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UAR/PROP 65_PRE 2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231501
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
12/22/2020 4:22:37 PM
Creation date
11/7/2018 12:13:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0231501
PE
2381
FACILITY_ID
FA0003495
FACILITY_NAME
ABF FREIGHT SYSTEMS INC
STREET_NUMBER
2427
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
19817006
CURRENT_STATUS
02
SITE_LOCATION
2427 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\2427\PR0231501\UAR PROP 65 .PDF
QuestysFileName
UAR PROP 65
QuestysRecordDate
8/9/2017 5:23:17 PM
QuestysRecordID
3564098
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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INSTRUCTIONS <br /> EMERGENCY .. <br /> Indi„ata whet tier emergency response per <br /> sohnel and equi Anent were involved <br /> at any time. so, a Hazardous Material Incident Feport tweshoure be Leak Beihe C to <br /> d - Leak suspected at site, but has not has. confirmed. <br /> with the State OT-lice of Emergency vet�i cos (OEn) at.2800 Meadavr,ie filed Prelim--na Site Assessment Work tan Submitta_d <br /> Sacramentq CA ?59 requested of{submitted by responsible arty to datermnnenwhethes.1 <br /> 32. Copies of the CES report fond may be obtained at water has heed, or will he, impacted e e result of the <br /> your local underground Copie � gr"Pd <br /> tL•e OPS report has been filed <br /> tank permitting agency. Indicate whether Preli:ninary Site Pssassment t release. <br /> d as of the date of this report. <br /> Pollution Characterization _rsdeaonsi6lImplementation paetment$titin of workpten. <br /> LOCAL AGENry defining the extent of contallia" on ir. soil and n the <br /> wprocess <br /> oas fussy <br /> —Y imuacts on surface and/or0 <br /> 1'o avoid duplicate notification Aur euant to Health and Safety code Section ground water <br /> hSs iDnaturego�etament employee should sign and data the form in this block. Rernediat'en 'pan r=med= t : 7-an subni tied e:aluatfng long term <br /> xemedlation o tions proposalrd implement.a-ticd schedule for a <br /> K here dies not mean that the leak Y.as beer, determined to r'amediation options also suba;i tted, <br /> significent threat to h pose a appropriate <br /> procedures have Sem omen health ax safety, only that notification Cleanup G d - - implementation of renediatiott'plan. <br /> followed if real red. Post Cleanup Molitor- - <br /> periodic ground :nater or other <br /> REPORTED BY m --td g a site as necessary, to verifS <br /> Enter your name, telephone or remedial activities y and evaluate effectiveness <br /> ' providep company <br /> and address. Indicate which party you Case C10s u - regionar board and local agency m can<urren ce that no <br /> present anu coin an or agency na=.a. further work is 9'Onneceas abs at the site. <br /> �SPL'NSI I?PCRT_ANT: THE INFORMATION PROVIDED ON ;HIS FOrM IS INTENDED FOR GENERAL <br /> Enter name, telephone number, contact person, and address of the party STATISTICAL <br /> P;RPO5ES Oi#I-Y AND r5 NOT SO BE CONSTRUED AS Owners ibis for the Leak. The responsible party would normal' be <br /> owner. OFFICIAL POSITION 0r' ANY GOVERhT-ENTAL AGEt#CY REPR;.SENTSNG THE <br /> =Y' the Lank <br /> SITE LOCATION RE[mDIAL ACTION <br /> Enter ir:focQ- o. Indicate which action have bean used t0 cleanup or ra�nedi ate h <br /> roKarding the tank facility. AL a minimum..you must Descriptions of options follow: the leak. <br /> Provide the fa lL ty name and full address <br /> IMPLEMENTING AG - Can Site - instal' horizontal imparmeable layer to reduce rainfall <br /> —CIES - infiltration. <br /> Enter Envo names of the local agency and pap:cnal Neter le"t' Control Board - ------.___ - install vertical dike to block horizontal moveaar:i, <br /> involved. Containment Barrier <br /> contamfnadt, <br /> SUBSTANCES u DD Excavate mr' Di - remove contmninated sail and dispose it a <br /> Enter the name and quantity last of the ha .,i te. approved <br /> zard0us aubsbance involved. Ronin Excavate and Treat - remove contaminated sail and treat (ircludas z,rced:tip <br /> is Provided For rnfcrmat'_on an two substances if- appropriate. If more than ar lazxd farming) <br /> two substances leaked, list the two of most concern for cleanup. <br /> Remove Flea Product load, <br /> P� an—G d remove floating product from water table <br /> ProvideIn formation - - generally employed to remove dissolved <br /> Provide Information t+cn regarding the discovery and abatement of_the leak, - con tam=n ants. <br /> _nhanced Biod- d- - ase of any ava;.labla technologyto <br /> SOURCE/CAUSE - paetenal decomposition of contaminants. pr.pronto <br /> Indicate source's) of leak. Rep'.ap S Only - provide alternative water supply to affected <br /> Check bo.t(es) indicating cause o£ Leak. T. lace,tuaoki�y _ install water treatment devices at each dwelling or <br /> E TYPP, - <br /> other place 0f use. <br /> Indicate the case type cele or f Vacuum Extract - use pumps or blowers to draw air through soil. <br /> type is based 0n the most eg'ory- or this leak, Check one box only. Case Vent Scil - bore holes in soil to allow volatil' K <br /> both soil and ive resource affec ped, For example, if He Action Re ization of contaminants. <br /> ground water have incident is minor, requiring no remedial ac ti ntt. <br /> Water". Indicate "DriN:Lrg hatereeonlyfectif ene case type <br /> municipal or <br /> or ape will be Ground CO�FIENTS - Use this 'Pace to elaborate an any aspects of th=_ <br /> domestic water wells have actually been affected. A "Growid Water" P y <br /> designation doss net imply that the affected water cannot be, or is not, incident. <br /> used for drinking water, but only SIGNATURE - Sign the form in the space Provided. <br /> affected. Zt is understood that case typo <br /> welts have not yet been - <br /> iuvestigatian. may change upon further DISTRIEUTICH <br /> if tie fern is completed by the talk owner or Iris agent, -plain the !.est copy <br /> CURRENT ST<TUS and forward the remaining copses intact to your local tank permitting agency <br /> Indica s th category which best for di stn wt-an <br /> Check one ox onl decor res th=_ current status of the t_ ^rib'nal. - Local Tank Permittin A <br /> Y The.response should he relative to-the e case. 2. St-r_ Water Resources Control K Agency <br /> e.c<,ip1 11 case type s 'Ground Water than 'Car aht St.afus as type. <br /> reFor Beard, Drors_an of Clean Water u <br /> Lit the r. ..us c� t: _ Underground Storage Tank Program, P.O. BOOSacramento- <br /> Lit <br /> rograns, <br /> g..eand water inve Ligation-or cleanup. as apposed to 2120 <br /> 94v:12, Sadras:entaCa 942 4 <br /> that of oi.L. Des riper ohs of options follow. - <br /> '. Rfp:u,ial 4#ate2 Qr-lit} Can tral Board <br /> Ho Ac - <br /> e.' Local Health Dffi er and County IorSuper_ vr= their 3e <br /> F^ee to <br /> No action has beat, by resnons'ble perry hw0L=ak. rd 7roan G rcti.icstion. .aieryrsrmnsible <br /> party. <br />
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