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SAN JOAQUIN <br /> COPY <br />Environmental Health Department <br />COUNTY- <br />EMERGENCY LEVEL: <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # 1/2 <br /> <br />I - No Evacuation/Local Response Only <br /> <br />El II - Evacuation and/or In-County Mutual Aid Neede I=1 III - Evacuation and/or State/Regional Mutual Aid Needed <br /> <br />SOURCE OF INFORMATION. RECORD ID. COTLS1 <br />Name: BRIAN CLOSS Phone: (209) 468-3074 <br />Company: SAN JOAQUIN PUBLIC WORKS City: STOCKTON <br />Address: 1810 E HAZELTON AVE <br />Designated Employee: Paul Nso <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 ON THE ROAD AT 21600 N DAVIS RD, LODI <br />Physical Description: <br />City: LODI <br />0 Incorporated 1=I Unincorporated <br />Date of Discharge: November 26, 2022 Date Notified: November 29, 2022 Time Notified: 8:30 am <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: <br />Contact Person: UNKNOWN Contact Phone: <br />Mailing Address: <br />City: State: ZIP: <br />DESCRIPTION <br />Material: HYDRAULIC FLUID Amount: Ill lbs I=1 gal 1=1 cu ft <br />Type of Discharge: RELEASED <br />Circumstances: FROM A BROKEN TRACTOR <br />Material: Amount: D lbs 111 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs 1=1 gal 1=1 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />CLEAN UP COMPLETED BY SAN JOAQUIN COUNTY PUBLIC WORKS ON 11/26/2022. <br />SITE DISPOSITION <br />EHD TO FOLLOW UP WITH SAN JOAQUIN COUNTY PUBLIC WORKS TO INVESTIGATE IF ADDITIONAL CLEAN UP IS <br />REQUIRED AND BE COMPLETED. <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.sjgov.org/EHD