EMERGENCY RESPONSE ACTION PLAN (ERAP)

Pipeline

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LAST REVISION DATE 1-1-19

Name of Company or Operator

Enter Date

24-Hour Emergency Contact:303-xxx-xxxx

Company Logo

EMERGENCY RESPONSE ACTION PLAN (ERAP) South Area Gas Pipeline

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Table of Contents E.1 Company Name ................................................................................................................. 1 E.2 South Area Gas Pipeline Location Narrative ...................................................................... 1

Pipeline, ........................................................................................... 1 Pipeline, ........................................................................................... 3

E.3 Surrounding Occupancies and Land Use ........................................................................... 6 E.4 Emergency Telephone Numbers ........................................................................................ 7

Company Personnel Notifications ................................................................................................... 7 Local Notifications ..................................................................................................................... 8 State Notifications ..................................................................................................................... 9 Federal Notifications ............................................................................................................... 11

E.5 Notification Checklist ........................................................................................................ 12 E.6 Qualified Individual Duties ................................................................................................ 13 E.7 Spill Report Information .................................................................................................... 14 E.8 Personal Protective Equipment (PPE) Available .............................................................. 15 E.9 Emergency Equipment and Supplies................................................................................ 15 E.10 Location and Types of Water Supplies .......................................................................... 15 E.11 Transportation Routes ................................................................................................... 15 E.12 Action Items and Response .......................................................................................... 16 E.13 Coordination with First Responder Agencies ................................................................ 18 E.14 Safety and Training Review .......................................................................................... 19

Appendix A Appendix B

Pipeline USR Location Map Detailed Pipeline Route Maps

add the name of the pipeline and edit as needed

EMERGENCY RESPONSE ACTION PLAN (ERAP)

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E.1 Company Name

E.2 Name of Pipeline Location Narrative

describe the location of the pipeline, where it starts and what sections it crosses, include Section Township and range numbers, this should correlate to the maps in the appendixes.

• There is an Econode on parcel 130522100023 (in the NE quarter of the NW quarter ofSection 22, Township 2 North, Range 64 West). A 12-inch pipeline originates from thisEconode. The pipeline crosses under WCR 20 and travels north about 1-mile to acombination point just north of WCR 22 unmaintained Section Line ROW on parcel130510000006 (in Section 10, Township 2 North, Range 64 West).

•

Sample information

EMERGENCY RESPONSE ACTION PLAN (ERAP) South Area Gas Pipeline

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EMERGENCY RESPONSE ACTION PLAN (ERAP) Name of Pipeline Pipeline

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E.3 Surrounding Occupancies and Land Use

The pipeline travels through a rural area primarily dedicated to farming. The following table lists structures near the pipeline and their coordinates. The Structure Numbers are shown on the Pipeline Route Maps in Appendix B.

Structure Number

Type of Structure Address

Distance from

Pipeline (feet)

Latitude Longitude Map Number

1 Residential 815 6 2 Residential 915 6 3 Residential 655 6 4 Residential 990 6 5 Residential 395 6 6 Residential 75 6 7 Residential 940 2 8 Residential 775 2 9 Residential 490 2 10 Residential 700 2 11 Residential 925 2 12 Residential 1000 2 13 Residential 410 1 14 Residential 485 3 15 Residential 480 3 16 Residential 853 3 17 Residential 346 7 18 Residential 628 8 19 Residential 563 9 20 Residential 990 3

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E.4 Emergency Telephone Numbers

Company Personnel Notifications

Mobile: Office: E-Mail:

Office Address: Mobile: Office: E-Mail:

Office Address: Mobile: Office: E-Mail:

Office Address: Mobile: Office: E-Mail:

Office Address: Mobile: Office: E-Mail:

Office Address:

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Local Notifications

Type Organization Contact

Number(s) Person

Contacted Time

Contacted

Spill Response

Custom Environmental Services (303) 423-9949

Clean Harbors (Denver Office)

(303) 371-1100(800) 645-8265

Fire / EMS

LaSalle Fire Protection District

POC: Bear Hulsey (970) 284-6336

Platte Valley Fire Protection District

POC: Barry Schaefer (970) 353-3890

SE Weld Fire Protection District

POC: Tom Beach (303) 732-4203

Good Samaritan Medical Center (303) 689-4000

Platte Valley Medical Center (303) 498-1600

University of Colorado Hospital (720) 848-0000

North Colorado Medical Center (970) 810-4121

North Colorado MED EVAC (Air Ambulance)

*Provide GPS Coordinates(800) 247-4357

Law Enforcement

Weld County Sheriff POC: Alan Caldwell (970) 356-4015

LEPC Weld County Office of

Emergency Management POC: Roy Rudisill

(970) 304-6540

Other Weld County Regional Communications Center (970) 350-9600

Make sure all First Response agencies are listed along with medical facilities utilized by jurisdictions.

911 must always be used for Emergency Services

Add the companies you use

Edit list as needed

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State Notifications

ENVIRONMENTAL RELEASE & INCIDENT REPORTING LINE (877) 518-5608

CDPHE REPORTING REQUIREMENTS A release of any chemical, oil, petroleum product, sewage, etc., which may enter waters of the state of Colorado (which include surface water, ground water and dry gullies and storm sewers leading to surface water) must be reported immediately.

COLORADO OIL & GAS CONSERVATION COMMISSION

MAIN NUMBER (BUSINESS HOURS) (303) 894-2100

WELD COUNTY CONTACT (Rick Allison) Office: (970) 461-2970 Cell: (970) 623-0850

General: Spills/releases of E&P waste, including produced fluids, shall be controlled and contained immediately upon discovery to protect the environment, public health, safety, and welfare, and wildlife resources. Impacts resulting from spills/releases shall be investigated and cleaned up as soon as practicable. The Director may require additional activities to prevent or mitigate threatened or actual significant adverse environmental impacts on any air, water, soil or biological resource, or to the extent necessary to ensure compliance with the concentration levels in Table 910-1, with consideration to WQCC ground water standards and classifications.

Feel free to edit these pages in a list type of contacts

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COLORADO OIL & GAS CONSERVATION COMMISSION

COGCC REPORTING REQUIREMENTS

1 Spills/releases of E&P waste or produced fluid exceeding five (5) barrels, including those contained within lined or unlined berms, shall be reported on COGCC Spill/Release Report, Form 19. (SEE PAGE 2-9)

2 Spills/releases which exceed twenty (20) barrels of an E&P waste shall be reported on COGCC Spill/Release Report, Form 19, and shall also be verbally reported to the Director as soon as practicable, but not more than twenty-four (24) hours after discovery.

3

Spills/releases of any size which impact or threaten to impact any waters of the state, residence or occupied structure, livestock, or public byway shall be reported on COGCC Spill/Release Report, Form 19, and shall also be verbally reported to the Director as soon as practicable, but not more than twenty-four (24) hours, after discovery.

COGCC REPORTING REQUIREMENTS (CON’T)

4

Spills/releases of any size which impact or threaten to impact any surface water supply area shall be reported to the Director and to the Environmental Release/Incident Report Hotline (877-518-5608). Spills and releases that impact or threaten a surface water intake shall be verbally reported to the emergency contact for that facility/pipeline immediately after discovery.

5

For all reportable spills, operators shall submit a Spill/Release Report, Form 19, within ten (10) days after discovery. An 8 1/2 x 11 inch topographic map showing the governmental section and location of the spill shall be included. Such report shall also include information relating to initial mitigation, site investigation, and remediation. The Director may require additional information.

6 Chemical spills and releases shall be reported in accordance with applicable state and federal laws, including the Emergency Planning and Community Right-to-Know Act, the Comprehensive Environmental Response, Compensation, and Liability Act, the Oil Pollution Act, and the Clean Water Act, as applicable.

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Federal Notifications

NATIONAL RESPONSE CENTER • USCG HEADQUARTERS – WASHINGTON, D.C.

24 Hour Phone (800) 424-8802The NRC is the sole federal point of contact for reporting oil and chemical spills which enter or threaten to enter the navigable waters of the United States. If you have a spill to report, contact the NRC via the toll-free number or visit the NRC Web Site (http://www.nrc.uscg.mil) for additional information on reporting requirements and procedures. For those without 800 access, please contact the NRC at 202-267-2675. All notifications to the National Response Center must be made at the earliest practicable moment following discovery but no later than one hour after confirmed discovery.

ENVIRONMENTAL PROTECTION AGENCY • REGION 6 – DALLAS, TEXAS

Region 8 Spill Hotline via NRC 800-424-8802Region 8 Denver Office 800-227-8917

Calls to the National Response Center will automatically be forwarded to the appropriate EPA Regional Office. However, a courtesy notification can be made directly to the applicable region.

The Environmental Protection Agency must be notified of the following: 1. Any unanticipated bypass exceeding effluent limitation by permit.2. Any upset condition, which exceeds any effluent limitation in permit.3. Violation of maximum daily discharge limitation or daily minimum toxicity

limitation.4. Chemical spills of a reportable quantity.

Oral notification is required within 24 hours of the incident. No written report is required.

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E.5 Notification Checklist

Priority Notification Time Check

1

2

3

4

5 Weld County Sheriff (if necessary)

6 Weld County Emergency Management

Edit as needed

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E.6 Qualified Individual Duties

1. Activate internal alarms and hazard communication systems to notify all pipeline personnel,

2. Notify all response personnel, as needed,

3. Identify the character, exact source, amount and extent of the release, as well as the other items needed for notification,

4. Notify and provide necessary information to the appropriate Federal, State and local authorities with designated response roles, including the National Response Center, State Emergency Response Commission and Local Emergency Planning Committee,

5. Assess the interactions of the discharged substance with water and/or other substances stored at the facility/pipeline and notify response personnel at the scene of that assessment,

6.

Assess the possible hazards to human health and the environment due to the release. This assessment must consider both the direct and indirect effects of the release (i.e. the effects of any toxic, irritating, or asphyxiating gases that may be generated or the effects of any hazardous surface water runoffs from water or chemical agents used to control fire and heat-induced explosion.),

7. Assess and implement prompt removal actions to contain and remove the substance released,

8. Coordinate rescue and response actions as previously arranged with all response personnel,

9. Use authority to immediately access company funding to initiate clean-up activities; and

10 Direct cleanup activities until properly relieved of this responsibility.

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E.7 Spill Report Information

The following information should be provided in the initial and each follow-up notification:

REPORTING PARTY

REPORTER’S NAME POSITION

PHONE NUMBER DAY EVENING

COMPANY

ADDRESS

INCIDENT DESCRIPTION NAME OF PIPELINE

DATE OF INCIDENT TIME OF INCIDENT

INCIDENT ADDRESS / LOCATION

NEAREST CITY

LATITUDE LONGITUDE

TYPE OF MATERIAL

CAUSE OF DISCHARGE

DISCHARGE TO WATER YES NO ESTIMATED QUANTITY: BBL OR GAL

DESCRIPTION OF SLICK BARELY VISIBLE LIGHT SHEEN RAINBOW DULL DARK

WEATHER CONDITIONS

RESPONSE ACTIONS TAKEN OR PLANNED

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E.8 Personal Protective Equipment (PPE) Available

Type of PPE

Flame resistant clothing (FRC) Hard hat Safety glasses Safety shoes Hearing protection

Location Company vehicles

E.9 Emergency Equipment and Supplies

Type of Equipment

and Supplies Fire extinguishers

Location Company vehicles

E.10 Location and Types of Water Supplies

Type of Water Non-potable water

Location

E.11 Transportation Routes

what type of vehicle travel will be needed for inspections or maintenance.

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E.12 Action Items and Response

provide a description of the type of product the pipeline carries and any connection locations to compressor station or PIG drops.

Scenario #1: Pipeline Release without Fire

1. Call 911, if necessary, and report the release to Pipeline Foreman.2. Evacuate personnel from the immediate area to the designated assembly area or

to a location upwind of the release.3. Account for personnel.4. Engage emergency shutdown systems and/or manually isolate release from a

safe distance.5. Establish a secure perimeter around the area to prevent unauthorized entry.6. Notify Pipeline Supervisor and make other internal notifications as appropriate.7. Assess the threat to the public and notify public officials as appropriate.8. Initiate evacuation of surrounding homes, businesses, etc. with assistance from

local law enforcement officials, if necessary.

Sample information please edit as needed

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Scenario #2: Pipeline Release with Fire

1. Discontinue all tasks in progress.

2. Attempt to extinguish incipient stage fires, if trained to do so.

3. Call 911.

4. Report the condition to the Pipeline Foreman and take further defensive actionsas instructed.

5. Evacuate personnel to designated assembly areas.

6. Account for personnel.

7. Engage emergency shutdown systems and/or manually (from a safe distance)isolate fuel sources, shut down engines and heaters.

8. Initiate rescue activities as necessary, if properly trained.

9. Notify Pipeline Supervisor and make appropriate notifications to local fire andEMS. Make other internal management contacts as appropriate.

10. Establish a secure perimeter around the area to prevent unauthorized entry.

11. Initiate ERAP.

12. Continue measures to contain the fire, apply water from a safe distance toprotect adjacent equipment, if necessary.

13. Make appropriate government agency notifications.

14. Conduct post-incident activities.

This is an example edit as needed

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Scenario #3: Pipeline Damage without Release

1. Report the release to Pipeline Foreman.

2. Evacuate personnel from the immediate area to the designated assembly areaor to a location upwind of the release.

3. Account for personnel.

4. Engage emergency shutdown systems and/or manually isolate release from asafe distance.

5. Establish a secure perimeter around the area to prevent unauthorized entry.

6. Notify Pipeline Supervisor and make other internal notifications as appropriate.

7. Assess the threat to the public and notify public officials as appropriate.

8. Initiate evacuation of surrounding homes, businesses, etc. with assistance fromlocal law enforcement officials, if necessary.

E.13 Coordination with First Responder Agencies

A Company Name representative and first responders met on [Date]________________ to review emergency plan. The pipeline right-of-way was also reviewed at this meeting. A Tier II report is not required for the pipeline, and hazardous materials storage is not part of the operation of this pipeline. Edit as needed

This is an example edit as needed

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E.14 Safety and Training Review

Each year, all employees are provided with all necessary information concerning the proper handling of a pipeline emergency. This information shall be in the form of a review sheet detailing proper procedures, which shall be signed and dated by each employee when all items are understood. Also, proper use of cleanup and containment tools and procedures will be demonstrated, if necessary. Any new or updated information or procedures will be taught to employees immediately when applicable.

Operations Manager: Date:

Fire Dept. Official: Date:

Weld County OEM: Date:

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Appendix A: Pipeline USR Location Map Appendix B: Detailed Pipeline Route Maps

Disclaimer: These maps depict approximate pipeline locations only and should only be used for general reference. You should not rely upon the information presented in these maps for any other purposes, including one-call locates. You must contact the local One-Call Notification Center before commencing excavation and construction activities. Any unauthorized use of these maps is illegal.

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Appendix A USR Location Map

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Appendix B Detailed Pipeline Route Maps