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Environmental Health Department <br />Le7 <br />-!7* <br />EHD LOG # 01,2 b <br />SAN JOAQUIN <br />N <br />NOTIFICATION OF HAZARDOUS WASTE DISCH <br />CI ii- Evacuation and/or In-County Mutual Aid Needed CI Evacuation and/or State/Regional Mutual Aid Needed <br />EMERGENCY LEVEL: <br />El 1- No Evacuation/Local Response Only <br />SOURCE OF INFORMATION: RECORD ID: COJTOJOCU <br />Name: Chris Kane Phone: (925) 639-5408 <br />Company: City: <br />Address: <br />Designated Employee: Lydia Baker <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 Middle of Mildred Island, north of Lower Jones Road, east of <br />Physical Description: Bacon Island Road. <br />City: STOCKTON <br />III Incorporated El Unincorporated <br />Date of Discharge: July 29, 2022 Date Notified: July 29, 2022 Time Notified: 8:30 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: <br />Contact Person: Contact Phone: <br />Mailing Address: <br />City: State: ZIP: <br />DESCRIPTION <br />Material: Unknown 6114001 Amount: lAnKnOW el CI lbs 0 gal El cu ft <br />Type of Discharge: Accidental discharge <br />Circumstances: Release caused by two engines that broke free into the waterway. <br />Material: Amount: 0 lbs III gal CI cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs III gal CI cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />SJC EHD on site to investigate. <br />SITE DISPOSITION <br />Sheen has dissipated. No further action. <br />Page 1 of 2 <br />1868 E. Hazelton AvenueI Stockton, California 95205 1 1 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD