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Jan. 27. 2010 6:30AM — No, 3418 P. 5
<br /> UNDERGROUND STORAGE TANK
<br /> RESPONSE PLAN—PAGE 2
<br /> VI, REPORTING AND RECORD KEEPING
<br /> We will reportAeoord any overfill,spill,or unauthorized release from a UST system as indicated in this plan.
<br /> Recordable Releases: Any ornadonie d release from primary containment which Ne UST operator is able to clean up within eight(g)hours after the mleaae w71
<br /> detected or should reasonably have been detected,and which does not escape from secondary containment,done not increase the hazard of fire or explosion,and docs
<br /> rot cause any deterioration of secondary containment,must be retarded in the facilitys monitoring records. Monitoring records must include:
<br /> > The UST operator's name and telephoto number,
<br /> > A list of the types,quantities,and concentrations of hazardous substance mimed;
<br /> > A description of the actions taken to control and clean up rite chase,
<br /> > The madod and location of disposal of the released has irdous substances,and whether a hazardous waste manifest was or Will be used;
<br /> > A description of actions taken to repair the UST and to prevent future rchaessi;
<br /> > 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 na secondary containment
<br /> exists),increases rhe hazard of fire or explosion,or rouses any deterioretian of secondary containmenS is a repodable release Reportable releases see also recordable.
<br /> Within 24 hours after a reportable release has been detected,of should have been detected,we will notify the local agency administering tho 1.157 program of rhe
<br /> release,investigate the release,and take immediate measure to stop the release. If necessary,or ifrequimd by the local agency,rernaming stored product/wares will
<br /> be removed from the UST to prevent further release or facilitate corrective actionif an emergency exists,wit will notify the State Circa of Emergency Services.
<br /> Within Me(5)Working days of a reportable relcaso,we will submit to the local agency a full written report containing all of the following mforinu on to the extent
<br /> that the information is known at the time of filing the report:
<br /> > The UST owner's or operator's name and telephone number,
<br /> > A list of the types,quantities,and concentrations of hazardous materials relea,ed;
<br /> > The approximate date of the release;
<br /> > The date on which the release was discovered;
<br /> > Tho data on which the tetras was stopped;
<br /> > A description of actions taken to control andror stop the release;
<br /> > A description of wnmctNc and remedial actions,including investigations which were undertaken and wilt be conducted to determine the nature and extent of
<br /> soil,ground water or surface water contamination due to the release:
<br /> > The mothod(s)of cleanup implemented to date,proposed cleanup actions,and a schedule for implementing the proposed actions;
<br /> > The medod(s)and location(s)of disposal of released hazardous materials and any contaminated soils,groundwater,or surface wator.
<br /> > Copies of any hazardous wasp manifests used for off-site transport ofhaurdous wastes associated with clean-up activity:
<br /> > A description of proposed methods for any repair or replacement of UST system primary/sacomffiry containment systems:
<br /> > A description of additional actions taken to proven;future releases.
<br /> We will follow the reporting procedures described above if any of the following conditions occur:
<br /> > A recordable unauthorized release can not be cleanest up or is still under investigation within eight($)hours of detection;
<br /> > Released hazardous substances are discovered at the UST site or in the aumaueding area:
<br /> > Unuatml operating conditions are observed,including cesspit behavior of product dispensing equipment,sudden loss of product,or the imaxplamcd pmacom of
<br /> Water in the tank,unless system equipment is found to bo defective and is immediately repaired or replaced.and no leak has occurred:
<br /> > Mumu ring results fmm UST system monitoring equipment/mcthods indicate that a release may have occurred,unless the mcollaring equipment is found to be
<br /> defective and is immediately repaired,recalibrated,or mplawd,artd additional monitoring does not confirm the initial msulta_
<br /> Record RctenHan: Monitoring records and written reports of urcurdwrizcd release,most be maintained on-site(or off-site at a readily available location,if approved
<br /> by the local agency)for st least I years. Hazardous waste shipping/disposal records(ag,martinis)must be maintained for at Inst 3 years from the date of shipment.
<br /> VII. OWNER/OPERATOR SIGNATURE
<br /> CERTIFICATION:l earthly that the information provided herein is true and macerate to the best of my knowledge.
<br /> OWNER/OPERATOR SIGNATURE DATE mm
<br /> OWIWPERATUR NAME(pdnt) tt' OWNEPiOlIERATOR YITLF, ars'
<br /> -,j d Nv �\Z-e srer Ct ) 1 r. 06' r/-Gc H a ry/ DJs
<br /> (Agency Use Only) This pian has been reviewed and: pproved ❑Approved With Conditions ❑ isappr ed\\
<br /> Local Agency SignatuR. Date: I U
<br /> UST Response Plan(3/20015)-3/3
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