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U*DCRGROUND MRAGE TANK RESPONSE V1. REPORTING AND c wa will ro ti,spill,or ° ro a UST irk in � ORD KEEPING Reeo ! rolosse Rom pr' t which UST is to clean up within (9) release was shoulddetected or which. does not NOW floor secondary ormhumnaK does not monsoon the hmW of fire or explosion,and does not cause ofsecondary containment,must be worded in the fhaility's monitaft records. monitertag records mug include: > The UST operauxs new and tolophous number; D A list oftlus rypea,quantifim and concentrations ofhazardow substances ret D A description ofthe nations taken to control and clean up the mi > location oftliaposal ofdte released haeardous substanow.and whether a hazardous waste manifbst was or will be D A description ofacons token to the UST anti to prevent fran re! , D A description of the method ased to wattvato interstitial monitoring aft replacement or repair ofprimory coittainnumt, Repartalsk R ll,spill,or unauthorized release which ascapag toot socandary cocurhunset(or primary comaimarat if no secondary co exists),inemases the hxmrd of firs orexplosion,or causes any deterioration ofsocandary oontainnearg,is a reportable relesse. Reportable relcom am also recordable. Within 24 ban after a reportable release n demoted,or should have ban deeactod,we will noofy the local agency admanswring the UST prepare of an "gem,i to stop the mlease. If necessary,or if required by the! containing will be removed ftom the UST top t re of -`!Nate corrective ion. If an will the Apwy at( )952-7SSO. Within five(S)working days of a reportabis rel we will submit to the local agency a full written report containing all of the following information to the extent do the irdbartation is known at the tim offilinS the report > The UST s or operators maw and telephone > A list of the qlxs,quantities,and onecoutterions ofhazadous materials rel > 7be approximate data of the re > lbo date on which the mlease was di D The date on which the release was stopped; > A description ofactions taken to control andlor the fnI D A description of cormcdve and remedial actions,including investigations which wen undertaken and will be conducted to determine the nature and extent of soil,ground water of Muhm water contamination duo to the rel > s)of cleanup imp!emented to date,proposed of upa for i p actions; > m sj I on(s)ofd' of rel materials and ,or surfisce water, > Copies Ofsny NMdM waste manifestsfor off-site transport of hazoadous wastes associated with oactivity; i > A description ofpmposod methods for any repair or topingersom of UST systems; description ofadditionel actions taken to prevent finum mlesravL We will fol!ow the reporting procedures;described above ifany ofthe following conditions > A recordable unauthutized rulasse can not be clowned up or is still WKW investi within eight($)hours of > Released hazardous substances am discovered at the UST site or in the su ing > Un 'ng ed,including vior of dispersing quipmets.stakipa low of product.or theplai of water in unlessequipment is foundre be defective is t' ' hY of rep no t eak has occurred;D Monitoring results ftom UST system monitoringindicate a release may have oocarr4 unless the monitoring equipment is 1bund to be defective and is i or replaced,and additionalthe initial ulte. Record Retention: Mnng reports of rel be site(or off-site ata readily laba I ifapprovod 1 least forshi r�to dis (a• )must be maintained for at food 3 Yam from He date oft VM OVMRIOPERATOR SIGNATURE CERTMCATION:I car that the Information,Erovided heroin is Irtm and accurate to the beei of my losewictIgg, -W—NMUPBRATUR SIGNA FUM TE $w. 1 OWNEMPERATOR NA (print) T' OWNERAOMRATOR TME Allen Faass Compliance (AV-y U Only) This pt aDisapproved A with C i' 13 Local Agency Signature, MW l ® I LIPI 2 id org 213 m Rev.12ii4110