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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055514 Site Location: 2109 BLUEJAY WAY <br />Received by: EE0000033 NSO <br />Received Date: 1/12/2023 Complaint Received Via: PHONE <br />Assigned To: EE0000033 NSO <br /> <br />Assigned Date: 1/12/2023 <br />Program/Element Code 2546 - Release/Spill Response (excluding Joint Team) <br />Nature of complaint: <br />HYDRAULIC OIL SPILL -2 GALLONS <br />PROPERTY INFORMATION <br />Property Name: <br />Site Location 2109 BLUEJAY WAY <br />District 004 - WINN, CHARLES <br />LODI, CA 95240 <br />Location Code 02 - LODI <br />Cross Street RAVEN LN <br />APN 06247028 <br />Complaint Status: C.)'• OC- kk_ reSe 1•Pe•-, <br />Date Abated: 0 Li (64.4;:a .) <br /> <br />Abated By: (-)C) /1/S0 <br /> <br />Activity Summary <br />Activity Date Recorded by <br />01/11/2023 At approximately 5.11pm received Spill report Cal OES #23-0360 for a two-gallon NSO <br />hydraulic oil released onto the road at 2109 Blue Jay Way Lodi due to mechanical <br />failure of a waste Management truck, occurred at 1050am 01/11/2023. Called <br />Henry Fonte responsible party representative for Lodi Waste Management. Henry <br />stated that the clean-up was completed by the Lodi Waste management <br />employees, the waste generated from clean-up operation was placed in a 55gallon <br />steel container and taken to the Waste Management hazardous waste storage site <br />for latter disposal. No water ways or storm drain impacted. Henry promises to <br />forward clean up photos tomorrow 01/12/2023 morning. Discuss incident with <br />Lead Senior Haza Saeed. <br />01/12/2023 Received clean up photos from Henry Fonte and generate a Photo log and prop NSO <br />65. <br />03/17/2023 Update record files, print and abate. NSO <br />Disposal records of waste generated (one drum of contaminated solids- <br />approximately 20 gallons of waste generated were placed in a 55 gallon metal <br />drum) during clean up operation will be verified during next hazardous waste <br />routine inspection see PR0522742. <br />5105.rpt Page 1 of 1