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. ~ III IIIIIIIIIIIIIIII ~,~ ~S ~ 5~~~,Q ~~~„ <br />BATTLE MOUNTAIN GOLD ~~~ <br />HAZARDOUS SUBSTANCE RELEASE INVESTIGATION <br />Person (sl Compledrq this Form ~7R l tY KGInI~JIel <br />Release Idemif'red By (name and phone number) rf ~ r~ ~~~ S <br />Date of Release ~ ~ "to la'9 ICi~ Time of Release to. IO I D <br />Person Resports3le for Notifying the Corporate Envimm+ental Departmem IAl-L.rc~1 NCS~(.S <br />Person Responsbb to Complete airy Requked Notifications 1(M~N Ln ~~aX <br />Person Responst'ble far~U~ea~p a'. ~1 SOl^ <br />~~ <br />.~, <br />Destxip6on of Release (Please tae shoots ofpaper aoq/a maps iftogoued b m¢~plar a resyoase) <br />,~.. ,,.t <br />Semple Taken of Maoertal? ,~sRr~,~. r t SmipTe Taken at Cartram6iated Media Y OR O. <br />After gamtup k ~ Ta~'of Affac'tye~q, a Y ~.OR ~ N"~ " <br />What Wea ~•.} .' 'Se' . ~~.." Of Release . } i` ~ [ . <br />,'..-^ <br />Location and Desraiptioit of Atea lmoa ~ iodravs, storm sdwers, or~rrface wet <br />~",~.~"' . ,;~ }' ...,.~" ,,~: ~" ~~ . ' /01,0 > . <br />,. <br />_r .. <br />i <br />Estimated Vekam Released.- . <br />~,~`' <br />~l.t%.irv~_ ~ e^^~-Sota1, Vohane out of Contanment .. <br />Vokane Rebased To Navieabb Waters a `' ,g~-i '~ .: .~ <br />` <br />d ~~~ <br />~ _ ~ <br />. <br />11 Coneritiabon of <br />Fle <br />u C# ~I~h UC! <br />Ma[eriaLs * r. r: ' <br />_ __ <br />'..:. <br />`~, <br /> <br />`. <br /> <br />7J Desube--the Cp1E0 Of the R eease <br /> <br /> ~s <br /> <br />~ <br />3l Deser3s erry 6taeara~llRttat h, <br />Damage F ~ t t ~")a Es~osaee'to Wmrts a A~mwls ~ y ~~, <br />..y ~~ ~~ . . <br /> <br /> <br /> n 1.., i <br />$;' <br />' <br /> f.yl <br />~ y <br />p <br />41 Deser3e bilial <br />~.Ckai4 Act ions end Plraied Cbartp"Aetions (Attads Log~of Cbararp Activitbs) . <br />7) Desrnbe Corteetiva Meastaes to Preverrt a Futtse Release <br />81 Desrnbe How the Spa Cleanup Material wBl be Come6ted, Stored end Disposed ~~ <br />I• -1 <br />:. i',- ~ 1. <br />ut~; .~ u ,aye <br />Additional Commems ar Continution of Responses; Please Use Additional Paper, Attach Photo piv ~,~~;, ,~, <br />Laboratory Analysis, Othu Doeumemation as Appropriate <br />Odpnd Form should be ghron to Sexy Haym Kdsar, copies should ba pwas W Dan Robertsm r <br />Pane ~ of I. ~ .. ~ .: ~.~ <br /> <br />