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EMERGENCY RESPONSE PLAN FORM <br />UNDERGROUND STORAGE TANK MONITORING PROGRAM <br />This monitoring program mast be kept at the UST location at all times. The information on this monitoring program are <br />conditions of the operating permit. The permit holder must notify (the local a encu) within 30 days of any changes to the <br />monitoring procedures, unless required to obtain tpproval htE= making the change. <br />Required by Sections 2632(d) and 2641(h) CCR <br />Facility Name: ,¢r'1 <br />Facility Address: 5 <br />b� <br />1. If an unauthorized release occurs, how will the hazardous substance be cleaned up? <br />Note: If released hazardous substances reach the environment, increase the fire or <br />explosion hazard, are not cleaned up from the secondary containment within 8 hours, <br />or deteriorate the secondary containment, the (local aEencv) must be notified within 24 <br />hours. <br />i v C,..JL 1 r7G .JZ- bc. � T /� �-D7� /�7//� 111131ALS <br />AlAs7= -817101'411M <br />2. Describe the proposed methods and equipment to be used for removing and properly <br />disposing of any hazardous substances. <br />A0 11-PIZ <br />�sHOr��L <br />3. Describe the location and availability of the required cleanup equipment in itern 2 above. <br />4. Describe the maintenance schedule for the cl <br />equipment. <br />KS S'T&W-&D <br />A,�e <br />5. List the name(s) and titIe(s) of the person(s) responsible for authorizing any work necessary <br />under the response Inn- <br />AV <br />- <br />,- <br />(ro-�/Ti4>>✓�iQ <br />Q / u D <br />�✓ <br />%o 11WAADovs <br />kAS77r A.eeY d cF gIrE <br />3. Describe the location and availability of the required cleanup equipment in itern 2 above. <br />4. Describe the maintenance schedule for the cl <br />equipment. <br />KS S'T&W-&D <br />A,�e <br />5. List the name(s) and titIe(s) of the person(s) responsible for authorizing any work necessary <br />under the response Inn- <br />AV <br />- <br />