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INSTRUCTIYRi6 T..fi3 r "' T q t ` <br /> l ' I <br /> r1EIG /�� s • .- I � -' - � L c Ae Conrmec�,! Leak snsp a @d et ite t* has not beRn coB{�d uqv'.the " y6py()] d�m.i pment were ir%!Q G. PYe11ms sme t W b it ed -NOTkpl,an/pm If d6, nga doyti rtal-Lnei n3•�allorb s ;Ujd bR fslie� estegi of ;, mit 6y opens e' xby tsU-deLermune Mtet er y/r �.f,4ate yw,�y!if q$ Ygencp ere ice; ( `et 00 daw74ee( Road; . L,j. `te+��,yra$; been;ox will,be .it¢}�c ed 9ces�lt o£ t¢erreleasCA 9 U. 'X01 of th§I OEC neper din u�ty bq pb,air;� eta �limib'..r £e s Vd� flop mB}rT,�t 'o[F ofl and,�,pp 1;1 V� t rage tank per ng ancy.7 Ia dte wh bhsr �p lu i a Gar' t'n ? of ¢tls 1p p tr la)in:the process bf(ffully <br /> LQa 0 5 report t±a2]re filed as o Lhe of ¢ a report,:, �,' 7 rn +'the gyute OrI "t"kb11 in so dnd y}'omtd wetsrl anrY aesessing <br /> 1 i Pacts Sib, srl#fac /01 8Yoµn wetter. <br /> f'LR'AL AGENCY ONl)7F. L (" ! !u' pme on P en -_ediation ;laa'subautted eJa1%at%ng 46 t�m :f� ' <br /> •T void du$licatBd inotiflcaLl Un ourspant. LO F:aalt(Ik ial-Saf -code ectfoij m iotion pgi ns. Proposaf and-,RmplaTtetatabion>ached�e Jar appr rxNts <br /> 2M04F, a love}'pmart employee shaula sign)and dgte th4 formin blo_,I6. —� rgmedlation op ot{s lalso submitted. <br /> Akrig�iatnre he%l(( os mean that �he leak has,baen`aetermined ;posed ! sa tUndeN. i�iNplamantation a$ remsd atioo--i Lan <br /> sL1iaB���1;£�gant thre5fj, �n oelth of sr!(fa�,.y, only tt�e notificatr$$$n 0- �. st Gl anu i tlin in Pr r sa' periodic �tbund wgy.er oa' other <br /> I ,, aAxr z.hV �:µ f(1,11pw. if r io.,rhI /'� n c Itng + sit. as neFess y td ve. ifs a d/,or eva'ttatFa, neap <br /> �` r dial agtiv s 1 <br /> RAR <br /> BY . ,�/Y// r e7 njI � ;.; se ased i'`ragi oil board and fb�al La�9no;} i1 concurrence Ch no 1 <br /> Eff,,er Boar noire tlslepndn* 1ca�er. Bpd addtes TI Inr�`ate which var+�Ya!w', I than wok �s neckssae $ - ((�� 'l <br /> xW lit apd pro id v�ny'or QcY/ e. 4l }^ " g - ' xI T ENDED :G�iEN6L �I <br /> I47P0TIIEFO ON R041E6 ON I+THIS;F d'G � ' <br /> RSSFOS mIH4 PARTY 'i G 1 n' ! i STATt ICAL"P , ES A7; IS .7t��T �O 33E GDN$TR E A¶S REFRESENT ,'TIS <br /> ExB ryex'�ame, talent{ a number, Contac person � addicess 0f�the as# y r OFF!C 90$IT 'SOF A"GOVERNNEPITALI ENC .� <br /> i r�pagsib a for Llie _aak e� :he reib, paxd�7would ;normally he We i_ 1 �, ✓ <br /> ' oaRei ' ra / ..+..•117 - �"t �� Indic to wh c $Son h a been u ed cle�¢Bu o>$, a d6mtg t4 <br /> S N f "�"I <br /> Dose Pt fon f )}tloaiiow -� < a ' r <br /> -' mS II <br /> E scion jregazs}igg tl s t y facil ty.r. t a m 4cim you II r 1 r'• o I f <br /> p of tbelfacil.4 Wade-'andl£u1 re�a� 'i'.- I s i. e - in tall { Cali imp cab 'Eay r t� z du'6 r �fc� <br /> LL�� 1 P."11"' a 3 �l i filo tion. <br /> i I I�S,EllEN�YIN AGEN S l _ ^ e _ y t ' ant H rix es i�et 1}verti al kg` t� S,atkLtto{izo�t m RmRrit <br /> G mne OS Ei� Lor,�li Ag cy <br /> and" labial Wat s'Qualit Control icarci-•.. '- <br /> % i>�ol ; ,j l"' .(' �• !� i^ j e, is ipma'Qe7 cont inaedys ,l lend dispose iljapproved <br /> 1 m i It. ,p a (y fie. _ . I <br /> g yy i hi g �• .. /�/' 4 T i remova?c nta 'i ata ; a l�a>�, .trs�r_(ina, des read' <br /> E m qudnt Ly l9st of a hazardou� u ancrd ipvrive Roam xfl - e ). �yF q a <br /> i i fo t�p two a stances if aPPx riate.' If mq£e than va e P u - remove Lea� g duC f#ou5'wa ei"tati a <br /> t� a _a e ifa.t �(e two moat con rn cleaphp. I i a "T a L Gr - dwatar - enexve ly ffi�plo d{ r�aio�e d <br /> s p + ntami 1 `r <is 3 m <br /> �1i D .T 'f� 4� } r' } "H de ra ion use of rt s latrli nolo v td remote <br /> i Pyr xma i U,Sagagdapa the Ai cover an batem�nt of .he Is k. 1 - c r a� compos i¢ia of P tamgp nL ��xr m Lz I* <br /> ��-5 !//f\"�, l e�l..a`ce u 1 - prdvide'a a natW water supe y%t�af ecta part <br /> SgijR 'l-f , ! j Yr r a ab. l toot 1!watgr treatment JgAces ae as dive n�B[ <br /> Ifi i s oak. 'Check r.(es)I inr)i*tingtaausedo¢ leak) I t(egrpilbcb-Of gae,,1 •• ,= I/- <br /> (..1. �. r. D 11 uum t g pulps ipr�1,10 s M orpq a� 4h?.0 e1 <br /> ,n (� £l. //i � I t Sa' no ._ as �p i o-p lea_�ela£il zgtyiin of a n:nants <br /> 1 i i t� aee;t Cate -zy fo chis leak ecktane NES[ only.1 Case a Act e na d t!is &ibrr, rec(uiri g no se�edid tion 2 <br /> t#e }ia d of h oat sensitiv resource at7ected. : For sample)) if a T a i t' 3 f <br /> b&h so g#o$nd we er hairs b affected, }Blase type will be "G.}ound C - e f4hiit sp8 t Bleb rat an a� p'sp�ct�s'bf ha ind' <br /> ! Wiferr ,�; irate,"D in ter" ly if, one r more municipal oto I += A I <br /> e ic. a{}Ls ave tdally en affect A "6round Water' I IGfi +'SigA tflp fd in the parr rovxie ' <br /> dpai a es LAat imlbly�i'St the £-acted wd can4at be, or is Dot <br /> i uAd for, inlCl�g'wa bei on IT tb t watppr we a have no t beef -. I DIS $[iTI' <br /> e ed� ' toed 'tiFiat caa t e may Inge,upo they r j 7f t €nrd is com@l.eted by the t$nk oMer or isle sot, aretai^ 1 t cv <br /> i Qe tlgygt ; �// ' € and and she resin Si♦g copies 1ntaoat to rug 1fke�l4ta91c permi g�ge� <br /> ¢ a t ' (/ r ,� j I r for tri ro ! F e JJ�I <br /> T ' .r-„ / ' 1. iginal ¢¢dal T Permjttt n6 1�g�nC), <br /> I i ate too tic est de cti the went lstatus! of th case. —'gip 2. trite W,ate�ficalopourT Centro¢ Boa } D;yis on o�'+t�Les� Water a ams <br /> C cl� orNi,fix I�1 Tho r dnas sF u1 De r a ivejU the case type. For B ergibu Stbragg Tank Prog am �0. `}Ioxev4421 pct0�nen4 A 91,144-.eBnple pe is "Ground War -fhsn C rr Ct should re-er <br /> m <br /> tibt4e smaLus o - he ground waLe�lnxosyt atauv or ane as oppoged to l 3. e�Tonal star=Quality Cartrol Bo, r >, 1 G v y' <br /> tl!t lof a,DI criptions a$ o is follow ' ! 4. ycpiel (veal¢1B £Tref and County Abad of 9),yKsi j rsyo t-.e�} `signs. -o <br /> 1-- Ll `I V. ✓1/7 ! ggei v� Prc o tion lg5 notifit ati n } 1! r <br /> Ac t'on T n - Nq acti6n t¢as cxj taken h� runs le party,beyw�a} 5. er/Yespvnsi .e p�rty. i b <br /> 1._.. -.._._`_� <br />