Get Nrc Authorization To Proceed Santa Barbara Form

AUTHORIZATION TO PROCEED California Shoreline Protection and/or Santa Barbara Channel Transit TO NATIONAL RESPONSE CORPORATION FAX 631 224-9086 TELEX 49617380 NRC UI PHONE 1-631-224-9141 Ext 0 EMAIL IOCDO NRCC. COM ATTN IOC DUTY OFFICER SUBJ REQUEST FOR STATE OF CALIFORNIA SHORELINE PROTECTION and/or REQUEST FOR 6-HOUR ON-WATER-RECOVERY Provision for Additional Spill Response resources In accordance with regulatory requirements contained in the Shoreline Protection Tables found in CCR Title 14 Chapter 3 Section 818. 02 f and Subchapter 4 Section 827. 02 i and 6 Hour On-Water Recovery per requirements found in sections 818. 02 and 827. 02 of Title 14 of the California Code of Regulations. Request to provide additional spill response resources for the following vessel 24 Hour Notification for Additional Spill Response Resources Date Time of Request Vessel Name RWCD capacity of largest fuel tank Owner/Operator Shoreline Protection Table Location Port ETA ETD 3 mile State Waters Boundary ETA to Santa Barbara Channel Select Appropriate Operation I hereby acknowledge receipt of National Response Corporation s rate schedule published and effective as of February 18th annually which is also posted on NRC s webpage http //www. nrcc*com and hereby authorize National Response Corporation to provide goods and services for this job and also accept the terms of the rate schedule set forth and agree to pay according to said schedule any and all monies due and owing within ten 10 days from invoice date. I understand that a finance charge of 1 1/2 per month which is an annual percentage rate of 18 will be charged on all past due accounts. Client/Master/QI Authorization Name Please Print Company 24 Hour Phone/ Fax Please Sign E-Mail Address Agent if known Phone/Fax/E-mail 3500 Sunrise Highway Bldg 200 Suite 200 Great River NY 11739-3500 631 224-9141 Phone 631 224-9086 Fax iocdo nrcc*com email. COM ATTN IOC DUTY OFFICER SUBJ REQUEST FOR STATE OF CALIFORNIA SHORELINE PROTECTION and/or REQUEST FOR 6-HOUR ON-WATER-RECOVERY Provision for Additional Spill Response resources In accordance with regulatory requirements contained in the Shoreline Protection Tables found in CCR Title 14 Chapter 3 Section 818. 02 f and Subchapter 4 Section 827. 02 i and 6 Hour On-Water Recovery per requirements found in sections 818. 02 f and Subchapter 4 Section 827. 02 i and 6 Hour On-Water Recovery per requirements found in sections 818. 02 and 827. 02 of Title 14 of the California Code of Regulations. Request to provide additional spill response resources for the following vessel 24 Hour Notification for Additional Spill Response Resources Date Time of Request Vessel Name RWCD capacity of largest fuel tank Owner/Operator Shoreline Protection Table Location Port ETA ETD 3 mile State Waters Boundary ETA to Santa Barbara Channel Select Appropriate Operation I hereby acknowledge receipt of National Response Corporation s rate schedule published and effective as of February 18th annually which is also posted on NRC s webpage http //www.