Petroleum Remediation Program Release Notification Documents

Petroleum Release Notification Follow-up Template

> [Property Owner or Current Resident]

RE: Petroleum Release Notification Follow-up Petroleum Release Site Name: > Petroleum Release Site Address: > Petroleum Release Site ID#: LEAK000>

Dear >:

You may have been previously contacted as part of a ‘risk receptor survey’ for the purpose of collecting information about your property’s features (e.g., water supply wells, basements, sumps) that could act as receptors to petroleum contamination from the petroleum release referenced above. Based on review by the Minnesota Pollution Control Agency (MPCA) of available data, this correspondence serves to provide follow-up information specifically pertaining to the above-referenced petroleum release and your property [per Minn. Stat. § 116.482 (2008)], as well as contact information if you have additional questions or concerns.

Receptor Survey Results for your Property: 1. Receptors known to be present on your property such as a water supply well or water sump are not at risk from the petroleum contamination from the above- referenced petroleum release.

2. Structures or building occupants on your property are not at risk from petroleum vapors from the above-referenced petroleum release.

3. Additional investigation is needed to assess risk to your property. [Describe additional work needed]. You will be notified of the additional risk assessment results when they are available.

Corrective Actions Taken:

[Describe any corrective actions taken or planned for this leak site. Include groundwater monitoring, well sampling, active groundwater remediation, etc.]

*Please note that the conclusions and actions described above are based on MPCA review of currently available information and circumstances. If the MPCA is made aware of additional information or a change in circumstances causing a change in risk to occur, you will be contacted. Also, please be aware that a finding that receptors on your property are not at risk does not necessarily mean that all petroleum contamination has been removed from the release site, but rather that any remaining contamination does not appear to pose a threat to those receptors.

c-prp2-08 Guidance Document 2-08 Petroleum Release Notification Follow-up Template

If you have any questions concerning the information in this letter, please contact:

[Consultant Contact Information] [Tank Owner (or MPCA if fund-financed site) Contact Information]

General Information:

General information about petroleum tank release investigations and receptor surveys can be found on the Minnesota Pollution Control Agency’s (MPCA) Web site at: http://www.pca.state.mn.us/programs/lust_p.html.

Also for your information, any other petroleum leaks or spills reported at the site address referenced above are as follows: [List all leak/spill #s, report dates, and status, or identify none reported]

To obtain information on these or any other past or future petroleum releases, you may go to the following link, http://www.pca.state.mn.us/programs/lust_pSearch.cfm, and search the MPCA database, or call 651-757-2799 to schedule file reviews or obtain copies.

c-prp2-08 Guidance Document 2-08