OTHER PUBLIC AGENCY CONTACTED (Fire District, Hazardous Materials, City or County)?
Agency Name: Contact Name:
Address: Phone:
EMERGENCY REMOVAL ORDER APPLICABLE?
Agency Name: Contact Name:
Address: Phone:
H:\Pub_data\Janet\Reg 8-40\forms\notifdraft3.doc
GENERAL INFORMATION
• This notification form shall be used to notify the BAAQMD of any projects subject to the reporting
requirements in Regulation 8, Rule 40, Sections 401 through 405. Notifications may be emailed to
compliance@baaqmd.gov; or mailed to the address listed at the bottom of this form.
• An invoice for payment will be sent to the person listed under "Contractor Information" as the person
responsible, unless the project is exempt from fee payment (see next item).
• See "Frequently Asked Questions" (FAQ) for definition of projects, change procedures, permit requirements,
emergency conditions, project exemptions, and fee exemptions. For any questions not answered in the FAQ,
contact the Compliance Assistance Counselor at (415) 749-4999.
INSTRUCTIONS
• SITE OF ACTIVITY:
Give the site street address and indicate if it has any existing BAAQMD site number,
for either a plant or GDF. Identify the specific project location if the site contains more than one building.
Indicate all applicable activity types by checking appropriate boxes. For reporting requirements under
Sections 401 through 403, additional information is required, as below
.
• CONTRACTOR INFORMATION: Identify the contractor that is responsible for performing the work at the
site location listed. This contractor is also responsible for payment of the applicable notification fee, if the
project is not exempt.
•
SECTION 401 - TANK REMOVAL/REPLACEMENT: All soils disturbed and/or excavated as part of the
tank removal shall be subject to the requirements of Sections 304 through 306, unless the soil has been
determined not to be contaminated by measurement of organic content using the procedures in Sections 601
and 602. Complete requirements for Section 402 or submit sample results showing that the soil is not
contaminated.
• SECTION 402 - CONTAMINATED SOIL EXCAVATION AND REMOVAL:
• Be as accurate as possible for the Scheduled Start and Completion Dates. Specific requirements apply
for excavation projects triggered within either 45 or 90 days (Reg. 8-40-306.4) and Authority to Construct
requirements for projects lasting longer than three months (Reg. 2-1-128.16).
• If a vapor suppressant is used, attach a product data sheet or MSDS.
• If Method of Site Closure used is Onsite Treatment, describe specific method, (e.g., bioremediation, vapor
extraction, air sparging, thermal desorption, etc.).
• If Onsite Treatment is used, indicate whether an Authority to Construct was obtained by
providing the
Application No. or attach copy of BAAQMD Certification of Exemption.
•
SECTION 403 – AERATION OF SOIL < 50 PPMW ORGANIC CONTENT: Section 301 exempts
from control the aeration of soil containing less than 50 ppmw of organic compounds, but Section 403 still
requires reporting of ANY soil aeration. If such a project does not meet the exemption criteria of Section 118,
then a Permit Application and Risk Screening Analysis must be submitted.
•
EMERGENCY REMOVAL INFORMATION (IF APPLICABLE): The rule defines an emergency tank
removal or excavation of contaminated soil as "carried out pursuant to an order of a state or local government
agency issued because the contaminated soil poses an imminent threat to public health and safety." If the
project(s) meet this definition, then identify the agency that issued the order. Under Section 402
requirements, on line two, identify the purpose as indicated in the order.
375 Beale Street, Suite 600, San Francisco, CA 94105
www.baaqmd.gov
