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FROM : GREWAL'S GAS & LIQUOR 40 PHONE NO. : 2094729293 <br />owMay. 16 2000 03:12PM Pl <br />oo - U-05 <br />UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) I CONTAMINATION SITE REPORT <br />EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES <br />uAg . <br />REPORT BEEN FIL120 7 <br />❑YFR NO Yas hn <br />i'MAYEDISTROUMU'T 1OW-99MATION <br />..THE OF, <br />REPORT DATE <br />CASE <br />ol <br />O <br />0m, <br />ea <br />NAME OF INDIVIDUAL FLING?REPORT <br />6�e py- e" <br />PHONE <br />01-1 r <br />SIGNATURE <br />REPRESENTING El OWNERIOPERATOR ❑ REOIDNALWARD <br />COMPANY ORAGENcy NAME <br />❑ LOCAL AGENCY 0 OTHER 1414g4' <br />6 y-& <br />Q <br />ADDRESS <br />/f/00 <br />CITY STAT� zlly <br />Lo <br />cc <br />NAME <br />UNKNOWN <br />CONTACT PERSON <br />PHONE <br />!30 If <br />ADDRESS <br />$MET CITY STArf <br />FACILITY NAME IF APPUCARLG) <br />OPERATOR <br />PHONE <br />z <br />ADDRESS <br />S <br />COUNTY <br />tC9 <br />CROSS STREET, <br />cl <br />z <br />LOCAL AGENCY AGENCY NAME <br />CONTACT PERSON <br />PHONE <br />Z <br />neoloNZ Mmu <br />PHONE <br />NAME QUANTITY LID ONS) <br />z <br />UNKNOWN <br />(2) <br />LMNOWN <br />z <br />DATE DISCOVERED <br />'(,I 19YL <br />HOW DISDOY ;RED ❑ INVENTORY CONTROL SUBSURFACE MONITORING n NUISANCE CONDITIONwS <br />S.L5,.Ll <br />(TEST ❑ TANK REMOVAL OTHER <br />m <br />DAZE 0150WARGE BEGAN <br />METHOD USED TO STOP DISCHARGE (CHECK ALL THAT APPLY) <br />-C <br />Lgu <br />Ml d j UNI04" <br />RE)g�CONTENTS ❑ CLOSE TANK& REMOVE L2!gREPAIR PIPING <br />HAS DISCHARGE BEEN STOPPED ? <br />REPAIR TANK CLOSE TANK & FILL IN PLACE F] CHANGE PROCEDURE <br />YES [D NO IFYES,DATE <br />0Y, 0 <br />0 REPU411 TANK ❑ OTHER_ <br />.__ .15 YL <br />SOURCE OF DISCHARGE <br />CAUSE(S) <br />jM <br />TANK LEAK F --j UNKNOWN <br />❑ OVERFILL RUPTUREIFAILURE ❑ SPILL <br />ca <br />PIPING LEAK F-1 OTHER <br />91-�ll <br />CORROSION UNKNOWN OTHER <br />CCA -EIEC K ONE ONLY <br />o <br />UNDETERMINED C: SOIL ONLY GROUNDWATER [] DRINKING WATER (OWROK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) <br />rwpm nNg: nmi v <br />Z❑ <br />NO ACTION TAKEN ❑ PRlaJMINARY SITE ASSESWENT WORKPLAN SUBMITTED POLLUTION CHARACTERIZATION <br />LEAK BEING CONFIRMED ❑ PRELIMINARY SITE ASSESSMENT UNDERWAY POST CLEANUP M0141TORNO IN PROGRESS <br />Fj REMEDIATION "N ❑ CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) ❑ CLEANUP UNDERWAY <br />C446CK APPROPRIATE AC-TION(S) EXCAVATE & DISPOSE (20) Ej REMOVE FREE PRODUCT (RI) ❑ ENHANCED BIODEGRADATION <br />— <br />F-1 CAP SITE (CO) ❑ EXCAVATE a TREAT (27) 0 PUMPS TREAT GROUNDWATER (01) ❑ REPLACE SUPPLY (RS) <br />w <br />= r",rTAiNuFNTpApRFn tcai NO Aem-m pont num (jA) <br />❑ VACUUM EXTRACT (VE) ❑ OTHER (OT) <br />yr <br />Rwos(w4 <br />