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Aak <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) 1 CONTAMINATION SITE REPORT <br /> .::.::.::::.....:; ::::::::::::::::::.::: <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES ��;.. ........ <br /> REPORT BEEN FILED? ' 3 i # ttt�V#'I i!>#ilEi!i 15i4 Fish tINt(` tiiPl XY :E>f tET::THA:t <br /> YES X No Q _ £ 1 :#1t?3 #'r#I:?Hf$FiFfhlkE41tF>tYI:£ l :i' s11 <br /> _ <br /> fO:SrIC1N:::: <br /> _ <br /> REPORT DATE(M YY) CASE . ��.{�:::: :: :::::::::::::::. <br /> 16240 <br /> 04 DTE <br /> / / <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SITURE <br /> > Elaine Lavine (415}-571-2482 '2(',�w-z �l c_% �,2, _-� <br /> CID v <br /> ow REPRESENTING =X ONTERCPERATOR =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 op <br /> NAME CONTACTPERSON PHONE <br /> C3¢ ARCO Products Company =uNKNowN Elaine J.Lavine 415)-571-2482 <br /> ADDRESS <br /> 3s a PO BOX 5811 ATTN: Env.Compl.Dept. San Mateo CA 94402 <br /> STREET CITY STATE zp <br /> FACILITY NAME OF APPLICABLE) OPERATOR PHONE <br /> 7 <br /> o ARCO FACILITY 02076 L J S ENTERPRISE INC (209)-334-36 78 <br /> U ADDRESS 800 EAST KETTLEMAN LA LODI SAN JOAQUIN 95240 <br /> STREET CITY COUNTY zp <br /> w <br /> CROSS STREET <br /> HWY 99/E KETTLEMAN LN <br /> Z LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> W LU COUNTY OF SAN JOAQUIN-OFFICE OF (209)-468-3969 <br /> wREGIONAL BOARD PHONE <br /> CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> w (�) NAME QUANTITY LOST(GALLONS) <br /> GASOLINE =uNKNowN <br /> Cn O (2) QUANTITY LOST(GALLONS) <br /> N UNKNOWN <br /> DATE DISCOVERED(MM-DD-YY) HOWDISCOVERED =INVENTORY CONTROL =SUBSURFACE MONITORING =NUISANCE CONDITIONS <br /> z 03/29/1991 =TANK TEST =TANKREMOVAL =OTHER DRIVE OFF <br /> Uj <br /> LU DATE DISCHARGE BEGAN(MM-0D-YY) METHOD USED TO STOP DISCHARGE(CHECKALL THAT APPLY) <br /> w 03/29/1991 ED-1NKNOWN REMOVE CONTENTS REPLACE TANK CLOSE TANK <br /> HAS DISCHARGE BEEN STOPPED? REPAIR TANK REPAIR PIPING CHANGE PROCEDURE <br /> [X]YES =NO IF YES,DATE 03/29/1991 Q OTHER SHUT OFF PUMP <br /> SOLRCE OF DISCHARGE CAUSE(S) <br /> QUj =TANK LEAK = UNKNOWN = OVERFILL =RLPTUREIFAILURE =SpLL <br /> 9iv =RMG LEAK =X OTHER CORROSION � UNKNOWN EK OTHER DRIVE OFF <br /> w w CHECK ONE ONLY <br /> v ®UNDETERMINED =SOL ONLY =GROUNDWATER DRI WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> r- CHECK ONE ONLY <br /> w j NO ACTION TAKEN PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED POLLUTION CHARACTERIZATION <br /> Cl <br /> ICE j ¢ = LEAKBEING CONFIRMED PRELIMINARY SITE ASSESSMENT UNDERWAY =POSTCLEANUP MONITORING IN PROGRESS <br /> U Cn <br /> REMEDIATION PLAN a CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) =EVACUATE AND DISPOSE(ED) =REMOVE FREE PRODUCT(FP) =ENHANCED BIODEGRADATION(IT) <br /> LU p =CAP SITE(CO) =EVACUATE AND TREAT(ET) =PU I3&TREAT GROUNDWATER(GT) =REPLACE SUPPLY(RS) <br /> =CONTAINMENT 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. SPILL WAS CLEANED UP WITH ABSORBENT MATERIAL. FIRE <br /> Ji <br /> DEPT. RESPONDED. PUMP WAS REPAIRED. SAN JOAQUIN COUNTY AND OES NOTIFIED. <br /> 0 <br /> U <br /> APR 8 1991 <br /> ENVIRONMENTAL HEALTH <br /> PERM(T USEUICE'a <br />