Okaloosa County BOCC — November 18, 2014 — REVISED Okaloosa HA Agreement 2014-15 — reading text

Attachment C, to confirm the accuracy and completeness of Information In the hazards analysis, 2. Submit a completed Hazards Analysis Site Visit Certification Form (Attachment J) for each facility to the Division. (file name must contain at minimum the SERC number if applicable and SV - if SERC number is not available facility name and SV — additional info allowed but not required). Add the site visit certification form to the Site Plan Tab of the CAMEOfm Facilities Page for each facility visited or contacted. (a) On-Site visit exception for sulfuric acid (batteries), this exception does NOT + apply to bulk storage of sulfuric acid. (1) For facilities listed on Attachment C that report the presence of only sulfuric acid in batteries, an initial on-site visit is required and an on-site visit form (Attachment J) signed and dated by the facility representative and the Recipient shall be submitted to the Division. (2) In Agreements subsequent to the initial on-site visit, the Recipient shall contact the facility representative by emall or telephone to verify the presence of all extremely hazardous substances, The on-site visit form shall be signed by the Recipient and identify the date and facility contact information. Another on-site visit is not required in subsequent Agreements, unless, the facility reports the presence of another extremely hazardous substance above TPQ. (3) Ifa facility representative reports the presence of an extremely hazardous substance other than sulfuric acid in batteries, subsequent to the period of Agreement in which the initial site visit was conducted, the Recipient shall conduct an on-site visit and submit a completed on-site visit form (Attachment J) to the Division. 3. For each facility for which a hazard analysis is conducted, a site plan must be added to the site plan tab of the CAMEOfm Facilities Page. (file name must contain at minimum the SERC number if applicable and SP — if SERC number is not available facility name and SP — additional info allowed but not required) The site plan shall contain sufficient information to provide situational awareness and at a minimum include: (a) Location of major building(s) (b) Name and location of extremely hazardous substance(s). If multiple extremely hazardous substances are co-located, noting EHS is acceptable, ~ (c) Name and location of street(s) (d) Identify pertinent access and egress point(s) (e) Note any additional features pertinent to hazmat and medical response F. Ensure that the Hazards Analysis information Is reflected in the County Local Mitigation Strategy. 18 Attachment A DELIVERABLES AND PERFORMANCE Deliverable # Deliverables Minimum Performance Price Financial Consequences Within 30 days of receipt of the executed contract submit electronically, 3 sample CAMEO hazard analyses chosen from facilities }1. Each CAMEO facility file must contain 1 identified in Attachment C. Mustbe |complete, correct and accurate information No payment in compliance with Section C ofthe —|required in Section C of the Scope of Work. Scope of Work. DEM will review the sample and provide constructive feedback within 10 business days. Not later than February 1, 2015 provide complete CAMEO files in compliance with Section C, Scope of |1. Each CAMEO facility file must contain Work, on 50% of facilities identified in |complete, correct and accurate information Attachment C. Include a list of ; required in Section C of the Scope of Work. ; Payment will be reduced by $110.00 facilities visited. DEM staff will review |2. A signed Site Visit Certification Form and Site ate ste 7 2 ithe deliverables within 21 business _ {Plan in accordance with SOW Section D for each |45 % of Contract Amount per Facility with incorrect or days of receipt and provide general feedback on any errors. DEM staff WILL NOT make corrections to the files. Recipient will have 10 business days from time of receipt to return corrected files. facility. For sulfuric acid (batteries) facilities, the site visit form must contain the date facility was called and the person that responded to the EPCRA inquiries. incomplete CAMEO files after initial review. Not later than May 1, 2015 provide complete CAMEO files in compliance ‘with Section C, Scope of Work, on 50% of facilities identified in Attachment C. Include a list of facilities visited. DEM staff will review the deliverables within 21 business days of receipt and provide general feedback on any errors. DEM staff WILL NOT make corrections to the files. Recipient will have 10 business days from time of receipt to return corrected files. . 1. Each CAMEO facility file must contain complete, correct and accurate information required in Section C of the Scope of Work. 2. A signed Site Visit Certification Form and Site Plan in accordance with SOW Section D for each facility. For sulfuric acid (batteries) facilities, the site visit form must contain the date facility was called and the person that responded to the EPCRA inquiries. 45 % of Contract Amount 20 Payment will be reduced by $110.00 per Facility with incorrect or incomplete CAMEO files 1. Not later than June 15, 2015 provide completed Hazards Analysis (CAMEO File} to the Local Emergency Planning Committee and provide DEM with transmittal. Notify first responders and Attachment C facilities of the availability of the file. Provide DEM with transmittal. 1. Provide a complete correct copy of the approved hazards analysis file (Completed CAMEC file in compliance with Section C, Scape of Work) tothe Local Emergency Planning Committee (LEPC) and provide the Division with a copy of the transmittal letter. 2. Notify all Attachment C facilities and first responders of the availability of the hazards analysis information, and make that information available upon request. Submit a copy of the notification to the Division. 10% of the contract amount Payment will not be made without required transmittal and notification letters/E-mails. Attachment B Program Statutes and Regulations Emergency Planning and Community Right to Know Act (EPCRA), Title Ill of the Superfund Amendments Reauthorization Act of 1986, 42 U.S.C. s. 1101, et seq. (SARA). Florida Emergency Planning and Community Right to Know Act, Chapter 252, Part Il, Florida Statutes. 21 ATTACHMENT C - OKALOOSA COUNTY SECTION 302 FACILITY LIST 2014-2015 SERC# Facility Name / Address County EHS Chemical Contact Number Auburn Water System-Well 2 ; Richard Laux 8287/6473 Burleson Boulevard Okaloosa Chlorine . 850-305-5047 Crestview, 32536 . Auburn Water System-Well 3 . 8288/6050 Selvage Lane Okaloosa Chlorine wnsos a Crestview, 32539 Auburn Water System-Well 4 Richard Laux 828915917 Staff Road (off Old Bethel Road) Okaloosa Chlorine . 850-305-5047 Crestview, 32536 Auburn Water System-Well 5 Richard Li 15581/1161 Farmer Street Okaloosa Chlorine renare TBux . 850-305-5047 Crestview, 32539 : : Auburn Water System-Well 6 Richard Laux 30450/5351 Highway 393 {north of hwy 90) Okaloosa Chlorine . : 850-305-5047 Crestview, 32539 _ [Auburn Water System-Well 7 Richard Laux 34553]6854 North Highway 85 Okaloosa Chlorine 850-305-5047 Laurel Hill, 32567 Baker Water System-Well 2 10143/5783 Monroe Street Okaloosa Chlorine eos oe Baker, 32531 Baker Water System-Well 3 21719|6454 State Road 189 North Okaloosa Chlorine veo be a tos Baker, 32531 City of Crestview-Dept of Public Services . Brona Steele 10495]715 North Ferdon Boulevard Okaloosa Chlorine : 850-682-6132 Crestview, 32536 City of Crestview-Well 10 Brona Steele 38297/850 West Industrial Drive Okaloosa Chlorine (Crestview, 32539 850-682-6132 08/10/2014 22 ATTACHMENT C - OKALOOSA COUNTY SECTION 302 FACILITY LIST 2014-2015 City of Crestview-Well 3 Chlorine Brona Steele 9545]|500 South McClelland Street Okaloosa 850-682-6132 Crestview, 32536 ac City S Crestview-Well 4 Okal chlori Brona Steele 6]100 Short Avenue aloosa orine 850-682-6132 Crestview, 32536 City of Crestview-Well 5 9546]1701 North Lloyd St Okal Chlori woeas ein North Lloyd Street aloosa orine 850-682-6132 Crestview, 32536 25716 2100 Pi Adame Park va Okal Chlori eo ono 13 jams Parkway aloosa orine 850-682-6132 Crestview, 32536 City of Crestview-Well 7 ; Brona Steele 31318/587 Brookmeade Drive Okaloosa Chlorine . 850-682-6132 Crestview, 32539 City of Crestview-Well 8 34938/4710 Whitehurst Lane Okaloosa Chlorine Brona Steele 850-682-6132 Crestview, 32536 City of Crestview-WWTP Jayne Swift 20882}5101 Arena Road Okaloosa Chlorine asouno 0239 Crestview, 32536 City of Valparaiso 5421/600 Valastics Avenue Okaloosa Chlorine Nana cah Valparaiso, 32580 _ City of Valparaiso-Well 2 . Nathan Kell 8104|364 Adams Avenue Okaloosa Chlorine aco 39 sao Valparaiso, 32580 ~* City of Valparaiso-Well 3 Nathan Kell 8105}352 Mansfield Avenue Okaloosa Chlorine a0 00 s4y Valparaiso, 32580 ~*~ City of Valparaiso-Well 4 Nathan Kell 99031235 Sycamore Avenue Okaloosa Chlorine aunan seuey Valparaiso, 32580 850-729-5407 08/10/2014 23 - ATTACHMENT C - OKALOOSA COUNTY SECTION 302 FACILITY LIST 2014-2015 City of Valparaiso-Well 5 Nathan Kelley Crestview, 32536 850-978-0020 31137/440 Marquette Street Okaloosa Chlorine 950-729-5407 Valparaiso, 32580 Coca-Cola Refreshments USA-Valparaiso 38826|647 Valparaiso Park Okal Sulfuric Acid Edward Hall ‘a paraiso arkway aloosa ulfuric Acid .. 850-729-4513 Valparaiso, 32580 38927 625 Archon ‘treet Neth t Okall Nitric Acid Jed Griffith rs Street Northwes' aloosa itric Aci 813-390-6127 : Fort Walton Beach, 32458 893 =aes : ireild Road ia Okaloos Nitric Acid Larry Welch vairenig 0a atoosa 850-685-0798 Crestview, 32536 . Okaloosa County-Antioch Water Well 10242|GMC Road Okaloosa Chlorine Dale Brazel, . 850-978-0020 Crestview, 32536 Okaloosa County-Bluewater 2-Raintree Water Well 10230|White Point Road Okal Chiorin Dale Brazel i e oint Roa aloosa lorine 850-978-0020 Niceville, 32578 Okaloos Hi kaloosa County-Bluewater 3-Highway 20 Water Well ; Dale Brazel 10228] Highway 20 Okaloosa Chlorine 850-978-0020 Niceville, 32578 Okaloosa County-Bluewater Bay Well 4 . . . Dale Brazel 20759}Southwind Drive (off Bluewater Boulevard) Okaloosa Chlorine : ee 850-978-0020 Niceville, 32578 Okaloosa County-Courthouse Annex Water Well Dale Brazel 10233|Okaloosa County Courthouse Shalimar Annex Okaloosa Chlorine _ 850-978-0020 Shalimar, 32579 Okaloosa County-Crestview industrial Park Water Well ; . Dale Brazel 10244}S759 John Givens Road Okaloosa Chlorine 08/10/2014 24 ATTACHMENT C - OKALOOSA COUNTY SECTION 302 FACILITY LIST 20 14-2015 Okaloosa County-Fire Pump Facility/Bob Sikes Airport . Okal Chlori Dale Brazel 33210]5759 John Givens Road aloosa jorine 850-978-0020 Crestview, 32536 Okaloosa County-Forest Avenue Water Well val chor Dale Brazel 25813]|Forest Avenue and Eldrideg Road Okaloosa jorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Green Acres Water Well kal Chior Dale Brazel 10239]|Green Acres Road aloosa orine 350-978-0020 Fort Walton Beach, 32547 Okaloosa County-Green Street Water Well 4d Clifford Okal Chlori Dale Brazel 10237}Green Street and Clifford Street aloosa jorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Hawkins Water Well ki 4 Okal Chlori Dale Brazel 10240]Hawkins Roa aloosa lorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Kennedy Lakes Water Well 30393|97 West Navajo T! Okal Chiori Dale Brazel es avajo Trace aloosa orine 850-978-0020 Crestview, 32536 Okaloosa County-Live Oak Water Well : . . Dale Brazel 10245] Live Oak Road Okaloosa Chlorine 850-978-0020 Crestview, 32536 10236 Sunset lane and sharin Di nee Okal Chlori Dale Brazel ; ilyn Drive aloosa lorine 850-978-0020 Shalimar, 32579 Okaloosa County-Lowery Water Well Dale Brazel 20758]Lowery Drive and Commanche Avenue Okaloosa Chlorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Newcastle Water Well . Dale Brazel 10238] Newcastle Drive and Ross Road Okaloosa 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-North Beal Extension Site .