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04/18/2013 11:50 2093344684 #5032 P.013 /020
<br /> U"IERGROUND MRAGE TANK
<br /> ,VSFQNSE P -PAGE 1 (One form per facility)
<br /> TYPE OF ACTION D 1.NEW FLAN 2.CHANGE OF IIVORMATIOx 1
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<br /> I:ACILrrY ID#(Agency Use Only)
<br /> s(JS(N YA ,(SarncBSFA!�
<br /> 19. �f'
<br /> StNSSS ADDRESS a ~+ Roy CrMAP pe*
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<br /> Tins plan addresses unmuftmed relearn from UST syst m ands R rC5pOnaC plans and proeedures m rhe fuer;' s Manerisls
<br /> $nsaness Plan.
<br /> ➢ If safe to do so.facility personnel will mke immcdiaw measures to oommi or stop any release(c.g> tivste pump shzsa�ff,etc.)and if nee try,gafeiy qye
<br /> re inn hazardous matesial from the(IST system.
<br /> > Any release to secondary=bussru=will bo pumped of otisa vi a removed within a time corlsisRnt with the ability of the contain system
<br /> Contain the hazardous material,but not gmazr titan 30 catendw days~or sooner if required by the local agency. R exaverod hazardous materials.unless X11 suitable
<br /> for their intended use,will be managed as h=rdous waste--
<br /> )P, Absorbent nsaterial will be used to camain end Clear UP moble spills of matcr ials. Absorbent material which has become too sabaamd to be
<br /> effecive of which is no lei intended for we will be managed as hrardous waste m dm a waM doftninsation in accordanoe with 22 CCR that
<br /> it(s no els. Used absorbent .ramble or waste,will be stared in a puoprly labeled and scaled d�ntair�_ Wast material shalt be d Sposed
<br /> appmpriat ly,
<br /> D Facility personnel will dcmxmine whedw any water removed from d in—M s or from cl mn-u
<br /> yR�> F aeilvn•Y>haS been in conact with any
<br /> [o dour material.If the water is contamts ate i,it will be manaW as hamdous vALM unlew a wase termination in accordance witb za CCK§W62.11 fm&
<br /> t1w it is noo-hrzardous. If the w=cr has a petroleums sheet(Lc,rainbow colors},it is contuninated. A thick floating petroleum layer may DO necessarily display
<br /> rainbw colors• 'W ( or rm4murdous)from sureeps,spill cor ainels,dad.will not be disposed to storm water systems.
<br /> > We will roviow Secondary cntaimmsent systems for possible deterioration if any of the following conditions orale-,
<br /> L 14=1 does material in contact with secondary containuicM is not com A"e with the usaWial used for smondwy
<br /> 2. Secondary containment is prone to dwmp frons wW equipnmt used to remove or cream up hazardous ma(erial Collected in secondary contabonent
<br /> 3. Hazardous Material,other than the producftage stared in the primary tOntlisnasent system,is placed inside 5w4ndaty conminment to Irml or nctmalize
<br /> released duct/waste,and tote addod material or molting mawral from such a cambmation is not compabble with secondary aNwnmmt.
<br /> 4WOO°
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<br /> PERIODJCbLUNMNANM,Spill control and cic m-up equipment lom%p=w=rjy ft-site is listod in the facility°sHawdmMaterials Bum=Plan. This
<br /> evipatent is inspected at lost mo+sdsly,end after each msc,supplies air revicnished as needed. Deftictive aquVnxnt i4 fePwM or replaced as
<br /> EQUUMENT NOT PERmANEwrixo 8 AVA FOR USE iFNEEDED- Co cu;oo ifs
<br /> EQUIPMENT I TION AVAELARDATY
<br /> RIO.
<br /> 4 } r 1 .
<br /> Xtl. RV.
<br /> X12, R= $32
<br /> tri$, X2.3. ,
<br /> X14. RL4
<br /> a34.
<br /> RIs, M.
<br /> R35.
<br /> THE TLWWANG PyENON(s)ISVARE R PUl°+i FOR AU rR()R.MNC;ANY WORK Y UNDER IRS RES�IPONSE PLAN:
<br /> NAIKE p j I i O ,f'yy R40- RSO.
<br /> NAME ( r� l i{ R41. TrnX asst.
<br /> NAME 42TnIX RSZ
<br /> NAME R43. TFrLE 3.
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<br /> IF MONITORING lt,F[)ICATBS A POSSIBLE UNAUTHORIM RELEASE,STEPS To VEjUFY THE RELEASE WILL BE MADE AS FOLLOWS:
<br /> El Additional system.testing or data collection "on by qualified persons O Recalibration of equipment
<br /> Other,
<br /> RM.
<br /> USI Rewaft PIM(3am)-2/3
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