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SAN ) O A Q U I N copy <br /> Environmental Health Department <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG# 80 <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: C005QLWOE <br /> Name: Nicole Carter Phone: (209)608-1915 <br /> Company: The Wine Group City: Ripon <br /> Address: 17000 E. HWY 120 <br /> Designated Employee: Lydia Baker <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 17000 E. HWY 120, Ripon, CA 952366,APN 24506030 City: RIPON <br /> Physical Description: <br /> ❑ Incorporated 0 Unincorporated <br /> Date of Discharge: October 12, 2019 Date Notified: October 12, 2019 Time Notified: 8:48 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: THE WINE GROUP <br /> Contact Person: NICOLE CARTER Contact Phone: (209)608-1915 <br /> Mailing Address: PO BOX 90 <br /> City: TRACY State: CA ZIP: 95366 <br /> DESCRIPTION <br /> Material: Ammonia Amount: 2.00 ❑ lbs ❑ gal 0 cu ft <br /> Type of Discharge: Leak <br /> Circumstances: Bull's eye sight glass leak <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> Bull's eye sight glass was repaired. <br /> SITE DISPOSITION <br /> Leak has been repaired. <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 />