6200-09 Continuous Release Reporting for Farms

Form Approved OMB No. 2050-0086; Expires 12/31/2011

Continuous Release Reporting for Farms

ID Number
(CR-ERNs or Other)

SECTION III: SUBSTANCE INFORMATION
Calculation of the SSI Trigger

Use this form if you have hazardous substance releases to air, other than ammonia or hydrogen sulfide.
For EACH hazardous substance indicated in Section II, Part C, list the names of the releasing animal waste source(s) and their
upper bounds.

To calculate the SSI trigger (i.e., the upperbound of the normal range of a release) for the hazardous substance identified below,
aggregate the upper bounds of the normal range of the identified hazardous substance across all animal waste sources identified in
Section II, Part C.
Hazardous Substance
Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

TOTAL - SSI trigger for hazardous substance release*

Hazardous Substance
Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

Animal Waste Source

Upper Bound of the Normal Range of the Release in Pounds

TOTAL - SSI trigger for hazardous substance release*

*This method for calculating the SSI trigger for the hazardous substance assumes that all releases of the same
hazardous substance occur simultaneously. To the extent that a hazardous substance is released from your
farm from different animal waste sources and at different frequencies, you may adjust the SSI trigger as
appropriate so that it more accurately reflects the frequency and quality of the release. The SSI trigger in the
final analysis must reflect the upper bound of the normal range of the release, taking into consideration all
animal waste sources of the release at the farm. The normal range of the release includes all releases
previously reported or occurring over a 24-hour period during the previous year.
EPA Form 6200-09, Continuous Release Reporting for Farms

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INSTRUCTIONS
SECTION III: SUBSTANCE INFORMATION
Use this form if you have hazardous substance releases to air, other than ammonia or hydrogen sulfide.

ID Number (CR-ERNS or Other):
The CR-ERNS number is not required for this submission; however, if you choose to use the CR-ERNS number as an ID number call
the National Response Center (NRC) 1-800-424-8802 and state that you are making an Initial Telephone Notification.
The Other number can be obtained from the State Emergency Response Commission (SERC) and/or Local Emergency Planning
Committee (LEPC).
The ID Number is for identification purposes only and may or may not be required by your SERC and/or LEPC.
Statistically Significant Increase (SSI) Notification - An SSI is any episodic release of a hazardous substance that exceeds the
release quantity delineated in the upper bound of the normal range of the farm's continuous release report. The normal range is
defined to include all the releases of a hazardous substance (from all animal waste sources) occurring over any 24-hour period under
normal operating conditions during the preceding year. Only those releases that are both continuous and stable in quantity and rate
may be included in the normal range. The aggregated upper bounds of the normal range of each hazardous substance is referred to
at the "SSI Trigger."
An SSI in a continuous release of a hazardous subsance must be reported to the SERC and LEPC as soon as the person in charge is
aware that the release exceeds the SSI trigger. Because an SSI is a type of episodic release, it is treated as such.
It may be possible to adjust the SSI trigger (i.e., change the normal range of the release) if a particular continuous release frequently
exceeds the upper bound of the normal range.
Calculation of the SSI Trigger for a Hazardous Substance
Hazardous
Substance (HS)
Name of HS

Source

Upper
Bound

Barn #1
Lagoon #1
Manure Pile #1

120 lbs
115 lbs
130 lbs

Upper Bound for HS

365 lbs

For purposes of this example, it is assumed that the only
sources of the hazardous substance release at the farm are
Barn #1, Lagoon #1, and Manure Pile #1.