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4648
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3500 - Local Oversight Program
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PR0545864
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Entry Properties
Last modified
7/21/2020 9:10:29 AM
Creation date
7/21/2020 8:48:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545864
PE
3528
FACILITY_ID
FA0004530
FACILITY_NAME
MARLOWE PROPERTY
STREET_NUMBER
4648
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
CURRENT_STATUS
02
SITE_LOCATION
4648 WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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z <br /> UNDERGROUND STORAGE TA. ,% UNAUTHORIZED RELEASE(LEAK)/(,WNTAMINATI©N SITE REPORT <br /> "AGENCY HAS STATE OFFICE OF EMEAGENCY SERVIcEs FOR LOCAL AGE1cY use ONLY <br /> REPORT BEEN FUD? <br /> C]YES 02 NO ❑,meq NO -I MER£6Y IMIiiEFY.THAT 1 AAA A f7rE5FEX1ITE0 GOVEiaFIMENf f311PLOYF.E AND TliAi F HAVE <br /> FVQM'IHI 'W0RMATI0N TO 1,OCAI..OFFICKS PURSUAMfr.10 2SM7OF <br /> EFFORT DATE CA.gE s Ap <br /> 04 <br /> w1Mc OF INWVii13AL FiL,IFrG nsPOA: PHONE $1fiNATURE <br /> '71 �/Q J/ 7 <br /> REVFIESENTM ❑ OWFEIVOPEF MR ❑ REGKI"goAAO ClOWANYORARENCAf NAME <br /> -tiicA.MENCY ❑ OTHER <br /> AOORESS f <br /> —4t RARE zv <br /> NAME CONTACT PERSON <br /> PHONE <br /> ADMFWM <br /> fes' ITATl !a P <br /> FAGi<QYllAIA6( APPLICABLE? ORATOR / �.i3:.¢ <br /> ADORES= ccu <br /> op <br /> CROSS STREET TYPE OF AREA ❑,•�MEM�❑NMWFtUL El RURAL TYPE OF BUSINESS [] RETAIL,FUEL STATION <br /> RESGEJtiTLAI ❑OTNER ❑ FARM ❑ OTHER - <br /> LOOAL AGENCY AGENCY N" CONTACT PERMN <br /> �G o <br /> �, tit.-. - f NA►E ►OST IGALLOW <br /> 49 t7x <br /> tow <br /> � � b <br /> /DATE�DIaCAVEREO. �? I! HowDISCOv6RED ❑ INVENTORYCOHRROL L. J. - amisuAFAC6MONITORNG ❑ NWSANCJ;COir Mow <br /> / wf` �w of a vI'! rl ❑ TANK TEST ®'TANK RI Ur OVAL OTHER <br /> DATE 0604ARM BEGAN MIMIOO USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) <br /> Y ❑ AA <br /> iQIOWN ❑' REMOVE COHf1EM8 ❑ REPLACE TANK +❑ Cl 08E TANK <br /> No OLSCiULRGE aFleN BYOPPIED 7 Q REPAIR TANK ❑ REPAIR PPWO ❑ CHA E PRIMMLIRE <br /> ®'Y&a ❑ NO P YES.GATT GYi 1 .w 17 f uI �1 YI 0 Y ❑ d R ..._ <br /> u,( <br /> SOURCE DFDlf7p•iARCaE <br /> 3 ❑ TANKLEAK ❑ LWNOWN U OIL ❑ FMAMAS$ <br /> ❑ OVERFAl ❑ RUPTUIiFJFALUiE <br /> ❑ PIPIINQLEAK AOE YRB Q STEEL. ❑ CORROSION © LmoxmM{ <br /> ❑ OTHER LNKNONRJ ❑ OTHER ❑ SPkl ❑ OTMIER <br /> CHECK ONE ONLY <br /> LWDETERIANID ❑ SOE ONLY ❑ GIiDLIlJDIMATER ❑ DR W-hG WATER- (CHECK ONLY P WATER WELLS HAVE XTjALLY SMN ARWMID <br /> CHECK ONE ONLY <br /> ❑ 81TE NVESTIuTION IN PROGRESS(DEFNNG MEW OF PRO9LE14 ❑ CLEANLp N PROGRE88 <br /> F- ❑ 8K3HED OFE ICLEAFAJP CpNPtI'c1'1iD OR LSMECESSARYI <br /> °a ❑ MOAMONTAKEN ❑ Pos'CLEANUPMONRQRNOINPROORE88 ❑ NOFUNDSAVAI•ABLETOPROCEED J;;: EV/ILUATmCLEANLpALTBRIWTFVES <br /> CHECK APPROPRIATE ACTIOMM IEEE BACK FOR DETAILS! <br /> ❑ CAP 811E tm ❑ 9="TE A OISPOM IEOI ❑ REMOVE FREE PRODUCT)FPI ❑ ENHANCED so DEGRAO/L w In <br /> ❑ COMTAMMENT BARRIER(CB) ❑Ar E=VATS a TREAT(ETI ❑ PUMP a TREAT aROuNmATER(M ❑ REPLACE 8lJPPLY FRS} <br /> ❑ TREATMENT ATHOM P(HAJI EDION NO ACTREQUIRED OU4 EDOMM(0-n <br /> �aco�wal <br />
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