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ARCO DProductseColmpanny O Report of Spillage/Product Loss <br /> sion ofRetail Marketing <br /> Date of incident _ t $ y � � Time of incidence`• D D n � � Data of report <br /> Address(street,city,state) Facility numbers�D Region <br /> D b C. 1 C"++I-e V"'_A.a /_d d r G� I O� � 7 Co - <br /> 1. Description of Incident <br /> 4k. Hos AW 4 <br /> 2.Corrective action taken(including spill containment and clean-up action) <br /> De-A L�2 G C.t� ►.t �d �$ S c : i.,L c,u �v� �►.. �� 5 a <br /> C1,C u� t4 2G� �-.M erLger-�� .vo . G•,e-ao1r G�o.v�2tin/L >P-eOr4��2 <br /> 3.Did sifill reach public waterway <br /> Yes No Describe in all cases <br /> 4.`Was spill confined to Company property If"no;'submit ARCO-77 <br /> 'Yes No Describe in all cases <br /> �'/ I �.GS,:L++T(GALLONS) <br /> ❑ UNKNOWN <br /> ' DATE DiSCAVERED HOW DISCOVERED ❑ INVENTORY CONTROL ❑ SUBSURFACE MONITORING ❑ NUISANCE CONDITIONS <br /> D �+ D r J r ❑ TANK TEST ❑ TANK REMOVAL � OTHER < �ly q, b t / <br /> DATE DISCHARGE BEGAN METHOD USED TO STOP OISCHAROE(CHECK ALL THAT APPLY) <br /> OM 6� 8 r l ❑ UNKNOWN ❑ REMOVE CONTENTS ❑ RMACE TANK ❑ CLOSE TANK <br /> QHAS DISCHARGE BEEN STOPPED? ❑ REPAIR TAN( ❑ REPAIR PPN0 ❑ CHANGE PROCEDURE <br /> aMY D �r� � T <br /> YES ❑ NO F YES.DATE ® � � � /,I OTHER �`e, Q b( _ <br /> �5 SOURCE OF O19GINAAGE CAUSE(3) <br /> ❑ TANK LEAK ❑ Lwoc MN ❑ OVERFILL ❑ RUPT1 RE,1FAILURE ❑ SPILL <br /> ❑ PIPING LEAK ❑ OTHER ❑ CORROSION ❑ UNKNOWN OTHER <br /> CHECK ONE ONLY <br /> ❑ UNDETERMINED ❑ 90C ONLY ❑ GROUNIDWATER ❑ DRINKING WATER • (CHECK ONLY F WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> ❑ NO ACTION TAKEN ❑ PRELMINARY SITE ASSESSMENT WORIK ILM SUBMn7ED ❑ POLLUTION CHARACTERIZATION <br /> H ❑ LEAK BEING OONFIRMED ❑ PRELMNARY SITE ASSESSMENT UNDERWAY ❑ POST CLEANUP MONITORNG N PROGRESS <br /> ❑ REMEDIATION PLAN ❑ CAM CLOSED(CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) ❑ EXCAVATE A DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIO DEGRADATION(IT) <br /> Z aQraxrv�anau <br /> 4 ❑ CAA SITE(CD1 ❑ EXCAVATE i TREAT(ET) ❑ ouVp A TREAT GROUNDWATER(GT) ❑ REPLACE SUPPLY(RS) <br /> Y ❑ CONTAIMAENT BARRIER(CB) '2<NO ACTION REQUIRED(NA) ❑ TREATMENT AT HOOKUP(HU) ❑ VENT SOO (VS) <br /> ❑ VACUUM EXTRACT(VE) ❑ OTHER(OT) <br /> °� ?ss,z. S44e /0L 4"-)A- -i4-S/ 2.:t7p, <br /> z ,�o _ �� p-3ylffG = `-/9- l � � �:Y�PM • = � q,eaL CZ. <br /> j3QW ® 7 <br /> U <br /> /�C a6111Aq <br />