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SANJOAQUIN COPY Environmental Health Department <br /> —COUNTY- <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE n ,1 <br /> EMERGENCY LEVEL: EHD LOG# \\,LA <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: C00052531 <br /> Name: Tim Babcock Phone: (530)513-0468 <br /> Company: Broadbent and Associates City: <br /> Address: <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 345 Roth Road. APN 19333039 City: LATHROP <br /> Physical Description: 9 Incorporated ❑ Unincorporated <br /> Date of Discharge: August 27, 2020 Date Notified: August 27, 2020 Time Notified: 3:09 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: PILOT TRAVEL CENTER LATHROP-1017 <br /> Contact Person: JOEY CUPP Contact Phone: (865)474-2826 <br /> Mailing Address: 5508 LONAS RD <br /> City: KNOXVILLE State: TN ZIP: 37909 <br /> DESCRIPTION <br /> Material: Diesel Amount: 50.00 ❑ lbs x❑gal ❑cu ft <br /> Type of Discharge: Released from damaged truck <br /> Circumstances: SJC EHD notified via spill report 20-4708 <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 /> SJC EHD issued notice to abate to responsible party. Clean-up is completed at this time. <br /> SITE DISPOSITION <br /> Clean-up of spill site is complete. Responsible party to provide disposal records to SJC EHD for waste generated. <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 />