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<br /> SECTION II. RELEASE INCIDENT SŒ\IMARY !J-6F <br /> Complete all appropriate blanks ~rtaining to th~ r~l~~ incid~nt for which retmburs~ment is being sought in this application: <br /> YES/NO I For YES or NO answers. please circle r~DOnse in the left hand column. I <br /> 11. Date rel~~ occurred or discovered: I 02 I 119 I <br /> 2. Date release was reported to the TNRCC: 02/ 24 I~. <br /> To whom: Tamp, Rarn <br /> ~/NO 3. Was this a confirmed rel~e? <br /> <br /> 4. Describe the rel~e detection m~thod used: Fyc-",v",tion wp , <br /> - <br /> 5. Substance rel~ed: gasoline; diesel: waste oil; other: <br /> What amount was spilled? F<:t ,OM gallons. <br /> 6. Impact on: soil: groundwater: surface water: utilities: other. <br /> 7. Date corrective action be!!an at the site: <br /> 8. Corrective action billing period for which reimbursement is sought in this application: <br /> 01 / 01 /96 to 03 / 31 I 96 <br /> §NO 9. Have any tanks been removed at this site? If yes: <br /> a. Date the tanks w~re removed: fiLL~.l. <br /> b. Number of tanks r~moved: 4 . <br /> @lINO 10. Were/are there phase-separated hydrocarbons present at this site? If yes: <br /> a. Amount recov~red to date: 2óOó gallons. <br /> b. Amount recov~red during the billing Jèriod of this application 'nonp gallons. <br /> §/NO 11. Has any soil outsid~ the tank.-pit been ~xcavated from this sit~? If yes: <br /> a. Amount of soil ~xcavated to date: ':\MO cubic yards. <br /> b. Amount of soil ~xcavate::d durin" the billing period of this application: nonp cubic yards. <br /> (v NO 12. Has any soil from this site been treated? If y~s: <br /> a. Amount of soil treate::d to date: ,OM yards.. <br /> b. Amount of soil treated during the billing period of this application: non£> to IlS. <br /> @yNO 13. Has any soil been hauled to a landfill from this site? If yes: <br /> a. Amount of soil haule::d to a landfill to date: ,MO yards. <br /> b. Amount of soil hauled to a landfill during the billing period of this application: non£> tons. <br /> §/NO 14. Have soil borings been drilled at this site? If yes: <br /> a. Number of borings drille::d to date: 7ó <br /> b. Number of borings drille::d during the billing Jèriod of this application: nonp <br /> <br /> Tt-."RCC APPLICATION FOR REIMBURSE.V1E1'.'T E-Z FOR.'v! ï <br /> TI."RCC-O:!30-EZ (Revised 09-01-95) <br />