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i <br /> UNDERGROUND STORAGE TANK <br /> RESPONSE PLAN—PAGE 1 (One form per facility) <br /> R01 <br /> TYPE;ACTION .Pr 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION <br /> I. FACILITY INFORMATION <br /> FACILITY IU# (Agency Use Only) — — <br /> BUSINESS NAME(Same as FACILITY NAME) Roz, <br /> I'/.- <br /> BUSININS SITE ADDRESS R03- I CITY R04. <br /> JUL 'SPELL CONTROL.AND CLEANUP METHODS <br /> This plan addresses unauthorized releases from UST systems rad suppanatts the emergency response plans and procedures in the facility's Hazardous Materials <br /> Business Plan. <br /> ➢ If safe to do so,facility personnel will take immediate nx2staes to cotterel 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 finds that <br /> it is nonAlazardols. Used absorbent material,reusable or waste,will be stored in a properly labeled and sealed container. Waste material shall be disposed <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 waste determination in accordance with 22 CCR§66262-11 finds <br /> that it is non-hazardous. If the water has a petroleum sheen(i.e.,rainbow colors),it is contaminated- A thick floating petroleum layer nay not necessarily display <br /> rainbow colors. Water(hazardous or non-haza dour)from sumps,spill contaitters,etc.will riot 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/wasle stored in the primary containment system, is placed inside secondary containment to neat or neutralize <br /> released product/waste,and the added material or resuhing material from such a combination is not compatible with secondary containment- <br /> III. <br /> ontainmentIII. SPILL CONTROL AND CLEAN—UP EQUIPMENT <br /> PERIODIC MAINTENANCE:Spill control and clean-up equipment kept permanently onsite 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 AVAH.ABLE FOR USE IF NEEDED: (Complete only ifapplicable) <br /> EQUIPMENT LOCATION AVAILABILITY <br /> RIO. R20. R30. <br /> R 11. R21. R31. <br /> R12. 822- R32. <br /> R13. R23. R33. <br /> R14, - R24. R34. <br /> RIS. R25. R35. <br /> IV. RESPONSIBLE PERSONS <br /> TM POLLOWMG MMM"INARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: <br /> NAME M. TITLE <br /> /?9p/moi `t/�rvltlJ l��'A.G/c, <br /> R41. R51. <br /> NAME .�i9iUi�J l�7.s �� �ti n�7z <br /> NAME Rat_ TITLE Rs2. <br /> I G� Iva)'Z Ci--r'Jy <br /> NAME <br /> R43. <br /> TITLE R53. <br /> Qu <br /> `( V. MONITORING INDICATORS <br /> IF MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE,STEPS TO VERIFY THE RELEASE WILL BE MADE AS FOLLOWS: <br /> O Additional system testing or data collection 0 Inspection by qualified persons 0 Recalibration of equipment <br /> Ol6cr: <br /> Rao- <br /> UST Respoew Plan pa008)-113 <br />