USE OF DISPERSANTS - U.S. National Response Team (NRT)

DISPERSANT / APPLICATION FORM FROM CARIBBEAN REGION RRTDISPERSANT PRE-APPROVAL POLICY (Submit to CRRT)(Use to document information in pre-approved zones and request use in non-pre-approved zones)Name of the Spill Incident: ______________________________________________________________Responsible Party (if known): ___________________________________________________________FOSC / POC (name & Phone #): _________________________________________________________Date and Time of the Spill Incident: ______________________________________________________I. OIL TYPE:1. Spilled oil/substance name (if known): ________________________________________________2. Viscosity: _________________________________________________________________________3. API Gravity: _______________________________________________________________________4. Pour Point: _______________________________________________________________________5. Percent Evaporation in: 24 Hours - ___________________________________________________48 Hours - ___________________________________________________6. Did oil emulsify within the operational period? _________________________________________** Any information from visual overflights of the slick, including estimations of slick thickness,should be included here. All additional available information pertaining to physical characterizatonof spilled oil should be included here.II. ENVIRONMENTAL CONDITIONS:1. Wind Speed: ______________________________________________________________________2. Wind Direction: ____________________________________________________________________3. Visibility: _________________________________________________________________________4. Ceiling: __________________________________________________________________________III. DESCRIPTION OF SPILL INCIDENT AND SPILL SITE:Note all relevant details concerning the spill incident and spill site here. Be sure to note whether thespill was a one-time or continuous release, the amount of cargo remaining aboard the vessel, thestability of the vessel, and sensitive environmental conditions in the vicinity of the vessel. Anestimated amount of oil on the water should be made, if possible, by using available information onthe area of the slick and the estimated slick thickness (as indicated by the color of the slick). Alsoincluded should be a description of the location of the spill site, including the nearest major port._________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________