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b <br /> oPn �N SAN JOAQUIN COUNTY D <br /> s <br /> <.. 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton - CA 95202-3029 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.s ov.or lehd `'r z" ,17 <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL p I ❑ II ❑ 111 EHD LOG# ID - Q <br /> B. SOURCE OF INFORMATION <br /> PADDRESS: <br /> E: <br /> ROGER HOFFDAHL PHONE: 982-1920 X233 <br /> PANY: <br /> CORN PRODUCTS INTERNATIONAL, INC. CITY: Stockton 1021 INDUSTRIAL DR., STOCKTON CA 95206 <br /> Ra von Flue PHONE: (209)468-9848 <br /> D EMPLOYEE NAME: y <br /> AGENCY NAME: San Joaquin County Environmental Health Department <br /> 600 E. Main Street, Stockton;CA 95202' <br /> C.' LOCATION AND DATE OF DISCHARGE <br /> LOCATION: Stockton Incorporated <br /> Best Physical 1021 INDUSTRIAL DR CITY EI Unincorporated <br /> Descri bon <br /> DATE OF DISCHARGE: Tuesday,June 22,2010 <br /> DATE NOTIFIED: Tuesday,June 22,2010 TIME: 0915 <br /> D, RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: CORN PRODUCTS INTERNATIONAL,, INC. <br /> CONTACT PERSON: ROGER HOFFDAHL PHONE: 982-1920 X233 <br /> PHYSICAL ADDRESS: 1021 INDUSTRIAL DR. STOCKTON CA 95206 <br /> MAILING ADDRESS: 1P.O. BOX 6129, STOCKTON CA 95206-0129 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: SPILL <br /> VOLUME: 5-10 GALLONS <br /> CHEMICALS: WATER TREATMENT CHEMICAL(PH 1.8) <br /> CIRCUMSTANCES: COUPLING ON A DELIVERY HOSE CAME LOOSE CAUSING THE RELEASE <br /> f <br /> F. ACTION TAKEN BA <br /> ILL AS TRA El: P L D D A <br /> r <br /> l <br /> SITE DISPOSITION <br /> DELIVERY COMPANY FIRED A HAZARDOUS WASTE CONTRACTOR TO CLEAN UP THE SPILL WASTE ABSORBENT WAS <br /> PLACED INA COTAINER ONSITE AND WILL BE DISPOSED OF AT A LATER DATE. <br /> NOTIFICATION OF HAZ WASTE DISCHARGE Page 1 of 2 Revised 413 012 01 0 <br />