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���r / <br /> UNDERGROUND STORAGE`1M4K UNAUTHORIZED RELEASE (LEAK)It&TAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOR LOCAL AGENCY.USE ONLY 3 p <br /> REPORT BEEN FILED?❑ <br /> YES � NO YES ❑ NO THEREBY CEHfIFYTHA73 HAVE DISTRIBUTEOTHIS INFORMATION ACCORDINGTO THE�. <br /> ;DISIHISUTK7N:SHOWNCN THE.WSTRUCTION SHEET.ON THE.BACK.PAGE OFTHIS:FORM <br /> REPORTOATE CASE/ - <br /> 0.1 0ES-1010617 �V <br /> SIGX DATE <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SI RE <br /> Lynda S. Chalom (714 )572-7589 VA <br /> m <br /> f <br /> w REPRESENTING El OWNERIOPERATOR ❑ REGIONALBOARD COMPANY OR AGENCY NAME <br /> S ❑ LOCALAGENCY ❑ OTHER Unocal Corporation ) <br /> a ADDRESS ` <br /> 2929 East Imperiall�Highway, Room 2106 �m Brea, California 92621 t[{ <br /> w NAME CONTACT PERSON PHONE <br /> sUnocal Corporation ❑ UNKNOWN Edward Ralston (10 )277-2311 <br /> 0a y ADDRESS (� <br /> 2000 Crow Canyon�PlaceREff , Suite 400 San Ramon California 94583 f\� <br /> FACILITY NAME(IF APPLICABLE) OPERATORPZIP <br /> H g <br /> Unocal Service Station 45886 Darrell Eppler ( g l 473-7337 <br /> a ADDRESS �L <br /> 9 2701 West March Iffilge Stockton, California 95207 <br /> m <br /> C" wuN ZIP 1 <br /> y CROSS STREET <br /> I-5 <br /> O LOCALAGENCY AGENCY NAME CONTACT PERSON PHONE ) <br /> San Joaquin County Public Health Ron Rowe '(209) 468-034 F09 )468-3420 <br /> w M REGIONAL BOARD PHONE <br /> 3 � <br /> m (1) NAME QUANTITY LOST(GALLONS) <br /> �w Ballast Water ** <br /> a J UNKNOWN <br /> yz m dated 10/25/95 for quantity** 1, <br /> ❑ UNKNOWN <br /> i DATE DISCOVERED HOW DISCOVERED ❑ INVENTORY CONTROL ❑ SUBSURFACE MONITORING ❑ NUISANCE CONDITIONS <br /> w 1 � OM 2d 3D 9Y S, ❑ TANK TEST ❑ TANK REMOVAL ® oTHERTrenching equipment <br /> ak <br /> m DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPL <br /> a <br /> 1 0 2 3 9 5 ❑ UNKNOWN ©REMOVE CONTENTS CLOSE TANKB REMOVE E::]REPAIR PIPING <br /> p HAS DISCHARGE BEEN STOPPED? ❑REPAIR TANK ❑CLOSE TANK d FILL IN PLACE E:]CHANGE PROCEDURE <br /> o ® YES [:] NO IF VES,DATE ]M� 0 W 2 .1 3 9 ,1 5, ❑REPLACE TANK ❑OTHER <br /> SOURCE OF DISCHARGE CAUSE(S) 1 <br /> jQM TANK LEAK F7UNKNOWN f7OVERFILL ❑ RUPTURE/FAILURE E] SPILL ; <br /> y0 ❑ PIPING LEAK ❑ OTHER ❑ CORROSION ❑ UNKNOWN OTHEPPuncture <br /> w6 CHECKONEONLY <br /> ❑ UNDETERMINED ® SOILAWN g GROUNDWATER ❑ DRINKING WATER -(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECKONEONLY <br /> i Z ❑ NO ACTION TAKEN ❑ PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED ❑ POLLUTION CHARACTERIZATION <br /> jy ❑ LEAK BEING CONFIRMED PRELIMINARY SITE ASSESSMENT UNDERWAY ❑ POST CLEANUP MONITORING IN PROGRESS <br /> O ❑ REMEDIATION PLAN ❑ CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTIONS) ❑ EKCAVATE 6 DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIO DEGRADATION(IT) <br /> esu rwo�x�uL <br /> a i ❑ CAP SITE(CD) ❑ E)CCAVATE 8 TREAT(ET) ❑ PUMP d TREAT GROUNDWATER(GT)❑ REPLACE SUPPLY(RS) <br /> ❑O <br /> w< ❑ CONTAINMENT 13ARRIER(CH) ❑ NO ACTION REQUIRED(NA) ❑ TREATMENT AT HOOKUP(HU) ❑ VENT SOIL(VS) <br /> m ❑ VACUUM ExnACT(m R3 OTHER(OT) Will be based on preliminary site assessment <br /> finaings <br /> Full report from Delta Environmental will be submitted to your <br /> office no later than 10/27/95 . <br /> 8 42 <br /> ��m L <br />