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t Notice of Intent for General WDRs Order No. R5-2008-0149 -2- <br /> IN-SITU <br /> 2- <br /> IN-SITU GROUNDWATER REMEDIATION AT SITES WITH VOLATILE ORGANIC COMPOUNDS, <br /> NITROGEN COMPOUNDS,PERCHLORATE,PESTICIDES, <br /> SEMI-VOLATILE COMPOUNDS AND/OR PETROLEUM HYDROCARBONS <br /> 6. CALIFORNIA ENVIRONMENTAL QUALITY ACT CEQA <br /> Has a CEQA dele�rrmyii ation been made by an Name of agency: <br /> ' agency? ❑Yes v"No <br /> Type of Determination: Date of Determination: <br /> If the CEQA determination was made after the date of adoption of this General WDR,then include a copy of the <br /> ' CEQA determination with this NOI. <br /> ?. PROCESS <br /> ❑ Single-Injection Points EJ Continuous Injection ❑ Recirculation System <br /> ' =m-_yEC.T1or4 t5 L LL-6P 1 ONE 'W EI-L /N%t-T' Ac ­171 "C— <br /> Amendments <br /> TIMCAmendments to be added: Volumes of Amendments per Month: Storage on�Site? �t�I^F J <br /> O�tn1AE t 85 LBS. Mo, []Yes 'no onlSrTe: <br /> ' Pollutants to be tr ated: Rates of amendment addit'ns: Max rate of amendment addition: <br /> pEme LEU r'4 <br /> � x 52 CSRAMS R. 5 L &M S NR - 2.�2 l <br /> Extraction and Injection Rates(give units) (� Treatment Methods) and flows(give units(): <br /> Avera e:3,9 �1' Maximum: e Avera e:3��i Ct Maximum: to J <br /> 8. WASTES GENERATED <br /> ' Check All That Apply: <br /> ❑ Treatment Wastewater ❑ Domestic Wastewater(separate system) / <br /> ❑ Stormwater ❑Solid waste -Type N <br /> ' 9.AMENDMENT STORAGE <br /> Describe the type(s)of storage vessels, including capacity of each,that will be used to store amendments: <br /> O�OrIE WILL f3'E G�>,1E3?A-T>e� ot451TE uSr"&- At'l 6:L-ot- E <br /> N.6�gYa2 ari Art Ft5-LACED Si <br /> ' How will liquid be stored and monitored to prevent spillage? <br /> t�/A - i -0 Ll civ I) wlI✓L eD <br /> ' 10. CERTIFICATION <br /> "I certify under penalty of law that this document and all attachments were prepared under my direction or <br /> ' supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate <br /> the information submitted.Based on my inquiry of the person or persons who manage the system,or those persons <br /> directly responsible for gathering the information,the information submitted is,to the best of my knowledge and <br /> belief,true,accurate, and complete. I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations." <br /> ' Print Name: KEy iO BR(_L nA . Nar Title: TPiOZ1&_7 0AJA&J57Z <br /> ' Signature: - I Date: <br /> I l� <br /> ' AMM: 25 September 2008 <br /> 1 <br />