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Notifying SAT CC Management Phone Numbers <br /> SATCO Terminal (209)47-3776 office <br /> Manager—Mike Peterson (916) 417-3887 mobile <br /> Terminal Supervisor—Luke Allen ( 209 ) 469-1889 mobile <br /> SATCO Administration (813) 225-2000 office <br /> General Manager—Brent Shonka. (813) S45-6218 mobile <br /> Operations Manager—Carey MacConnell (863)409-3429 mobile <br /> Controller—Chris Clark (813) 230-9525 mobile <br /> Agency Notification Form <br /> SA CC) <br /> Sulphuric Acid Trading Company Linc_ <br /> Internal No—Li`ication lnfor-riation F011_n <br /> Purpose:In the event of an environmental release requiring agency notification,this form will serve as a <br /> guideline for the initial report of the event and as a log when the appropriate regulatory-ag`ncies were <br /> _ co nta cte d. <br /> Event Information: Hello,my name is with SATCO,PORTF TAMPA location. I am <br /> calling to reporta release- <br /> Chem ical/Material <br /> elease_Chemical/Material released <br /> Is the chemical/material an Extremely <br /> hazardous Substance ? <br /> Where did the release occur <br /> Evidence of a discharge <br /> What is the source of the leak? <br /> Quantity of the release <br /> Environment the release went to Air/Water/Land/Containment <br /> Estimated date&Time of the release <br /> Cause of the release <br /> Equipment involved with the release <br /> Was immediate containment provided <br /> Is recovery of the release provided <br /> Weather conditions(I E.Wind <br /> direction/speed) <br /> Are there injuries <br /> Any acute or chronic health risks associated <br /> with the release <br /> Were evacuations performed or are needed <br /> is the site safe for responders <br /> is outside emergency assistance needed or <br /> does the PORT/community need to be <br /> notified <br /> QPSTK EAP-SOP#5 Page 12 of 23 Com <br />