Emergency Management Services of King County

The King County Local Emergency Planning Committee (LEPC) represents local governments, emergency response officials, environmental and citizen groups, industry and other interested parties within King County, Washington. The LEPC is responsible for developing a local emergency plan for their district and for the collection of information submitted by industry which is made available to the public.

TIER TWO REPORTING INFORMATION
The Washington State Emergency Response Commission (SERC), in accordance with the Federal Emergency Planning and Community Right-To-
Know Act (EPCRA) or SARA Title III, Section 312 requires completion of a Tier Two - Emergency and Hazardous Chemical Inventory report (PDF, 1MB) by all
facilities which have reportable quantities of chemicals.

STEPS FOR COMPLIANCE

Download Tier Two Reporting Form (PDF, 1MB)
Fill out form in entirety.
"Sign" the form using your email address.
Save a copy in your personal files.
Email a completed form to: Shad Burcham, King County Office of Emergency Management: shad.burcham@kingcounty.gov

HELPFUL HINTS

Refer to last year’s report for unchanged, basic information. However, be sure to correct
recent changes where necessary. Save a copy of the completed form for your records.
Please be thorough when completing the report. Your completeness and accuracy could make the job of a first responder (i.e. your fire
fighter, medics) safer and less complicated. Incomplete forms will be returned for correction.
If you have any questions after reviewing these instructions, please call or email Shad Burcham, 206-205-4072.

WHAT CHEMICALS ARE INCLUDED
You must report the required information on this Tier Two form for each hazardous chemical present at your facility in quantities equal to or greater
than established threshold amounts, unless the chemicals are excluded under Section 311(e) of Title III. Hazardous chemicals are any substances
for which your facility must maintain an MSDS under OSHA’s Hazard Communication Standard.

WHAT CHEMICALS ARE EXCLUDED
Section 311(e) of Title III excludes the following substances:
(i) Any food, food additive, color additive, drug, or cosmetic regulated by the Food and Drug Administration;
(ii) Any substance present as a solid in any manufactured item to the extent that exposure to the substance does not occur under normal
conditions of use;
(iii) Any substance to the extent it is used for personal, family, or household purposes, or is present in the same form and concentration as
a product packaged for distribution and use by the general public;
(iv) Any substance to the extent it is used in a research laboratory or a hospital or other medical facility under the direct supervision of a
technically qualified individual;
(v) Any substance to the extent it is used in routine agricultural operations or is a fertilizer held for sale by a retailer to the ultimate
customer.

Contact information:

		Web	www.metrokc.gov/prepare/programs/lepc.aspx
		Call	206-205-4072
		Toll Free	1-800-523-5044
		TTY	206-205-7516
		Fax	206-205-4056
		E-mail	lepc@kingcounty.gov
		Address	King County Office of Emergency Management
			Program Manager: Shad Burcham
			Renton, Washington
			Office hours: 8:00 a.m.- 4:30 p.m.

Emergency Management Services of King County

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