medical emergency includes injuries and/or illnesses that will require more than the routine first
aid treatment.
5.6.2 Person Discovering the Emergency
The person discovering an employee in need of emergency medical assistance should follow
these steps:
1. Do not activate the fire alarm.
2. Call the radio access channel (extension 1359) from the nearest phone.
3. Stay with the employee needing medical assistance until trained emergency personnel
arrives, but do not attempt to move them unless they are in imminent danger_
4. Always be sure to follow blood borne pathogen protocols.
5.6.3 On -Site Emergency Medical Technician (Siemens EMT or Security)
1. Provide initial or stabilizing assistance and determine if additional medical treatment is
required.
2. Call 911 if a life threatening condition exists.
3. Call an ambulance, if necessary. Notify doctor and hospital of the emergency.
4. Notify the EHS Officer or QEHS Manager immediately of the emergency situation.
5. The On -site Emergency Medical Technician or EHS Officer may also contact WorkCare
for assistance (24-hr Triage Assistance).
5.6.4 HR Manager
Notify the employee's designated emergency contact of the injury or illness and of the action that
has been taken. Notify the employee's supervisor of the emergency, Ensure that all necessary
accident reports are completed.
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5.7 Threats Against the Facility
5.7.1 General Guidelines for Bomb Threat
If an employee receives a call concerning a bomb threat then the employee should try to get as
much information as possible from the caller. Afterwards, the employee should notify the
Emergency Coordinator and/or the HR Manager immediately, so they can contact the proper
authorities in order to determine the best course of action. If the authorities authorize the
evacuation of the facility then the evacuation protocol will be followed as in Section 5.3.1. Also,
the HR Manager will notify the Plant/General Manager and the tenant(s) Manager in order to
ensure plant -wide coordination when required.
If the call occurs during night shift working hours then the employee or Security would take the
call. If an employee answers the phone then he/she will contact Security and then Security would
contact the Emergency Coordinator to alert him/her of the situation.
6.7.2 Procedures to follow if taking the call of a bomb threat
1. Record the time and exact words of the message;
2. Have the caller repeat the message and keep the caller on the line as long as possible;
3. Have someone nearby notify the Emergency Coordinator
4. Ask the caller the reason for making the threat;
5. Note the caller's sex, speech, mannerisms, signs of intoxication, phrases, etc.; and
6. Determine if the caller is using an internal or external line (look at caller ID).
5.7.3 Written Threats:
Threats received in writing should be preserved for investigation for possible fingerprints and if
possible should not be handled once the letter has been opened. When the threat is received, the
person receiving the letter shall personally contact the Emergency Coordinator.
5.8 Emergency Procedures for Civil Disturbance
5.8.1 General Guidelines
The purpose of this procedure is to detail action to be taken in order to protect personnel and
property from any negative effects as a result of civil disturbance. These actions include
notification of the proper authorities for resolving the disturbance, providing a protective
separation between the disturbance and our personnel, and taking necessary steps to protect our
property from destruction as a result of the disturbance.
5.8.2 Responsibilities
Security
Secure Guard Station --Call 911 (if necessary), the Human Resources Manager and the
Emergency Coordinator
Human Resources Manager
Notify local authorities. Notify the tenant(s) HR Manager to determine need for coordination. Have
plant management personnel give direction to their employees. Provide liaison with the police.
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Management Personnel
Keep employees and other individuals away from the disturbance.
6.0 Contingency Plan
6.1 Reporting of Significant Event Requirements to initiate the Contingency Plan
A Significant event is defined as:
• Serious accident, life threatening illness, risk of epidemic
• Definition of a "serious accident" — fatal accident, life endangering injuries, poisoning
• Large-scale damage to plant or equipment, Fires (extinguished by external fire fighters, and/
or having influence on the production), explosion
Crises (e.g. terror attacks, criminal threats, kidnapping, bomb scare, putsch), civil unrest,
natural catastrophes (e.g. flood, earthquake, hurricane, tornado),
• Loss of radio -active sources or contamination by radio -active material,
• Technical emergency (Impacts from outside: Fire, implosions, plane crash, gas release,
power supply interruptions)
• Imminent or actual (unplanned sudden or non -sudden) release of hazardous materials to
the air, soil or water of the environment, and release of hazardous substances of which the
reportable quantity require reporting to regulatory agency.
• Failure to follow permit requirements which result in self reporting or notice of violation or
citation by a regulatory agency.
• Accident during the transport of dangerous goods in conjunction with release of dangerous
goods
• Indications 1 suspected cases
1. that are capable of becoming events with negative results to the Image of Siemens
Energy Sector
2. respectively unplanned contact to authorities as a result of these events
3. for the occurrence of one of the events described above.
• a 3 persons injured respectively affected by a single event
• Loss of limb(s)
• Any Electric shock accident
• Motor vehicle accident resulting in hospitalization of two or more persons
• The Emergency Coordinator is responsible to ensure events are reported to Siemens.
• All significant events must be reported within 2 hours by phone to the Siemens Corporate
Contacts listed in Appendix A of this document. The purpose of this contact is to notify and
gain guidance on what we are to communicate to external entities.
• After notification to Siemens Corporate, the facility Siemens representative identified in
Siemens Procedure P00-057-A01 shall notify the appropriate external entities based on
event being reported.
6.2 Incident Reporting Requirements
The Emergency Coordinator must document the incident by recording the time, date, and details
of any incident which requires implementing the contingency plan. Within 15 days after the
incident, the EHS Manager must submit a written report on the Environmental incident to the
Regional Administrator identified in Appendix A. The report must include:
(1) Name, address, and telephone number of the owner or operator;
(2) Name, address, and telephone number of the facility;
iption: Document No.: Rev. 8 I Page No.
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(3) Date, time, and type of incident (e.g., fire, explosion);
(4) Name and quantity of material(s) involved;
(5) The extent of injuries, if any;
(6) An assessment of actual or potential hazards to human health or the environment, where this
is applicable; and
(7) Estimated quantity and disposition of recovered material that resulted from the incident.
6.3 Evacuation of Local Areas (Evaluation, Action and Notification)
If the Emergency Coordinator in conjunction as applicable with the Emergency Responding
Agency (e.g. Fire Department) assessment indicates that evacuation of local areas may be
advisable, the emergency coordinator must immediately notify the appropriate local authorities
identified and either the government official designated as the on -scene coordinator for that
geographical area, or the National Response Center using their 24-hour toll free number listed in
Appendix A. The emergency coordinator must be available to help appropriate officials decide
whether local areas should be evacuated.
6.4 Contingency Plan Resources
Siemens Real Estate Facilities Management
The Siemens Real Estate Response Center should be notified during any emergency situation
concerning the building and/or property. They will assign personnel from Siemens Real Estate
Facilities Management and/or their contractors accordingly to remove/restore utility services and
assess/repair damages.
Maintenance Support
The Siemens Facility Maintenance group will be directed, as needed, by the emergency
personnel to assist in removal of services (power, water, etc.) during such emergencies.
Security
Plant Security will assist in controlling access to emergency locations and to direct outside
emergency response services to proper locations on the plant property.
6.5 Command Post (if needed)
Purpose
The Command Post provides a location for responsible personnel to collect data, make decisions,
and resolve immediate problems at the scene of the emergency.
Location and Function
The command post will be established at the Security Control Office (`B' Building). The Plant
Security will man it with other personnel designated by the Emergency Coordinator,
Alternate Command Post
An alternate command post will be designated by Security and/or the Emergency Coordinator, as
needed.
iption: I Document No.: Rev, 8 I Page No.
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Staff
All Siemens WSC staff is part of the Emergency Response Organization and is the organization
established to help in an emergency. The Siemens WSC staff will be responsible for the
communications systems, record keeping, and facilities status during the emergency.
Liaison with External Organizations and the Press
The Emergency Coordinator will maintain liaison with Siemens and the tenant(s) management,
emergency organizations, Siemens and government officials. The Siemens HR Manager is the
only person authorized to talk with reporters or the press. All inquiries by the press are to be
answered with "no comment" and forwarded to the Siemens HR Manager.
Emergency Support
Immediately following either decision, evacuate and search or search without evacuating, the
Emergency Coordinator shall notify the appropriate emergency organizations (Fire, Police,
Sheriff, Regulatory Agencies) giving them information that is available, outlining the plan for
action within the plant, and requesting advice and assistance as necessary.
Arrangements made with Local Authorities
Arrangements have been made with local authorities such as police, fire and local hospitals to
familiarize the local authorities with our facility layout, waste handling and generating activities,
and the types of injuries or illness that could result from fires, explosions, spills, or releases. The
local emergency response agencies, identified in Appendix A, and various state agencies have
been requested to respond to this Hazardous Waste Contingency Plan. Also, their Chief
Administrators are invited to visit the facility in order to better coordinate potential hazardous
materials and/or waste related emergency response procedures.
If more than one law enforcement agency or fire department responds to an emergency at our
facility, The Emergency Coordinator will hand over control of the incident to the agency that best
addresses the mitigation needs.
Iptlon: Document No.: Rev. 6 Page No.:
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Appendix A
Emergency Contact Information
EMERGENCY COORDINATORS
• Primary Emergency Coordinator - Gary Gingras — Facilities Manager
1500 Oscar Frye Road
Pinnacle, NC 27043
[phone] (Work)
[phone] (Cell)
SIEMENS
■ Alternate Emergency Coordinator — Michael Cox - Support Services Supervisor
125 Prestwick,
Rural Hall, NC 27045
[phone] (Work)
[phone] (Cell)
• Alternate Emergency Coordinator — James Whiticar — EHS Officer
6504 Dornoch Drive
Greensboro, NC 27410
[phone]
[phone]
■ Alternate Emergency Coordinator — Srikanth Parvathaneni — QEHS Manager
4702 Jefferson Wood Court,
Greensboro, NC 27410
[phone] (Work)
[phone] (Cell)
Siemens Winston Service Center Management/Supervision
Plant/General Manager
Operations
Controller
Human Resources Mgr
Second Shift (3:30pm -- 11:30pm)
Third Shift (11:30pm-7:30am)
Security
Amogh Bhonde
Cory Phillips
James Rochester
Samara Satterfield
Ed Majersky
Christopher Lynch
[phone] (Cell)
[phone] (Cell)
[phone] (Cell)
[phone] (Cell)
[phone]
[phone]
[phone]
n;
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Tenant(s) Management/Supervision
Security maintains a current list of contacts and their phone numbers.
SIEMENS CORPORATE CONTACTS
Siemens Energy EHS Director
Jack Bynum [phone] (Work)
[phone] (Cell)
Siemens Real Estate Response Center [phone]
WorkCare (24-hr Triage Assistance) [phone]
SIEMENS
WINSTON-SALEM/FORSYTH COUNTY EMERGENCY ORGANIZATIONS
Rural Hall Fire Department 969-9368 or 911
Winston Salem City Muddy Creek Water Treatment Plant
6am-6pm 765-0130
6pm-6am 784-4710
Forsyth County Fire Department 727-2222 or 911
Forsyth County Sheriffs Office 727-2112 or 911
Forsyth County Ambulance Service 727-2222 or 911
N.C. State Highway Patrol 761-2441 or 911
Wake Forest Baptist Medical Center 716-2255 or 911
Regional coordinator:
Winston-Salem/Forsyth County Office of Emergency Management
Smith Reynolds Airport, Room 104 [phone]
Winston-Salem, NC 27105
Forsyth County Environmental Affairs [phone]
Forsyth County Government Center
201 N. Chestnut St.
Winston Salem, NC 27101-4120
N.C. Department of Environmental and Natural Resources
(NCDENR) [phone]
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
n:
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EMERGENCY ORGANIZATIONS - CONTRACTORS
Shamrock Environmental Corporation
503 Patton Avenue
Greensboro, INC 27406
24 Hour Emergency Response 800-881-1098
Non -Emergency [phone]
In the event of an emergency, Shamrock Environmental is contracted by Siemens to provide
comprehensive environmental services to include emergency response, wastewater treatment,
industrial services, waste management, remedial and stream and wetland restoration.
NORTH CAROLINA EMERGENCY ORGANIZATION
N.C. Emeraencv Response Commission
Hotline [phone] or (9191 733-1361
NC EPCRA
4714 Mail Service Center
Raleigh, NC 27699-4714
FEDERAL ORGANIZATIONS
NATIONAL RESPONSE CENTER (NRC) [phone]
United States Environmental Protection Agency
Region 4
Sam Nunn Atlanta Federal Center
61 Forsyth Street, SW
Atlanta, GA 30303-8960
FEDERAL BUREAU OF INVESTIGATION
Charlotte [phone]
Raleigh [phone]
Greensboro [phone]
US EPA HOTLINE [phone]
o.:
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Site Maps
SIEMENS
o.:
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E 103. D

Winston Service Center
EHS Programs
ENVIRONMENTAL, HEALTH & SAFETY
EVACUATION PLAN
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Procedure No.:
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Appendix C
The DOT identification of hazardous materials located at the Rural
Hall Facility
The following are examples of hazardous materials located at the
facility:
➢ 2.1 — Flammable Gases — Acetylene, Hydrogen, Propane
➢ 2.2 — Non Flammable Gases -- Argon, Nitrogen
➢ 3 — Flammable Liquid — Acetone
➢ 4.3 — Water Reactive — Aluminum Powder
➢ 5.1 — Oxidizer Oxygen gas
➢ 6.1 — Toxic — Chromium metal powder
➢ 8 - Corrosive — Hydrochloric Acid, Hydrofluoric Acid, Sulfuric Acid, Potassium
Hydroxide
Siemens Energy, Inc. O5iemens Energy, Inc 2011 All Rights Reserved T4:INTEGRATED EAP AND
CONTINGENCY PLAN • 8-22-13.DOC
Hard Copies of this procedure are uncontrolled.

Procedure No.:
Page: 25 of 25
Appendix D
List of Emergency Spill Response Equipment
Aisle/Area
Column C12
Column C12
Column F11
Column F11
Column F11
Shipping/Receiving
Shipping/Receiving
Column B11
Column B11
Waste Storage & Shipping Area
Waste Storage & Shipping Area
Throughout the plant
Emergency Spill Response Equipment
Oil Spill Kit (95 gal over pack with oil socks)
Spill Control Kit with Shovel & Broom
Wash Station
(1) Vacuum Tank (250 gallon)
(1) Vacuum Tank (175 gallon)
Multi Chemical Spill Kit (65 gal over pack)
Spill Control Kit with Shovel & Broom
Oil Spill Kit (95 gal over pack with oil socks)
Spill Control Kit with Shovel & Broom
Multi Chemical Spill Kit (65 gal over pack)
Spill Control Kit with Shovel & Broom
Emergency Eye Wash/Shower Stations
Siemens Energy, Inc. ®Siemens Energy, Inc. 2011 All Rights Reserved. MINTEGRATED EAP AND
CONTINGENCY PLAN - B-22-13.DOC
Hard Copies of this procedure are uncontrolled.

Taylor -Smith, Aana
From: Frazier, Leigh A (E S SF RNA 4 3 2) <[e-mail]>
Sent: Monday, February 10, 2014 1:11 PM
To: Taylor -Smith, Aana
Subject: RE: Siemens Energy, Rural Hall: 2014 Annual Stormwater Fee
Thank you, Aana.
I have added your confirmation to our records, and notified James that he is the billing contact person in your data base.
Stay safe this week,
Leigh
336-969-1350
From: Taylor -Smith, Aana [maiIto: [e-mail]]
Sent: Monday, February 10, 2014 12:55 PM
To: Frazier, Leigh A (E S SF RNA 4 3 2)
Subject: RE: Siemens Energy, Rural Hall: 2014 Annual Stormwater Fee
Hi Leigh,
I enjoyed speaking with you as well! You are correct in that the invoice was sent to the wrong address and I have already
had Raleigh re -send the invoice to the correct address. In addition, James Whiticar is our new billing contact. There will
be no penalty for Siemens because the issue was due to an error in our database.
Thank you so much for bringing this to our attention, and I look forward to working with you in the future!
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Low and may be disclosed to
third parties.
From: Frazier, Leigh A (E S SF RNA 4 3 2) [ma iIto: [e-mail]]
Sent: Monday, February 10, 2014 12:53 PM
To: Taylor -Smith, Aana
Cc: Whiticar, James A (E S SF RNA 4 3 2)
Subject: Siemens Energy, Rural Hall: 2014 Annual Stormwater Fee
Importance: High
Good Afternoon Aana,
It was a pleasure speaking with you this morning. I appreciate your quick response to the inquiry I left you on your voice
mail.

Per our conversation, the invoice for our Annual Stormwater fee was mistakenly sent to the wrong address, but will be
resent to us at 3050 Westinghouse Rd to the attention of James Whiticar; I understand from our conversation that
Siemens will not be penalized.
Please confirm for our records.
I appreciate your assistance.
Thank you,
Leigh `Frazier
EtfS Support
Siemens
`Mnston Service Center
3050 Westinghouse 12d
R,uraf9faff, XC 27045
[phone]
fiigh.frazier@si'emet?s.com
This message and any attachments are solely for the use of intended recipients. The information contained herein may include trade secrets, protected
health or personal information. privileged or otherwise confidential information. Unauthorized review. forwarding, printing. copying, distributing. or
using such information is strictly prohibited and may be unlawful. If you are not an intended recipient, you are hereby notified that you received this
email in error, and that anv reviex. dissemination_ distribution or copying ofthis email and any attachment is strictly prohibited. If you have received
this ernail in error, please contact the sender and delete the message and any attachment from your system. Thank you for your cooperation
This message and any attachments are solely for the use of intended recipients. The information contained herein may include trade secrets. protected
health or personal information, privileged or otherwise confidential information. Unauthorized review. forwarding. printing. copying, distributing. or
using such information is strictly prohibited and may be unlawful. If you are not an intended recipient, you are hereby notified that you received this
email in error, and that any review, dissemination, distribution or copying of this email and any attachment is strictly prohibited. If you have received
this email in error, please contact the sender and delete the message and any attachment from your system. 'thank you for your cooperation

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvarla, III, Secretary
18 November 2013
Mr, James Whiticar
Siemens Energy Inc.
3050 Westinghouse Road
Rural Hall, NC 27045
Subject: Compliance Evaluation Inspection
NPDES General Stormwater Permit NCG030000
Certificate of Coverage NC6030238
Siemens Energy Rural Hall
Forsyth County
Dear Mr. Whiticar:
Aana Taylor -Smith of the Winston-Salem Regional Office of the NC Division of Energy, Mineral, and Land
Resources (DEMLR) conducted a compliance evaluation inspection at the subject facility on 18
November 2013. This inspection was conducted as a response to the Request for Representative. Outfall
Status letter from Siemens Energy Inc. dated 5 November 2013. Your assistance during the inspection
was greatly appreciated. An inspection checklist is attached for your records and the inspection findings
are summarized below.
This facility is located at 3050 Westinghouse Road in Rural Hall, Forsyth County, North Carolina.
Stormwater related to industrial activity is discharged from the site to Muddy Creek, this segment of
which is currently classified as Class C waters, in the Yadkin -Pee Dee River Basin.
Documentation & Monitoring Review
The facility's Stormwater Pollution Prevention Plan (SPPP) is very thorough, up to date, and fully
implemented. Analytical and qualitative monitoring has been completed as required. This site does not
perform vehicle maintenance. Siemens Energy at Rural Hall is currently certified for the ISO 14001
standard for environmental management, among other standards, and all new v..isitorsyeceive basic spill
response training. We appreciate your attention to good environmental practices.
Site Review
The facility is clean and well -maintained. Secondary containment is implemented as required. The
facility currently monitors two Stormwater Discharge Outfalls (SDOs). The outfalls were inspected and
found to be in good order. No evidence of erosion or instability at the SDOs was observed. The receiving
stream was free of pollution indicators.
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27101 9 Phone: [phone] FAX: [phone]

Siemens Energy Inc.
11/18/2013
Page 2 of 2
During the inspection, it was noted that while Representative Outfall Status does not apply to this site,
Outfall 002 can be released from analytical and qualitative monitoring requirements because it does not
discharge stormwater related to industrial activity. Siemens Energy Inc. is no longer required to perform
either type of monitoring at Outfall 002. Please append this letter to your SPPP to document that your
facility has been relieved of all monitoring requirements at Outfall 002. Please notify DEMLR
immediately if conditions at this site should change such that Outfall 002 will discharge stormwater
related to industrial activity.
Thank you for your efforts to comply with the stormwater permit. No additional response to this letter
is required. Should you have any questions regarding the NCG030000 permit or this inspection, please
do not hesitate to contact Ms. Taylor -Smith or me at [phone].
Sincerely,
Matthew E. Gantt, PE
Regional Engineer
Land Quality Section
Enclosures: BIMS Inspection Checklist
cc: Central Files
WSRO/LQ

Compliance Inspection Report
Permit: NCG030238 Effective: 11/01/12 Expiration: 10/31/17 Owner: Siemens Energy Inc
SOC: Effective: Expiration: Facility: Siemens Energy Rural Hall
County: Forsyth 305D Westinghouse Rd
Region: Winston-Salem
- Rural Hall NG 270454699
Contact Person: Srikanth Parvathaneni Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Certification: Phone:
Inspection Date: 11/1812013 Entry Time: 09:30 AM Exit Time: 10:30 AM
Primary Inspector: Aana Taylor -Smith Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge COC
Facility Status: 0 Compliant Not Compliant
Question Areas:
®Storm Water
(See attachment summary)
Page: 1

Permit: NCG030238 Owner - Facility: Siemens Energy Inc
Inspection Date: 11118/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Please refer to attached inspection letter.
Page: 2

Permit: NCG03023B Owner - Facility: Siemens Energy Inc
Inspection Date: 1111812013 Inspection Type: Compliance Evaluation
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
Reason for Visit: Routine
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: SPPP is complete and up-to-date. Please update SPPP when this report is
received to show removal of sampling/monitoring requirements for Outfall 002.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment:
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment:
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Yes No NA NE
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Page: 3

Permit: NCG030238 Owner - Facility: siemens Energy Inc
Inspection Date: 11/18/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Comment: Representative Out -fall Status is not necessary for this site. Instead, Outfall
002 will be eliminated from all monitoring requirements because it does not discharge
stormwater related to industrial activity.
Page: 4

('OKL INFEELOER
Bright People, Right Solutions.
November 6, 2013
File No. 132528 1 GS013LO398
Mr. W. Corey Basinger
Water Quality Regional Supervisor
NCDENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
RECEIVED
N.C.Deot. of ENR
NOV 0 8 2013
Winston-Salem
Regional office
Reference: Request for Representative Outfall Status
NPDES Stolrmwater Permit Certificate of Coverage NCG030238
Siemens Energy, Inc.
3050 Westinghouse Road
Rural Hall, North Carolina
Dear Mr. Basinger:
Kleinfelder Southeast, Inc. (Kleinfelder) is requesting representative outfall status (ROS) for
stormwater discharge outfall (SDO) 002 at the Siemens Energy, Inc. (Siemens) facility in Rural
Hall, North Carolina. The Siemens facility has two stormwater discharge outfalls, both
discharging, to Muddy Creek. As noted on the attached drawing showing the stormwater
drainage facilities at the site, SOO 001 collects stormwater from the entire industrial area of the
property. The inlet locations for SOO 002 are located in grass covered and natural areas south
of the manufacturing operations. These inlets are further separated from industrial activities by
administrative buildings and asphalt paved driveways with separate stormwater collection
systems. This information is depicted on the attached drawing showing the outfall locations, the
associated collection systems, impervious facilities, and the latitude and longitude of each
outfall. Siemens understands that if ROS is granted for SOO 002, Qualitative Monitoring will still
be required. Further, Siemens understands that if changes in drainage areas, structures,
processes, or.storage practices occur, the ROS may no longer be valid,
Should you have any questions concerning this request, or require additional information,
please feel free to contact the undersigned.
Sincerely,
KLEINFELDER SOUTHEAST, INC.
t.
1 _ tk
C rlstopher W,ay, El, RSM
Environ entaClOrograrn Manager
CWH:cas .
Attachments: Drawing SWPPP-2005 Storm Water Drainage Plan and Industrial Areas
KLEINFELDER 313 Gallimore Dairy Road, Greensboro, NC 27409 pi 336.668.0093 fi 336.668,3868

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Taylor -Smith, Aana
From: Gantt, Matt
Sent: Monday, October 14, 2013 8:01 AM
To: White, Sue; Taylor -Smith, Aana .0lW ood yv1.F t-" [�mjapvl��utS
Subject: FW: Ellwood Advanced Components JJ
Importance: High ( n-� ,+�P�X
po r'i
Sue and Aana,
We probably need to discuss this e-mail before I respond.
Thanks,
Matt
Matthew E. Gantt, P.E.
NC DENR Winston-Salem Regional Office
Division of Energy, Mineral, and Land Resources
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Aaron Hunter [mailto:[e-mail]]
Sent: Friday, October 11, 2013 9:52 PM
To: Gantt, Matt
Subject: Ellwood Advanced Components
Importance: High
Need S- cAk Svc vex M �-
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send S+t-L+e 5v. i �-� v 101 e may i
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My name is Aaron Hunter and I am the Maintenance Manager at Ellwood. We rent building space from Siemens at 3050
Westinghouse Road in Rural Hall. Ellwood has been talking to Siemens about purchasing property and 2
buildings. Siemens currently has the Storm Water Permit for the entire complex. Ellwood is interested in possibly
installing their own retention pond but during their discussions the question has been ask if it is possible. Is there any
way I could come to your office Monday the 141h for a very short meeting so I can show you the complex layout and get
your opinion? I am concerned that Ellwood may relocate these 150 jobs to another State if some of these questions
cannot be resolved in a timely manner. Elwood and Siemens have been negotiating for 1 year and something new keeps
coming up. Please keep this confidential and if I need to talk to someone else can you please direct me to the correct
person. ,, 0
Thank You
Aaron Hunter
336-473-0881 CPO
ow
33�a-aidt-4n�3 ��c_e.
1

ffl;_1;WA.
MDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Chuck Wakild, P.E. Dee Freeman
Governor Director Secretary
December 17, 2012
Siemens Energy Inc.
Aitn: Srikanth Parvathaneni, Manager -- QEHS
3050 Westinghouse Road
Rural Hall, NC 27045
Subject: Compliance Evaluation inspection and Notice of Violation
NOV-2012-PC-0414
NPDES General Stormwater Permit NCG030000
Certificate of Coverage NCG030238
Siemens Energy Rural Hall, 3050 Westinghouse Road, Rural Hall, NC, 27045
Forsyth County
Dear Mr. Parvathaneni:
Ron Boone, of the Winston'Salem Regional Office (WSRO) of the NC Division of Water
Quality (DWQ or the Division), conducted a compliance evaluation inspection (CEI) of Siemens
Energy Rural Hall (Siemens) on December 12, 2012. Your assistance and cooperation during the
inspection was greatly appreciated. An inspection checklist is attached for your records and the
inspection findings are summarized below.
The facility is located at 3050 Westinghouse Road, in Kernersville, Forsyth County, North
Carolina, at approximate coordinates 36.2317870N,-80.3220130W. Stormwater related to industrial
activity is discharged from stormwater discharge outfalls (SDO) 001 and 002 to Muddy Creek, -which
is currently classified as a Class C water located in the Yadkin Pee -Dee River Basin.
Documentation & Monitoring Review
Siemens's Stormwater Pollution Prevention Plan (SP3), documentation, and monitoring
activities were reviewed during the inspection. The following deficiencies were noted:
• The SDOs were certified in accordance with (IAW) NCG030000, Part II, Section A, Paragraph
1(e) in 2009 and 2012. No other records were available.
• SP3 annual reviews, as required by NCG030000, Part 11, Section A, Paragraph 8, were
completed for 2009 and 2012. No other records were available.
• Neither analytical nor qualitative monitoring (AM and QM, respectively) has been completed
IAW NCG030000, Part II, Section B. Only one sampling event was completed in 2010, 2011,
and 2012. Also, although Siemens completed two sampling events in 2009, there were no
records for AM/QM previous to this.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
tntemet: www.ncwaterquaiity.org
An Equal Opportunity \ Affirmative Action Employer
Nose Carolina
;atmmily

Siemens Energy Inc. — Siemens Energy Rural Hall
Attn: Sri Parvathaneni, Manager — OEHS
Compliance Evaluation Inspection, NCG030238
NOV-2012-PC-0414
12/17/2012, Page 2 of 2
Q Please also bear in mind that Part III, Section D, Paragraph 6 of NCG030000 requires
permittees to keep all records for a minimum of 5 years.
Site Review
The site was very clean and well maintained. Mr. Boone noted no issues, concerns, or
violations.
The Division requests that Siemens reply in writing to this Notice of Violation with. 30 business
days of receiving it. Siemens's written response should address each deficiency/violation listed above
and provide corrective actions with estimated implementation schedules for each. Siemens is
reminded that violations of the NCG030000 general stormwater permit are subject to civil penalty
assessments not to exceed $25,000 per day, per violation. Should you have any questions
regarding the permit, this Notice of Violation, or the inspection, please coo not hesitate to contact Mr.
Boone or me at [phone].
Attachments:
1. BIMS Inspection Checklist
cc:SWP_— WSRO
Central Files
Stormwater Permitting Unit
Sincerely,
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Aaron Hunter
Ma,ntenarxe Manager
lily r �
Ellwood Advanced Components, LLC
3050 Wastinghouse Road
Rural Hall, North Carolina 27045
phone:[phone]
Cell: 1-336-473-OB81
Fax: [phone]
Email: [e-mail]
www.Ellwooddoseddiegroup.00rn! 1

Compliance Inspection Report
Permit: NCG030238 Effective: 11/01/12 Expiration: 10/31/17 Owner: Siemens Energy Inc
SOC: Effective: Expiration: Facility: Siemens Energy Rural Hall
County: Forsyth 3050 Westinghouse Rd
Region: Winston-Salem
Rural Hall NC 270454699
Contact Person: Srikanth Parvathaneni Title: Phone: [phone]
Directions to Facility:
System Ciassifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 12/12/2012 Entry Time: 09:00 AM Exit Time: 12:30 PM
Primary Inspector: Ron Boone ,/%� Phone: [phone]
Secondary Inspector(s): ,
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge COC
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCG030238 Owner -Facility: Siemens Energy Inc
Inspection date: 12/1212012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Please refer to the attached Notice of Violation.
Page: 2

Permit: NCG030238 Owner - Facility: Siemens Energy Inc
Inspection Date: 12/12/2012 Inspection Type: Compliance Evaluation
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: Please refer to the attached Notice of Violation.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment: Please refer to the attached Notice of Violation.
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment: Please refer to the attached Notice of Violation.
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment: Please refer to the attached Notice of Violation.
Reason for Visit: Routine
Yes No NA NE
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Yes No NA NE
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Yes No NA NE
Page: 3

SIEMENS
RECEIVED
N.C. Dept. of ENR
JAN 17 2013
Winston-Salem
Regional Office
January 16, 2013
FedEx Overnight, Signature Required
Mr. W. Corey Basinger, Water Quality Regional Supervisor
Winston-Salem Region, Division of Water Quality
North Carolina Department of Environment and Natural Resources
585 Waughtown Street
Winston-Salem, NC 27107
Subject: NCDENR Letter Dated December 17th, 2012;
NPDES General Stormwater Permit NCG030000;
Certificate of Coverage NCG030238
Rural Hall Facility, 3050 Westinghouse Road, Rural Hall, NC 27045
Dear Mr. Basinger:
The purpose of this letter is to provide the requested response to the referenced North Carolina
Department of Environment and Natural Resources ("NCDENR") letter related to the referenced
Siemens Energy, Inc. ("SEI") facility. The referenced letter was received by SEI on December 18,
2012, and requested a response within thirty days of receipt. First and foremost, thank you for
allowing Siemens the opportunity to comment and respond.
As you may have been previously advised, the referenced facility is owned by SEI, and had been
operated by TurboCare, Inc., an affiliate of SEI. SEI became the operator of the facility effective
October 1, 2012, which was communicated on September 25, 2012 to NCDENR via the NPDES
Permit Name/Ownership Change Form for the site's Certificate of Coverage for stormwater.
Provided below is a SEI's written response. The response follows the outline of the bulleted items
under the "Documentation & Monitoring Review" in the referenced letter.
Siemens has not located any additional SDOs in its records to date. The facility recently
implemented an environmental compliance task management process and system. Along
with key stormwater compliance dates, the annual SDOs review and certification is on the
compliance calendar. Each week the facility EHS Department is to review pending
compliance calendar entries for the month to ensure a completion plan is in place. The
status of pending and future compliance tasks are to be reported monthly to the site
management team. SEI plans to further enhance the compliance system to electronically
monitor the tasks status and to send reminders and alerts to responsible team members
and managers. These electronic reminders are expected to be implemented by mid year.
The facility has designated a dedicated person with overall responsibility for input to and
tracking compliance through this system.
Siemens Energy, Inc.
3050 Westinghouse Rd
Rural Hall, NC 27045

Mr. W. Corey Basinger Page 2 January 16, 2013
SEI also plans on scheduling additional training for those responsible for conducting the
inspections and preparing the documentation, along with conducting a stormwater
management training session with the site management team. This training session will be
jointly delivered by the site Environmental Manager and by a Senior Engineer from SEI
Corporate Environment Team. All training is expected to be completed by mid -February of
this year.
The annual SP3 annual review requirement has been incorporated into the compliance
calendar system described above.
The facility has established a service contract with an environmental consultant to conduct
the required stormwater analytical and qualitative monitoring. The consultant is to monitor
rain events, select a suitable time, preferably during the first rain event of the collection
period, within the permit requirements for sampling, collect AM and QM samples, have the
samples analyzed, compare the results to the Benchmark Values for Analytical Monitoring,
review the results with SEI, and submit the Discharge Monitoring Reports (DMR) to SEI for
review, certification, and submittal to NCDENR. These AM and QM events were
implemented, and are monitored in the environmental compliance task management
process and system.
The environmental compliance calendar referred to above files all documentation
(including DMR's certifications, inspections, analysis,) electronically. This electronic
database will be backed up as part of the normal plant systems backup procedure.
Further, hard copies will be printed and will be separately retained in the Stormwater
Pollution Prevention Plan (SWPPP) files. The records will be retained for at least 5 years.
While we at SEI appreciate the comments from the inspector regarding the overall condition of the
facility, SEI nevertheless takes allegations of the kind made in the referenced correspondence very
seriously. Siemens Energy is committed to protecting the environment and being a good corporate
citizen by demonstrating environmental stewardship through direct monitoring, support, and oversight
of the facility's regulatory requirements.
If you have any questions or require further information on this matter, please contact me at (336)
969-1491 or the facility QHSE Manager, Mr. Sri Parvathaneni, at [phone].
Sincerely,
Amogh Bhonde
Plant Manager
Siemens Energy, Inc.
Cc: Sri Parvathaneni, Siemens Energy, Inc.
a Me
O
�t4,�,4 r

SIEMENS
3050 WESTINGHOUSE RD, RURAL HALL NC 27045 Tel. [phone] Fax. [phone]
Packing Slip: 2783 Packing Slip-
i
RECEIVED
Ship To: COREY l3ASiNGER
N.C. Dept. of ENR
DIVISION OF WATER QUALITY JAN 17 2013
N.C. DEPT OF ENVIRONMENT & NATURAL RESOURCES (NCDE
585 WAUGHTOWN ST. Winston-Salem
WINSTON SALEM NC 27107 g
Ship Date: 1/16/2013
Ship Via: FedX Priority Overnite Ppal
FEDEX# 67171100 6640
Legal Number:
Line Part Number Revision Quantity
RESPONSE LETTER
1 FEDEX ENVELOPE @ 1 L8.
Page: 1 of 1

REQUESTED BY:
Srikanth Parvathaneni
DATE: 1.16.2013
SHIP TO:
Mr. Corey Basin er
Division of Water Quality
North Carolina Department of Environment and
Natural Resources (NCDENR)
585 Waughtown St
Winston Salem, NC 27107
ATTN: Corey Basinger
TELE# [phone] r
Fed -Ex Overnight, 10a.m. Delive
DESCRIPTION: Response Letter
From: Lei h Frazier_
TurboCare Inc.
3050 Westinghouse Rd.
Rural Hall NC 27045
F- Phone [phone]
Email: lei h.frazier siemens.com
VALUE:
Thankyou,
Leigh Trazierfor,S'ri Tarvathaneni
EffS Support. Dep i. aE�R
Siemens .1AN f 7 2g13
3050 Westinghouse Rd.
Winston-Salem
RurafafafC, XC 27045 Regional Office
33 6-969-.1350
CeigFi. {razier@siemens. coma

4
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
December 4, 2012
Steve Schneider
TurboCare Inc
3050 Westinghouse Rd
Rural Hall, NC 27045-4699
Natural Resources
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
TurboCare Inc
COC Number NCG030238
Forsyth County
Dear Permittee:
In response to your renewal application for continued coverage under stormwater General Permit NCG030000
the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October
15, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage (COC)
• A copy of General Permit NCG030000
• A copy of the Technical Bulletin for the General Permit
• Two copies of the Discharge Monitoring Report (DMR) Form
• Two copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge
controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself
with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the
permit to update your current SPPP to reflect all new permit requirements.
The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable
storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable,
report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your
permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this
permit and do not count prior exceedances.
The more significant changes in the General Permit since your last COC was issued are noted either in the
Draft Permit Fact Sheet that accompanied the public notice (http://`pprtal.ncdenr.orp-Zweb/wg/ws/su/current-
notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are
posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit
http://portal.ncdenr.org/web/wq/ws/sulnr)dessw (click on 'General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91 M07-63001 FAX: 91 M07-6492
Internet: www.nGwaterguality.ora
An Equal Opportunity 1 Affirmative Action Employer
i \
Nne
orthCarolina
Naturally

Steve Schneider
December 4, 2012
Page 2 of 2
Some of the changes include:
• Part ll:
• Section A- The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated
to the most current language of our permits. Additional conditions for specific industry sectors have
been added to the SPPP requirements in some cases.
• Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring
that the permittee begin a monthly sampling scheme.
• Sections B, C: A lower TSS benchmark of 50 mg/1 for HQW, ORW, PNA and Tr Waters applies to these
more sensitive waters.
• Sections B, C: The monitoring parameter oil & Grease (0&G) has been replaced by the parameter
Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other
analytical monitoring requirements.
• Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in
separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined
in the "Definitions" section of the permit.
• Sections B, C. The term "Representative Storm Event" has been replaced by "Measurable Storm _
Event-" A measurable storm event is defined in the permit.
• Section D: If the permittee fails to respond effectively to problems identified by qualitative
monitoring, DWQ may require the permittee to perform corrective action.
Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit,
including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and
Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms
of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on
the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than
30 days from the date the facility receives the sampling results from the laboratory. Also note that existing
permittees do not need to submit a renewal request prior to expiration unless directed by the Division.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law,
rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit
package, please contact the Division's Stormwater Permitting Unit at [phone].
Sincerely,
TZ�y`
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston-Salem Regional Office

J
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030238
STORMWATER
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
TurboCarelnc
is hereby authorized to discharge stormwater from a facility located at:
TurboCarelnc
3050 Westinghouse Rd
Rural Hall
Forsyth County
to receiving waters designated as Muddy Creek, a class C waterbody in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts 1, 11, III, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective December 4, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 4th day of December, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
March 14, 2012
Steve Schneider
TurboCare Inc
3050 Westinghouse Rd
Rural Hall, NC 27045-4699
Subject: NPDES Stormwater Permit Coverage Renewal
TurboCare Inc
COC Number NCG030238
Forsyth County
Dear Permiee:
Dee Freeman
Secretary
Your facility is currently covered for stormwater discharge under General Permit NCG030000. This permit expires on 10/31/2012.
The Division staff is currently in the process of renewing this permit. When a draft is available for notice and public comment, it will
be posted on our website at http://Portal.ncdenr.org/web/wq/ws/su/public-notices. Please continue to check this website to review
and comment on proposed changes to the permit. Once the permit is reissued, your facility would be eligible for continued coverage
under the reissued permit.
To assure consideration for continued coverage under the general permit, you must apply to the Division of Water Quality (DWQ) for
renewal of your permit. Enclosed you will find a Permit Coverage Renewal Application Form. The application must be completed
and returned by May 4, 2012. Letters confirming our receipt of the completed application will not be sent.
Failure to request renewal within the time period specified may result in a civil assessment of at least $250.00. Larger penalties may
be assessed depending on the delinquency of the request. Discharge of stormwater from your facility without coverage under a valid
stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to
$25,000 per day. Our records indicate that your facility has outstanding annual fees in the amount of $200. We cannot
renew permit coverage until you have corrected this situation. We have enclosed copies of the unpaid invoice(s) that must be
returned with payment. Failure to pay annual fees is a violation of your permit and may result in revocation of your permit coverage.
"No exposure exclusion° is now available to industrial facilities in any of the categories of "storm water discharges associated with
industrial activity," (except construction activities). If you feel your facility can certify a condition of "no exposure", i.e. the facility
industrial materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Staff member listed below or check the Stormwater Permitting Unit Web Site at
http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5.
If the subject Stormwater discharge to waters of the state has been terminated, please complete the enclosed Rescission Request
Form. Mailing instructions can be found on the bottom of the form. You will be notified when the rescission process has been
completed.
If you have any questions regarding the permit renewal procedures please contact Bradley Bennett of the Central Office Stormwater
Permitting Unit at [phone].
Sincerely,
Bradley Bennett
Supervisor, Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Ralegh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
N©rthCarolina
Naturallrf

�oFwnr� Permit Coverage
Renewal Application Form
National Pollutant Discharge Elimination System Certificate of Coverage Number
Stormwater General Permit NCG030000 NCG030238
The following is the information currently in our database for your facility. Please review this information carefully and make all
corrections/ additions as necessary in the space provided to the right of the current information.
Owner Affiliation Information *Reissued Permit will be mailed to the owner address
Owner / Organization Name: TurboCare Inc
Owner Contact: Steve Schneider
Mailing Address: 3050 Westinghouse Rd
Rural Hall, NC 270454699
Phone Number: 336-969-1299 Ext.
Fax Number:
E-mail address:
FacilitylPermit Contact Information
Facility Name: TurboCare Inc
Facility Physical Address:
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Discharne Information
3050 Westinghouse Rd
Rural Hall, NC 270454699
Sam Myers
3050 Westinghouse Rd
Rural Hall,NC 270454699
336-969-1362 Ext.
336-969-1560
Receiving Stream: Muddy Creek
Stream Class: C
Basin: Yadkin River Basin
Sub -Basin: 03-07-04
Number of Outfalls:
Impaired Waters/TMDL
Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know
forinfmmation on these waters refertc http.y/portal.ncoJenr.org/web/wq/ws/su#fah-3
CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and
belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Date
Title
Please return this completed renewal application form to: SW General Permit Coverage RenewalStormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

. 1F
ACF WATg1,
P 15� Y
Permit Rescission Request Form
National Pollutant Discharge Elimination System
General Permit NCG030000
Certificate of Coverage Number
NCG030238
Please fill out and return this form only if you no longer need to maintain your NPDES stormwater permit.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information.
Owner Affiliation Information * Rescission Correspondence will be mailed to the owner address
Owner / Organization Name: TurboCare Inc
Owner Contact: Steve Schneider
Mailing Address: 3050 Westinghouse Rd
Rural Hall, NC 270454699
Phone Number: 336-969-1299 Ext.
Fax Number:
E-mail address:
Facility/Permit Contact Information
Facility Name: TurboCare Inc
Facility Physical Address:
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
3050 Westinghouse Rd
Rural Hall, NC 270454699
Sam Myers
3050 Westinghouse Rd
Rural Hall,NC 270454699
336-969-1362 Ext.
336-969-1580
Reason for rescission request (This is required information. Attach separate sheet if necessary):
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCG030238 under NPDES
Stormwater General Permit NCG030000 for the subject facility. I am familiar with the information contained in this
request and to the best of my knowledge and belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Date
Title
Please return this completed rescission request form to: SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

M
ID.,-
September 22, 2009
Mr. Steve W. Tedder
Water Quality Regional Supervisor, Winston-Salem Region
North Carolina Division of Water Quality
585 Waughtown St.
Winston-Salem, NC 27107
jg %ef__
TurboCare, Inc.
3050 Westinghouse Road
Rural Ball, NC 27045
RECEIVED
IV.C, Off0t of ENR
SEP 2 3 2009
Wnslon-Salem
Regional office
Reference: NOV-2009-PC-0749, NPDES General Stormwater Permit NCG030000
Certificate of Coverage NCG030238, TurboCare, Rural Hall Plant, Forsyth County
Dear Mr. Tedder:
Subsequent to Mr. Ron Boone's visit to our facility on August 20, 2009, a Compliance Evaluation
Inspection & Notice of Violation was issued to TurboCare. Below are the corrective actions that we
have taken to address these issues.
Plan Review and Implementation: The SWPPP has been fully reviewed for accuracy and
completeness. We conducted a complete site review along with our environmental consultant,
Trigon/Kleinfelder on September 151h. A few minor updates are being made. They will have the revised
hardeopy completed by October 23rd. We are also performing inspections of all required areas on a
weekly basis. These are being fully documented. We have set a reminder in our system to ensure that the
annual review is accomplished on time going forward, and weekly inspections have been made a part of
our standard practice.
Training: All personnel listed in our SWPPP have now received training on procedures and best
management practices as outlined in both the SWPPP and SPCC. Again, we have included this training
requirement on our calendar of events to take place annually.
Certification of Outfall: We have enclosed a Certification of the Storm Water Outfall, which will also
be included in our revised SWPPP.
Stormwater Monitoring Event: A purchase order had already been written on August 6, 2009 to
perform the 2r,d Storm Water Monitoring requirement for 2009. This will be completed as soon as we
have the required rain event. We have already been in contact with our vendor about conducting all
sampling and monitoring for 2010, as well as marking the requirements on our calendar.
Should you have any further questions, please feel free to reach me at the numbers below.
Sincerely,
w4I?'l " ��
Sam Myers
HSE Officer
336-969-1362 (work)
336-408-4123 (cell)
Enclosures: Certification of Non-Stormwater Discharge and Plan

PRESENCE OF NON-STORMWATER DISCHARGE AND PLAN
CERTIFICATION
I certify that the stormwater outfall has been inspected for the presence of non-stormwater
discharges and that no such discharges are present at the facility.
certify, under penalty of law, that this document and attachments were prepared under my
direction or supervision in accordance with the systems designed for qualified personnel to
properly gather and evaluate the information submitted. Based on my inquiries of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted, is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for known violations.
This Plan is fully supported by the management of TurboCare. By signing below, the designated
company official has authority to commit the necessary resources to perform the provisions
described in this Plan.
Name: IRsx�c�' _4L t r
Signature:
Title: VGE (Er=ot�v� �it�
te: s/�

REM
ALIT
NCDENR
North Carolina Department of Environment and Natural Resources
Division of water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
27 August 2009
TurboCare
Attn: Mr, Sam Myers, Supervisor, Support Services
3050 Westinghouse Road
Rural Hall, NC 27045-9570
Subject: Compliance Evaluation Inspection & Notice of Violation
NOV-2009-PC-0749
NPDES General Stormwater Permit NCG030000
Certificate of Coverage NCG030238
TurboCare, Rural Hall Plant
Forsyth County
Dear Mr. Myers:
1. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ)
conducted a compliance evaluation Inspection (CEI) at the subject facility on 20 August 2009.
Your assistance and cooperation during the inspection was greatly appreciated. An inspection
checklist is attached for your records and the inspection findings are summarized below,
2. The facility is located at 3050 Westinghouse Road, in Rural Hail, Forsyth County, North Carolina-
Stormwater related to industrial activity is discharged to Muddy Creek, which is currently classified
as Class C waters in the Yadkin River basin.
Documentation & Monitoring Review
3. The Stormwater Pollution Prevention Plan (SP3) is complete and current. However, it has not
been fully implemented and is slightly outdated. It was last reviewed in March 2008 and there are
no records of the required annual reviews. Furthermore, there is no record of annual training and
no certification of the stormwater discharge outfalls (SDO). Finally, only one arlalyticallqualitative
monitoring event has occurred since permit issuance; it was completed in February 2009.
Site Review
4. The site was clean and well maintained. There is a large amount of industrial activity on the north
and east sides of the facility ranging from raw product storage to waste disposal. It is believed
that you have minimized exposure of industrial' activities to the maximum extent practical at this
point.
North Carolina Division of ~hater Quality, Winston-Salem Regbnai Q{4ce
Location: 585 Waughtowr) 5t. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623.6748
Internet: www.ncwatergtial!V.org
011C
NorthCauohna
Amllrallif
An Equal Opportunity \Affirmative Action Employer

TurboCare Inc- NCG060042
Attn: Mr. Sam Myers, Supervisor, Support Services
Compliance Evaluation Inspection & NOV-2009-PG-0749
8/27/2009
Page 2 of 2
5. You are reminded that violations of the NCG030000 general permit are subject to civil penalty
assessments not to exceed $25,000 per day, per violation. Please reply to this letter in writing
within 30 days of receiving it. Your reply Should include a corrective action with implementation
schedule for all deficiencies noted above in paragraph 3.
6. Thank you for your cooperation in this matter. Should you have any questions, please feel flee to
contact Mr. Boone, Rose Pruitt, or me, at [phone].
Sincerely,
Steve W. Tedder
Water Qua€ity Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
cc �Sllll P�WSR�----�
Central Files
Stormwater Permitting Unit

Compliance Inspection Report
Permit: NCGO30238 Effective: 11/01/07 Expiration. 10131/12 Ommer: TurboCare Inc
SOC: Effective: Expiration: Facility: TurboCare Inc
County: Forsyth 3050 Westinghouse Rd
Region: Winston-Salem
Ru4 Hall NC 270454699
Contact Person: Sam Myers Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representatives):
24 hour contact name Sam Myers
Related Permits:
Phone: [phone]
Inspection pate: 08120/2009 Entry Time: 10:00 AM Exit Time: 12:00 PM
Primary Inspector: Ron Boone // Phone: [phone]
Secondary InspectorExt.2202s}:
Reason for Inspection: Routine Inspection Type: Compliance Evaluatbn
Permit inspection Type: Metal Fabrication Stormwater Discharge COC
Facility Status: Q Compliant ® Not Compliant
Question Areas:
MI Storm Water
(See.attachment summary)
Page: 1

Permit: NCG030238 Owner - Facility; TurhoCare Inc
Inspection Date: 08/20/2009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Refer to letter.
Page: 2

Permit; NCG030238 Owner - Facility: TurboCare Inc
Inspection Date: 08/20/2009 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Storrnwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
®
n
n
n
# Does the Plan include a General Location (USGS) map?
®
n
n
n
# Does the Plan include a "Narrative Description of Practices"?
W
fTi
n
n
# Does the Plan include a detailed site map including outfall locations and drainage areas?
m
n
n
n
# Does the Plan include a list of significant spills occurring during the past 3 years?
n
n
I]
# Has the facility evaluated feasible alternatives to current practices?
n
n
n
# floes the facility provide all necessary secondary containment?
®
n
n
n
# Does the Plan include a BIVIP summary?
12
n
n
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
n
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
n
n
n
# Does the facility provide and document Employee Training?
n
m
n
n
# Does the Plan include a list of Responsible Party(s)?
®
n
n
n
# Is the Plan reviewed and updated annually?
n
®
n
n
# Does the Plan include a Stormwater Facility Inspection Program?
In
n
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
n
®
n
n
Comment: Refer to letter.
Qualitative Monitoring
Yes No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
n ®
n
n
Comment' Refer to letter.
Analytical Monitoring
Yes No
NA
NE
Has the facility conducted its Analytical monitoring?
n ®n
n
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
n U
Comment: Refer to letter.
Permit and Outfalls
Yc5 No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
® n
n
n
# Were all oulfalls observed during the inspection?
® n
n
n
# If the facility has representative outfall status, is it properly documented by the Division?
n n
®
n
# Has the facility evaluated ail illicit (non Stormwater) discharges?
n ®
n
n
Comment: Refer to letter.
Page: 3

)rmwater Pollution Prevention Plan
)es the site have a Storn-rater Pollution Prevention Plan?
Does the Plan include a General Location (USGS) map?
Does the Plan include a sNarrative Description of Practices
Does the Plan include a detailed site nap including outfail locations and drainage areas?
Goes the Plan include a list of signifimnt spills occurring during the past 3 years?
Has the facility evaluated feasible alternatives to current practices?
Does the facility provide all necewary :secondary containment?
Does the flan include a BMP sLmmary?
Does the Plan include a Spill Prevention and Response Plan (SPRP)?
Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
Does the facility provide and document Employee Training?
Does the Plan include a list of Responsible ParMs)?
Is the Plan reviey&d and updated annually?
Does the Plan include a Storn-water Facility Inspection Program?
as the Stornwater Pollution Prevention Plan been implemented?
omment_ 66U new vi'sj7vrs r�espD;"Ls- -+- s �
alitative Monitoring
as the facility conducted its Qualitative Monitoring semi-annually}
omment
alytical Monitoring
is the facility conducted its Analytical monitoring?
Has the facility conducted its analytical monitoring from Vehicle Maintenanoe areas?
omment:
rmit and Outfalls AAA V\.� 0Ldt-OGU
Is a copy of the Pemiit and the Certificate of Coverage available at the site?
Were all outfalls observed during the inspection?
If the facility ha; representative outfalI status, is it properly documented by the division?
Has thie facility evaluated all illicrt (nvn stormpfiater) discharges?
joy." s 1N vUfi Ca)(
NCCII 0 3t)2% St1P-1WU1*1 s `(Z-L L rA
Yes No NA NE
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
Cl ❑ ❑
❑ ❑ ❑
❑❑❑
❑ ❑ ❑
❑ ❑ ❑
■ ■ ■
NOW
Yes No NA NE
Yes No NA NE
® ❑ ❑ ❑
AK M
Yes No NA NE
tSD t�Opl