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((� COPY <br /> Pa IN SAN JOAQUIN COUNTY m`L <br /> 2i ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c P (209)468-3420• Fax:(209)464-3433. Web:www.sigov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE JEHDLOG#1 IK— <br /> EMERGENCY LEVEL: <br /> ❑X I-No Evacuation/Local Response only ❑11-Evacuation and/or In-County Mutual Aid Needed [:]I I I-Evacuation and/or Regional/Stale Mulual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME: Michael Kith PHONE: 209-468-3444 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 1868 E. Hazelton Ave. <br /> DESIGNATED EMPLOYEE NAME: Lor XIon9 PHONE: 209-468-2807 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> LOCATION AND DATE OF DISCHARGE <br /> LOCATION: ® Incorporated <br /> Best Physical 1111 Navy Drive CITY Stockton <br /> Description ❑ Unincorporated <br /> DATE OF Unkown <br /> DISCHARGE: <br /> DATE 07/13/2018 TIME: 11:OOAM <br /> NOTIFIED: <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: I Zacky Farms <br /> CONTACT PERSON: PHONE: 209-948-0129 <br /> PHYSICAL ADDRESS: 1111 Navy Drive <br /> MAILING ADDRESS: 2020 S East Avenue, Fresno, Ca 93721 <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: Unauthorized release <br /> VOLUME: Unknown <br /> CHEMICALS: Chloroform,Trichloroethene, Benzene <br /> CIRCUMSTANCES: Discover during phase 2 site assessment <br /> ACTION TAKEN <br /> None <br /> SITE DISPOSITION <br /> Refer to Water Boards and DTSC <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />