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Certification of Substantial Harm Determination Form <br /> Facility Name: YRC 4183 Terminal <br /> Facility Address: 1535 East Pescadero Ave <br /> Tracy, CA 95304 <br /> ❑YesMNo Does the facility operation include over-water transfers* of oil to or from vessels and <br /> does the facility have a maximum capacity greater than or equal to 42,000 gallons? <br /> ❑Yes■No Does the facility lack adequate secondary containment* for each aboveground storage <br /> area sufficiently large to contain the capacity of the largest aboveground storage tank <br /> within that storage area and is the total storage capacity greater than or equal to one <br /> million gallons? <br /> ❑Yes No Is the facility located at a distance* that would shut down a public drinking water <br /> intake and is the total storage capacity greater than or equal to one million gallons? <br /> ❑Yes No is the facility located at a distance* that could cause injury to an environmentally <br /> sensitive area as referenced in Appendix D of 40 CFR Part 112 and is the total storage <br /> capacity greater than or equal to one million gallons? <br /> ❑Yes No Within the past five years, has the facility experienced a reportable spill* exceeding <br /> 10,000 gallons and is the total storage capacity greater than or equal to one million <br /> gallons? <br /> *Explanations of the above referenced terms can be found in Appendix C of 40 CFR Part 112. If an <br /> alternative formula to the ones contained in Attachment C-rIl is used to establish the appropriate distance <br /> to sensitive environments or drinking water intakes, documentation of the reliability and analytical <br /> soundness of the formula must be attached to this form. <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 <br /> information,I believe that the submitted information is true,accurate,and complete. <br /> 4Signatur <br /> 1Q-1a Title <br /> � �o2' y� 0lG <br /> Name(please typd or print5 Date <br /> C-2 <br />