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SAN .-)OAQUIN Environmental Health Department <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE G 7 <br /> EMERGENCY LEVEL: EHD LOG# I l 7 <br /> ❑x 1-No Evacuation/Local Response Only ❑II-Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or State/Regional Mutual Aid Neede <br /> SOURCE OF INFORMATION: RECORD ID: C0004955 <br /> Name: Jamie Forbing Phone: (209) 324-7037 <br /> Company: Lathrop/Manteca Fire Dept 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 850 Roth Rd on APN 19802001 and 1501 E Lathrop Rd APN City: LATHROP <br /> Physical Description: 19803001 0 Incorporated ❑ Unincorporated <br /> Date of Discharge: April 01, 2019 Date Notified: April 03, 2019 Time Notified: 11:42 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: FedEx <br /> Contact Person: Keith Winter Contact Phone: (501) 303-7034 <br /> Mailing Address: 6900 Alcoa Rd <br /> City: Benton State: AR ZIP: 72015 <br /> DESCRIPTION <br /> Material: Diesel Fuel Amount: 1 10.00 ❑ lbs 0 gal ❑ cu ft <br /> Type of Discharge: Release occurred through a ruptured saddle tank. <br /> Circumstances: Spill was discovered during stop at gate house. <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 /> Spill is in progress of being cleaned up by an environmental contractor hired by the responsible party. <br /> SITE DISPOSITION <br /> EHD is waiting for the cleanup to be completed and for the final disposal records. <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 />