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City of Modesto SSO/Backup Response Plan RN-1 Regulatory Notifications Packet Guide To SSO Reporting Requirements Primary Reporting Summary Refer to Side B for contact information, timeframes and reporting procedures If the backup or SSO is: Required action or contact: 50,000 gals or greater, and Results in a discharge to surface water or Discharged to a positive storm drain (not a rockwell or a detention basin) that was not fully recovered California Emergency Management Agency (CalEMA) (800) 852-7550 Within 2 hours (made by Supervisor) Submit draft report into CIWQS within three business days Certify CIWQS report within 15 days Conduct water quality monitoring within 48 hours Submit technical report within 45 days 1,000 gal or greater, and Results in a discharge to surface water or Discharged to a positive storm drain (not a rockwell or a detention basin) that was not fully recovered California Emergency Management Agency (CalEMA) (800) 852-7550 Within 2 hours Submit draft report into CIWQS within three business days Certify CIWQS report within 15 days LESS than 1000 gal, but Reached surface water, or Discharged to a positive storm drain (is not a rockwell or a detention basin) that was not fully recovered Submit draft report into CIWQS within three business days Certify CIWQS report within 15 days 1,000 gals or greater, and NOT discharged to surface water or is not fully recovered, or Any discharge to rockwells and detention basins Submit draft report into CIWQS within three business days Certify CIWQS report within 15 days LESS than 1,000 gals, AND NOT discharged to surface water or fully recovered, or Any discharge to rockwells and detention basins Submit certified report into CIWQS within 30 calendar days of the end of the month in which SSO occurred Was caused by problems with a private service lateral Optional reporting into CIWQS Persons authorized to perform regulatory reporting: Legally Responsible Official (LRO) authorized to electronically sign online SSO reports: Regulatory Compliance Administrator Collection System Manager: Robert Englent Wastewater Collections Supervisor Business Phone: [PHONE REDACTED] Wastewater Collections Manager Cell Phone: [PHONE REDACTED] Deputy Director of Public Works Alternate: [PHONE REDACTED] Internal Supervisor Contact Requirements: Supervisor contacts: Business hours After hours When to contact? Environmental Services [PHONE REDACTED] [PHONE REDACTED] A Supervisor must be contacted when SSO is greater than 1,000 gals and reaches surface waters Wastewater Supervisor [PHONE REDACTED] [PHONE REDACTED] Wastewater Supervisor [PHONE REDACTED] [PHONE REDACTED] Wastewater Supervisor [PHONE REDACTED] [PHONE REDACTED] Collection Sys Manager [PHONE REDACTED] [PHONE REDACTED] Senior Operator on Duty [PHONE REDACTED] or Nextel 607 [PHONE REDACTED] ---PAGE BREAK--- City of Modesto SSO/Backup Response Plan RN-2 Regulatory Notifications Packet Sanitary Sewer Overflow Reporting Documentation SSO Two Hour Notification/24-Hour Certification. This does not replace the requirement to report to CIWQS-SSO e-Reporting Program within 3 days of the spill. CalEMA Telephone Number: 1-[PHONE REDACTED] Important: * = Required Field 1. CalEMA Control number* 2. Date Reported: * I I (mm/dd/yyyy) 3. Time Reported: * : (hh:mm) 4. Reported By: * Phone Number: * ( ) - 5. Reporting Sewer Agency: * City of Modesto 6. Responsible Sewer Agency: * 7. Overflow Street Location/Comments -please indicate the spill cause, sources, and final spill destination entered:* drainage channel/surface water entered) City: * ZIP Code: * County: * SSO Description if information is not available, please input 00:00 for time and 00 for gallons 8. Overflow Start Estimate: Date:* / / (mm/dd/yyyy) Time:* 9. Overflow End: Date:* Date:* / / (mm/dd/yyyy) Time:* : (hh:mm) 10. Estimated Overflow Flow Rate: * (gallons per minute) 11. Estimated Total Overflow Volume:* (gallons) 12. Overflow Volume Recovered: * (gallons) 13. Person Completed:* Date: / / (mm/dd/yyyy) Official Title: * Phone Number * Email:* ---PAGE BREAK--- NOTICE OF SANITARY SEWER OVERFLOW In accordance with California Health and Safety Code Section 5410 et. seq. Overflow Street Location/Comments -please indicate the spill cause, sources, and final spill destination entered:* drainage channel/surface water entered) City: * ZIP Code: * County: * SSO Description if information is not available, please input 00:00 for time and 00 for gallons Overflow Start Estimate: Date:* / / (mm/dd/yyyy) Time:* Overflow End: Date:* Date:* / / (mm/dd/yyyy) Time:* : (hh:mm) Estimated Overflow Flow Rate: * (gallons per minute) Estimated Total Overflow Volume:* (gallons) Overflow Volume Recovered: * (gallons) Person Completed:* Date: / / (mm/dd/yyyy) Official Title: * Phone Number * Email:* Time spill was noticed: Notifications: Notified CalEMA ---PAGE BREAK--- City of Modesto SSO/Backup Response Plan Regulatory Notifications Packet Instructions to First Responder: 1. If SSO is greater than 1,000 gals AND reaches surface waters or is expected to reach surface waters, open packet and follow Internal Supervisor Contact Requirements 2. Hand this packet to the responding supervisor authorized to make regulatory notifications 3. Enter name and title of that individual on the front of the Sewer Backup or Sewer Overflow Response Envelope Instructions for Reporting Authority: 1. Open this packet 2. Refer to the Guide to Reporting to Regulatory Authorities for instructions. Contents: Form Page Number Guide To SSO Reporting Requirements RN-1 Sanitary Sewer Overflow Reporting Documentation RN-2 Print on 6”x9” envelope