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UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) CON�T�ALJ <br /> ,!NATION.,StTE REPO <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES 'FORLOCALAGENCTUSE <br /> REPORT BEEN FILED 7 <br /> E] YES [ ] NO ❑ YES NO .1 HEREBY CERTIFY.THAT.t..HAVE DISTRIBUTEDTHI S INFORM <br /> ATION ACCORDING TO THE <br /> DISTRIBUTION SHOWN ON THE INSTRUCTION SHEET ON THE BACK.PAGE OF THIS FORW <br /> REPORT DATE CASE*- <br /> 0 4 M 2 8 9 2 <br /> y :SIGNED <br /> DATE <br /> NAME OF INDIVIDUAL FILING REPORT PHONE <br /> > Corrina M. Dominguez ( 510) 602- <br /> cc -1 REGIONAL 1 t2_ <br /> LOU REPRESENTING OWNERIOPERATOR BOARD COMPANY OF AGENCY NAME <br /> T <br /> Cr <br /> ❑ LOCAL AGENCY 0 OTHER Kaprealian Engineering, Inc. <br /> cc ADDRESS <br /> 2401 Stanwell Drive <br /> S,Suite 400 Concord California 94520 <br /> Er CITY STATE ZIP <br /> LU NAME CONTACT PERSON <br /> zUnocal Corporation ❑ <br /> Keith Bullock 277-2321 <br /> 0 UNKNOWN cc <br /> COL a ADDRESS <br /> cr ul 2000 Crow Canyon Place, Suite 400 San Ramon California 94583 <br /> STREET CITY STATE 7P_ <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> Z 0 Unocal Bulk Plant # 0950 Vacant PHONE <br /> ADDRESS <br /> 9 2835 Navy Drive STREET Stock�gn San Joaquin <br /> ,y ZIP <br /> CROSS STREET <br /> O LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> Z <br /> Z_ San Joaquin County Pamela S. Violett ( 209) 468-0335 <br /> Lu Lu0 REGIONAL BOARD PHONE <br /> Central Valley Region Gordon Boggs ( 916) 361-5740 <br /> NAME QUANTITY LOST(GALLONS) <br /> Wo <br /> OLIJ Unleaded gasoline <br /> Z> UNKNOWN <br /> ;5 <br /> %d <br /> > (2) <br /> D Z <br /> ca UNKNOWN <br /> DATE DISCOVERED Y7 HOW INVENTORY CONTROL ❑ SUBSURFACE MONITORING r__j NUISANCE CONDITIONS <br /> Z y 701SOOVERED <br /> 0 4 2 2 9 <br /> 4 .1 d 01 TANK TEST TANK REMOVAL ❑ OTHER <br /> DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> REMOVE CONTENTS ®CLOSE TANK&REMOVE ❑REPAIR PIPING <br /> >� UNKNOWN <br /> cc .1 01 yl <br /> LU — <br /> 8> HAS DISCHARGE BEEN STOPPED 7 Q REPAIR TANK ❑CLOSE TANK&FILL IN PLACE ❑CHANGE PROCEDURE <br /> Lo YES E NO IF YES.DATE j 01 ylY ❑REPLACE TANK ❑OTHER <br /> , <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> D -1 <br /> TANK LEAK UNKNOWN ❑ OVERFILL ❑ RUPTUREIFAILURE ❑ SPILL <br /> ca L) F__j PIPING LEAK ❑ OTHER ❑ CORROSION UNKNOWN ❑ OTHER <br /> w Lul CHECK ONE ONLY <br /> U)CL <br /> UNDETERMINED ❑ SOIL ONLY ❑ GROUNDWATER E] DRINKING WATER .(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> Z F-1 NO ACTION TAKEN F-1 PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED ❑ POLLUTION CHARACTERIZATION <br /> LU <br /> "P_ <br /> F-1 LEAK BEING CONFIRMED PRELIMINARY SITE ASSESSMENT UNDERWAY ❑ POST CLEANUP MONITORING IN PROGRESS <br /> REMEDIATION PLAN ❑ CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) EXCAVATE&DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) F7 ENHANCED 1310 DEGRADATION(IT) <br /> ISM BACK FM WT" <br /> !C_Z ❑ CAP SITE(CD) EXCAVATE TREAT(ET) ❑ PUMP TREAT GROUNDWATER(GT) REPLACE SUPPLY(RS) <br /> og <br /> LU�_ <br /> 20 ❑ CONTAINMENT BARRIER(CB) ❑ NO ACTION REQUIRED(NA) ❑ TREATMENT AT HOOKUP(HU) VENT SOIL(VS) <br /> ❑ VACUUM EXTRACT(1,q ❑ OTHER(OT) <br /> Z <br /> LU <br />