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SAN JOA UIN COUNTY COPY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> e: a <br /> N= 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> C F-k;.F.o�iea�� <br /> (209)468-3420 - Fax: (209)464-3433- Web:www.sigov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE JEHDLOG# <br /> EMERGENCY LEVEL: ` <br /> ❑X 1-No Evacuation/Local Response Only ❑ II-Evacuation and/or In-County Mutual Aid Needed ❑ III Evacuation and/or Regional/State Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME: Sarah Samuels PHONE: (360)1255-9743 <br /> COMPANY: NW Fuels Value Chain BP West Coast Products LLC CITY: Blaine <br /> ADDRESS: 4519 Grandview Road Blaine, Washington 98230 <br /> DESIGNATED EMPLOYEE NAME: Aris Veloso PHONE. (209)j468-3453 <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: <br /> Best Physical 85 E. Louise Ave. Lathrop, CA 95330 CITY Lathrop ❑X Incorporated <br /> Description 0 Unincorporated <br /> DATE OF 3 19-16 <br /> DISCHARGE: <br /> DATE 3-21-16 <br /> NOTIFIED: TIMI=; 11: 50 AM <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: BP ARCO <br /> CONTACT PERSON: Sarah Samuels PHONE (360) 255-9743 <br /> PHYSICAL ADDRESS: 85 E. Louise Ave. Lathrop, CA 95330 j <br /> MAILING ADDRESS: P.O. Box 6038 Artesia, CA 90702 <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: liquid <br /> VOLUME: 20 ounces <br /> CHEMICALS: fuel <br /> CIRCUMSTANCES: Customer topped off and spilled approximately 20 ounces of fuel. <br /> ACTION TAKEN <br /> ARCO gas station employees used absorbent to clean up the 20 ounces of spilled fuel and then <br /> placed the contaminated absorbent into the facility hazardous waste drum for contaminated <br /> solids. <br /> SITE DISPOSITION <br /> Sarah Samuels confirmed that the waste generated from the clean up will beproperly disposed of and <br /> documented on a hazardous waste manifest during the next scheduled routine pick up.'' <br /> a <br /> No further action at this time. <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />