Poultry Continuous Release Report Form Page 2

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Additional Instruction and Background on Delaware Poultry EPCRA Notifications
Step 1: Call state and local agency – SERC (through DNREC) at 1-800-662-8802 and your LEPC at 1-866-
274-0884. Include your name, location, phone and the fact you are reporting continuous release of ammonia
from chicken manure.
Step 2: Within 30 days of the call, the person in charge of the farm operation must complete and submit a
continuous report to the SERC and LEPC (In Delaware submit to the DNREC Central Repository and the
appropriate county LEPC)
This report satisfies 40 CFR 302.8 continuous release reporting: (There is no requirement to use
Delaware’s form as long as the 302.8 information is provided.)
302.8 (e) Initial written notification.
i) The name of the facility or vessel; the location, including the latitude and longitude; the case number assigned by the
National Response Center or the Environmental Protection Agency; the Dun and Bradstreet number of the facility, if
available; the port of registration of the vessel; the name and telephone number of the person in charge of the facility or
vessel.
Report Numbers: 3, 4, 5, 6
(ii) The population density within a one-mile radius of the facility or vessel, described in terms of the following ranges:
0–50 persons, 51–100 persons, 101–500 persons, 501–1,000 persons, more than 1,000 persons.(iii) The identity and
location of sensitive populations and ecosystems within a one-mile radius of the facility or vessel (e.g., elementary
schools, hospitals, retirement communities, or wetlands).
Report Numbers: 7, 8
(iv) For each hazardous substance release claimed to qualify for reporting under CERCLA section 103(f)(2), the
following information must be supplied:
(A) The name/identity of the hazardous substance; the Chemical Abstracts Service Registry Number for the substance
(if available); and if the substance being released is a mixture, the components of the mixture and their approximate
concentrations and quantities, by weight.
Report Number: 11
(B) The upper and lower bounds of the normal range of the release (in pounds or kilograms) over the previous year.
Report Number: 12
(C) The source(s) of the release (e.g., valves, pump seals, storage tank vents, stacks). If the release is from a stack, the
stack height (in feet or meters).
(D) The frequency of the release and the fraction of the release from each release source and the specific period over
which it occurs.
(E) A brief statement describing the basis for stating that the release is continuous and stable in quantity and rate.
C, D & E are covered in italics of first page and Report Number 9.
(F) An estimate of the total annual amount that was released in the previous year (in pounds or kilograms).
Report Number 12
(G) The environmental medium(a) affected by the release:
( 1 ) If surface water, the name of the surface water body;
( 2 ) If a stream, the stream order or average flowrate (in cubic feet/second) and designated use;
( 3 ) If a lake, the surface area (in acres) and average depth (in feet or meters);
( 4 ) If on or under ground, the location of public water supply wells within two miles.
Report Number 10
(H) A signed statement that the hazardous substance release(s) described is(are) continuous and stable in quantity and
rate under the definitions in paragraph (b) of this section and that all reported information is accurate and current to the
best knowledge of the person in charge.
Report Number 1 and 9
IN ADDITION: You should annually review your operations to determine whether there are any changes
which would increase emissions above the upper bound limit range that you submitted. If so, you need to
report those increases and could use this form or a similar one. An example of a type of activity that would
cause an emission increase is an increase in the maximum number of animals on your operation.

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