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UAR/PROP 65_PRE 2019
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PR0231392
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
11/19/2024 10:20:01 AM
Creation date
11/4/2018 4:45:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0231392
PE
2381
FACILITY_ID
FA0003210
FACILITY_NAME
TEXACO TRUCK STOP
STREET_NUMBER
7500
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
25015018
CURRENT_STATUS
02
SITE_LOCATION
7500 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\7500\PR0231392\UAR_PROP 65.PDF
Tags
EHD - Public
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UNDERGROUND STORAGE T NK UNAUTHORIZED RELEASE (LEAK/OWAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOR LOCAL' GENCY-0SEONLX <br /> ❑ YES Np REPORT BEEN FILED ❑ YE NO IHEREBYCE�FYTHATI HAVE DISTRIBUTED THIS INFORMATION ACCORDINGTOTHE <br /> REPORT TEDIS B SHOWN ON TH F)'BfRUCTION SHEETONTHEBACK PAGE OFT IISF M <br /> OM V L V CASE A 'DATE <br /> m <br /> RAN OF INDIVIDUAL flLl 01AEPORT PONE ) � � SIG <br /> REPRE ENTING ❑ OWNERfOPERATOR ❑ REGIONALBOARD COMPANY OR AGENC NAME <br /> g RLOCALAGENCY ❑ OTHER IfJOQ FGI <br /> ¢ ADDRESS <br /> 30 qGVH 1J�- S�o arm a,�r 9S2v <br /> cm 3lATE ZIP <br /> MJ NAME/ CONTACT PER ,/ /, PHONE <br /> °+ ♦ rI ❑ UNKNNa�I�f <br /> OWN I / ( ) <br /> o ADD ES <br /> alp <br /> .� <br /> FACILITY NAME(IF APPLICABLE) STATE/OP/ERAT PHONE <br /> o Q �-! ® ( ) <br /> o ADDRESS <br /> s 7 00 j Tia <br /> cd <br /> gs-3 <br /> m CROSS STREET <br /> O L AGE�GY. �y AGENCY NAME �qTACT PERSON PHONE // <br /> 4: ILI) <br /> ww REGIONAL BOAR <br /> PHONE <br /> - cv c , <br /> m (1) NAME QUANTITY LOST(GALL S) <br /> w O <br /> O " /K/ UNKNOWN <br /> N <br /> dUNKNOWN <br /> z DAT DISCOVERED HOW DISCOVERED ❑ INVENTORY CONTROL ❑ SUBSURFACE MONITORING ❑ NUISANCE CONDITIONS <br /> Do v r ❑ TANK TEST TANK REMOVAL ❑ OTHER <br /> m DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHA (CHECK ALL THAT APPLY) <br /> t <br /> ¢ u o r UNKNOWN ❑REMOVE CONTENTS CLOSE TANK&REMOVE ❑REPAIR PIPING <br /> w <br /> HAS DIS RGE BEEN STOPPED? ❑REPAIR TANK ❑CLOSE TANK&FILL IN PLACE ❑CHANGE PROCEDURE <br /> o VES ❑ NO IF YES,DATE c Y ❑REPLACE TANK ❑ OTHER <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> ¢a ❑ TANK LEAK UNKNOWN ❑ OVERFILL ❑ PUP RE/FAILURE ❑ SPILL <br /> O ❑ PIPING LEAK ❑ OTHER ❑ CORROSION UNKNOWN ❑ OTHER <br /> w w CHECK ONE ONLY <br /> ❑ UNDETERMINED ❑ SOIL ONLYGROUNDWATER ❑ DRINKING WATER -(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> ❑ NO ACTON TAKEN ❑ PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED ❑ POLLUTION CHARACTERIZATION <br /> m ❑ LEAK BEING CONFIRMED dPRELIMINARY SITE ASSESSMENT UNDERWAY ❑ POST CLEANUP MONITORING IN PROGRESS <br /> O ❑ REMEDIATION PLAN ❑ CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) ❑ EXCAVATE&DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIODEGRADATION(IT) <br /> I�MurolocTium <br /> 4 ❑ CAP SITE(CD) ❑ EXCAVATE&TREAT(ET) ❑ PUMP&TREAT GROUNDWATER(GT)❑ REPLACE SUPPLY IRS) <br /> wa CONTAINMENT BARRIER(CB) ❑ NO ACTION REQUIRED INA) TREATMENT AT HOOKUP(HU) VFNTSOIL(VS) <br /> VACUUM EXTRACT(VE) OTHER(OT) <br /> all <br /> v� L <br /> If <br /> SC a51�% <br />
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