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0 SAN JOAQUIN COUNTY 6 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street Stockton - CA 95202-3029 <br />gill <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />A. EMERGENCY LEVEL X EHD LOG# Dq - 0?,2 <br />B. SOURCE OF INFORMATION <br />NAME: <br />Mumma Naidu <br />PHONE: <br />209-468-3439 <br />COMPANY: <br />Environmental Health Department <br />CITY: <br />Stockton <br />ADDRESS: <br />I <br />DESIGNATED EMPLOYEE NAME: <br />Muniappa Naidu <br />PHONE: <br />209-468-3439 <br />REPORTING AGENCY NAME: <br />San Joaquin County Enviromnental Health Department <br />-ADDRESS: <br />600 E. Main St., Stockton, CA 95202 <br />C. LOCATION AND DATE OF DISCHARGE <br />LOCATION: 1501 Jack Tone Road CITY Ripon Incorporated <br />Best Physical Description I X Unincorporated <br />DATE OF DISCHARGE: Unknown <br />DATE NOTIFIED: 7/25/09 TIME: 12.00pm <br />D. RESPONSIBLE PERSON/BUSINESS <br />NAME OF BUSINESS: <br />Flying J <br />CONTACT PERSON: <br />Jose Jimenez <br />PHONE: <br />Diesel and Gasoline <br />PHYSICAL ADDRESS: <br />1501 Jack Tone Road, Ripon <br />MAILING ADDRESS: <br />I <br />E- DESCRIPTION <br />TYPE OF DISCHARGE: <br />Diesel and Gasoline <br />VOLUME: <br />Unknown <br />CHEMICALS: <br />Diesel and Gasoline <br />CIRCUMSTANCES: <br />Unknown - found during sampling for piping removal <br />F. ACTION TAKEN <br />Referred to program for further action. <br />SITE DISPOSITION <br />� Further action required <br />ER RECORD MODIFIED Revised 05/01/2007 <br />