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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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FREMONT
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2804
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3500 - Local Oversight Program
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PR0545172
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
1/13/2020 10:53:12 AM
Creation date
1/13/2020 10:43:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545172
PE
3528
FACILITY_ID
FA0009349
FACILITY_NAME
DIESEL PERFORMANCE INC
STREET_NUMBER
2804
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14343001
CURRENT_STATUS
02
SITE_LOCATION
2804 E FREMONT ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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rUNDERGROUND STORAGE"NK UNAUTHORIZED RELEASE (LEAK)1 CONTAMINATION SITE REPORT <br /> NAS STATE OFFICE• ERG SERVICES Fpg LpCALAGENCY U5E'Q! <br /> p,�ERGEil <br /> NCY - REPORT BEEN FRED? 3}iEFiEEY CfRTiF1`THAT!ANI <br /> {GMATF�G{1VElaNMENt EMPLOYti E AND THl1� <br /> YES ❑ REEREIRYD TRIS IHF>7NMATTON To iAcal.flfFiCFNS PURSL)At[i TO SECTION 2Si807 QF <br /> ❑vEs THEHFAITR COpE; <br /> CASESx <br /> - REPORT DATE <br /> QS+GN81 s . <br /> " Y g Y PHONE SIGNATURE <br /> NAME OF INDIVIDUAL FILING REPORT <br /> �L REGIONAL RD Rec.d� <br /> l C�'I y�� s COMPANY OR AGENCY NAME 1 <br /> G I r„u I1 1 �l� l G <br /> o REPRESE ❑ 0 NERIOPERATOR. ❑ BOA <br /> o0 OCALAGENCY ❑ OTHER ( �/y� Sp-Q <br /> c / <br /> ¢ ADDRESS <br /> � G / `r STATE ZR <br /> CONTACT PERSON !PHONE 11 t <br /> NAME ❑UNKNOWN { 1 <br /> mFn <br /> � <br /> aADDRESScrTY STATE aP <br /> sTaEEr OPERATOR PIAN£ <br /> FACILITY NAME(SF APPUCABLE) 1ynG { <br /> ;I !D ie !3 ,0,11 <br /> -f% <br /> �y ADDRESS Q C/ E <br /> o p� $ TYPE OF AREA ❑COMMERCIAL ❑INDUSTRIA! ❑RURAL .❑O w� T ! D Cm TYPE OF BUSINESS <br /> w RETAIL FUEL STATION <br /> N CROSS STREET ❑,FARM ❑ OTHER <br /> l ' e ❑RESIDENTIAL [D OTHER <br /> j PHONE.I AGENCY NAME CONTACT PERSON �"{y <br /> : LOCALAGENCY �Q��' do�u /!�� ��DI'/A- —3 <br /> �-�(Y ;C + 1 PHONE <br /> W� ltm�oa �c+ rr <br /> w w REGIONAL BO <br /> L <br /> C U \ QUANTITY LOST(GALLONS) <br /> �. <br /> t <br /> NAME t— NKNOWN� Lam" <br /> y `1 <br /> die!e se l Slk <br /> I Vo <br /> h <br /> 0 ❑ UNKNOWN <br /> w SUBSURFACE FAONRIJRIh1G ❑ NuLW4CE CONDITIONS <br /> DATE DISCOVE RED HOW DISCOVERED ❑ INVENTORY CONTROL ❑y q, <br /> um, <br /> /� ❑ TANK TEST TANK REMOVAL APPLYI <br /> IyJ OAR <br /> {' m V M u D ° Y Y ❑ METHOD USED TO STOP LtSCHARGE{CHECK ALL THAT <br /> DATE DISCHARGE BEGAN UNKNOWN ❑ REMOVECONTENTS ❑ RV LACE TANK ❑ CLOSE TANK <br /> C� w M ra ° ° Y Y ❑ REPAIRTANK ❑ REPAIR PIPING ❑ OHANGE PROCEDURE <br /> > HAS DI HARGE BEEN STOPPED? ❑ OTHER <br /> p YES ❑ ND 1F YES,DATE w� uI ° 01 Y Y MATERIAL C{USE(S) <br /> TANKS ONLYjOAPACITY ❑ pVERF0.L ❑ RUpTURE1FAILURE <br /> m SOURCE OF DISCHARGE GAL• VOORGiAS g ��I WN <br /> TANKLEAK ❑ UNKNOWN CORROSM � O YRS TL <br /> ❑ PIPING LEAK AGE ❑ SPILL ❑ OTHER <br /> UNKNOWN ❑ OTHER <br /> q_ ❑ OTHER - - . <br /> Y ❑ •AV=ACTUALLY BEEN AFFECTS <br /> CHECK ONE ONL <br /> Lu1-1GROUNDWATE <br /> UNDETERMINED SOIL ONLY <br /> R DRINKING WATER. (CHECK ONLY IF WATER WELLS 1 <br /> �� ❑ <br /> CHECK ONLY ❑ SIGNED OFF PLEANUIP COMPLETED OR UNNECESSARY► <br /> ~ N1NG EXTENT OF PROBIEM) ❑ CLEANUP IN PROGRESS <br /> w�2 OSITE INVESTIGA r*N.1N PROGRESS lel ❑ EVpL TII�(;CLEANUP ALTERNATNES <br /> a POST CLEANUP MONITORING IN PROGRESS ❑ TID FUNDS AVA!AELE TO PROCEED <br /> D H ❑ NO ACTION TAKEN ❑ <br /> CHECK APPROPRIATE ACTION(S)(SEE BACK FOR DETAILS) emmANCED 810 DEGRADATION(IT) <br /> _ ❑ EXCAVATE&DISPOSE(ED) ❑ REMOVE FREE PRODUCT{FP} ❑ <br /> 1 e 5 O ❑ CAP SITE(CD) - PUMP 6 TREAT GROUNDWATER(GT) ❑ I,4CE SUPPLY(RS} <br /> I ❑ CONTAINMENT BARRIER(CB). ❑ EXCAVATE a TREAT(ET) E] <br /> } x TREATMENT AT HOOKUP 00 ❑ NO Ai LuCTION REQUIRED{NN ❑ OTHER{OT} <br /> r'eSu l -s h �G( <br /> p�Y1 <br /> ; te. ;^ev ' ery �evea [e� Na � � h Re e_/ s suh "'' `` <br /> mar s i & a e R, 7"a� 1� r ern � - <br /> w os;4- ,� —For 257"X) a&5adp;Ps� l eraSe� e_ <br /> � w <br />
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