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UNDERGROUND STORAGE TANKtNAUTHORIZED RELEASE (LEAK) / C—,ATAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOR LOCAL USE-ONLY :;._. . <br /> DYES QNO REPORT BEEN'FILED? [!]YES No <br /> REPORTEDHIIS INFORMATIONTO LOCAL OFPCALSRURSUANTTO SECTION 2180N MENTEMPLOYEE AND I OFE <br /> REPORT DATECASE t ITH AND SAFETY.CODE. <br /> 8/08/91 18503 <br /> NED ..r. ._ <br /> ,.�.nv ......... .. DATE ! - <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATURE <br /> MARTIN BASQUES (415)-571-2429 �� <br /> REPRESENTING En OWNER(OPERATOR❑REGIONAL BOARD COMPANY OR AGENCY NAME <br /> m ❑LOCAL AGENCY ❑OTHER ARCO PRODUCTS COMPANY <br /> a <br /> ADDRESS P.O. BOX 5811 SAN MATEO CA 94402 <br /> NAME <br /> STREET CITY STATE ZIP N> ARCO PRODUCTS COMPANY CONTACT PERSON PHONE <br /> MARTIN BASQUES <br /> ❑UNKNOWN (415)-571-2429 <br /> Nq ADDRESS PO BOX 5811 ATTN: ENV.COMPL.DEPT. SAN MATEO CA 94402 <br /> STREET CITY STATE ZIP <br /> FACILITY NAME(IF APPLICABLE) OPERATOR I PHONE <br /> z ARCO Fac # 02168 ROBERT JAMES PARKINSON (209)-943-0286 <br /> 0 <br /> ADDRESS 441 W CHARTER WAY STOCKTON SAN JOAQUIN 95206 <br /> m <br /> STREET CIN COUNTY ZIP <br /> K cRoss STREET LINCOLN/W CHARTER WY <br /> i LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> a� SAN JOAQUIN COUNTY PUBLIC HEALTH SERVI DOUG WILSON (209)-468-3420 <br /> aW REGIONAL BOARD <br /> ga CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> W (1) NAME QUANTITY LOST(GALLONS) <br /> <g GASOLINE 8 Gal ❑ UNKNOWN <br /> (2) <br /> mg <br /> H <br /> ❑ UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED ❑ INVENTORY CONTROL <br /> 8/08/91 TANK TEST ❑suasuRFACE DRIVENOFFNc ❑ NUISANCE CONDITIONS <br /> ❑ ❑ ❑ <br /> �� TANK REMOVAL OTHER DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> u4 8/08/91 ❑ UNKNOWN ❑ REMOVE CONTENTS ❑ REPLACE TANK ❑ CLOSE TANK <br /> o1w HAS DISCHARGE BEEN STOPPED ❑ REPAIR TANK ❑ REPAIR PIPING ❑CHANGE PROCEDURE <br /> [EYES ❑NO IFYES,DATE 8/08/91 X❑ OTHER REPAIRED PUMP <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> o <br /> F--1 TANK LEAK ❑UNKNOWN ❑OVERFILL ❑ RUPTURE/FAILURE ❑ SPILL <br /> ❑ PIPING LEAK OTHER ❑CORROSION ❑ UNKNOWNX❑ OTHER DRIVE OFF <br /> yy CHECK ONE ONLY <br /> ❑N/ UNDETERMINED❑ SOIL ONLY ❑ GROUNDWATER [:]DRINKING WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> r CHECK ONE ONLY <br /> NO ACTION TAKEN PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED ❑ POLLUTION CHARACTERIZATION <br /> ❑ LEAK BEING CONFIRMED❑ PRELIMINARY SITE ASSESSMENT UNDERWAY ❑ POST CLEANUP MONITORING IN PROGRESS <br /> N <br /> ❑ REMEDIATION PLAN X❑ CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) ❑EXCAVATE&DISPOSE(ED) ❑REMOVE FREE PRODUCT(FP) [:]ENHANCED BIO DEGRADATION(IT) <br /> c o ❑CAP SITE(CD) ❑EXCAVATE&TREAT(ET) [—]PUMP&TREAT GROUNDWATER(OT)❑REPLACE SUPPLY IRS) <br /> ❑ CONTAINMENT BARRIER(CB) %❑NO ACTION REQUIRED INA) ❑TREATMENT AT HOOKUP(HU ❑ VENT SOIL(VS,l._ <br /> �a <br /> ❑ VACUUM EXTRACT(VE) ❑OTHER 1071 <br /> Customer drove off with nozzle in tank. Spill cleaned up with Absorbant. OES and San ,Clout Couitp$o <br /> a AUG 12 1991 <br /> o - , <br />