The purpose of this Emergency Notification List is to centralize information about agencies, groups, trustees, organizations, and points of contact that play a role in environmental response. This Appendix serves as a job aid for any person seeing and/or receiving first notification of an oil spill, hazardous material release, marine fire, vessel salvage, and/or Weapons of Mass Destruction event (detonation). All federal, state, and local agencies are hereby reminded that “cross notification” is highly desired as redundant means assuring the entire response community is activated.
This Appendix is organized as follows:
9110 Required Emergency Notifications
9130 Federal Agency Points of Contact3
9140 State Agency Points of Contact.. 3
9150 Local Agency Points of Contact4
9160 Additional Agencies/OSROs4
9170 Recommended Oil Spill Report Form............... 5
ž |
Date/time |
Initials |
Entity Notified |
Point of Contact |
|
o |
|
|
NATIONAL RESPONSE CENTER |
(800) 424-8802 |
o |
|
|
USCG SECTOR JACKSONVILLE COMMAND CENTER |
(904) 247-7318 |
o |
|
|
STATE OF FLORIDA STATE WARNING POINT |
(800) 320-0519 |
o |
|
|
STATE OF GEORGIA DEPARTMENT OF NATURAL RESOURCES (DNR) |
(800) 241-4113 |
o |
|
|
MUNICIPAL FIRE DEPARTMENT HAZARDOUS MATERIALS RESPONSE (above the RQ) |
911 |
Verification that caller has made Required Emergency Notification |
||||
ž |
Date/time |
Initials |
VERIFIED: Caller has notified this entity |
Point of Contact |
|
o |
|
|
NATIONAL RESPONSE CENTER |
(800) 424-8802 |
o |
|
|
STATE OF FLORIDA STATE WARNING POINT |
(800) 320-0519 |
o |
|
|
STATE OF GEORGIA DEPARTMENT OF NATURAL RESOURCES (DNR) |
(800) 241-4113 |
o |
|
|
MUNICIPAL FIRE DEPARTMENT HAZARDOUS MATERIALS RESPONSE (above the RQ) |
911 |
Notifications to Coast Guard Commands |
||||
ž |
Date/time |
Initials |
Entity Notified |
Point of Contact |
o |
|
|
SEVENTH COAST GUARD DISTRICT RESPONSE DIVISION |
(305) 415-7138 |
|
o |
|
|
SEVENTH COAST GUARD DISTRICT OPERATIONS CENTER |
(305) 415-6800 |
|
o |
|
|
SEVENTH COAST GUARD DISTRICT LEGAL OFFICE |
(305) 415-6950 |
|
o |
|
|
NATIONAL STRIKE FORCE COORDINATION CENTER |
(252) 331-6000 |
|
o |
|
|
NATIONAL STRIKE FORCEGULF STRIKE TEAM |
(251) 441-6601 |
|
o |
|
|
COMMANDER, COAST GUARD ATLANTIC AREA PUBLIC AFFAIRS |
(212) 668-7114 (NY)(757) 398-6272 (VA) (904) 564-7622 (Jax) (305) 318-1864 (24 hr) |
|
o |
|
|
MAINTENANCE AND LOGISTICS COMMAND ATLANTIC (fcp) |
(757) 628-4114 |
|
o |
|
|
COMMANDER, ATLANTIC AREA OPERATIONS CENTER (24 hr.) |
(757) 398-6231 |
|
o |
|
|
COMMANDER, SECTOR JACKSONVILLE |
(904) 564-7500 |
|
o |
|
|
MARINE SAFETY DETACHMENT CANAVERAL |
(321) 784-6781 |
|
o |
|
|
AIR STATION SAVANNAH |
(912) 6
|
|
o |
|
|
STATION PORT CANAVERAL |
(321) 868-4200 |
|
o |
|
|
STATION MAYPORT |
(904) 564-7592 |
|
o |
|
|
STATION PONCE INLET |
(386) 428-9085 |
Notifications to Resource Trustees |
||||
ž |
Date/time |
Initials |
Entity Notified |
Point of Contact |
o |
|
|
U.S. Department of the Interior (DOI)*Mr. Greg Hogue |
(404) 331-4524(404) 909-0537 C |
o |
|
|
U.S. Department of Commerce (DOC)*Mr. Brad Benggio 24-hour DOC Trustee notification |
(305) 530-7931(206) 849-9923 C(206)526-4911 |
o |
|
|
Florida Department of Environmental Protection |
(904) 807-3300(407) 894-7555 |
o |
|
|
Florida Fish and Wildlife Conservation Commission (Wildlife Alert Hotline/Dispatch) (24 hr) |
(888) 404-3922 |
o |
|
|
State of Georgia Department of Natural Resources (24 hr) |
(800) 241-4113 |
*These individuals need to be contacted whenever the
situation involves those conditions outlined in D7 Policy ltrLetter 1-02 ch
2.
9130 Federal Agency Points of Contact
ž |
Date/time |
Initials |
Federal Agency |
Point of Contact |
o |
|
|
U.S. EPA (Atlanta, GA) |
(404) 562-8700 NRC @ night |
|
o |
|
|
NOAA HAZMAT (Seattle, WA)(24hr #) |
(206) 526-6317 |
|
o |
|
|
NOAA Scientific Support Coordinator |
(305) 530-7931 |
|
o |
|
|
U.S. Fish and Wildlife Service (FWS) |
(404) 679-7154 |
|
o |
|
|
NATIONAL PARK SERVICE |
(404) 562-3100 |
|
o |
|
|
ARMY CORPS ENGINEERS |
(904) 232-2234 |
|
o |
|
|
U.S. NAVY Mayport Quarter Deck |
(904) 270-5401 |
|
o |
|
|
U.S. Marine Corps Blount Island Command |
(904) 696-5055 |
|
o |
|
|
U.S. Air Force Patrick Air Force Base |
(321) 494-2008 |
|
o |
|
|
NASA Kennedy Space Center |
(321) 867-4369 |
|
o |
|
|
Federal Emergency Management Agency |
(800) 621-3362 |
|
o |
|
|
Customs and Border Protection – Jacksonville |
(904) 360-5020 |
ž |
Date/time |
Initials |
State Agency |
Point of Contact |
o |
|
|
State of |
(800) 241-4113 |
|
o |
|
|
State of Florida Fish and Wildlife Conservation Commission JACKSONVILLE |
(904) 359-3886 (888) 404-3922 24hr |
|
o |
|
|
State of Florida Fish and Wildlife Conservation Commission TITUSVILLE |
(321) 383-2740 (888) 404-3922 24hr |
|
o |
|
|
State of Florida Department of Environmental Protection JACKSONVILLE* |
(904) 807-3300 |
|
o |
|
|
State of Florida Department of Environmental Protection ORLANDO |
(407) 894-7555 |
|
o |
|
|
State of Florida Department of Health (through State Warning Point) |
(800) 320-0519 |
|
o |
|
|
State of Florida STATE WARNING POINT |
(800) 320-0519 |
|
o |
|
|
Florida Department of Transportation Maintenance |
(904) 360-5200 |
|
Nassau County |
||||
ž |
Date/time |
Initials |
Local Agency |
Point of Contact |
o |
|
|
Nassau County Emergency Management |
(904) 548-4980 |
|
o |
|
|
Nassau County Sheriff |
(904) 225-0331 |
|
o |
|
|
Nassau County Sheriff MARINE UNITS |
(904) 225-0331 (904) 225-5174 24hr |
|
o |
|
|
Fernandina Beach Fire Department |
(904) 277-7331 |
|
o |
|
|
Fernandina Beach Police Department |
(904) 277-7342 |
|
Duval County |
||||
ž |
Date/time |
Initials |
Local Agency |
Point of Contact |
|
o |
|
|
Jacksonville Fire and Rescue Department MARINE UNITS & HAZMAT |
(904) 630-0529 |
|
o |
|
|
Jacksonville Sheriff’s Office NON-EMERGENCY LINE/ MARINE UNIT |
(904) 630-0500 |
|
o |
|
|
City of Jacksonville Public Works Department |
(904) 630-1620 |
|
o |
|
|
Local
Emergency Planning Committee, |
(904) 279-0880 |
|
o |
|
|
Duval County Emergency Management |
(904) 630-2472 |
|
Volusia County |
||||
ž |
Date/time |
Initials |
Local Agency |
Point of Contact |
o |
|
|
Volusia County Emergency Management |
(386) 254-1500 |
|
o |
|
|
Volusia County Sheriff |
(386) 248-1777 |
|
o |
|
|
Daytona Beach Fire Department |
(386) 671-4000 |
|
o |
|
|
Daytona Beach Police Department |
(386) 671-5100 |
|
Brevard County |
||||
ž |
Date/time |
Initials |
Local Agency |
Point of Contact |
o |
|
|
Brevard County Emergency Management |
(321) 637-6670 |
|
o |
|
|
Brevard County Sheriff |
(321) 633-7162 |
|
o |
|
|
Port Canaveral Volunteer Fire Department |
(321)783-4424 |
|
o |
|
|
Cocoa Beach Police Department |
(321) 868-3260 |
|
Brevard County |
|||
Date/time |
Initials |
OSRO |
Point of Contact |
|
|
|
Cliff Berry, Inc (Cocoa, FL) |
(321) 639-4199 |
|
|
|
Cliff Berry, Inc (Fort Pierce, FL) |
(772) 466-4063 |
|
|
|
Hepaco (Orange Park, FL) |
(904) 215-0011 |
|
|
|
(904) 355-4164 |
|
|
|
|
Moran Environmental Recovery (Atlantic Beach, FL) |
( |
|
|
|
National Response Corporation (Atlantic Beach, FL) |
(713) 824-3991 (800) 899-4672 24hr |
|
|
|
SWS Environmental First Response (Jacksonville, FL) |
(904) 632-0008 |
Also sSee Appendix 9200
Personnel Services if additional agencies need to be contacted.
This form has been developed to assist agencies and reporting parties in gathering, reporting, and documenting the information most commonly needed in emergency reports. The use of this form is not mandatory; all entities are free to use whatever report/data-capture form they deem advisable.
|
REPORT DATE
|
INCIDENT DATE TIME
|
REPORT MADE / TAKEN BY
|
||||
|
REPORTING PARTY (Person name.)
|
RESPONSIBLE PARTY (Name of owner, operator, etc.)
|
|||||
|
JOB TITLE |
JOB TITLE
|
|||||
|
ORGANIZATION (Agency, Company, Home Owner, etc.) DEP FWCC OTHER: |
ORGANIZATION (Company, Home Owner, etc.)
|
|||||
|
ADDRESS
|
ADDRESS
|
|||||
|
PHONE
|
PHONE
|
|||||
|
Incident Information Source / Vessel / Facility NAME |
WATERBODY AFFECTED |
|||||
|
INCIDENT LOCATION (Geographic/ Lat-Lon / Street Address)
|
||||||
|
PRODUCT(Type of Pollutant, Diesel/Gasoline/Oil/Sewage, etc): GASOLINE DIESEL HEAVY OIL OTHER (DESCRIBE): |
||||||
|
DESCRIPTION OF SUBSTANCE (Color, Density Odor, etc) |
||||||
|
SOURCE & TOTAL QUANTITY ABOARD / AT SOURCE
|
IS THE SOURCE SECURED? YES NO |
|||||
|
QUANTITY RELEASED
|
QUANTITY IN WATER
|
|||||
|
CAUSE OF SPILL |
||||||
|
THREATENED AREAS (Environmentally sensitive): |
||||||
|
SEA CONDITIONS: 0 –1 FT 2 –4 FT Greater than 4FT |
WEATHER |
|||||
|
CLEANUP CONDUCTED or ONGOING? YES NO |
CLEANUP CONTRACTOR |
IS THIS AN OSRO? YES NO |
||||
|
NRC NOTIFIED? YES NO |
|
|
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