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ARCO Products Company O <br />Division of :dIantiCRIChfiektCorripany <br />Retail Marketing <br />Report of Spillage/Product Loss <br />Oat@ of incident _ Time of Incident Date of repot <br />il'1• <br />Address (street, city, state)' L Facility number �D Region <br />14 LC,4S -' P A Q., 11J S f a c. {�''f °%� O 41 % 3 2 G CD 5 !� <br />1. Description of incident <br />-4:� '� P w w. ,� r3 L o ei- k �- �. 'L7z,.e 2 G ,,f s,� e --7L. <br />2. Corrective action taken (including spill containment and clean-up action) <br />A. („ _ rte, c & LL --j A 2- e b N , N -n K A x,c, /f L S Z) Z) eye Z, e2. <br />s� •, - ` - D E:- F S Fe -4 L„®/e*._ �ti .*7,� <br />3. Did spill reach public waterway <br />Yes )� No Describe in all cases <br />4. Was spill confined to Company property If "no," submit ARCO -77 <br />Yes E No Describe in all cases <br />WaniAq <br />(') <br />OIIANT rY LOST (CIALLONS) <br />ZA/Gig ( `� ❑ LNCNO, <br />❑ UN00CWN <br />z <br />DATEDISCOVERED <br />0.1 �.j <br />HOW D1eCOVERED ❑ NVENTORV owROL ❑ SUBSURFACE A10N1TOAIlO ❑ NUISANCE COrD(TDNs <br />O o 3 D r <br />r <br />❑ TANK TEST ❑ TANK REMOVAL j' OTHER <br />DATE D199CHAAOE BEGAN <br />r METOD USED TO STOP 0190 AAM 0*CK ALL THAT APPLY) <br />Owl O 31119,1 <br />'❑ uQQ*% <br />❑ REMOVEOONTENT! ❑ REPLACE TAN( ❑ CLOSE TAN( <br />❑ REPAIR TAN( ❑ REPAIRPIPING ❑ OW4XPROC�yRE <br />HAS D19CKARM BEEN STOPPED? <br />YES [:]NO F YES. DATE O Q 3 0 / v1 r <br />OTHER 2 L `' c, F. �, Q J 1u <br />SOURCE OF DUCtNiiOE <br />CAUSE <br />❑ TANK LEAK <br />❑ uN* 0" <br />❑ OVERFILL ❑ RUPTU RE*AILU E ❑ VIL <br />❑ PPNGL.E#X <br />19 OTHER <br />❑ CORROSION ❑ LHODWN <br />w <br />CHECK ONE ONLY <br />❑ LiNc ftiNEeD ❑ <br />SM OINY ❑ GROUNDWATER ❑ DRINKING WATER • (CHECX ONLY F WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br />CHECK ONE ONLY <br />❑ NO ACTION TAKEN <br />❑ PRELIMINARY SITE ASSESSMENT WORPPLAN SUBMITTED ❑ POLLUTION CHARACTERIZATION <br />❑ LEN( BEND CONFIRMED <br />❑ PRELIMINARY srTE ASSESSMENT UNDERWAY ❑ POST CLEANUP MONITORING N PROGRESS <br />❑ REMEDIATION PLAN <br />G19E QOah'D faiANUa' COMPLETED OA UNNECESSARY) ❑ CLEANUP UNDERWAY <br />CHECK APPROPRIATE ACTIONS) <br />❑ EXCAVATE A DISPOSE (ED) ❑ REMOVE FREE PRODUCT (FP) ❑ ENHANCED BD DEGRADATION (IT) <br />; <br />fl <br />0W&%=KMWT1A4 <br />❑ CAP SITE (CIO <br />❑ EXCAVATE a TREAT (til) ❑ r UW A TREAT GROUNDWATER (GT) ❑ REPLACE SUPPLY (RS) <br />W <br />Y <br />❑ CONTAINMENT BARRIER (CO) NO ACTION REQUIRED (NA) ❑ TREATMENT AT FIpOKLP "A ❑ VENT 9011. (M <br />❑ VACUUM EXTRACT (VE) <br />OTHER (OT) <br />2:35/ IZePa2t A/•: Sf 4 5kt PLAN+ Y�'4/ <br />z 4-ULT-3y•�G <br />M- Re 9.r,� w d: tea. ► E Tr+. e v E, N i4 4/s v <br />T° <br />,1. S S.h w/N <br />WaniAq <br />