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3500 - Local Oversight Program
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PR0544129
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2019 5:20:05 PM
Creation date
2/11/2019 4:23:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544129
PE
3528
FACILITY_ID
FA0001719
FACILITY_NAME
SUSD-STAGG HIGH SCHOOL
STREET_NUMBER
1621
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95207
APN
11009004
CURRENT_STATUS
02
SITE_LOCATION
1621 BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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I'4 '13 <br /> UNDERGFUND STORAGE TANK UNAUTH05PZED RELEASE (LEAK) CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERV/Es �:'FOR <br /> REPORT BEEN FILED 7 YES No <br /> ❑ YES ❑ <br /> No A BY FMFYTHATJ-MAVEWT9 .7HISINF <br /> 6` <br /> IOU HOWN OM TiDN ERACK PAGE F '!S':'F' Hl <br /> REPORT DATE <br /> CASE I <br /> Tf <br /> 1H <br /> NA <br /> AQOF INDIVIDUAL F REP AT M PHONE <br /> V <br /> REPRES NTING ❑ <br /> OWNERIOPFRATOR ❑ REGIONAL BOARD COMPANY OR AGENCY NAM <br /> cc LOCALAGENCY ❑ OTHER <br /> m AD SS <br /> �w <br /> STATE zip <br /> tu NAME CONTACT PERSON PHONE <br /> ca <br /> < <br /> Fa <br /> UNKNOWN <br /> 0 <br /> ,L . ADORZgS <br /> w51 f5zl <br /> Z�3z STA <br /> FACILITY NAME(IF APPLICAB OPERATOR PHONE <br /> ) <br /> z -54v ci c? j S�u <br /> < ADDRESS <br /> o ApLu <br /> = C STREET <br /> it 1 <br /> LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> z <br /> z U) <br /> Lai <br /> Lu? <br /> L2 RtGIONAL BOARD PHONE <br /> u <br /> 2 <br /> NAME i QUANTITY LOST(GALL 1 <br /> QUNKNOWN <br /> Z> <br /> CO <br /> D UNKNOWN <br /> U) <br /> DISCOVERED ❑/NVENTORY CONTROL MONITORING NUISANCE CONDITIONS <br /> DATE DISCOVERED L SUBSURFACE <br /> z <br /> w TANK TE K REMOVAL ❑ OTHER 1�A <br /> m � 0 ❑ ;T TAN <br /> Zml 2 — METHOD USED TO STOP DISCH/bg;CHECK ALL THAT APPLY) <br /> c DATE DISCHARGE BEGAN <br /> va []REPAIR PIPING <br /> c UNKNOWN ❑REMOVE CONTENTS CLOSE TANK&REMOVE -P I <br /> y I PLACE 7[:]�CHANGE PROCEDURE <br /> REPAIR TANK ❑C�OSG TANK&FILL IN PLA <br /> > HAS DIS ARGE BEEN STOPPED? <br /> 0 E7 <br /> S 0 1 S. REPLACE TANK E�]OTHER <br /> o La VYES 0 NO IF YES,DATE '?,I 0.y� ❑ <br /> ISCHARGE CAUSES)SOURCE OF 0 la i <br /> oSPILL <br /> u REIFAILURG <br /> w UPTU <br /> cc F7 TANK LEAK UNKNOWN ❑ OVERFILL R <br /> 0 <br /> N ❑ OTHER <br /> UNKNOW <br /> Pima LEAK OTHER CORROSION <br /> W 0- <br /> CHECKONEONLY <br /> ❑ LY BEEN AFFECTED) <br /> SOL ONLY ❑ GROUNDWATER [:�] DRINKING WATER (CHECK ONLY IF WATER WELLS HAVE ACTUAL <br /> UNDETERMINED 7 3 1 <br /> CHECK ONE ONLY POLLUTION CHARACTERIZATION <br /> F7 NO ACTION TAKEN F7 PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED El <br /> PRELIMINARY ASSESSMENT UNDERWAY POST CLEANUP MONITORING IN PROGRESS <br /> LEAK BEING CONFIRMED 1 <br /> ❑ REMEDIATION PLAN ❑ CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY)I QCLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) ❑ EXCAVATE&DISPOSE(ED) mErm PRODUCT(FP) ❑ ENHANCED BID DEGRADATION(IT) <br /> REMOVE FREE <br /> ICAP SITE(CO)SEE SACX FM KTLM PUMP&TREAT GROUNDWATER(GT)❑ REPLACE SUPPLY(AS) <br /> A ❑ EXCAVATE&TREAT(El) 11 1 <br /> �I<Up(HU) ❑ VENT SOIL(VS) <br /> ❑ TREATMENT AT HOOKUP <br /> CONTAINMENT BARRIER(CB) ❑ No ACTION REQUIRED(NA) <br /> IF <br /> ❑ VACUUM EXTRACT(VE} ❑ OTHER(OT] <br /> as Wm <br />
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