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J A N J O A Q U I N i] m ',� Environmental Health Department <br /> COUNTY— <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE j�7 <br /> EMERGENCY LEVEL: EHD LOG# It-0(�22. <br /> Z I-No Evacuation/Local Response Only ❑It-Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION RECORD ID: COKPHKOBO <br /> Name: CHP Sergeant Danny Lecce Phone: (209) 943-8600 <br /> Company: City: <br /> Address: <br /> Designated Employee: Garrett Backus <br /> Reporting Agency. San Joaquin County Environmental Health Department <br /> Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br /> LOCATION AND DATE OF DISCHARGE: <br /> Location - Best Byron Rd, eastbound lane at Mountain House Parkway City: TRACY <br /> Physical Description: intersection. ❑ Incorporated ❑O Unincorporated <br /> Date of Discharge: February 21, 2018 Date Notified: February21, 2018 Time Notified: 5130 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: HASA <br /> Contact Person: Dave Johnson, Vice President of Engineering Contact Phone: (925)432-3866 <br /> Mailing Address: 1251 Loveridge Rd <br /> City: Pittsburg State: CA ZIP: 94565 <br /> DESCRIPTION <br /> Material: Sodium Hypochlorite, 12% Amount: 30.00 ❑ lbs 0 gal ❑ cu It <br /> Type of Discharge: Spill from hatch of tanker truck <br /> Circumstances: Roadway spill <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑ gal ❑cu It <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> Hasa Pool organized cleanup of roadway <br /> SITE DISPOSITION <br /> Cleanup complete by 11 am. <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />