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Am <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAUINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES A N(`YLI LyN . ....."` '"'`.I I .. <br /> REPORTBEEN EN FILED 7 i 13iY l iRl)yR LiSllyfit Ct`3�f �Er#11pLC1 TaHA I <br /> p YES � NO ®� = ND w; a x <rrs L.c �sxas> r r <br /> ::>::::>::::>:..........:........... w.: ,,.::::::..... <br /> REPORT DATE(MM-0D YY) CASE# c::::.:::.::... : : <br /> ;;::;<:;::::.;:<.::;:.;;j �`>2 ii :iiYi"ii_ »>: >:>i2;::<:!:<><>::>>: ,<::;:.......... <br /> ... ....':�.iLl............}��............. . <br /> 03/11/91 <br /> 15727 ..................................... :::..:::..:.:. A :..:: ::<:<.::<:>;«::>::; <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATJJRE <br /> ' <br /> m Elaine Lavine (415)-571-2482 <br /> o REPRESENTING pX ONTEIlOPERATOR =REGUTAL BOARD COMPANY OR AGENCY NAME <br /> op`OCAI_AGENCY =OTHER ARCO Products Company <br /> ADDRESS P.O.Box 5811 San Mateo CA 94402 <br /> STREET CITY STATE aP <br /> NAME CONTACT PERSON PHONE <br /> Z¢ ARCO Products Company =UNKNOWN Elaine J.Lavine (415)-571-2482 <br /> d ADDRESS San Mateo CA 94402 <br /> �S a PO BOX 5811 ATTN: Env.Compl.Dept. CITY STATE ZIP4 <br /> STREET <br /> FACILITY NAME OF APPLICABLE) OPERATOR PHONE <br /> o ARCO FACILITY 02076 L J S ENTERPRISE INC 209)-334-3678 <br /> U ADDRESS 800 EAST KETTLEMAN LA LODI SAN JOAQUIN 95240 <br /> of STREET CITY, COUNTY op <br /> LU <br /> CROSS STREET <br /> HWY 99/E KETTLEMAN LN <br /> Z LOCAL AGENCY AGENCY NAME CONTACT PERSON iy PHONE <br /> w- SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG MtSO RO(�ME 09)-468-3420 <br /> ulZ REGIONAL BOARDIJERMIT/SEP,VICE'T " <br /> FL_ CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> (�) NAME QUANTITY LOST(GALLONS) <br /> Uj J GASOLINE =UNKNOWN <br /> O QUANTITY LOST(GALLONS) <br /> m p UNKNOWN <br /> w <br /> DATE DISCOVERED(MM-DD-YY) HOWDISCOVERED F7tAIENTORYCONTROL =SUBSURFACE MONITORING =NUISANCE CONDITIONS <br /> Y~ 03/02/1991 =TANK TEST =TANKREMOVAL QOTHER DRIVE OFF <br /> �w <br /> j DATE DISCHARGE BEGAN(MM-0D YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> w 03/02/1991 pLNKNOWN p REMOVE CONTENTS 0 REPLACE TANK =CLOSE TANK <br /> HAS DISCHARGE BEEN STOPPED? = REPAIR TANK = REPAIR PIPING p CJ WNGE PROCEDURE <br /> Q YES =NO IF YES,DATE 03/02/1991 Q OTHER SHUT OFF PUMPS <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> ui <br /> Q? =TANK LEAK = UNKNOWN = o%,ERFILL =RUPTUREIFAILURE p SPIT <br /> �U =PPNG LEAK pX OTHER p CORROSION p UNKNOWN 0 OTHER DRIVE OFF <br /> w w CHECK ONE ONLY <br /> v F} UNDETERMINED =SOL ONLY =GROUNDWATER p DRNKNG WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> LLJp NO ACTION TAKEN p PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED =POLLUTION CHARACTERIZATION <br /> Cl< 0 LEAKBEING CONFIRMED = PRELIMINARY SITE ASSESSMENT UNDERWAY =POST CLEANUP MONITORING IN PROGRESS <br /> p REMEDIATION PLAN = CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) =CLEANUP UNDERWAY <br /> J <br /> CHECK APPROPRIATE ACTION(S) =EVACUATE AND DISPOSE(ED) =REMOVE FREE PRODUCT(FP) =ENHANCED BIO DEGRADATION(IT) <br /> w p p CAP SITE(CD) p EVACUATE AND TREAT(ET) p PUMP&TREAT GROUNDWATER(GT) =REPLACE SUPPLY(RS) <br /> d <br /> 0 CONTAINMENT BARRIER(CB) pX NOACTION REQUIRED(NA) =TREATMENTAT HOOKUP(HU) =VENTSUPPLY(VS) <br /> =VACUUM EXTRACT(VE) p OTHER(OT) <br /> CUSTOMER DROVE OFF WITH NOZZLE IN CAR. FIRE DEPARTMENT RESPONDED. USED ABSORBENT TO <br /> 2 CLEAN UP. DISPOSED OF IN RUBBER CANS. SAN JOAQUIN COUNTY AND OES NOTIFIED. <br /> 2 <br /> O <br /> U <br />