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SAN JOAQUIN COPY <br />Environmental Health Department <br />COUN1Y - <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <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 />SOURCE OF INFORMATION: RECORD ID: C00055286 <br />Name: FABIAN SPEED Phone: (209) 275-5441 <br />Company: CENTRAL VALLEY WASTE City: LODI <br />Address: <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 ON THE STREET AT 1337 CRESCENT AVE, LODI <br />Physical Description: <br />City: LODI <br />El Incorporated 111 Unincorporated <br />Date of Discharge: _October 11, 2022 Date Notified: October 11,2022 Time Notified: 3:20 pm <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: CENTRAL VALLEY WASTE SERVICES <br />Contact Person: ERIC MANKINS Contact Phone: (925) 250-6650 <br />Mailing Address: 1333 EAST TURNER ROAD <br />City: LODI State: CA ZIP: 95241 <br />DESCRIPTION <br />Material: COOLANT Amount: 6.00 El lbs ID gal I=1 cu ft <br />Type of Discharge: SPILL <br />Circumstances: DUE TO A LOOSE TRUCK RADIATOR HOSE <br />Material: Amount: 0 lbs 0 gal D cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs I=1 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />CLEAN UP COMPLETED <br />SITE DISPOSITION <br />EHD WILL FOLLOW UP DISPOSAL RECORDS. <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 <br />EMERGENCY LEVEL: <br />ElI - No Evacuation/Local Response Only