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<title>THis is the certification file</title>
<cfdocument name="Certification" format="FlashPaper"
pagetype="letter" margintop="1" marginleft="1"
orientation="portrait" unit="in" backgroundvisible="yes"
overwrite="no" fontembed="yes" bookmark="false" localurl="no">
<table width="604" border="0" align="center"
id="C_IICertificationTable">
<tr>
<td width="598"><div align="center" style="color:
#333333; font-size: 14">
<h2 align="center">Certification of the Applicability
of the Substantial Harm Criteria</h2>
</div></td>
</tr>
<tr>
<td><div align="left"></div></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Facility Name:</p></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Facility Address </p></td>
</tr>
<tr>
<td><p align="left"><span style="color:
#333333"><span style="font-size: 14px"><span
style="font-size:
14"></span></span></span>,<cfoutput></cfoutput> </p></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Does the facility transfer oil over water to or
from vessels and does the facility have a total oil storage
capacity greater than or equal to 42,000
gallons?</p></td>
</tr>
<tr>
<td><p align="left"><span style="color:
#333333"><span style="font-size: 14px"><span
style="font-size: 14"></span></span></span>
<label>
<input type="radio" name="RadioGroup1" value="1"
id="RadioGroup1_0" />
Yes</label>
<br />
<label>
<input type="radio" name="RadioGroup1" value="0"
id="RadioGroup1_1" />
No</label>
<br />
<option value="1"></option>
</p></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Does the facility transfer oil over water to or
from vessels and does the facility have a total oil storage
capacity greater than or equal to 42,000
gallons?</p></td>
</tr>
<tr>
<td><p align="left"><span style="color:
#333333"><span style="font-size: 14px"><span
style="font-size:
14"></span></span></span></p></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Does the facility have a total oil storage
capacity greater than or equal to 1 million gallons and is the
facility located at a distance (as calculated using the appropriate
formula in Attachment C–III to this appendix or a comparable
formula1 ) such that a discharge from the facility could cause
injury to fish and wildlife and sensitive environments? For further
description of fish and wildlife and sensitive environments, see
Appendices I, II, and III to DOC/NOAA's “Guidance for
Facility and Vessel Response Plans: Fish and Wildlife and Sensitive
Environments” (see Appendix E to this part, section 13, for
availability) and the applicable Area Contingency
Plan.</p></td>
</tr>
<tr>
<td><p align="left"><span style="color:
#333333"><span style="font-size: 14px"><span
style="font-size:
14"></span></span></span></p></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Does the facility have a total oil storage
capacity greater than or equal to 1 million gallons and is the
facility located at a distance (as calculated using the appropriate
formula in Attachment C-III to this appendix or a comparable
formula1 ) such that a discharge from the facility would shut down
a public drinking water intake2 ?</p></td>
</tr>
<tr>
<td><p align="left"><span style="color:
#333333"><span style="font-size: 14px"><span
style="font-size:
14"></span></span></span></p></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Does the facility have a total oil storage
capacity greater than or equal to 1 million gallons and is the
facility located at a distance (as calculated using the appropriate
formula in Attachment C-III to this appendix or a comparable
formula1 ) such that a discharge from the facility would shut down
a public drinking water intake2 ?</p></td>
</tr>
<tr>
<td><div align="left">
<blockquote style="color: #333333; font-size:
14"> </blockquote>
<blockquote style="color: #333333; font-size:
14"> </blockquote>
</div>
<blockquote style="color: #333333; font-size: 14">
<p align="left">1 If a comparable formula is used,
documentation of the reliability and analytical soundness of the
comparable formula must be attached to this form.</p>
<p align="left">2 For the purposes of 40 CFR part 112,
public drinking water intakes are analogous to public water systems
as described at 40 CFR 143.2(c).</p>
</blockquote></td>
</tr>
<tr>
<td><p align="left"><span style="color:
#333333"><span style="font-size: 14px"><span
style="font-size:
14"></span></span></span></p></td>
</tr>
<tr>
<td height="37"><p align="left" style="color:
#333333; font-size: 14">Does the facility have a total oil
storage capacity greater than or equal to 1 million gallons and has
the facility experienced a reportable oil discharge in an amount
greater than or equal to 10,000 gallons within the last 5
years?</p></td>
</tr>
<tr>
<td><div align="left"><span style="font-size:
14"></span></div></td>
</tr>
<tr>
<td><p align="left" style="color: #333333;
font-size: 14">Certification</p>
<p align="left" style="color: #333333; font-size:
14">I certify under penalty of law that I have personally
examined and am familiar with the information submitted in this
document, and that based on my inquiry of those individuals
responsible for obtaining this information, I believe that the
submitted information is true, accurate, and
complete.</p></td>
</tr>
<tr>
<td><div align="left"></div></td>
</tr>
<tr>
<td><div align="left"></div></td>
</tr>
</table>
</cfdocument>
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