Laserfiche WebLink
UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT <br /> ......................-...-.......................................-............................................................I...-............ <br /> ................................................................................................................................................... <br /> HAS STATE OFFICE OF EMERGENCY SERVICES <br /> FOFii' f=f�6GT <br /> EMERGENCY <br /> LDOAE IIC, :>:::: >::::>::>::>:>:::::::::::::::::::::::: > :::::>::::>:.>::::>::::>::::>:<:::>::::>:::.>::::::.>::::> ::>:.>:I <br /> 7 ::.:..:.:::..:.:.:.:.....:.:....::.:..:..:.::::.:::::..:...::.......' ...:. ..:.:.;....;..::..:..p......:.v....:...,::;;'."'T <br /> ..: <br /> YES REPORT BEEN FILED . 16 r0 fIiEREEY wfwfiflP� t#E4TfAMAt3ESt�i3§ I.M.1301V .NMENFEMPIA AND 1144 <br /> MAVF MPOOTI 0 ."Sa ftp iMA I lQ3V'TC7 {73wRt'Lx ICtiAi S f?URSUANT Tfi3 SECTIt�N <br /> .LT#:4>1�ifiJl!`Sl fr:7y..:i.0. ii:is E:E:;:is E:E:::-:-:-:isi:E:isi:isi:asE:id:isi:is: €:i::::::::::::::::::::::::::. <br /> ... .. ... .4 ,........................................................................ <br /> ................................................................................................................................................... <br /> M - <br /> REPORT DATE M DD <br /> CASE <br /> 03/15/91 3 15 1 <br /> 15847 I I <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIG TURE /� <br /> m Elaine Lavine (415)-571-2482 ( � c� <br /> C w REPRESENTING 1X OWNERIOPERATOR �REGIONAL BOARD COMPANY OR AGENCY NAME <br /> 0 DLOCALAGENCY CDOTHER ARCO Products Company <br /> Q ADDRESS P.O.Box 5811 San Mateo CA 94402 <br /> STREET CITY STATE ZIP <br /> LU NAME CONTACT PERSON PHONE <br /> ZARCO Products Company aUNKNOWN Elaine J.Lavine (415)-571-2482 <br /> cr <br /> co a a ADDRESS PO BOX 5811 ATTN: Env.Compl.Dept. San Mateo CA 94402 <br /> LU <br /> STREET CITY STATE ZIP <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> o ARCO FACILITY 02186 KEVIN SCOVILLE (209)-941-2694 <br /> ADDRESS <br /> 0 3212 N CALIFORNIA STOCKTON SAN JOAQUIN 95204 <br /> -j STREET CITY COUNTY ZIP <br /> LU <br /> U) <br /> CROSS STREET <br /> ALPINE/N CALIFORNIA <br /> Z LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> w� SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG WILSON (209)-468-3420 <br /> w w REGIONAL BOARD PHONE <br /> 2 a CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> (�) NAME QUANTITY LOST(GALLONS) <br /> > GASOLINE ir Ar UNKNOWN <br /> "o (2) QUANTITY LOST(GALLONS) <br /> UNKNOWN <br /> DATE DISCOVERED(MM-DD-YY) HOW DISCOVERED El INVENTORY CONTROL Q SUBSURFACE MONITORING QNUISANCE CONDITIONS <br /> z 03/12/1991 TANK TEST OTANKREMOVAL QOTHER DRIVE OFF <br /> Uj <br /> > DATE DISCHARGE BEGAN(MM-DD-YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> 0 w 03/12/1991 UNKNOWN REMOVE CONTENTS REPLACE TANK CLOSE TANK <br /> E5 Cc <br /> HAS DISCHARGE BEEN STOPPED? a REPAIR TANK a REPAIR PIPING CHANGE PROCEDURE <br /> 0 YES [::]NO IF YES,DATE 03/12/1991 [X] OTHER SHUT PUMP OFF <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> LU <br /> Q C TANK LEAK � UNKNOWN OVERFILL RUPTURE/FAILURE 0 SPILL <br /> CnU =PIPING LEAK FX OTHER CORROSION UNKNOWN EXI OTHER DRIVE OFF <br /> w w CHECK ONE ONLY <br /> U 0- ®UNDETERMINED =SOIL ONLY [::]GROUNDWATER DRINKING WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> Z CO <br /> NO ACTION TAKEN 0 PREUMINARY SITE ASSESSMENT WORKPLAN SUBMITTED POLLUTION CHARACTERIZATION <br /> Cl <br /> 0 LEAKBEING CONFIRMED Q PREUMINARY SITE ASSESSMENT UNDERWAY Q POSTCLEANUP MONITORING IN PROGRESS <br /> U EIREMEDIATION PLAN EECASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) CLEANUP UNDERWAY <br /> J CHECK APPROPRIATE ACTION(S) =EVACUATE AND DISPOSE(ED) Q REMOVE FREE PRODUCT(FP) =ENHANCED BIO DEGRADATION(IT) <br /> 0 O F7 CAP SITE(CD) EVACUATE AND TREAT(ET) PUMP&TREAT GROUNDWATER(GT) [:]REPLACE SUPPLY(RS) <br /> LU FlCONTAINMENT BARRIER(CB) EX NOACTION REQUIRED(NA) TREATMENT AT HOOKUP(HU) [=]VENTSUPPLY(VS) <br /> CC VACUUM EXTRACT(VE) OTHER(OT) <br /> CUSTOMER DROVE OFF WITH NOZZLE IN CAR. DEALER CLEANUP SPILL WITH ABSORBENT <br /> zUj <br /> 2 San Joaquin County (Eric) and OES Notified(Lloyd) NAR 1 8 1991 <br /> 0 <br /> EIS Z. NTAL HEALTH <br /> PERMIT/SERVICES <br />