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UNURGROM <br /> STORAGE.PAGE <br /> VT,REPORTM AND RECORD ICKEMG <br /> We with ofd WW n.s0L from a UST ah fiRuaw in this PIM <br /> Reardable ^ Any unmWWad rebs ftW pruloy cmWnmm a WWW t»c UST operator is able to olm up wift dt t(S)ho=after ft Klemsc vW <br /> demied or should hr have been detoetod,and wbich does not increase Me bamd of ft or exploofm tad does <br /> fftrt anlr of mu�bc igffiC itp's Mo,Bigafiftg tra�at a <br /> > The USr opanuft name mal teleomm <br /> 1} A listolilm pe�NBqwgUm C nsy,� ande � <br /> � om ; <br /> > a ' o eV die <br /> > "rho afrod of ofdm � ra,And wbdw a hamr4m w==ad fk*was or will bo used; <br /> > A desmWmn of paMms tdm to fie UST and to prevent.fibm m1taSes; <br /> A A docripdo of the mdW used to ramdvm kWztl&l mwAvOng aft fdobacmem or repair of " <br /> Adomm Amy ovafill,,spill.or uoamtWrvd rdme whic'b csmqm tf,mn semxkwy mdaimuent(or primary ampira=t it.W <br /> k% fie 41'fit+e or e1n,o1r any of ,is a Iffifcls�a tel afs theca <br /> Within 24 homy eft a repoftblo mlem has been daftlK or abudd hyo bmf detemled,wo wilt no*the kmW agency admWumft Mat'UST pngm of tho <br /> mime.' tlto rdcam and 100 ftmnedune rocamm to stop dtc mleea If ,of If reon d by em RNW g stow pvduwwm will <br /> ba mmuve d from the uvT to pmvmt gimeer tel or&W Mato ccm=*m,,W6 n If e a emergmy miss.we will nuft the State ofbnorpicy Services. <br /> Within five(S)woedng dro ore.womtdbje m1me,we will sabWt to ON local Agmcy I fA wd=rqW mooWnin all of the fbllowing inibaa mom to the <br /> that the imu=ft is howf A this throe of filing the report <br /> > 710 US's owmft or opemos nmm mat tel c mmabr. <br /> A A Ibt ofthe types,IgtiftrlttdM aid emmeadvag of Lvardm mverjah ilei ; <br /> > The APpromWiple date of the Peleue; <br /> la The dlte an which Tac release was dlsoovered, <br /> > The drake on which the ftkm was <br /> i A of ections to mtd/or atop Me role= <br /> }+ A fteroft of comotim and Mudhfg i 'M which were k"Asad will be WWlvLW W deftmifte the n IAM tial extent of <br /> SOD.P=W water or ftrbm WaW=ftUdUfloa due jo rhes r oem, <br /> > The MgNWS)ofcl onm,,ted to dale,pWmed clmamis a0mm,mW it sohedt&fm jW the podons; <br /> > The s)and s)of dispmW 0 reteaecd s and any mftWmW p%,Vomhmm,of awfacc WaW, <br /> A C00cs Q(MY 11122rdous waste maitifio used for ofr4m ummpa of with cut up atdvitya <br /> > A of ed mdhWg key or npbmnW OFUST, cotstainencaft <br /> A A 'fm of eddl.ianal mbm to <br /> We will Aalleaw rho fcpoWft pmedurcs desmibcd above i'any of the Wowing mdftim oacm: <br /> A eA recordable anamillothd relem am flot be dcumcd vp or is abili under kvcftwdm waft tot(g'j bow of&wemn- <br /> Ralmmil bmrdom opbmmm am dbwvaW at Me UST siieorintha. <br /> > C00ftiom are dmrrW.tlncktOng cerahe Wwior of Ices of or the of <br /> wabor in the nmicqs in f to be mut is ad no Mak hm <br /> pNIOD40ft meths from UST de bvdkw,TA a mly hseo 90MR7K to the nrofsl"aqwpmcm is found to be <br /> dcftft Old Is hmcdiftlY fWhvd,mmfflmftd,or MW4 m4 ad '' i b*g 4=fat Dovrfmtl the iftitial resukk <br /> ft"WRMRtium: Mortitoretg mmf&ted-Kum=MM of roses mttet he mol mimil ' (or offt tet A mft ammme Wafft titvpmw <br /> by dtc hums agCracy)for at lege 3 s Xmzffd=Wg8te r+yldbposat <br /> -W&(04,vmn ta)erg be=hUkW ft it Imst 3 yeam from to d+ttn of dqWft <br /> OWNEMPERATOR SIGNATME <br /> ctRTn?fCATWN: t h>*rmstioa r d kwdN b tmmW au eluate is the belt of may <br /> DATE <br /> '® <br /> -7i <br /> OWNEWOMATORNAME <br /> xrl. 0WRMUDMATOP, <br /> (Awmy Else O„fy) This pleahas and pAMrvvW wih <br /> A Date.. <br /> rix -30 <br />