Emergency Response

Client:

Entergy Environmental Management

Attn: Wendy Foster

Oil Spill (other)

NON PCB/ Data Plated

AMPOL Project Number:		55-21333-INVOICED
Project Date:		2024-02-13
Site Location:		11050 Royal Ascot Ave Baton Rouge, East Baton Rouge LA
Latitude/Longitude:		30.41542° N, 91.05663° W
Submitted By:		American Pollution Control Corporation 401 W. Admiral Doyle Dr. New Iberia, LA 70560
Contact:		Roy Bourgeois
Telephone:		1-225-329-8148
Fax:		337-365-8890

Customer:	Entergy Gulf States Louisiana	Job Number:	55-21333-INVOICED
Address:	11050 Royal Ascot Ave	Job Type:	Oil Spill (other)
Purchase Order:	10673205	Day:	Tuesday
Entergy Contact:	Wendy Foster	Date:	02-13-2024

Personnel

Name	Title	Start	Stop	ST Hr	S/T Rate	OT Hr	O/T Rate	Totals
Terrell Thompson	Heavy Equipment Operator	11:30	15:30	4	$50.00	0	$0.00	$
Marcus Cain	Technican	11:30	15:30	4	$43.00	0	$0.00	$
Jeremy Oxley	Supervisor	11:30	15:30	4	$65.00	0	$0.00	$
Roy Bourgeois	Administrative Clerk	11:30	12:30	1	$57.00	0	$0.00	$
Personnel Total:								$

Equipment

Quantity	Name	Description	Unit	Rate	Totals
4	Bumper Pull Equipment Trailer Less Than 20'		PER HOUR	$30.00	$
4	Cat 315 Excavator or Similar		PER HOUR	$110.00	$
4	Truck, Stake Bed, Flat Bed 4WD, etc.		PER HOUR	$36.00	$
					Equipment Total:	$

Materials

Quantity	Description	Unit	Rate	Totals
4	Poly Soil Bags	EACH	$3.00	$
1	Petroleum sorbent pads 25 per bale	BALE	$50.00	$
			Material Total:	$

Summary

Notes:	Daily Total:	$
	Field Estimate Only. Not an invoice. Subject to administrative correction
American Pollution Control Corp - Dennis Menzato, Manager

Customer:	Entergy Gulf States Louisiana	Job Number:	55-21333-INVOICED
Address:	11050 Royal Ascot Ave	Job Type:	Oil Spill (other)
Purchase Order:	10673205	Day:	Friday
Entergy Contact:	Wendy Foster	Date:	03-01-2024

Personnel

Name	Title	Start	Stop	ST Hr	S/T Rate	OT Hr	O/T Rate	Totals
Jeremy Oxley	Supervisor	07:00	10:00	0	$65.00	3	$93.00	$
Jermaine Thomas	Heavy Equipment Operator	07:00	10:00	0	$50.00	3	$78.00	$
Personnel Total:								$

Equipment

Quantity	Name	Description	Unit	Rate	Totals
3	Bumper Pull Equipment Trailer Less Than 20'		PER HOUR	$30.00	$
3	Truck, Stake Bed, Flat Bed 4WD, etc.		PER HOUR	$36.00	$
					Equipment Total:	$

Subcontractors

Vendor	Item Description	Base Amt	Markup %	Totals
Quality Sod	Sod for Restoration	$40.00	20.00	$
			Subcontractor Total:	$

Summary

Notes:	Daily Total:	$
	Field Estimate Only. Not an invoice. Subject to administrative correction
American Pollution Control Corp - Dennis Menzato, Manager

Customer:	Entergy Gulf States Louisiana	Project #:	55-21333-INVOICED
PO Number:	10673205	Start Date:	2024-02-13
Attention:	Wendy Foster	Storm #

Date	Personnel	Equipment	Materials	Subcontractors	Daily Total
Total	$	$	$	$	$

Date of Incident:

2024-02-13

Entergy Call Time: 10:30

Entergy Call Back Time: 10:45

Claims or Third Party Response? No

Service Date:

2024-02-13

Time of Incident: 10:15

Depart Time: 11:30

Arrival Time: 12:00

Response Time:

0.5 hrs

Material Released:

Hydraulic Oil

Sampled?

Reported By: Wendy Foster

Phone: 2257883007

Site Contact: Cody Hopkins

Phone: 225-301-0684

Environmental Management Firm Contacted: American Pollution Control Corporation

Contact Person: Dennis Menzato

Transportation Related Incident? No

Fire/Significant Smoke Present? No

DLOC #: N/A

Amount of Release (Gallons): 4

Size of Area Affected: 4 ft. x 4 ft.

Lat/Long:

Weather Condition During Incident:

Street address:

11050 Royal Ascot Ave

City:

Baton Rouge

County:

East Baton Rouge

Spill Location (or) Comments: Grass.

Cause of Spill:Equipment failure.

Description:Hydraulic oil is leaking from the Ditch Witch.

Type of Surface Affected:Grass and dirt.

Description of Clean-up Actions:Padded up the oil and excavated the contaminated dirt.

Number of Containers:1

Type:Drum

Container ID Numbers:21333

Number of Containers:

Type:

Container ID Numbers:

Number of Containers:

Type:

Container ID Numbers:

Containers transported to or staged at:Baton Rouge Service Center

Did any spill into surface water, drinking water, storm sewers, drainage ditches, grazing land, or vegetable gardens?No

If YES, please give name of water body and description:

Did injuries occur?No

If YES, describe:

Regulatory Agencies Called?No

Road Closure?No

Agency:

Docket/Incident Number:

Date:

Time:

Agency:

Docket/Incident Number:

Date:

Time:

Agency:

Docket/Incident Number:

Date:

Time:

Employee’s Certification: Applicable spill cleanup requirements have been met. The information contained in this report is true to the best of my knowledge.

Print Name:

Initial Type of Service:

Signature:

Project Number: 55-21333-INVOICED

Date:

Time:

Field Data Log

Customer:	Entergy Gulf States Louisiana	Job Number:	55-21333-INVOICED
Address:	11050 Royal Ascot Ave	Job Type:	Oil Spill (other)
Purchase Order:	10673205	Storm #
Entergy Contact:	Wendy Foster

Date	Time	Restoration Needed?	Log Notes
2024-02-13	11:30	Yes	11:30 Crew departs enroute to the spill site. Crew arrives and assesses the area. Crew uses sorbent pads to absorb the oil from the hole dug by the crew. Crew bags up the contaminated pads. Crew uses shovels to excavate the contaminated grass around the equipment. Crew bags up the contaminated dirt. Crew uses pads to wipe the hydraulic oil from the equipment. Crew places pads underneath the leaking hose to prevent further contamination. Crew loads up the equipment and debris and departs site enroute to the Baton Rouge Service Center. 15:30 Crew arrives and unloads the debris and completes the job.
2024-03-01	07:00	No	07:00 Ampol crew departs Quality Sod enroute to 11050 Royal Ascot Ave. 08:00 Ampol crew arrives on site, unloads the grass, and begins the re-grassing process. 09:45 Ampol crew finishes and secures the load, sweeps up the debris, and takes pictures. 10:00 Ampol crew finishes at this site and heads to the next address.

Field Data Log

Customer:	Entergy Gulf States Louisiana	Job Number:	55-21333-INVOICED
Address:	11050 Royal Ascot Ave	Job Type:	Oil Spill (other)
Purchase Order:	10673205	Storm #
Entergy Contact:	Wendy Foster

Pressurized Equipment

Perform Isolation LO/TO, clinding, or defeat

Depressurize, drain, purge, and vent

Relieve trapped pressure

Avoid auto-refrigeration when depressurizing

Anticipate residual pressure or fluids

Not applicable

Poor Light or Visibility

Provide alternative lighting

Wait or defer until visibility improves

No work over water that could require rescue (including sea state)

Not applicable

Personnel

Provide education or training for new workers

Mentor, coach, or supervise. Verify competencies, skills, and experience

Verify competencies, skills, and experience

Address applicable limitations (fatigue, exhaustion, and restricted duty)

Manage multiple languages

Not applicable

Confined Space

Discuss confined space entry safe work practice

Monitor access or entry. Protect surfaces from inadvertent contact

Protect surfaces from inadvertent contact

Develop rescue plan

Do not locate mobile engines near confined spaces

Provide observer

Not applicable

Simultaneous Operations (SIMOPS)

Follow SIMOPS matrix

MOC required for deviation from SIMOPS restrictions

Interface between groups

Use barriers and signs to segregate activities

Have permit counter signed by leader of affected groups

Not applicable

Weather

Implement controls for slippery surfaces

High winds - goggles

Heat - hydration, breaks

Cold - PPE, heaters

Lightening - tool selection, defer work

Not applicable

Ignition Sources

Remove, isolate, or contain combistible materials. Provide firefighting equipment

Provide firefighting equipment

Provide a fire watch during and after hot work

Conduct continuous gas testing

Bond or earth for static electricity or cathodic protection

Not applicable

Hazardous Substance

Drain or purge equipment

Follow MSDS controls

Implement health hazards controls (lead, asbestos, H2S, iron sulfide, sulfure dioxide, NORM)

Test or analyze material

Not applicable

Potential Spills

Drain equipment

Provide spill containment equipment

Have spill cleanup materials and equipment on hand

Restrain and isolate hoses when not in use

Not applicable

Equipment Hot or Cold

Heat or cool equipment before work starts

Install barriers

Provide warning signs

Implement cold temperature and brittle failure controls

Wear thermal gloves

Not applicable

High Noise

Weare correct hearing PPE

Manage exposure times

Shutdown equipment

Provide or use suitable communication techniques

Use "quiet" tools

Sound barriers or curtains

Not applicable

Falling or Dropped Objects

Use signs and barriers to restrict entry or access under work at elevation

Secure tools (tie-off)

Use lifting equipment to raise tools to or from the work platform

Not applicable

Lifting Equipment

Confirm lifting equipment condition and certification

Obtain approval for lifts over processing equipment

Have a documented and approved lift plan

Not applicable

Work at Heights

Discuss working at heights safe work practice

Apply abselling safe work practice

Verify fall restraint and arrest equipment certification

Not applicable

Portable Electrical Equipment

Inspect equipment for condition and test date currency

Implement continuous gas testing

Protect electrical leads from impact or damage

Not applicable

Radiation Hazard

Use barriers and signs to restrict access

Notify personnel who may be affected

Implement NORM controls

Conduct RAD testing

Not applicable

Moving Objects or Equipment

Confirm machinery guard integrity

Provide protective barriers

Observer to monitor proximity of people and equipment

Shut down or lockout equipment

Not applicable

Manual Handling

Assess manual handling task

Limit load size

Manage posture

Confirm stability of load and work platform

Get assistance or mechanical aid to avoid pinch points

Not applicable

Equipment and Tools

Inspect equipment and tools

No use of modified tools

Use protective guards. Use correct tools and equipment for task

Protect or remove sharp edges

Not applicable

Vibrating Equipment

Manage exposure times

Assess effect of vibration on equipment

Use low vibration equipment

Apply noise controls

Not applicable

Slips, Trips, and Falls

Identify and shield uneven surface or projections

Secure or cover cables, cords, and tubing

Clean up liquids

Barricade or rope-off openings and holes

Not applicable

High Energy or High Voltage

Restrict access to authorized personnel only

Discharge equipment and make electrically dead

Observe safe work distances for live tables

Use flash burn PPE suit

Use insulated gloves, tools, and mats

Not applicable

Excavations

Have an excavation plan or safe work practice

Locate underground pipes or cables by hand digging

De-energize underground services

Implement confined space entry controls

Not applicable

Waste Clean Up and Disposal

Apply environmental management practices

Follow site waste management procedures

Clean up equipment and m aterials at site

Optimize task to minimize waste production

Not applicable

Other Energy Sources

Spring compression or expansion control

Implement electromagnetic radio controls

Manage pressure or vacuum. Manage heat generating processes

Use seismic activity safe work practice

Not applicable

Mobile Equipment

Assess equipment condition

Implement controls on users or access

Limit and monitor proximity to live equipment or cables

Manage overhead hazards

Adhere to road and site rules

Not applicable

Other Hazards

Implement abrasive blasting controls

Prepare a dive plan

Manage potential blocked or plugged equipment

MOC required for temporary connections or modifications

Emergency Response

Keep egress route open

Keep shower and eye wash stations accessible

Have rescue plan in place

Keep emergency alarm, fire equipment, and shutdown locations unobstructed

Not applicable

Job Safety and Environmental Analysis (JSEA) - Review Form

Facility/Site: 11050 Royal Ascot Ave Location within Site: Date:11-23-25

Task Description:Pad oil and excavate contaminated dirt

Identify the most serious potential injury for the task being performed:Slips trips and falls

UWA Review:

Required References:

Have the relevant procedures, standards, guidelines, or safe work practices been reviewed? Y

Risk Assessment:

Must existing Procedures or Work Practices be modified to perform this work? N

Is a permit required to perform this task: N

Permit #1:

Permit #2:

PPE Used During This Task:

Hard Hat

Safety Shoes/Boots

Work Vest

Safety Glasses

Leather Gloves

Impact protection Gloves

JSA Review

Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the known significant task steps, hazards, and controls.

JSA Reviewer (Supervisor or Designate):

Signature:___________________________________ Company:

Work Site Verification

The Work Team has assessed the worksite conditions and confirms:

The JSA addresses the applicable hazards and necessary controls.

The Team has the appropriate resources (people and equipment) to do the job safely.

Others that could be affected by the work have been informed.

Energy isolation (if applicable) has been VERIFIED and DEMONSTRATED.

TASK LEADER:

Signature:___________________________________ Company:

Work Team Declaration

I acknowledge that I have reviewed the attached JSA, I understand my roles and responsibilities and I will comply with the instructions for this task.

Name (print)	Name (print

POLYCHORINATED BIPHENYLS

Oil, Debris and Oil Filled Electrical Equipment
Non-DOT Regulated Material (Polycarbinated biphenyls < 50ppm, <1 pound RQ)

Total Number of Containers: 1

Container Type: Drum

Point of Origin: 11050 Royal Ascot Ave, Baton Rouge ,LA.

Destination: Baton Rouge Service Center

Emergency Contact: CHEMTREC (800) 424-9300

This is to certify that the above-named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.

Signature/Date:______________________________________________