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SANJ O A Q U I N Environmental Health Department <br /> CC)UN I Y 0 COPY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG# <br /> IK I-No Evacuation/Local Response Only ❑ II-Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: C00048048 <br /> Name: Celia Barajas Phone: (925) 519-4750 <br /> Company: PG&E City: <br /> Address: <br /> Designated Employee: John Alaniz <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 Spill bordered south side ofAPN 17705016 City: FRENCH CAMP <br /> Physical Description: <br /> ❑ Incorporated Z Unincorporated <br /> Date of Discharge: December 18, 2018 Date Notified: December 18, 2018 Time Notified: 9:30 am <br /> RESPONSIBLE PERSONIBUSINESS <br /> Name of Business: PG&E <br /> Contact Person: Alex Steele Contact Phone: (209) 337-8902 <br /> Mailing Address: PO BOX 7640 <br /> City: San Francisco State: CA ZIP: 94120 <br /> DESCRIPTION <br /> Material: Mineral Oil Amount: 2.00 ❑ lbs Z gal ❑ cu ft <br /> Type of Discharge: Spill <br /> Circumstances: EHD was notified by PG&E <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 /> Spill was contained and the area was cleaned up by PG&E. <br /> SITE DISPOSITION <br /> EHD is waiting for the PCB sample results. <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.sjcehd.com <br />