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qi-u.to <br /> UNDERGROUND STORAGE TANKVNAUTHORIZED RELEASE (LEAK) / GJNTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERV ICES kDFI ltSCtlt.JK)ENay..J.w iiNE.Y' <br /> REPORT FILED iN £ My.... I'fli'�'' 1`fAh9�;lt7k"SiGNRT�t'�iatSt1�'F3NW1�kIT:'�`NfPLbYC�71�71kfAfl <br /> p YES px No pp ' EDIoc �ct �cc(ssuArrrxosEcnar, <br /> REPORT DATE(MM-0D-VV) CASE# k/ ,^ <br /> 06/07/91 17300 <br /> NAME OF INDIVIDUAL FILING REPORT RHONE SIGNATU E <br /> Elaine Lavine (415)-571-2482 2 <br /> O REPRESENTING FXIOWIEgpPERATOR pREGIONALBOARD COMPANY OR AGENCY NAME <br /> pLOCPLAGENCYppTgEq ARCO Products Company <br /> O <br /> ADDRESS P.O.Box 5811 San Mateo CA 94402 <br /> STREET CIN STATE aP <br /> NAME CONTACT PERSON PHONE <br /> y ARCO Products Company []UNKNOWN Elaine J.Lavine 415 -571-2482 <br /> O ADDRESS <br /> ! a PO BOX 5811 ATTN: Env.Compl.Dept. San Mateo CA 94402 <br /> STREET CITY STATE 21P <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> o ARCO FACILITY 00434 EDWARD D SEQUEIRA (209)-333-0141 <br /> U ADDRESS 501 W.KEITLEMAN LANE LODI SAN JOAQUIN 95240 <br /> STREET CITY COUNTY ZIP <br /> CROSS STREET <br /> y HUTCHINS/W KEITLEMAN <br /> Z LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> w SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG WILSON (209)-468-3420 <br /> 2 REGIONAL BOARD PHONE <br /> s CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> w (�) NAME QLWMRITY LOST(GALLONS) <br /> GASOLINE I GA UNKNOWN <br /> (2) QUANTITY LOST(GALLONS) <br /> w p UNKNOWN <br /> DATE DISCOVERED(MM-DD-YY) HOWDISCOVERED ppJVENTORY CONTROL pSL9SURFACEMONITORING pNUISANCE CONDITIONS <br /> ¢Z 06 1991 ED TANK TEST TANK REMOVAL ®OTHER DRIVE OFF <br /> DATE DISCHARGE BEGAN(MM-0D-YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> 0uS 06/01991 pUNKNOWN p REMOVE CONTENTS 0 REPLACE TANK pCLOSE TANK <br /> HASDSCHARGE BEEN STOPPED 7 p REPAIR TANK p REPAIR PIPING p CHANGE PROCEDURE <br /> AYES [:]NO IFYES,DATE 06/02/1991 [X] OTHER SHUTOFFPUMP <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> jpTANK LEAK p UNKNOWN p OVERtILL pRUPTURE/FAILURE E]SPILL <br /> RU pPPNG LEAK pX OTHER ❑ CORROSION p UNKNOWN FA]OTHER DRIVE OFF <br /> w <br /> CHECK ONE ONLY <br /> ®UNDETERMINED 0SOL ONLY pGROUJDWATER pDRNQJCWATEH-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> r CHECK ONE ONLY <br /> p 0 NOACTION TAKEN 0 P EUvlfARY SITE ASSESSMENT WORKPLAN SUBMITTED p POLLUTION CHARACTERIZATION <br /> p LEAK BEING CONFIRMED p PRELIMINARY SITE ASSESSMENT UNDERWAY p POSTCLEANUP MONITORING IN PROGRESS <br /> U m p REMEDIATION PLAN O CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) 0 CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) [—]EVACUATE AND DISPOSE(ED) p REMOVE FREE PRODUCT(FP) pENHANCED BIO DEGRADATION 0'T) <br /> o O p CAP SITE(CD) p EVACUATE AND TREAT(ET) 0 PUMP&TREAT GROUNDWATER(GT) p REPLACE SUPPLY(RS) <br /> p CONTAINMENT BARRIER(CB) pX NOACTION REQUIRED(NA) p TREATMENT AT HOOKUP(HU) pVENTSUPPLY(VS) <br /> F-1 VACUUM EXTRACT(VE) p OTHER(OT) <br /> CUSTOMER DROVE OFF WITH NOZZLE. SPILL CLEANED UP WITH ABSORBENT MATERIAL PUMP REPAIRED. <br /> SAN JOAQUIN COUNTY HEALTH AND OES NOTIFIED. <br /> E <br /> U <br /> U <br />