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3. Certification of Substantial Harm Determination Form <br /> FACILITY NAME: Northern California Youth Correctional Center <br /> FACILITY ADDRESS: 7650 S. Newcastle Rd Stockton, CA 95207 <br /> 1. Does the facility have an oil storage capacity that is greater than or equal to 42,000 gallons and conduct <br /> operations that include over-water transfers to or from vessels? <br /> ❑ Yes <br /> ® No proceed to questions below <br /> 2. Does the facility have an oil storage capacity greater than or equal to one million gallons and does the facility <br /> lack secondary containment that is sufficiently large to contain the capacity of the largest aboveground oil <br /> storage tank plus sufficient freeboard to allow for precipitation with any aboveground storage area? <br /> ❑ Yes <br /> ® No proceed to questions below <br /> 3. Does the facility have an oil storage capacity greater than or equal to one million gallons and is the facility <br /> located at a distance (as calculated using the appropriate formula in Attachment C—III to this appendix or a <br /> comparable formula 1) such that a discharge from the facility could cause injury to fish and wildlife and <br /> sensitive environments? For further description of fish and wildlife and sensitive environments, see <br /> Appendices I, II, and III to DOC/NOAA's "Guidance for Facility and Vessel Response Plans: Fish and Wildlife <br /> and Sensitive Environments" (see Appendix E to this part, section 13, for availability) and the applicable <br /> Area Contingency Plan. <br /> ❑ Yes <br /> ® No proceed to questions below <br /> 4. Does the facility have an oil storage capacity greater than or equal to one million gallons and is the facility <br /> located at a distance (as calculated using the appropriate formula in Attachment C-III to this appendix or a <br /> comparable formulal such that a discharge from the facility would shut down a public drinking water <br /> intake2? <br /> ❑ Yes <br /> ® No proceed to questions below <br /> 5. Does the facility have an oil storage capacity greater than or equal to one million gallons and has the facility <br /> experienced a reportable oil discharge in an amount greater than or equal to 10,000 gallons within the last <br /> 5 years? <br /> ❑ Yes <br /> ® No proceed to questions below <br /> Certification <br /> I certify under penalty of law that I have personally examined and am familiar with the information <br /> submitted in this document,and that based on my inquiry of those individuals responsible for obtaining this <br /> information, I believe that the submitted information is true, accurate, and complete. <br /> Signature <br /> Name (please type or print) Nikolas Corren <br /> Title Chief of Plant Operations III (A) <br /> Date <br /> Footnotes: <br /> 1. If a comparable formula is used,documentation of the reliability and analytical soundness of the comparable formula must be attached <br /> to this form. <br /> 2. For the purposes of 40 CFR part 112,public drinking water intakes are analogous to public water systems as described at 40 CFR 143.2(c). <br /> Page 16 <br />