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UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT <br /> ...............::.,.........:::..:......:......:....:........................................................................ <br /> ............ <br /> EMERGENCY HAS STATE <br /> OFFICE OF EMERGENCY SERVICES > >::>:: : > > > >:> >:>:>>:<: > >::::%: <::::::>:>:::>��: <br /> REPORTBEEN FILED 7 t fid# :Cid#f1tN41'Ei!d(iIaRCIttiR' tE�hiT #i1Pl1 :15:Tff4#1 <br /> = YES pX No p p tvx :r :asuTtro; �r :<.... <br /> < <br /> REPORT DATE(MM-DD # <br /> YY) <br /> CASE <br /> 03/11/91 <br /> 1 <br /> 5727 <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNA�W E <br /> m Elaine Lavine (415)-571-2482 <br /> o REPRESENTING =X UMVrE11OPERATOR OREBOARD COMPANY OR AGENCY NAME <br /> oAGENCY [OTHER ARCO Products Company <br /> ADDRESS P.O.Box 5811 San Mateo CA 94402 <br /> STREET CITY STATE ZIP <br /> 9 NAME CONTACT PERSON PHONE <br /> Z Q ARCO Products Company =UJKNOWN Elaine J.Lavine (415)-571-2482 <br /> ADDRESS <br /> �O¢S a PO BOX 5811 ATTN: Env.Compl.Dept. San Mateo CA 94402 <br /> STREET CITY STATE ZIP <br /> FACILITY NAME OF APPLICABLE) OPERATOR PHONE <br /> o ARCO FACILITY 02076 LJ S ENTERPRISE INC (209)-334-3678 <br /> q ADDRESS <br /> 800 EAST KETTLEMAN LA LODI SAN JOAQUIN 95240 <br /> OJ STREET CITY COUNTY ZIP <br /> w <br /> t CROSS STREET <br /> HWY 99/E KETTLEMAN LN <br /> Z LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> wUj— SAN JOAQUIN COUNTY PUBLIC HEALTH DOUG WILSON (209)-468-3420 <br /> w Z REGIONAL BOARD PHONE <br /> -10 <br /> CENTRAL VALLEY REGION LEE BOGGS (916)-361-5600 <br /> cn w (1) NAME QUANTITY LOST(GALLONS) <br /> ui GASOLINE 10 15GA =UNKNOWN <br /> O (zj QUANTITY LOST(GALLONS) <br /> m p UNKNOWN <br /> DATE DISCOVERED(MM-OD-YY) HOWDISCOVERED El INVENTORY CONTROL =SUBSURFACE MONITORING =NUISANCE CONDITIONS <br /> Q Z 03/02/1991 =TANK TEST =TANKREMOVAL QOTHER DRIVE OFF <br /> j LU DATE DISCHARGE BEGAN(MM-DD-YY) METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> r <br /> w 03/02/1991 [DU NKNOWN 0 REMOVE CONTENTS 0 REPLACE TANK =CLOSE TANK <br /> HAS DISCHARGE BEEN STOPPED? = REPAIR TANK = REPAIR PIPING p CHANGE PROCEDURE <br /> [j]YES =NO IF YES,DATE 03/02/1991 0 OTHER SHUT OFF PUMPS <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> =TANK LEAK = UNKNOWN p OVERFILL =RUPTURE,rA1LURE =SPLL <br /> �U =PPNG LEAK 0 OTHER = CORROSION =UNKNOWN =x OTHER DRIVE OFF <br /> w w CI-ECK ONE ONLY <br /> Cna <br /> v F UNDETERMINED =SOL ONLY =GROUNDWATER p DRINKING WATER-(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> r CHECK ONE ONLY <br /> Q =NO ACTION TAKEN = PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED =POLLUTION CHARACTERIZATION <br /> 0 LEAKBEING CONFIRMED p PF ELMJARY SITE ASSESSMENT UNDERWAY p POSTCLEANUP MONITORING IN PROGRESS <br /> = REMEDIATION PLAN CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) =CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) [:]EVACUATE AND DISPOSE(ED) p REMOVE FREE PRODUCT(FP) =ENHANCED BIO DEGRADATION(IT) <br /> o O p CAP SITE(CD) ❑EVACUATE AND TREAT(ET) p PUNA&TREAT GROUNDWATER(GT) =REPLACE SUPPLY(RS) <br /> U =CONTAINMENT BARRIER(CB) pX NOACTION REQUIRED(NA) =TREATMENT AT HOOKUP(HU) =VENTSUPPLY(VS) <br /> p VACUUM EXTRACT(VE) 0 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 />