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SAN JOAQUIN COUNTY (�] COPY <br /> ENVIRONMENTAL HEALTH DEPARTMENT G) <br /> 1868 East Hazelton Avenue, Stockton , CA 95205-6232 U <br /> 1 !i (209) 468-3420 • Fax: (209) 464-3433 • Web: www. sictov.orsa/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE JEHDLOG# 1 Iff — Q <br /> EMERGENCY LEVEL : <br /> ❑X I - No Evacuation/Local Response Only ❑ I - Evacuation and/or In-County Mutual Aid Needed ❑ I I I - Evacuation and/or Regional/Slate Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME: Elena Manzo PHONE: (209) 953-7699 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 1868 E, Hazelton Ave. <br /> DESIGNATED EMPLOYEE NAME: Elena Manzo PHONE: (209) 953-7699 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E, Hazelton Ave. , Stockton , CA 95205-6232 <br /> LOCATION AND DATE OF DISCHARGE <br /> LOCATION: ❑X Incorporated <br /> Best Physical inside 741 N Central Avenue CITY Manteca <br /> Description ❑ Unincorporated <br /> DATE OF unknown <br /> DISCHARGE: <br /> DATE <br /> NOTIFIED: 6-22-2018 TIME: 4:58 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: unknown n <br /> ' j� P eel)PERSON: � ' I yPHONE: <br /> PHYSICAL ADDRESS: to <br /> MAILINGADDRESS: as above <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: Historical release <br /> VOLUME: unknown <br /> CHEMICALS: lead <br /> CIRCUMSTANCES: unknown <br /> ACTION TAKEN <br /> During a UST removal , lead was detected in confirmation soil sample collected below the <br /> removed UST at 120 mg/kg <br /> I <br /> SITE DISPOSITION <br /> Clean is pending <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />