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copy <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `c <br /> (209) 468-3420 • Fax: (209)464-3433 • Web:www.sigov.orglehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE JEHDLOG#1 L' <br /> EMERGENCY LEVEL: <br /> ❑X 1-No Evacuation/Local Response Only ❑ 11-Evacuation and/or In-County Mutual Aid Needed ❑ III-Evacuation and/or Regional/State Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME: Kay Pannel PHONE: (510) 593-5382 <br /> COMPANY: PIERS Environmental Services CITY: Haywood <br /> ADDRESS: 1038 Redwood Hwy Ste 100A <br /> DESIGNATED EMPLOYEE NAME: Nuel Henderson I PHONE: (209)468-3436 <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: ❑X Incorporated <br /> Best Physical Subslab soil gas at 2316 East Street CITY Tracy <br /> Description ❑ Unincorporated <br /> DATE OF Unknown <br /> DISCHARGE: <br /> DATE 24 May 2016 TIME: 5:33 PM <br /> NOTIFIED: <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: University Avenue Partners <br /> CONTACT PERSON: Don Tepman PHONE: <br /> PHYSICAL ADDRESS: 1000 Brannon Street, Ste 202 <br /> MAILING ADDRESS: San Francisco, CA 94193 <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: Unknown <br /> VOLUME: Unknown <br /> CHEMICALS: Chloroform <br /> CIRCUMSTANCES: Low concentrations encountered In subslab soil gas <br /> ACTION TAKEN <br /> None, no active release known to be occurring. Contaminant encountered as part of a phase II <br /> site investigation. <br /> SITE DISPOSITION <br /> Proposition 65 Notification issued;usual business activity in progress <br /> At this time,this agency is not referring the site for further investigation. <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />