Laserfiche WebLink
CONTAMINATION SITE REPORT <br /> UNDERGROUND STORAGE TANKVNAUTHORIZED RELEASE (LEAK) <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOI:t LOCM-AGENOf°US' UNL.Y' - <br /> VES g NO REPORTBEEN FILED? ?HEREBY OEpT#'Y 3Hh7`IAMAtlEslGNATED GOVERNMENTEMPLOYEE AND THATI <br /> 0 0 ®� OINC <br /> HAStE EpfEAT_f TM*-rIFRAMRTSIGNA E C OVERNMEN E 3sUANT AND THAT I <br /> REPORT DATE(MM-0D-Y`� Cpc,Eg 2N82TOP THEtfEAt,TN ANO SAF'ETYCOQE <br /> 07/26/91 18175 <br /> GNE <br /> .... :. .. . A. :':.£.........:..::.:: <br /> T1AME OF INDIVIDUAL FILING REPORT PHONE SIGNATURE <br /> o MARTIN BASQUES (415)-571-2429 <br /> REPRESENTING QX OWNEINCRERATOR ORECONAL BOARD COMPANY OR AGENCY NAME <br /> ¢O AGENCY [�THER ARCO Products Company <br /> ADDRESS P.O.Box 5811 San Mateo <br /> CA 94402 <br /> STREET CITY STATE ZIP <br /> m NAME CONTACT PERSON PHONE <br /> z� ARCO Products Company CUNIWOWN MARTIN BASQUES 415 -571-2429 <br /> B5, ADDRESS PO BOX 5811 ATTN: Env.Compl.DepL San Mateo CA 94402 <br /> STREET CITY STATE ap <br /> FACILITY NAME OF APPUCABLE) OPERATOR RHONE <br /> ARCO FACILITY 00760 DAVID HILDENBRAND (209)-368-7863 <br /> ADDRESS <br /> 0 225 S CHEROKEE LODI SAN JOAQUIN 95240 <br /> STREET CITY COUNTY ZUP <br /> y CROSSSTREET <br /> LODI AVE/S CHEROKEE <br /> F LOCALAGENCY AGENCY NAME CONTACT PERSON PHONE <br /> w— SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG WILSON (209)-468-3420 <br /> REGIONAL BOARD <br /> PHONE <br /> CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> p �) <br /> NAME QUANTITY LOST(GALLONS) <br /> GASOLINE LNKNOWN <br /> m m QUANTITY LOST(GALLONS) <br /> H UNKNOWN <br /> DATE DISCOVERED(MM-DD-YY) HIONDISCOVERED 0 INMENTORY CONTROL QSIBSURFACE MONITORING QNUISANCE CONDITIONS <br /> Z <br /> 07/26/1991 OTANK TEST QTANKREMOVAL —1 OTHER <br /> DDATE DISCHARGE BEGAN(MM-DD-YY) ME THOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> O w 07/26/1991 QNKNOWN REMOVE CONTENTS REPLACE TANK QCLOSE TANK <br /> HAS DISCHARGE BEEN STOPPED 7 O REPAIR TANK 0 REPAIR PIPING QCIiWGE PROCEDURE <br /> 91YES ONO IF YES,DATE 07/26/1991 Q OTHER TIGHTEN LEAK DETECTOR <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> ,] r7 TANK LEAK 0 UNKNOWN 0 OVERFILL O Ft PTURE(FAILURE EJSPLL <br /> $� �PPNG LEAK 0 OTHER COFi70s1oN UNKNOWN OTHER LEAK DETECTOR <br /> y wn> CHECK ONE ONLY <br /> VH- ®UNDETERMINED E]SOL ONLY OGRCUNDWATER DRNI"WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> r CHECK ONE ONLY <br /> 2 NO ACTION TAKEN F__j PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED POLLUTION CHARACTERIZATION <br /> S w Q LEAKBEING CONFIRMED Q R ElAANARY SITE ASSESSMENT UNDERWAY Q POSTCIEANUP MONITORING IN PROGRESS <br /> REMEDIATION PLAN ® CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) [:]EVACUATE AND DISPOSE(ED) Q REMOVE FREE PRODUCT(FP) QENHANCED BIO DEGRADATION QT) <br /> w O M CAP SITE(CD) EVACUATE AND TREAT(ET) EjPUMP&TREAT GROUNDWATER(GT) O REPL/10E SUPPLY(RS) <br /> �F <br /> a Q CONTAINMENT BARRIER(CB) QX NOACTION REQUIRED INA) Q TREATMENTAT HOOKUP NO OVENTSUPPLY(VS) <br /> O VACUUM EXTRACT(VE) [:]OTHER(OT) <br /> z AFTER TANK LINE TEST, CONTRACTOR DID NOT TIGHTEN THE LEAK DETECTOR ADEQUATELY. <br /> CONTRACTOR CLEANED UP SPILL AND PUMPED OUT TANK SAN JOAQUIN COUNTY HEALTH DEPT. AND <br /> 0 OES NOTIFIED. <br />