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Mw <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) 1 CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FF7Fi:i[ liE 1( E1J(>1:t1S1^...:................:,..:......:..... . MPS <br /> '.'.1'EE:ANIJ.> <br /> 3:HEf31 BY:�£F 71F1:7izI1tiTE:F�Af:R�:D£....3GNHTE..........??lER3w1MEfiT:£:.::... ..:. ...:... <br /> YES =X NO REPORT BEEN FILED . )Es >HAVE REFOPTER fkl3's INFt3RMAT143tJ T431 OCAI g E103ALSAUR$UANTT...SECTIQN. <br /> 2'j�'8FI7QF l?i3"IiERF FH TSf C4)43E <br /> ' <br /> •:::.:i::i :.::.: <br /> REPORT DATE <br /> MM-DD-YY) CASE <br /> # i.:iii .is: : <br /> .... <br /> 04/01/91 16240 <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATUR <br /> > Elaine Lavine (415)-571-2482 V < <br /> owREPRESENTING =X OWNER+CPERATOR REGIONAL BOARD COMPANY OR AGENCY NAME <br /> o =LOCAL AGENCY OTHER ARCO Products Company <br /> ADDRESS P.O.Box 5811 San Mateo CA 94402 <br /> STREET CITY STATE ZIP <br /> LU NAME CONTACT PERSON PHONE <br /> m ARCO Products Company UNKNOWN Elaine J.Lavine (415)-571-2482 <br /> C'<a ADDRESS p0 BOX 5811 ATTN: Env.Compl.Dept. San Mateo CA 94402 <br /> ¢ CITY STATE ZIP <br /> STREET <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> 0 <br /> ARCO FACILITY 02076 LJ S ENTERPRISE INC (209)-334-3678 <br /> U ADDRESS 800 EAST KETTLEMAN LA LODI SAN JOAQUIN 95240 <br /> STREET CITY COUNTY ZIP <br /> w <br /> CROSS STREET <br /> HWY 991E KETTLEMAN LN <br /> z LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> zCn <br /> COUNTY OF SAN JOAQUIN-OFFICE OF (209)-468-3969 <br /> LU <br /> wLLJ REGIONAL BOARD PHONE <br /> CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> (1) NAME QUANTITY LOST(GALLONS) <br /> LU <br /> Q J GASOLINE 2raALS UNKNOWN <br /> 0 (2) QUANTITY LOST(GALLONS) <br /> �j =UNKNOWN <br /> DATE DISCOVERED(MM-DD-YY) HOWDISCOVERED INVENTORY CONTROL =SUBSURFACE MONITORING =NUISANCE CONDITIONS <br /> 03/29/1991 TANK TEST =TANKREMOVAL QOTHER DRIVE OFF <br /> CE Z <br /> 7 g DATE DISCHARGE BEGAN(MM-DD-YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> w UNKNOWN REMOVE CONTENTS REPLACE TANK =CLOSE TANK <br /> _ 03129(1991 = <br /> HAS DISCHARGE BEEN STOPPED? = REPAIR TANK = REPAIR PIPING =CHANGE PROCEDURE <br /> Q YES ONO IF YES,DATE 03/29/1991 Q OTHER SHUT OFF PUMP <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> 0w RUPTURE/FAILURE SPILL <br /> Co =TANK LEAK = UNKNOWN = OVERFILL = <br /> O0v =PIPING LEAK =X OTHER CORROSION UNKNOWN OTHER DRIVE OFF <br /> w w CHECK ONE ONLY <br /> U F ®UNDETERMINED =SOIL ONLY =GROUNDWATER DRINKING WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> Z j =NOACTION TAKEN = PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED =POLLUTION CHARACTERIZATION <br /> = LEAK BEING CONFIRMED = PREUMINARY SITE ASSESSMENT UNDERWAY =POST CLEANUP MONITORING IN PROGRESS <br /> O REMEDIATION PIAN a] 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 p =CAP SITE(CD) =EVACUATE AND TREAT(ET) [:]PUMP&TREAT GROUNDWATER(GT) =REPLACE SUPPLY(RS) <br /> v X Uj NO ACTION REQUIRED NA TREATMENT AT HOOKUP(HU) =VENTSUPPLY(VS) <br /> ¢¢ =CONTAINMENT BARRIER(CB) _ ( ) <br /> =VACUUM EXTRACT(VE) =OTHER(OT) <br /> CUSTOMER DROVE OFF WITH NOZZLE IN CAR. SPILL WAS CLEANED UP WITH ABSORBENT MATERIAL. FIRE <br /> DEPT. RESPONDED. PUMP WAS REPAIRED. SAN JOAQUIN COUNTY AND OES NOTIFI <br /> oAPR d <br /> U <br /> ENVIROtWENTAL HEALTH <br /> IT/ FFiVIC$ <br /> PERM _ <br />