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Environmental Health - Public
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EHD Program Facility Records by Street Name
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4131
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2900 - Site Mitigation Program
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PR0545312
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Entry Properties
Last modified
2/11/2020 10:23:11 PM
Creation date
2/11/2020 9:25:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0545312
PE
2955
FACILITY_ID
FA0004989
FACILITY_NAME
MINYARD EXCAVATING
STREET_NUMBER
4131
STREET_NAME
INDUSTRIAL
STREET_TYPE
WAY
City
TRACY
Zip
95304
APN
21220007
CURRENT_STATUS
02
SITE_LOCATION
4131 INDUSTRIAL WAY
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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\ ~ <br /> \ / <br /> � <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELE'�SE(LEAK)I CONTAMINATION SITE REPOR <br /> EMERGENCY HAS STATE OfFK)E OF EMERGENCY SERVICES <br /> REPORT BEEN FLED 7 FOR LOPALAGENCY USE ONLY <br /> L] YES NO YES WEREBY CERTIFY.THAT:17Ad k OE 'A.NO THAT <br /> T±15 HEALTH ANO:SAFTY 6WE <br /> ;IEPORT DATE <br /> CASES <br /> 0 t4 SOGNED:x <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGNATU���-j <br /> w OWNERIOPERATOR REGIONAL BOARD COMPANY OR AGENCY NAME <br /> 10 <br /> ADDRFSS <br /> SThEET STATE 121P <br /> L9 NAME CONTACT PERSON PHONE <br /> Lh UNKNOWN <br /> w IL <br /> STREET 1 11 STATE ZIP <br /> FACILITY NAME(IF:APPLICABLE) u OPERATOF.t P <br /> HONE <br /> AODRFSS <br /> ZIP <br /> CROSS STREET 0 TYPE OF AREA COMMERCIAL 0kf INDUSTRIAL RURAL TYPE OF BUSINESS D RETAIL FUEe"STATION <br /> c- E:]RESIDENTIAL E::]OTHER FARM <br /> OTHER <br /> LOCALAGENCY AGENCY NAME CONTACTIPERSON ii PHONE <br /> W REGIONAL BOARD 'v <br /> PHONE. i <br /> ce <br /> NAME .0UANTTf LOST(GALLONS) <br /> 12) <br /> DATE DISCOVERED NOW DISCOVE <br /> ING <br /> RED INVENTORY CONTROL SUBSURFACE MONITOR NUISANCE CONDITIONS <br /> -+-.I EJ TANKTFST TANKREMOVAL OTHER <br /> DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPL-. <br /> > 01 DI Yl UNKNOWN REMOVE CONTENTS REPILA(-�E TANK CLOSE TMK:li <br /> HAS DISCHARGE BEEN STOPPED?. <br /> AEPAIRTANK REPAIR PIPING <br /> 1. 19 . r: CHANGE PROCEDURE <br /> YES Ej NO�.F YES.DATE mL71m� jr.. OTHER <br /> TANK LEAK <br /> IYOWN FI R78 <br /> GAL. FIBERGLASS <br /> OVERFILL <br /> PIPING LEAK ii [D RUPTUREIPAILUIRE <br /> S= ROSION <br /> CHECKONEONty. SPILL OTHER <br /> UNDETE <br /> CHECKONIE0 '�OJIL ONLY GROUNDWATER- D.RLNKlWlq WATER (CHECK ONLY F WATER WELLS HAVE ACTUALLY BEEN AF <br /> 'E AC ALLY BEEN AF <br /> ROGRIESS(DEFININGI EXTENT OF PP <br /> NO- AC"TAKEN. AF <br /> CHECK APPROPRIATE &ACK FOR DETAILS) FUNDS AVALABLE To PROCEED 0 EVAILU"ATINGCLEANupALTEFINA�Trta <br /> CAP SITE CI)) <br /> EXr <br /> VATE&DISPOSE(ED) <br /> CONTAINMENT BARRIER(CB) ED EXCAVATE a TREAT ENHANCED BIO DEGRADATION(IT) <br /> PUMP A TREAT GROUNDWATER(G-r) <br /> TREATMENT AT'HOOKLIP NO�CTION Rr:O' UIFtED(NA) cl IT IW El R��LXE SUPPLY(Rs)' 21�: <br /> E3- OT14ER(07) <br /> � vw � <br />
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