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Pq`'I" SAN JOAQUIN COUNTY <br /> �- '� ENVIRONMENTAL HEALTH DEPARTMENT <br /> N. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420 • Fax:(209)464-3433• Web:www.s*gov.org/ehd <br /> 9�1FORN <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE JEHDLOG#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: Nuel Henderson PHONE: (209)468-3436 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 1868 E. Hazelton Ave. <br /> DESIGNATED EMPLOYEE NAME: Vicki McCartney PHONE: (209)468-9852 <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: ❑ Incorporated <br /> Best Physical 11033 Howard Rd CITY Stockton <br /> Description ❑X Unincorporated <br /> DATE OF unknown <br /> DISCHARGE: <br /> DATE 22 March 2016 <br /> NOTIFIED: TIME: 3:24PM <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Tracy Joint Unified School District <br /> CONTACT PERSON: Bonnie Carter PHONE: <br /> PHYSICAL ADDRESS: 11022 W Howard Rd, Stockton, CA 95206 <br /> MAILING ADDRESS: 1975 W Lowell Ave, Tracy, CA 95376-2238 <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: unknown <br /> VOLUME: unknown <br /> CHEMICALS: PCB 1260,4,4'DDT, 4,4'DDE, 4,4'DDD, Toxaphene, Chlordane <br /> CIRCUMSTANCES: Detected in soil samples collected as part of a Phase II investigation <br /> ACTION TAKEN <br /> Required RP to conduct any additional investigation under DTSC or CVRWQCB oversight, to <br /> properly characterize and dispose of investigation derived wastes; RP's consultant has notified <br /> the CVRWQCB for oversight. Completed this notification of hazardous waste discharge. <br /> SITE DISPOSITION <br /> Additional work on hold until proper oversight is established and approves work. <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />