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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1818 East Hazelton Avenue, Stockton, CA 95205-62;;2 <br />(209) 468-3420 • Fax. (209) 464-3433 . Web; www,sinov.orct;,shd <br />r�i ai <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />A. EMERGENCY LEVEL ;c I 17111 [EHD L G—W <br />B. SOURCE OF INFORMATION <br />NAME: iMark Goularde --PHONE: <br />' Dale R. & E,J. bull �� --- <br />(209) 606-0431 <br />COMPANY: Eoyett Petroleum _ CITY: <br />Modesto <br />AIit3RE55: 609 McHenry Avenue, Modesto, CA 95350 <br />MAILING ADDRESS <br />DESIGNATED EMPLOYEE NAME: <br />Stacy Rivera PHt3NE; <br />(209) 468-3440 <br />REPORTING AGENCY NVAE: <br />San Joaquin County Environmental Health Department <br />ADDRESS: <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />C. LOCATION AND DATE OF DISCHARGE <br />LOCATIOM __. <br />­­''] <br />Best Physical 22844 S. Frederick Rd. 1 CITY Rilxon © Incorporated <br />Desai ion l� Unincorporated <br />DATE OF DISCHARGE: Wednesday, April 29, 2015 <br />DATE NOTIFIEDThursday, April 30, 2015 TIME; 8:42 AM <br />D. RESPONSIBLE PERSONIBUSINESS <br />NAME OF BUSINESS: <br />' Dale R. & E,J. bull �� --- <br />CONTACT PERSON: <br />j Date KuilPHONE: (2 09) 599-4960 <br />PHYSICAL ADDRESS: <br />122844 S. Frederick Ave., Ripon, CA 95366 <br />MAILING ADDRESS <br />I same <br />E. DESCRIPTION <br />TYPE OF DISCHARGE: <br />Spill �._. _ -- -- — <br />_ <br />� <br />VOLUME: <br />approximately 6,t7�iiJ gallons <br />pp y <br />CHEMICALS:V-- <br />CIRirUM-STANCES: <br />diesel <br />The side of a diesel tank blew out during fuel delivery, releasing Diesel to the ground. <br />F. ACTION TAKEN <br />Dirtwasdiesel'y t r�IP to contain it, A cleanup contractor has een contactE <br />SITE DISPOSITION <br />Arrangements are being made by the RP with a clean up contractor. The AST spill has been rc•ierred to the Central Valley <br />Water Quality Control Board for additional follow up. <br />I <br />Revised 11103114 Page 1 of 2 NO' I IFICATIt d OF HAZ WASTE DISCHARGE <br />