|
were
<br />as no t a s�,� _ _ o _._ , ._ ._.. _v . _ _ .-__ .t Reparn s .__..x. d be filed
<br />t
<br />:cert,,.... .,, 832 ., o .. .,,. .,__„ nm_ do_.f., me be obtained at
<br />your lacal a . , n. Vmvq, tw! j"imtong agony,n ii— ate whethe_
<br />4.d. ,. .. _ .,tide Section,
<br />,
<br />_. c _ a 1.a ..r e_. iyas ..vz.€: to, peso a
<br />. .._.v .,_ y, .l_ that nutificaticn
<br />. a i,, e s, lndic;ate which party you
<br />_ _.a
<br />"5annitio for LW 1, 11 norisally he the tank
<br />EDLer .x.. o..__, acs_ , ><...l o -v At a M,_..:.MU, you tust
<br />pravico",;a-i--it�"
<br />ctt; n x.. - No ”' ...., o,': n t'—,n by ren, onsible party -:e and
<br />WHO! <._ 1-s
<br />"reak , . � ._.c or b: - haz nc,t been c __ ra-,ed.
<br />. „-., of/suskyled by s spores 3 pix . to :eters€ i-ne sketlier gzmgd
<br />_ er has been, or Wil hs, ina,:.e; as a reauLt, of the release.
<br />aja ri _ party is in the procesc of fo],LILy
<br />_a ning
<br />g, the a_..a€., of con tanJncti,,o_. zoQ, wd gmund wwur axau a,.._. ,..abs
<br />a, ., aat...a v., everr.a.!g LL=apt? teN,,,
<br />rMedistion opmons, llrr-p='nsal and schedule, for .. _ x,_tc
<br />rwediwim Opinions also Mutted,
<br />e_...:=.i 3 3 Brun - i_,SL.I.._.: entation Of �me_?i._t_on plan.
<br />uoF_i to r . '; <.-- site, as, €<< ussarr, u verify and/or ev.Zuate eff .,tine _s
<br />of remedial activities.
<br />ivities.
<br />Care Closed reasoner. board and aL faten,y in concurrence that no
<br />further .ori is Yesessq y ,,it WAhs site,
<br />STATISTICA .:iR?Oi_L4 ONLY AND !S NOT BE is'sllSTR1JE AS %PRES,ivTING 7Ii.,-
<br />OFFICIAL POSITION OF ANY GOVERNMENTAL AMKY
<br />1.rcz_..ate which actltii hme b"n used to cleanup or remediata the leak,
<br />Descriptions of opt,ic"ns r "-Iow.
<br />f
<br />(,an Site - install hurizontal ixTermeable 'sayer to reduce au
<br />.r.-fi.Ltrat on /
<br />Containment Harrierru: to 1, vewti ! dike be ;clock horizontal mo ament of
<br />contaminant .
<br />�xsa-_at. d L€., - - row v.. ..;tet N.s..u: soil
<br />a€: silos_. ina... -uveta
<br />side.
<br />Excavat,D an! Ven=ue' remove cwtamina"d soil and .seat ,includes qo d_
<br />and farming),
<br />Re_., v. Frser ._emOve. 'meat. rv_ prcduc',/ from waste= table..
<br />_4='1p as- a., .>.n 3 .- gaoer<.i.ly •Gslployed to €-emo-ve ejisLoi i;"j
<br />acter,al.. deco,,.. n„ o to _. ,
<br />a x
<br />provide al j ., netivo water ly to affecte . „s:_ t;.. s
<br />neat ca,1 at. i, .:r install water rca me._.t aevices at each dweLl n oc
<br />O-Lher Place of use,
<br />V „xnsilt wn Use pun�.> or blcoe._.. 'L4 draw .awe through aDiL.
<br />Vmt v - bore hole, an! to ... v„lati-Lization Of conta . x, .t,..
<br />T� c.auxena�e ,.idem is reqiniring, no rerecl a�
<br />h S - `Ise this space to elaborate can cry aspects of the in idmt.
<br />SLSA ME - SQn the form it L e spa,, -,e provided,
<br />Bim. J=.r'C.a.:,SL.lu9 '
<br />if the form is completed by the tank owner or his agent; retain the least copy
<br />and forwar t -he re._a.....-rt, copies ntac to yo.c ._,c,aL tack permitting agency
<br />ai - Hca? TankLti °.ixtr _'€iry
<br />Pegsc.aa_ Mw QaWy Brad
<br />3. im"I Qr'<31tk L`"Ker w1d .;n ar;t-I Bcadu Of it t>; z v_ __s Or U fair . "g_ _e E..
<br />._..._ _ Frop: sitt_cn -,s ,.ot.,i
<br />4, PartY
<br />.,us Qsa y ponsrol Board
<br />_. .. �
<br />_r _ i,..e _fez .. dmi,= f €,.cQcd. Roua:
<br />if my e the
<br />two sul;stawes ._-,._;xe , ..._wo
<br />two , .. ., ,_ ..__c __. t; vOa_aT -
<br />�_.... .... .. ...rn,,VAVj
<br />the .....:o. _, ,..;. a_ w_,:. ___ of the yeti__
<br />. a _. e'—'n.
<br />c -c e ins,... a ing s,_'._e of lock.
<br />ti --c .._
<br />_ His _ A . £lh ck one box onQ. Ease
<br />s . _""'d .,
<br /><, =. _c .ffe ted. For ea <a.;.le= if
<br />Water". indicate .,...
<br />,__.r- .,_>._y if r, -::,..u _ -;z^r.a municipal or
<br />,r: ;tiv water welis
<br />;,_=etz affected, it "ur.>and dater..
<br />�. ..<,.. r. I ,es __�
<br />�. ,.,._. w"_1 caAmota, or is not.
<br />used'Pur _, risking ", .
<br />.. , .__-t, water w i_, have rot yet been
<br />..:leu ,eT it is undersmed
<br />that case L : may change upon further
<br />inveu4,.gat-ion,
<br />SMOOT 100
<br />_...E �.ta..& the „vC,egc .�:.is
<br />_ f tie case_
<br />:=e ".t ,=c�;..`„s the current uta_,..,;.: of
<br />Chei:k t,'.L buc Only. v moi e nvowusy
<br />, ,bind, 'ne, a w_.<.tive to the cme. type. For
<br />c
<br />i'u.,�� ...f :J�., type , _ x
<br />_r . _ r c ..,...,,>s .,:.Ji:i.; Mer
<br />,,.t_v �z �.,urd__.. �,
<br />to the status of the grown
<br />woor investigaom or cleanun s £1Ty3p05ed to
<br />that of SOL. L�cc�t ..:7t
<br />� pa .ns
<br />ctt; n x.. - No ”' ...., o,': n t'—,n by ren, onsible party -:e and
<br />WHO! <._ 1-s
<br />"reak , . � ._.c or b: - haz nc,t been c __ ra-,ed.
<br />. „-., of/suskyled by s spores 3 pix . to :eters€ i-ne sketlier gzmgd
<br />_ er has been, or Wil hs, ina,:.e; as a reauLt, of the release.
<br />aja ri _ party is in the procesc of fo],LILy
<br />_a ning
<br />g, the a_..a€., of con tanJncti,,o_. zoQ, wd gmund wwur axau a,.._. ,..abs
<br />a, ., aat...a v., everr.a.!g LL=apt? teN,,,
<br />rMedistion opmons, llrr-p='nsal and schedule, for .. _ x,_tc
<br />rwediwim Opinions also Mutted,
<br />e_...:=.i 3 3 Brun - i_,SL.I.._.: entation Of �me_?i._t_on plan.
<br />uoF_i to r . '; <.-- site, as, €<< ussarr, u verify and/or ev.Zuate eff .,tine _s
<br />of remedial activities.
<br />ivities.
<br />Care Closed reasoner. board and aL faten,y in concurrence that no
<br />further .ori is Yesessq y ,,it WAhs site,
<br />STATISTICA .:iR?Oi_L4 ONLY AND !S NOT BE is'sllSTR1JE AS %PRES,ivTING 7Ii.,-
<br />OFFICIAL POSITION OF ANY GOVERNMENTAL AMKY
<br />1.rcz_..ate which actltii hme b"n used to cleanup or remediata the leak,
<br />Descriptions of opt,ic"ns r "-Iow.
<br />f
<br />(,an Site - install hurizontal ixTermeable 'sayer to reduce au
<br />.r.-fi.Ltrat on /
<br />Containment Harrierru: to 1, vewti ! dike be ;clock horizontal mo ament of
<br />contaminant .
<br />�xsa-_at. d L€., - - row v.. ..;tet N.s..u: soil
<br />a€: silos_. ina... -uveta
<br />side.
<br />Excavat,D an! Ven=ue' remove cwtamina"d soil and .seat ,includes qo d_
<br />and farming),
<br />Re_., v. Frser ._emOve. 'meat. rv_ prcduc',/ from waste= table..
<br />_4='1p as- a., .>.n 3 .- gaoer<.i.ly •Gslployed to €-emo-ve ejisLoi i;"j
<br />acter,al.. deco,,.. n„ o to _. ,
<br />a x
<br />provide al j ., netivo water ly to affecte . „s:_ t;.. s
<br />neat ca,1 at. i, .:r install water rca me._.t aevices at each dweLl n oc
<br />O-Lher Place of use,
<br />V „xnsilt wn Use pun�.> or blcoe._.. 'L4 draw .awe through aDiL.
<br />Vmt v - bore hole, an! to ... v„lati-Lization Of conta . x, .t,..
<br />T� c.auxena�e ,.idem is reqiniring, no rerecl a�
<br />h S - `Ise this space to elaborate can cry aspects of the in idmt.
<br />SLSA ME - SQn the form it L e spa,, -,e provided,
<br />Bim. J=.r'C.a.:,SL.lu9 '
<br />if the form is completed by the tank owner or his agent; retain the least copy
<br />and forwar t -he re._a.....-rt, copies ntac to yo.c ._,c,aL tack permitting agency
<br />ai - Hca? TankLti °.ixtr _'€iry
<br />Pegsc.aa_ Mw QaWy Brad
<br />3. im"I Qr'<31tk L`"Ker w1d .;n ar;t-I Bcadu Of it t>; z v_ __s Or U fair . "g_ _e E..
<br />._..._ _ Frop: sitt_cn -,s ,.ot.,i
<br />4, PartY
<br />
|