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Discharge Notification Form <br /> CITY OF MANTECA CORPORATION YARD <br /> 120 and 210 East Wetmore Street, Manteca, California <br /> Part A: Discharge Information <br /> General information when reporting a spill to outside authorities <br /> Basic Information <br /> Facility name, address and contact number: City of Manteca Vehicle Maintenance and Corp Yard <br /> 210 East Wetmore Street <br /> Manteca, California 95337 <br /> Office: (209)456-8440 <br /> Solid Waste Emergency Coordinator Mrs. Avneet Mahil, Solid Waste Supervisor <br /> 210 East Wetmore Street <br /> Manteca, California 95337 <br /> Office: (209)456-8457 <br /> Cell: 209 648-4801 <br /> Maintenance Emergency Coordinator Mr. Byron Decker, Maintenance Supervisor <br /> 120 East Wetmore Street <br /> Manteca, California 95337 <br /> Office: (209)456-8450 <br /> Cell: (209) 815-7067 <br /> Alternate Facility Employee: Mr. Ray Smith <br /> Cell (24 hour): (209)487-2380 <br /> Spill Information <br /> Type of oil: Discharge Date and Time: <br /> Quantity released: Discovery Date and Time: <br /> Quantity released to a water body: Discharge Duration: <br /> Location/Source: <br /> Actions taken to stop, remove, and mitigate impacts of the discharge: <br /> Affected media: <br /> ❑ air ❑ storm water sewer/POTW <br /> ❑ water ❑ dike/berm/oil-water separator <br /> ❑ soil ❑ other: <br />