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Ask <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) J CONTAMINATION SITE REPORT <br /> HAS STATE OFFICE OF EMERGENCY SERVICES FF7faaX1 AL ft�rENf?1.;C1.S�DM- .. .......;:.......:........ <br /> EMERGENCY Y...RTIP.Y:.:THRTE:AME:Pi:L7 51GNATW`1 0V. FAN IE6 w.':..P: l'EEsF4tilJ:THPT:3... <br /> ED YES REPORT BEEN FILED? QY6 HAY FtE OPTS€'Tt1S,INft7RM1#Tt73�:TQLOCALQFFICEAISE'ttF#SLIAN3TC35ECTIttf1 <br /> 2�1�t7F�F ,FiEALTHREdLi,SAFET„�GURE <br /> REPORT DATE(MM-DD YY) CASE# <br /> 15727 <br /> 03/11/91 <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATURE <br /> (415)-571-2482J <br /> m Elaine Lavine <br /> LU REPRESENTING JCWNERAOPERATOR 0 REC40NAL BOARD COMPANY OR AGENCY NAME <br /> =LOCALAGENCY OTHER ARCO Products Company <br /> o <br /> ADDRESS P.O.Box 5811 San Mateo CA <br /> 94402 <br /> STREET CITY STATE ZIP <br /> w NAME CONTACT PERSON PHONE <br /> Fn ARCO Products Company UNKNOWN Elaine J.Lavine (415)-571-2482 <br /> Z CE <br /> aaQ ADDRESS PO BOX 5811 ATTN: Env.Compl.Dept. San Mateo CA 94402 <br /> wSTREET CITY STATE ZIP <br /> FACILITY NAME(IF APPLICABLE) 70PERATOR PHONE <br /> z ARCO FACILITY 02076 S ENTERPRISE INC (209)-334-3678 <br /> 0 <br /> U ADDRESS800 EAST KETTLEMAN LA LODI SAN JOAQUIN 95240 <br /> STREET CITY Lu <br /> COUNTY ZIP <br /> t CROSS STREET Y <br /> `n HWY 991E KETTLEMAN LN " <br /> �} n <br /> Z LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> w� SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG WILSON MAR 1 4 10 'i (209)-468-3420 <br /> w wREGIONAL BOARD F.N V A R 011 M F N TA!.. 14H!QN�t N <br /> -10 <br /> a CENTRAL VALLEY REGION LEE BOGGS PFRM ,- 916)-361-5600 <br /> w (1) NAME QUANTITY LOST(GALLONS) <br /> Q J GASOLINE 1 Sr A =UNKNOWN <br /> O (2) QUANTITY LOST(GALLONS) <br /> m UNKNOWN <br /> w <br /> DATE DISCOVERED(MM-DD-YY) TIHOW DISCOVERED INVENTORY CONTROL =SUBSURFACE MONITORING =NUISANCE CONDITIONS <br /> r Z 03/02/1991 =TANK TEST =TANKREMOVAL EEOTHER DRIVE OFF <br /> LU DATE DISCHARGE BEGAN MM-DD-YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> O03/02/1991 =UNKNOWN REMOVE CONTENTS REPLACE TANK =CLOSE TANK <br /> U¢ <br /> HAS DISCHARGE BEEN STOPPED? = REPAIR TANK REPAIR PIPING =CHANGE PROCEDURE <br /> Q YES ONO IF YES,DATE 03/02/1991 OTHER SHUT OFF PUMPS <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> ¢c =TANK LEAK = UNKNOWN = OVERFILL =RUPTURE/FAILURE =SPILL <br /> inv =PIPING LEAK =X OTHER CORROSION UNKNOWN =x OTHER DRIVE OFF <br /> LL, <br /> w CHECK ONE ONLY <br /> v ®UNDETERMINED =SOIL ONLY =GROUNDWATER =DRINKING WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> I-- CHECK ONE ONLY <br /> Z Cn <br /> =NO ACTION TAKEN = PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED POLLUTION CHARACTERIZATION <br /> U a~ PRELIMINARY SITE ASSESSMENT UNDERWAY 0 POSTCUEANUP MONITORING IN PROGRESS <br /> 0 LEAKBEING CONFIRMED Q <br /> REMEDIATION PLAN 0 CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) =CLEANUP UNDERWAY <br /> J CHECK APPROPRIATE ACTION(S) 0 EVACUATE AND DISPOSE(ED) =REMOVE FREE PRODUCT(FP) =ENHANCED 810 DEGRADATION(IT) <br /> 00 --1 CAP SITE(CD) �EVACUATE AND TREAT(ET) PUMP&TREAT GROUNDWATER(GT) [—]REPLACE SUPPLY(RS) <br /> CONTAINMENT BARRIER(CB) 0 NOACTION REQUIRED(NA) =TREATMENT AT HOOKUP(HU) =VENT SUPPLY(VS) <br /> =VACUUM EXTRACT(VE) 0 OTHER(OT) <br /> CUSTOMER DROVE OFF WITH NOZZLE IN CAR. FIRE DEPARTMENT RESPONDED. USED ABSORBENT TO <br /> CLEAN UP. DISPOSED OF IN RUBBER CANS. SAN JOAQUIN COUNTY AND OES NOTIFIED. <br /> 0 <br /> U <br />