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t <br /> SA N J O A Q U I N COPY Environmental Health Department <br /> COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE f 1 <br /> EMERGENCY LEVEL: EHD LOG# -Ob L4 <br /> ❑x 1-No Evacuation/Local Response On ❑II-Evacuation and/or In-County Mutual Aid Neede ❑III-Evacuation and/or State/Regional Mutual Aid Neede <br /> SOURCE OF INFORMATION: RECORD ID: C00055079 <br /> Name: CASSANDRA GOMEZ Phone: (209)404-4130 <br /> Company: MID City: MODESTO <br /> Address: 929 WOODLAND 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 ATAPPROXIMATELY 15 FEET FROM THE SOUTH END WALL City: MOUNTAIN HOUSE <br /> Physical Description: OF 898 SOUTH DE ANZA BLVD, MOUNTAIN HOUSE. ❑ Incorporated 0 Unincorporated <br /> Date of Discharge: July 27, 2022 Date Notified: July 28, 2022 Time Notified: 12:30 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: MODESTO IRRIGATION DISTRICT <br /> Contact Person: CASSANDRA GAMEZ Contact Phone: (209)404-4130 <br /> Mailing Address: P.0 BOX 4060 <br /> City: MODESTO State: CA ZIP: 95352 <br /> DESCRIPTION <br /> Material: MINERAL OIL Amount: 200.00 ❑ Ibs N gal ❑ cu ft <br /> Type of Discharge: LEAK <br /> Circumstances: DUE TO ELECTRICAL MALFUNCTION MINERAL OIL LEAK FROM A PAD MOUNT TRANSFORMER <br /> Material: Amount: ❑ Ibs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ Ibs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> CLEAN UP COMPLETED <br /> SITE DISPOSITION <br /> EHD TO FOLLOW UP DISPOSAL RECORDS. <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />