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<br /> EM11-laC[NCf CURRENT, 5iATaS
<br /> >: .c. 'bether e,i r,,ency re-spore inervannel and equipwr?were Au:ted at n€piway,tea te"ory W3 ich best. describes the current status of the
<br /> anyur�e> 3t >�,_a Gzardca€�� Material tnci "t l'towt should be filed :h Chad one box onin TM ress• n should be relative to the can typo For
<br /> =
<br /> the State ;dj�ice of Emergency Services 30ESa at 2800 Meadowvlcwr Head, exampic, if case cype is "Ground Water", Imera "Current ava us" ncojld refor o
<br /> S,i€:rar,!o to, CA 95832. Copies of tho DES report form may be ohtalned o...:V= the status of the ground water investigation or cleanup, as opposed.to, E;tra'"._of
<br /> 1o.4 ta"e:rPround wtu,a e tel prr,nitti, agency, indinte whether the US S€lI
<br /> „p-, n cr Q€d oa L2'(' t'Q doe �9f ti s ropery
<br /> crr-. has ,..
<br /> I`P,Snl,"NT: [HE INE'Ol ';il&: t 1,,ur N THIS FORMS :fid EPtIE FOR ir.%. .;
<br /> 1.)C:A AGENCY DRY FATIA tL 6'JRRigS ONLY AND ,S NOT TO t'sI CaNSTeJE't AS Ri=F'RESE"IrINi Tei'=
<br /> > SafetySection CT 0—F- 66picate r,,iafrcatio Iur',,;uant to iical.h e , Cod4OFFICI?L POSITI'Jd OF ANY GOVE.NMIENI.,U AGEN
<br /> a €80
<br /> a rtes <rats u e nme . eatr tyc r 0 and date the, fora in
<br /> q should 1 �
<br /> this cock, R signature here. does no_ meant,at the leak h3, been t: ermined REMEDIAL ATI)N
<br /> to Base tsignif°cant threat t, Er�?in.s;."_frealt4, or safety, only that notificationl�?d Crte _ i t"t <s€rt ons, have bear used to clnnup or rr,asdiate the Iyeau.
<br /> procedures have beer, followed if rewired, Descriptions of options f'cllow'.
<br /> '�' OR ED BY _ - I _a1�e n"fad. ai,; .,'.Cr;til ?P3�3r,ISie,aillk', layer to reduce ry=x7 '311
<br /> er r d nw e. rclo,I'cn� r.,..ne , and address, Indicate which party you anf,a rtfon.
<br /> represent and provide €,omni,° or >age cy name. Cm en�_n r B . r .r irstdl vet al dike to b4 k hmizontal rk.hment.
<br /> "';>,)l a I ii P,aRTV Excavat M.tause - remove: cwtauina_ed sAl ..r;S 6slar:._ in approved
<br /> ., and ta9areass of tN party ,t-.
<br /> y t o 1. .,o-ma„ be h tank E ze a r ars e r gat r,m � co ,_>,:: ..t,.; soil aa.o t.wat, , rcljdes
<br /> ss- ..l.nr ,r ,_, ,:air,^,'..
<br /> Rmne r me hoduct - rcnme M "wg tar.cuct from water
<br /> SAE ,C
<br /> "r.;
<br /> rogrrding the tank ^uilfit,r and s,r_.€r€n-rdr ., area. At a r rt.r e"t�..e ��_ e .ier.r<.t'M r t, _-aR „,3
<br /> e„ x.. Assolved
<br /> Abs", you mat e>.oviee tE'., f ..ilr .1! ,wn, and tell „k_roe55n c.J, _=,s, -
<br /> . k a a D90yadMion use of any "W -.Eslc
<br /> technology to pm to
<br /> e t f " Ec" , _0" €latanrna _
<br /> s
<br /> ._{ apny and 4qmwi Aar 02 cavo ,l I,r,r.d ne; cTu ,a ,vi,de e .carat s_: watu su,ly W afk ted .
<br /> t"And, WAS,
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<br /> smy"(DES f,r e ra.,:r p"laT me:
<br /> tei urrj'q rt�r c_. zf thc ?aarrd,o, __p._ nce fn-i__. RomNo ArNion ' q swd im ,oM is iM or, e geiri.e an
<br /> ?;€,3,.
<br /> pry _ 4— . ,,rr:w .,w on No Ss�'xVarces if appr ". un, Y;o ton 5a.:
<br /> so"ust'an es , ,c t tho No of . wt Como, for e t. r yy
<br /> u CO .S ..tface to rslhor'TE..,. on OawnLs of to4',x..J{,€
<br /> nt,
<br /> S � a{d_ - S rr tW ,? rat h W ve pwae :'Ge.r
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<br /> «rcEi r,,. tP� �r.:vr�ry a.� ��_,.� �r t ,_�: =Wa€<_ - t) �a �F Trf
<br /> n r f the p,r r,. k - r ;r n :r� ,a cp
<br /> Pro de &! is on urk ty anu �€ci forward er,. ..ma cc s an toot to your ocal tank f fat. UPI Ee=-ur
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<br /> " u<=e4E' i
<br /> c.....:.,., a 3 4f.,:. x f:.�. �s�''Y,F,✓. .?`L.,�RCE{�C less, for #i i- -
<br /> x e`
<br /> � E 2. State Water Resources Control Hoard, Diviner of xUr Duality,
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<br /> ...,. tos, i � - to . 9,e:E er e.ti..> Ink, Clle,'V on b Only Cue t"e' �a".IrrVo ad a�.,S rr.-:T."n, ,n ( B.. IE} , ..,_rawnto, CA %801i ,
<br /> =?met an the men c, ,„ti e” ramume aafcu_ 'K For enmple, if both sail ? Regi n,-1 -,oserol 'aboard
<br /> - a n A. County c' r C F'fi a c v'Sor s or de. w receive !='r"os i�,rr 65
<br /> etc t. �i �, G } i C ?"3i# `( rt €; `�` -
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<br /> , WO LY .0 r 3 r more, n ''cip d `} c V ,€'.� _ rif a on
<br /> ha sur, b .3 effmV, T t,ro;3!":{ r..be dwiVatior awes rot 5.
<br /> .°t.i; LUL tt. .<,§e,od water rxrnt he, or is noT, und Ar drib ink won,
<br /> not t y too, water wells An, nit yet, „ ,."t stc%dA it is -
<br /> ,.xW.f c cpcn furiner innstigaHon.
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