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Awk <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) J CONTAMINATION SITE REPORT <br /> F EMERGENCY SERVICES FOFi:EX)WWA>a <br /> EMERGENCY HAS STATE OFFICE O <br /> v y.;:: Y<: : :........N .TE : .tOVPRNMF-NT EMP..L:Q. E AND,'TH. <br /> REPORTBEEN FILED . IHEREH OEPTIF THATSAMAi3£$EGWA D G <br /> = YES =X NO Q lEs = HAVE;REFFORT£DTHS:iNF0RMA i0***' L0CAI:;E�FFI�ff�LSPURSUAM1iTT�3SECTIGihI .,. <br /> E1 f:OOC3E:<<I:>: .? . . >:I::>::>:::>::::>:<:;<:;>::>::s::»:: >ss:.....«:>::a:<: <br /> 2a1:E3[27L?F 7}IE::F 4EF4L TH:�F1......k ....:...................................... ::::::::::::::::. <br /> T <br /> REPORT DA E MM D <br /> D <br /> CASE# <br /> 06/1$/91 <br /> 17552 <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATURE <br /> M <br /> MARTIN BASQUES (415)-571-2429 <br /> o REPRESENTING =X OWNER/OPERATOR =REGIONAL BOARD COMPANY OR AGENCY NAME <br /> 0 =LOCAL AGENCY =OTHER ARCO Products Company <br /> cl <br /> ADDRESS P.O. Box 5811 San Mateo CA 94402 <br /> STREET CITY STATE ZIP <br /> LU NAME CONTACT PERSON PHONE <br /> CD�ARCO Products Company =UNKNOWN MARTIN BASQUES (415)-571-2429 <br /> CO)a 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 /> 0 ARCO FACILITY 02076 L J S ENTERPRISE INC (209)-334-3678 <br /> o ADDRESS 800 EAST KETTLEMAN LN LODI SAN JOAQUIN 95240 <br /> STREET CITY COUNTY ZIP <br /> LU <br /> CROSS STREET <br /> co HWY 99/E KETTLEMAN LN <br /> ULOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> LU� SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG WILSON (209)-468-3420 <br /> w w REGIONAL BOARD PHONE <br /> J C7 <br /> CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> (y) NAME QUANTITY LOST(GALLONS) <br /> LU <br /> a J GASOLINE =UNKNOWN <br /> ,0 (2) QUANTITY LOST(GALLONS) <br /> M <br /> Cf)— =UNKNOWN <br /> DATE DISCOVERED(MM-DD-YY) HOW DISCOVERED =INVENTORY CONTROL =SUBSURFACE MONITORING =NUISANCE CONDITIONS <br /> �Z 06/18/1991 =TANK TEST =TANKREMOVAL =X OTHER DRIVEOFF <br /> >g DATE DISCHARGE BEGAN(MM-DD-YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> w 06/18/1991 =UNKNOWN = REMOVE CONTENTS = REPLACE TANK =CLOSE TANK <br /> o¢ HAS DISCHARGE BEEN STOPPED? = REPAIR TANK = REPAIR PIPING =CHANGE PROCEDURE <br /> Q YES =NO IF YES,DATE 06/18/1991 Q OTHER SHUT OFF PUMP <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> =TANK LEAK = UNKNOWN = OVERFILL =RUPTUREIFAI LURE =SPILL <br /> �U =PIPING LEAK =X OTHER = CORROSION = UNKNOWN =x OTHER DRIVE OFF <br /> w w CHECK ONE ONLY <br /> cn Q, <br /> U ®UNDETERMINED =SOIL ONLY =GROUNDWATER =DRINKING WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> Z j =NO ACTION TAKEN = PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED =POLLUTION CHARACTERIZATION <br /> ¢ = LEAK BEING CONFIRMED = PRELIMINARY SITE ASSESSMENT UNDERWAY =POSTCLEANUP MONITORING IN PROGRESS <br /> U C/) = REMEDIATION PLAN 0 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 /> 00 =CAP SITE(CD) =EVACUATE AND TREAT(ET) =PUMP&TREAT GROUNDWATER(GT) =REPLACE SUPPLY(RS) <br /> ¢ =CONTAINMENT BARRIER(CB) =X NOACTION REQUIRED(NA) =TREATMENTAT HOOKUP(HU) =VENTSUPPLY(VS) <br /> =VACUUM EXTRACT(VE) =OTHER(OT) <br /> co <br /> CUSTOMER DROVE OFF WITH NOZZLE IN CAR. SPILL CLEANED UP WITH ABSORBENT. PUMP WAS <br /> z REPAIRED AND LINE TESTED OKAY. SAN JOAQUIN COUNTY ENV. HEALTH AND OES NOTIFIED. <br /> 2 <br /> 0 <br /> U <br /> NOfi-�'ect q &tt4 #Uv"" Fl o t S fad Adal�_e�- <br /> uA2 <br />