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1, 1W A AML IRW UNDERGROUND STORAGE TANK RESPONSE PLAN - PAGE 1 (One form per aeility) TYPE OF ACTION ❑ 1. NEW PLAN El 2. CHANGE OF INFORMATION Ulu 1Z01 I. FACILITY INFORMATION ENVIKOKIENT HEALTH FACILITY ID # (Agency Use Only) BU SS NAME (Same as FACILITY NAME) Roz. ' - T BUSINESS SITE ADDRESS R03. CITY R04. ESn l oG CT ,r/ II. SPILL CONTROL AND CLEANUP METHODS "This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials Business Plan. ➢ If safe to do so, facility personnel will take immediate measures to control or stop any release (e.g., activate pump shut-off, etc.) and, if necessary, safely remove remaining hazardous material from the UST system. ➢ Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to contain the hazardous material, but not greater than 30 calendar days, or sooner if required by the local agency. Recovered hazardous materials, unless still suitable for their intended use, will be managed as hazardous waste. Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material which has become too saturated to be effective or which is no longer intended for use will be managed as hazardous waste unless a waste determination in accordance with 22 CCR §66262.11 finds that it is non -hazardous. Used absorbent material, reusable or waste, will be stored in a properly labeled and sealed container. Waste material shall be disposed appropriately. ➢ Facility personnel will determine whether any water removed from secondary containment systems, or from clean-up activity, has been in contact with any hazardous material. If the water is contaminated, it will be managed as hazardous waste unless a waste determination in accordance with 22 CCR §66262.11 finds that it is non -hazardous. If the water has a petroleum sheen (i.e., rainbow colors), it is contaminated. A thick floating petroleum layer may not necessarily display rainbow colors. Water (hazardous or non -hazardous) from sumps, spill containers, etc. will not be disposed to storm water systems. ➢ We will review secondary containment systems for possible deterioration if any of the following conditions occur: 1. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; 2. Secondary containment is prone to damage from any equipment used to remove or clean up hazardous material collected in secondary containment; 3. Hazardous material, other than the product/waste stored in the primary containment system, is placed inside secondary containment to treat or neutralize released product/waste, and the added material or resulting material from such a combination is not compatible with secondary containment. III. SPILL CONTROL AND CLEAN-UP EQUIPMENT PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on-site is listed in the facility's Hazardous Materials Business Plan. This equipment is inspected at least monthly, and after each use, supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. EQUIPMENT NOT PERMANENTLY ON-SITE, BUT AVAILABLE FOR USE IF NEEDED: (Complete only ifapplicable) EQUIPMENT LOCATION AVAILARHATY C�->jllL, n RIO. �J� � Rzo. Rao. R31. R21. R31. R12. R22 R32. R13. R23. R33. R14. R24. R34. R15. R25. R35. IV. RESPONSIBLE PERSONS THE FOLLOWING PERSON(S) IS/ARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: NAME Roo. TITLE R50. LQ NAMER41. TITLE R51. 44_1 (d Z22 NAME R42 TITLE R52. NAME R43.J_j;ffjE R53. V. MONITORING INDICATORS IF MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE, STEPS TO VERIFY THE RELEASE WILL BE MADE AS FOLLOWS: ❑ Additional system testing or data collection 19 Inspection by qualified persons ❑ Recalibration of equipment Other: R60. UST Response Plan (3/2008) -1/3