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UAR/PROP 65
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PR0523684
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UAR/PROP 65
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Last modified
7/6/2020 4:43:53 PM
Creation date
11/6/2018 12:47:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROTH\116\PR0523684\UAR _ PROP 65.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420•Fax:(209)4643433• Web:www.slgov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL ©I ❑n ❑ III EHD LOG# 1,g —( <br /> B. SOURCE OF INFORMATION <br /> NAME: David Ray pHO (209)649-0318 <br /> COMPANY: Williams Tank Lines, Inc CITY. Stockton <br /> ADDRESS: 1477 Tillie Lew s Dr. Stockton, CA 95206 <br /> DESIGNATED EMPLOYEE NAME: Ares Cacaplt PHONE: (209)468-3453 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1668 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 1 <br /> Best Phyalml 116 Roth Rd. Lathrop, CA CITY Lathrop <br /> tion I I Urdncorporated <br /> DATE OF DISCHARGE: Thursday, December 13, 2012 <br /> DATE NOTIFIED: Thursday, December 13, 2012 TIME. 9:30AM <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAMEOFBUSINESS: Williams Tank Lines, Inc <br /> CONTACT PERSON: David Ray PHONE: (209)649-0318 <br /> PHYSICAL ADDRESS: 1477 Tillie Lewis Dr. Stockton,CA 95206 <br /> MAILING ADDRESS: 1477 Tillie Lewis Dr. Stockton,CA 95206 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: 87 gasoline <br /> VOLUME: approximately 15 gallons <br /> CHEMICALS: 87 gasoline <br /> Williams Tank Lines employee spilled approximately fifteen gallons of 87 fuel while refueling <br /> CIRCUMSTANCES: the facility underground storage tank.Approximately less than one gallon reached the stone <br /> drain. <br /> F. ACTION TAKEN <br /> Scott McCloud from George W.Lowry,Inc.was hired to clean up the spilled fuel.Absorbent and spill control pads were <br /> used.Scott clarified that all waste generated from the clean up will be taken under manifest 009720250JJK <br /> SITE DISPOSITION <br /> No further action at this time.Awaiting copy of completed manifest to be submitted to the EHD. <br /> Revised 08/02112 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />
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