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SAN10 A Q U I N CopyEnvironmental Health Department <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG# e <br /> 0 I-No Evacuation/Local Response Only ❑ II-Evacuation and/or In-County Mutual Aid Needle ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: CO DPHYHI <br /> Name: CANDY Phone: (209) 236-8105 <br /> Company: AMERICAN MEDICAL RESPONSE City: <br /> Address: <br /> Designated Employee: Elianna Florido <br /> Reporting Agency: San Joaquin County Environmental Health Department <br /> Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br /> LOCATION AND DATE OF DISCHARGE: <br /> Location - Best LOVE'S TRAVEL STOP#538, 15250 N THORNTON RD, LODI, City: LODI <br /> Physical Description: CA ❑ Incorporated 0 Unincorporated <br /> Date of Discharge: May 27, 2019 Date Notified: May 27, 2019 Time Notified: 12:54 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: PAT FRUTH INC <br /> Contact Person: PAT FRUTH Contact Phone: (320) 558-4210 <br /> Mailing Address: 17307 COUNTY RD 7 NW <br /> City: CLEAR WATER State: MN ZIP: 55320 <br /> DESCRIPTION <br /> Material: DIESEL Amount: 50.00 ❑ lbs N gal ❑ cu ft <br /> Type of Discharge: SPILL <br /> Circumstances: RELEASE TO DRAIN CAUSED BY FIRE TO SEMI-TRAILER TRUCK <br /> Material: MOTOR OIL Amount: 5.00 ❑ lbs 0 gal ❑ cu ft <br /> Type of Discharge: SPILL <br /> Circumstances: RELEASE TO DRAIN CAUSED BY FIRE TO SEMI-TRAILER TRUCK <br /> Material: ANTIFREEZE Amount: 3.00 ❑ lbs 0 gal ❑ cu ft <br /> Type of Discharge: SPILL <br /> Circumstances: RELEASE TO DRAIN CAUSED BY FIRE TO SEMI-TRAILER TRUCK <br /> ACTION TAKEN <br /> WOODBRIDGE FIRE STOPPED FIRE. LOVE'S TRAVEL STOP APPLIED ABSORBENT AND BOOM TO DRAIN. LMH <br /> ENVIRONMENTAL CONTRACTED PATRIOT ENVIRONMENTAL TO CONDUCT CLEAN-UP ON BEHALF OF RP. EHD <br /> VERIFIED CLEAN-UP DONE <br /> SITE DISPOSITION <br /> RP TO PROVIDE THE EHD WITH HAZARDOUS WASTE MANIFEST FOR THE WASTE GENERATED FROM CLEANUP. <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />