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C*I�b"�' <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232w(209)468-3420• Fax:(209)464-3433 - Web:ww.sioov.orct/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL ❑x I ❑ II ❑ III EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Garrett Backus PHONE: (209)468-2986 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 1868 E. Hazelton Ave. <br /> DESIGNATED EMPLOYEE NAME: Garrett Backus PHONE: (209)468-2986 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: x Inco orated <br /> Best Physical 3 E 11th Street, Tracy, CA 95376 CITY Tracy <br /> Description ❑ Unincorporated <br /> DATE OF DISCHARGE: unknown, historical over previous years <br /> DATENOTIFIED: May 1, 2014 TIME: 10 am <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: I Louis Levand Trust <br /> CONTACT PERSON: Paula Levand I PHONE: 661-904-2133 <br /> PHYSICAL ADDRESS: 24692 Sand Wedge Lane,Valencia, CA 91355 <br /> MAILING ADDRESS: 24692 Sand Wedge Lane, Valencia, CA 91355 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Leak from Underground Storage Tank <br /> VOLUME: unknown <br /> CHEMICALS: Automotive fuel and other automotive fluids <br /> CIRCUMSTANCES: Discovered during the tank removal. <br /> F. ACTION TAKEN <br /> Referred to San Joaquin County Environmental Health Department Local Oversight Program. <br /> SITE DISPOSITION I• <br /> Remediation ongoing. <br /> Revised 08/02/12 Pagel of2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />