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V. CONTAMINATION SITE DESCRIPTION <br /> ATTACH A SITE MAP DRAWN TO SCALE WHICH INCLUDES A NORTH ARROW MIO DISTANCES RELATIVE TO THE NEAREST OUBLJC ROADS. <br /> r <br /> Ae SITE NAME <br /> Former Knowles Gas Station LL CONTACTPERSONATsITE <br /> SITE ADDRESS <br /> 102 South Wilson Wa TELEMOO&NO(202 _ Patr <br /> 8T Stockton CA `°""T" <br /> 95205 San Joaquin <br /> aCQ1"`TMCODE <br /> CITY STATE IIP CODE E BOE Bn.�e d E aa,,, NO 3 9 <br /> TONY <br /> F SITE TYPE(CHECK MORE THAN ONE IF APPUCA <br /> a COMMERCIAL RESIDENCE ED FARM ID OTHER-Plea"SpKtr <br /> G DESCRIPTION OF TANKS)USE <br /> 0 RESIDENTIAL MOTOR FUEL O RESIDENTIALHEATWOOIL COMMERCIAL HEATWG OIL <br /> Q AGRICULTURAL MOTOR FUEL RETAIL SALE OTHER. <br /> H DATE RELEASE WAS DISCOVERED L TE CORRECTNE ACTION J HAS GORRECTNE ACTION BEEN COMPLETED? <br /> 5/1/88 <br /> /1/�Q S WRIATED• <br /> :J O pr 11 1988 ®No E] YES—Dow ccenp,.r,ist <br /> K.IDENTIFY TANKS)INVOLVEDIN CORRECTIVE ACTION(UrtAddtlonal Tanks on a sapwak Shoo <br /> STATE I CL NO(SWEEPS) LOCALAGENCY PERMIT No CAPACITY SUBSTANCE STORED <br /> TANK unknown unknown 7 500 gasoline <br /> TANKp unknown unow <br /> TANKS unknown unknown 11000 unk�e— <br /> TANK• unknown unknown 300 unknown <br /> TANKS <br /> DATE TANK(S)REMOVED(NApOkaW CIATETAN(BREPLACE0(If Applkabla) <br /> L luVE7ANl6l}57EDABOVEBEENREMDYEDT ®YES NO 19 December, 1978 <br /> N/A <br /> M PROVIDE A BRIEF DESCRIPTION OF THE BACKGROUND OF THIS CLAIM INCLUDING A DESCRIPTKSN OF ANY CORRECTIVE ACTION COMPLETED UNDERWAY <br /> r <br /> See Attachment #1 <br /> I <br /> s <br /> I VI. REGULATORY AGENCY <br /> A LOCAL UST PERMITTING AGENCY <br /> San Joa urn County Department of Health B 39LAGENCYCOOE <br /> C REGIOII+ILWATER OUALITYCONTROL BOARD(gWOC� 7 <br /> Qpr-itr�l Valley Begiou #5 �REG*�NNO �LEADA`G601 CY CASE HO <br /> F LEAD AGENCY PROVIDING OVERSIGHT OF CLEANUP LEADAGENCYCONTACT PERSON I� <br /> (I)DRWOC8 LOCAL JOINT Diane Hinson <br /> on® (S) TELEPHONE NUMBER <br /> 209 468-3423 <br /> REVISED s1o71 <br />� PAGE 3 <br /> k <br /> dp( <br /> 4 <br /> f <br />