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Environmental Health - Public
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3500 - Local Oversight Program
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PR0545702
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
5/28/2020 10:30:34 AM
Creation date
5/28/2020 10:26:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545702
PE
3528
FACILITY_ID
FA0003931
FACILITY_NAME
RIPON MILLING CO
STREET_NUMBER
320
Direction
S
STREET_NAME
STOCKTON
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
25929015
CURRENT_STATUS
02
SITE_LOCATION
320 S STOCKTON AVE
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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_ I <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)1 CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGm�*ICY SERVICES FOR:LOCAL AGENCY USE ONLY; <br /> REPORT BEEN FILED? I HEREBY CERTIFYTHAT)fiAVE DISTRIBUT@D TFEIS INFORMATION ACCORDING TO THE <br /> ❑ YES NO ❑YES <br /> NO <br /> DISTRIBUTION SHOWN ON THE INSTRU SFIEET ON PAGE OFTHIS FORM. <br /> REPORT DATE CASE/ _'- �3 <br /> NAME OF INDIVIDUAL FILING REPOR�j PHONE SIGNATURE <br /> KG Z 09 )59f--PS3`/ <br /> Lu REPRESENTi G ❑ OWNER/OPERATOR ❑ �GIOcr NAL 80ARO COMPANY OR AGENCY NAME <br /> LOCAL AGENCY ❑ OTHER P r <br /> ADDRESS <br /> /I/ �4✓� srReET ``--' rt -� U crtr G TCa(1 srwrE�� ��/ <br /> Lu NAME 1! ` CONTACT PERSON �/�J PHONE <br /> z� 1�\ O� 1" l� Y�I� �� ❑ UNKNOWN W41� <br /> Qa a ADDRESS <br /> Lu <br /> a /7 <br /> Q �''-�` �• 37REEi S��/ GITY �) C.J'! STATE <br /> FACILITY NAME(IF APPLICABLE) OPERATOR PHONE <br /> rvl� lt�' C o t,.�a 1 �•�r ��. �L (Zog)s9 s y7-b7 <br /> LD <br /> a ADDRESS <br /> ° 7 -}. <br /> 3� <br /> 6 �536� <br /> w 2� srese�r trrr c�n courm <br /> rn CROSS STREET <br /> Z LOCAL AGENCY AGENCY NAY= CONTACT PERSON PHONE <br /> }�s t4,vv5 0' f zCrj?Yb�-3Y52- <br /> w cZZREGIONAL BOARD PHONE <br /> 4 C 4� s f <br /> H (1) NAME QUANTITY LOST(GALLONS) <br /> Lu <br /> w O <br /> Z� 1 G S� UNKNOWN <br /> F- <br /> i <br /> y <br /> ❑ UNKNOWN <br /> Z DATE TAN <br /> DISCOVERED! l HOW DISOOVvRM F-1INVENTORYCONTROL F--] SUBSURFACE MONITORING ❑ NUISANCE CONDMONS <br /> w �M� pal p �D �Y C/ v Lu <br /> ❑ TAA'CTEST - K REMOVAL ❑ OTHER <br /> r <br /> a DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> m <br /> a <br /> Y ;:;I OWN ❑REMOVE CONTENTS CLOSE TANK&REMOVE ❑REPAIR PIPING <br /> QLu <br /> M AI D D Y <br /> o HAS DISCHARGE BEEN STOPPED T ❑REPAIR TANK ❑CLOSE TANK L FILL IN PLACE ❑CHANGE PROCEDURE <br /> U) � ❑ NO IF YES.DATE M rl r ❑REPLACE TANK ❑OTHER <br /> 4 <br /> SOURCE OF DISCHARGE CAUSE(S) <br /> CC- ❑ TANK LEAK UNKNOWN ❑ OVERFILL C:] RUPTURE/FAILURE ❑ SPILL <br /> 00 ❑ PIPING LEAK ❑ OTHER ❑ CORROSION UNKNOWN OTHER <br /> CHECK ON <br /> a <br /> UCL <br /> UNDETERMINED ❑ SOIL ONLY C GROUNDWATER ❑ DRINKING WATER •(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> ❑ NO ACTION TAKEN ❑ PRELIMeti,AYSITE ASSESSMENTVJORKPLAN SUBMITTED POLLUTION CHARACTERIZATION <br /> cm LBEING CONFIRMED r7 .PRELIM NAAY SITE ASSESSMENT UNDERWAY POST CLEANUP MONITORING IN PROGRESS <br /> U REMEDIATION PLAN ❑ CASE G..CSEO(CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTION(S) <br /> ❑ VATE&DISPOSE(EO) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIO DEGRADATION(IT) <br /> �����) 1 <br /> wp ❑ CAP SITE(CD) E7CA VATE&TREAT(El) ❑ PUMP 5 TREAT GROUNDWATER(GT)❑ REPLACE SUPPLY(RS) <br /> a F7CONTAINMENT BARRIER(CB) ❑ NC ACTION REOUIRED(NA) ❑ TREATMENT AT HOOKUP[HU) ❑ VENT SOIL(VS)Lu rC <br /> ❑ VACUUM EXTRACT(VE) ❑ tm ER(OT) <br /> en <br /> Z <br /> � r�TcfM�✓�C �2_ e.?��•�!T �4� �sr�i�.L4. J'�►�O" . <br /> 0 <br /> Q <br /> msc o5{s9ol <br />
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