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UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAKI CONTAMINATION SITE REPORT <br /> EMERGENAG AII, NG - <br /> El YES MX NO YES NO i}iERE@yyER;(wy'Tf1A77 NAVEplS'[R!@UM1"Eil 7ht5 pdE4RW tO <br /> .....TAT' AGC6ROµ, iTBED9TRIfI?l{KIN 3HCWtl OFZHc f1AGK FAgE.��f lel"*RN <br /> 01 11 01 21 0147 07-0386 <br /> M M D D Y Y $153iPA} .^Ni3F <br /> NAME OF INDIVIDUAL FILLING REPORT <br /> Corey McMillan (336)315-2637 <br /> KtFRESLWING <br /> AN A <br /> REPORTED LOCALAGENCY O REGIONAL BOARD <br /> BY M El <br /> OWNERIOPERATOR OTHER Gilbarco Veeder Root <br /> 7300 W.Friendly Ave Greensboro INC 27420-2087 <br /> STREET CITY ST ZIP <br /> NAME UUNHAGIFIENbON <br /> RESPSafeway,Inc. Butch Hobson 925-4637164 <br /> PARTY <br /> ADDRESS <br /> P.O.Box 9070 Pleasanton CA 94588-3229 <br /> STREET CITY ST ZIP <br /> FACILITY NAME HA PHONE <br /> Safeway-Nor Cal 2707 Lisa Page 209-472-8600 <br /> SITE <br /> LOCATION 6425 N Pacific Stockton CA 95207 <br /> ADDRESS CITY ST ZIP <br /> CROSssimEEi <br /> LOCALAGENCY <br /> AGENCIES County of San Joaquin CUPA Doug Wilson 203468-3446 <br /> PHONE <br /> DES Ruben Rodriguez 800-852-7550 <br /> 1 NA <br /> Gasoline <br /> SUBSTANCE 1.5 gallons 0 <br /> INVOLVED 2 QUANTITY LOST(GALI75R97 <br /> UNKNOWN <br /> HOW U15GOVEKED <br /> O 1 0 2 0 7 TANK TEST 1-1 <br /> TANK REMOVAL NUISANCE CONDITIONS <br /> M M D D Y Y INVENTORY CONTROL ❑SUBSURFACE MONITORING Seen Visually x❑ <br /> METHOD USED TO STOP DISCHARGE <br /> DATE DISCHARGE BEGAN OUNKNOWN REMOVE CONTENTS CLOSE TANK&FILL IN PLACE <br /> DISCOVERY 0 1 0 21 01 71 REPAIR TANK REPAIRPIPING <br /> HAS DISCHARGE BEEN STOPPED % YES NO <br /> & REPLACE TANK CHANGE PROCEDURE <br /> ABATEMENTrgT <br /> 0 2 0 7 CLOSURE TANK&REMOVAL Dispensing disabled OTHER® <br /> 1 HARG <br /> ANKTESTUNKNOWN OOVERFILL UNKNOWN <br /> PIPING LEAK OTHER PE 13 CORROSION SPILL <br /> Dispenser ❑REPTURE/FAILURE Customer delivery overfill OTHER <br /> CHECK ONE ONLY <br /> CASE TYPE Fx-1 OTHER Concrete EISOILONLY 11 GROUND WATER DRINKING WATER(WELLS AFFECTED) E] <br /> — CHECK ONE ONLY <br /> CURRENT ONO ACTION TAKEN PRELIMINARY SITE ASSESSMENT SUBMITTED POLLUTION CHARACTERIZATION 0 <br /> STATUS O LEAK BEING CONFIRMED PRELIMINARY SITE ASSESSMENT UNDERWAY POST CLEANUP MONITORING IN PROGRESS Q <br /> O REMEDIATION PLAN ©CASE CLOSED(COMPLETED I UNNECESSARY) CLEANUP UNDERWAY ❑ <br /> CHIECKAPPROPHIA I E A <br /> =CAPSITEICD) EXCAVATE&DISPOSE(ED) REMOVE FREE PRODUCT(FP) <br /> REMEDIAL O CONTAINMENT BARRIER(CB) OEXCAVATE&TREAT(ET) PUMP&TREAT GROUNDWATER(GT) <br /> ACTION O VACUUM EXTRACT(VE) NO ACTION REQUIRED(NA) TREATMENT AT HOOKUP(HU) O <br /> ❑VENT SOIL(VS) OTHER ENHANCED BIO DEGRADATION(IT) ❑ <br /> Customer delivery overfills on pump#13 causing gasoline to reach concrete pavement. <br /> Station Used absorbent material to clean the spill and was assisted by the fire department. <br /> COMMENTS Safeway has responded to this issue and all necessary action has been taken. <br /> No further actions are currently planned. <br /> 112 now <br /> 3.25AM <br />