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j <br /> o 'a'r"'•� SAN JOAQUIN COUNTY <br /> 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 ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL X 1 u III EHD LOG# _f <br /> B. SOURCE OF INFORMATION <br /> NAME: Jeremy Davis PHONE: 209 4010079 <br /> COMPANY: Stockton Fire Department CITY: Stockton <br /> ADDRESS: <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 1100 Main St CITY Stockton v Incorporated <br /> aes,Physical Description <br /> Uninco orated <br /> DATE OF DISCHARGE: December 12,2009 <br /> DATE NOTIFIED: December 12, 2009 TIME: 4:15 m <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Unknown <br /> i <br /> PHONE: <br /> PHYSICAL ADDRESS: <br /> MAILING ADDRESS: <br /> E. DESCRIP'T'ION <br /> TYPE OF DISCHARGE: Spill <br /> VOLUME: 5-10 gallons <br /> CHEMICALS: Unknown/waste oil <br /> CIRCUMSTANCES: Containers knocked over, 2ossible leaking vehicle <br /> F. ACTION TAKEN <br /> Stormdrain blocked off,absorbent material placed on ground { <br /> !!I <br /> SITE DISPOSITION 1. <br /> Cleanup ongoing <br /> ER RECORD MODIFIED Revised 05/01/2007 <br />