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. 0 • <br />SAN,010AQUIN <br /> COPY <br /> <br />Environmental Health Department <br />—CCU t\I I Y <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: <br />ID I - No Evacuation/Local Response Only <br />SOURCE OF INFORMATION: <br />EHD LOG # <br />D II - Evacuation and/or In-County Mutual Aid Neede D Ill - Evacuation and/or State/Regional Mutual Aid Needed <br />Name: FABIAN SPEED Phone: (209) 275-5441 <br />Company: CENTRAL VALLEY WASTE MGT. City: LODI <br />Address: 1333 E TURNER RD <br />Designated Employee: Frederick Ernest <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 SOUTH EAST CORNER OF 650 SOUTH GUILD. SOUTH EAST <br />Physical Description: OF TRUCK LOADING BAY 30. <br />City: LODI <br />0 Incorporated 0 Unincorporated <br />Date of Discharge: September 09, 2021 Date Notified: November 09, 2021 Time Notified: 3:50 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: CENTRAL VALLEY WASTE/WASTE MANAGMENT <br />Contact Person: SAM JAGER Contact Phone: (209) 333-5611 <br />Mailing Address: PO BOX 241001 <br />City: LODI State: CA ZIP: 95241 <br />DESCRIPTION <br />Material: HYDRAULIC FLUID Amount: 3.00 D lbs D gal 0 cu ft <br />Type of Discharge: ACCIDENTAL RELEASE <br />Circumstances: DAMAGED HYDRAULIC LINE <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />VEHICLE REPAIRED TO MITIGATE LEAK. VEHICLE SENT OFF SITE FOR REPAIR. ABOSBENT PADS, AND ABSORBEN-I <br />POWDER APPLIED. WASTE GENERATED HAULED BACK TO 1333 E TURNER RD IN LODI TO BE CONSOLIDATED. <br />SITE DISPOSITION <br />SITE CLEANED. <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