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ig ,o <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: UNION PACIFIC <br />Contact Person: ROBERT BAVIER Contact Phone: (909) 685-2857 <br />Mailing Address: 1600 VERNON ST <br />City: ROSEVILLE State: CA ZIP: 95678 <br />SANJOAQUIN COPY <br />cauN, <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: <br />CI No Evacuation/Local Response On <br />SOURCE OF INFORMATION: <br />EHD LOG # <br />El II - Evacuation and/or In-County Mutual Aid Neede El iii - Evacuation and/or State/Regional Mutual Aid Neede <br />RECORD ID: C051XRFTL <br />Name: Madonna Riggenbach Phone: (888) 877-7267 <br />Company Union Pacific City: <br />Address: <br />Designated Employee: Claudia Muro <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 <br />Physical Description: <br />1000 E. Roth Rd <br />French Camp, CA 95231 <br />APN. 19870005 <br />City: FRENCH CAMP <br />El Incorporated 11 Unincorporated <br />Date of Discharge: July 27, 2019 Date Notified: July 29, 2019 Time Notified: <br />Material: Liquid Shampoo Amount: 1.00 CI lbs I=1 gal 1=1 cu ft <br />Type of Discharge: Damaged Power Stick containers leaked liquid shampoo onto other containers and the ground. <br />Circumstances: Notified by Union Pacific <br />Material: Amount: 1=1 lbs 1=1 gal Ocu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: LI lbs Li gal 1=1 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />The spill was cleaned up using rags and absorbent. <br />SITE DISPOSITION <br />EHD is waiting for final disposal records. <br />Page 1 of 2 <br />1868 E Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com