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Appendix E <br />The Home Depot DC #5641 <br />Hazardous Waste Contingency Plan <br />Discharge Notification Form <br />Part Ba Internal Notification Checklist <br />Release / Fire / Explosion <br />Date and time <br />Notes <br />David Bell, Manager — AP Supply Chain Store <br />Support Center <br />678 620-7146 cell <br />Part Cr External Initial Notification Checklist <br />Release, fire, or explosion which could threaten human health, or the environment, outside the facility <br />Date and Time <br />Name of Person Receiving the Call/ <br />Notes <br />National Response Center <br />(800) 424-8802 <br />California Environmental Protection Agency <br />(800) 852-7550 <br />Part DiWritten Follow: up Reporting <br />A written follow-up report is required within 15 days if the release equals or exceeds the Federal <br />Reportable Quantities. The report must be sent to the EPA Regional Administrator and the CaIEPA. <br />U.S. Environmental Protection Agency <br />Region 9 Office <br />75 Hawthorne St. <br />San Francisco, CA 94105 <br />CAL EPA Toxic Substances Control <br />Berkeley Office 700 Heinz Avenue <br />Berkeley, CA 94710-2721 <br />Arcadis U.S., Inc. Page 2 of 2 30017244.01 <br />