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SITE INFORMATION AND CORRESPONDENCE
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ESCALON BELLOTA
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15658
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3500 - Local Oversight Program
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PR0544808
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
9/5/2019 9:46:32 AM
Creation date
9/5/2019 9:36:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544808
PE
3528
FACILITY_ID
FA0005067
FACILITY_NAME
DERICKSON TRUCKING
STREET_NUMBER
15658
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22908045
CURRENT_STATUS
02
SITE_LOCATION
15658 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE(LEAK)/CONTAMINATION SITE REPORT <br /> R r <br /> HAS STATE Off"OF EMICESERGENCY SERVFri lOCAC AGENCY USE <br /> ❑v1� REPORT ►+FLEo p o,-w' tom, ► i Z #► � v. <br /> No Oyu <br /> REPORT GATE CASE 1 ,..:�'' • < + w »W. . <br /> f <br /> e > <br /> NAME OF*1004 TIAL FLING T PHONE TUB <br /> �ah,pr c �- ' fta)y bQ-033 291 <br /> REP IEGEiTNG ❑ OWN MO EMTOR ❑ REGIONAL BOARD COMPANY OR AGENCY NAME <br /> �AGENGY ❑ OTHER <br /> i4E AODIE3S <br /> ►TA71( zo <br /> NAME <br /> CONTACT PERSON <br /> ,,, K Dir I t o 1 (10/) $ -Zy <br /> 415 <br /> ADOR�6 5 G� S ��P /�b�r C." C� !'S3 W <br /> fACLRY NAME pF APPLICAKQ OPERATOR PHONE <br /> Oouwrv'. <br /> CROW STREET <br /> LOCAL AGENCY AGENCY NAME CONTACTPEFAION PHONE <br /> JC <br /> 0600 ILBOU D PHONE <br /> C-ktj Q c—cs c ) <br /> m NAME OUANTITY Lost <br /> i /'Y C✓1 �uNaaMIN <br /> fG 3e <br /> DATE oOCOVEREDEDM►DMOOVEREO ❑ y� NTnoI CO ❑ SUBltA ma TORN <br /> MONG C:] ANCE MABOONDrrXM <br /> J <br /> C:] TAW NOT 4�TAW AlM t ❑ OTHER <br /> DATE OIBCHAR3E BEGAN WNW LIM TSO STOP OOCMAR0�"E'�' _ C_ALL THAT AFKY) � <br /> p REMOVE CONTENTS C/�WSE TA+ac A REMOVE ❑R�AIR PIPING <br /> HU 06CHARGE BEEN STOPPED T p WAR TAN( p 0 016 TANK a FU N PLACE ❑CHANGE PROCEDURE <br /> 0 YES ❑ NO V Y B,DATE j ❑REPLACE TAW ❑OTHER <br /> SOLIFAX OWCHAAGE <br /> ❑ T�« C2w� 0 OvEsWLL ❑ RLIPTLWAVALURE C:] WILL <br /> Wm LEAK ❑ oTHFA ❑ «1RRDBKIN CT-5 ❑ OTHER <br /> gBep`°NE <br /> ❑ SMOKY ❑ GROUNOWATER ❑ ORNKNG WATER-(CNEdt OILY W WATER WELLS HAW ACT wuy Bpi AfFwmm <br /> C/ ACTION TAKEN ❑ PRia.BR>f"W am AST WOIi1O'l m amarteb ❑ POLLUTION CHARACTEIMATION <br /> ❑ LEAK BENG CONFIRM ❑ PAMA04 RY SM ASSEBBMMUT UNDERWAY ❑ POST MEMO MDNTOaNG N PRDGIESB <br /> ❑ REMEDOATm PLAN ❑ CASE CLOBEO(CLEAMIP COMPLETED OR ❑ CLEANUP UNDERWAY <br /> CNECKAPPRO RNIACT>DN(s� ❑ EIICAVATIL a OWNAE OM ❑ REMOVE FREE PROOUCT(PP) C3 ENHNOW WO DEORM ATM 07) <br /> ❑ CAP SITE(CDT ❑ EXAVATE i TREAT{En p PUMP i TREAT GRDUIDNfATER 1011❑ REPLACE SUPR Y{R!1 <br /> +� ❑ CO RDWAIENT BAMM(csa [-] NO ACTION REOUIRED V&A) ❑ TREAUNW AT MOOIWP OM ❑ VENT SOL{vq <br /> ❑ VAMW EXTRACT{Vq ❑ OTHER(or) <br /> KNOW! 4 <br />
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