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Request OSRO Agreement

General Client Information:
Name:
Address:
City
State       Zip
     
Client Contact
Phone
Email *
Closest RC
Est. Response Time

Facility Information:
What type of Facility are they? (Bulk Oil, Mobile, Vessel)
What type of Product do they keep on site
What is their MMPD (Maximum Most Probable Discharge)?

OPA-90 Coverage Questions:
Are they under USCG or EPA jurisdiction? Or Both?
Do they required AMPD Coverage? Yes No
Comment:
Do they have their own equipment onsite to meet AMPD Requirement? (1000ft of boom, Skimming and storage capabilites)
Do they have a current OSRO Provider? Yes No
If yes / WHO?
Are they the primary OSRO? Yes No
Would be the secondary Responder? Yes No
Do they have personnel onsite that are First Responders? Yes No
Do they have a yearly Tabletop drill at their facility? Is this an internal drill or do they have an outside contractor facilitate it?


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Request OSRO Agreement

3117 Talleyrand Avenue, PO Box 3005, Jacksonville, FL 32206 Phone: 904-355-4164.
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