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RECORDING REQUIREMENTS <br /> FOR UNAUTHORIZED RELEASES <br /> An owner or operator is required to record all releases from the primary containment. This form may be <br /> used to meet the recording requirements. (Please notify Tulare County Environmental Health <br /> immediately if: 1). The owner or operator can not clean up the release within 8 hours atter the release <br /> was detected or should have been detected, 2). The release has escaped secondary containment,3). The <br /> release increases the hazard of fine or explosion, and/or4). Will cause deterioration of the secondary, <br /> containment). l <br /> Reporting party's name and phone number: m t,�,e r/i o-cv" (/ c 1J <br /> Facility name and address: I q 2 q W?o L <br /> Date and time: // Zd/d 7 / O ca w" <br /> Type of material found . Se <br /> Quality: Concentration: ^' 3 s /t,iLr <br /> What actions were taken to control and clean up the release: 5pills w W-e Y " <br /> voev <br /> 1 <br /> Method and location of disposal of released material: L,.�e n wac <br /> i0 Am L G(oswLtn, <br /> Description of actions taken to repair the underground storage tank and prevent future releases: <br /> How was the monitoring system reactivated after corrections were made: <br /> Al <br /> Attach print out from continuous monitoring system, maintenance reports, and/or manifests etc. <br /> Retain this document in monitoring records for inspection by Tulare County Environmental Health. <br /> See California Code of Regulations Section 2651 for further requirements. <br /> PAGE 2 OF 2 <br />