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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CHRISMAN
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34243
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3500 - Local Oversight Program
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PR0544502
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
5/29/2019 5:06:53 PM
Creation date
5/29/2019 4:53:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544502
PE
3528
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304-9334
APN
25318004
CURRENT_STATUS
02
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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LHT7 PL'SL:C HEAL:i Sc'2VI=s/S:vj;ZCN?4EMT:.,.,, ;3 0 MUCH <br /> UCST '.CR:SHEc7 FM SITE C;:SiS2E c IALUATiCx <br /> OA-.=j <br /> ucVE.LtL S I TE H I ST CRY <br /> esrrenc?lTesl INol (Permit 3l - Facility Stats Code+ �Doe.SaiL/C"1 C:.ncl cell <br /> 7 moo I <br /> jYtscs'ser sf Tanks at faeiLityl (Age of Tanks(if avaiLao(e)l T f I <br /> ype of Tank Stael F..rgL Sngl Ow ll <br /> i;i. TANK HISTCR7 <br /> IVas lank :es;ec7 eel INoI (Failed rreeision ;est ?ITesI� No <br /> IIf Ya, give dote(s)I I <br /> 1V33 a r, air made ;o the :ank systew? Tesl )ioI IIf yes, What was repeired? <br /> i <br /> Vas repair Cone utter irtspee.. <br /> on?lYes INoI (Vere soil sanptes analyzel?I-eel INoI [BT-,I lT?4-61 ITPH-tll IP=/E]SI l <br /> 'Type of failure/dischArgel I catastrophic I It-V-tare LeakageI Iover'iIII IU*rs.`nI Iother: <br /> 1EIVIAL 4ISTCRT (ATTACH INSPECTICM MOOT FCR SITE 0£TAILS/=LL_{; DAT,( FCR '-:AC32x6 POTMITIAL ANALTSIS) <br /> (Soil Samotes 2ecaivedl7es) INoI/`IDepch to Grxrxd Vacarl 12af/Tear1 ; (Average Atrsal Precipitation A-114 I10-?SI <br /> ICn-Sice L'etLCs)IYes l INeI IXu=er L Type) Ilrrl (Dem', 1publ <br /> S Sc-.re S Sc=r- S <br /> IOis;arta ;o VeLL(S) frac Tank `t: `' Scar- <br /> : f; C tQ ?� C 4 its C 5P is <br /> 0 if 0 if Q if <br /> 2 c-=41-,inn 2 cmoc.'Itiat 2 crt"'itic� <br /> V. ii;e F-azure - Leac:ing Potential Analysis _ is met is met c is met <br /> IMiiniossa OeMtB :o ;mater fr= the Soil Sa=te (feet) >1C0 l lSt-tCQ 17C-50\1 I <br /> in sui::Iurfsea (apoties ;o foothills or mountain areas) I (� I Uhl;,-- ( I?resent I <br /> !Aver-age AtYXSat Pr-:ipitatiaa Cir>G:es) ISI rQ I 91 I :p-� III -t0\Z <br /> jMan-Rate coruits which int.-ease vertical migration <br /> oaf :eat^.a;e ([.a., sr,Jtie systrss, wat:r veils, pa:Cs) I None (Present <br /> 1Uriq.Je site featsrrs: 2ec�.ar;e area, -..ars+ soil, nar=y Walls. I I At Leastl Mor* than <br /> j x i Nett ormi I one I <br /> I <br /> CXL?W TDTAL9»T13TAL POINTS71 Q f . )1 } I -D <br /> Sa=le Aesut-.: (3 T X C2 EJ 2ANGc OF TOTAL POINTSI47 pts or more l :t III- _pts l :Q Pts or less <br /> 3 T X I /3 T �X <br /> 44 Ie4V? 01 j MAXI)!7R ALLCWSL: 3-F-X-c l_°YELS (PPR � t1 :0` 501 50 � ..3 �.3 tJ <br /> Saaala 2esutt: GS j411 1 '�se i PH - / S%G',aorn Q=INEI taco 1 tao , � l ;a <br /> I' nt J P �" AL=ausL_ TPH Lis�(six) � <br /> I M4 645.rllAL.7Pf7° _ /fU IESEL 10,000 lata tQO <br /> TY <br /> « CT'c5: '"if document � <br /> ed soil arrdor ; -�aniaminatian is ~resent, do not ctets ;.'tt Leaccinq ;otantial <br /> M aunatysfs. (i.a., site is c=-rentty on UG-, Contamination List for sail or water.) <br /> \1 If dc"ft is > 5 f`. aha < f-., stn 0 Points. If depth Q5 ft., do not use ;amts. <br /> i \Z If ;Mcipitaticn is > :II int es, scorn O Point=. <br /> ! \3 Levels for 3TXoc' an not aeptinala at a TPH concznt-atfcn of '.II >� <br /> (gasatirx) or t0II Pam CdirsctJ. i <br /> IT.. „AfF 2EC^w1tEYDAT:CK/t /C SSICN d Ot O—ti t4,, <br /> are 3TX 1 _ or PH Coneat.-st:ors > AlLovamle Lmis IWyec 'Nol l '•" � " - �' _ �r <br /> ( <br /> ! 2. 2ecarmenC Sita _.mci:e-=I Teal Nei cif 'es, 2afer to Sit* xitigaticn for cvaltmtienf r , <br /> 2E'/TEL FIALIIATTCt - TO 3E C=Wt--=TM 3T A SLMc-r4VI=/SaIC2 �' t <br /> C=-4C:2 '1ITH a,.AFF .i`a44Et1DAT:C:i _ <br /> TC �iT.. MITi.�aniTCH ;Cit ElALLMiTC311"Eji IYC► <br /> o i <br /> BOAT= iEFc3REDI / /EDA-,. ^^c roc '�iid MAiL�I <br /> i <br /> IHAME CF I I <br />
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