Laserfiche WebLink
RECORDING REQUIREMENTS <br />FOR UNAUTHORIZED RELEASES <br />An owner or operator is required to record all releases from the primary containment. This form may be <br />used to meet the recording requirements. (Please notify Tulare County Environmental Health <br />immediately if: 1). The owner or operator can not clean up the release within 3 hours after the release <br />was detected or should have been detected, 2). The release has escaped secondary containment, 3). The <br />release increases the hazard of fire or explosion, and/or4). Will cause deterioration of the secondary <br />containment). <br />Reporting party's name and phone number: �J�'tii7�� (zo) c i <br />.Facility name and address: LPi6 `(. 44 Ytl `+ <br />Date and time: L /%I Lop, P 3 ,�cM <br />Type of material found in the secondary containment:' <br />Quality: <br />Concentration: <br />What actions were taken to control and clean up the release: SJ � 1A L.7-� 3 t � <br />?Method and location of disposal of released material: <br />Description of actions taken to repair the underground storage tank and prevent future releases: <br />Iy! t s_ <br />How was the monitoring system reactivated after corrections were made: <br />Attach pent out from continuous monitoring system, maintenance reports, and/or manifests etc. <br />Retain this document in monitoring records for inspection by Tulare County Environmental Health. <br />See California Code of Regulations Section 2651 for further requirements. <br />PAGE 2 OF 2 <br />