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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4800
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2900 - Site Mitigation Program
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PR0508207
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
10/23/2018 4:53:07 PM
Creation date
10/23/2018 3:05:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0508207
PE
2950
FACILITY_ID
FA0007992
FACILITY_NAME
A G SPANOS JET CENTER
STREET_NUMBER
4800
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
4800 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
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Tags
EHD - Public
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�� <br /> 1 r ��o) � 9� - LLz4 <br /> ,2 <br /> UNDERGROUND STORAGE TSAt UNAUTHORIZED RELEASE (LEAK)/CONTAMINATION SITE REPORT <br /> Q YES NQ ❑ v�E AOR LOCM;�tGENCY USE ONLY. <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SEA <br /> c REPORT BEEN FILED 7 <br /> L 1 HE3iE8Y:CEHTIFYTHATF HAVE p[STRIBUTEp TED-THIS tNFbRMATfON'AC(�ApINGTOTHE. ... <br /> YES <br /> NO <br /> f <br /> REPORT DATE CASE fJ �(lTK�V SHOWN ON THE INSTRUCTgN SHEET ONTHE BACK PAGE DF 1}IIS FDRM <br /> 1 E� M MI SIGNED DATE .:- <br /> FILIN,3 EPORT PHONE SIGMA RE L REPRE NTING ❑ OWNERIOPERATOR ❑ REGIONAL BOARD �M�PIANY/OR AGENCY NAMME�/ <br />+ O LOCAL AGENCY ❑ OTHER <br /> z ADDRESS j( <br />( ,Lu NAME � ertv �i s7A7E �L�+ <br /> 4 c TACT PERSON nv <br /> cn 7 { J �IU� UNKNOWN 13 ' PHONE <br /> o ❑ �� e 1 oq <br /> a A DRESS <br /> STATE p <br /> FACILITY NAME(1F APPLICABLE) V —� OPERATOR PHONE <br /> ADDRESS <br /> U �J /J��/J f ��G��� �n foo �/J✓� <br /> W {! i i[ a ET GRY COV <br /> N CROSS STREET /� P <br /> al All <br /> AL AGENCY AGENCY NAME CONTACT PERSC?. �I <br /> j C ' PHONE <br /> w REGIONAL$ D PHONE <br /> CL <br /> .n (1) NAME QUANTITY LOSTLu 0 <br /> (GALL 5} <br /> `a UNNKNOWN <br /> N <br /> UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED <br /> I y INVENTORY CONTROL ❑� SUBSURFACE MONITORING NUISANC CONDITIONS <br /> LLJw 0� ��c3` u� r ❑ TANK TEST ❑ TANK REMOVAL OTHER" � /J!/✓ �ff <br /> DATE DISCHARGE BEGAN METHOD USED TO STOP',DISCHARGE(CHECK ALL THAT APPLY) <br /> ax <br /> UNKNOWN ❑REMOVE CONTENT$ CLOSE TANK&REMOVE ❑REPAIR PIPING <br /> UHAS DSS ARGE BEEN STOPPED 7 ❑REPAIR TANK it ❑CLOSE TANK&FILL IN PLACE ❑CHANGE PROCEDURE <br /> °1 7YES ❑ NO IF YES.DATE Ml j nI d r r ❑REPLACE TANK Il ❑OTHER <br /> a <br /> tj <br /> SOURCE OF DISCHARGE CAUSES) <br /> a ❑ TANK LEAK UNKNOWN i❑ OVERFILL ❑ RUPTURFJFAILURE ❑ SPILL <br /> en O PIPING LEAK ❑ OTHER ❑ CORROSION UNKNOWN ❑ OTHER <br /> Lu CHECK ON NLY <br /> U UNDETERMINED ❑ SOIL ONLY ❑ GROUNDWATER ❑ DRINKING WATER •`(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED} <br /> CHECK ONE ONLY <br /> � <br /> uui m ❑ ACTION TAKEN ❑ PRELOMINARY SRE ASSESSMENT WORKPLAN SUBMITTED POLLUTION CHARACTERI7ATION <br /> c <br /> al <br /> U y LEAK BEING CONFIRMED r 'PRELIMINARY SITE ASSESSMENT UNDERWAY �{ ❑ POST CLEANUP MONITORING IN PROGRESS <br /> ❑ REMEDIATION PLAN ❑ CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY)iiI ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) EXCAVATE&DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIODEGRADATION(M <br /> aISM MCC KR DEALS; x <br /> Z CAP SITE(CD} EXCAVATE&TREAT(E17 <br /> 00 PUMP&TREAT GROUNDWATER(GT) REPLACE SUPPLY(RS) <br /> CONTAINMENT BARRIER(Ce)- ❑ NO ACTION REOUIRED(NA) ❑ TREATMENT AT HOOKUP(HU) ❑ VENT SOIL(VS) <br /> ❑ VACUUM EXTRACT(VE) r7 OTHER(OT) <br /> z � . <br />` o <br /> k Hsc os(a" <br /> �s Kf <br />
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