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o.?�"'"'• c SAN JOAQUIN COUNTY D <br /> ENVIRONMENTAL HEALTH DEPARTMENT y� <br /> N ` 600 East Main Street Stockton ■ CA 95202-3029 <br /> (209) 468-3420 • Fax: (209) 464-0138 a Web: www.s ' ov.orlf <br /> /'� <br /> ;FORS` V P <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL I X I II IIII IEHD LOG# - <br /> B. SOURCE OF INFORMATION <br /> NAME: PHONE: <br /> COMPANY: CITY: <br /> ADDRESS: <br /> DESIGNATED EMPLOYEE NAME: Linda Turkatte PHONE: (209)468-3441 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 600 East Main Street Stockton Ca 95202 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 2905 West Benjamin Holt Drive CITY I Stockton X Incorporated <br /> Best Physical Description <br /> Unincorporated <br /> DATE OF DISCHARGE: January 26,2008 <br /> DATE NOTIFIED: January 26, 2008 TIME: 5:30 PM <br /> D. RESPONSIBLE PERSONBUSINESS <br /> NAME OF BUSINESS: CHEVRON STATION#94275 <br /> CONTACT PERSON: D R LERI PHONE: (925)842-9002 <br /> PHYSICAL ADDRESS: <br /> MAILING ADDRESS: PO BOX 6004/L2375-B3 SAN RAMON CA 94583 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Leak/Spill <br /> VOLUME: Unknown <br /> CHEMICALS: Gasoline <br /> CIRCUMSTANCES: Gasoline observed on ground at dispenser island <br /> F. ACTION TAKEN <br /> FM 186 liquid applied to spill and absorbent pads were placed over spill in spots. <br /> SITE DISPOSITION <br /> The Environmental Health Department Local Oversight Program staff will follow up on the potential impact from <br /> infiltration of gasoline into the subsurface at the site. <br /> ER RECORD MODIFIED Revised 05/01/2007 <br />