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RFCFIVED <br /> UNDERGROUND STORAGE TANK <br /> RESPONSE PLAN-PAGE JUN 2 nZa er facility) <br /> TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION Rol. <br /> I. FACILITY INFORMATION HEALTH DEPARTMENT <br /> FACILITY ID# (Agency Use Only) _ III <br /> BUSINESS NAME(Same as FACILITY NAME) 3 <br /> CC-Al <br /> _ <br /> GO�A I <br /> BUSINESS SITE ADDRESS 103 BUSINESS SITE CITY 104 <br /> 11-9 ToAj <br /> II. SPILL CONTROL AND CLEANUP METHODS <br /> This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials <br /> Business Plan(HMBP). <br /> ➢ If safe to do so,facility personnel will take immediate measures to control or stop any release(e.g.,activate pump shut-off,etc.)and,if necessary,safely remove <br /> remaining hazardous material from the UST system. <br /> ➢ Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to <br /> contain the hazardous material,but not greater than 30 calendar days,or sooner if required by the local agency. Recovered hazardous materials,unless still suitable <br /> for their intended use,will be managed as hazardous waste. <br /> ➢ Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material which has become too saturated to be <br /> effective or which is no longer intended for use will be managed as hazardous waste unless a waste determination in accordance with 22 CCR§66262.11 fmds that <br /> it is non-hazardous. Used absorbent material,reusable or waste,will be stored in a properly labeled and sealed container. Waste material shall be disposed of <br /> appropriately. <br /> ➢ Facility personnel will determine whether any water removed from secondary containment systems, or from clean-up activity, has been in contact with any <br /> hazardous material. If the water is contaminated, it will be managed as hazardous waste unless a hazardous waste determination in accordance with 22 CCR <br /> §66262.11 finds that it is non-hazardous. If the water has a petroleum sheen(i.e.,rainbow colors),it is contaminated. A thick floating petroleum layer may not <br /> necessarily display rainbow colors. Water(hazardous or non-hazardous)from sumps,spill containers,etc.will not be disposed to storm water systems. <br /> ➢ We will review secondary containment systems for possible deterioration if any of the following conditions occur: <br /> 1. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; <br /> 2. Secondary containment is prone to damage from any equipment used to remove or clean up hazardous material collected in secondary containment; <br /> 3. Hazardous material, other than the product/waste stored in the primary containment system, is placed inside secondary containment to treat or neutralize <br /> released product/waste,and the added material or resulting material from such a combination is not compatible with secondary containment. <br /> III. SPILL CONTROL AND CLEAN-UP EQUIPMENT <br /> PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on-site is listed in the facility's Hazardous Materials Business Plan. This <br /> equipment is inspected at least monthly,and after each use,supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. <br /> EQUIPMENT NOT PERMANENTLY ON-SITE,BUT AVAILABLE FOR USE IF NEEDED: (Complete nly if applicable) <br /> EQUIPMENT LOCATION AVAILABILITY <br /> 'tieR10. R20. R30. <br /> RI 1. R21. R31. <br /> R12. R22. R32. <br /> R13. R23. R33. <br /> R14. R24. R34. <br /> R15. R25. R35. <br /> IV. RESPONSIBLE PERSONS <br /> THE FOLLOWING PERSON(S)IS/ARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: <br /> NAME R40 'TITLE Rso. <br /> wA R 0 A/ <br /> NAME Ral. TIME Rsl. <br /> &RAIVIIII: <br /> NAME R42. TITLE R52. <br /> NAME R43. TITLE R53. <br /> V. MONITORING INDICATORS <br /> IF MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE,STEPS TO VERIFY THE RELEASE WILL BE MADE AS FOLLOWS: <br /> ❑1. ADDITIONAL SYSTEM TESTING OR DATA COLLECTION 2,2. INSPECTION BY QUALWIED PERSONS [13. RECALIBRATION OF EQUIPMENT R60. <br /> ❑99. OTHER(Specify): R61. <br />