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Received: 6/25/04 90:24; 707 274 8490 -> TIME OIL 00; Page 5
<br /> FROM JACKPOT FOODMART 04165 • FAX NO. : 707-274-8410 `Jul. 25 2004 09:37AM PS
<br /> UNDERGROUND STORAGE TANK
<br /> RESPONSE PLAN -PAGE 2
<br /> �1T`A,J?ETiCIG1N$YSTEIVI
<br /> VI: LEAK INTX RCEPTIOIV;.
<br /> t f per the At COnstruotion Requircmcnts of:3 L'CR¢2118:,,and only ifihe Lea4
<br /> ;pets infornurion u required Std for meWr 9 licit licit lueE US I-eystenu constructed p 5 t e when amounting for rainfall and
<br /> i
<br /> perception and Dciccdan $ysletn(LIDS) dyks o meet the volumelfic requirements of 23 CCR¢2(dl[dj(1) nu ease of multiple USTs in snared sectmd-ry 1
<br /> : backfill meterial,tits amondary containment t'olu, is less than 100%of primary tank volume for a single UST;
<br /> cenuu:md+4 t S(Ylu of the hrgcst prinuuy
<br /> tank v'lume or 1036 of asgrcgak printery tank voome,whichavc is greaurl. i
<br /> ATTACH AN ADDITIONAL PACE TO THIS PLAN COh'TAINM078E FOLLOWING INFORMATION; I
<br /> > Tha volume ot'the LIDS in relation to the volume of the primary contaimner, of the icakd substance:
<br /> I Y The amount of time the LIDS shat!provide containment related to the time between Melee m clan unauthor zed rcleasz and cleanup
<br /> 'v Tho depth front the bchom of the LIDS to the highest anticipated 1tVCI of grotmdwater:
<br /> of contamnants:
<br /> > T11e nau:,e of the unsaturated soils under the LIDS and their anility m w pinnxnt and
<br /> absorb contaminants or to allomovement i
<br /> Y The methods mid scheduling for removal of all h�aardous substances which may lave bowl discharged from primary conare located in the
<br /> unxsturatd sots benvean the rima nnntaintnentard undwatcr,includin tfic,LlDS su'^ as.,;;.,._.;_..;4,_:c;._---, -, qi,e•- ;,:..
<br /> ._._.::. .,..a.:,,-,'..n -.' oda -' :i ��,,•'ay.:
<br /> W e will rcriorthecord any Overfill,spill:or PoRiN Or
<br /> unauthorized rcloase hum a UST system as iadicntad in this plan.
<br /> Rbeordaule Raleases: Any'unauthorized re room pmeury
<br /> containment which Lite UST operator is able to clean up within eight(g)IIOUVI after the release was
<br /> coasted or slwuld reasonahly have been deterred.and which does not cape from secondary containment,Mona not g re or the hazard of fire or expi0sion,and docs 1
<br /> wl rause any dctrioratim of smondwy containment,must be recorded in the facility's rtronitoring records. Monitoringrecords must include:
<br /> Y TNe U,r c"ratnes name and tzicphone number;
<br /> > A list of the types,quantities,and concentrations ofbazardow substances released;
<br /> > A ducripdnn of the actions taken to control,ted clean up the release;
<br /> Y The me at+d location of disposal of the released buArdous substances,and whether a haoirdaa5 waste mmrifesl was or will be used:
<br /> Y A description of actions token to repair the UST and to prevent htlarC releases;
<br /> Y A description of the method used to reactivate interstitial monitoring after replacement or repair ofprimary comaintnent.
<br /> t(or primary
<br /> if
<br /> ondary contain�. nt
<br /> Reportable Rettasrst Any oveRll,spill,tar unor causesscs artrY detenoramonelease whicheof secondaryom seontain en4 iry s repnortable release.cR containment
<br /> rinausmore also recordable,
<br /> esisu),increases d+e baaaM of fire or explosion,
<br /> the LIST program
<br /> Within 24 Won;after a rporsblo release has been detected.or should have been detected,we will notlfy the total agency administering
<br /> n stored producE("Stef will
<br /> uricase,investigate do releese,and take immediate measures In stop the release. if necessary,or if require by the local agency,
<br /> , g
<br /> be noCATvcd from the USeta prevent further teleses or facilitate corrective action. Iron emergancy extsta,we will notify the State Office of Emergency Strviccs,
<br /> Within five(5)working days of a reportable m1m a,we will tubuli[to the local agency a full written repon containing all ol'the following infnanotion to the extent
<br /> Mut the information is Lmoxvm at the time of.filing the report:
<br /> > The UST owner's or operator's name and telephone number; i
<br /> > A list of the types,quantities,and concentrations ofhazardoos materials released;
<br /> I Y i'he approximate date of the relcaec;
<br /> D The date on which chc release waa discoverzd:
<br /> > The date on which the release was stopped:
<br /> > A description of actions taken to control and/or stop the release;
<br /> A d<sclipdca+(d collective and twnxlial actions,(neluding investigations which were undertaken and will be conducted to determine the nature and extent of
<br /> sail,ground water or surface water contamination duo to the release;
<br /> Y 'Ibe method(s)of Cleanup implemented to date,proposed cleanup uetions,and a schedule for implementing the proposed actions;
<br /> i > Time nerthod(s)and location(s)of disposal of released hazardous materials and any contaminated soils,groundwater,or surface water.
<br /> > Copies of any havtrdaa waste manifesls used for Oly-site l,,w pan of hazardous wastes associated with clean-up accivi y;
<br /> > A desenpdnn ofpropo;ed narliods for any repair or replacement of UST system primary/semadary,containment systems;
<br /> Y A description of additional actions taken to prevent future rebases.
<br /> We will roliow the reporting procedures described above if any of the following conditions occur
<br /> I > A recordable unauthorized release can not be cleaned up or is still trader investigation within eight(6)1101,'11 of detection;
<br /> > ftelea sed haamdous substances ax discovered at the LIST rite or in the surrounding area;
<br /> > Unusual operating,,mditions are observed.includingro
<br /> erratic behavior of product dispansing equirmxnt,sudden lost of product,or the uazaploined pretence of
<br /> water in the tank.unless system cquiPmeut is found to be defective and is immediately repaired or replaced,and no leaf:has occurred;
<br /> > Mon:torn;reaula from UST system monitoring equipmendrtethde Indicate that a release may have occurred,unless the monitoring muipmm is found to be
<br /> defeenve and is immediately repaired,teaalibratd,or reylaecd,
<br /> and additional monitoring dots not confirm the initial results.
<br /> ., y r$ . � 8/ ��_ecor s(..S.,ma ) -- .... 21m t., ate o if npprovcd
<br /> Ttecord Retention: Mtmitonn records and wrtten rayons W'unaulhorizod rcleaeos must be y N - t } date ,if orprove
<br /> g maintained on-site(cr off site at o readily avatleblc Ion[
<br /> by the local agency)for at least 3 tars Hazardous waste shi m Lits retards e. menrfsah most be maintained for at least 3 years from the
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<br /> I C rItTIF)CATION:f certify that the Informatlon provided herein Is true and accurate to the beat of RV Rnowledga. !
<br /> R70
<br /> OSERATOR SIGNATREWR/ i
<br /> 12e 93611- AODU
<br /> ret' O P8M
<br /> Ok TITLE art
<br /> OWNS )PP.RATOR NAME(print)
<br /> (Agwry Use Onfv) This plan lea+berm reviewed and: ❑Approve [J Appravd With Conditions ❑Disapprove
<br /> Loc,:Agency Signature: Dates
<br /> S3CERD-e(06103)-313 66125/03
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