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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FREMONT
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1617
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2900 - Site Mitigation Program
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PR0505663
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SITE HISTORY
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Entry Properties
Last modified
1/9/2020 11:40:08 AM
Creation date
1/9/2020 11:29:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0505663
PE
2950
FACILITY_ID
FA0006930
FACILITY_NAME
ARCO PRODUCTS CO #5450
STREET_NUMBER
1617
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13511015
CURRENT_STATUS
02
SITE_LOCATION
1617 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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�i <br /> Lk I <br /> I <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)1 CONTAMINATION SITE REPORT' <br /> .I <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOR LOCAi'AMCY USEONLY <br /> REPORT BEEN FILED? <br /> 0 YES NO [] YES [] NO 1 HEREBY CEFMF.YTHAT 1:WE Di$TM9Q'tED.THIS 3NFORMATION AGCOH131NG,TO THE <br /> DISTRIBUTION SHOWN ON THE INSTRUCTION SHEU ON THE BACK PAGE DF THIS FOAM <br /> REPORT DATig <br /> U <br /> FCASE�(0m M� .. DATE <br /> NAME OF INDIVIDUAL FILE G REPORT PHONE SIGNATURE <br /> w REP SENT$ OWN PERATOR Q REGIONAL BOARD COMPANYtt OR AGENCY NA//ME ,�•_ r <br /> LOCAL AGENCY OTHER . Z11 �]C Q 1 V, l�G k l- 6-'o ren me'►�` .{ �a <br /> Lu <br /> Cc A DRESS <br /> 30L[ 3r�l Po6rZlP <br /> 95p <br /> 3TTiEET STATE <br /> w NAME CONT TPERSON PHONE <br /> ❑ UNKNOWN <br /> i <br /> -76 COL a ADDRESS D �7_ �E !' `*r. CC � ! (J <br /> w tf�/ <br /> ¢ :Er CITY STATE zip <br /> STR <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> } <br /> o aooaess 1 r r l �j � ��'+�1Zr- ,5 Q <br /> i tQ i <br /> Lu <br /> STREET CITY COUNTY !P <br /> y CROSS TREET <br /> U LOCALAGENCY AGENCY NAME CONTACTPERSON PHONE <br /> ~L, :: v, o f2�+` ) � '34r <br /> w U <br /> Lu 4 a REGIONAL 90 ��. ` HONE ) <br /> y (�} NAME QUANTITY LOST(GALLONS) <br /> LU <br /> U 56 I a UNKNOWN <br /> z <br /> FJ <br /> m z (2) <br /> Z) <br /> UNKNOWN <br /> DATE DESCOVERED HOW DISCOVERED INVENTORY CONTROL SUBSURFACE MONITORING NUISANCE CO ➢ITIONS O <br /> "' r a I , Q TANK TEST TANK REMOVAL OTHER { /+� i a <br /> V ��q <br /> 11 M D Y Y <br /> a DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT PLY) ) <br /> UNKNOWN REMOVE CONTENTS Q CLOSE TANK L REMOVE E::]REPAIR PIPING <br /> Lu M M D D Y Y k <br /> p HAS DISCHARGE BEEN STOPPED? REPAIR TANK O CLOSE TANK 8 a FILL IN PLACE CHANGE PROCEDURE ,..� <br /> o YES E] NO IF YES,DATEr REPLACE TANK 0 OTHER <br /> 19 M $.� o yl <br /> SCLIRCE OF DISCHARGE CAUSE($) <br /> wEl RUPTUREIFAILURE ❑ SPILL <br /> � � TANK LEAK' 7 UNKNOWN E] OVERFILL , <br /> 0 U PIPING LEAK OTHER [�j CORROSION UNKNOWN OTHER <br /> Lu w EC ONE ONLY <br /> UNDETERMINED SOIL ONLY E] GROUNDWATER DRINKING WATER -(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> ECK ONE ONLY <br /> w NO ACTION TAKEN PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED 0 POLLUTION CHARACTERIZATION <br /> Cc LEAK BEING CONFIRMED PRELIMINARY SITE ASSESSMENT UNDERWAY POST CLEANUP MONITORING IN PROGRESS <br /> U REMEDIATION PLAN O CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) 0 CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) EXCAVATE&DISPOSE(ED) Q REMOVE FREE PRODUCT(FP) ENHANCED BIO DEGRADATION(IT) <br /> ism e.0 fog WTALM <br /> C z 60 CAP SITE{CD) Q EXCAVATE a TREAT(E1)Lu <br /> Q PUMP a TREAT GROUNDWATER(GT)[:] <br /> REPLACE SUPPLY(RS) <br /> a F-] CONTAtNMENT BARRIER(CB) NO ACTION REQUIRED(NA) TREATMENT AT HOOKUP(HU) VCN7 SOIL(VS) <br /> ¢Lu <br /> El VACUUM EXTRACT(VE) OTHER(OT) <br /> +1 o <br /> z U <br /> w <br /> 0 <br /> U <br /> HSC a5 W90) <br /> a <br />
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