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�S A N' J O A Q U IN Environmental Health Department <br /> COUNTY ! , pPy <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARG \ J <br /> EMERGENCY LEVEL: EHD LOG# 12-Q� - <br /> Z I-No Evacuation/Local Response Only ❑11 Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION RECORD ID: 000045718 <br /> Name: Phone: <br /> Company: CalTrans City: Stockton <br /> Address: 1604 S. B. Street <br /> Designated Employee: Cesar Ruvalcaba <br /> Reporting Agency. San Joaquin County Environmental Health Department <br /> Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br /> LOCATION AND DATE OF DISCHARGE: <br /> Location -Best Norhteast corner of lot located on 2459 Mariposa Road, City: STOCKTON <br /> Physical Description: Stockton, ❑ Incorporated ❑O Unincorporated <br /> Date of Discharge: Date Notified: February 06, 2018 Time Notifled: 8:00 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: <br /> Contact Person: Janet Blincoe Contact Phone: (209)483-0638 <br /> Mailing Address: 14501 Wells Lane <br /> City: Lodi State: CA ZIP: 95240 <br /> DESCRIPTION <br /> Material: Unknown Amount: 40.00 ❑ lbs ❑O gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> Environmental cleanup company has been notified to start cleanup. <br /> SITE DISPOSITION <br /> Awaiting cleanup, EHD to be notified. <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />