NAC459.95344. Reports of regulatory agencies.

A governmental entity or agency of the State that is required by subsection 1 of NRS 459.382 to submit a report to the Division shall do so, upon request, within 10 working days after a determination is made or an action is taken related to hazards involving highly hazardous substances or explosives at a facility. The report must be submitted on the following form:

NEVADA DIVISION OF ENVIRONMENTAL PROTECTION

CHEMICAL ACCIDENT PREVENTION PROGRAM

GOVERNMENTAL AGENCY REPORTING FORM

     A facility which produces, uses, stores or handles a highly hazardous substance or manufactures an explosive for sale in a process subject to NAC 459.95323 is subject to the provisions of NRS 459.380 to 459.3874, inclusive. Pursuant to NRS 459.382, governmental entities or agencies of the State are required to complete the following information whenever a determination is made or an action is taken related to hazards involving highly hazardous substances or explosives at a facility. Please complete this form and return it to the Nevada Division of Environmental Protection, 333 West Nye Lane, Room 138, Carson City, Nevada 89706-0851.

     1. Facility Name.........................................................................................................................

     2. Facility Location....................................................................................................................

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     3. Highly Hazardous Substances or Explosives Present at the Facility

Substance                                                                                            Estimated Quantity (lbs.)

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     4. Describe any specific hazards related to highly hazardous substances or explosives which were noticed by regulatory or inspection staff at the facility.......................................................................................

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     5. Describe any action your agency has taken at this facility related to highly hazardous substances or explosives. Include orders, notices, penalties, etc. ...........................................................................

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     6. List statutes, regulations, standards or codes related to or controlling actions taken by your agency 

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     7. Agency contact: ........................................................             Phone: ...................................

     8. Authorized signature: ................................................             Date: .....................................

Attach additional sheets if required.

     (Added to NAC by Div. of Environmental Protec., eff. 7-10-92; A by R137-04, 2-15-2005)