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SAN JOAQUIN COPY Environmental Health Department <br /> COUNT <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG# `2'�> —O <br /> X❑1-No Evacuation/Local Response Only ❑II-Evacuation and/or In-County Mutual Aid Needs ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: <br /> Name: Henry Fontes Phone: 209-313-4817 <br /> Company: Waste Management city: Lodi <br /> Address: 1333 E Turner Rd <br /> Designated Employee: <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 1801 Song Bird Place, Lodi, CA 95240 on the street City: Lodi <br /> Physical Description: <br /> X Incorporated Unincorporated <br /> Date of Discharge: 4/12/2023 Date Notified: 4/12/2032 Time Notified: 3;06 PM <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: Waste Management <br /> Contact Person: HenryFontes Contact Phone: 209-313-4817 <br /> Mailing Address: 1333 E Turner Rd <br /> City State: CA zIP: 95241 <br /> DESCRIPTION <br /> Material: Antifreeze Amount: 4 ❑lbs X gal ❑cu ft <br /> Type of Discharge: Released onto the street <br /> Circumstances: Hose broke off from the water pump as vehicle was servicingin <br /> Material: Amount: ❑ lbs ❑gal ❑cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑gal ❑cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> Waste Management cleaned the site by using loose absorbents. Generating 20 gallon of hazardous <br /> waste and taken to their site for disposal. <br /> SITE DISPOSITION <br /> Clean up have been completed. One 55 gallon drum was generated containing 20 gallons of waste. <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />