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THE
ORCBS > Occupational Safety > Resources & Links >
AGRICHEMICAL
SPILL MANAGEMENT AND RESPONSE
Michigan Department
of Agriculture, Office of Pollution Prevention Groundwater Program
- General Safety
- Personal Safety
- Emergency Planning - SARA Title III - PIP Plans New Core
Manual for Pesticide Applicator Training
- Worker Protection Standard - Personal Protective Equipment
- OSHA / MIOSHA
- Michigan Poison Control System 800-POISON-1 (800-764-7661)
- The 4 C's
- Control
- Contain
- Comply w/ Reporting Requirements
- Clean Up
- Response and Notification Procedures
- Personal safety first
- Control / Stop the source if possible
- Contain the spill to a small area
- Prevent contact with surface and ground water
- Notify Local Emergency Response Personnel, If needed
- LEPC - This contact may also cover State reporting
requirements
- Fire / Police
- MDEQ PEAS Hotline (800-292-4706)
- ALL Uncontained Spills
- Covers requirement for notifying State Emergency
Response Committee (SERC)
- MDA Ag Pollution Emergency Assistance (800-405-0101)
- ALL Pesticide, Fertilizer, and Manure Spills
- Remediation and Land Application / Disposal Options
- Cooperation with MDNR
- Financial Assistance Possibilities
- National Response Center (800-424-8802)
- If Reportable Quantity under Title III List of Lists
- Sara Title III - Hazardous Materials - Extremely
Hazardous Materials
- Cleanup spill or contact private response company for
assistance
- Agencies that can Offer Assistance
- ChemTrec Hotline (800-424-9300)
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- Generally for transportation incidents Can offer
product information as well as response guidelines
- Can put you in touch with manufacturer of product
- MDEQ Waste Management Division (517-373-2730)
- Can offer assistance on disposal of wastes
- MDA Pesticide & Plant Pest Management Division - Lansing
(517-373-1087)
- MDA Regional Offices
- MDA Groundwater Program - Benjamin Darling (517-335-6544)
(Pager 800-412-1406)
AGRICHEMICAL SPILL INCIDENT REPORTING FORM
Name of Owner
Business Name
Address (Street, City, Zip, County, Twp)
Telephone Number
Applicator Involved / Certification Number
Location of Spill (Address / ldentification)
Complainant (Name, Address, Phone)
Other Agencies Contacted / Notified
Date and Time of Spill Occurrence
Controlled / Contained / Cleaned Up
Date and Time of MDA Notification
Type of Spill (Pesticide or Fertilizer Involved)
Volume of Spill
Tank Mix Volume
Individual Concentration(s) within Tank Mix
Target Crop / Rate / Acreage
Product Name(s)
Active Ingredient(s)
Type and Form of Product(s) (i.e. herbicide / liquid)
Ag or Non-Ag Use
Manufacturer(s)
Manufacturer Telephone Number
EPA Registration Number(s)
Spill Site - Soil / Water / Pavement
Area Covered / Impacted
Ground Cover Present
Soil Condition / Type / Slope
Location of Wells / Drains / Ditches / Surface Water
Environmental Hazards
Health Hazards
Leaching and Runoff Potential(s)
Reportable Quantity(ies)
Request for Investigation Form (PI - 182)
Use Investigation Report (PI - 147)
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