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UNDERGROUND STORAGE TANK <br /> RESPONSE PLAN — PAGE j '�-(One form per facility) <br /> TYPE OF ACTION ❑ 1.NEW PLAN CHANGE OF INFORMATION $ Rol. <br /> I. FACILITY INFORMATION <br /> FACILITY ID# (Agency Use Only) _ _ <br /> BUSINESS NAME(Same as FACILITY NAME) �LRoz. <br /> I C� C /�v� a��T� i L i 7't r15 <br /> BUSINESS SITE ADDRESS R CITY R04. <br /> 64. <br /> II. SPILL CONTROL AND CLEANUP METHODS .Sr�=� <br /> This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials <br /> Business Plan. <br /> ➢ 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 <br /> remaining hazardous material from the UST system. <br /> ➢ Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to <br /> 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 <br /> for their intended use,will be managed as hazardous waste. <br /> ➢ Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material may be reused until it becomes too saturated <br /> to be effective. It will then be managed properly.Used absorbent material,reusable or waste,will be stored in a properly labeled and sealed container. <br /> ➢ Facility personnel will determine whether any water removed from secondary containment systems, or from clean-up activity, has been in contact with any <br /> hazardous material. If the water is contaminated, it will be managed as hazardous waste. If the water has a petroleum sheen (i.e., rainbow colors), it is <br /> contaminated. A thick floating petroleum layer may not necessarily display rainbow colors. Water(hazardous or non-hazardous)from sumps,spill containers,etc. <br /> will not be disposed to storm water systems. <br /> ➢ We will review secondary containment systems for possible deterioration if any of the following conditions occur: <br /> 1. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; <br /> 2. Secondary containment is prone to damage from any equipment used to remove or clean up hazardous material collected in secondary containment; <br /> 3. Hazardous material,other than the product/waste stored in the primary containment system, is placed inside secondary containment to treat or neutralize <br /> released product/waste,and the added material or resulting material from such a combination is not compatible with secondary containment. <br /> III. SPILL CONTROL AND CLEAN-UP EQUIPMENT <br /> PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on-site is listed in the facility's Hazardous Materials Business Plan. This <br /> equipment is inspected at least monthly,and after each use,supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. <br /> EQUIPMENT NOT PERMANENTLY ON-SITE,BUT AVAILABLE FOR USE IF NEEDED: (Complete nly if applicable) <br /> EQUIPMENT LOCATION AVAILABILITY <br /> RIO. �5 / R20 R30. <br /> RI I. /(f R21 R31. <br /> S R12. - R12, �s ( R32. <br /> R13. R23 R33. <br /> R14. R24, R34 <br /> R15. R25 R35, <br /> IV. RESPONSIBLE PERSONS <br /> THE FOLLOWINNG�nPER/SON(S)IS/A"RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY LINDER THIS RESPONSE PLAN: <br /> NAMF,--,-- Rao TITLE (d —Z-- Rso. <br /> NAME R41 TITLE `�r----- / <br /> R51 <br /> NAM Raz. TITLERsz. <br /> NAME R43. TITLE R53. <br /> V. INDIRECT HAZARD DETERMINATION <br /> This information is required only when the presence of the hazardous substance can not be verified directly by the monitoring method used(e.g.,where liquid level <br /> measurements in a tank annular space or secondary piping are used as the basis for leak determination). <br /> THE FOLLOWING STEPS WILL BE TAKEN TO VERIFY THE PRESENCE OR ABSENCE OF HAZARDOUS SUBSTANCE IN THE SECONDARY <br /> CONTAINMENT IF MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE: <br /> R60. <br /> hwfwrc-e(9/24/04)-1/3 <br />