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Get Tier 1 Report Form
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How to fill out the Tier 1 Report Form online
The Tier 1 Report Form is essential for reporting stormwater sampling results that exceed specified benchmarks. This guide provides a step-by-step approach to filling out the form online, ensuring that you complete it accurately and efficiently.
Follow the steps to successfully fill out the Tier 1 Report Form online.
- Click the ‘Get Form’ button to access and open the Tier 1 Report Form in your preferred editor.
- Enter the date the form is being prepared. This helps document when the report is being completed.
- Fill in the facility name where the sampling occurred. This identifies the location relevant to the report.
- Provide the file number associated with your permit. This number helps locate your records within the system.
- Indicate the county in which your facility is located, as this information is necessary for regional compliance.
- Input the SIC codes that correspond to your facility. These codes classify your industry and guide regulatory requirements.
- Complete the 'Prepared By' section with your name. This identifies the individual responsible for the report.
- Enter your phone number and email address for contact purposes regarding the report.
- Indicate the reason for filing the form by listing any statewide benchmark exceedances, sector-specific benchmark exceedances, or reference concentration exceedances.
- Document the date when sampling occurred and the date you received the lab results for your records.
- Describe the results of any investigation into the elevated pollutant levels to provide clarity and context.
- Outline any corrective actions you plan to implement to address the benchmark exceedances.
- State the date when these corrective actions were completed or are expected to be completed.
- Determine if any revisions to the Stormwater Pollution Control Plan (SWPCP) are necessary, and provide details if 'Yes'.
- Finally, ensure you review the form for completeness, save any changes, and then download, print, or share the report as needed.
Complete your documents online to ensure prompt and accurate reporting.
Submission of Tier II form is required under Section 312 of the Emergency Planning and Community Right-to-Know Act of 1986 (EPCRA). The purpose of this form is to provide state, tribal, and local officials, and the public with specific information on potential hazards.
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