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6. Contact List (§112.7(a)(3)(vi)): Table G-8 Contact List Contact Organization / Person Telephone Number National Response Center (NRC) 1-800-424-8802 Cleanup Contractor(s) Key Facility Personnel Designated Person Accountable for Discharge Prevention: State Oil Pollution Control Agencies Other State, Federal, and Local Agencies Local Fire Department Local Police Department Hospital Other Contact References (e.g., downstream water intakes or neighboring facilities) Facility Name: Office: Emergency: Office: Emergency: Office: Emergency: Office: Emergency: Ver. 1-E-doc-3-18-10 Page 7 Tier I Qualified Facility SPCC Plan
7. NRC Notification Procedure (§112.7(a)(4) and (a)(5)): Table G-9 NRC Notification Procedure In the event of a discharge of oil to navigable waters or adjoining shorelines, the following information identified in Attachment 4 will be provided to the National Response Center immediately following identification of a discharge to navigable waters or adjoining shorelines [See Discharge Notification Form in Attachment 4]: [§112.7(a)(4)] • The exact address or location and phone number of the facility; • Date and time of the discharge; • Type of material discharged; • Estimate of the total quantity discharged; • Estimate of the quantity discharged to navigable waters; • Source of the discharge; Ver. 1-E-doc-3-18-10 • Description of all affected media; • Cause of the discharge; • Any damages or injuries caused by the discharge; • Actions being used to stop, remove, and mitigate the effects of the discharge; • Whether an evacuation may be needed; and • Names of individuals and/or organizations who have also been contacted. 8. SPCC Spill Reporting Requirements (Report within 60 days) (§112.4): Submit information to the EPA Regional Administrator (RA) and the appropriate agency or agencies in charge of oil pollution control activities in the State in which the facility is located within 60 days from one of the following discharge events: A single discharge of more than 1,000 U.S. gallons of oil to navigable waters or adjoining shorelines or Two discharges to navigable waters or adjoining shorelines each more than 42 U.S. gallons of oil occurring within any twelve month period You must submit the following information to the RA: Facility Name: (1) Name of the facility; (2) Your name; (3) Location of the facility; (4) Maximum storage or handling capacity of the facility and normal daily throughput; (5) Corrective action and countermeasures you have taken, including a description of equipment repairs and replacements; (6) An adequate description of the facility, including maps, flow diagrams, and topographical maps, as necessary; (7) The cause of the reportable discharge, including a failure analysis of the system or subsystem in which the failure occurred; and (8) Additional preventive measures you have taken or contemplated to minimize the possibility of recurrence (9) Such other information as the Regional Administrator may reasonably require pertinent to the Plan or discharge * * * * * Page 8 Tier I Qualified Facility SPCC Plan
Page 1 and 2: Best Management Practice for Clean
Page 3 and 4: Use Upland and Inland Areas • Upl
Page 5 and 6: • Distribute Literature to Custom
Page 7 and 8: Emergency Response Equipment Obtain
Page 9 and 10: Offer Spill-proof Oil Changes • P
Page 11 and 12: Waste Containment and Disposal Redu
Page 13 and 14: Management-patrons • Provide conv
Page 15 and 16: Epoxy and polyester resins Catalyze
Page 17 and 18: • Plug scuppers to contain dust a
Page 19 and 20: Engine Repair/Maintenance • Perfo
Page 21 and 22: • General good housekeeping can b
Page 23 and 24: Appendix A Stormwater Pollution Pre
Page 25 and 26: Appendix A Primary Contact Name: __
Page 27 and 28: Appendix A 3. IDENTIFICATION OF POT
Page 29 and 30: Appendix A 5. SUMMARY OF AVAILABLE
Page 31 and 32: Appendix A 8. STORMWATER BEST MANAG
Page 33 and 34: Training log template: Date: ______
Page 35 and 36: Inspection form templates Appendix
Page 37 and 38: Appendix A Annual Facility Site Com
Page 39 and 40: U.S. ENVIRONMENTAL PROTECTION AGENC
Page 41 and 42: Ver. 1-E-doc-3-18-10 I also underst
Page 43 and 44: Ver. 1-E-doc-3-18-10 Table G-4 belo
Page 45: 4. Security (excluding oil producti
Page 49 and 50: Ver. 1-E-doc-3-18-10 Table G-10 Gen
Page 51 and 52: ATTACHMENT 1 - Five Year Review and
Page 53 and 54: ATTACHMENT 2 - Oil Spill Contingenc
Page 55 and 56: Ver. 1-E-doc-3-18-10 ATTACHMENT 3.2
Page 57 and 58: ATTACHMENT 3.4 - Oil-handling Perso

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