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SITE INFORMATION AND CORRESPONDENCE_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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NEWTON
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3931
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2900 - Site Mitigation Program
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PR0540573
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Entry Properties
Last modified
4/8/2020 4:19:20 PM
Creation date
4/8/2020 3:59:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0540573
PE
2960
FACILITY_ID
FA0023207
FACILITY_NAME
GILLIES TRUCKING INC
STREET_NUMBER
3931
STREET_NAME
NEWTON
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
13207017
CURRENT_STATUS
01
SITE_LOCATION
3931 NEWTON RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)/CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERV19ES FOR LOCAL AGENCY USE ONLY <br /> REPORT BEEN FLED? I HEREBY CERTIFY THAT I AM A DESIGNATED GOVERNMENT EMPLOYEE AND THAT I HAVE <br /> ❑YES YES NO REPORTED THIS INFORMATION TO LOCAL OFFICIALS PURSUANT TO SECTION 251007 OF <br /> REPORT DATE CASES THE HEAL NO SAFIY DE. <br /> /M /M ( gy V ,. SIG .SATE <br /> NAME OF INDIVIDUAL FLING REPORT PHONE SIGNATURE <br /> O REPRESENTING ❑ OWNERIOPERATOR ❑ REGIONALBOARD COMPANY OR AGENCYE <br /> 00 CAL AGENCY ❑ OTHER / ✓�J" lc� <br /> ADDRESS ' / <br /> I loo CP � oe SATE 31P <br /> NAME 0 CONTACTPERSON PHONE <br /> lazt6/11jeS ❑ UNKNOWN <br /> u ADDRESS n''' fD �-^ / - C' • ���$ <br /> 3 q 3 [ NTS T� gTq J (Ml MATE DP <br /> FACLITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> <i / J^ouc Yt PO?) <br /> ADDRESS <br /> ap <br /> 33 S 'I pimps <br /> CROSS T TYPE OF AREA OCOMMERCIAL Q VIAL❑RURAL TYPE OF BUSINESS O RETAIL FUEL STATION <br /> LOCALA'ENCV AGENCY NAME <br /> ❑OTI'IFARM ❑ <br /> CONTACT PERSON ❑ OTHER <br /> PHONE <br /> o c ;sf �oflY��3Yao <br /> REGIONAL BOARD PHONE <br /> G 1� W C I <br /> (1) <br /> NAME QUANTITY LOST(GALLONS <br /> w a Sfe o i / UNKNOWN <br /> (2) <br /> �i ���I etro /euillu dro cCL 41 bX)Y?S. lerlu M <br /> DATE DISCOVERED HOW DISCOVEFIQb ❑ INVENTORY CONTROL E] SUBSURFACE MONITORING ❑ NUISANCE CONDITIONS <br /> M M DD D VY y r ❑ TAW TEST Q TANK REMOVAL OTHER <br /> DATE DISCHARGE BEGAN METHODUSED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> iKNOWN .REMOVE CONTENTS ❑ REPLACETANK ❑ CLOSETANK <br /> HASDISC M GE BEEN STOPPED?l D1 DI ylY ❑ REPAIRTANK REPAIRPPING ❑ CHANGE PROCEDURE <br /> p YES NO PVE5,DATE M M D D Y Y ❑ OTHER <br /> w SOURCE OF DISCHARGE TANKS ONLY/CAPACITY MATERIAL CAUSE(S) <br /> ❑ TANKLEAK ❑ UNKNOWN GAL ❑ FIBERGLASS ❑ OVERFLL ❑ RUPTUREIFALURE <br /> �IPINGLEAK AGE YRS ❑ STEEL ❑ CORROSIONUNKNOWN <br /> OTHER ❑ UNKNOWN ❑ OTHER ❑ SPILL O OTHER ✓' <br /> w�,l CHECKO ONLY <br /> 2UENDETERMINED O SOILONLY Q GROUNDWATER ❑ DRINKING WATER- (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> F CHECK ON ONLY <br /> �z <br /> x SITE INVESTIGATION IN PROGRESS(DEFINING EXTENT OF PROBLEM) ❑ CLEANUP IN PROGRESS= SIGNED OFF(CLEANUP COMPLETED OR UNNECESSARY) <br /> ❑ NOACTIONTAKEN ❑ POST CLEANUP MONITORING IN PROGRESS ❑ NO FUNDS AVAILABLE TO PROCEED ❑ EVALUATING CLEANUP ALTERNATIVES <br /> CHECK APPROPRIATE ACTON(S)(SEE BACK FOR DETAILS) <br /> -4 z ❑ CAP SITE(CD) ❑ EXCAVATE&DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIODEGRADATION(m <br /> 5 PUMP GROUNDWATER(GT) REPLACE SUPPLY IRS) <br /> �� ❑ CONTAINMENT BARRIER(CB) ❑ EXCAVATE 8.TREAT(ET) ❑ ❑ <br /> ❑ TREATMENT AT HOOKUP(HU) ❑ NO ACTION REQUIRED INA) ❑ OTHER(OT) <br /> /�' IT ne 1 Pak frv,-n cl;spe-mSer on. d�'eSe / Y, f' CogS74eafl/ <br /> p ' pewfawt�4,d2 K, <br /> m W.o.tGnIG p n i h S cfib✓r , �'u rnuAw S i fe q Sse nreAz¢ w�`G1 <br /> r �a d ,�„ cz�(Pfer rvr>n� 7Z�en p <br /> byre aIrP I c <br /> r u1 re RxmIKwR <br />
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