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UNDERGROUND STORAGE'TANY.
<br /> RESPONSE PLAN - PAGE 2
<br /> VI. REPORTING AND RECORD KEEPING
<br /> We will rsVonVreemd myoverfill,spill,m tmautherized release from MUST system as indicated in this plan.
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<br /> Recafame Rekstes: AnY uarudtornzed rekase from prm=Y esruammear which the 115T operator u ands m clean up within eight(o hies cap asi remise was
<br /> detected or should reaorubly have been detected,and which don not escape from secondary con"immen"don"not melease the hazed of fire or arpma(on,end dos
<br /> not terse any dctanoretion of secrttdary containment,must be recorded in the h cility's mommring recrrrda Monitoring records must include:
<br /> Y The UST operMa's name and tekpLak rrumm;
<br /> ➢ A list of the types,gwwitim and corceotra"on,of haardooa substances released;
<br /> Y A description of the actions taken to commit and cls®up the nekese: and wlzdxrc bzle s w&sa,,,,,,lcMM wap or will be used;
<br /> Y The method and location of disposed ofthe ticketed fiazardas subaxaces,
<br /> Y A description of actions est ron to repair the UST and to prevent future releases; t or repair of contmrmncne
<br /> Y A description of the method used to reactivate interstitial monitoring after mptar:emen prumuY
<br /> containment(or pnRwY co"mm"ent if w secondary containment
<br /> Reputable Rekasee: Any overfill,spin,or unaeahorizod release which eacapea from secondary release. Reportable eelcases are aio nerordebk.
<br /> stun),increases the hazard of fire or expmtian,or eases arty deteridaation of seconduy wmainrnem,is a reportable
<br /> fire total agency admmniaterivg the UST pogrom of the
<br /> Within 24 hours after a repo"mbk rAmse has been detected,or should have been deteaod,we will notify
<br /> or ifrequired by the local agency,remaining stored poduNwe&e will
<br /> releatc,aweaigue the mi� so,end take,immediate meammres to stop the release. Sf neceuay, � we wiYt wtit`y the SnrreO(Txe of Emagm�.y Servicaa.
<br /> be removed from the UST to prevent Nmhe*m1mi or thcilitam connective action. Ilan emergency
<br /> Wrehrrt Free(S)anrking days of a npwubk rocas_we,will submit m the meal agency a fWl written report concerning ell of the following information to the utero
<br /> out the information is Imowu at the time of filing the repo":
<br /> Y The UST owner's or operators tame and telephone number:
<br /> D Afist of rig rAxa,tpaml,,ce,and vgncnmtneioasafhazardous materials released;
<br /> > The approximate date of the release:
<br /> Y The date on which the reiwse wen discovered;
<br /> Y The due on which the rekese was stopped;
<br /> D A description of actions taken to control and/or stop the release;
<br /> Y A deecriplmn of conmetive and remedial actions,including investigations which were a dertskm and will be conducted to determine the nature and extent of
<br /> and,ground water or surface water eOmement on due 10 the reluae',
<br /> Y The method($)of cleanup implemented to teen,proposed cleanup actions,and a schedule for implemaaing the proposed actions;
<br /> Y The mothad(e)and lmadema)of elispoml of mkaeed hazardous materials and any do emarinsu d will,groundwater,or,surface water.
<br /> Y Copies of arty bazadouo waste manifests used for off4te nanspo"offtaurdsaa a isms essocneed wkb clean-up activity,
<br /> Y A description of proposed nedmods for any repair or replacenent of UST system primary/secondary containment systema:
<br /> Y A description of additional actions taken to prevent future relweas
<br /> We will follow the repotting procedures described above if any of the following conditions oast"
<br /> ➢ A mord"unauthorized raleaee cam not be cleared up or is still under investigation within eight(g)hams of detection;
<br /> Y Released hazardous substances ao discovered at de UST site or in the smmunding area; tai t sudden loss of product a the seem ptamed presage of
<br /> Y Unusual operating conditions are observed,including ntic behavior of product dispersm hind,de no Ink arnured:
<br /> was m the Isom,wn'xsa systerod or m`equipment is found to be dkfWiw and is immediately reps rep a faced m be Monitabmg results frorn
<br /> m UST system onitmng equipmenUmetbnds indicate that a release may have occurred,unless rhemi
<br /> na t mng egwupmenu
<br /> defective and is im wdnely repeats,recalibamd or replaced,and additional mo`d'b0e mg don mot confirm the initial tads.
<br /> Record Retntlon: Mong mg.mcmdr and ,,"a rep"of M&Ab l r releasee mw le rrmimahtcd on-de(or ofT-site a a readily aveikbk meanie".if approved
<br /> by the local agency)for at least 3 yeas. Hazardous waste shippingtdispossl records(e.g.,manifesta)nae be maintained for at tasr 3 esus from rhedsa ofahpmear.
<br /> VII. OWNEWOPERATOR SIGNATURE
<br /> CEKMCATiON:l nrtOY that tie idarmadm Pswvldsd be an is alae tad aarnnk to the best of ANY kaowb*oc-
<br /> QWWEPoDPEiPATORSfONA7IJRE' , DATF.
<br /> J-1�
<br /> 2 2 //w a
<br /> test. OWNER/OPF.RATOR TITLE
<br /> OWNER/OPERATOR NAME(print)
<br /> I/r 1 IAR
<br /> This an has be= od and: yl Approved ❑Approved With Cordinans ❑Disepptoted
<br /> (Agency Use Otto) This
<br /> / y
<br /> Load Agency SWarae--- _. Dai '2�'
<br /> : D71L
<br /> UST Reapoea Pira(3/2009)•3/3
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