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Na/ UNDERGROUND STORAGE TANK Ia/ <br /> RESPONSE PLAN - PAGE 2 <br /> VI. REPORTING AND RECORD KEEPING <br /> n <br /> We will report/record any overfill,spill,or unauthorized release from a UST system as indicated in this plan. <br /> Recordable Releases: Any unauthorized release from primary containment which the UST operator is able to clean up within eight(8)hours after the release was <br /> detected or should reasonably have been detected and which does not escape from secondary containment,does not increase the hazard of fire or explosion,and does <br /> not cause any deterioration of secondary containment,must be recorded in the facility's monitoring records. Monitoring records must include: <br /> n The UST operator's name and telephone number; <br /> n A list of the types,quantities,and concentrations of hazardous substances released; <br /> n A description of the actions taken to control and clean up the release; <br /> n The method and location of disposal of the released hazardous substances,and whether a hazardous waste manifest was or will be used; <br /> n A description of actions taken to repair the UST and to prevent future releases; <br /> n A description of the method used to reactivate interstitial monitoring after replacement or repair of primary containment. <br /> Reportable Releases: Any overfill,spill,or unauthorized release which escapes from secondary containment(or primary containment if no secondary containment <br /> exists),increases the hazard of fire or explosion,or causes any deterioration of secondary containment,is a reportable release. Reportable releases are also recordable. <br /> Within 24 hours after a reportable release has been detected, or should have been detected,we will notify the local agency administering the UST program of the <br /> release,investigate the release,and take immediate measures to slop the release. If necessary,or if required by the local agency,remaining stored product/waste will <br /> be removed from the UST to prevent further releases or facilitate corrective action. If an emergency exists,we will notify the State Office of Emergency Services. <br /> Within five(5)working days of a reportable release,we will submit to the local agency a full written report containing all of the following information to the extent <br /> that the information is known at the time of filing the report: <br /> n The UST owner's or operator's name and telephone number; <br /> n A list of the types,quantities,and concentrations of hazardous materials released; <br /> n The approximate date of the release; <br /> n The date on which the release was discovered; <br /> n The date on which the release was stopped; <br /> n A description of actions taken to control and/or stop the release; <br /> n A description of corrective and remedial actions,including investigations which were undertaken and will be conducted to determine the nature and extent of <br /> soil,ground water or surface water contamination due to the release; <br /> n The method(s)of cleanup implemented to date,proposed cleanup actions,and a schedule for implementing the proposed actions; <br /> n The method(s)and location(s)of disposal of released hazardous materials and any contaminated soils,groundwater,or surface water. <br /> n Copies of my hazardous waste manifests used for off-site transport of hazardous wastes associated with clean-up activity; <br /> n A description of proposed methods for any repair or replacement of UST system primary/secondary containment systems; <br /> n A description of additional actions taken to prevent future releases. <br /> We will follow the reporting procedures described above if any of the following conditions occur: <br /> n A recordable unauthorized release can not be cleaned up or is still under investigation within eight(8)hours of detection; <br /> n Released hazardous substances are discovered at the UST site or in the surrounding area; <br /> n Unusual operating conditions are observed,including erotic behavior of product dispensing equipment,sudden loss of product,or the unexplained presence of <br /> water in the tank,unless system equipment is found to be defective and is immediately repaired or replaced,and no leak has occurred; <br /> n Monitoring results from UST system monitoring equipment/methods indicate that a release may have occurred,unless the monitoring equipment is found to be <br /> defective and is immediately repaired,recalibrated,or replaced,and additional monitoring does not confirm the initial results. <br /> Record Retention: Monitoring records and written reports of unauthorized releases most be maintained on-site(or off-site at a readily available location,if approved <br /> by the local agency)for at least 3 years. Hazardous waste shipping/disposal records(e.g.,manifests)must be maintained for at least 3 years from the date of shipment. <br /> VII. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:i certllg that the informatlon provided herein is true and accurate to the best of my knowledge. <br /> OWNER/OPER NATURE DATE Rro. <br /> 6_f 7 — a c, <br /> OWNER/ E ORNAME(prird �,-c A�� i Rrt' OWNER/OPERATOR an. <br /> (Agency Use Only) This plan has been revi re and: pproved ❑Approved With Conditions ❑7 Disapproved <br /> Local Agency Signature: Date: 6b /1 D <br />