|
Leak uspened at sAP, Nn has not been awfir—d
<br /> .rz _ s u ld he ��> of, ci.rn:_t c 3 x sp ns:b i. L3 _, law- z�=e v 2e-
<br /> __
<br /> 'e ,,,f,r �� __�., w_...Y. .... __,.._ _._ �. - rix°,1.. im acted a. _.,a�., of the _sT.. 4_�.
<br /> ec tsx a r
<br /> yam !me! ond"gnwnd n_ o-- _ ,e Indica.., '<,.th ra es -__ble party __. n thecess of Ally
<br /> l_,•.
<br /> f q
<br /> ,_... , a r-_ m_ has �._ e ,_. ,f .e_x da _ _t_�k5 _t, a _ mhe axte nt f cont -w._ _on _, _. _ __._ wnd water and a..> s iq,
<br /> <� n N'mrface _ , __ d ,,b.__.
<br /> ha�:_aan - e _.at=s�l p`as. 00 ezu _u tlr tern
<br /> .: n_„__ •F; ., d a ant to :a_u ,_. and Safety code Se tiwz, s..e'c a'ion 3ptic�s. ProVosal and imp1Gmsnra�,.on scl:ediule for __ e
<br /> Y, aveo
<br /> u a i Vi and dazz Us ien,, in _ is clock, Options.,, a-s,- submitted.
<br /> 0:, leak -has _e e pass a_ j .r��a - L.-n ._
<br /> etatiorl of �e�„Y.irt.�c: ¢�.:t,._
<br /> v___ ,y M _. _ ., . s „t ... or s __,}70 _ the ._
<br /> t-fit_ m �
<br /> �Y :S"�^�� -= 3ETz a':4periodic grL-mid water- or 'e ,.aer
<br /> _ .� _ „_ , a ,_ d"_c .. , Slv2, �' necessary, to verify and/or evaluate
<br /> C
<br /> rnional
<br /> an adds ess, _::._yca e which r--y, . n,, fu th � ,WA .. necessaxy at
<br /> at. - o x..re�c, k, noha site,
<br /> v a� aogoncy name,
<br /> ae1 ,.?.__: .:.: E w TOR
<br /> 1 s .d PRGVIDED QN THIS PGRII is INTENDED CE: GENERAL
<br /> al. .. _ .,,, tJ :"J i ONLY ...`2; iS NOT _ �Fy`v< 1:z.TE AS REPR,; ,,T 1a 3 wFi
<br /> perse , and addi_ss of party OFI,`I,<-i. POSITION 1Qa ANY GwYERNIMuET_.L d:�.ENCY
<br /> Ude fni n?w 1, ,.. ..-c ._.,_,]e _pa----y 'sold . ___. 1_yhe thi., _an
<br /> indicate Mich actOn have b"n used to cleanup or remdiata the lea,
<br /> es ptu a of: options fof.-C-W!
<br /> Ent
<br /> x s v. ,t to M__. -;i,, YOU
<br /> -r«
<br /> provide the fonlity nmon <.€,1.-�ass, e install I:orizontal inTermeable layer _z red-,ce :aiufa,_l
<br /> u .._�_ f ration.
<br /> n oommj Barras- - imstali. vertical d--ke to bl,-- ec€ :.zont-al mava-ment if
<br /> ..:.� ri.. . fi�t..r Quality Control Board
<br /> T`d
<br /> . -
<br /> 1noniv
<br /> ;duiove C
<br /> ' re
<br /> .�, & �j S..x:_:3s P. - mf.DY1;_-.,..--:7.<.. d av:: e
<br /> _ .....-...._s. ,a x.�� Sal "P4v&;-"J.
<br /> a
<br /> a. x eat, - marcovc casztamynatsd ssii and tbd .IreLezfws _�� &nE>
<br /> u a z ce a.x .sc s a farming).
<br /> h
<br /> c. �3, . .,, tjw _ . new ,, ,�_ ��.. w if r_t_., If more Man _ r Pre € remove fcatirg product fM., water .
<br /> f sul r:.c , leaked, � z � „- o _� e_._ for clez., �. �1z7dwater - generally utfaloyed to . .nzove dissolved
<br /> .,�_ ,..., ,._. _ _, _ � x ix=ate, L�
<br /> commonnos,
<br /> 'f` n ,ata eg- `atr - use of any csaalable tee F�.;lo to �5>v_._„te
<br /> 1. .,v an _._;_ ... . n 6::.. ifs. ..is o ,,.Y ' v., _ _ f "neo . tiontern- . a ,.,..- > c
<br /> € �> �c� ta7z� �f catf-a i �-t
<br /> - `-. of, e a at +.c- r,l to i a t'�
<br /> ...
<br /> _ f treatment .eenw s at each dwiling or
<br /> Sir, -01,s ' or a �; ccs_ ;x, .= -,jwz --jng ._-`se ofouwr Place o; use,
<br /> :.
<br /> y1owny i1trawo - use pml.0 or bimers to irar air through ough sr.
<br /> Q c t SKI gore holes in s o,.i a to allow ro let r i_,ration .at
<br /> 10-2= aW .;,. Mne tMY =:a ,.y .c this la#k_ Check one box only. Case � _ �`? e��iwer>>' incident is minor, reqs,,iring no namedia1 action,
<br /> -i,z c zeseuryaffected- Fo example.
<br /> ?._, v
<br /> Ise this space to elaborate on any ^ _ects of the, incident.tur £ . , uN _
<br /> z r
<br /> only if cne or re municipal
<br /> vie_,t ell =<
<br /> _ actua > beenafQated. f> .turn. Water"' �£ R T1:.� Sign the form in the space provided.
<br /> designation a .s not iany Wt t ..a A::.entr?__ ;pater cannot be, or is Y°of.,. �
<br /> ia'ater , only, that orate, wells ha've not yet beer,
<br /> affectedis underntcad ._.at case tape hay charge �n further
<br /> if the j, €n is completed r'eted by the tank owner or- agent, retain Me ":cy
<br /> ar' w i4 re remaw"g copies intact to Your WaL MA _,_, "ting agency
<br /> _,.... di _ 1. _,_.,
<br /> I.,r"_2L4 5'I
<br /> g
<br /> .,.:i.a�� P:.f;c ..uregc, s r.,€.., c,,__.,. the cu: ent status of the . a'..__,®_ t;,,icnna`:.er Quali r Control YcWd
<br /> Check cme box c._ly, The rwTmme s.a.:;,Id ._ .lative to the case t"" For _. "I 3s.aU O"icer aro fCo.;x::.y hard of S.r,s;:vis _s at
<br /> example, ?f c - t -Wamd ..._ _.._ Status- Gm._. mvfe. ,toposition _ not.s.c_t---o.is_
<br /> to the status of we r..,_.. W"e_ ...,x. -u a.,_i or clea:rap, as oppos_:l t party.
<br /> that of soiLof optaons
<br /> N Mti a ;., No v mss_: ea :, bee:. kken by responsible parry beyMnd
<br /> lqunt of _"N.
<br />
|