Caqon City Water Treatment Plant - Executive Summary

| Accident History | Chemicals | Emergency Response | Registration | Source | Executive Summary |

Executive Summary 
 
1.   Accidental release prevention and Emergency Response policies  
 
We at Caqon City Water Treatment Plant are committed to employee, public and  
environmental safety.  This commitment is demonstrated by our comprehensive 
accidental release prevention program that covers areas such as design,  
installation, operating procedures, maintenance, and employee training  
associated with the processes at our facility.  It is our policy to implement  
appropriate controls to prevent possible releases of regulated substances.   
Unforeseeably, if such a release does occur, our highly trained emergency  
response personnel are at hand to control and mitigate the effects of the release.  
We are also completely coordinated with Caqon City Fire Protection District 
which provides additional emergency response expertise. 
 
2.  The Stationary Source and the Regulated Substances Handled 
We have 1 regulated substance present at our facility which is Chlorine. 
 
The maximum inventory of C 
hlorine at our facility is 6000 lbs. 
 
 
3.  The Worst Case Release Scenario and the Alternative Release Scenario,  
including administrative controls and mitigation measures to limit the  
distances for each reported scenario 
 
To perform the required offsite consequence analysis for our facility, we 
have used the look-up tables and equations provided by the EPA in the RMP  
Offsite Consequence Analysis Guidance. The following paragraphs provide  
details of the chosen scenarios. 
 
Toxic Worst-case analyses 
 
The Worst Case scenario involves a catastrophic release from Disinfection.   
The scenario involves the release of 2000 lb. of Chlorine in a gaseous form over  
10 minutes. The Release rate (lbs/min) is calculated to be 200. A distance to  
endpoint of 5.4 miles is obtained which affects  a residential population of 26577  
within this distance. 
 
 
Toxic Alternative-case analyses 
 
The Alternative Case scenario involves a catastrophic release from Disinfection.  
The scenario involves the rele 
ase of 0.6 lb. of Chlorine in a gaseous form. 
Active mitigation controls such as sprinkler and scrubbers are also taken into  
account to calculate the scenario. The Release rate (lbs/min) is calculated to be 
0.3 and a Distance to endpoint of 0.1 miles is obtained which affects  a  
residential population of 2.  
 
 
Flammables Worst-case analyses 
None applicable 
 
Flammables Alternative-case analyses 
None applicable 
 
4.  The General Accidental Release Prevention Program and the Chemical-Specific  
Prevention Steps 
 
Our facility has taken all the necessary steps to comply with the accidental release  
prevention requirements set out under 40 CFR part 68 of the EPA. Our facility is also  
subject to EPCRA Section 302 notification requirements. The following sections  
briefly describe the elements of the release prevention program that is in place at our  
stationary source. 
 
Process Safety Information 
Caqon City Water Treatment Plant maintains a detailed record of safety information 
that descri 
bes the chemical hazards, operating parameters and equipment designs  
sociated with all processes. 
 
Process Hazard Analysis 
Our facility conducts comprehensive studies to ensure that hazards associated with  
our processes are identified and controlled efficiently.  The methodology used to 
carry out these analyses is  the What-If/Checklist method.  The studies are  
undertaken by a team of qualified personnel with expertise in engineering and  
process operations and are revalidated periodically.  Any findings related to the  
hazard analysis are addressed in a timely manner. 
 
Operating Procedures 
For the purposes of safely conducting activities within our covered processes,  
Caqon City Water Treatment Plant maintains written operating procedures.  These  
procedures address various modes of operation such as initial startup, normal  
operations, temporary operations, emergency shutdown, emergency operations,  
normal shutdown and startup after a turnaround.  The information is regularly  
rev 
iewed and is readily accessible to operators involved in the processes. 
 
Training 
Caqon City Water Treatment Plant has a comprehensive training program in place  
to ensure that employees who are operating processes are competent in the  
operating procedures associated with these processes. New employees receive  
basic classroom training in process operations followed by on-the-job supervision 
until they are deemed competent to work independently. Refresher training is  
provided anually as needed. 
 
Mechanical Integrity 
Caqon City Water Treatment Plant carries out highly documented maintenance  
checks on process equipment to ensure proper operations.  Process equipment  
examined by these checks includes among others; pressure vessels, storage tanks, 
piping systems, relief and vent systems, emergency shutdown systems, controls  
and pumps.  Maintenance operations are carried out by qualified personnel with 
previous training in maintenance practices.  Furthermore, these personnel are  
offe 
red specialized training as needed.  Any equipment deficiencies identified 
by the maintenance checks are corrected in a safe and timely manner. 
 
Compliance Audits 
Caqon City Water Treatment Plant conducts audits on a regular basis to  
determine whether the provisions set out under the RMP rule are being  
implemented.  These audits are carried out at least every 3 years and any 
corrective actions required as a result of the audits are undertaken in a safe 
and prompt manner. 
 
Incident Investigation 
Caqon City Water Treatment Plant promptly investigates any incident that has  
resulted in, or could reasonably result in a catastrophic release of a regulated  
substance.  These investigations are undertaken to identify the situation leading  
to the incident as well as any corrective actions to prevent the release from  
reoccurring.  All reports are retained for a minimum of 5 years. 
 
Employee Participation 
Caqon City Water Treatment Plant truly believes that process safety management  
and ac 
cident prevention is a team effort.  Company employees are strongly  
encouraged to express their views concerning accident prevention issues and to 
recommend improvements.  In addition, our employees have access to all 
information created as part of the facility's implementation of the RMP rule, 
including information resulting from process hazard analyses in particular. 
 
 
5.  Five-year Accident History 
 
Caqon City Water Treatment Plant has had an excellent record of preventing  
accidental releases over the last 5 years. Due to our stringent release prevention  
policies, there has been no accidental release during this period. 
 
6.  Emergency Response Plan 
 
Caqon City Water Treatment Plant has its own written ER Plan. The ER Plan  
includes specific actions to be taken in response to accidental  releases of  
regulated substances. The ER Plan includes procedures for informing the  
public and local agencies for responding to accidental release.The ER Plan  
does include information on emerge 
ncy health care. 
 
Date of most recent review/update of ER Plan: 4/27/99 
Date of most recent ER training of employees: 6/9/99 
 
The Local agency coordinating ER Plan is Caqon City Fire Protection  
District which has the phone number 719-275-8666 
 
7.  Planned Changes to Improve Safety 
Several developments and findings have resulted from the implementation  
of the various elements of our accidental release prevention program. 
 
 
 
 
1. REGISTRATION 
 
 
1.1    Source Identification 
 
1.1.a  Facility Name :            Caqon City Water Treatment Plant 
 
1.1.b  Parent Company #1 Name :   City of Caqon City 
 
1.1.c  Parent Company #2 Name :    
 
1.2    RMP Facility Identifier :   
 
1.3    EPA Identifier :       
 
1.4    Dun and Bradstreet Numbers (DUNS)  
 
1.4.a  Facility DUNS :             
 
1.4.b  Parent Company #1 DUNS :    
 
1.4.c  Parent Company #2 DUNS :    
 
1.5    Facility Location 
 
1.5.a  Street - Line 1 :   103 Tunnel Drive 
 
1.5.b  Street - Line 2 :    
 
1.5.c  City :         Caqon City 
 
1.5.d  State 
:        CO 
 
1.5.e  Zip Code :     81212                Zip + 4 Code :      
 
1.5.f  County :       Fremont 
 
1.5.g  Latitude (ddmmss.ssss) :      382623.0 
 
1.5.h  Longitude (ddmmss.ssss) :     -1051541.0 
 
1.5.i  Lat/Long Method :          I4 
 
1.5.j  Lat/Long Description :     CE 
 
1.6    Owner / Operator 
 
1.6.a  Name :        City of Caqon City 
 
1.6.b  Phone :       719-269-9022 
 
1.6.c  Street - Line 1 :   PO Box 1460 
 
1.6.d  Street - Line 2 :    
 
1.6.e  City :         Caqon City 
 
1.6.f  State :        CO 
 
1.6.g  Zip Code :     81215              Zip +4 Code :    1460 
 
1.7    Name and title of person responsible for part 68 implementation  
 
1.7.a  RMP Contact name :      Paul Fisher 
 
1.7.b  RMP Contact title :     Public Works Director 
 
1.8    Emergency Contact 
 
1.8.a  Name :        George Millican 
 
1.8.b  Title :       Water Treatment Plant Supervisor 
 
1.8.c  Phone :                   719-269-9019 
 
1.8.d  24-Hour Phone :           719-276-5600 
 
1.8.e  24-Hour Phone Extension/PIN # :    
 
 
1.9    Other Points of Contact 
 
1.9.a  Facility or Parent Company E-mail Address :                             
 
1.9.b  Facility Public Contact Phone Number :          
 
1.9.c  Facility WWW Homepage Address :                                         
 
1.10   LEPC :         Fremont County LEPC 
 
1.11   Number of full-time employees (FTEs) :    7 
 
1.12   Covered by  
 
1.12.a OSHA PSM :             N 
 
1.12.b EPCRA 302 :            Y 
 
1.12.c Part 70 Air operating permit ID :   
 
1.13   OSHA Star or Merit Ranking :       N 
 
1.14    Last Safety Inspection Date :     2/ 2/1999 
 
1.15   Last Safety Inspection Performed by 
 
1.15.a OSHA :                  N 
1.15.b State OSHA :            N 
1.15.c EPA :                   N 
1.15.d State EPA :             N 
1.15.e Fire Department :       Y 
1.15.f Other (specify) :       N                                                 
1.15.g Not Applicable :        N 
 
1.16  
 Will this RMP involve Predictive Filing?    N 
 
 
 
 
 
 
 
 
 
           Process ID :         1 
 
           Process Name :       Disinfection                                     
 
1.17.a.     Program Level :      2 
 
1.17.b.     NAICS Code  
 
           22131                Water Supply and Irrigation Systems             
 
 
 
 
 
 
1.17.c Chemical 
 
1.17.c.1  Name                   1.17.c.2  CAS No       1.17.c.3 Qty.(lbs)      
 
         Chlorine                           7782-50-5          6000.00 
 
 
 
 
 
2. TOXICS : WORST CASE 
 
 
 
 
2.1       Chemical Name 
2.1.a     Name  :          Chlorine                                          
2.1.b     Percent Weight of Chemical in Mixture :       100 
 
2.2       Physical State 
2.2.a     Gas :     Y 
2.2.b     Liquid :  N 
 
2.3       Results based on 
2.3.a     EPA's Offsite Consequence Analysis Reference Tables :      Y 
2.3.b     Tables in RMP Guidance for Ammonia Refrigration :          N 
2.3.d     Tables in RMP Guidance for POTWs (Waste Water) :           N 
2. 
3.e     Tables in RMP Guidance for Warehouses :                    N 
2.3.f     Tables in RMP Guidance for Chemical Distributors :         N 
2.3.g     EPA's RMP*Comp TM :                                        N 
2.3.h     ALOHA :                                                    N 
2.3.z     Other model (specify)                                                  
 
 
2.4       Scenario 
2.4.a     Gas Release :                        Y 
2.4.b     Liquid Spill and Vaporization :      N 
 
2.5       Quantity released (lbs) :       2000 
2.6       Release rate (lbs/min) :        200 
2.7       Release duration (min) :        10 
2.8       Wind speed (meters/sec) :       1.5 
2.9       Stability class :               F 
 
2.10      Topography 
2.10.a    Urban :     Y 
2.10.b    Rural :     N 
 
2.11      Distance to Endpoint (miles) :        5.4 
2.12      Residential population within distance to endpoint : 26577 
 
2.13      Public receptors within distance to endpoint 
2.13.a    Schools :                       
     Y 
2.13.b    Residences :                         Y 
2.13.c    Hospitals :                          Y 
2.13.d    Prisons/Correctional facilities :    Y 
2.13.e    Recreational areas :                 N 
2.13.f    Commercial/Industrial areas :        Y 
2.13.g    Other (specify) :                                                                     
 
2.14      Environmental receptors within distance to endpoint 
2.14.a    National or state parks, forests, or monuments :         N 
2.14.b    Officially designated wildlife sanctuaries, preserves, or     N 
         refuges :                                                      
2.14.c    Federal  wilderness area :                               N 
2.14.d    Other (specify) :                                        BLM                            
 
2.15      Passive mitigation considered 
2.15.a    Dikes :                  N 
2.15.b    Enclosures :             N 
2.15.c    Berms :                  N 
2.15.d    Drains :                 N 
2.15.e    Sumps  
:                  N 
2.15.f    Other (specify) :                                             
 
2.16      Graphics file name : 
 
 
 
 
 
 
 
 
3. TOXICS : ALTERNATIVE RELEASES 
 
 
 
 
3.1       Chemical Name 
3.1.a     Name :        Chlorine                                           
3.1.b     Percent Weight of chemical in Mixture :          100 
 
3.2       Physical State 
3.2.a     Gas :                       Y 
3.2.b     Liquid :                    N 
3.2.c     Both gas and liquid :       N 
 
3.3       Results based on 
3.3.a     EPA's Offsite Consequence Analysis Reference Tables :    Y 
3.3.b     Tables in RMP Guidance for Ammonia Refrigration :        N 
3.3.d     Tables in RMP Guidance for POTWs (Waste Water) :         N 
3.3.e     Tables in RMP Guidance for Warehouses :                  N 
3.3.f     Tables in RMP Guidance for Chemical Distributors :       N 
3.3.g     EPA's RMP*Comp TM :                                      N 
3.3.h     ALOHA :                                                  N 
3.3.z     O 
ther model (specify) :                                                      
 
 
3.4       Scenario 
3.4.a     Transfer hose failure :              N 
3.4.b     Pipe leak :                          Y 
3.4.c     Vessel leak :                        N 
3.4.d     Overfilling :                        N 
3.4.e     Rupture disk/relief valve failure :  N 
3.4.f     Excess flow device failure :         N 
3.4.g     Other (specify) :                                                          
 
3.5       Quantity released (lbs) :         0.6 
3.6       Release rate (lbs/min) :          0.3 
3.7       Release duration (min) :          2 
3.8       Wind speed (meters/sec) :         3.0 
3.9       Stability class :                 D 
 
3.10      Topography 
3.10.a    Urban :         Y 
3.10.b    Rural :         N 
 
3.11      Distance to Endpoint (miles) :         0.1 
3.12      Residential population within distance to endpoint :   2 
 
3.13      Public receptors within distance to endpoint 
3.13.a    Schools :              
              N 
3.13.b    Residences :                         N 
3.13.c    Hospitals :                          N 
3.13.d    Prisons/Correctional facilities :    N 
3.13.e    Recreation areas :                   N 
3.13.f    Commercial/Industrial areas :        N 
3.13.g    Others (specify):                                                                      
 
3.14      Environmental receptors within distance 
3.14.a    National oe state parks, forests, or monuments :              N 
3.14.b    Officially designated wildlife sanctuaries, preserves,        N 
         or refuges :                                           
3.14.c    Federal wilderness area :                                     N 
3.14.d    Others (Specify                                                                          
 
3.15      Passive mitigation considered 
3.15.a    Dikes :                  N 
3.15.b    Enclosures :             N 
3.15.c    Berms :                  N 
3.15.d    Drains :                 N 
3.15.e    Sumps 
:                  N 
3.15.f    Other (specify) :                                                      
 
3.16      Active mitigation considered 
3.16.a    Sprinkler systems :            Y 
3.16.b    Deluge systems :               N 
3.16.c    Water curtain :                N 
3.16.d    Neutralization :               N 
3.16.e    Excess flow valve :            N 
3.16.f    Flares :                       N 
3.16.g    Scrubbers :                    Y 
3.16.h    Emergency shutdown :           N 
3.16.i    Other (specify) :                                                      
 
3.17      Graphics file name : 
 
 
 
 
 
 
 
6. FIVE - YEAR ACCIDENT HISTORY 
 
 
 
6.1       Accident Date :                   
6.2       Accident Time (HHMM) :            
6.3       NAICS code of process :           
6.4       Release duration (HHH:MM) :       
 
6.5       Chemical(s) released 
 
6.5.a     Chemical Name          CAS No        6.5.c % Wt.     6.5.b Qty        
                                                              releas 
ed (lbs)   
 
 
 
 
6.6       Release Event  
6.6.a     Gas release :               
6.6.b     Liquid spill/evaporation :  
6.6.c     Fire :                      
6.6.d     Explosion :                 
 
6.7       Release source  
6.7.a     Storage vessel :      
6.7.b     Piping :              
6.7.c     Process Vessel :      
6.7.d     Transfer hose :       
6.7.e     Valve :               
6.7.f     Pump :                
6.7.g     Joint :               
6.7.h     Other (specify) :     
 
6.8       Weather conditions at time of event  
6.8.a.i   Wind speed :                       
6.8.a.ii  Wind speed Unit :                  
6.8.a.iii Wind direction :                   
6.8.b     Temperature :                               F 
6.8.c     Stability class :                  
6.8.d     Precipitation present :            
6.8.e     Unknown weather conditions :       
 
6.9       On-site Impacts 
6.9.a     Deaths 
 
6.9.a.i   Workers/Contractors :       
6.9.a 
.ii  Public responders :         
6.9.a.iii Public :                    
 
6.9.b     Injuries 
 
6.9.b.i   Workers/Contractors :       
6.9.b.ii  Public responders :         
6.9.b.iii Public :                    
6.9.c     Property damage($) :        
 
6.10      Known off-site impacts 
6.10.a    Deaths :                     
6.10.b    Hospitalization :            
6.10.c    Other medical treatment :    
6.10.d    Evacuated :                  
6.10.e    Sheltered-in-place :         
6.10.f    Property damage :            
 
6.10.g    Enviornmental damage  
6.10.g.1  Fish or Animal kills :                              
6.10.g.2  Tree, lawn, shrub, or crop damage :                 
 
6.10.g.3  Water contamination :                               
6.10.g.4  Soil contamination :                                
6.10.g.5  Other (specify) :                                                     
 
6.11      Initiating event 
6.11.a    Equipment failure :                                
6.11.b    Human error :               
 
6.11.c    Natural (weather condition, earthquake) :          
6.11.d    Unknown : 
 
6.12      Contributing factors 
6.12.a    Equipment failure :                  
6.12.b    Human error :                        
6.12.c    Improper procedures :                
6.12.d    Overpressurization:                  
6.12.e    Upset condition :                    
6.12.f    By-pass condition :                  
6.12.g    Maintenance activity/inactivity :    
6.12.h    Process design :                     
6.12.i    Unsuitable equipment :               
6.12.j    Unusual weather condition :          
6.12.k    Management error :                   
6.12.l    Other (specify) :                    
6.13      Offsite responders notified :        
 
6.14      Changes introduced as a result of the accident 
6.14.a    Improved or upgraded equipment :        
6.14.b    Revised maintenance :                   
6.14.c    Revised training :                      
6.14.d    Revised operating procedures :     
 
6.14.e    New process controls :                  
6.14.f    New mitigation systems :                
6.14.g    Revised Emergency Response Plan :       
6.14.h    Changed process :                       
6.14.i    Reduced inventory :                     
6.14.j    None :                                  
6.14.k    Other (specify) :                       
 
 
 
 
 
 
 
 
 
8. PREVENTION PROGRAM - PROGRAM 2 
 
 
8.1       NAICS Code :         22131           Water Supply and Irrigation Systems 
 
8.2       Chemicals Name(s)  
 
         Chemical Name                             CAS No 
         Chlorine                                        7782-50-5 
 
 
8.3       Safety Information 
8.3.a     Date of most recent review or revision of  
         safety information :                            4/27/1999 
8.3.b     All Federal or state regulations or industry-specific design codes and    
         standards used to demonstrate compliance with the safety information      
         requirement                  
 
8.3.b.1   NFPA 58 (or state law based on NFPA 58) :       N 
8.3.b.2   OSHA (29 CFR 1910.111) :                        N 
8.3.b.3   ASTM Standards :                                N 
8.3.b.4   ANSI Standards :                                N 
8.3.b.5   ASME Standards :                                N 
8.3.b.6   None :                                          N 
8.3.b.7   Other(Specify) :        Article 80 Uniform Fire Code 
8.3.b.8   Comments : 
8.4       Hazard Review 
8.4.a     Date of completion of most recent  
         hazard review or update :                            4/27/1999 
8.4.b     The expected date of completion of any changes  
         resulting from the hazard review :                   12/31/1999 
8.4.c     Major hazards identified 
8.4.c.1   Toxic release :                                               Y 
8.4.c.2   Fire :                                                        N 
8.4.c.3   Explosion :                                 
                  N 
8.4.c.4   Runaway reaction :                                            N 
8.4.c.5   Polymerization :                                              N 
8.4.c.6   Overpressurization :                                          N 
8.4.c.7   Corrosion :                                                   N 
8.4.c.8   Overfilling :                                                 N 
8.4.c.9   Contamination :                                               N 
8.4.c.10  Equipment failure :                                           Y 
8.4.c.11  Loss of cooling, heating, electricity, instrument air :       N      
8.4.c.12  Earthquake :                                                  N 
8.4.c.13  Floods (flood plain) :                                        N 
8.4.c.14  Tornado :                                                     N 
8.4.c.15  Hurricanes :                                                  N 
8.4.c.16  Other (Specify) :        
8.4.d     Process Controls in Use  
8.4.d.1   Vents  
:                       Y 
8.4.d.2   Relief valves :               Y 
8.4.d.3   Check valves :                Y 
8.4.d.4   Scrubbers :                   Y 
8.4.d.5   Flares :                      N 
8.4.d.6   Manual shutoffs :             Y 
8.4.d.7   Automatic shutoffs :          Y 
8.4.d.8   Interlocks :                  N 
8.4.d.9   Alarms & Procedures :         Y 
8.4.d.10  Keyed bypass :                N 
8.4.d.11  Emergency air supply :        Y 
8.4.d.12  Emergency power :             Y 
8.4.d.13  Backup pump :                 N 
8.4.d.14  Grounding equipment :         N 
8.4.d.15  Inhibitor addition :          N 
8.4.d.16  Rupture disks :               N 
8.4.d.17  Excess flow device :          N 
8.4.d.18  Quench system :               N 
8.4.d.19  Purge system :                N 
8.4.d.20  Other (Specify) :              
8.4.e     Mitigation Systems 
8.4.e.1   Sprinkler system :            Y 
8.4.e.2   Dikes :                       N 
8.4.e.3   Fire walls :                  Y 
8.4.e.4   Blast walls  
:                 N 
8.4.e.5   Deluge system :               N 
8.4.e.6   Water curtain :               N 
8.4.e.7   Enclosure :                   Y 
8.4.e.8   Neutralization :              Y 
8.4.e.9   Other (Specify) :              
8.4.f     Monitoring/Detection Systems 
8.4.f.1   Process area detectors :      Y 
8.4.f.2   Perimeter monitors :          N 
8.4.f.3   Other (Specify) :              
8.4.g     Changes since last hazard review date  
8.4.g.1   Reduction in chemical inventory :               N 
8.4.g.2   Increase in chemical inventory :                N 
8.4.g.3   Change process parameters :                     N 
8.4.g.4   Installation of process controls :              N 
8.4.g.5   Installation of process detection systems :     N 
8.4.g.6   Installation of perimeter monitoring systems :  N 
8.4.g.7   Installation of mitigation systems :            N 
8.4.g.8   None required/recommended :                     Y 
8.4.g.9   Other (specify) :                                                    
 
8.5       Date of most recent review/revision of operating  
         procedures :                                         5/20/1999 
8.6       Training 
8.6.a     Date of most recent review/revision of               5/17/1999 
         training programs : 
8.6.b     Type of training provided 
8.6.b.1   Classroom Training :       Y 
8.6.b.2   On the job Training :      Y 
8.6.b.3   Other (Specify) :                                                         
8.6.c     Type of competency test use 
8.6.c.1   Written test :          N 
8.6.c.2   Oral test :             N 
8.6.c.3   Demonstration :         Y 
8.6.c.4   Observation :           Y 
8.6.c.5   Other (Specify) :        
8.7       Maintenance 
8.7.a     The date of the most recent review or revision of  
         maintenance procedures :                          5/20/1999 
8.7.b     The date of the most recent equipment inspection  
         or test :                                         6/ 2/1999 
8.7.c     Equipment inspected/tested :    
    chlorine dioxide system             
8.8       Compliance audits 
8.8.a     The date of the most recent compliance audit :     4/27/1999 
8.8.b     Expected date of completion of any changes  
         resulting from the compliance audit :             12/31/1999 
8.9       Incident Investigation 
8.9.a     The date of the most recent incident investigation :  
8.9.b     The expected date of completion of any  
         changes resulting from the investigation :           
8.10      The date of the most recent change that triggerred a review  
         revision of safety information, hazard review, operating or  
         maintenance procedures or training :                1/22/1999 
 
 
 
 
 
 
9. EMERGENCY RESPONSE 
 
 
 
9.1       Emergency response (ER) plan 
 
9.1.a     Is the Facility included in written Community Emergency        N 
         Response Plan ? 
 
9.1.b     Does the Facility have its own written Emergency               Y 
         Response Plan ? 
 
9.2       Does the Facility's Emerge 
ncy Response Plan include            Y 
         specific action to be taken in response to accidental  
         releases of regulated substance(s) ? 
 
9.3       Does the Facility's Emergency Response Plan include            Y 
         procedures for informing the public and local agencies  
         responding to accidental release ? 
 
9.4       Does Facility's Emergency Response Plan include                N 
         information on emergency health care ? 
 
9.5       The date of the most recent review/update  
         of the facility ER plan :                             4/27/1999 
 
9.6       The date of the most recent Emergency Response  
         training for the Facility's employees :               6/ 9/1999 
 
9.7       Local Agency with which the facility ER plan or response                     
         activities are coordinated 
 
9.7.a     Name of Agency :          Caqon City Fire Protection District            
9.7.b     Phone Number :            719-275-8666 
 
9.8       Subject 
to 
 
9.8.a     OSHA 1910.38 :                                                  N 
9.8.b     OSHA 1910.120 :                                                 N 
9.8.c     Clean Water Act/SPCC (40CFR264, 265, 279.52) :                  Y 
9.8.d     RCRA (40 CFR 264, 265, 279.52) :                                N 
9.8.e     OPA-90 (40 CFR 112, 33 CFR 154, 49 CFR 194, 30 CFR 254) :       N 
9.8.f     State EPCRA rules/law :                                         Y 
9.8.g     Other (specify) :                                                             
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATE 
 
 
Process ID :            1 
Process Name :          Disinfection                                     
Program Level :         2 
 
1.Whether Worst Case release impact distance  > Public            Y 
receptor distance ? 
 
2.Whether any Accidental Release with listed onsite or offsite    N 
consequences has occurred within five years ? 
 
3.Whether Emergency response procedures have                      Y 
been coordinated with local  
emergency planning   
and response organizations ? 
 
4.Whether Process falls under the following NAICS codes:          N 
32211, 32411, 32511, 325181, 325188, 325192, 325199, 325211, 325311, and     
 
5.Whether Process is subject to OSHA.29  CFR 1910-1197 ?          N 
 
 
The undersigned certifies that, to the best of my knowledge,  information and 
belief, formed after reasonable inquiry,  the information submitted is true,  
accurate and complete. 
 
  Signature : 
  Title : 
  Date signed :
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