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NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EH D LOG # <br />0 II- Evacuation and/or In-County Mutual Aid Needed 0 III - Evacuation and/or State/Regional Mutual Aid Needed <br />RECORD ID: COKUDDVVRT <br />EMERGENCY LEVEL: <br />No Evacuation/Local Response Only <br />SOURCE OF INFORMATION: <br />Name: ANTHONY MAEDER Phone: (209) 817-1341 <br />Company: COLLINS ELECTRIC City: STOCKTON <br />Address: 3412 METRO DRIVE <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 />SANJOAQUIN <br />couNry PY Environmental Health Department <br />LOCATION AND DATE OF DISCHARGE: <br />Location - Best 10055 99 FRONTAGE ROAD, STOCKTON CA 95212 City: STOCKTON <br />Physical Description: <br />CI Incorporated 0 Unincorporated <br />Date of Discharge October 19, 2022 Date Notified: October 20, 2022 Time Notified: 9:05 am <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: COLLINS ELECTRICAL COMPANY INC <br /> <br />Contact Person: ANTHONY MAEDER <br /> <br />Contact Phone: (209) 817-1341 <br /> <br />Mailing Address: 3412 METRO DRIVE <br />City: STOCKTON <br />State: CA <br /> <br />ZIP: 95215 <br />DESCRIPTION <br />Material: DIESEL Amount: 1.00 0 lbs 0 gal 0 cu ft <br />Type of Discharge: RELEASED FROM RETURN LINE ON THE BOOM LIFT <br />Circumstances RETURN LINE ON THE BOOM LIFT WAS CUT BY VANDALISM <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />A SNOW NET WAS PLACED AROUND THE 3X3 FT AREA <br />SITE DISPOSITION <br />CLEAN-UP PENDING <br />Page 1 of 2 <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209468-34201 F 209 464-0138 1 www.sjgov.org/EHD