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:a-1101b'i-fah:`3C il %erak to _cy �s - leak chow.-s. �;- site, !out has not been confirmed.
<br /> Indicate whether emergency re_ _ _.
<br /> x response � � =a Jaz equipment ?vwae involved I' � � t r a. �a a a �a E�ed ry kp_anl zorosai
<br /> at any tiate, If so, a Hazardous Pyr eni a cilloReport should re filed eTi ed of/subhused
<br />€
<br /> by reaoaie a to determine whet
<br /> her ground
<br /> with the tatrCt.zrr of Eaezfe � J -J_.e (OES) at 2800 rfcadow ,r° Road, water has hem, or YVI a te r result, release,
<br /> Sacreasenta, C„, .5832, Copies? of the Cit report _, may i>e obtained � Ln, a r aM:.l ssent t wrkplam
<br /> your localunderground
<br /> storage e tank ptt s y, indicate �te.etheh � �� � rmpw0bin party is in As protest off” tale
<br /> the OES report has hien smiled as of He (Ate of this repn,.t, d - 4.,nutat— w. __ a.. 5_ rground water nd asse:;"ng
<br /> m, o
<br /> T C L
<br /> rwMlation pKn swniUed evaluating a
<br /> To a c dupi � o -and, Safety c On �,a op n t
<br /> ug "
<br /> �"ca � at?c k,a € ", is e ,ra ctoa and ar i x .ia,..,,, .,,dacMasle _�, g�.rs�miaa;e
<br /> 2 rca .z r su ne arplayee shoulda.t r date farm in ec . rme0wom opoms a" t
<br /> F c . heto a s. o rg`* mean that he leak has been restera<2.nea to pops a t�"'� eM � _ � . :,:, of _._ di
<br /> „eat;?on
<br /> i c a threat eat
<br /> �-, human health or of":ty, only that r?irfaratirant a tat - x s ro e
<br /> .I a € water s }
<br /> laa r been, foilawed4 if required, s_, so s.,r,O' as necessary, to vefv ,,.3t,ae _,caluaa
<br /> R E Fp., I j
<br /> Awe
<br /> kra � r a c i r a searey _. c,_= . a ne_ that v _ _. ., an ad.._. ... Ir,xwuaet... wdxrct r b � .0 hej' U.... ran __v _y _t- the a i ..
<br /> ec r. ___ m,h rla2 y or agency r. nae
<br /> C7
<br /> �.,... ,.i�;, a_ :CL)::37:' C,S7;J?C.. person, and address`,�, C'� t," �.� Ci_�.3.Lx..�STATIST-Ts... i'2 ". > i, ,.n.......u .. „�, .�aP �z._.
<br /> " �„ _ r., responsible
<br /> eak, he esp n le r� t-y wc.,d' F�_mally be the lank
<br /> owner.
<br /> w b ze used to cleanup or _aawdiaae the
<br /> SITE L Ct tT "d pt ion' Of € <._.y
<br /> ter information regarding the Lank facility, At a ,sin rum, you ?aaab
<br /> provide the facility name and full address. r ., .a .- nsi impermeablo later to roles rainfall
<br /> infiltration.
<br /> Ir, t r Cr [ a Be install erti;".._ � a .,. i �_�c horizont.a"a w ::.t of
<br /> r nter�nam- GF e es age y and Regional "ata.. .o
<br /> Quait Contra-', B t E _ ..._
<br /> a
<br /> a sail e. __..,r.,. c gra
<br /> te
<br /> t 5 S vas - . ..,...Fa csnUanA a,ed sail and tr" (inAudes sowding
<br /> E ..er rhe name and quantity dost of the hazardous subswe i)Vry t a a Room or
<br /> is provided for information an two subtitarc:s if r , If than Emwe remove floatn, r.,:d „t t r,_a.
<br /> two substances leaked, list the two of most �conce_u tor leanu ra r t a r r µ
<br /> p one � no .aur. �o rP.,w z so
<br />` -. v�.,�
<br /> D I
<br /> Pr rr _tares= r �e>
<br /> s3di g the discovery and abatement of the leak, c c �e �.a 1. �_.� t pzW,,,
<br /> SG vatez csaffected
<br /> a, weak. Check .x: , in cause ass.e of :hot, w- imms or
<br /> v
<br /> w
<br /> blowam to cow au
<br /> o allow
<br /> 5 .s.?:,E}L.�'y DoT. this leak. C�.(�'.:: ?-`i... boxonly. Case _.�..}` L nn-nor, e _
<br /> it['
<br /> type a. ,tz',-ed cn the Most sensitive reawree allecAd. pax exra,-e, it'
<br /> bath s a
<br /> 1 lmd wroura water wce been aNected, saw tree will be -�.ouaaci C-DAMAIS Use ....__ ,,,_ to elaborate c, a r the
<br /> Water". ul a , a`.g mate_"" only is one or more municipal o
<br /> �doinestic =Us heoe actuaMy been allectni. A —Ground Water' a 'c�° Sign t".- �_ _.. the 2
<br />-
<br /> designation e �U� ply that the- affected waafo cannot be, ux i_. no', _ _m
<br /> used _ anin _, wletbutonly that water wells have hot set been 1P
<br /> I a" e c:. d ,,s and..a.stood that case type may change upon further if e u a K or his aa=mt rutain the last copy
<br /> incestogarjon, <aa,;,: fmward His maniningcopies intact to '3ur low! tc.aA permatting ".,x..,j
<br /> .or
<br /> 7U € r e category which best, ie � es the current status of the case. `tut
<br /> z'tczirs „aec .e ,.,."s Control Board, r,.,ion cal' Cl an Water rrcg
<br /> .
<br /> hr�r One box ably, he �ezoonse should uld he relative to the case nese. For ar', to _und Scor ag I's& Program, PA. � ,�' 012.
<br /> . � E m ezc, C< 0"
<br /> exestiln' It one t" is "Ground Wa __ then "Current a,ats should r ser
<br /> to the us rrt e
<br /> ground water a r v. t_gati.on or cleanup, as oa e.,e.x to st. regional W (�a. atrol
<br /> thaa, Of soil. Descriptions of options follow 4. Local Rpalsh :^.tM_, and Ccurt , Bowd of ;;.a _.rvKeos or thai oe to
<br /> rwea"_,
<br /> NO ns O Fal n -- No acTio bent taken_x arm responsible Party beyond ?,,.o
<br /> __.
<br /> a. .1 rlws of leak_
<br />
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