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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL. I II III <br /> PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION Phone: <br /> Name: <br /> Company: Fluor Daniel GTI <br /> Address: Phone: L� <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: 304 E. Weber St. Stockton <br /> C. LOCATION AND DATE OF DISCHARGE / Manteca <br /> Location: 1399 N. Main St. Manteca <br /> ( (City or County) Circle One <br /> Best Physical Description) <br /> Date of Discharge: 11/6/96 <br /> Date Notified: <br /> 11/6/96 Time: 10 am <br /> D. RESPONSIBLE PERSOouBUSINESthland Corp. <br /> Name of Business: o Deninno Telephone: <br /> Contact Person: <br /> 3 9 9 N. Main St. Manteca <br /> Physical Address: 1 <br /> Mailing Address: <br /> E. DESCRIPTION <br /> eak from an underground storage tank <br /> Type of Discharge: Ls stem <br /> Volume: <br /> Chemicals: Gasoline <br /> Circumstances: Tank system leaked <br /> F. ACTION TAKEN Tank system was removed <br /> SITE STATUS tan s were removed_ New tanks were installed Some <br /> contamination stil remains_ Futher site assesm nt required <br /> 'ne <br /> the extent of the contamination. <br /> EH 22 013 (Rev.4/91) <br />