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SAN JOAQUIN <br />CT (j) tj NH <br />Environme py <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: EHD LOG # <br />0 I - No Evacuation/Local Response Only <br /> 0 II - Evacuation and/or In-County Mutual Aid Needed 0 III - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: • <br />Name: Phone: <br />Company: FARMINGTON FIRE 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 <br />Physical Description: <br />18129 E SOLA RD City: STOCKTON <br />0 Incorporated 0 Unincorporated <br />Date of Discharge: June 25, 2021 Date Notified: June 25, 2021 Time Notified: 3:50 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: SGS Stockton <br />Contact Person: JOHN PALLEN Contact Phone: (209) 941-4456 <br />Mailing Address: 4863 Carpenter Road <br />City: STOCKTON State: CA ZIP: 95215 <br />DESCRIPTION <br />Material: Sodium Chlorite Amount: 100.00 0 lbs tEl gal 0 cu ft <br />Type of Discharge: Chemicals were accidentally mixed during a deliver and caused an explosion. <br />Circumstances: SJC EHD notified by fire department. <br />Material: Etidronic Acid Amount: 100.00 0 lbs 0 gal 0 cu ft <br />Type of Discharge: Chemicals were accidentally mixed during a deliver and caused an explosion. <br />Circumstances: SJC END notified by fire department. <br />Material: Amount: 0 cu ft 1. lbs NI gal <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />Discharge area has been contained with cones and tape. SJC EHD issued Notice to Abate. Tank pieces decontaminated and <br />collected. Clean-up pending. <br />SITE DISPOSITION <br />Discharge area has been contained with cones and tape. Tank pieces decontaminated and collected. <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 209 468-3420 j F 209 464-0138 I www.sjgov.org/EHD