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SAN JOAQUIN <br />JUNI <br />EMERGENCY LEVEL: <br />0 I - No Evacuation/Local Response Only <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # 0 L\ <br />II - Evacuation and/or In-County Mutual Aid Needs El III - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: <br />Name: Molly Dimick Phone: (208) 220-6597 <br />Company: JR Simplot Company City: <br />Address: <br />Designated Employee: Elianna Florida <br />Reporting Agency: San Joaquin County Environmental Health Department <br />Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br />• <br />Location - Best <br />Physical Description: <br />16777 Howland Rd and public right-of-way on the west side of <br />Mckinley Ave <br />City: LATHROP <br />11 Incorporated 0 Unincorporated <br />Date of Discharge: May 12, 2021 Date Notified: May 13, 2021 Time Notified: <br />Name of Business: J R SIMPLOT COMPANY CORP <br />Contact Person: Contact Phone: <br />Mailing Address: <br />City: State: ZIP: <br />___.... .._.... <br />Material: Process fertilizer mix Amount: 1,500.00 0 lbs 0 gal 0 cu ft <br />Type of Discharge: Spill <br />Circumstances: Vehicle overturn <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: El lbs D gal D cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />Areas were secured pending USA clearance and excavation <br />SITE DISPOSITION <br />Clean up is pending <br />Page 1 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD