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(V <br /> P I" SAN JOAQUIN COUNTY l0 <br /> "- °\ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> I\•. ` 600 East Main Street Stockton - CA 95202-3029 r <br /> (209)468-3420-Fax:(209)464-0138- Web:www.siaov.org/ehd 4 \' '7 <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL ® 1 ❑ II ❑ III JEHDLOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Ray von Flue PHONE: (209)468-9848 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 600 E. Main Street <br /> DESIGNATED EMPLOYEE NAME: Ray von Flue PHONE: (209)468-9848 <br /> REPORTING AGENCY NAME: Sart Joaquin County Environmental Health Department <br /> ADDRESS: 600 E. Main Street, Stockton, CA 95202 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION I Inorated <br /> Best Physical 2154 S. EI Dorado St. CITY coStockton <br /> Description 1 1 ❑ Unincorporated <br /> DATE OF DISCHARGE: Unknown <br /> DATE NOTIFIED: Friday, October 22,2010 TIME: 10:59AM <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: I McBillin Real Estate Investment <br /> CONTACT PERSON: Min LePHONE: (408)893-1418 <br /> PHYSICAL ADDRESS: <br /> MAILING ADDRESS: 3087 Oldwood Ct., San Jose CA 95122 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Leak from underground storage tanks <br /> VOLUME: Unknown <br /> CHEMICALS: Ethylbenzene,Toluene, Total Xylenes <br /> An underground storage tank removal was conducted and analytical sample test results <br /> CIRCUMSTANCES: detected the presence of the chemicals in the soil. <br /> F. ACTION TAKEN <br /> Underground storage tank(LIST)removal stopped the discharge. <br /> SITE DISPOSITION <br /> UST contamination will be documented with a URF report and added to contaminated site database. Further investigation <br /> and remediation may be required by EHD and/or CVRWQCB. <br /> NOTIFICATION OF HAZ WASTE DISCHARGE Page 1 of 2 Revised 10/22/10 <br />