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ITE RRPOAI <br /> UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE(LEAK) <br /> ! CONTA ,.A <br /> WgQ.N- t Y 9 �TFIE <br /> HAS STATE OFFICE OF EMERGENCY SERVICES NO RUBY CrRTA1Fl`µFIA U HAVE Y K PME, H FORM <br /> EMERGENCY REPORT BEEN FILED 7 JfJ0`b1P 1CLb <br /> ❑ <br /> YES NO ❑YES ❑ NO pISTRIBUTION SHOWN ON THE)NSTRU <br /> if DATE <br /> CASE <br /> REPORT DATE S1GMF.D <br /> 0M 7M 9 lv HONE <br /> 1 PSlGNA7U <br /> , <br /> NAMEOFINDIVIDUALFILINGREPORT ( 41J 743-0335 <br /> } Marjorie Bushnell pEGIONAtBOARD COMPANY OR AGENCY NAME <br /> 0CD &J REPRESENTING OWNERlQPERATOR ❑ i,4itte)hauser Corporation <br /> w <br /> Cr ❑ LOCAL AGENCY ❑ OTHER <br /> g Zip <br /> 94583 <br /> ADDRESS San Ramon <br /> CaliforniaSTA <br /> 2401 Crow Canyon Road, #100 PHONE <br /> sTReEt CONTACT PERSON <br /> LU NAME (415 � 277-2303 <br /> UNKNOWN Ronald E. Bock <br /> r'r Unocal Corporation <br /> ❑ <br /> 4 ADDRESS San 4*on Cal.ifq is 94 P3 <br /> LU 2000 Crow Canyon PTaFte, #400 PHONE <br /> OPERATOR <br /> FACILITY NAME OF APPLICABLE) <br /> Don Ferguson, Richard Newhar 1209 835-064 <br /> Ferguson-Newhard Unocal Service <br /> ADDRESS Tracycm San Joacoquin ZIP <br /> 3788 Tracy Boulevard_, <br /> LU <br /> m CROSS STREET <br /> interstate 205 PHONE <br /> CONTACT PERSON <br /> O LOCAL AGENCY AGENCY NAME Harlan Knoll 209 , 468-3455 <br /> ww San Joaquin County Public Health Servic s PHONE } <br /> LM w REGIONAL BOARD 1 1 <br /> 4 Central VAsley Region OUANTITYLOST(GALLONS) <br /> - NAME <br /> N (1) ]�Q ❑ UNKNOWN <br /> WO <br /> Unocal 87 octane unleaded gasoline <br /> Q 3 <br /> CA (p) ❑ UNKNOWN <br /> �z <br /> HOW DISCOVERED INVENTORY CONTROL ❑ SUBSURFACE MONITORING ❑ NUISANCE CONDITIONS <br /> DATE DISCOVERED ❑ <br /> W ❑ TANK TEST ❑ TANK REMOVAL <br /> ® OTHER i e ruptured dtlrlri dr <br /> illin <br /> J MI ° Y METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> a DATE DISCHARGE BEGAN <br /> M <br /> ❑REMOVE CONTENTS —]GLOSE TANK&REMOVE REPAIR PIPING <br /> Cc 0,, 7 ,, 20 3 UNKNOWN n 9Y 1, <br /> HAS DISCHARGE BEEN STOPPED 7 ❑REPAIR TANK ❑CLOSE TANK&FILL IN PLACE ❑CHANGE PROCEDURE <br /> o x0 YES E-] NO IF YES,DATE �M 7 2 p 3 p 9 1 Y E:]REPLACE TANK ❑ OTHER <br /> � SOURCE OF DISCHARGE CAUSE(S) <br /> ❑ TANK LEAK ❑ UNKNOWN ❑ OVERFILL ® RUPTUREJFAILURE ❑ SPILL <br /> V 5j2 PIPING LEAK ❑ OTHER 0 CORROSION ❑ UNKNOWN ❑ OTHER <br /> a CHECK ONE ONLY <br /> U ❑ UNDETERMINED SOIL ONLY ❑ GROUNDWATER 0 DRINKING WATER -(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br /> CHECK ONE ONLY <br /> Z ❑ NO ACTION TAKEN F__] PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED E::] POLLUTION CHARACTERIZATION <br /> Cr <br /> y F__J LEAK BEING CONFIRMED 0 PRELIMINARY SITE ASSESSMENT UNDERWAY ❑ POST CLEANUP MONITORING IN PROGRESS <br /> U � <br /> 0 REMEDIATION PLAN RX I CASE CLOSED(CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br /> CHECK APPROPRIATE ACTIONS) <br /> (srE�K ran oer�) EXCAVATE 3 DISPOSE(ED) 0 REMOVE FREE PRODUCT(FP) E] ENHANCED BIODEGRADATION(IT) <br /> p ❑ CAP SITE(CD) ❑ EXCAVATE 6 TREAT(ET) ❑ PUMP A TREAT GROUNDWATER(GT)❑ REPLACE SUPPLY(RS) <br /> wr <br /> a a ❑ CONTAINMENT BARRIER(CB) ❑ NO ACTION REQUIRED(NA) E:] TREATMENT AT HOOKUP(HU) [:1VENT SOIL(VS) <br /> ❑ VACUUM EXTRACT(VE) ❑ OTHER(OT) <br /> z Contents of th,epipe (approximately 12 gallons) expelled into the air by adjacent <br /> pressurized natural gas released at some time. Residual drip released approximately <br /> $ one gallon into underlying soil, subsequently excavated. <br /> HSC 05(&.Dq <br />