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APPENDIX 7: CERTIFICATION OF THE APPLICABILITY OF THE SUBSTANTIAL HARM CRITERIA <br /> CHECKLIST <br /> Section 112.20(e) of the facility response plan regulation requires that all facilities regulated by the Oil <br /> Pollution Prevention Regulation (40 CFR part 112) conduct an initial screening to determine whether they are <br /> required to develop a facility response plan. The criteria in this checklist can be found in 40 CFR 112.20(f)(1). <br /> Facilities should include this form with their SPCC Plan. <br /> Plant Name-A & S Construction Co. —Gencor Asphalt Plant <br /> Plant Address: (portable) <br /> 1. Does the facility transfer oil over water to or from vessels and does the facility have a total oil storage <br /> capacity greater than or equal to 42,000 gallons? <br /> Yes No X <br /> 2. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and does the <br /> facility lack secondary containment that is sufficiently large to contain the capacity of the largest aboveground <br /> oil storage tank plus sufficient freeboard to allow for precipitation within any aboveground oil storage tank <br /> area? <br /> Yes No X <br /> 3. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and is the facility <br /> located at a distance (as calculated using the formula in Attachment C-III, Appendix C, 40 CFR 112 or a <br /> comparable formula*) such that a discharge from the facility could cause injury to fish and wildlife and <br /> sensitive environments? For further description of fish and wildlife and sensitive environments, see <br /> Appendices I, II, and Ill to DOC/NOAA's "Guidance for Facility and Vessel Response Environments" (Section <br /> 10, Appendix E, 40 CFR 112 for availability) and the applicable Area Contingency Plan. <br /> Yes No X <br /> 4. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and is the facility <br /> located at a distance (as calculated using the appropriate formula (Attachment C-III, Appendix C, 40 CFR 112 <br /> or a comparable formulal) such that a discharge from the facility would shut down a public drinking water <br /> intake**? <br /> Yes No X <br /> 5. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and has the <br /> facility experienced a reportable oil spill in an amount greater than or equal to 10,000 gallons within the last 5 <br /> years? <br /> Yes No X <br /> CERTIFICATION <br /> I certify under penalty of law that I have personally examined and am familiar with the information submitted in <br /> this document, and that based on my inquiry of those individuals responsible for obtaining this information, <br /> believe that the submitted inf mation is true, accurate, and complete. <br /> piW 5, ' 0 . <br /> Signature Title <br /> fZLl P 141 ..:DY—o5- <br /> Name (type or print) Date <br /> Portable Gencor Asphalt Plant Page 22 <br /> SPCC Plan August 31, 2005 <br />