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oPqurry • • �V� <br /> SAN JOAQUIN COUNTY �OPy <br /> H _< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •�• P (209)468-3420• Fax:(209)464-3433 • Web:www.sigov.orq/ehd <br /> c�/ehd <br /> �rFORN\ <br /> NOTIFICATION OFHAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL g I ❑ u ❑ Ill EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Jeffrey Wong <br /> COMPANY: San Joaquin County Environmental Health Department PHONE. (209)468-0335 <br /> ADDRESS: <br /> 1868 E. Hazelton Ave. CITv: Stockton <br /> DESIGNATED EMPLOYEE NAME: Jeffrey Wong <br /> REPORTING AGENCY NAME: San JOagUln COUnty EI1VIrtJnmental Health Department (209)468-0335 <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: <br /> Best Physical 180 E. Weber <br /> Descri tion CITY Stockton 0 Incur orated <br /> DATE OF DISCHARGE: July 24, 2014 ❑ Unincorporated <br /> DATE NOTIFIED: 7/24/2014 <br /> D. RESPONSIBLE PERSON/BUSINESS TIME. 2:30pm <br /> NAME OF BUSINESS: Judicial Council of California-Administrative Office of the Court <br /> CONTACT PERSON: Pradip Desai, Environmental Analyst <br /> PHYSICAL ADDRESS: 2255 N. Ontario St., Ste. 220, Burbank, CA 91504 PHONE: 818 558 3117 <br /> MAILINGADDRESS: 2255 N. Ontarl0 St., Ste. 220, Burbank, CA 91504 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Unauthorized <br /> VOLUME: Approximately 20 gallons <br /> CHEMICALS: oily liquid mixed with water(heavy diesel range) <br /> CIRCUMSTANCES: Released from newly discovered UST during removal under permit <br /> F. ACTION TAKEN 9 <br /> Contractor removed oil and impacted soil,but declined in disposal until profiling can be done. A Notice to Abate has been <br /> issued by SJCEHD. <br /> SITE DISPOSITION <br /> Clean Up on going. <br /> Revised 04/19/12 <br /> Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />