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Attachment 1 Circle K, Farmington Substantial Harm Criteria Certification of the Applicability of the Substantial I larm Criteria Facility Name: Circle K, Farmington Facility Addresses: 4469 S. Escalon Bellota Rd. Farmington, CA 95230 1. Does the facility transfer oil over water to or from vessels, and does the facility have a total oil storage capacity greater than or equal to 42,000 gallons? Yes No X 2. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons, and does the facility lack secondary containment that is sufficiently large to contain the capacity of the largest aboveground oil storage tank plus sufficient freeboard to allow for precipitation within any aboveground oil storage tank area? Yes No X 3. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons, and is the facility located at a distance(as calculated using the appropriate formula in Attachment C-111 to this appendix or a comparable formula') such that a discharge from the facility could cause injury to fish and wildlife and sensitive environments? For further description of fish and wildlife and sensitive environments, see Appendices 1, I1, and III to DOCINOAA's"Guidance for Facility and Vessel Response Plans: Fish and Wildlife and Sensitive Environments"(see Appendix E to this part, section 13, for availability) and the applicable Area Contingency Plan. ............................................ Yes No X 4. Does the facility have a total oil storage capacity greater than or equal to I million gallons, and is the facility located at a distance (as calculated using the appropriate Formula in Attachment C-111 to this appendix or a comparable formula') such that a discharge from the facility would shut down a public drinking water intake 2?Yes No X 5. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons, and has the facility experienced a reportable oil discharge in an amount greater than or equal to 10,000 gallons within the last 5 years? Yes No X Certification 1 certify under penalty of law that 1 have personally examined and am familiar with the information submitted in this doCumellt, and that based on my inquiry of those individuals responsible for obtaining this information, 1 believe that the submitted information is true, accurate, and complete. Signature Narne (please type or print) Title Date 13