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pj <br /> /�PE) <br /> " SAN JOAQUIN COUNTY <br /> io.'...........c,. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> awl j (209) 468-3420 - Fax: (209) 464-3433 - Web:www.sigov.org/ehd <br /> jFO <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL ❑x 1 ❑ 11 ❑ Ill EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Garrett Backus PHONE: (209)468-2986 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 1868 E. Hazelton Ave. <br /> DESIGNATED EMPLOYEE NAME: Muniappa Naidu PHONE: (209)468-3439 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: <br /> Best Physical 1000 E Roth Road CITY French Camp Incorporated <br /> Description ❑x Unincorporated <br /> DATE OF DISCHARGE: Wednesday, November 21, 2012 <br /> DATE NOTIFIED: Wednesday, November 21, 2012 TIME: 3.30 pm <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Union Pacific Rail Road <br /> CONTACT PERSON: Jeremiah Ferree PHONE: (209) 546 7288 <br /> PHYSICAL ADDRESS: 1000 E Roth Road, French Camp CA 95231 <br /> MAILING ADDRESS: <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Leak from container <br /> VOLUME: Unknown <br /> CHEMICALS: Glyphosate commonly known as roundup <br /> Agricultural grade Roundup herbicide leaked and released on the ground. May have gone <br /> CIRCUMSTANCES: into the oil water separator <br /> F. ACTION TAKEN <br /> NRC was hired to perform clean up <br /> SITE DISPOSITION <br /> Requested disposal records for the waste generated from clean up. <br /> Revised 08/02/12 Paqe 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />