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GILBAFOM <br />.� „-ROCT <br />7300 West Friendly Ave <br />Greensboro, NC. 27420-2087 <br />(800)997-7725 <br />(336) 547-5359 Fac <br />CN�:71Y_1_01131ILL 010 <br />RD E <br />APR 1 4 2009 <br />ENVIRONNIEP: i HEAD H <br />PERMIT; SERVICES <br />WRITTEN FOLLOW-UP REPORT <br />RETURN RECEIPT REQUESTED <br />County of San Joaquin — Division of Environmental Health <br />304 East Weber <br />Stockton, CA 95202 <br />Attn: Doug Wilson <br />Dear Doug: <br />4/9/2009 <br />RELEASE NOTIFICATION <br />Safeway - Nor Cal #2707 <br />6425 N Pacific <br />Stockton, CA, 95207 <br />In accordance with California reporting procedures, we herein provide the following follow-up <br />information regarding the results of gasoline spill at Safeway - Nor Cal service station 2707, in Stockton, <br />CA on April 7, 2009. Spill was due to auto shutoff failure on dispenser #5 at site. As a result 1 <br />gallon of fuel spilled on to concrete surface. <br />Facility Address: <br />6425 N Pacific Stockton, CA 95207 <br />Substance Released: <br />Gasoline Component <br />Source: <br />Dispenser #5 <br />Estitnated Quantity: <br />1 -gallon <br />Time: <br />5:01 pm EST <br />Duration: <br />unknown <br />Media: <br />Concrete <br />Health Risk: <br />No immediate threat to human health or the environment <br />Action Taken: <br />Site attendant cleaned up spill with fm 186 -hydrocarbon cleaner agent and <br />disabled dispenser <br />Precautions Required: <br />Customer error. <br />Additional Measures: <br />No further actions planned. <br />Mobil Contact Person: <br />Compliance Issues: Stan Clea 925-467-2707 <br />Remediation Issues: Butch Hobson 925-469-7164 <br />Aeencv <br />Contact Time Notification # Caller <br />Notification(s): County of San Joaquin Cheryl 18:32pm EST E. Reid <br />OES <br />Tim 18:31 pm EST 09-2816 E. Reid <br />If you have any questions regarding this report, please call me (902) 695-5890. <br />Sincerely, <br />Jason Patriquin <br />Gilbarco Veeder-Root <br />Fuel Management Services <br />