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SAN,JOAQUIN Environmental Health Department <br /> COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG # <br /> 0 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: COOQDWYXB <br /> Name: Shannon Medina Phone: (888) 877-7267 <br /> Company: Union Pacific City: <br /> Address: <br /> Designated Employee: Claudia Muro <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 1000 East Roth Road, French Camp, CA 95231 City: FRENCH CAMP <br /> Physical Description: Parcel: 19820005 <br /> _ Trac 7Q1 _ _ ❑ Incorporated 0 Unincorporated <br /> Date of Discharge: April 08, 2019 Date Notified: April 08, 2019 Time Notified: 2:45 pm <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: Union Pacific <br /> Contact Person: Mike Algots Contact Phone: (916) 580-9999 <br /> Mailing Address: 1600 Vernon St. <br /> City: Roseville State: CA ZIP: 95678 <br /> DESCRIPTION <br /> Material: Oil I Amount: 5.00 ❑ lbs Z gal ❑ cu ft <br /> Type of Discharge: The spill occurred through a cracked pipe. <br /> Circumstances: Was notified by Union Pacific. <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 /> The spill was cleaned up using absorbents. <br /> SITE DISPOSITION <br /> EHD is waiting for final disposal records. <br /> Page 1 of 2 <br />