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Attachment E <br /> Hazard Analysis Contract Checklist and CAMEOfm Guide <br /> Facility Information (CAMEOfm Facility Page) <br /> Facility Name {per Attachment C} ( Facility Page) <br /> Facility Physical Address (Facility Page) <br /> Latitude and Longitude in Decimal Degrees {ex. 30. 197, -84. 3621} (Map Data Tab on Facility Page) <br /> Facility 24-hour Emergency Phone Number ( Facility Phones Tab on Facility Page) <br /> Facility Emergency Coordinator Name and Title Contact Tab on Facility Page) <br /> Transportation Route (s ) {From County Line to the Facility} ( Notes Tab on Facility Page ) <br /> Evacuation Route( s) to exit the Vulnerable Zone (Notes Tab on Facility Page) <br /> Historical Accident Record { If none, please note} ( Notes Tab on Facility Page ) <br /> Facility Population {a minimum of one is required for unmanned facilities} ( ID Codes Tab on facility Page) <br /> Hazard Identification (CAMEOfm Chemical in Inventory Page) (for each Extremely Hazardous Substance on site <br /> Proper Chemical Name (s) (Chemical in Inventory Page(s)) <br /> Chemical Abstract Service (CAS) Number (Chemical in Inventory Page(s)) <br /> Physical State in Storage {ex, mixture, pure, liquid, gas} (Chemical in Inventory Page(s), Physical State and Quantity Tab) <br /> Maximum Quantity On-site in Pounds (Chemical in Inventory Page(s), Physical State and Quantity Tab) <br /> Amount in Largest Container or Interconnected Containers (Chemical in Inventory Page(s), Physical State and Quantity Tab ) <br /> Type and Design of Storage Container(s) (ex, cylinder, steel drum, carboy) (Chemical in Inventory Page(s), Physical State and Quantity <br /> Tab ) <br /> Nature of the Hazard {ex. acute, chronic, fire, pressure, etc. } Chemical in Inventory Page(s), Physical State and Quantity Tab) <br /> Vulnerability Analysis (CAMEOfm Scenario Page) (for each Extremely Hazardous Substance on site) <br /> Enter maximum amount in largest container or interconnected containers in the Amount Released field (Scenario Description tab ) <br /> Enter the concentration percentage in the Concentration field (Scenario Description tab ) <br /> Enter Release Duration ( 10 minutes for gases, solids in solution or powders; no entry for liquids is required ) (Scenario Description <br /> tab ) <br /> Weather Information - Use the weather default settings or enter average wind speed (don 't enter a value in the Wind From field ) <br /> and <br /> Urban or Forest is recommended in the Ground Roughness field . (Scenario Description tab ) <br /> Risk Assessment - Rate the Risk, Consequences and Overall Risk of a release occurring {based upon release history & maintenance etc. } <br /> (Scenario Description tab) <br /> Extent of Vulnerable Zone {CAMEO automatically calculates Threat Zone Radius when Edit button and Estimate Threat Zone Radius <br /> buttons are used } (Scenario Description tab) <br /> Enter estimate of Total Exposed Population ( Notes Tab on Scenario Page(s)) <br /> Enter Critical Facilities {name of critical facility(s) and max occupancy for each ; if none, state No Critical Facilities) (Notes Tab on Scenario <br /> Page(s)) <br /> On-Site Visits (for each Facility and within the Contract Period) <br /> Site Visit Certification Form (Attached to Site Plan Tab on Facility Page) {file naming required format Facility NameSV} <br /> Site Plan (Attached to Site Plan Tab on Facility Page) {file name required format Facility NameSP} <br /> Sufficient Detail to Identify: <br /> Location of Major Building(s) <br /> Name and Location of Extremely Hazardous Substance (s) (if extremely hazardous materials are co-located , noting EHS is acceptable) <br /> Name and Location of Street(s) <br /> Identify Pertinent Access and Egress Points <br /> Note Additional Features Pertinent to Hazardous Materials and Medical Response <br /> All data shall be submitted electronically via CAMEOfm version 2 .4 in a . zip file format. <br />