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SAN 10 A Q` ,UI N C31 <br /> Environmental Health Department <br /> I <br /> C0J "I] l Y <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG# —" - <br /> ❑x I-No Evacuation/Local Response Only ❑ II-Evacuation and/or In-County Mutual Aid Needed ❑ III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: COLNAGDWO <br /> Name: CHP Dispatch Phone: (209) 943-8600 <br /> Company: City: <br /> Address: <br /> Designated Employee: John Alaniz <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 Spill occurred at the intersection of Bird and Eleventh St in Tracy, City: TRACY <br /> Physical Description: CA next to APN 25010001. ❑ Incorporated Z Unincorporated <br /> Date of Discharge: June 05, 2019 Date Notified: June 05, 2019 Time Notified: 8:00 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: Lehigh Hanson <br /> Contact Person: Andy Burgin Contact Phone: (559) 493-8970 <br /> Mailing Address: 7675 N Ingram Ave Suite 104 <br /> City: Fresno State: CA ZIP: 93711 <br /> DESCRIPTION <br /> Material: Diesel Fuel Amount: 30.00 ❑ lbs Z gal ❑ cu ft <br /> Type of Discharge: Spill from vehicle collision <br /> Circumstances: EHD was notified by CHP <br /> Material: Oil Amount: 10.00 ❑ lbs Z gal ❑ cu ft <br /> Type of Discharge: Spill from vehicle collision <br /> Circumstances: EHD was noified by CHP <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> The spill was contained using absorbent and was cleaned up by All Star Inc towing and the San Joaquin County Public Works <br /> Department. <br /> SITE DISPOSITION <br /> EHD is waiting for disposal records from the responsible party. <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 />