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File I.D. <br /> 3W� �. ::::� :v.v : v:.v.v.:::. ::•..C::. <br /> USTS.� .: : v„.: YY73 > <br /> >Y <br /> •��J?2}Y�Y "•a±-} n J3.J.,1h.J}�:Swk-„vn x.v.w.,,..i,}}UT.}?}{jG�Qr:A};>Y:... :3i$]v33i\rW?:EWxkCvx�.ive±f,.}?2k± <br /> Y3{3{2 ii <br /> Leaking Under round Fuel Tank Data Collection Check�(list <br /> :.-±.: Local Agency l l <br /> G::£:%} o}}}}G:::; ::>kS.. ..}..,,,,}±+::vn;as,-s:,z£t#5::'• titi, {`\. `aY{•-q:s.i±::-,}}3:-}°�,tz::..,J}�� :� +'.y` <br /> "Zh o,;..:fk`.3oks;}:•?k..x:.:•`>.:�zk:+z:z.v:k:E?';?i:`y:'E?3tzk:;:v;,,�'.'''�i�<;;?v2N.:k?.::{:.{:.;±�s,Y»”+;}:�z}:i''x';�..` ........}:.•. , <br /> ,y}-2 <br /> RWQCB <br /> SITE: CA�t�IFS�P��S C rt 2 vJ )as 6-1 <br /> ADDRESS: Z 4,6 ?PQST <br /> CITY: COUNTY: Sftm 5dk0,-A1&3 REG. BOARD No: <br /> REVIEWED BY: 'SS GErt�1) DATE.- <br /> (Name) <br /> ATE:(Name) (Agency) <br /> I. RELEASE INFORMATION (FROM TECHNICAL REPORTS OR OTHER FILE DOCUMENTS) <br /> a) Check [X] type of product(s)which leaked: EaGasoline Er Diesel <br /> 0 Other <br /> b) Was source of leak identified? YES <br /> If YES, check [X] source location(s): 0 Tank 0 Piping Overfill <br /> 0 Other <br /> c) Was rate of release estimated? YES <br /> If YES, specify rate: <br /> d) Was mass/volume of release estimated? YESNO <br /> If YES, specify mass/volume (note unit of measurement): <br /> e) Was tank removed? YES NO <br /> If YES, specify: 1 aC 12(a0c� ti � _)LL"O b+ I 5O .QC <br /> COMMENTS: <br /> II. SITE INVESTIGATION INFORMATION (FROM REPORTS OR OTHER FILE DOCUMENTS) <br /> a) Was "free product" reported? YES i�D <br /> If YES, check [XI location(s)where free product was noted: a Excavation F7 Sal Sample <br /> F7 Monitoring Well <br /> If MONITORING WELL, specify maximum thickness reported (note unit of measurement): <br /> b) Was a soil vapor survey conducted? YES <br /> (:5:1 <br /> c) Was an aquifer test (e.g., pumping or slug test) performed? YES <br /> d) Number of monitoring wells installed at the site 3- <br /> e) Number of soil (or"Hydropunch'� borings NOT completed as wells <br /> COMMENTS: <br />