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RECEivEn
<br /> UNDERGROUND STORAGE T_ZNK l i X014
<br /> RESPONSE FLAN-PAGE 2 4
<br /> V1, SPORTING ANY)RECORD KEEP6G.: MENTAL
<br /> - rue
<br /> We will report/rocord any overfill,spill,or unauthorized release from a UST system as indicated in this plain.
<br /> Recordable Rnlr"s: Any unautbori2td release from prim,ty contauunent which the UST operator is able w Clean up within eight(8)hours,ilio the releasewas
<br /> detected or should rrzsonably have bees detected,and which does not escape from secondary containment,does not increase the hazard of fire or expLosion,and does
<br /> mtir c ti r 9ny dereriotadoa elf tecoadazy caniainment,rapt bo rroeordcd n the Fusility'a mottitbiius ra wds. Munituriug rntvrds must Include:
<br /> D The UST oper'ator's name and telephone rluntber,
<br /> Y A list of the types,quantities,and concentrations of hazardous substances released;
<br /> Y A description of the actions taken 10 control and clean up the release;
<br /> r The method and location or disposal of the released hatardous substances,and whether a hazardous waste manifest was or will be used;
<br /> Y A dr,&;riplion of actions taken to repair the UST and to prevent future roleasw;
<br /> Y A description of the method used to reactivate interstitial monitoring after replacement or repair of primary containment,
<br /> Reportable Releaser,: Any overfill,spill,or unauthorized releaze which escapes tiom secondary containment(or primary containment if no sucondary containment
<br /> exists),increases the hazard of fire or explosion,or causes any deterioration of secondary containment,is u reportable release. Reportable releases are also rocurdable.
<br /> Within 24 hour,uft-n mportabtc release lean bush Lit!w reel,ur should have been detected,we will notLfy the local agency administering the UST prograru of the
<br /> release,investigate the release,and take immediate measures to stop the relrast. If necessary,or if required by the local agency,remaining stored product/waste will
<br /> bo rentoved from the UST to prevent further releases or facilitate corrective action. If an emergency exists,we will notify the California Emergency Managament
<br /> Agency at(800)852-7550.
<br /> d Within five
<br /> "" (5)working days of a reportable release,wt will bubnllt to the local agency a full written report contaiuiut
<br /> b all of the following information to the.exten'f i that the information is known at the time of file11K the report:
<br /> 5;. r6,�.,.%.
<br /> U Tho UST o%nmc?t or oper tor' narnp pled iclephonc number;
<br /> ,T + A list of the types,quantities,and concentrations of hazardousmaterials rel
<br /> ta$ed;
<br /> The approximate date of the release;
<br /> The date on which the release was discovered:
<br /> Y The date on wfuch the reluas;C waS Stopped;
<br /> 1: A description of actions taken to control andtor stop the release-
<br /> 30- A description of corrective and remedial actions,including investigations which weft andertaken and will be conducted to determine the nature,aril extent of
<br /> soil.ground waver nr murfurr wafer S,}ntlrninutioa due t4 illi roln:u:n;
<br /> > The method($)Of Cleanup implemented to date,proposed cleanup actions,and a schedule for implementing the proposed actioast
<br /> Y The method(s)and locations)of disposal of released hazardous materials and any contaminated soils,groundwater,or surface water.
<br /> Copies of any hazardous wasle manifests used for off-site transport of hazardous wastes associated with clean-up activity;
<br /> Y A LI—iptiun of proposed methods for any repair or replacement Of UST system arirnaly/secondary containment systems;
<br /> i A description of addiuonal actions taken to prevent future releases.
<br /> We will follow the reporting procedures described above if any of the ftillowing rnrrdirions occur.
<br /> > A recordable unauthorized release can not be cleaned up or is still under investigation within eight(8)hours of detection;
<br /> 1✓ Releau:d hazardous substances aro discovered at the UST situ or in the surrounding arca;
<br /> i Unusual operating conditions are observed,including erratic behavior of product dispensing equipment,sudden loss of product,or the unexplained presence of
<br /> wafer in the tank-,unless eyswfu equipment is found to be defoctrvo nail is wutLWiately repaired or replaced,and no Leah has occurred;
<br /> Y A2onit0ring results from UST system monitoring equipment/alethods indicate that a release may have occurred,unless the monitoring equipmerifis found to be
<br /> defective and is immediately repaired,recalibrated,or replaced,and additional nlorliloring does not confirm the initial results.
<br /> Record 1Ketennon: Monitoring reCurds and written reports Of unauthorized releases Inust be maintained on-site(or off-site at a readily available location,if approved
<br /> t by the local agency)for at least 3 years. Hazardous waste shippiag/dispo$al records(e.g.,manifests)must be,tuaint decd for at least 3 years from the date of Shipment.
<br /> Httriy that rmatlV provided herein
<br /> SIGNATURE E
<br /> WNL+,
<br /> ' TIMATION•I a ein is true and accurate to the best of my lwowledge.
<br /> OWNMOPERATOR SIGNATURE DATE R7u.
<br /> O OPERA R NAM (print) R7 1. OWNE 1' pF�tq`�OR T.Tt I R7:.
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<br /> (Agency Use Only) This plan has been reviewed and; Approved Q Approved With Conditions ❑Disapproved
<br /> L. -,1 Agcucy signature:
<br /> 17atc:
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<br /> ?; Y,TST Responar Plan(=010).313
<br /> b9/Ec 39VIJ GOOD Sy9 3NO y 9L9LEE8E0Z EE :Lti EZK/LE/Z�
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