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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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3500 - Local Oversight Program
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PR0545153
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
1/9/2020 3:27:57 PM
Creation date
1/9/2020 3:18:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545153
PE
3528
FACILITY_ID
FA0006368
FACILITY_NAME
WASTE MANAGEMENT OF CALIF INC
STREET_NUMBER
2150
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2150 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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. <br /> . I. <br /> •' UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE(LEAK)!CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OOF SERv�cEs FORLOCALAGENCYUSE ONLY <br /> FFICE - <br /> REPORT BEEN FLED 7k HERESY L*ATIFY T-HAT.l-:AM(A OESMATEO GO'VERNMW.EM.... .AND THAM 1 NAVE <br /> E] YES NO YES ❑ ND REPARTED ttlS;;RiFOFiMnnoN TO, OCAL tlFF1CVLLS PilRSUWiT,Ta S7=Cf10N 251807 flF: <br /> REPORTDATE <br /> CASE s THE}iEA4Tli AND 'COnE <br /> 0 III p Q' ;.,-_:ATE <br /> NAME OF INDIVIDUAL FLING REPORT PHONE SIGNATURE ! <br /> C o o� y6� � Nro <br /> �i COMPANY OR AGENCY NAME <br /> REPRESS p OWNFWOPERATOR p REGIONAL BOARD _ r� • �y' <br /> LOCAL AGENCY p OTHER //fLC /G rf +aC/�l//CSS y i <br /> rs \1 <br /> ADDRESSry <br /> CONTACT PERSON PHONE <br /> NAME _ y 1 -O!�] <br /> y ❑ UNKNOWN N�Jh ScD ! �I r V <br /> a <br /> ADDRESS _ ` cv-7-//I C4 9•S1o� `1 <br /> : �7 cmr STATE P r <br /> / N +. , PHONE <br /> FACILITY NAME(F APPLICAME) OPERATOR <br /> ADDREss �fcAon .51/I GLt�44 <br /> CROSS STREET TYPE OFARFJI COMMERCIAL❑NOU$TR41L p RURAL TYPE O�FBUWI p RETAIL FUEL STATIONp RES�ENTIAL ❑OTHER ❑ MER <br /> AGENCY NAME - CONTACT PERSON PHONE r;' r� {, <br /> � .LOCAL AGENCY , r,LN : `. <br /> t� PHONE <br /> REGIONAL BOARD <br /> lz <br /> NAME auANraY LAST(GAl10NS) <br /> Lu <br /> u vy x7le /s <br /> , 3 � [ ❑ TANKTE^ST I:. <br /> DAIS <br /> DAZE DISCOVERED NORY CONTROL ❑ SBURACE MDNIfaRm _ pNmANcE CORRED pK <br /> REMOVAL E] OTHERIO. !� DISCHARGE(CHECK ALL THAT APPLY <br /> DATE DISCHARGE METHOOUSEOTOSTOP a' <br /> y - '.. - - ❑ FEMOVE CONTENTS ❑. REPLACE TANK- ❑ CLCISE TANK t{. <br /> R TANK .; ❑- IiE PI PP.Nf3 ❑ CHANCE PROCEDURE <br /> HAS DISCHARGE BEEN STOPPED? <br /> ❑ YES ❑ NO FYES,DATS Y= y OTHER w <br /> SOURCE OF DISCHARGE TANKSONLYrAPACIZY MAlER1AL M <br /> p TANK LEAK UNKNOWN �. GAI ❑ ' : ❑ OVE�L ❑ PUNtEOFAl URE, <br /> PpmtEJ1K AGE, -YRS' p CORROSION MWC1Mi` <br /> ❑ OTHER <br /> OTHER ❑ UNOIOWN [:] OTFIEXt C3 vu ❑ <br /> CHECK ONE ONLY ` <br /> ❑ !'OFiINKflVCi WATER (CF6GK NLY OF WATER WELLS HAVE ACTUALLY BEEN AFFCTE% <br /> UNDETERMINED SOIL ONLY p GROUNDWATER ❑ - <br /> CHECK ONE ONLYI? 14 <br /> ❑ SITE INVESTIGATION IN PROGRESS(DEFINING EXTENT OF PROBLEM) ❑ CLFANTIR IN PROGRESS p sNONFA OFF(GLEANRJP COMP!ET>rD oR uNNEcassARY3 <br /> ago <br /> ACTON TAKEM p POST CLEANUP MONIT Am IN PROGRESS ❑ NO FUNDS AYALABLETO PROCEED ❑ EVALUATIN12CLEAN P ALTERNATIVES r� - <br /> r <br /> CHECK APPROPRIATE AOI(S-EE BACK FOR DETAILS► 1. ? <br /> p CAP SfEE(COy F-1 EXCAVATE a DISPOSE M :� C- REMOVE FREE PRODUCT(F7) ❑ ENHANCED BIO DEGRADATION 1113 <br /> F-1 <br /> CONITAINaAENT BARRIER(CBI ❑ EXCAVATE a TREATIE13 <br /> ❑ P a TREAT GROUNDWATER(a!T3, REPLACE SUPPLY(RSf <br /> ❑ TREATMENT AT HOOKLIF(FIN) ❑ NO ACTION REQUIRED PLA) OTHER 1073 <br /> r•I <br /> ex <br /> / fI - <br /> eQ� m r rtl� <br />
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