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EMERGENCY LEVEL: <br />I: I - No Evacuation/Local Response Only El II - Evacuation and/or In-County Mutual Aid Needed <br />City: LODI <br />ID Incorporated 0 Unincorporated <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: Central Valley Waste Services <br />Contact Person: Fabian Speed Contact Phone: <br />Mailing Address: 1333 East Turner Road <br />City: Lodi State: CA ZIP: 95241 <br />SAN JOAQUIN COPY <br />„,,,, <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # \\AS <br />D III - Evacuation and/or State/Regional Mutual Aid Needed <br />: 00055423 SOURCE 01- INI-UKIVIA I ION: <br />Name: FABIAN SPEED Phone: (209) 275-5441 <br />Company: CENTRAL VALLEY WASTE City: <br />Address: <br />Designated Employee: Kristina Saetern <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 1430 SOUTH CHEROKEE LANE, LODI, CA 95240 <br />Physical Description: <br />Date of Discharge: December 12, 2022 Date Notified: December 12, 2022 Time Notified: 12:29 pm <br />LitbUI-K11-' I ILAN <br />Material: COOLANT Amount: 2.00 0 lbs 1=1 gal 0 cu ft <br />Type of Discharge: RELEASED ONTO GRAVEL SOIL AND PUDDLE <br />Circumstances: COOLANT HOSE BROKE OFF THE TRUCK <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs 0 gal 1: cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />ABSORBENT WAS PLACED OVER THE IMPACTED AREA. A VACUUM TRUCK WAS USED TO REMOVED <br />APPROXIMATELY 2 GALLON OF CONTAMINATED LIQUID AND ABSORBENT. <br />SITE DISPOSITION <br />CLEAN UP HAVE BEEN COMPLETED. AWAITING DISPOSAL RECORDS. <br />Page lot 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