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UAR/PROP 65_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232444
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
5/31/2019 7:58:21 AM
Creation date
11/7/2018 10:24:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0232444
PE
2381
FACILITY_ID
FA0003391
FACILITY_NAME
AAMCO
STREET_NUMBER
4825
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10416019
CURRENT_STATUS
02
SITE_LOCATION
4825 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4825\PR0232444\UAR_PROP 65.PDF
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EHD - Public
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- <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)1 CONTAMINATION SITE REPORT. <br /> EMERGENCY HAS STATE OFFICE OF EMERGE NgI SERVICES FOR L�CAl.AGENGY lISE O[1LY <br /> YESzwo REPORT BEEN FILED 7 NO HFREBY C�Fi#IFYJHAT k,4M't p1 SiW EMPLOYEE D.THAT <br /> REP+JR7Ep:Tl IES �IF.ORMRT.ON T(3 LQCAL QFFtCIAI& PURSUAM T4 $�CTuJN 751867(JF <br /> REPORTD TE )f n CASEi� � <br /> ml 1 <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATURE <br /> m <br /> a REPRESENTING OWNEWOPERATOR REGIONAL BOARD COMPANY OR AGENCY NAME f <br /> O LOCAL AGENCY OTHER S� it)4 Ce). P S J ,�. r f��, f J <br /> a <br /> ¢ ADDRESS <br /> b , aoo 9 s�au�� C/ i o l <br /> STREET CRY STATE ZIP <br /> NAME /� CONTACT PERSON PHONE <br /> z� A lqy�y� c D Ll UNKNOWN <br /> d ADDRESS <br /> ll6Do �' � "GREET � 1 ♦f�1 `+ ��. �{ STATE ZIP <br /> �o C �1 �j5aatj <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> GSchnabel 06'7f74L- 139' <br /> U ADDRESAga <br /> gs f A-Cvrt <br /> ys STREET GITY cmwry zip <br /> CRO STREET ' o TYPE OF AREA COMMERCIAL 0 INDUSTRIAL 0 RURAL TYPE OF BUSINESS E7] RETAIL FUEL STATION i <br /> F�]RESIDENTIAL Q OTHER E::] FARM F7 OTHER <br /> LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> W W Su,>7 "fl a , -P FAS- E. f�, L)1`lJ �r� ��ov�- �)` ?3)°a <br /> w REGIONAL BOARD <br /> PHONE <br /> 2a CR (A-) CQ ( ) <br /> co (1) JJ I� ��j /; ((^ r NAME QUANTITY LOST(GALLONS) <br /> LLJ <br /> Lu �'l J f.( J te. 4 1 1 UNKNOWN <br /> 1 <br /> (2) <br /> �+ UNKNOWN <br /> z <br /> DATE DISCOVERED HOW DISCOVERED IN NTORY CONTROL V UBSURFACE MONITORING � NUISANCE CONDITIONS <br /> a M o 5o T D v <br /> TANK TEST TANK REMOVAL OTHER v <br /> DATE DISCHARGE BEGAN / METHOD SED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> M M o o y y UNKNOWN REMOVE CONTENTS REPLACE TANK CLOSE TANK <br /> > HAS DISC ARGE BEEN STOPPED 7 REPAIR TANK REPAIR PIPING CHANGE PROCEDURE <br /> HAS <br /> NO IFYES,DATE �� ! E] OTHER <br /> u SOURCE F DISCHARGE TANKS ONLYACAPACITY MATERIAL CAUSES) <br /> K LEAK F7 UNKNOWN GAL, Q FIBERGLASS E::] OVERFILL E::] RUPTUREIFAILURE <br /> NG LEAK AGE YRS E2 I STEEL E] CORROSION UNKNOWN <br /> E] OTHER 0 UNKNOWN E:] OTHER 0 SPILL E] OTHER <br /> LU W CHECK ONE ONLY <br /> 0 UNDETERMINED SOIL ONLY F::] GROUNDWATER [::] DRINKING WATER• (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONS ONLY <br /> z fn <br /> a aTE INVESTIGATION IN PROGRESS(DEFINING EXTE <br /> Lo <br /> NO ANT OF PROBLEM) CLEANUP IN PROGRESS SIGNED OFF(CLEANUP COMPLETED DR UNNECESSARY) <br /> U CTION TAKEN 0 POST CLEANUP MONITORING IN PROGRESS 0 NO FUNDS AVAILABLE TO PROCEED 0 EVALUATING CLEANUP ALTERNATIVES <br /> CHECK APPROPRIATE ACTION(S)(SEE BACK FOR DETAILS) <br /> Oz CAP SITE(CD) Q EXCAVATE 6 DISPOSE(ED) REMOVE FREE PRODUCT(FP) Q <br /> ENHANCED BIODEGRADATION(IT) <br /> E5 o <br /> CONTAINMENT BARRIER(CB) F-1 EXCAVATE 6 TREAT(ET) PUMP&TREAT GROUNDWATER(GT) REPLACE SUPPLY(RS)Cc <br /> `5 <br /> TREATMENT ATHOOKUP(HU) NO ACTION REQUIRED(NA) 0 OTHER(01) <br /> Lu <br /> Z q S CSS�n Gu-r� <br /> Hsc os c,671 <br /> � „A <br />
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