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Emergency Response Action Plan Version :27.10.4 SPILL RESPONSE NOTIFICATION FORM *It is not necessary to wait for all information before calling NRC. NATIONAL RESPONSE CENTER- 1+(800)424-8802, or direct at(202)267-2675 NOTE: As much information on this checklist as pratical should be known at the time of notification, or be in the process of being collected, but DO NOT DELAY NOTIFICATION TO COLLECT THE INFORMATION. Releases of additives or other chemicals that exceed the RQ for one or more hazardous substances must be notified to the NRC within 15 minutes of the release. For spills to land, see Section 2.2 for additonal instructions for Federal and State Agency Notifications. NOTE: THERE SHOULD BE NO SPECULATION ABOUT THE SOURCE OR CAUSE OF AN INCIDENT. ONLY FACTUAL OBSERVATIONS ARE TO BE RECORDED. The below incident type descriptions will help decide which of the bottom corresponding heading sections of this form are applicable to use. CONTINUOUS RELEASE RAILROAD A CONTINUOUS RELEASE is a release above the Federal A RAILROAD Incident includes all transportation modes used limits,also called reportable quantity(RQ),due to normal on rail.The NRC takes reports on all Railroad Incidents operations of a facility.This incident type has five categories: including derailments of freight and commercial trains, Initial, Baseline, Change in Source and/or Composition, HAZMAT and non-hazmat rail incidents, light rail,subway, Annual,and Statistically Significant Increase(SSI). For metro rail, and grade crossing accidents. detailed info on the EPA's Continuous Release Program check out their web site, http://www.epa.gov/superfund/policy/release/faciliti.htm. MOBILEFIXED A FIXED Incident is the widest ranging incident type and A MOBILE Incident refers to all transportation modes used on includes the release of material from non-mobile machinery, land. It includes commercial and private vehicles, refineries, manufacturing plants,and numerous other fixed motorcycles etc.Some of the most common incidents facilities. associated with this category are tractor-trailer accidents. STORAGETANK UNKNOWN A STORAGE TANK Incident pertains to containers that store An UNKNOWN SHEEN Incident type pertains to any material hazardous materials located virtually anywhere including on the water that has been discovered and whose source is facilities, private property,and various transportation modes. unknown. Please describe the size and color of the material Common storage tank incidents include leaking or overfilled and an estimate of the amount released. (I.E. less than a home heating oil tanks, ruptured underground storage tanks gallon, less than 100 gallons,over 3000 gallons,etc.). from construction activity and petroleum storage facilities. Information on weather and direction of movement are also important. PIPELINE VESSEL A PIPELINE Incident refers to pipelines that transport A VESSEL Report includes all transportation modes used on materials off site.This does not include pipelines within a the water.Common reports include private vessels that facility. Such pipelines are often regulated by the Department accidentally release bilge water,oil barges with leaks, of Transportation. Common pipeline types include flow, cranes that are on barges,etc. distribution and gathering lines transporting crude oil or natural gas from one facility to another. Shell Supply and Distribution ERAP-13 Stockton Terminal FRP ©2019 Witt O' Brien's Revision Date: October, 2019