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SANIOAOUIN <br /> copy <br />Environmental Health Department <br />COUNTY <br />EMERGENCY LEVEL: <br />DI- No Evacuation/Local Response Only <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # 21.-091 <br />LI II - Evacuation and/or In-County Mutual Aid Needed <br /> <br />LI III - Evacuation and/or State/Regional Mutual Aid Needed <br />SOURCE OF INFORMATION: RECORD ID: C00055173 <br />Name: TARA HILL Phone: (951) 972-2694 <br />Company: SOLVONE City: PORTLAND <br />Address: 1675 SW MARLOW, STE 320 <br />Designated Employee: Gabriela Garcia-Mejia <br />Reporting Agency: San Joaquin County Environmental Health Department <br />Agency Address: 1868 E HazeIton Ave, Stockton, CA 95205 <br />LOCATION AND DATE OF DISCHARGE: <br />Location - Best SAFEWAY FUEL CENTER #2600 1987 WEST 11TH STREET, <br />Physical Description: TRACY (APN 23217026) <br />City: TRACY <br />D Incorporated I=1 Unincorporated <br />Date of Discharge: August 26, 2022 Date Notified: August 26, 2022 Time Notified: 11:50 am <br />BLE PERSON/BUSINESS <br />Name of Business: SAFEWAY INC <br />Contact Person: KEITH POWERS Contact Phone: (510) 246-0358 <br />Mailing Address: 5918 STONERIDGE MALL RD <br />City: PLEASANTON State: CA ZIP: 95588 <br />Material: GASOLINE Amount: 1.50 D lbs 0 gal 0 cu ft <br />Type of Discharge: SPILL <br />Circumstances: CUSTOMER FAILED TO PROPERLY PLACE NOZZLE IN VEHICLE CAUSING A SPILL <br />Material: Amount: CI lbs El gal CI cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs El gal t: cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />FUEL SPILL WAS SPRAYED WITH A CHEMICAL CALLED REACT. <br />SITE DISPOSITION <br />EHD IS WORKING WITH RESPONSIBLE PARTY FOR FINAL CLEAN UP. <br />Page 1 of 2 <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD