Laserfiche WebLink
<br />Facility Emergency Coordinator (alternate) <br /> <br />Name: <br /> <br />Phone: <br /> <br />(office) <br /> <br />Phone: <br /> <br />(24 Hour) <br /> <br />--------~--------------------------------------------------------------------------------------------------------- <br /> <br />Hazardous Material Off-Site Response Plan Information <br /> <br />A) Enter Extremely Hazardous Substance List (EHS): <br /> <br />1) <br /> <br />CAS: <br /> <br />Maximum quantity in Ibs: <br /> <br />Largest single vessel in Ibs: <br /> <br />Maximum Vulnerability zone for this chemical: miles <br /> <br />2) <br /> <br />CAS: <br /> <br />Maximum quantity in Ibs: <br /> <br />Largest single vessel in Ibs: <br /> <br />Maximum Vulnerability zone for this chemical: miles <br /> <br />3) <br /> <br />CAS: <br /> <br />Maximum quantity in Ibs: <br /> <br />Largest single vessel in Ibs: <br /> <br />Maximum Vulnerability zone for this chemical: miles <br /> <br />***** lithe listing ofEHS chemicals is extensive, provide a list on a separate sheet of paper <br />and label the heading "EHS Chemical List - Enclosure 1" <br /> <br />B) Enter Maximum Vulnerability Radius Miles for this facility. (Refer to EP A Technical <br />Guide For Hazards Analysis for these Calculations.) <br /> <br />C) Provide a map labeled "EHS Storage Location - Enclosure Two", of the facility showing <br />storage detail of the EHS chemicals. <br /> <br />D) Provide a map labeled "Enclosure Three", showing the vulnerability zone and those facilities at <br />risk which will be listed in enclosures Eight, Nine, &Ten . <br /> <br />HAZMA T Plan Revised Draft <br /> <br />18 <br /> <br />1 December 2005 <br /> <br />G~1o <br />