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SITE INFORMATION AND CORRESPONDENCE FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2151
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3500 - Local Oversight Program
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PR0544592
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Last modified
6/21/2019 3:50:49 PM
Creation date
6/21/2019 1:20:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0544592
PE
3526
FACILITY_ID
FA0009449
FACILITY_NAME
COUNTRY CLUB TIRES AND MUFFLER
STREET_NUMBER
2151
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308030
CURRENT_STATUS
02
SITE_LOCATION
2151 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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BOULEVARD AUTOMOTIV" Page 1 of 2 <br /> LTCP Checklist GEOTRACKERHOMEIMANAGEPR---IREPORTSIB dol LQ= <br /> BOULEVARD AUTOMOTIVE(70607700030)-MAP THIS SITE OPEN-ASSESSMENTS INTEWMRE1f®IALACTION <br /> 2151 COUNTRY CLUB BLVD ACTIVITIES REPORT amuI"ER.SI HT LOPS I�,-CASE if 2424 <br /> STOCKTON,CA 95204 CASEWORKER:L'SA MEDINA-SUPERVISOR:ADRIENNE ELLSAESSER <br /> SAN JOAQUIN COUNTY PUBLIC BPA CENTRAL VALLEY RMCB(REGION 5S)-CASE S.390044 <br /> CASEWORKER:JAMES SARTON-SUPERVISOR:CORI CONDON <br /> MEW B SUMMARY FOR THIS SUE <br /> CUFCbM8:1292 CUFPmsrKy Asagrvu:B CUF Amewt Paid:vL44t.M <br /> THIS PROJECT WAS UST MODIFIED BY LI MFIHMA ON&120131:39:24 PM-HISTORY <br /> THIS SITE HAS SUtMIITTALS,CUCKHEBE TO OPEN A NEW WINDOW WITH WE SUBMIWALAPPROVAL PAGE FOR THIS SITE. <br /> CLOSURE POLICY THIS VERSION IS IN PROGRESS AS OF 8/112013 wIECIGUSTINMATEDONa1rzm3 CLOSURE POUCY HISTORY <br /> General Criteria-The site satisfies the policy general criteria-c"secnDN ANSWER NO <br /> a.Is the un iulhoru ed release located within the pawiti,area of a ublicwaters stem? <br /> —v-YES f NO <br /> Named Water Systematwater <br /> : C <br /> b.The unauthorized release consists only of petroleum itbl. :L -PES r NO <br /> c.The unauthorized('primary')release from the UST system has been slopped. -a-YES r NO <br /> d.Free product has been removed to the maximum extent practicableif rife). r FP Not Encountered r YES p9i/NO <br /> e.A Conceptual site model that assesses the nature,extent,and mobility of the release has been developed QD(g). .rR'YES C NO <br /> I.S rdary source has been removed to the extent Practicable <br /> Impediment to Removing Secondary Source(Check all that Apply): <br /> F Remediation Has Not Been Attempted <br /> rRemediationWas Designed Incorrectly r YES G NO <br /> r Remediation Was Shut Off Prematurely <br /> F-Poor Remediation O&M <br /> Other - 11SC0 remediaton in pace <br /> g.Soil or groundwater has been tested for MTBE and results reported in accordance with Health and Safety Code Section C Not Required *1 ES r NO <br /> 25296.15. .�..'� / <br /> h.Does a nuisance exist,as darned by Water Code section 13050. r YES M--1RO <br /> 1.Media-Specific Criteria:Groundwater-The contaminant plume that exceeds water quality objectives is stable or decreasing in areal extent,and NO <br /> meets all of the additional characteristics of one of the five classes of sites listed below.-CLEAR SECTION ANSWERS <br /> EXEMPTION-Soil Only Case(Release has Alij Affected Groundwater-Info) C YES 9-NO <br /> Does the site meet any of the Groundwater specific criteria scenarios? r YES ra NO <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteda: <br /> Plume Length(That Exceeds Water Qplity Objectives): I`I, 1` <br /> r t 100 Feet and<250 Feet 250 Feel and<1,000 Feet r z 1,000 Feet r Unknavn <br /> Plume is Stable or-Decreasing in AREAL Extent: <br /> C No C Unknown <br /> FreeProduct in Groundwater <br /> 9 Yes r No r Unknown <br /> Free PP uct Has Been Removed to the Maximum Extent Practicable <br /> o Y\� Unknown <br /> For sites with tree product,Ne Plume Has Been S able or Decreasing for 5-Years(Info) <br /> r No r Unknown <br /> For sites with free product,owner Willing to Accept a Land Use Restriction(if required): <br /> r No C Unknown <br /> Free Product Extends Offsite <br /> r Yes r Unknown 0 1- <br /> Benzene Concentration: <br /> C It 1,000 pgll and<3,000 pgt ,000 pgll r Unknown <br /> MTBE Concentration: <br /> r t 1,000 pgll r Unknown <br /> Nearest Supply Well(From Plume Boundary): M� S <br /> Zlo 3 CG B) RS - y,.rll l2a W.rF }1r% s� <br /> r 1250 Feet r>250 Feet and 5 1,000 Feet r Unknown <br /> Nearest Surface Water Body(From Plume Boundary): <br /> r s 250 Feet r >250 Feet and s 1,000 Feet r Unknown <br /> 2.Media Specific Criteria:Petroleum Vapor Intrusion to Indoor Air-The site is considered low-threat for the vapor-intrusion-toairpathway,ifsite- NO <br /> specific conditions satisfy items 2a,2b,or 2c-cIEAR SEcnoN ANswERs <br /> EXEMPTION-Active Commercial Petroleum Fueling Facility r YES NO <br /> Does the site meet any of the Petroleum Vapor Intrusion to Indoor Air specific criteria scenarios? C YES r NO <br /> ADDITIONAL QUESTIONS-Please indicate only those conditions that do not meet the policy criteria: <br /> Soil Gas Samples: <br /> https://geotracker.waterboards.ca.gov/regulators/screens/closure_poliey.asp?global_id=T06... 8/1/2013 <br />
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