106 KAR 1:081. Kentucky Emergency Response Commission fee system requirements  


Latest version.
  •       Section 1. Definitions. (1) "Category One Facility" means any facility owned or operated by local, state or federal government which is exempted from paying any fee in accordance with KRS 39.817. This exemption applies solely to fees and does not exempt any Category One Facility from reporting requirements pursuant to KRS 39.800 to 39.905.

          (2) "Category Two Facility" means any facility that has not less than 10,000 pounds and not more than 499,999 pounds of each of ten (10) or fewer hazardous substances. The combined total of all hazardous substances shall not exceed 499,999 pounds.

          (3) "Category Three Facility" means any facility that has 10,000 pounds or more of each of eleven (11) or more hazardous substances. The combined total of all hazardous substances shall not exceed 499,999 pounds.

          (4) "Category Four Facility" means any facility that has a total inventory of over 499,999 pounds of hazardous substances.

          (5) "Category Five Facility" means any facility that has an extremely hazardous substance as set out in Section 6 of this administrative regulation in excess of the threshold planning quantity.

          (6) "DES/SARA-312" means the state annual chemical inventory reporting form due March 1 each year, covering the preceding calendar year.

          (7) "DES/SARA-312-C" means the confidential state annual chemical inventory reporting form due March 1 each year, covering the preceding calendar year which may be used if a facility elects to withhold location information on a specific chemical from disclosure to the public pursuant to 42 USC 11044(a).

          (8) "Hazardous chemical" means any substance for which a facility is required to prepare or have available a material safety data sheet under the Occupational Safety and Health Act

    of 1970 and federal regulations promulgated under that Act.

          (9) "Hazardous substance" means any substance defined in KRS 39.805(5) and for annual inventory reporting purposes shall include hazardous chemicals.

          (10) "KyERC" means the Kentucky Emergency Response Commission.

     

          Section 2. Facility Requirements. (1) In accordance with the planning requirements of KRS 39.845 and 39.850, 42 USC 11002(c) and 11003(c)(d), no later than sixty (60) days after a facility notifies the Kentucky Emergency Response Commission that it is subject to the requirements of this section, the facility shall provide emergency response planning information to the local emergency planning committee and shall assist the local emergency planning committee develop a Tab Q-7 or commission-approved equivalent as set out in Section 6 of this administrative regulation for all extremely hazardous substances set out in Section 6 of this administrative regulation in excess of the threshold planning quantity for submission in accordance with the requirements of 106 KAR 1:091.

          (2) After initial submission and approval of the Tab Q-7 or commission-approved equivalent in accordance with subsection (1) of this section, each March 1 any facility that has an extremely hazardous substance as set out in Section 6 of this administrative regulation in excess of the threshold planning quantity shall review the Tab Q-7 or commission-approved equivalent and send certification to the local emergency planning committee stating that there were no changes and therefore the plan is correct as is; or the plan has been revised and the revisions are included with the certification.

          (3) A Category Five Facility which is not subject to the annual chemical inventory reporting requirement due on DES/SARA-312 and, if applicable DES/SARA-312-C shall comply with Section 2(1) and (2) of this administrative regulation and shall file the fee in accordance with Section 4 of this administrative regulation.

          (4) Any facility subject to the annual chemical inventory reporting requirements contained in KRS Chapter 39.890, and 42 USC 11022 shall submit Form DES/SARA-312 and, if applicable DES/SARA-312-C as set out in Section 6 of this administrative regulation no later than March 1 each year in accordance with the filing instructions in Section 4 of this administrative regulation.

     

          Section 3. Fees shall be payable in accordance with the schedule listed below except the same owner or owners of two (2) or more facilities in a single county subject to paying a fee shall pay a fee not to exceed a total of $250 for all those facilities in that county.

          (1) Category One Facility fee is $0.

          (2) Category Two Facility fee is $40.

          (3) Category Three Facility fee is $250.

          (4) Category Four Facility fee is $250.

          (5) Category Five Facility fee is $250.

     

          Section 4. Filing Requirements for Fees and Forms DES/SARA-312 and DES/SARA-312-C. A computer-generated form containing all the information in DES/SARA-312 and DES/SARA-312-C may be accepted. All fees and forms DES/SARA-312 and, if applicable DES/SARA-312-C, shall be filed simultaneously, no later than March 1 each year. Checks shall be made payable to "Kentucky State Treasurer" and shall be marked "For KyERC Fee Account". Fees and forms shall be mailed to: Chairman, Kentucky Emergency Response Commission, EOC Building-Boone National Guard Center, Frankfort, Kentucky 40601-6168.

     

          Section 5. Penalties. Failure to comply with provisions of this administrative regulation shall result in penalties as provided in KRS 39.990(3).

     

          Section 6. The forms referred to in Sections 1(6), (7), 2(1), (2), (3), (4) and 4 of this administrative regulation is are set out in this section. The list of extremely hazardous substances referred to in Section 2(1), (2) of this administrative regulation are set out in this section.

     


     

    The List of Extremely Hazardous Substances and their Threshold Planning Quantities (Alphabetical Order)

    CAS No.

    Chemical Name

    Threshold

    Notes

    Planning

    quantity

    (pounds)

    75865

    ACETONE CYANOHYDRIN

    1000

     

    1752303

    ACETONE THIOSEMICARBAZIDE

    1000/10000

    e

    107028

    ACROLEIN

    500

     

    79061

    ACRYLAMIDE

    1000/10000

    d,l

    107131

    ACRYLONITRILE

    10000

    d,l

    814686

    ACRYLYL CHLORIDE

    100

    e,h

    111693

    ADIPONITRILE

    1000

    e,l

    116063

    ALDICARB

    100/10000

    c

    309002

    ALDRIN

    500/10000

    d

    107186

    ALLYL ALCOHOL

    1000

     

    107119

    ALLYLAMINE

    500

    e

    20859738

    ALUMINUM PHOSPHIDE

    500

    b

    54626

    AMINOPTERIN

    500/10000

    e

    78535

    AMITON

    500

    e

    3734972

    AMITON OXALATE

    100/1000

    e

    7664417

    AMMONIA

    500

    1

    300629

    AMPHETAMINE

    1000

    e

    62533

    ANILINE

    1000

    d,1

    88051

    ANILINE,2,4,6-TRIMETHYL-

    500

    e

    7783702

    ANTIMONY PENTAFLUORIDE

    500

    e

    1397940

    ANTIMYCINA

    1000/10000

    c,e

    86884

    ANTU

    500/10000

     

    1303282

    ARSENIC PENTOXIDE

    100/10000

    d

    1327533

    ARSENOUS OXIDE

    100/10000

    d,h

    7784341

    ARSENOUS TRICHLORIDE

    500

    d

    7784421

    ARSINE

    100

    e

    2642719

    AZINPHOS-ETHYL

    100/10000

    e

    86500

    AZINPHOSMETHYL

    10/10000

     

    98873

    BENZAL CHLORIDE

    500

    d

    98168

    BENZENAMINE,3(TRIFLUOROMETHYL)-

    500

    e

    100141

    BENZENE,I(CHLOROMETHYL)-4-NITRO-

    500/10000

    e

    98055

    BENZENEARSONIC ACID

    10/10000

    e

    3615212

    BENZIMIDAZOLE,4,5-DICHOLORO-2- (TRIFLUOROMETHYL)-

    500/10000

    e,g

    98077

    BENZOTRICHLORIDE

    100

    d

    100447

    BENZYL CHLORIDE

    500

    d

    140294

    BENZYL CYANIDE

    500

    e,h

    15271417

    BICYCLO(2.2.1)HEPTANE-2-CARBONITRILE,5- CHOLORO-6((((METHYLAMINO)CARBONYL)

    OXY)IMMINO-,(l S-(2-ALPHA,2-BETA,4-ALPHA, 5-ALPHA,6E))-

    500/10000

    e

    534076

    BIS(CHLOROMETHYL)KETONE

    10/10000

    e

    4044659

    BITOSCANATE

    500/10000

    e

    10294345

    BORON TRICHLORIDE

    500

    e

    7637072

    BORON TRIFLUORIDE

    500

    e

    353424

    BORON TRIFLUORIDE COMPOUND WITH METHYL ETHER(1:1)

    1000

    e

    28772567

    BROMADIOLONE

    100/10000

    e

    7726956

    BROMINE

    500

    e,l

    1306190

    CADMIUM OXIDE

    100/10000

    e

    2223930

    CADMIUM STEARATE

    1000/10000

    c,e

    7778441

    CALCIUM ARSENATE

    500/10000

    d

    8001352

    CAMPHECHLOR

    500/10000

    d

    56257

    CANTHARIDIN

    100/10000

    e

    51832

    CARBACHOL CHLORIDE

    500/10000

    e

    26419738

    CARBAMIC ACID, METHYL-,O-(((2,4-DIMETHYL-1, 3-DITHIOLAN-2-yl)METHYLENE)AMINO)-

    100/10000

    e

    1563662

    CARBOFURAN

    10/10000

     

    75150

    CARBON DISULFIDE

    10000

     

    786196

    CARBOPHENOTHION

    500

    e

    57749

    CHLORDANE

    1000

    d

    470906

    CHLORFENVINFOS

    500

    e

    7782505

    CHLORINE

    100

     

    24934916

    CHLORMEPHOS

    500

    e

    999815

    CHLORMEQUAT CHLORIDE

    100/10000

    e,h

    79118

    CHLOROACETICACID

    100/10000

    e

    107073

    CHLOROETHANOL

    500

    e

    627112

    CHLOROETHYLCHLOROFORMATE

    1000

    e

    67663

    CHLORFORM

    10000

    d,l

    542881

    CHLOROMETHYL ETHER

    100

    d,h

    107302

    CHLOROMETHYL METHYL ETHER

    100

    c,d

    3691358

    CHLOROPHACINONE

    100/10000

    e

    1982474

    CHLOROXURON

    500/10000

    e

    21923239

    CHLORTHIOPHOS

    500

    e,h

    10025737

    CHROMIC CHLORIDE

    1/10000

    e

    10210681

    COBALT CARBONYL

    10/10000

    e,h

    62207765

    COBALT,((2,2'-(1,2-ETHANEDIYL-BIS(NITRILOMETHYLIDYNE))

    EiIS(6-FLUOROPHENOLATO)) (2-)N,NI,O,Ol

    100/10000

    e

    64868

    COLCHICINE

    10/10000

    e,h

    56724

    COUMAPHOS

    100/10000

     

    5836293

    COUMATETRALYL

    500/10000

    e

    95487

    CRESOL,O

    1000/10000

    d

    535897

    CRIMIDINE

    100/10000

    e

    4170303

    CROTONALDEHYDE

    1000

     

    123739

    CROTONALDEHYDE(E)-

    1000

     

    506683

    CYANOGEN BROMIDE

    500/10000

     

    506785

    CYANOGEN IODIDE

    1000/10000

    e

    2636262

    CYANOPHOS

    1000

    e

    675149

    CYANURIC FLUORIDE

    100

    e

    66819

    CYCLOHEXIMIDE

    100/10000

    e

    108918

    CYCLOHEXYLAMINE

    10000

    e,l

    17702419

    DECABORANE(14)

    500/10000

    e

    8065483

    DEMETON

    500

    e

    919868

    DEMETON-S-METHYL

    500

    e

    10311849

    DIALIFOR

    100/10000

    e

    19287457

    DIBORANE

    100

    e

    111444

    DICHLOROETHYL ETHER

    10000

    d

    149746

    DICHLOROMETHYLPHENYLSILANE

    1000

    e

    62737

    DICHLORVOS

    1000

     

    141662

    DICROTOPHOS

    100

    e

    1464535

    DIEPOXYBUTANE

    500

    d

    814493

    DIETHYL CHLOROPHOSPHATE

    500

    e,h

    164254

    DIETHYLCARBAMAZINE CITRATE

    100/10000

    e

    71636

    DIGITOXIN

    100/10000

    c,e

    2238075

    DIGLYCIDYL ETHER

    1000

    e

    20830775

    DIGOXIN

    10/10000

    e,h

    115264

    DIMEFOX

    500

    e

    60515

    DIMETHOATE

    500/10000

     

    2524030

    DIMETHYL PHOSPHOROCHLORIDOTHIOATE

    500

    e

    77781

    DIMETHYL SULFATE

    500

    d

    75785

    DIMETHYLDICHLOROSILANE

    500

    e,h

    57147

    DIMETHYLHYDRAZINE

    1000

    d

    99989

    DIMETHYL-P-PHENYLEDIAMINE

    10/10000

    e

    644644

    DIMETILAN

    500/10000

    e

    534521

    DINITROCRESOL

    10/10000

     

    88857

    DINOSEB

    100/10000

     

    1420071

    DINOTERB

    500/10000

    e

    78342

    DIOXATHION

    500

    e

    82666

    DIPHACINONE

    10/10000

    e

    152169

    DIPHOSPHORAMIDE, OCTAMETHYL-

    100

     

    298044

    DISULFOTON

    500

     

    514738

    DITHIAZANINE IODIDE

    500/10000

    e

    541537

    DITHIOBIURET

    100/10000

     

    316427

    EMETINE, DIHYDROCHLORIDE

    1/10000

    e,h

    115297

    ENDOSULFAN

    10/10000

     

    2778043

    ENDOTHION

    500/10000

    e

    72208

    ENDRIN

    500/10000

     

    106898

    EPICHLOROHYDRIN

    1000

    d,l

    2104645

    EPN

    100/10000

    e

    50146

    ERGOCALCIFEROL

    1000/10000

    c,e

    379793

    ERGOTAMINE TARTRATE

    500/10000

    e

    1622328

    ETHANESULFONYL CHLORIDE,2-CHLORO-

    500

    e

    10140871

    ETHANOL,1,2-DICHLORO-,ACETATE

    1000

    e

    563122

    ETHION

    1000

     

    13194484

    ETHOPROPHOS

    1000

    e

    538078

    ETHYLBIS(2-CHLOROETHYL)AMINE

    500

    e,h

    371620

    ETHYLENE FLUOROHYDRIN

    10

    c,e,h

    75218

    ETHYLENE OXIDE

    1000

    d,l

    107153

    ETHYLENEDIAMINE

    10000

     

    151564

    ETHYLENEIMINE

    500

    d

    542905

    ETHYLTHIOCYANATE

    10000

    e

    22224926

    FENAMIPHOS

    10/10000

    e

    122145

    FENITROTHION

    500

    e

    115902

    FENSULFOTHION

    500

    e,h

    4301502

    FLUENETIL

    100/10000

    e

    7782414

    FLUORINE

    500

    k

    640197

    FLUOROACETAMIDE

    100/10000

    i

    144490

    FLUOROACETIC ACID

    10/10000

    e

    359068

    FLUOROACETYL CHLORIDE

    10

    c,e

    51218

    FLOUROURACIL

    500/10000

    e

    944229

    FONOFOS

    500

    e

    50000

    FORMALDEHYDE

    500

    d,l

    107164

    FORMALDEHYDE CYANOHYDRIN

    1000

    e,h

    23422539

    FORMETANATE HYDROCHLORIDE

    500/10000

    e,h

    2540821

    FORMOTHION

    100

    e

    17702577

    FORMPARANATE

    100/10000

    e

    21548323

    FOSTHIETAN

    500

    e

    3878191

    FUBERIDAZOLE

    100/10000

    e

    110009

    FURAN

    500

     

    13450903

    GALLIUM TRICHLORIDE

    500/10000

    e

    77474

    HEXACHLOROCYCLOPENTADIENE

    100

    d,h

    4835114

    HEXAMETHYLENEDIAMINE,NIN-DIBUTYL-

    500

    e

    302012

    HYDRAZINE

    1000

    d

    74908

    HYDROCYANIC ACID

    100

     

    7647010

    HYDROGEN CHLORIDE (GAS ONLY)

    500

    e,l

    7664393

    HYDROGEN FLUORIDE

    100

     

    7722841

    HYDROGEN PEROXIDE (CONC. GREATER THAN 52%)

     

     

    7783075

    HYDROGEN SELENIDE

    10

    e

    7783064

    HYDROGEN SULFIDE

    500

     

    123319

    HYDROQUINONE

    500/10000

     

    13463406

    IRON,PENTACARBONYL-

    100

    e

    297789

    ISOBENZAN

    100/10000

    e

    78820

    ISOBUTYRONITRILE

    10000

    e,h

    102363

    ISOCYANIC ACID,3,4-DICHLOROPHENYL ESTER

    500/10000

    e

    465736

    ISODRIN

    100/10000

     

    55914

    ISOFLUORPHATE

    100

    c

    4098719

    ISOPHORONE DIISOCYANATE

    100

    b,e

    108236

    ISOPROPYL CHLOROFORMATE

    1000

    e

    119380

    ISOPROPYLMETHYLPYRAZOLYL DIMETHYL-CARBAMATE

    500

    e

    78977

    LACTONITRILE

    1000

    e

    21609905

    LEPTOPHOS

    500/10000

    e

    541253

    LEWISITE

    10

    c,e,h

    58899

    LINDANE

    1000/10000

    d

    7580678

    LITHIUM HYDRIDE

    100

    b,e

    109773

    MALONONITRILE

    500/10000

     

    12108133

    MANGANESE, TRICARBONYL METHYLCYCLO-PENTADIENYL

    100

    e

    51752

    MECHLORETHAMINE

    10

    c,e

    950107

    MEPHOSFOLAN

    500

    e

    1600277

    MERCURIC ACETATE

    500/10000

    e

    7487947

    MERCURIC CHLORIDE

    500/10000

    e

    21908532

    MERCURIC OXIDE

    500/10000

    e

    10476956

    METHACROLEIN DIACERATE

    1000

    e

    760930

    METHACRYLIC ANHYDRIDE

    500

    e

    126987

    METHACRYLONITRILE

    500

    h

    920467

    METHACRYLOYL CHLORIDE

    100

    e

    30674807

    METHACRYLOYLOXYETHYLISOCYANATE

    100

    e,h

    10265926

    METHAMIDOPHOS

    100/10000

    e

    558258

    METHANESULFONYL FLUORIDE

    1000

    e

    950370

    METHIDATHION

    500/10000

    e

    2032657

    METHIOCARB

    500/10000

     

    16752775

    METHOMYL

    500/10000

    h

    151382

    METHOXYETHYLMERCURIC ACETATE

    500/10000

    e

    80637

    METHYL 2-CHLOROACRYLATE

    500

    e

    74839

    METHYL BROMIDE

    1000

    1

    79221

    METHYL CHLOROFORMATE

    500

    d,h

    60344

    METHYL HYDRAZINE

    500

     

    624839

    METHYL ISOCYANATE

    500

    f

    556616

    METHYL ISOTHIOCYANATE

    500

    b,e

    74931

    METHYL MERCAPTAN

    500

     

    3735237

    METHYL PHENKAPTON

    500

    e

    676971

    METHYL PHOSPHONIC DICHLORIDE

    100

    b,e

    556649

    METHYL THIOCYANATE

    10000

    e

    78944

    METHYL VINYL KETON

    10

    e

    502396

    METHYLMERCURIC DICYANAMIDE

    500/10000

    e

    75796

    METHYLTRICHLOROSILANE

    500

    e,h

    1129415

    METOLCARB

    100/10000

    e

    7786347

    MEVINPHOS

    500

     

    315184

    MEXACARBATE

    500/10000

     

    50077

    MITOMYCIN C

    500/10000

    d

    69232224

    MONOCROTOPHOS

    10/10000

    e

    2763964

    MUSCIMOL

    500/10000

    a,h

    505602

    MUSTARD GAS

    500

    e,h

    13463393

    NICKEL CARBONYL

    1

    d

    54115

    NICOTINE

    100

    c

    65305

    NICOTINE SULFATE

    100/10000

    e

    7697372

    NITRIC ACID

    1000

     

    10102439

    NITRIC OXIDE

    100

    c

    98953

    NITROBENZENE

    1000

     

    1122607

    NITROCYCLOHEXANE

    500

    e

    10102440

    NITROGEN DIOXIDE

    100

     

    62759

    NITROSDIMETHYLAMINE

    1000

    d,h

    991424

    NORBORMIDE

    100/10000

    e

    PMN82147

    ORGANORHODIUM COMPLEX (PMN-82-147)

    10/10000

    e

    630604

    OUABAIN

    100/10000

    c,e

    23135220

    OXAMYL

    100/10000

    e

    78717

    OXETANE, 3,3-BIS(CHLOROMETHYL)

    500

    e

    2497976

    OXYDISULFOTON

    500

    e,h

    10028156

    OZONE

    100

    e

    1910425

    PARAQUAT

    10/10000

    e

    2074502

    PARAQUAT METHOSULFATE

    10/10000

    e

    56382

    PARATHION

    100

    c,d

    298000

    PARATHION-METHYL

    100/10000

    c

    12002038

    PARIS GREEN

    500/10000

    d

    19624227

    PENTABORANE

    500

    e

    2570265

    PENTADECYLAMINE

    100/10000

    e

    79210

    PERACETIC ACID

    500

    e

    594423

    PERCHLOROMETHYLMERCAPTAN

    500

     

    108952

    PHENOL

    500/10000

     

    4418660

    PHENOL 2,2'-THIOBIS(4-CHLORO-6-METHYL-

    100/10000

    e

    64006

    PHENOL,3-(I-METHYLETHYL)-,METHYLCARBAMATE

    500/10000

    e

    58366

    PHENOXARSINE, 10,101-OXIDI

    500/10000

    e

    696286

    PHENYL DICHLOROARAINE

    500

    d,h

    59881

    PHENYLHYDRAZINE HYDROCHLORIDE

    1000/10000

    e

    62384

    PHENYLMERCURY ACETATE

    500/10000

     

    2097190

    PHENYLSILATRANE

    100/10000

    e,h

    103855

    PHENYLTHIOUREA

    100/10000

     

    298022

    PHORATE

    10

     

    4104147

    PHOSACETIM

    100/10000

    e

    947024

    PHOSFOLAN

    100/10000

    e

    75445

    PHOSGENE

    10

    1

    732116

    PHOSMET

    10/10000

    e

    13171216

    PHOSPHAMIDON

    100

    e

    7803512

    PHOSPHINE

    500

     

    2703131

    PHOSPHONOTHIOIC ACID, METHYL-,O-ETHYL 0- (4-(METHYLTHIO) ESTER

    500

    e

    50782699

    PHOSPHONOTHIOIC ACID, METHYL-,S-(2-(BIS (I-METHYLETHYL)AMINO)ETHYL O-ETHYL ESTER

    100

    e

    2665307

    PHOSPHONOTHIOIC ACID, METHYL-,O-(4-NITRO- PHENYL)O-PHENYL ESTER

    500

    e

    3254635

    PHOSPHORIC ACID, DIMETHYL4-(METHYLTHIO) PHENYL ESTER

    500

    e

    2587908

    PHOSPHOROTHIOIC ACID, O,O-DIMETHYL-S- (2-METHYLTHIO) ETHYL ESTER

    500

    c,e,g

    7723140

    PHOSPHORUS

    100

    b,h

    10025873

    PHOSPHORUS OXYCHLORIDE

    500

    d

    10026138

    PHOSPHORUS PENTACHLORIDE

    500

    b,e

    1314563

    PHOSPHORUS PENTOXIDE

    10

    b,e

    7719122

    PHOSPHORUS TRICHLORIDE

    1000

     

    57476

    PHYSOSTIGMINE

    100/10000

    e

    57647

    PHYSOSTIGMINE, SALICYLATE(1:1)

    100/10000

    e

    124878

    PICROTOXIN

    500/10000

    e

    110894

    PIPERIDINE

    1000

    e

    23505411

    PIRIMIFOS-ETHLY

    1000

    e

    10124502

    POTASSIUM ARSENITE

    500/10000

    d

    151508

    POTASSIUM CYANIDE

    100

    b

    506616

    POTASSIUM SILVER CYANIDE

    500

    b

    2631370

    PROMECARB

    500/10000

    e,h

    106967

    PROPARGYL BROMIDE

    10

    e

    57578

    PROPIOLACTONE, BETA-

    500

    e

    107120

    PROPIONITRILE

    500

     

    542767

    PROPIONITRILE, 3-CHLORO-

    1000

     

    70699

    PROPIOPHENONE, 41-AMINO

    100/10000

    e,l,g

    109615

    PROPYL CHLOROFORMATE

    500

    e

    75569

    PROPYLENE OXIDE

    10000

    1

    75558

    PROPYLENEIMINE

    10000

    d

    2275185

    PROTHOATE

    100/10000

    e

    129000

    PYRENE

    1000/10000

    c

    140761

    PYRIDINE, 2-METHYL-5-VINYL-

    500

    e

    504245

    PYRIDINE, 4-AMINO-

    500/10000

    4

    1124330

    PYRIDINE, 4-NITRO-,I-OXIDE

    500/10000

    e

    53558251

    PYRIMINIL

    100/10000

    e,h

    14167181

    SALCOMINE

    500/10000

    e

    107448

    SARIN

    10

    e,h

    7783008

    SELENIOUS ACID

    1000/10000

     

    7791233

    SELENIUM OXYCHLORIDE

    500

    e

    563417

    SEMICARBAZIDE HYDROCHLORIDE

    1000/10000

    e

    3037727

    SILANE, (4-AMINOBUTYL)DIETHOXYMETHYL-

    1000

    e

    7631892

    SODIUM ARSENATE

    1000/10000

    d

    7784465

    SODIUM ARSENITE

    500/10000

    d

    26628228

    SODIUM AZIDE(NA(N3))

    500

    b

    124652

    SODIUM CACODYLATE

    100/10000

    e

    143339

    SODIUM CYANIDE(NA(CN))

    100

    b

    62748

    SODIUM FLOUOROACETATE

    10/10000

     

    13410010

    SODIUM SELENATE

    100/10000

    e

    10102188

    SODIUM SELENITE

    100/10000

    h

    10102202

    SODIUM TELLURITE

    500/10000

    e

    900958

    STANNANE, ACETOXYTRIPHENYL-

    500/10000

    e,g

    57249

    STRYCHNINE

    100/10000

    c

    60413

    STRYCHNINE, SULFATE

    100/10000

    e

    3689245

    SULFOTEP

    500

     

    3569571

    SULFOXIDE, 3-CHLOROPROPYLCOTYL

    500

    e

    7446095

    SULFUR DIOXIDE

    500

    e,l

    7783600

    SULFUR TETRAFLUORIDE

    100

    e

    7446119

    SULFUR TRIOXIDE

    100

    b,e

    7664939

    SUFURIC ACID

    1000

     

    77816

    TABUN

    10

    c,e,h

    13494809

    TELLURIUM

    500/10000

    e

    7783804

    TELLURIUM HEXAFLUORIDE

    100

    e,k

    107493

    TEPP

    100

     

    13071799

    TERBUFOS

    100

    e,h

    78002

    TETRAETHYL LEAD

    100

    c,d

    597648

    TETRAETHYLTIN

    100

    c,e

    75741

    TETRAMETHYL LEAD

    100

    c,e,l

    509148

    TETRANITROMETHANE

    500

     

    10031591

    THALLIUM SULFATE

    100/10000

    h

    6533739

    THALLOUS CARBONATE

    100/10000

    c,h

    7791120

    THALLOUS CHLORIDE

    100/10000

    c,h

    2757188

    THALLOUS MALONATE

    100/10000

    c,e,h

    7446186

    THALLOUS SULFATE

    100/10000

     

    2231574

    THIOCARBAZIDE

    1000/10000

    e

    39196184

    THIOFANOX

    100/10000

     

    297972

    THIONAZIN

    500

     

    108985

    THIOPHENOL

    500

     

    79196

    THIOSEMICARBAZIDE

    100/10000

     

    5344821

    THIOUREA, (2-CHLOROPHENYL)-

    100/10000

     

    614788

    THIOUREA, (2-METHYLPHENYL)-

    500/10000

    e

    7550450

    TITANIUM TETRACHLORIDE

    100

    e

    584848

    TOLUENE 2,4-DIISOCYANATE

    500

     

    91087

    TOLUENE 2,6-DIISOCYANATE

    100

     

    110576

    TRANS-1,4-DICHLOROBUTENE

    500

    e

    1031476

    TRIAMIPHOS

    500/10000

    e

    24017478

    TRIAZOFOS

    500

    e

    76028

    TRICHLOROACETYL CHLORIDE

    500

    e

    115219

    TRICHLOROETHYLSILANE

    500

    e,h

    327980

    TRICHLORONATE

    500

    e,k

    98135

    TRICHLOROPHENYLSILANE

    500

    e,h

    1558254

    TRICHLORO(CHLOROMETHYL)SILANE

    100

    e

    27137855

    TRICHLOR(DICHLOROPHENYL)SILANE

    500

    e

    998301

    TRIETHOXYSILANE

    500

    e

    75774

    TRIMETHYLCHLOROSILANE

    1000

    e

    824113

    TRIMETHYLOLPROPANE PHOSPHITE

    100/10000

    e,h

    1066451

    TRIMETHYLTIN CHLORIDE

    500/10000

    e

    639587

    TRIPHENYLTIN CHLORIDE

    500/10000

    e

    555771

    TRIS(2-CHLOROETHYL)AMINE

    100

    e,h

    2001958

    VALINOMYCIN

    1000/10000

    c,e

    1314621

    VANADIUM PENTOXIDE

    100/10000

     

    08054

    VINYL ACETATE MONOMER

    1000

    d,l

    81812

    WARFARIN

    500/10000

     

    129066

    WARFARINSODIUM

    100/10000

    e,h

    28347139

    XYLYENE DICHLORIDE

    100/10000

    e

    58270089

    ZINC, DICHLORO(4,4-DIMETHYL-5((((METHYLAM-

     ION)CARBONYL)OXY)IMINO)PENTANENITRILE) (T-4)-

    100/10000

    e

    1314847

    ZINC PHOSPHIDE

    500

     

     

    *Only the statutory or final RQ is shown. for more information, see 40 CFR Table 302.4.

    Notes:

    a    This chemical does not meet acute toxicity criteria. Its TPQ is set at 10,000 pounds.

    b    This material is a reactive solid. The TPQ does not default to 10,000 pounds for nonpowder, nonmolten, nonsolution form.

    c    The calculate TPQ changed after technical review as described in the technical support document.

    d    Indicates that the RQ is subject to change when the assessment of potential carcinogenicity and/or other toxicity is completed.

    e    Statutory reportable quantity for purposes of notification under SARA sect 304(a)(2).

    f     The statutory 1 pound reportable quantity for methyl isocyanate may be adjusted in a future rulemaking action.

    g    New chemicals added that were not part of the original list of 402 substances.

    h    Revised TPQ based on new or reevaluated toxicity data.

    i     Chemicals on the original list that do not meet toxicity criteria but because of their high production volume and recognized toxicity are considered chemicals of concern ("Other Chemicals").

    j     TPQ is revised to its calculated value and does not change due to technical review as in proposed rule.

    k    The TPQ was revised after proposal due to calculation error.

     

    Tier Two

     

    EMERGENCY AND HAZARDOUS CHEMICAL INVENTORY

     

    Specific Information by Chemical

    Facility Identification

    Name____________________________________________

    Street____________________________________________

    City_________ County_________ State_____ Zip_______

    SIC Code cccc Dun & Brad Number cc-ccc-cccc

    Owner/Operator Name

    Name______________________ Phone (__)_________

    Mail Address___________________________________

     

    Emergency Contact

    Name_____________________ Title________________

    Phone (___)___________ 24 Hr. Phone (___)_________

    Name_____________________ Title________________

    Phone (___)___________ 24 Hr. Phone (___)_________

    FOR OFFICIAL USE ONLY

     

    ID#:_________________ Fee Received $_______________

    Date received:_________ Check Number _______________

    Important: Read all instructions before completing form

    Report Period: From January 1 to December 31, 19___

    c check if information below is identical to the information submitted last year

     

    CONFIDENTIAL LOCATION INFORMATION SHEET

    Container type

    Pressure

    Temperature

    Storage Codes and Locations

    (Confidential)

     

     

    Storage Locations

    Options

     

    CAS cccccc cc c   Chem. Name

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

    c

     

    CAS cccccc cc c   Chem. Name

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

    c

     

    CAS cccccc cc c   Chem. Name

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

     c    c    c  ______________________________________

    c

    Certification (Read and sign after completing all sections

    I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one through ____, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete.

     

    __________________________________________________________________

    Name & official title of owner/operator OR owner/operator's authorized representative

     

    _____________________________________________________        _________

    Signature                                                                                                Date Signed

    Optional Attachments

    c I have attached a site plan.

    c I have attached a list of site coordinate abbreviations.

    c I have attached a description of dikes and other safeguard measures.

    Check appropriate box:

    c $250 fee attached

    c $40 fee attached

    c No fee required

     

    Tier Two

     

    EMERGENCY AND HAZARDOUS CHEMICAL INVENTORY

     

    Specific Information By Chemical

    Facility Identification

    Name____________________________________________

    Street____________________________________________

    City_________ County_________ State_____ Zip_______

    SIC Code cccc Dun & Brad Number cc-ccc-cccc

    Owner/Operator Name

    Name______________________ Phone (__)_________

    Mail Address___________________________________

     

    Emergency Contact

    Name_____________________ Title________________

    Phone (___)___________ 24 Hr. Phone (___)_________

    Name_____________________ Title________________

    Phone (___)___________ 24 Hr. Phone (___)_________

    FOR OFFICIAL USE ONLY

     

    ID#:_________________ Fee Received $_______________

    Date received:_________ Check Number _______________

    Important: Read all instructions before completing form

    Report Period: From January 1 to December 31, 19___

    c check if information below is identical to the information submitted last year

    CHEMICAL

    DESCRIPTION

    Physical and

    Health Hazards

    (Check all that apply)

    Inventory

    Container type

    Pressure

    Temperature

    Storage Codes and Locations

    (Confidential)

     

     

    Storage Locations

    Options

    CAS cccccc  cc  c Trade c

    Chem. Name___________________

    _____________________________

    Check all that apply:

    c Pure               c Mix

    c Solid              c Liquid

    c Gas                c EHS

    EHS Name___________________

    c Fire

    c Sudden release of pressure

    c Reactivity

    c Immediate (acute)

    c Delayed (chronic)

    cc Max. Daily Amounts (code)

    cc Avg. Daily Amount (code)

    cc No. of Days On Site (days)

     

    For code 05: Enter actual weight in pounds: _____

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c

    CAS cccccc  cc  c Trade c

    Chem. Name___________________

    _____________________________

    Check all that apply:

    c Pure               c Mix

    c Solid              c Liquid

    c Gas                c EHS

    EHS Name___________________

    c Fire

    c Sudden release of pressure

    c Reactivity

    c Immediate (acute)

    c Delayed (chronic)

    cc Max. Daily Amounts (code)

    cc Avg. Daily Amount (code)

    cc No. of Days On Site (days)

     

    For code 05: Enter actual weight in pounds: _____

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c

    CAS cccccc  cc  c Trade c

    Chem. Name___________________

    _____________________________

    Check all that apply:

    c Pure               c Mix

    c Solid              c Liquid

    c Gas                c EHS

    EHS Name___________________

    c Fire

    c Sudden release of pressure

    c Reactivity

    c Immediate (acute)

    c Delayed (chronic)

    cc Max. Daily Amounts (code)

    cc Avg. Daily Amount (code)

    cc No. of Days On Site (days)

     

    For code 05: Enter actual weight in pounds: _____

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c  c  c  _________________

    c

    Certification (Read and sign after completing all sections

    I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one through ____, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete.

     

    __________________________________________________________________

    Name and official title of owner/operator OR owner/operator's authorized representative

     

    __________________________________________________________________

    Signature and Date Signed

    Optional Attachments

    c I have attached a site plan.

    c I have attached a list of site coordinate abbreviations.

    c I have attached a description of dikes and other safeguard measures.

    Check appropriate box:

    c $250 fee attached

    c $40 fee attached

    c No fee required

     


    KENTUCKY EMERGENCY RESPONSE COMMISSION

    TIER TWO INSTRUCTIONS

    GENERAL INFORMATION

     

    Submission of this Tier Two form is required by the Kentucky Emergency Response Commission in accordance with Title III of the Superfund Amendments and Reauthorization Act of 1986, Section 312 and KRS 39.990 and subsequent administrative regulations. The purpose of this Tier Two form is to provide state and local officials and the public with specific information on hazardous chemicals present at your facility during the past year.

     

    CERTIFICATION

     

    The owner or operator or officially designated representative of the owner or operator must certify that all information included in the Tier Two submission is true, accurate, and complete. On the first page of the Tier Two report, enter your full name and official title. Sign your name and enter the current date. Also, enter the total number of pages included in the Confidential and Nonconfidential information Sheets as well as all attachments. An original signature is required on at least the first page of the submission. Submissions to the SERC, LEPC, and fire department must each contain and original signature on at least the first page. Subsequent pages must contain either an original signature, a photocopy of the original signature, or a signature stamp. Each page must contain the date on which the original signature was affixed to the first page of the submission and the total number of pages in the submission.

     

    YOU MUST PROVIDE ALL INFORMATION REQUESTED ON THIS FORM TO FULFILL ANNUAL CHEMICAL INVENTORY REQUIREMENTS.

     

    THE KENTUCKY EMERGENCY RESPONSE COMMISSION REQUIRES SUBMISSION OF THE TIER TWO FORM.

     

    WHO MUST SUBMIT THIS FORM

     

    This request applies to the owner or operator of any facility that is required, under administrative regulations implementing the Occupational Safety and Health Act of 1970, to prepare or have available a Material Safety Data Sheet (MSDS) for a hazardous chemical present at the facility. MSDS requirements are specified in the Occupational Safety and Health Administration (OSHA) Hazard Communication Standard, found in Title 29 of the Code of Federal Regulations at 1910.1200.

     

    WHAT CHEMICALS ARE INCLUDED

     

    You must report the required information on this Tier Two form for each hazardous chemical present at your facility in quantities equal to or greater than established threshold amounts (discussed below), unless the chemicals are excluded under Section 311(e) of Title III. Hazardous chemicals are any substance for which your facility must maintain an MSDS under OSHA's Hazard Communication Standard.

     

    WHAT CHEMICALS ARE EXCLUDED

     

    Section 311(e) of Title III excludes the following substances:

          (I) Any food, food additive, color additive, drug, or cosmetic regulated by the Food and Drug Administration:

          (II) Any substance present as a solid in any manufactured item to the extent exposure to the substance does not occur under normal conditions of use:

          (III) Any substance to the extent it is used for personal, family, or household purposes, or is present in the same form and concentration as a product packaged for distribution and use by the general public:

          (IV) Any substance to the extent it is used in a research laboratory or a hospital or other medical facility under the direct supervision of a technically qualified individual:

          (V) Any substance to the extent it is used in routine agricultural operations or is a fertilizer held for sale by a retailer to the ultimate customer.

     

    OSHA regulations, Section 1910.1200(b), stipulate exemptions from the requirement to prepare or have available an MSDS.

     

    REPORTING THRESHOLDS

     

    Minimum thresholds have been established for Tier Two reporting under Title III, Section 312. These thresholds are as follows:

     

    For Extremely Hazardous Substances (EHSs) designated under section 302 of Title III, the reporting threshold is 500 pounds (or 227 kg.) or the threshold planning quantity (TPQ), whichever is lower:

     

    For all other hazardous chemicals for which facilities are required to have or prepare an MSDS, the minimum reporting threshold is 10,000 pounds (or 4,540 kg.).

     

    You need to report hazardous chemicals that were present at your facility at any time during the previous calendar year at levels that equal or exceed these thresholds. For instructions on threshold determinations for components of mixtures, see "What About Mixtures?" on page 2 of these instructions.

     

    Please read these instructions carefully. Print or type all responses.

     

    WHEN TO SUBMIT THIS FORM

    Owners or operators of facilities that have hazardous chemicals on hand in quantities equal to or greater than set threshold levels must submit a Tier Two form by March 1.

     

    WHERE TO SUBMIT FEE

    (See Fee Schedule on page 4)

     

    Checks shall be made payable to: "Kentucky State Treasurer" and shall be marked "For KyERC Fee Account". Fees and form shall be mailed to:

     

    Chairman, Kentucky Emergency Response Commission

    EOC Building, Boone National Guard Center

    Frankfort, KY 40601-6168

     

    WHERE TO SUBMIT THIS FORM

     

    Send a completed Tier Two form(s) to each of the following organizations:

          1. Your State Emergency Response Commission.

          2. Your Local Emergency Planning Committee.

          3. The fire department with jurisdiction over your facility.

     

    PENALTIES

     

    Any owner or operator who violates any Tier Two reporting requirements shall be subject to penalties as set forth in P.L. 99-499, Title III, Section 325 and KRS Chapter 39.990 and subsequent administrative regulations.

     

    If your Tier Two responses require more than one page use additional forms and fill in the page number at the bottom of the form.

     

    REPORTING PERIOD

     

    Enter the appropriate calendar year, beginning January 1 and ending December 31.

     

    FACILITY IDENTIFICATION

     

    Enter the full name of your facility (and company identifier where appropriate).

     

    Enter the full street address or state road. If a street address is not available, enter other appropriate identifiers that describe the physical location of your facility (e.g. longitude and latitude). Include city, county, state, and zip code.

     

    Enter the primary Standard industrial Classification (SIC) code and the Dun & Bradstreet number for your facility. The financial officer of your facility should be able to provide the Dun & Bradstreet number. If your firm does not have this information, contact the State or regional office of Dun & Bradstreet to obtain your facility number or have one assigned.

     

    OWNER/OPERATOR

     

    Enter the owner's or operator's full name, mailing address, and phone number.

     

    EMERGENCY CONTACT

     

    Enter the name, title, and work phone number of at least one local person or office who can act as a referral if emergency responders need assistance in responding to a chemical accident at the facility.

     

    Provide an emergency phone number where such emergency information will be available 24 hours a day, every day. This requirement is mandatory. The facility must make some arrangement to ensure that a 24 hour contact is available.

     

    IDENTICAL INFORMATION

     

    Check the box indicating identical information, located below the emergency contacts on the Tier Two form, if the current chemical information being reported is identical to that submitted last year. Chemical descriptions, hazards, amounts, and locations must be provided in this year's form, even if the information is identical to that submitted last year.

     

    CHEMICAL INFORMATION: Description, Hazards, Amounts, and Locations

     

    The main section of the Tier Two form requires specific information on amounts and locations of hazardous chemicals, as defined in the OSHA Hazard Communication Standard.

     

    If you choose to indicate that all of the information on a specific hazardous chemical is identical to that submitted last year, check the appropriate optional box provided at the right side of the storage codes and locations on the Tier Two form. Chemicals descriptions, hazards, amounts, and locations must be provided even if the information is identical to that submitted last year.

     

    -     What units should I use?

     

          Calculate all amounts as weight in pounds. To convert gas or liquid volume to weight in pounds, multiply by an appropriate density

          factor.

     

    -     What about mixtures?

     

          If a chemical is part of a mixture, you have the option of reporting either the weight of the entire mixture of only the portion of the mixture that is a particular hazardous chemical (e.g.. if a hazardous of only 5 percent of a particular hazardous chemical, you can indicate either 100 lbs. of the mixture or 5 lbs. of the chemical).

     

          The option used for each mixture must be consistent with the option used in your Section 311 reporting.

     

          Because EHSs are important to Section 303 planning, EHSs have lower thresholds. The amount of an EHS at a facility (both pure EHS substances and EHSs in mixtures) must be aggregated for purposes of threshold determination. It is suggested that the aggregation calculation be done as a first step in making the threshold determination. Once you determine whether a threshold for an EHS has been reached, you should report either the total weight of the EHS at your facility, or the weight of each mixture containing the EHS.

     

    CHEMICAL DESCRIPTION

     

          1. Enter the Chemical Abstract Service registry number (CAS). For mixtures, enter the CAS number of the mixtures as a whole if it has been assigned a number distinct from its constituents. For a mixture that has no CAS number, leave this item blank or report the CAS number of as many constituent as possible.

     

    If you are withholding the name of a chemical in accordance with criteria specified in Title III, Section 322, enter the generic class or category that is structurally descriptive of the chemical (e.g., list toluene disocyanate as organic (sooyante) and check the box marked Trade Secret. Trade secret information should be submitted to EPA and must include a substantiation. Please refer to EPA's final regulation on trade secrecy (53 FR 28772, July 29, 1988) for detailed information on how to submit trade secrecy claims.

     

          2. Enter the chemical name or common name of each hazardous chemical.

     

          3. Check box for ALL applicable descriptors: pure or mixture; and solid, liquid, or gas; and whether the chemical is or contains an EHS.

     

          4. If the chemical is a mixture containing EHS, enter the chemical name of each EHS in the mixture.

     

    EXAMPLE:

    You have pure chlorine gas on hand, as well as two mixtures that contain liquid chlorine. You write "chlorine" and enter the CAS number. Then you check "pure" and "mix" - as well as "liquid" and "gas".

     

    PHYSICAL AND HEALTH HAZARDS

     

    For each chemical you have listed, check all the physical and health hazard boxes that apply. These hazard categories are defined in 40 CFR 370.2. The two health hazard categories and three physical hazard categories are a consolidation of the 23 hazard categories defined in the OSHA Hazard Communication Standard, 29 CFR 1910.1200.

     

    Hazard Category Comparison

    For Reporting Under Section 311 and 312

    EPA's Hazard Categories

    OSHA's Hazard Categories

    Fire Hazard

    Flammable

    Combustion Liquid

    Pyrophoric

    Oxidizer

    Sudden Release of Pressure

    Explosive

    Compressed Gas

    Reactive

    Unstable Reactive

    Organic Peroxide

    Water Reactive

    Immediate (Acute) Health Hazards

    Highly Toxic

    Toxic

    Irritant

    Sensitizer

    Corrosive

    Other hazardous chemicals with an adverse effect with short term exposure

    Delayed (Chronic) Health Hazard

    Carcinogens

    Other hazardous chemicals with an adverse effect with long term exposure

     

    MAXIMUM AMOUNT

     

          1. For each hazardous chemical, estimate the greatest amount present at your facility on any single day during the reporting period.

          2. Find the appropriate range value code in Table I.

          3. Enter this range value as the Maximum Amount.

          4. If range value 05 (100,000 to 999,999) is used for the maximum daily amount, enter the actual weight in pounds in the Inventory column directly below the code number. This is necessary to determine the appropriate fee category.

     

    TABLE I REPORTING RANGE

    Range

    Weight Range in Pounds

    Value

    From...

    To...

    01

    0

    99

    02

    100

    999

    03

    1,000

    9,999

    04

    10,000

    99,999

    05

    100,000

    999,999

    06

    1,000,000

    9,999,999

    07

    10,000,000

    49,999,999

    08

    50,000,000

    99,999,999

    09

    100,000,000

    499,999,999

    10

    500,000,000

    999,999,999

    11

    1 billion

    higher than 1 billion

     

    EXAMPLE:

     

    You received one large shipment of solvent mixture last year. The shipment filled five 5,000-gallon storage tanks. You know that the solvent contains 10 percent benzene, which is a hazardous chemical.

     

    You figure that 10 percent of 25,000 gallons is 2,500 gallons. You also know that the density of benzene is 7.29 pounds per gallon, so you multiply 2,500 gallons by 7.29 pounds per gallon to get a weight of 18.225 pounds.

     

    Then you look at Table I and find that the range value o4 corresponds to 18.225. You enter 04 as the Maximum Amount.

     

    AVERAGE DAILY AMOUNT

     

          1. For each hazardous chemical, estimate the average weight in pounds that was present at your facility during the year.

          To do this, total all daily weights and divide by the number of days the chemical was present on the site.

          2. Find the appropriate range value in Table I.

          3. Enter this range value as the Average Daily Amount.

     

    EXAMPLE:

    The 25,000-gallon shipment of solvent you received last year was gradually used up and completely gone in 315 days. The sum of the daily volume levels in the tank is 4,536,000 gallons. By dividing 4,536,000 gallons by 315 days on site, you calculate an average daily amount of 14,400 gallons.

     

    You already know that the solvent contains 10 percent benzene, which is a hazardous chemical. Since 10 percent of 14,400 is 1,440, you figure that you had an average of 1,440 gallons of benzene. You also know that the density of benzene is 7.29 pounds per gallon, so you multiply 1,440 by 7.29 to get a weight of 10,500 pounds.

     

    Then you look at Table I and find that the range value 04 corresponds to 10,500. You enter 04 as the Average Daily Amount.

     

    (If you are using the form as a worksheet for completing a Tier One form, you should write 10,500 in the shaded area.)

     

    NUMBER OF DAYS ON SITE

    Enter the number of days that the hazardous chemical was found on site.

     

    EXAMPLE:

    The solvent composed of 10 percent benzene was present for 315 days at your facility. Enter 315 in the space provided.

     

    STORAGE CODES AND STORAGE LOCATIONS

     

    List all nonconfidential chemical locations in this column, along with storage types/conditions associated with each location. Please note that a particular chemical may be located in several places around the facility. Each row of boxes followed by a line represents a unique location for the same chemical.

     

    Storage Codes: Indicate the types and conditions of storage present.

     

          a. Look at Table II. For each location, find the appropriate storage type and enter the corresponding code in the first box.

          b. Look at Table III. For each location, find the appropriate storage types for pressure and temperature conditions. Enter the applicable pressure code in the second box. Enter the applicable temperature code in the third box.

     

    TABLE II - STORAGE TYPES

    CODES

    TYPES OF STORAGE

    A

    Above ground tank

    B

    Below ground tank

    C

    Tank inside building

    D

    Steel drum

    E

    Plastic or nonmetallic drum

    F

    Can

    G

    Carboy

    H

    Silo

    I

    Fiber drum

    J

    Bag

    K

    Box

    L

    Cylinder

    M

    Glass bottles or jugs

    N

    Plastic bottles or jugs

    O

    Tote bin

    P

    Tank wagon

    Q

    Rail car

    R

    Other

     

    TABLE III - TEMPERATURE AND PRESSURE CONDITIONS

    CODES

    STORAGE CONDITIONS (PRESSURE)

    1

    Ambient pressure

    2

    Greater than ambient pressure

    3

    Less than ambient pressure

     

    (TEMPERATURE)

    4

    Ambient temperature

    5

    Greater than ambient temperature

    6

    Less than ambient temperature but not cryogenic

    7

    Cryogenic conditions

     

    EXAMPLE:

     

    The benzene in the main building is kept in a tank inside the building, at ambient pressure and less than ambient temperature.

     

    Table II shows you that the code for a tank inside a building is C. Table III shows you that the code for ambient pressure is 1, and the code for less than ambient temperature is 6.

     

    You enter: C 1 6

     

    Storage Locations

     

    Provide a brief description of the precise location of the chemical, so that emergency responders can locate the area easily. You may find it advantageous to provide the optional site plan or site coordinates as explained below.

     

    For each chemical, indicate at a minimum the building or lot. Additionally, where practical, the room or area may be indicated. You may respond in narrative form with appropriate site coordinates or abbreviations.

     

    If the chemical is present in more than one building, lot, or area location, continue your responses down the page as needed. If the chemical exists everywhere at the plant site simultaneously, you may report that the chemical is ubiquitous at the site.

     

    Optional Attachments: If you choose to attach one of the following, check the appropriate Attachments box at the bottom of the Tier Two form.

     

          a. A site plan with site coordinates indicated for building, lots, areas, etc. throughout your facility.

          b. A list of site coordinate abbreviations that correspond to building, lots, areas, etc. throughout your facility.

          c. A description of dikes and other safeguard measures for storage locations throughout your facility.

     

    EXAMPLE:

     

    You have benzene in the main room of the main building, and in tank 2 in tank field 10. You attach a site plan with coordinates as follows: main building = G-2, tank field 10 = B-6. fill in the Storage Location as follows:

     

    B-6 (Tank 2) G-2 (Main Room)

     

    CONFIDENTIAL INFORMATION

     

    Under Title III, Section 324, you may elect to withhold location information on a specific chemical from disclosure to the public, if you choose to do so.

     

    -     Enter the word "confidential" in the Nonconfidential Location section of the Tier Two form on the first line of the storage locations.

     

    -     On a separate Tier Two Confidential Location Information Sheet, enter the name and CAS number of each chemical for which you are keeping the location confidential.

     

    -     Enter the appropriate location and storage information, as described above for nonconfidential locations.

     

    -     Attach the Tier Two Confidential Location information Sheet to the Tier Two form. This separates confidential locations from other information that will be disclosed to the public.

     

    CERTIFICATION

     

    Instructions for this section are included on page one of these instructions.

     

    FEE SCHEDULE

     

    Check appropriate box on the form.

    $0

    Category One Facility is owned or operated by local, state or federal government.

    $40

    Category Two Facility has no less than 10,000 pounds and no more than 499,999 pounds of each of ten (10) or fewer hazardous substances. The combined total of all hazardous substances shall not exceed 499,999 pounds.

    $250

    Category Three Facility has 10,000 pounds or more of each 11 or more hazardous substances. The combined total of all hazardous substance shall not exceed 499,999 pounds.

    $250

    Category Four Facility has a total of over 499,999 pounds of hazardous substances.

    $250

    Category Five Facility has an extremely hazardous substance in excess of the threshold planning quantity.

     

    TAB Q-7-___

    COVERED FACILITIES

     

    FACILITY        FAC EMERG RESP COORD   COMMUNICATIONS

    ________        _______________________    Office#_____________

    St.______                                                          Home#_____________

    City_____       Title____________________   R. Freq_____________

                                                                              Pager $_____________

                   ALTERNATE

          FAC EMERG RESP COORD

          _______________________                      Office#______________

                                                                              Home#_____________

          Title____________________                    R.Freq______________

     

    HAZARDOUS CHEMICAL(S)

     

    NAME    UN ID#     FORM      PACKAGED     MAXIMUM    HEALTH

                   CAS #                      CONTAINER    QUANTITY       RISK

     

    SKETCH OF FACILITY AND STORAGE AREAS:

     

    FACILITY RESPONSE POINT (RP) AND DIRECTIONS:

     

    STAGING AREA (Support units will report and await assignment by local organization):

     

    TRANSPORTATION ROUTES AND MODES OF TRANSPORTATION (include supplier and telephone number - describe how chemicals are handled - list hazardous points along the routes):

     

    SPECIAL FACILITIES LIKELY TO BE AFFECTED BY A RELEASE (List affected facilities and day/night contacts):

     

    PROTECTIVE ACTIONS (In-place sheltering of evacuation - give brief description of area(s) where protection actions may be required - add evacuation procedures to Annex EE):

     

    EMERGENCY EQUIPMENT ON HAND/TRAINING/EXERCISING:

     

    SPILL CONTAINMENT/CLEAN-UP/DISPOSAL:

     

    EMERGENCY NOTIFICATION

     

    Local 24 hr. warning number (LEPC): ____-____-____

          Haz-mat Coord. (Day) ____-____-____ (Night) ____-____-____

          Alt. Coord. (Day) ____-____-____ (Night) ____-____-____

          __________________ Fire Dept. ____-____-____

          __________________ Police Dept. ____-____-____

          DES Coord.:

          (Day) ____-____-____ or ____-____-____

          (Night) ____-____-____ or ____-____-____

    ______________ Rescue ____-____-____or____-____-____

    ____________Ambulance ____-____-____or____-____-____

     

    Kentucky Emergency Response Commission (KERC) 502- 564-7815

     

    Kentucky DES Area Coordinator:

          (O) ____-____-____

          (H) ____-____-____

     

    Nat. Resources & Envir. Prot. Cabinet (NR&EPC): 502-564-2380

    National Response Center (NRC): 1-800-424-8802

    Evir. Prot. Agency (EPA) Hotline: 1-800-535-0202

    Hours: 8:30 a.m. - 7:30 p.m., Mon-Fri. including federal holidays

    Chemtrec: 1-800-424-9300

          (18 Ky.R. 1697; Am. 2310; eff. 1-27-92.)

Notation

      RELATES TO: KRS 39.800-39.990, 42 U.S.C. 11001-11050

      STATUTORY AUTHORITY: KRS 39.817, 39.845, 39.850, 39.890, 42 U.S.C. 11002(c), 11003(c), (d)

      NECESSITY, FUNCTION, AND CONFORMITY: This administrative regulation sets forth the requirements to be followed by facilities subject to paying a fee.