ADEM Form 302 "Sara Title Iii Section 302: Extremely Hazardous Substance Notification" - Alabama

What Is ADEM Form 302?

This is a legal form that was released by the Alabama Department of Environmental Management - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 13, 2020;
  • The latest edition provided by the Alabama Department of Environmental Management;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of ADEM Form 302 by clicking the link below or browse more documents and templates provided by the Alabama Department of Environmental Management.

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Download ADEM Form 302 "Sara Title Iii Section 302: Extremely Hazardous Substance Notification" - Alabama

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SARA Title III Section 302: Extremely Hazardous Substance Notification
Any facility that has EHS(s) at or above its threshold planning quantity must notify the Alabama Emergency
Response Commission (AERC) or the Tribal Emergency Response Commission (TERC) and Local Emergency
Planning Committee (LEPC) within 60 days after they first receive a shipment or produce the substance
on site.
In accordance with the provisions of Section 302 of the Superfund Amendments and Reauthorization Act
(SARA Title III) of 1986, this is to notify you that the following facility has above the Threshold Planning
Quantities (TPQ) of the following extremely hazardous substance(s) as listed in 40 CFR Part 355:
Name of Facility:
Street Address:
City, State, Zip Code:
County:
Mailing Address (if different):
Master ID #:
Substance
CAS #
Maximum Qty. On-site
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Section 303 Notification
Name of Facility Emergency Contact:
Day Telephone Number:
24 Hour Telephone Number:
Alternate Contact:
Day Telephone Number:
24 Hour Telephone Number:
E-mail this letter as a .pdf to the Alabama Department of Environmental Management:
AL312@adem.alabama.gov. Send a copy of this letter to your Local Emergency Planning Committee
(LEPC), and keep a copy for your records.
ADEM Form 302 [M-1: 4/13/20]
SARA Title III Section 302: Extremely Hazardous Substance Notification
Any facility that has EHS(s) at or above its threshold planning quantity must notify the Alabama Emergency
Response Commission (AERC) or the Tribal Emergency Response Commission (TERC) and Local Emergency
Planning Committee (LEPC) within 60 days after they first receive a shipment or produce the substance
on site.
In accordance with the provisions of Section 302 of the Superfund Amendments and Reauthorization Act
(SARA Title III) of 1986, this is to notify you that the following facility has above the Threshold Planning
Quantities (TPQ) of the following extremely hazardous substance(s) as listed in 40 CFR Part 355:
Name of Facility:
Street Address:
City, State, Zip Code:
County:
Mailing Address (if different):
Master ID #:
Substance
CAS #
Maximum Qty. On-site
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Section 303 Notification
Name of Facility Emergency Contact:
Day Telephone Number:
24 Hour Telephone Number:
Alternate Contact:
Day Telephone Number:
24 Hour Telephone Number:
E-mail this letter as a .pdf to the Alabama Department of Environmental Management:
AL312@adem.alabama.gov. Send a copy of this letter to your Local Emergency Planning Committee
(LEPC), and keep a copy for your records.
ADEM Form 302 [M-1: 4/13/20]