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<br /> ~. 73/( <br /> SECTION ill. RELEASE INCIDENT S~1ARY <br /> Complete all appropriate blanks pertaining to the release incident for which reimbursement is being sought in this application: <br /> @/NO For YES or NO answers, please circle response in the left hand column. <br /> 1. Date release occurred or discovered: / O? / Rq <br /> 2, Date release was reported to the TNRCC: O? / ?t1 / 89 <br /> To whom: James Bard <br /> <br /> '§/NO 3. Was this a confirmed release? <br /> 4. Describe the release detection method used: Excavation wells <br /> 5. Substance released: 0 gasoline; 0 diesel; 0 waste oil; 0 other: <br /> What amount was spilled? Est: 3000 gallons. <br /> <br /> 6, Impact on: 0 soil; 0 groundwater; 0 surface water; 0 utilities; 0 other, <br /> 7. Date corrective action began at the site: / 02 / 89 <br /> 8, Corrective action billing period for which reimbursement is sought in this application: <br /> 10 / Ol / 95 to 12 / 31 / 95 <br /> §/NO 9. Have any tanks been removed at this site? If yes: <br /> a. Date the tanks were removed: I 01 I 91 ~ <br /> b, Number of tanks removed: Four (4) <br /> <br /> @/NO 10. Were/aIe there phase-sepaIated hydrocaIbons present at this site? If yes: <br /> a, Amount recovered to date: 2606 gallons. <br /> b. Amount recovered during the billing period of this application none gallons. <br /> <br /> @/NO 11. Has any soil outside the tankpit been excavated from this site? If yes: <br /> a. Amount of soil excavated to date: 3000 cubic YaIds. <br /> b, Amount of soil excavated during the billing period of this application: none cubic YaIds. <br /> <br /> @/NO 12. Has any soil from this site been treated? If yes: <br /> a. Amount of soil treated to date: 3000 toM; yards <br /> b. Amount of soil treated during the billing period of this application: none tons. <br /> <br /> @~)I NO 13, Has any soil been hauled to a landfIll from this site? If yes: <br /> a. Amount of soil hauled to a landfill to date: 3000 =rom. yards <br /> b, Amount of soil hauled to a landfùl during the billing period of this application: none toDS. <br /> <br /> ~NO 14. Have soil borings been drilled at this site? If yes: <br /> a. Number of borings drilled to date: 76 <br /> b. Number of borings èlrilled during the billing period of this application: nonE=> <br /> <br /> TNRCC APPLICATION FOR REIMBURSE.>"ffi.'IT E-Z FORM 11 <br /> TNRCC-023Q--EZ (11-01-94) <br />