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^t <br /> SAN JOAQUIN COUNTY �( ( ) J <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> !., 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> _1, (209)468-3420 •Fax:(209)464-3433 • Web:www.sigov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL Ell ❑ II ❑III EH LOG# 1q-0 $ <br /> B. SOURCE OF INFORMATION <br /> NAME: ROSS Dew PHONE: ! 3 72q-7, <br /> COMPANY: Unified Grocers CITY: Stockton <br /> ADDRESS: 1990 Piccoli Rd. <br /> DESIGNATED EMPLOYEE NAME: Stacy Rivera PHONE: (209)468-3440 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: x Inco orated <br /> Best Physical 1990 Piccoli Rd. CITY Stockton <br /> Descri tion ❑ Unincorporated <br /> DATE OF DISCHARGE: Monday, July 14, 2014 <br /> DATE NOTIFIED: Monday, July 14, 2014 TIME: •yam -PPA <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Unified Grocers <br /> CONTACT PERSON: ROSS Dew /� PHONE: <br /> PHYSICALADDRESS: 1 j o T�Ct� . &�-OaLhm <br /> MAILING ADDRESS: tj2QQ !j0QqD <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: SPIII <br /> VOLUME: <10 gallons <br /> CHEMICALS: Oily water <br /> CIRCUMSTANCES: The oil Water separator overflowed Into the storm drain <br /> F. ACTION TAKEN <br /> The storm drain has been plugged. Absorbent was used by the facility on the surface spill on concrete. Absorbent is being <br /> disposed of as hazardous waste. The storm drain is being cleaned out by an environmental clean up company. <br /> SITE DISPOSITION <br /> Clean up of the storm drain and piping is in progress. END will follow up to ensure clean up is complete. <br /> Revised 08/02/12 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />