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UAR/PROP 65_PRE 2019
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PR0231638
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
2/10/2022 1:01:03 PM
Creation date
11/5/2018 4:44:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0231638
PE
2381
FACILITY_ID
FA0003871
FACILITY_NAME
UPS Freight - Lathrop
STREET_NUMBER
1444
STREET_NAME
LATHROP
STREET_TYPE
Rd
City
Lathrop
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
1444 Lathrop Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LATHROP\1444\PR0231638\UAR_ PROP 65.PDF
Tags
EHD - Public
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ll� - q3 - v5 / <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)/CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES fOR LOCAL AGENCY USE ONLY <br /> O <br /> YES ZINO <br /> REPORT BEEN FILED 7 YES NO I HEREBY CERTIFYTHAT I HAVE DISTRIBUTED THIS INFORMATION ACCORDING TO THE <br /> DISTRIBUTION SHOWN CN jH51NSTRU HEET ON THE BACK PAGE OF FORM <br /> REPORT DATE CASE• <br /> u © 3r SIGNED DATE .l <br /> NAME OF INDIVIDUAL FAIN EPORT PHONE SIGNATURE <br /> m .moi � �'�� <br /> w REPRESEN O OWNEROPERATOR O REGIONAL BOARD COMPANY OR AGENCY NAME <br /> S LOCAL AGENCY Q OTHER V <br /> -O <br /> a <br /> ADDRESS <br /> 1ESS <br /> �T STREET JAD-WS74114 CRY - <br /> w NAMEII'' CONTACTPERSON PHONE <br /> z¢ Y C �J fV C-I ,1 O UNKNOWN ( ) <br /> O< ADDRESS <br /> wn P. O. ox 37 6y.S / �yra7 <br /> 6 D STREET je r'A d S crtr q//C v STATE CfI nv <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> a <br /> ADDRESS <br /> I (� �f 1 <br /> w ' -/ srREEr �4 L..f o ja cm C <br /> a-i CROSS STREET nv <br /> MC, 0V\h t <br /> Q LOCAL AGENCY AGENCY NAME CONTACTPERSON PHONE <br /> sr.A a d� <br /> w <br /> REGIONAL BOARD PHONE <br /> y (1) NAME L I QUANTITY LOST(GALLONS) <br /> wO <br /> a>� e) �� o•I NKNOWN <br /> > m �— <br /> �� G <br /> � Jam-l � UNKNOWN <br /> i DATE DISCOVERED HOW DISCOVERED INVENTORY CONTROL O SUBSURFACE MONITORING O NUISANCE CONDITIONS <br /> 2 VM D v 3r 0 TANK TEST TANK REMOVAL E:j OTHER <br /> m DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> a <br /> �N REMOVE CONTENTS OSE TANK 8 REMOVE REPAIR PIPING V] <br /> w M D Y Y <br /> HAS DISCHARGE BEEN STOPPED Y E]REPAIR TANK Q CLOSE TANK 8 FILL IN PLACE EDCHANGE PROCEDURE <br /> oES E::] NO IF YES,DATE MI uI .1 j <br /> Y r E::]REPLACE TANK O OTHER C <br /> SOURCE OF DISCHARGECAUSES) <br /> �a TANK LEAK NKNOWN OVERFILL O RUPTURE/FAILURE O SPILL <br /> HQ ❑ PIPING LEAK O OTHER CORROSIONNKNOWN O OTHER <br /> w w CHECK ON NLY <br /> O UNDETERMINED E::] SOIL ONLY 0 GROUNDWATER [::] DRINKING WATER -(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> w O NO ACTION TAKEN 0 tBWMINARY SITE ASSESSMENT WORKPLAN SUBMITTED POLLUTION CHARACTERIZATION <br /> j H O LEAK BEING CONFIRMED PRELIMINARY SITE ASSESSMENT UNDERWAY O POST CLEANUP MONITORING IN PROGRESS <br /> O Q <br /> REMEDIATION PLAN O CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) O CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) O EXCAVATE d DISPOSE(ED) O REMOVE FREE PRODUCT(FP) O ENHANCED BIODEGRADATION(IT) <br /> Las emarrn oTTrSI <br /> a <br /> Qz.O O CAP SITE(CD) O EXCAVATE a TREAT(ET) Q PUMP b TREAT GROUNDWATER(GT) REPLACE SUPPLY(RS) <br /> wr <br /> < O CONTAINMENT BARRIER(CB) NO ACTION REQUIRED(NA) O TREATMENT AT HOOKUP(HU) O VENT SOIL(VS) <br /> [:;��UUM EXTRACT[VE) O OTHER(OT) <br /> 8 <br /> HSC 0189% <br />
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