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� <br /> SAN .14AQUIN COUNTY JD <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton • CA 95202-3029 ..� --. 1,7 <br /> (209)468-3420•Fax.(209)464-0138• Web:www.sigov.orgle ` ' +�•' <br /> NOTIFICATION OF HAZARDOUS WASTE: DISCHARGE <br /> A. EMERGENCY LEVEL ® 1 LIEHD LOG# . p -:T <br /> B. SOURCE OF INFORMATION <br /> NAME: ROGER HOFFDAHL PHONE: 982-1920 X233 <br /> COMPANY: CORN PRODUCTS INTERNATIONAL, INC. CITY: Stockton <br /> ADDRESS: 1021 INDUSTRIAL DR., STOCKTON CA 95206 <br /> DESIGNATED EMPLOYEE NAME: Ray von FIUe PHONE: (209)468-9848 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 600 E. Main Street, Stockton, CA 95202 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 9Inca orated <br /> Best Physical 1021 INDUSTRIAL DR CITY Stockton <br /> Description <br /> 0 Unincorporated <br /> DATE OF DISCHARGE: uesday,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. ACTION TAKEN <br /> SPILL WAS CONTAINED AND N EUTRALIZEDL . <br /> SITE DISPOSITION ' <br /> DELIVERY COMPANY HIRED A HAZARDOUS WASTE CONTRACTOR TO CLEAN UP THE SPILL WASTE ABSORBENT WAS <br /> PLACED IN A COTAINER ONSITE AND WILL BE DISPOSED OF AT A LATER DATE. <br /> NOTIFICATION OF HAZ WASTE DISCHARGE Page 1 of 2 Revised 4/30/2010 <br />