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Ver. 1-L-doc-3-18-10 <br /> 7. NRC Notification Proce ( 112.7( )(4)and ( )(5)): <br /> In the,eventof a discharge of oil#o navigable waters or adjoining shorelines, the following information identified <br /> in Attachment 4 will be provided to the National Response Center immediately following identification of a <br /> discharge to navigable waters or adjoining shorelines[See Discharge Notification Form in Attachment j: <br /> ?12.7 a 4 <br /> • The exact address or location and phone • Description of all affected media; <br /> number of the facility; . Cause of the discharge; <br /> • Date and time of the discharge; • Any damages or injuries caused by the discharge; <br /> • Type of material discharged; • Actions being used to stop, remove, and mitigate the <br /> • Estimate of the total quantity discharged; effects of the discharge; <br /> • Estimate of the quantity discharged to navigable . Whether an evacuation may be needed; and <br /> waters; ® Names of individuals and/or organizations who have <br /> • Source of the discharge; also been contacted. <br /> . SPCC Spill Reporting Requirements (Report within 60 days) (§112.4): <br /> Submit information to the EPA Regional Administrator(RA)and the appropriate agency or agencies in charge of oil <br /> pollution control activities in the State in which the facility is located within 60 days from one of the following discharge <br /> events: <br /> A single discharge of more than 1,000 U.S. gallons of oil to navigable waters or adjoining shorelines or <br /> Two discharges to navigable waters or adjoining shorelines each more than 42 U.S.gallons of oil occurring within <br /> any twelve month period <br /> You must submit the following information to the RA. <br /> (1) Name of the facility; <br /> (2) Your name; <br /> O Location of thefacility; <br /> (4) Maximum storage or handling capacity of the facility and normal daily throughput; <br /> (5) Corrective action and countermeasures you have taken, including a description of <br /> equipment repairs and replacements; <br /> (6) An adequate description of the facility, including maps, flow diagrams, and topographical <br /> maps, as necessary; <br /> (7) The cause of the reportable discharge, including a failure analysis of the system or <br /> subsystem in which the failure occurred;and <br /> (8) Additional preventive measures you have taken or contemplated to minimize the <br /> possibility of recurrence <br /> (9) Such other information as the Regional Administrator may reasonably require pertinent <br /> to the Plan or discharge <br /> T. Co It one o the following <br /> ` <br /> s a ror'a for a d0tiY type. <br /> Facility Name: / / Page 8 Tier I Qualified Facility SPCC Plan <br />