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SAN )O A Q U I N COpY Environmental Health Department <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG# 0 <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: C00051805 <br /> Name: Kristen Dugger Phone: (209) 689-5530 <br /> Company: Van De Pol City: Stockton <br /> Address: 4895 S.Airport Way <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 2420 E. Eight Mile Road City: STOCKTON <br /> Physical Description: <br /> ❑ Incorporated Z Unincorporated <br /> Date of Discharge: March 29, 2020 Date Notified: March 30, 2020 Time Notified: 9:24 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: VAN DE POL <br /> Contact Person: KRISTEN DUGGER Contact Phone: (209) 689-5530 <br /> Mailing Address: 4895 S AIRPORT WAY <br /> City: STOCKTON State: CA ZIP: 95206 <br /> DESCRIPTION <br /> Material: Diesel Amount: 7.00 ❑ lbs [R gal ❑ cu ft <br /> Type of Discharge: Check valve failure as tank was being fueled <br /> Circumstances: SJC EHD notified by Kristen Dugger of Van De Pol. <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 /> Release has been contained. Fremouw Environmental en route to conduct clean-up. SJC EHD issued Notice to Abate to <br /> Responsible Party to abate contamination and properly dispose of waste generated. <br /> SITE DISPOSITION <br /> Release has been stopped and contained. Clean-up company en route to perform clean-up. <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 />