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COPY <br />SAN JOAQUIN COUNTY <br />4 ENVIRONMENTAL HEALTH DEPARTMENT <br />° 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />(209) 468-3420 • Fax: (209) 464-3433 - Web: www.slgov.or. /ehd <br />t i i=o`%/ <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE JEHDLOG#1 <br />EMERGENCY LEVEL: <br />® I -No Evacuation/Local Response only ❑ I I - Evacuation and/or In -County Mutual Aid Needed ❑III -Evacuation and/or RegionaliState Mutual Aid Needed <br />SOURCE OF INFORMATION <br />NAME: <br />Rob Enering <br />PHONE: <br />(800) 451-8346 <br />COMPANY: <br />3E Company <br />CITY: <br />Carlsbad <br />ADDRESS: <br />3207 Greyhawk Ct. Suite 200 Carlsbad, CA 92010 <br />DESIGNATED EMPLOYEE NAME: <br />Aris Veloso <br />PHONE: <br />(209) 468-3453 <br />REPORTING AGENCY NAME: <br />San Joaquin County Environmental Health department <br />ADDRESS: <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />LOCATION AND DATE OF DISCHARGE <br />LOCATION: <br />Best Physical <br />2440 Daniels St. Manteca, CA 95337 <br />CITY <br />Manteca <br />Q Incorporated <br />(209) 825-8200 <br />Description <br />2440 Daniels St. Manteca, CA 95336 <br />MAILING ADDRESS: <br />999 Lake Dr. Issaquah, WA 98027 <br />❑ unincorporated <br />DATE OF <br />Wednesday, January 27, 2016 <br />DISCHARGE: <br />DATE <br />Wednesday, January 27, 2016 <br />TIME: <br />2:30 PM <br />NOTIFIED: <br />RESPONSIBLE PERSON/BUSINESS <br />NAME OF BUSINESS: <br />Costco <br />CONTACT PERSON: <br />Charle Morris <br />PHONE; <br />(209) 825-8200 <br />PHYSICAL ADDRESS: <br />2440 Daniels St. Manteca, CA 95336 <br />MAILING ADDRESS: <br />999 Lake Dr. Issaquah, WA 98027 <br />DESCRIPTION <br />TYPE OF DISCHARGE: <br />liquid <br />VOLUME: <br />4 gallons <br />CHEMICALS: <br />gasoline fuel <br />CIRCUMSTANCES: <br />Fuel spilled from a hole in the customer's fuel tank. <br />ACTION TAKEN <br />On site with Charlie Morris and Stacy Rodrigues Cos co. I he spill occurrednext num e <br />Stacy confirmed that the spill had been cleaned up with FM186 and absorbent material. She confirmed <br />that the waste generated from the clean up was placed into the hazardous waste drum on site. <br />PC4—S0n^X_( <br />Costco, persanat- have completed the spill clean up. <br />SITE DISPOSITION <br />No further action at this time. <br />Revised 6101/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />