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APPENDIX C*a <br /> UNDERGROUND STOWE;tANK UNAUTHORIZED RELEASE (LEAK)I CONTAMINATION SITE REPORT <br /> .R 'r <br /> _Y <br /> --"HAS STATE OFFICE OF SMERGENCYSEAVICES :FOR LOCAL-ArENcy usE ONLY. <br /> r, REPORT aESN FILED 7 1 HERBY cz.-nFf THATI HAVE DIS-TRIBUTM.THIS INFCRUATM AC=6%G TO THZ- <br /> Y <br /> M YES FX7 NO 1:1 a C3 NO <br /> 'diSMUJTICN VOWN ON THE WSMC70H SHEET ON THE SACK PAGE OFTHIS FORw <br /> REPORT DATE CASE <br /> 0.1 8 .11 d 74 9 4 8j i. DATE <br /> REPRESENTING NAME OF jx0iViDUAL FILING REPORT 7LRE <br /> N <br /> Roger Hoffmore PHONE <br /> ) 3641 880 <br /> couPAmYORAr.FNcYN"E ff <br /> OWNEROPERATOR ❑ REGIONALaOARD <br /> ❑ LOCAL <br /> CC GE ❑ OTHER SECOR International Incorporated <br /> OCAL AGENCY <br /> ADDRESS <br /> 9912 Business Park Drive, Suite 100, Sacramento CA 95827 <br /> STREET I crrr SLATE 140 <br /> NAME CONTACTPERSON <br /> -8891 <br /> PHONE <br /> ARCO Products Company ❑tMxNOWx lPaul� Sup2le (510)299 <br /> z 'm'l <br /> 889 <br /> CA 945705, <br /> W Moracra <br /> P.O.Box 6549 <br /> I !FrATC n. <br /> PACMTY NAME(IF AFFLICABLJ�) OPSAAtOR PHONE <br /> o ARCO Station # 4493 <br /> ADDRESS <br /> rStockton CA 95203 <br /> 2 205 North Center Steet <br /> STREETGTY cow" ZIP <br /> CROSS STREET <br /> north of Weber Avenue <br /> LOCAL AGENCY AG'NCY NAME CONTACT PERSON PHONE <br /> z <br /> Z F.San Joaquin County Environmental Health Margaret Lagorio 1 (209 ) 468-;3449 <br /> L:E w REGIONAL BOARD PHONE <br /> M Central Valley Region, Sacramento Offic� Mak List (916 ) 255-3132 <br /> w ITL NAME OUANTITY LOST(GALLCNSI <br /> > MtBE (methyl tertiary-butyl ether) UNKNCWN <br /> cc> <br /> :5 z <br /> F7 UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED C_j INVENTORY CONTROL SUBSURFACE MONITORING ❑ NUISANCE CONCMONS <br /> O 8 .1 1 j 1 0 <br /> 1 9'rj 8 y CD TANK TEST ED TANK REMOVAL C] OTHER (sampling Of 2it wells) <br /> d <br /> DATE OtSCHARGE BEGAN METHOD USED TO smp DISCHARGE pqecK&L THAT Amy)none apply <br /> UNKNOWN ❑REMOVE CONTENTS ❑CLOSE TANK REMOVE C3 REPAIR mmr. <br /> Lu <br /> Lu <br /> > HAS DISCHARGE MEN STOPPED 7 unknown ❑REPAIR TANK ❑CLOSE TASK 1.FU ❑CHANCE P nocam RE- <br /> 0 <br /> 01 d yl y C]REPLACE TAW 0 OTHER <br /> YES [D NO F YES.DATE <br /> SOURCE OF OLSC34ARGE CAUSZ(S) <br /> C71 <br /> < ❑ <br /> TANK LEAK UNKNOWN ❑ OVERFILL ❑ RUPTURE(FAILLIRE ❑ SPILL <br /> 0 <br /> cool F-1 PIPING LEAK ❑ OTHER ❑ CDRRCStO;4 UNKNOWN ❑ OTHER <br /> wuI j CHECK ONE ONLY <br /> ma0 <br /> .<�- 0 UNDETERMINED ❑ SOIL ONLY GROUNDWATER C:j DRINKING WATER-P4ECK ONLY IF WATER WELLS HAVE ACTUALLY RE-=N AF1_=C7eD) <br /> CHECK ONE ONLY <br /> PRELIMINARY SITE ASSESSMENT WORKPLAN SUEWfrrr-O ❑ pOLLUT;6NCHARACTEa[ZAMN <br /> z NO ACTION TAKEN El <br /> ;t LEAK BEING CONFIRMED F7 PRELIMINARY SITE ASSESSMENTUNOG;LAY ❑ POST CLEAuuP LMMAIING IN PROGRESS <br /> REMEWATIONPLAN ❑ CASE CLOSED(CLEANUP COMPLa7ED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTIONS) ❑ EXCAVATE J,DISPOSE(ED) ❑ REMOVE FREE-PRODUCT(FP] CD ENHANCED aia DEGRADATION{IT) <br /> CAP SITE(CO) ❑ EXCAVATE&TREAT(ET) ❑ PUMP S TREAT GROUNDWATER(GT)C:1 REPLACE SUPPLY{RS) <br /> CONTAINMENT WRIER(CS) ❑ NO ACTION REQUIRE-0 INA) ❑ TREATMENT ATHOOKUP W ❑ VENT SOIL(VS1 <br /> Lu c <br /> E] VACUUM EXTRACT OfQ L7 OTHER(Or) <br /> 52.4, ug/L MtBE in water reported in one of two underground storage tank pit <br /> observation wells - TPH-g/BTEX all ND <br /> Further assessment will be performed upon removal of the USTs <br /> 0 <br /> C-1 <br />