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AL <br />'" eco SAN JOAQUIN COUNTY —� <br />} ?, ENVIRONMENTAL HEALTH DEPARTMENT <br />7 -17600 East Main Street Stockton • CA 95202-3029 D <br />' (209) 468-3420 • Fax: (209) 464-0138 • Web: www.sj og u.or /Q ehd <br />q� F•oRa O <br />i� <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />A. EMERGENCY LEVEL I X I v EHD LOG# <br />B. SOURCE OF INFORMATION <br />NAME: <br />Brian Biancavilla <br />PHONE: <br />(602)690-2142 <br />COMPANY: <br />General Petroleum <br />CITY: <br />Rancho Dominguez, CA <br />ADDRESS: <br />1 19501 S. Santa Fe Ave <br />DESIGNATED EMPLOYEE NAME: <br />Courtland Ellis <br />PHONE: <br />(602)690-2142 <br />REPORTING AGENCY NAME: <br />Cal EMA <br />ADDRESS: <br />C. LOCATION AND DATE OF DISCHARGE <br />LOCATION: 3932 Newton Rd.CITY Stockton, CA Incorporated <br />Best Physical Description <br />9520 Unincorporated <br />DATE OF DISCHARGE: 12-28-10 <br />DATE NOTIFIED: 12-30-10 TIME: 9:25am <br />T)_ RF.SPONSTRLF PERSON/BIJSINFSS <br />NAME OF BUSINESS: <br />General Petroleum <br />CONTACT PERSON: <br />Brian Biancavilla <br />PHONE: <br />(602)690-2142 <br />PHYSICAL ADDRESS: <br />19501 S. Santa Fe Ave. Rancho Dominguez, CA 90221 <br />MAILING ADDRESS: <br />1 19501 S. Santa Fe Ave. Rancho Dominguez, CA 90221 <br />F T)FS('RTPTT()N <br />TYPE OF DISCHARGE: <br />Diesel fuel <br />VOLUME: <br />80 — 100 gallons <br />CHEMICALS: <br />Diesel <br />CIRCUMSTANCES: <br />Truck driver overfilled the above ground storage tank of the customer. <br />F. ACTION TAKEN <br />Official inspection report issued. <br />SITE DISPOSITION <br />Clean up in progress. <br />ER RECORD MODIFIED Revised 05/01/2007 <br />