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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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N
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99 (STATE ROUTE 99)
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19501
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2900 - Site Mitigation Program
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PR0545628
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/19/2024 1:57:05 PM
Creation date
4/28/2020 4:50:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545628
PE
3528
FACILITY_ID
FA0004738
FACILITY_NAME
LES CALKINS TRUCKING INC
STREET_NUMBER
19501
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
01321051
CURRENT_STATUS
02
SITE_LOCATION
19501 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ls,,II 9,—;.2— tt�j 4!!!� <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)I CONTAMINATIONSITE REPORT <br /> EMERGENCY / HAS STATE OFFICE OF EMERGENCY SERVICES FOA LOCAL'AGENCY'USE ONLY C; <br /> u�/ REPORT BEEN FILED 1 HEREBY CER17FY7HAT t HAVE DI 0Ulr-3.THIS INFORMATION <br /> YES NO YES NO ACCORDING TO THE <br /> O Q <br /> QE ON SH E INSTRUCTION SHEEP ON THE BACK PAGE Of 7HI5 F M <br /> REPO R7 OATE CASE s <br /> !2I c <br /> 04 34 9s>GlIEu TDATE <br /> NAME OF INDIVIDUAL FILING REPORT PHONE SIGN�JRE <br /> le" —1Wir <br /> w REPRESENTING 0 OWNERIOPERATOR Q REGIONAL BOARD COMP11AN__Y��OR AGENCY NAME /}�/ <br /> �'COCALAGENCY Q OTHER S/Y�~ �� Qui ��' l / S <br /> ADDRESS j �y <br /> TFtE Er �Qt�1•/C�S% S �,[�!-{��%~GAN �•�'1 ��j 2'b f , <br /> 1 ICITY STATE ZIP <br /> w NAME j l / CONTACT PERSON PHONE <br /> UNKNOWN <br /> Z <br /> a a ADDRESS _ <br /> 1! lI STREET l CRI' STATE P <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> ADDRESS _ i �.�,� cr1xx.J �? � <br /> w <br /> CRY COW" ZIP <br /> y CROSS STREET <br /> O LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE <br /> W 5-�- Lv - � 3 -E• G �.�TvCrI fes } `-�/ �3�? <br /> ui <br /> w w REGIONAL BOARD PHONE <br /> CL <br /> y (�) NAME QUANTITY LOST(GALL'NNS)wo <br /> , j <br /> U W --;I/ 1GA[Z <br /> --UNKNOWN <br /> I- /G / N L UNKNOWN <br /> 1 ? L ` �^ <br /> z {2) � <br /> y J E:] UNKNOWN <br /> i DATE DISCOVERED HOW DISCOVERED 0 INVENTORY CONTROL F7 SUBSURFACE MONITORING NUISANCE CONDITIONS { <br /> Lu NI ) G..� o YI �-r k� TANK TEST �ANK REMOVAL OTHERf <br /> a DATE DSSCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> ED <br /> �CiNKNOWN F-1 REMOVE CONTENTS CLOSE TANK 3 REMOVE REPAIR PIPING <br /> W M o Y I <br /> y0 HAS DISCHARGE BEEN STOPPED? REPAIR TANK CLOSE TANK d FILL IN PLACE CHANGE PROCEDURE <br /> Ln YES 0 NO IF YES,DATE M � n v v �REPLACE TANK Q OTHER <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> ¢InTANK LEAK UNKNOWN E:] OVERFILL RUPTUREJFAlLURt SPILL <br /> 'a c) F-1 PIPING LEAK OTHER a CORROSION UNKNOWN OTHER <br /> w Wa CHECKONEONLY <br /> in <br /> L) Q UNDETERMINED 0 SOIL ONLY GROUNDWATER DRINKING WATER -(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> w a NO ACTION TAKEN Q PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED POLLUTION CHARACTERIZATION } <br /> cc LEAK BEING CONFIRMED PRELIMINARY SITE ASSESSMENT UNDERWAY POST CLEANUP MONITORING IN PROGRESS <br /> O m Q REMEDIATION PLAN CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) E:] CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) Q EXCAVATE 5 DISPOSE(ED) a REMOVE FREE PRODUCT(FP) 0 ENHANCED BIO DEGRADATION(IT) <br /> t19E WrA ran C E ACM <br /> Z ❑ CAP SITE{CD) EXCAVATE 8 TREAT(ET) PUMP 6 TREAT GROUNDWATER(GT) REPLACE SUPPLY(RS) <br /> 5 Lo <br /> a F-� CONTAINMENT BARRIER(CB) ❑ NO ACTION REQUIRED(NA) ❑ TREATMENT AT HOOKUP(HU) VENT SOIL(VS) <br /> ¢ VACUUM EXTRACT{VE) - OTHER(OT) <br /> y <br /> �P�✓/Sbe� vF SAIL ��ayt-T:s 6=�v� .c'u�N'T 7.�J� �P�hau.�L �N:���..-:�:� <br /> W S-/Z vi•-4 r Tavzt,/ A� 72F AasE � ��r�N �Ef� rr'ui,�?s✓_r i <br /> o % ��dt�/it/,E i T It i\/�� � �4AI43 <br /> U I <br /> wSC 05W" k <br />
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