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(d) After filing for review, the requester:

(1) Is entitled to an informal conference with the EPA disputes decision official;

(2) May be represented by counsel and may submit documentary evidence

-Boston Il-New York Il-Philadelphia IV-Atlanta

V-Chicago

VI-Dallas

and briefs for inclusion in a written record; and

(3) Is entitled to a written decision by the disputes decision official within 45 days from receipt of the request.

APPENDIX I TO PART 310-EPA REGIONS AND NRC TELEPHONE LINES

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VII-Kansas City

VIII-Denver

IX-San Francisco
X-Seattle

National Response Center:

1-800-424-8802 (National-toll free) 202-267-2675 (Washington, DC)

OH, IN, IL, WI, MN, MI

(214) 655-2222 AR, LA, TX, OK, NM

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Appendix II to Part 310--Application for reimbursement to local governments for emergency response to hazardous substance releases under CERCLA Section 123

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d. Hazardous Substances Released and Quantity (Petroleum, crude oil, or any unspecified fractions thereof are excluded. See $310.11(d) of the regulation for substances excluded from this program)

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167-154 0-96--15

3 Summary of Response Actions

Temporary Measures for Which Reimbursement is Sought

k Demonstration that Costs Claimed Do Not Supplant local Funds Normally Provided for Response and Exceed Resources Committed in Local Emergency Response Plan

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5. Certification and Authorization (To be completed by highest ranking official of applying local government.) I hereby certify that:

(1) All costs are accurate and were incurred specifically for the response for which reimbursement is being requested; (2) The requirement to inform EPA or the NRC of the response has been met;

(3) Reimbursement for costs incurred for response activities does not supplant local funds normally provided for response; (4) Cost recovery was pursued as presented in the attached Table 2: and

(5) Reimbursement funds for which costs are later recovered will be returned to EPA

I further certify that I am authorized to request this reimbursement and to receive funds from the Federal Government

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58

EPA Form 9310-1 (Rev 9-92)

CELEVENE Attach supporting documentation, e.g., Invoices, sales receipts, rental agreements

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Passenger and nonpassenger vehicle rental costs will be considered
for private vehicles not owned or operated by the applicant or other
unit of local government.

Utility costs will be considered for private utilities not owned or operated by the applicant or other unit of local government.

May include such items as specialized laboratory analyses and sampling.

May include such items as chemical foam to suppress a fire; food pur-
chased specifically for an evacuation; air purifying canisters for
breathing appartus; disposable, protective suits and gloves; and
sampling supplies.

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