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Attachment D <br /> �/tGLI INFO TINAZ��SANAL`�SIS CONTRftC1aFteCICt_ISTANA aAM60 C� LVDG- <br /> - Facility Phy4,; mral address ( Facility page ) <br /> — SFR (' Cnde identification number jppr Attachment R ex SFRM234561 ( Department Field on Facility page ) <br /> I ntifiAp A I onq 'tude On dpomal/deorpeg jPx 30 19 7 - 84 3621 ) ( Map Data tah on Facility page ) <br /> ff <br /> — Facil 'ty Fmprqpncy Coardinator name , fitle , Phone # � mnckjdjnq 24 hr- numberl ( Contact tah on Facility parle ) <br /> P d . I Route( s ) 1from county I ne to the facility) ( Notes tab on Facility page ) <br /> — Fyartiatmon Roide( s ) to exit the vulnerable 7nne ( Notes tah on Facility page ) <br /> — Histordcal Acrident Record � lf none , please rintel ( Notes tah on Facility page ) <br /> I for each Extremely Hazardous Substance on site <br /> — Proper cheminal name ( s ) (Chemical in Inventory parjP(s) ) <br /> Ch,�. mical Abstract Ser)Jce ( CAS ) number ( Chemical in Inventory page (s )) <br /> — Natural physical state jex mixture , pure , liquid , solid pasl (Chemical in Inventory page(s) , Physical State and Quantity <br /> tab ) <br /> — Maximum quantity on- ite in pounds ( Chem * cal On Inventory page(s ), Physical tate and Quantity tab ) <br /> — Amount in largest container or interconnected containers (Chemacal in Inventory page(s ) , Physical State and Quantity tab ) <br /> — Iype and design of storrapp rnntainer(s ) fex ryl nder , steel drum , carboy Ptr I (Chem ical in I A s ), Location <br /> t:; b ) <br /> — Nature of thp hazard �ex arijtp rhmnar. fore pres ure etc. 1 (chemical in Inventory page(s ) Physical State <br />and Quantity tab). <br /> L L L S for each Extremely Hazardous Substance on site <br /> . Estimatp y0nPrable zone jthreat one.) radius ( bottom of Scenario page(s ) ) <br /> . Fac lity Population ( unmanned facifites min mum of one os rpqiked for ma ntengnrp personnel) ( ID Codes tab on Facolity <br /> page ) <br /> . Crotocal Farilat P Ps �name of farilifles and max ornipancy fnr each ) [ f nonp please notp ] ( Notes tab on Scenario page(s <br />) ) <br /> + general populatann + crifirni farilitiesl ( Notes tab on Scenario page(s ) ) <br /> S for each Extremely Hazardous Substance on site Scenario page(s) <br /> Tho three. rntin g& 11isk Assessment) at the bottom of the SCENARIO PAGE(S) will meet the four requirements below <br /> Rae probability of releas x w medium or hi h <br /> Rate severityf consequences of human in x low, medium or hi h <br /> Rate severity f consequences of damage to propertyx w medium or hi h <br /> . Rate ver'ty of consequences of environmental exposure ex . low. i r i <br /> C) N -SITIF VISITS for each facility and within the contractperiod ) <br /> . Completed hazards analysis site visit form (submitted electronically) (SERC code in file name - ex. SERC123456SV) <br /> Site plan ma submitted electronically) with sufficient detail to identify : SERC code in file name ex. SERC123456SP <br /> Location of maior building (s <br /> Location of cont finer f Extremely Hazardous <br /> Location of ma or streets and entrance(s) <br /> North arrow <br /> The data shall be submitted electronically in a CAMEOfm version 2. 2 zip file format. <br />