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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0545671
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
5/19/2020 11:50:31 AM
Creation date
5/19/2020 11:39:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545671
PE
3528
FACILITY_ID
FA0003959
FACILITY_NAME
AT&T CALIFORNIA - UE042
STREET_NUMBER
345
Direction
N
STREET_NAME
SAN JOAQUIN
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
345 N SAN JOAQUIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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UNDERGROUND STORAGE TAK-A'UNAUTHORIZED RELEASE (LEAK)r,u. NTAMINATI E REPORT. <br /> STATE TANK ID i" <br /> E`AF_RGENGY , HAS STATE OFFICE OF EMERGENCY SE ICES �!s <br /> r-1 YES NO I REPORT BEEN FILED? ❑ YES NO I <br /> REPORT DATE LOCAL CASE # REGIONAL BOARD CASE # US EPA 10 # <br /> CA � � -1 ?Y �i)Y u ,U G 9 1990 <br /> NAME OF INDIVIDUAL FILING REPORT PHONE- SIGNATURE <br /> } e--ilX31 IAL HEALTH <br /> CD <br /> P e . <br /> ❑ REPRESENTING ❑ LOCAL AGENCY'. ❑ OTHER 'COMPA QR AG CY NAME - <br /> w _ I <br /> ¢ OWNER/OPERATOR ❑ REGIONAL BOARD - <br /> O pp <br /> a <br /> 7 <br /> J <br /> 37U 1C1n s ���Ux'���jy Smit-�.r•, f��b <br /> STREETf' CITY STATE ZIP <br /> I > NAME ] CONTACT PERSON - PHONE <br /> Jac _ ❑ UNKNOWN Pv7 W' <br /> Il <br /> aw ADDRESS W!• TCITYhbYr/i' ! a!!G 1s Ol� L�V '�� <br /> it K1 lI X70 7 STATE ZIP <br /> FACILITY NAME (IF APP CABLE) OPERATOR $70 0'! G++ - PHONE <br /> ir/ <br /> C/ <br /> a ADDRESS <br /> (� /L� s4 L TO cry L'i S�"• �0 Ldp J(%''� cin 7G4 �.� <br /> O ` STREET L CITY �; COUNTY ZIP <br /> -i <br /> w C OSS ST EET TYPE OF AREA `� COMMERCIAL ❑INDUSTRIAL TYPE OF BUSINESS -'0 RETAIL FUEL STAT ION <br /> rn �fGC CJ RESIDENTIAL ❑RURAL ❑OTHER ❑UNKNOWN OTHER <br /> LOCAL AGENC AGENCY NAME' CONTACT PERSON- PHONE <br /> z Sort [�Y + l- V'�� �C4� f/d <br /> h w REGIONAL BO RD ' <br /> z- <br /> wu ) <br /> Fz <br /> ww <br /> a a TSCD <br /> f <br /> ul <br /> Ill CAS N (ATTACH EXTRA SHEET iF NEEDED) NAMD QUANTITY LOST (GALLONS) <br /> uo¢J fl) i LEE- UNKNOW <br /> m0 - - -m> <br /> .UNKNOW <br /> H= (2) <br /> DATE DISCOVERED HOW DISCOVERED ❑ INVENTORY CONTROL SUBSURFACE MONITORING <br /> yh M M D D Y Y ❑ ROUTINE MONITORING TANK ❑ NUISANCE CONDITIONS ❑ OTHER: <br /> -REMOVAL <br /> Wm DATE DISCHARGE BEGAN - METHOD USED TO STOP DISCHARGE (CHECK ALL THAT APPLY) <br /> U� MI M D D Y Y UNKNOWN - ❑ REMOVE CONTENTS ❑ REPLACE TANK CLOSE TANK <br /> Om NGE PROCEDURES <br /> HAS DISCHARGE BEEN STOPPED? ., i I. <br /> L_j REPAIR TANK ❑REPAIR PIPING ❑CHA <br /> YES NO IF YES, DATE I MI MI DI IDI Y Y E-]OTHER <br /> URCE(S) OF DISCHAR_GGE,/// TANKS ONLY/CAPACITY C) ST-0 GAL CAUSE(S) - <br />' j ❑TANK LEAK ! 1) UNKNOWN I I ' ❑OVERFILL ❑CORROSION <br /> AGE L�L�J YRS. ❑ UNKNOWN <br /> U <br /> U F-1I_ <br /> PIPING LEAK MATERIAL _❑RUPTURE/FAILURE ]SPILL <br /> - STEEL ` ❑ FIBERGLASS <br /> to J OTHER (SPECIFY) ❑OTHER UNKNOWN ❑OTHER <br /> RESOURCES AFFECTED YES NOWATER SUPPLIES AFFECTED THREAT- UK---V <br /> THREATENED UNKNOWN YES NO ENEO � KNOWN WELLS <br /> O rcy <br /> F AIR (VAPOR) ❑ I II ❑ �_� PUBLIC DRINKING <br /> ❑ ❑ ❑ <br /> W SOIL (VAOOSE ZONE) El T' r WATER <br /> Ez ❑ CJ PRIVATE DRINKING .❑_ ❑ ('q <br /> U. GROUNDWATER <br /> m� SURFACE WATER OR STORM DRAIN ❑ ❑ ❑. INDUSTRIAL ❑ ❑ ❑ <br /> ¢4 BUILDING OR UTILITY VAULT - ❑ ❑ AGRICULTURAL .❑ ❑ ❑ <br /> O OTHER (SPECIFYI El El ❑ OTHER(SPECIFYI ❑ ❑ ❑ <br /> N <br /> w <br /> r GROUNDWATER BASIN NAME <br /> UNKNOWN <br /> COMMENTS: ' <br /> N , <br /> r <br /> z <br /> w <br /> f <br /> f <br /> 0 <br /> u <br /> COMPLETE AND ATTACH A CLEANUP TRACKING REPORT IF ANY CLEANUP WORK OR PLANNING HAS STARTED Hsc as (to/as) <br />
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