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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �i 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209) 468-3420 • Fax: (209) 464-3433 • Web: www.sogov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL ❑x I ❑ II ❑ III EHD LOG# _ Q <br /> B. SOURCE OF INFORMATION <br /> NAME: Pierre Chahoud PHONE: 209 345-1689 <br /> COMPANY: Quick Shop CITY: Manteca <br /> ADDRESS: 2072 W. Yosemite Ave. <br /> DESIGNATED EMPLOYEE NAME: Arls Veloso PHONE: (209) 468-3453 <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: Q incorporated <br /> Best Physical 2072 W. Yosemite Ave. CITY Manteca <br /> Description ❑ Unincorporated <br /> DATE OF DISCHARGE: 3-11-15 <br /> DATE NOTIFIED: 3-11-15 TIME: 1:12PM <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Chris Adams I, 1 U <br /> CONTACT PERSON: Carrie Miller PHONE: 209 461-6337 <br /> PHYSICAL ADDRESS: 2535 Wigwam Dr. Stockton, CA 95205 <br /> MAILING ADDRESS: 2535 Wigwam Dr. Stockton, CA 95205 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: liquid <br /> VOLUME: approximately 7.5 gallons <br /> CHEMICALS: fuel <br /> CIRCUMSTANCES: Chris Adams of Elite IV was working on the hose of dispenser number 7 and spilled fuel. <br /> F. ACTION TAKEN <br /> Release has been stopped. <br /> SITE DISPOSITION <br /> Clean up in progress. <br /> Revised 11/03/14 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />