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SAN JOAQUIN COUNTY COPY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />(209) 468-3420 Fax: (209) 464-3433 •Web: www.s'qov.orn/ehd <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE EHDL©G# % <br />EMERGENCY LEVEL. <br />❑X I -No Evacuation/Local Response Only ❑ I I - Evacuation and/or ln-County Mutual Aid Needed ❑III Evacuation and/or Regional/State Mutual Aid Needed <br />SOURCE OF INFORMATION <br />NAME: <br />Elena Manzo <br />PHONE: <br />(209) 953-7699 <br />COMPANY: <br />San Joaquin County Environmental Health Department <br />CITY: <br />Stockton <br />ADDRESS: <br />1868 E. Hazelton Ave. <br />DESIGNATED EMPLOYEE NAME: <br />Elena Manzo PHONE: <br />(209) 953-7699 <br />REPORTING AGENCY NAME: <br />San Joaquin County Environmental Health Department <br />ADDRESS: <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />LOCATION AND DATE OF DISCHARCF <br />LOCATION: <br />SFPUC Water Supply and Treatment Division <br />CONTACT PERSON: <br />Steve Rotondo <br />❑ Incorporated <br />Best Physical <br />9000 W Vernalis <br />CITY <br />Tracy <br />as above <br />❑X Unincorporated <br />Description <br />DATE OF <br />12-7-2016 <br />DISCHARGE: <br />DATE <br />NOTIFIED: <br />12-8-2016 <br />TIME: 12:15 pm <br />RESPONSIBLE PERSON/R SINFSS <br />NAME OF BUSINESS: <br />SFPUC Water Supply and Treatment Division <br />CONTACT PERSON: <br />Steve Rotondo <br />PHONE: <br />1 650-452-3962 <br />PHYSICAL ADDRESS: <br />9000 W Vernalis, Tracy. CA 6153-4q <br />MAILING ADDRESS: <br />as above <br />DESCRIPTION <br />TYPE. OF DISCHARGE: <br />Accidental release <br />VOLUME: <br />approximately 2.5 grams <br />CHEMICALS: <br />mercury <br />CIRCUMSTANCES: <br />UV lamp fail <br />ACTION TAKEN <br />Clean up Is In progress <br />SITE DISPOSITION <br />Clean up Is In progress <br />Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />