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Y ! <br /> SAN JOAQUIN COUNTY �O��/J <br /> ENVIRONMENTAL HEALTH DEPARTMENT !J <br /> 1868 E.Hazelton Ave., Stockton ■ CA 95205 <br /> (209)468-3420■Fax:(209)468-3433 ■ Web:www.sicehd.com <br /> a <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL I x 111 1111 ITID EHD LOG## <br /> B. SOURCE OF INFORMATION <br /> NAME: Kelley Durrer(Plant Manager) PHONE: 858-3365 <br /> COMPANY: Super Store Industries CITY: Lathrop <br /> ADDRESS: P.O.Box 549,Lathrop CA 95330 <br /> DESIGNATED EMPLOYEE NAME: Jeffrey Wong PHONE: (209)468-0335 <br /> REPORTING AGENCY NAME: SJC EHD <br /> ADDRESS: 1868 E.Hazelton,Stockton <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 16888 McKinley Ave CITY Lathrop x Inco rated <br /> Sm Physical nmaiption <br /> Unincorporated <br /> DATE OF DISCHARGE: November 19,2012 <br /> DATE NOTIFIED: November 19,2012 TIME: 12:20pm <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Super Store Industries <br /> CONTACT PERSON: Kelley Duffer(Plant Manager) PHONE: 858-3365 <br /> PHYSICAL ADDRESS: 16888 McKinley Ave <br /> MAILING ADDRESS: P.O.Box 549 Lathro CA 95330 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Unauthorized <br /> VOLUME: Approximately 2 gallons <br /> CHEMICALS: Anti-freeze <br /> CIRCUMSTANCES: Released when hose on truck broke <br /> F. ACTION TAKEN <br /> Absorbent was used to pick up the release on asphalt. Absorbent has been collected and stored in a hazardous waste container to be disposed by contractor <br /> (Clean Harbor)in 30 days. <br /> SITE DISPOSITION <br /> No surface water or storm drain was impacted. <br /> PROP 65 Revised 0727112 <br />