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' co SAN JOAQUIN COUNTY f'Y <br /> ;? ENVIRONMENTAL HEALTH DEPARTMENT <br /> lois 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420 - Fax: (209) 464-3433• Web:www.slgov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE EHD LOG# y"1- <br /> EMERGENCY LEVEL: <br /> ❑X I-No Evacuation/Local Response Only ❑II-Evacuation and/or In-County Mutual Aid Needed ❑ III-Evacuation and/or RegionaVState Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME: Kelley R. Durrer PHONE: 559-410-2020 <br /> COMPANY: Super Store Industries CITY: Lathrop <br /> ADDRESS: 16888 McKinley Ave. <br /> DESIGNATED EMPLOYEE NAME: Aaron Hang PHONE: 209-468-8841 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> LOCATION AND DATE OF DISCHARGE <br /> LOCATION: E] Incorporated <br /> Best Physical 16888 McKinley Ave. CITY Lathrop <br /> ❑X Unincorporated <br /> Description <br /> DATE OF Thursday,August 24, 2017 <br /> DISCHARGE: <br /> DATE Thursday,August 24, 2017 TIME: 12:05pm <br /> NOTIFIED: <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Super Store Industries <br /> CONTACT PERSON: Kelley R. Durrer I PHONE: 559-410-2020 <br /> PHYSICAL ADDRESS: 16888 McKinley Ave. P.O. Box 549, Lathrop, CA 95330 <br /> MAILING ADDRESS: 16888 McKinley Ave. P.O. Box 549, Lathrop, CA 95330 <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: liquid release <br /> VOLUME: 10 gallons <br /> CHEMICALS: diesel fuel <br /> CIRCUMSTANCES: punctured fuel tank <br /> ACTION TAKEN <br /> Facility is performing the remediation. <br /> SITE DISPOSITION <br /> EHD waiting for disposal records. <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />