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UNDERGROUND STORAGE TANK UNAUTHORISED RELEASE(LEAK)1 CONTAMINATION SITE REPORT <br /> EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES `EaR LOCAL AGENCY.USE:4NLY <br /> REPORT BEEN FILED 7 <br /> ❑ YES ® NO El YE CX] NO :1 H1 RI BY CERTI..-THAT I AMA DESIGNATED GQV RNMEI�f EMf flYEE`1WQ TRAT 1 HAVE; <br /> REPORTED THIS,INFORMATION Tp LOCM OFFICIALS PURSUANT Tp SECTION 251:Ap7 OF,, <br /> REPORT DATE CASEIF 7HEHEALTNANDSAFYCODE <br /> 0 MI 5 .1 0 3p L81, <br /> ff <br /> NAME OF INDIVIDUAL FILING REPORT <br /> ,. <br /> PHONE SIGNATURE <br /> Angie M. Dennis (408) 984-6536 <br /> � REPRESENTING [?�] OWNERIOPERATOR ❑ REGIONAL BOARD COMPANY OR AGENCY NAME <br /> ❑ LocALAGENCY ❑ OTHER Pacific Environmental Group ' Inc . <br /> ADDRESS <br /> 1601 Civic Center Drive, Suite 202, Santa Clara, California 95050 <br /> NAME STREET - CITY STATE Zlp <br /> � CONTACT PERSON PHONE ) <br /> �� ARCO Petroleum Products Co Kyle Kyle Christie (4I5) 571--2434 <br /> I ADDRESS <br /> Q 2000 Alameda de las Pulgas, P. 0. Box 5811', San Mateo, CA 94402 <br /> - SrAT£ <br /> FACILITY NAME(IF APPLICABLE) STREET OPERAT-OCttY ZIP <br /> R <br /> o ARCO Service Station Jack Anastasio PHONE <br /> PHONE 71--2434 <br /> ADDRESS <br /> 3425 North Tracy Blvd. , Tracy, San Joaquin County 95376 <br /> STREET cm <br /> CROSS STREET TYPE OF AREA <br /> ®COMMERCIAL❑INDUSTRIAL❑RURAL TYPE OF BUSINESS M RETAIL FUEL STATION <br /> Clover ❑RESIDENTIAL ❑OTHER ❑ FARM ❑ OTHER <br /> LOCAL AGENCY AGENCY NAME OONTACT PERSON PHONE <br /> P:WSan Joaquin Local Health District Jamie Favila ' <br /> (209} 468-3440 <br /> w iu REGIONAL BOARD PHONE <br /> 2 Water Quality Control Board Gordon Boggs (916) 361.-5600 <br /> (f) NAME QUANTITY LOST(GALLONS) <br /> to Regular gasoline <br /> o ® UNKNOWN <br /> (2) <br /> 51- Unleaded gasoline <br /> ® UNKNOWN <br /> DATE DISCOVERED HOW DISCOVERED ❑ ❑ SUBSURFACE MONITORING ❑ NUISANCE CONDITIONS <br /> k, 0. 4.1 Oo 70 8r 8r ❑ TANK TEST ❑ TANK REMOVAL [X� OTHERRepalring vapor recovery lin <br /> DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> w <br /> M1 M o 01 11 yj El UNKNOWN ❑ REMOVECONTENTS ❑ REPLACE TANK ❑ CLOSE TANK <br /> Qy HAS DISCHARGE BEEN STOPPED? ❑ REPAIR TANK REPAIR PIPING ❑ CHANGE PROCEDURE <br /> o [ TEs ❑ NO IF YES,nATE a 4 , 0 o $ 0 8 r $ r ❑ OTHER Replaced union and shear valve <br /> u�r SOURCE OF DISCHARGE TANKS ONLYC"ACITY MATERIAL CAUSE(S) <br /> ❑ TANK LEAK ❑ UNKNOWN 81000 GAL. ❑ FIBERGLASS ❑ OVERFRL ® RUPTUREFAILURE { <br /> U� ❑ PIPING LEAK AGE YRS ® STEEL CORROSION ❑ UNKNOWN <br /> ® OTHER ® UNKNOWN ❑ OTHER ❑ SPILL "❑ OTHER <br /> w w CHECK ONE ONLY <br /> vCL <br /> ® UNDETERMINED ❑ SOIL ONLY ❑ GROUNDWATER ❑ DRINKING WATER• (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) j <br /> r CHECK ONE ONLY <br /> zy <br /> Cwc <br /> a ❑ SITE INVESTIGATION IN PROGRESS(DEFINING EXTENT OF PROBLEM) ❑ CLEANUP IN PROGRESS ❑ SIGNED OFF(CLEANUP COMPLETED On UNNECESSARY) l <br /> D t <br /> D"� ® NO ACTION TAKEN ❑ POST CLEANUP MONITORING IN PROGRESS ❑ NO FUNDS AVAILABLE TO PROCEED ❑ EVALUATING CLEANUP ALTERNATIVES <br /> CHECK APPROPRIATE ACTION(S)(SEE BACK FOR DETAILS) <br /> 4z ❑ CAP SITE(CD) ❑ EXCAVATE A DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIO DEGRADATION(IT) <br /> w ❑ CONTAINMENT BARRIER(CB) ❑ EXCAVATE 9 TREAT(ET) ❑ PUMP a TREAT GROUNDWATER(GT) ❑ REPLACE SUPPLY(RS) <br /> cc ❑ TREATMENT AT HOOKUP(HU) ❑ NO ACTION REOUI RED(NA) ❑ OTHER(OT) <br /> Sail excavated during repairs to the piping and connections was placed in a pile at <br /> W <br /> the site and covered. Disposal of this soil is pending until soil analyses. have been <br /> completed to determine the appropriate disposal class. The discharges have been <br /> stopped but no subsurface investigations have been planned. <br /> H90 0514an <br />