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SAN JOAQUIN COPY <br />Environmental Health Department <br /> <br />COUNTY <br /> <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # <br /> <br />EMERGENCY LEVEL: <br /> <br />LI I - No Evacuation/Local Response Only LI Evacuation and/or In-County Mutual Aid Neede <br /> El ill- Evacuation and/or State/Regional Mutual Aid Needed <br /> <br />• RECORD ID* C017XZ5TA <br />Name: FREDRICK ERNEST Phone: (209) 616-3026 <br />Company: SJC EHD City: STOCKTON <br />Address: 1868 E Hazelton Ave <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 />• -- -- -- - - - - - <br />Location - Best NORTH SHOULDER OF 8 MILE ROAD APPROX. 800 FT WEST <br />Physical Description: OF CROSS ST. 8MILE ROAD AND TRINITY PARK STK. <br />City: STOCKTON <br />111 Incorporated El Unincorporated <br />Date of Discharge: July 19, 2021 Date Notified: July 19, 2021 Time Notified: 1:30 pm <br />Name of Business: ASHLEY LANE LP <br />Contact Person: Contact Phone: <br />Mailing Address: PO BOX 659 <br />City: LINDEN State: CA ZIP: 95236 <br />Material: YELLOW POWDER Amount: i . 6, _ LA-0 u-noWn El lbs D cu ft D gal <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: III lbs I=1 gal ID cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs D gal D cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />NO ACTION TAKEN <br />SITE DISPOSITION <br />CLEAN UP IS PENDING <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