Instructions for DEP Form 62-761.900(1), 62-762.901(1) "Discharge Report" - Florida

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Discharge Report Form Instructions
Oil spills to navigable waters of the United States, and releases of reportable quantities of CERCLA hazardous substances
must be reported immediately to the National Response Center. Reports to the National Response Center of oil spills to
navigable waters need not be repeated to any other federal, state, or local agency. Conditions at the site that do not
involve spills to navigable waters of the United States, or CERCLA hazardous substances, that pose an immediate threat
to human health or the environment must be reported to the State Watch Office or the Local Fire Department.
Nevertheless, this form must be submitted for all discharges from facilities with storage tank systems, and sites in
accordance with Chapters 62-761, 62-762, and 62-780, F.A.C.
State Watch Office
National Response Center
Local Fire Department
1-800-320-0519
1-800-424-8802
911
This form must be used to report any confirmed discharge, or of any one of the following, unless the
discharge is from a previously known and reported discharge:
1. Results, or receipts of results, of analytical tests of surface water or groundwater indicating the presence of
contamination, in excess of Department Cleanup Target Levels by:
a. Petroleum products’ contaminants of concern listed in Table B as applicable in Chapter 62-780, F.A.C.; or
b. A regulated substance, other than petroleum products.
2. The presence of free product, a visible sheen, sludge, or emulsion of a regulated substance, or a regulated substance
that is visibly observed in soil, on or in surface water, in groundwater samples, on basement floors, in open drainage
ditches, in open excavations or trenches, in subsurface utility conduits or vaults, or in sewer lines at the facility;
3. A spill or overfill event of a regulated substance to soil or another pervious surface, equal to or exceeding 25 gallons,
unless the regulated substance has a more stringent reporting requirement specified in 40 CFR Part 302, July 2002;
4. Results of analytical tests of soil indicating the presence of contamination, in excess of Department Cleanup Target
Levels by:
a. Petroleum products’ contaminants of concern listed in Table B as applicable in Chapter 62-780, F.A.C.;
b. A regulated substance, other than petroleum products.
According to Rules 62-761.440 and 62-762.441, F.A.C., a copy of this form must be delivered, emailed, or
faxed to the County within 24 hours of the discovery of a discharge from a regulated storage tank system, or
before the close of the County’s next business day. If, however, this discovery is thought to be a previously
reported discharge, the owner or operator will have 30 days to investigate and submit supporting
documentation or this form. It is recommended that the original copy be sent in the mail. If the discharge
occurs at a county-owned facility, the form must be delivered, emailed, or faxed to the local DEP District
Office. Also, please remember to properly notify your insurance company of this reported discharge in
accordance with the reporting requirements outlined in your insurance policy. This form must be maintained
until storage tank system closure.
[Instructions for Forms 62-761.900(1) and 62-762.901(1)]
(January 2017)
Discharge Report Form Instructions
Oil spills to navigable waters of the United States, and releases of reportable quantities of CERCLA hazardous substances
must be reported immediately to the National Response Center. Reports to the National Response Center of oil spills to
navigable waters need not be repeated to any other federal, state, or local agency. Conditions at the site that do not
involve spills to navigable waters of the United States, or CERCLA hazardous substances, that pose an immediate threat
to human health or the environment must be reported to the State Watch Office or the Local Fire Department.
Nevertheless, this form must be submitted for all discharges from facilities with storage tank systems, and sites in
accordance with Chapters 62-761, 62-762, and 62-780, F.A.C.
State Watch Office
National Response Center
Local Fire Department
1-800-320-0519
1-800-424-8802
911
This form must be used to report any confirmed discharge, or of any one of the following, unless the
discharge is from a previously known and reported discharge:
1. Results, or receipts of results, of analytical tests of surface water or groundwater indicating the presence of
contamination, in excess of Department Cleanup Target Levels by:
a. Petroleum products’ contaminants of concern listed in Table B as applicable in Chapter 62-780, F.A.C.; or
b. A regulated substance, other than petroleum products.
2. The presence of free product, a visible sheen, sludge, or emulsion of a regulated substance, or a regulated substance
that is visibly observed in soil, on or in surface water, in groundwater samples, on basement floors, in open drainage
ditches, in open excavations or trenches, in subsurface utility conduits or vaults, or in sewer lines at the facility;
3. A spill or overfill event of a regulated substance to soil or another pervious surface, equal to or exceeding 25 gallons,
unless the regulated substance has a more stringent reporting requirement specified in 40 CFR Part 302, July 2002;
4. Results of analytical tests of soil indicating the presence of contamination, in excess of Department Cleanup Target
Levels by:
a. Petroleum products’ contaminants of concern listed in Table B as applicable in Chapter 62-780, F.A.C.;
b. A regulated substance, other than petroleum products.
According to Rules 62-761.440 and 62-762.441, F.A.C., a copy of this form must be delivered, emailed, or
faxed to the County within 24 hours of the discovery of a discharge from a regulated storage tank system, or
before the close of the County’s next business day. If, however, this discovery is thought to be a previously
reported discharge, the owner or operator will have 30 days to investigate and submit supporting
documentation or this form. It is recommended that the original copy be sent in the mail. If the discharge
occurs at a county-owned facility, the form must be delivered, emailed, or faxed to the local DEP District
Office. Also, please remember to properly notify your insurance company of this reported discharge in
accordance with the reporting requirements outlined in your insurance policy. This form must be maintained
until storage tank system closure.
[Instructions for Forms 62-761.900(1) and 62-762.901(1)]
(January 2017)
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