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r. Environmental Health Dep nt <br /> SA.N �JO�AQUIN <br /> -- <br /> COUNTY-..___ C®pV <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE ff�� <br /> EMERGENCY LEVEL: EHD LOG# D9 V <br /> El 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: C00053754 <br /> Name: Kelly Durrer Phone: (209) 305-0171 <br /> Company: Medline Industries City: Tracy <br /> Address: 5701 Promontory Pkwy <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 5701 Promontory Pkwy, Tracy City: TRACY <br /> Physical Description: <br /> Z Incorporated ❑ Unincorporated <br /> Date of Discharge: May 03, 2021 Date Notified: May 03, 2021 Time Notified: 4:55 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: MEDLINE INDUSTRIES <br /> Contact Person: KELLY DURRER Contact Phone: (209) 305-0171 <br /> Mailing Address: 5701 PROMONTORY PKWY <br /> City: TRACY State: CA ZIP: 95377 <br /> DESCRIPTION <br /> Material: Diesel Amount: 1.00 ❑ lbs 0 gal ❑ cu ft <br /> Type of Discharge: Interstitial space of generator belly tank was filled with diesel causing gasket to leak. <br /> Circumstances: EHD notified by Kelly Durrer of Medline Industries. <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 /> Leak is contained with absorbent rags, pads and boom. Diesel will be pumped out of secondary containment on 5/4/2021. <br /> SJC EHD issued Notice to Abate to responsible party. <br /> SITE DISPOSITION <br /> Leak is contained with absorbent rags, pads and boom pending 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.sjgov.org/EHD <br />