MASSACHUSETTS REGULATIONS THAT REQUIRE THIS NOTICE
This notice is being provided pursuant to the Massachusetts Contingency Plan and the notification
requirement at 310 CMR 40.1403(11). The Massachusetts Contingency Plan is a state regulation
that specifies requirements for parties who are taking actions to address releases of chemicals (oil or
hazardous material) to the environment.
Information about the general process for addressing releases of oil or hazardous material under the
Massachusetts Contingency Plan and related public involvement opportunities may be found at
http://www.mass.gov/eea/agencies/massdep/cleanup. For more information regarding this notice,
you may contact the party listed in Section E on the reverse side of this form. Information about the
disposal site identified in Section A is also available in files at the Massachusetts Department of
Environmental Protection. See http://public.dep.state.ma.us/SearchableSites2/Search.aspx to view
site-specific files on-line or http://www.mass.gov/eea/agencies/massdep/about/contacts/conduct-a-file-
review.html if you would like to make an appointment to see these files in person. Please
reference the Release Tracking Number listed in the upper right hand corner on the reverse side of
this form when making file review appointments.
Recipients of this notice who own or operate a multi-unit or commercial or industrial building at which
or near the location where the Immediate Response Action is occurring should post a copy of both
sides of this notice at a central bulletin board, sign in area or other location where it will be visible to
people who are routinely present in the building (e.g., residents, workers). The purpose of this
posting is to inform these people of the purpose, scope and nature of the Immediate Response Action
that they may be observing and/or about which they may wish to obtain more information.
Section D on the reverse side of this form provides specific information about the conditions that are
to be/have been addressed by the Immediate Response Action, the types of activities that are to
be/have been conducted (e.g., excavation of contaminated soil) and the expected start date and
completion date for these activities.
The regulations also required that the same “Affected Individuals” receive notice upon the completion
of the Immediate Response Action. Section C on the reverse side of this form indicates the
circumstance under which you are receiving this notice at this time. If you are receiving this notice
upon completion of the Immediate Response Action, you should also be receiving a copy of the
Immediate Response Action Completion Statement that summarizes the work that has been done.
Parties who are taking an Immediate Response Action to assess, and eliminate or mitigate conditions
that could pose a risk to human health or safety or the environment, if unaddressed in the short-term,
are required by state regulations to notify persons who are in close proximity to the area where the
Immediate Response Action is occurring (i.e., “Affected Individuals”). The purpose of the notice is to
inform its recipient (identified in Section B on the reverse side of this notice) of the purpose, scope
and nature of the Immediate Response Action and how to obtain more information.
This notice has been sent to you by the person who is addressing a release of oil or hazardous
material to the environment at the location listed in Section A on the reverse side of this form. (The
regulations refer to the area where the oil or hazardous material is present as the “disposal site”.)
THE PERSON(S) PROVIDING THIS NOTICE
Massachusetts Department of Environmental Protection
Bureau of Waste Site Cleanup
INFORMATIONAL NOTICE ABOUT IMMEDIATE RESPONSE ACTIONS
As required by 310 CMR 40.1403(11) of the Massachusetts Contingency Plan
This Notice is Related to:
