Tier I Qualified SPCC Template formatted as procedure

Download Template Tier 1 SPCC Plan

Before using this template it is YOUR responsibility to verify this meets the current EPA requirements for SPCC plans. This template is based on a specific site and rules in place in 2010.  EHS accepts no responsibility for your use of this information. This example was from a plastic injection molding facility with a very limited quantity of oil. Please seek support of qualified consultant to provide support.


Tier I Qualified Facility SPCC Plan

 This template constitutes the SPCC Plan for the facility, when completed and signed by the owner or operator of a facility that meets the applicability criteria §112.3(g)(1).  This template meets the requirements of 40 CFR Part 112.  Maintain a complete copy of the Plan at the facility if the facility is normally attended at least four hours per day, or for a facility attended fewer than four hours per day at the nearest field office.

Facility Description

Facility Name:            ABC Manufacturing, LLC

Facility Address:        123 Mickey Mouse Drive

City:                            Lansing

State:                           MI

Zip:                             4xxxx

County:                       xxxxxx

Telephone Number:    (517) 000-0000

Owner Name:             Same

  1. I.               Self-Certification Statement (§112.6(a)(1))

The owner or operator of a facility certifies that each of the following is true in order to utilize this template to comply with the SPCC requirements:

I, James Charles, PE and Joe Wormhead, certify that the following is accurate:

1)               I am familiar with the applicable requirements of 40 CFR Part 112;

2)               I have visited and examined the facility;

3)               This Plan was prepared in accordance with accepted and sound industry practices and standards;

4)               Procedures for required inspections and testing have been established in accordance with industry inspection and testing standards or recommended practices;

5)               I will fully implement the Plan;

6)               This facility meets the following qualification criteria (under 112.3(g)(1)):

a)               The aggregate aboveground oil storage capacity of the facility is 10,000 U.S. gallons or less; or is an onshore oil production facility with no more than two producing wells per singe tank battery, each of which produce ten barrels or less of crude oil per well per day if the facility has an injection well; or, is an onshore oil production facility with no more than four producing wells per single tank battery, each of which produce ten barrels or less of crude oil per well per day and with no injection wells at the facility; and

b)               The facility has had no single discharge as described in §112.1(b) exceeding 1,000 U.S. gallons and no two discharges as described in §112.1(b) each exceeding 42 U.S. gallons within any twelve month period in the three years prior to the SPCC Plan self-certification date, or since becoming subject to 40 CFR Part 112 if the facility has been in operation for less than three years (not including oil discharges as described in §112.1(b) that are the result of natural disasters, acts of war, or terrorism); and

c)               There is no individual oil storage container at the facility with an aboveground capacity greater than 5,000 U.S. gallons.

7) This Plan does not deviate from any requirements of 40 CFR Part 112 as allowed by §112.7(a)(2) (environmental equivalence) and §112.7(d) (impracticability of secondary containment) or include an exemption/measure pursuant to §112.9(c)(6) for produced water containers and any associated piping and appurtenances downstream from the container;

8) This Plan and individual(s) responsible for implementing this Plan have the full approval of management and I have committed the necessary resources to fully implement this Plan.

I also understand my other obligations relating to the storage of oil at this facility, including, among others:

1)               To report an oil discharge to navigable waters or adjoining shorelines to the appropriate authorities.  Notification information is included in this Plan.

2)               To review and amend this Plan whenever there is a material change at the facility that affects the potential for an oil discharge, and at least once every five years.  Reviews and amendments are recorded in the attached log.

3)               Optional use of a contingency plan.  A contingency plan:

a)               May be used in lieu of secondary containment for qualified oil-filled operational equipment, in accordance with the requirements under §112.7(k), and;

b)               Must be prepared for flowlines and/or intra-facility gathering lines which do not have secondary containment at an oil production facility, and;

c)               Must include an established and documented inspection or monitoring program;

d)               An oil spill contingency plan following the provision of 40 CFR part 109; and a written commitment of manpower, equipment and materials to expeditiously remove any quantity of oil discharged that may be harmful.  If applicable, a copy of the contingency plan and any additional documents will be attached to this Plan.

By completing this Plan template, I certify that I have satisfied the requirement to prepare and implement a Plan under §112.3 and all of the requirements under §112.6(a).  I certify that the information contained in this Plan is true.

SPCC Plan Preparation

Signature:  _____________________________       Title:  ________________________

Name:  ____James Charles, PE_______________   Date: ______________________


Management Certification

Signature:  _____________________________       Title:  ________________________

Name:  _____Joe Wormhead___ __________         Date: ________________________

II.            Record of Plan Review and Amendments

 Three Year Review (Self-Certification Statement (§112.5(b)):

Complete a review and evaluation of this SPCC Plan at least once every three years.  As a result of the review, amend this Plan within six months to include more effective prevention and control measures for the facility, if applicable.  Implement any amendments as soon as possible, but no later than six months following Plan amendment.  Document completion of the review and evaluation, and complete the Three Year Review Log.  If the facility no longer meets Tier I qualified facility eligibility, the owner or operation must review the Plan to meet Tier II qualified facility requirements, or complete a full certified Plan.


Table G-1 Technical Amendments (§§112.5(a),   (c) and 112.6(a)(2)

This SPCC Plan will be amended when there is a change in   the facility design, construction,   operation, or maintenance that materially affects the potential for a   discharge to navigable waters or adjoining shorelines.  Examples include adding or removing   containers, reconstruction, replacement, or installation of piping systems,   changes to secondary containment systems, changes in product stored at this   facility, or revisions to standard operating procedures.ABC management team is aware of this requirement.


Any technical   amendmentsto this Plan will be re-certified in accordance with   section I of this Plan template.  [§112.6(a)(2)]ABC management team is aware of this requirement.



III.     Plan Requirements
1.              Oil Storage Containers (§112.7(a)(3)(i)):


TableG-2 Oil Storage Containers and   Capacities

This table includes a complete list of all oil storage   containers (aboveground containers1 and completely buried tanks2)   with capacity of 55 U.S.   gallons or more, unless otherwise exempt from the rule.  For mobile/portable containers, an estimate   number of containers, types of oil, and anticipated capacity are provided. Locations shown on Figure 1.

Oil Storage Container

(indicate whether   aboveground (A) or completely Buries (B))

Type of Oil

Shell Capacity (gallons)

Used Tote (A) Used Hydraulic Oil 300
Oily Water Tote (A) Water and Used Hydraulic Oil 300
New / Reprocessed Oil Tote (A) Hydraulic Oil 300
Empty Totes (A) NA 300
55 gallon drum used oil collection Used Hydraulic Oil 55
55 gallon drum used oil collection Used Hydraulic Oil 55
Molding Machine 1 – 150 ton (A) Hydraulic Oil 90
Molding Machine 2 – 85  ton (A) Hydraulic Oil 55
Molding Machine 3 – 85 ton (A) Hydraulic Oil 55
Molding Machine 4 – 85 ton (A) Hydraulic Oil 55
Electrical Transformer Mineral Oil 430

Total Aboveground Storage Capacity3     6,176 gallons

Total Completely Buried Storage Capacity             0 gallons

Facility Total Oil Storage Capacity      6,176 gallons

1Aboveground storage containers that must be included when calculating total facility oil storage capacity include:  tanks and mobile or portable containers; oil filled operational equipment (e.g. transformers); other oil-filled equipment, such as flow-through process equipment..  Exempt containers that are not included in the capacity calculations include:  any container with a storage capacity of less than 55 gallons of oil; containers used exclusively for wastewater treatment; permanently closed containers; motive power containers; hot-mix asphalt containers; heating oil containers used solely at a single-family residence; and pesticide application equipment or related mix containers.


2Although the criteria to determine eligibility for qualified facilities focuses on the aboveground oil storage containers at the facility, the completely buried tanks at a qualified facility are still subject to  the rule requirements and must be addressed in the template; however, they are not counted toward the qualified facility threshold.


3Counts toward qualified facility applicability threshold





2.              Secondary Containment and Oil Spill Control (§§112.6(a)(3)(i) and (ii), 112.7(c) and 112.9(c)(2)):


Table G-3 Secondary Containment and Oil   Spill Control

Appropriate secondary containment and/or diversionary   structures or equipment4is provided for all oil handling   containers, equipment, and transfer areas to prevent a discharge to navigable   waters or adjoining shorelines.  The   entire secondary containment system, including walls and floor, is capable of   containing oil and is constructed so that any discharge from a primary   containment system, such as a tank or piping, will not escape the containment   system before.All oil containing equipment is stored within the   building with exception of the transformer. The building and available   absorbent materials are capable of containing the largest likely spill. The   electrical transformer is double walled and contained. See Figure 2. 


4Use one of the following methods of secondary containment or its equivalent:  (1) Dikes, berms, or retaining walls sufficiently impervious to contain oil; (2) Curbing; (3) Culverting, gutters, or other drainage systems; (4) Weirs, booms or other barriers; (5) Spill diversion ponds; (6) Retention ponds; or (7) Sorbent materials.



Table 4 below identifies the tanks and containers at the facility with the potential for an oil discharge; the mode of failure; the flow direction and potential quantity of the discharge; and the secondary containment method and containment capacity that is provided.


Table G-4 Containers with Potential for   an Oil Discharge


Type of failure (discharge scenario)

Potential discharge volume (gallons)

Direction of flow for uncontained   discharge

Secondary containment method5

Secondary containment capacity (gallons)

Bulk Storage   Containers and Mobile/Portable Containers6
Tote Rack Overfill / Leak 10 Storm Drain to Retention   Pond to Red Cedar River Water Shed Building / Absorbents >1,000
Tote Rack Tote Rupture 300 SAME Building / Absorbents >1,000
Tote Rack Rack Failure 600 SAME Building / Absorbents >1,000
55 Gal Used Oil Drums Overfill / Leak 10 SAME Building / Absorbents >1,000
55 Gal Used Oil Drums Drum Rupture / Failure 55 SAME Building / Absorbents >1,000
Oil-filled   Operational Equipment (e.g. hydraulic equipment, transformers)7
Injection Molding Machines Hydraulic Hose Rupture <100 SAME Building / Absorbents >1,000
Injection Molding Machines Reservoir Failure / Rupture Max 498 SAME Building / Absorbents >1,000
Electrical Transformer Reservoir Failure / Rupture Max 430 SAME Double Walled Tank 500
Piping, Valves,   etc.
Product Transfer   Areas (location where oil is loaded to or from a container, pipe or other   piece of equipment.)
NE Shipping Door Hose Failure 30 gallons max SAME Retention Pond >1,000
Bulk oil deliveries are received at the NE Shipping Door.   A maximum of 300 gallons of oil is delivered or hauled. The storm drain in   this area is covered during loading/unloading and if compromised the oil   would be contained in the industrial park retention pond. The facility also   have adequate absorbents to respond to a 300 gallon spill and provide   containment.
Other Oil-Handling   Areas of Oil-filled Equipment (e.g. flow-through process vessels at an oil   production facility)


5Use one of the following methods of secondary containment or its equivalent:  (1) Dikes, berms, or retaining walls sufficiently impervious to contain oil; (2) Curbing; (3) Culverting, gutters, or other drainage systems; (4) Weirs, booms or other barriers; (5) Spill diversion ponds; (6) Retention ponds; or (7) Sorbent materials.


6For storage tanks and bulk storage containers, the secondary containment capacity must be at least the capacity of the largest container plus additional capacity to contain rainfall or other precipitation.


7CFor oil-filled operational equipment:  Document in the table above if alternative measure to secondary containment (as described in §112.7(k)) are implemented at the facility.


3.              Inspections, Testing, Recordkeeping and Personnel Training (§§112.7(e) and (f), 112.8(c)(6), 112.12(c)(6)):

Table G-5 Inspections, Testing,   Recordkeeping and Personnel Training

An inspection and testing program is implemented for all   aboveground storage containers and piping at this facility.  [§112.8(c)(6),   112.12(c)(6)]
The following is a description of the inspection and   testing program (e.g. reference to industry standard utilized, scope,   frequency, method of inspection or test, and person conducting the   inspection) for all aboveground storage containers and piping at this   facility:On a daily basis employees will complete visual   inspections of injection molding machines and oil storage areas.  Any leaking equipment is reported to   maintenance. These inspections will NOT be documented.


On a monthly basis, ABC will conduct inspections inside   the plant to include oil management activities and the exterior of the   building. These inspections are documented in their preventative maintenance   system and include:


Monthly EMS Health and Safety Inspection (Work Order   xxxxx): This will include a review of oil storage areas,   spill kits / materials, stormwater drain covers, PPE and MSDS.


Monthly EMS Storm Water Inspection (Work Order xxxxx): Includes   inspection of transformer and any evidence of an oil release.


The facility also does regular   preventative maintenance of the injection molding machines and this includes   hydraulic hoses and oil reservoirs.


Inspections, tests, and records are conducted in   accordance with written procedures developed for the facility.  Records of inspections and tests kept under   usual and customary business practices will suffice for purposes of this   paragraph.  [§112.7(e)]See above.




A record of the inspections and tests are kept at the   facility or with the SPCC Plan for a period of three years.  [§112.7(e)]Stored in maintenance area for a minimum of 3 years.


Inspections and tests are signed by the appropriate   supervisor or inspector.  [§112.7(e)]See Preventative Maintenance logs


Personnel,   training, and discharge prevention procedures [§112.7(f)]
Oil-handling personnel are trained in the operation and   maintenance of equipment to prevent discharges; discharge procedure   protocols; applicable pollution control laws, rules, and regulations; general   facility operations; and, the contents of the facility SPCC Plan.  [§112.7(f)]Annual review of plan with oil handling employees.


A person who reports to facility management is designated   and accountable for discharge prevention.    [§112.7(f)]Name/Title:  Bobby Taylor,   Maintenance Manager 
Discharge prevention briefings are conducted for   oil-handling personnel annually  to assure adequate understanding of the SPCC Plan for that facility.  Such briefings highlight and describe past   reportable discharges or failures, malfunctioning components, and any   recently developed precautionary measures.    [§112.7(f)]ABC has defined oil-handling personnel to include Production   Supervisors and Maintenance Employees. These employees will review the SPCC   plan and Spill Work Instruction annual and records shall be maintained.


All employees are trained at the time of hire on how to respond to oil   leaks and spills.  Employees can   respond to leaks and spills <5 gallons. Spills >5 gallons employees are   required to notify the Production Supervisor or Maintenance personnel.


4.              Security (excluding oil production facilities) (§112.7(g)):


Table G-6 Implementation and Description   of Security Measures

Security measures are implemented at this facility to   prevent unauthorized access to oil handling, processing, and storage   area.  The following is a description   of how you secure and control access to the oil handling, processing and storage   area; secure master flow and drain valves; prevent unauthorized access to   starter controls on oil pumps; secure out-of-service and loading/unloading   connections of oil pipelines; address the appropriateness of security   lighting to both prevent acts of vandalism and assist in the discover of oil   discharges:The facility   is currently in operation on 3 shifts and typically 5 days per week.  All Oil storage containers are within the building.  Access to the facility is controlled and   only authorized employees are permitted access.  When the facility is not operating it is   completely secured and has an alarm system.


5.              Emergency Procedures and Notifications (§112.7(a)(3)(iv) and 112.7(a)(5)):


Table G-7 Description of Emergency   Procedures and Notifications

The following is a description of the immediate actions to   be taken by facility personnel in the event of a discharge to navigable   waters or adjoining shorelines [§112.7(a)(3)(iv)   and 112.7(a)(5)]: 

Work Instruction WI 44444 defines the   spill response process.  This includes   the following actions by the Shift Supervisor on-site:


1)       Place spill socks around area to contain oil

2)       Place magnetic mats over outside storm drains to   prevent oil leaking in drains.

3)       Soak up spill with absorbent pads.

4)       Place all oil soaked absorbent pads and socks in   marked containers located in the maintenance areas.


For any spill that enters the storm drains the   following actions shall be taken:


1)       The Plant Manager and Maintenance supervisor shall   be contacted immediately.

2)       The onsite Supervisor shall contact the Fire   Department (911)

3)       Absorbent socks shall be placed at the inlet to the   retention pond to prevent migration of oil into the pond. This activity may   be done by onsite personnel, fire department, or emergency response   contractor.

4)       The Plant Manager shall determine if the spill must   be reported to the NRC and PEAS hotlines.

5)       A spill report (Attachment 4) will be completed to   document the spill and response activities.










6.              Contact List (§112.7(a)(3)(vi)):


Table G-8 Contact List

Contact   Organization/Person Telephone Number
National  ResponseCenter  (NRC) 1-800-424-8802
Cleanup Contractor- Wolverine Oil (734) 728-3280
Cleanup Contractor- Buck Oil (734) 728-3280
Cleanup Contractor – Young’s Environmental 1-800-4-YOUNGS (496-8647)
Key Facility   PersonnelFigure 1
XXXXXXX, Plant Manager Office:
XXXXXXXX, Operations Manager Office:
XXXXXXXXX, Maintenance Manager Office:
XXXXXXXXX, Production Manager Office:
XXXXXXXXXX, Supervisor
XXXXXXXXX, Supervisor
XXXXXXXXXX, Supervisor
MDEQ Pollution Emergency Alert System 800-292-4706
National Response Center (NRC) 800-424-8802
Howell Fire Department 9-911(517) 546-0560 Non-emergency
Livingston County Sheriff 9-911(517) 546-2440 Non-emergency
Howell Police Department 9-911(517) 546-1406 Non-emergency
Hospital – Saint Joseph Mercy– Howell, Michigan 9-911(517) 545-6000 Non-emergency
Howell Township Wastewater Treatment Plant (517) 546-6230






7.              NRC Notification Procedure (§112.7(a)(4) and (a)(5)):


Table G-9 NRC Notification Procedure

In the event of a discharge of oil to navigable waters or   adjoining shorelines, the following information will be provided to the   National Response Center immediately following identification of a discharge   to navigable waters or adjoining shorelines [§112.7(a)(4)]:This notification will be done by the Plant Manager or   Maintenance Manager. This will be documented using Attachment 4.


  • The        exact address of location and phone number of the facility;
  • Date        and time of the discharge;
  • Type        of material discharged;
  • Estimate        of the total quantity discharged;
  • Estimate        of the quantity discharged to navigable waters;
  • Source        of discharge;

·          Description of all affected media;

  •   Cause of discharge;
  •   Any damages or injuries caused by the   discharge;
  •   Actions being used to stop, remove, and   mitigate the effects of the discharge;
  •   Whether an evacuation may be needed; and
  •   Names of individuals and/or organization who   have also been contacted.


8.              SPCC Spill Reporting Requirements (Report within 60 days) (§112.4):


Submit information to the EPA Regional Administrator (RA) and the appropriate agency or agencies in charge of oil pollution control activities in the State in which the facility is located within 60 days from one of the following discharge events:

  • A single discharge of more than 1,000U.S.gallons of oil to navigable waters or adjoining shorelines or
  • Two discharges to navigable waters or adjoining shorelines each more than 42U.S.gallons of oil occurring within any twelve month period.


You must submit the following information to the RA:

1)     Name of the facility;

2)     Your name;

3)     Location of the facility;

4)     Maximum storage or handling capacity of the facility and normal daily throughput;

5)     Corrective action and countermeasures you have taken, including a description of equipment repairs and replacements;

6)     An adequate description of the facility, including maps, flow diagrams and topographical maps, as necessary;

7)     The cause of the reportable discharge, including a failure analysis of the system or subsystem in which the failure occurred; and

8)     Additional preventive measures you have taken or contemplated to minimize the possibility of recurrence.


NOTE:  Complete one of the following sections (A, B, C) as appropriate for the facility type.  ABC has completed section A.
A.      Onshore Facilities (excluding production) (§§112.8(b) and (d), 112.12(b) and (d)):

The owner or operator must meet the general rule requirements as well as requirements under this section.  Note that all provisions may be applicable to all owners/operators.  For example, a facility may not maintain completely buried metallic storage tanks installed after January 10, 1974, and thus would not have to abide by requirements in §§112.8(c)(4) and 112.12(c)(4), listed below.  In cases where a provision is not applicable, write “N/A”.


Table G-10 General Rule Requirements for    Onshore Facilities

Drainage from diked storage areas is restrained by valves   to prevent a discharge into the drainage system or facility effluent   treatment system, except where facility systems are designed to control such   discharge.  [§§112.8(b)(1) and 112.12(b)(1)]Not Applicable


Valves of manual, open-and-closed design are used for the   drainage of diked areas.  [§§112.8(b)(2) and 112.12(b)(2)]Not Applicable


The containers at the facility are compatible with   materials stored and conditions of storage such as pressure and   temperature.  [§§112.8(c)(1) and 112.12(c)(1)]All materials stored in properly designed and   compatible materials.


Secondary containment for the bulk storage containers   (including mobile/portable oil storage containers) holds the capacity of the   largest container plus additional capacity to contain precipitation.  Mobile or portable oil storage containers   are positioned to prevent a discharge as described in §112.1(b). [§§112.6(a)(3)(ii)]All materials stored within building with capacity   to contain largest likely spill.
If uncontaminated rainwater from diked areas drains into a   storm drain or open watercourse the following procedures will be implemented   at the facility:  [§§112.8(c)(3) and 112.12(c)(3)]

  • Bypass        valve is normally sealed closed
  • Retained        rainwater is inspected to ensure that its presences will not cause a        discharge to navigable waters or adjoining shorelines
  • Bypass        valve is opened and resealed under responsible supervision
  • Adequate        records of drainage are kept


Not Applicable – no diking


For completely buried metallic tanks installed on or after   January 10, 1974 at this facility  [§§112.8(c)(4) and 112.12(c)(4)]:

  • Tanks        have corrosion protection with coatings or cathodic protection        compatible with local soil conditions.
  • Regular        leak testing is conducted.


Not Applicable



For partially buried or bunkered metallic tanks  [§§112.8(c)(5)   and 112.12(c)(5)]:

  • Tanks        have corrosion protection with coatings or cathodic protection        compatible with local soil conditions.

Not Applicable


Each aboveground container is tested or inspected for   integrity on a regular schedule and whenever material repairs are made.  Scope and frequency of the inspections and   inspector qualifications are in accordance with industry standards.  Container supports and foundations are   regularly inspected.  [§§112.8(c)(6) and 112.12(c)(6)]
Outsides of containers are frequently inspected for signs   of deterioration, discharges, or accumulation of oil inside diked areas.  [§§112.8(c)(6)   and 112.12(c)(6)]
For bulk storage containers that are subject to 21 CFR   Part 110 which are shop-fabricated, constructed of austenitic stainless   steel, with a manhole and have no external insulation, formal visual   inspection is conducted on a regular schedule.  Appropriate qualifications for personnel   performing tests and inspection are documented.  [§112.12(c)(6)(ii)]Not Applicable


Each container is provided with a system or documented   procedure to prevent overfills for the container.  Describe:Visually inspection monthly for signs of   deterioration discharges or accumulation of oil inside diked areas.  Facility only has portable drums and totes.




Liquid level sensing devices are regularly tested to   ensure proper operation.  [§112.6(a)(3)(iii)]Not Applicable


Visible discharges which result in a loss of oil from the   container, including but not limited to seams, gaskets, piping pumps, valves,   rivets, and bolts are promptly corrected and oil in diked areas is promptly   removed.  [§§112.8(c)(10) and 112.12(c)(10)]Oil storage area regularly inspected and maintained.   All leaks promptly cleaned up.


Aboveground valves, piping, and appurtenances such as   flange joist, expansion joints, valve glands and bodies, catch pans, pipeline   supports, locking of valves, and metal surfaces are inspected regularly.  [§§112.8(d)(4)   and 112.12(d)(4)]Molding machines regularly inspected.


Integrity and leak testing are conducted on buried piping   at the time of installation, modification, construction, relocation, or   replacement.  [§§112.8(d)(4) and 112.12(d)(4)]Not Applicable – no buried piping.




B.      Onshore Oil Production Facilities (excluding drilling and workover facilities) (§112.9(b), (c) and (d)):


This section of the tier 1 template DOES NOT APPLY to the ABC facility


C.      Onshore Oil Drilling and Workover Facilities (§112.10(b), (c) and (d)):


This section of the tier 1 template DOES NOT APPLY to the ABC facility.


ATTACHMENT 1 – Three Year Review and Technical Amendment Log


Attachment 1.1 – Three Year Review Log


I have completed a review and evaluation of the SPCC Plan for this facility, and will/will not amend this Plan as a result.


Table G-13 Review and Evaluation of SPCC   Plan for Facility

Review Date

Plan Amendment

Name and signature   of person authorized to review this plan

Will Amend

Will Not Amend

Initial   plan prepared 4/1/2011. First review due prior to 4/1/2014.  



Attachment 1.2 – Technical Amendment Log


Any technical amendments to this Plan will be re-certified in accordance with Section I of this Plan template. Technical amendments include – installation of new equipment or new oil storage containers, relocation of oil storage, or increase of quantity of oil stored.

(Note: if site exceeds 10,000 gallons of oil storage a Tier II plan needs to be prepared.)


Table G-14 Description and Certification   of Technical Amendments

Review Date

Description of Technical Amendment

Name and signature   of person authorized to review this plan

ATTACHMENT 2 – Oil Spill Contingency Plan Checklist (Not Applicable)


An oil spill contingency plan and written commitment of resources is required for:

  • Flowlines and intra-facility gathering lines at      oil production facilities and
  • Qualified oil-filled operational equipment which      has no secondary containment.


An oil spill contingency plan meeting the provisions of 40   CFR part 109, as described below, and a written commitment of manpower,   equipment and materials required to expeditiously control and remove any   quantity of oil discharged that my be harmful is attached to this Plan.



ATTACHMENT 3 – Inspections, Dike Drainage and Personnel Training Logs


Attachment 3.1 – Inspection Log and Schedule


Table G-16 Inspection Log and Schedule

This log is   intended to document compliance with §§112.6(a)(3)(iii),   112.8(c)(6), 112.8(d)(4), 112.9(b)(2), 112.9(c)(3), 112.9(d)(1), 112.9(d)(4),   112.12(c)(6), and 112.12(d)(4), as applicable.

Date of Inspection Container/ Piping/   Equipment Describe Score (or   cite Industry Standard) Observations Name/Signature of   Inspector Records Maintained   separately9
Inspections   are maintained as part of the plant preventative maintenance


9Indicate in the table above if records of facility inspections are maintained separately at this facility.


Attachment 3.2 – Bulk Storage Container Inspection Schedule – onshore facilities (excluding production):


To comply with integrity inspection requirement for bulk storage containers, inspect/test each shop-built aboveground bulk storage container on a regular schedule in accordance with a recognized container inspection standard based on the minimum requirements in the following table.



Table G-17 Bulk Storage Container   Inspection Schedule

Container Size and   Design Specification Inspection   Requirement Inspection
Portable containers (including drums, totes, and   intermodal bulk containers (IBC)) Visually inspection monthly for signs of deterioration,   discharges or accumulation of oil inside diked areas Monthly Inspection –WO 44444 and WO 22222 
55 to 1,100 gallons with sized secondary containment Visual inspect monthly for signs of deterioration,   discharge or accumulations of oil inside diked areas plus any annual   inspection elements per industry inspection standards Monthly Inspection –WO 1111 and 3333
1,101 to 5,000 gallons with sized secondary containment   and a means of leak detection10 Not Applicable
1,101 to 5,000 gallons with sized secondary containment   and no method of leak detection10 Visual inspect monthly for signs of deterioration,   discharge or accumulations of oil inside diked areas plus any annual inspection   elements or other specific integrity tests the may be required per industry   inspection standards Not Applicable


10Examples of leak detection include, but are not limited to, double-walled tanks and elevated containers where leaks can be visually identified.


Attachment 3.3 – Dike Drainage Log – NOT APPLICABLE TO THIS FACILITY


Table G-18 Dike Drainage Log

Date Bypass valve sealed   closed Rainwater inspected   to be sure no oil (or sheen) is visible Open bypass valve   and reseal it following drainage Drainage activity   supervised Observations Signature of   inspector
Not Required




Attachment 3.4 – Oil-handling Personnel Training and Briefing Log


Table G-19 Oil-handling Personnel   Training and Briefing Log

Date Description/Scope Attendees
Initial SPCC training, SPCC   requirements, maintenance of SPCC Plan xxxxxx – Materials   Manager/EMS Repxxxxxxx – Quality Managerxxxxxxx – Maintenance   Manager, EMS Coordinator



ATTACHMENT 4 – Discharge Notification Form


In the event of a discharge of oil to navigable waters or adjoining shorelines, the following information will be provided to the National response Center:


Table G-20 Information provided to the National Response Center   in the Event of a Discharge

Discharge/Discovery   Date   Time
Facility Name   
 Facility Location   (Address/Lat-Long/Section Township Range)  
Name of reporting   individual   Telephone #  
Type of material   discharged   Estimated total quantity   discharged  
Source of the   discharge   Media affected  Soil
 Water (specify) __________________
 Other (specify) __________________
Actions taken    




Damages or injuries  No  Yes (specify) ____________________   Evacuation needed?  No  Yes (specify) ____________________
Organizations and   individuals contacted  National Response Center   800-424-8802  Time____________
 Cleanup contractor   (specify)________________    Time____________
 Facility Personnel   (specify)________________    Time____________
 State Agency   (specify)________________    Time____________
 Other (specify)________________  Time____________



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