Laserfiche WebLink
1,11111111111L Alok <br /> 1w mw <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) ! CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES Pi7Fi:E COPi t +FfiK.YIJSE C71+H ::..:................;.....:.......;:........ ... <br /> HEH f:.....T Y;THRT:I:AM:A:Dealr"�3 ATED::�L4al:ER1WAz1Ef T:I hhFL S E:Af C(:IF ATI: : <br /> = YES =X NO REPORT BEEN FILED . 1ES AVE:REpQR71 U: S..Tib I OCI(l t?F�I lA1 SAIIFtSiIANT TU SECTIQf� <br /> 217QF T€1E FiEALTH'}�3II3 SAFETY`C.JDE <br /> REPORT DATE CAS <br /> D <br /> T MMD E <br /> # <br /> ( <br /> 07/03/9117838 <br /> >Sli; <br /> NAME OF INDIVIDUAL FILING REPORT PHONE E <br /> m KAREN SCHULTHEIS (415)-571-2427 <br /> o REPRESENTING =X OWNER+OPERATOR [::]REGIONAL BOARD COMPANY OR AGENCY NAME <br /> =LOCALAGENCY OTHER ARCO Products Company <br /> O <br /> ADDRESS P.O.Box 5811 San Mateo CA 94402 <br /> STREET CITY STATE ZIP <br /> LU NAME CONTACTPERSON PHONE <br /> m ARCO Products Company UNKNOWN KAREN SCHULTHEIS (415)-571-2427 <br /> Z Er <br /> aa ADDRESS PO BOX 5811 ATTN: Env.Compl.Dept. San Mateo CA 94402 <br /> LU <br /> ¢ STREET CITY STATE ZIP <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> Z ARCO FACILITY 02076 LJ S ENTERPRISE INC (209)-334-3678 <br /> U ADDRESS 800 EAST KETTLEMAN LN LODI SAN JOAQUIN 95240 <br /> OJ STREET CITY COUNTY ZIP <br /> LU <br /> t CROSS STREET <br /> HWY 991E KETTLEMAN LN <br /> Z LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> W LU SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG WILSON (209)-468-3420 <br /> wUj REGIONAL BOARD PHONE <br /> CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> w (1) NAME QUANTITY LOST(GALLONS) <br /> Z UNLEADED GASOLINE �i rTar=UNKNOWN <br /> 'o (Z) QUANTITY LOST(GALLONS) <br /> m UNKNOWN <br /> DATE DISCOVERED(MM-DD-YY) HOWDISCOVERED =INVENTORY CONTROL =SUBSURFACEMONITORING =NUISANCE CONDITIONS <br /> ¢z 07/03/1991 =TANK TEST =TANKREMOVAL OOTHER VISUAL <br /> Lli DATE DISCHARGE BEGAN(MM-OD-YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> o <br /> LU 07/03/1991 =UNKNOWN REMOVE CONTENTS REPLACE TANK =CLOSE TANK <br /> HAS DISCHARGE BEEN STOPPED? = REPAIR TANK = REPAIR PIPING =CHANGE PROCEDURE <br /> O YES =NO IF YES,DATE 07/03/1991 0 OTHER TURNED OFF DISPENSER <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> 2Lij <br /> =TANK LEAK = UNKNOWN = OVERFILL =RUPTURE(FAILURE SPILL <br /> Onv =PIPING LEAK =X OTHER = CORROSION UNKNOWN 0 OTHER DRIVE OFF <br /> LU w CHECK ONE ONLY <br /> wa <br /> U ®UNDETERMINED =SOIL ONLY [:]GROUNDWATER =DRINKING WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> r CHECK ONE ONLY <br /> 2 CO <br /> =NO ACTION TAKEN = PREUMINARY SITE ASSESSMENT WORKPLAN SUBMITTED =POLLUTION CHARACTERIZATION <br /> CE = BEING CONFIRMED = PRELIMINARY SITE ASSESSMENT UNDERWAY =POSTCLEANUP MONITORING IN PROGRESS <br /> = REMEDIATION PLAN CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) =CLEANUP UNDERWAY <br /> J CHECK APPROPRIATE ACTION(S) =EVACUATE AND DISPOSE(ED) =REMOVE FREE PRODUCT(FP) =ENHANCED BIO DEGRADATION(IT) <br /> o Z =CAP SITE(CD) =EVACUATE AND TREAT(ET) =PUMP&TREAT GROUNDWATER(GT) =REPLACE SUPPLY(RS) <br /> w 0CONTAINMENT BARRIER(CB) =X NOACTION REQUIRED(NA) =TREATMENT AT HOOKUP(HU) =VENTSUPPLY(VS) <br /> ¢ =VACUUM EXTRACT(VE) =OTHER(OT) <br /> Cn CUSTOMER DROVE OFF WITH NOZZLE IN CAR. STATION CLEANED UP WITH ABSORBENT. SAN JOAQUIN <br /> LOCAL HEALTH DISTRICT AND OES NOTIFIED. <br /> 2 <br /> 0 <br /> U <br />