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TANK <br /> SAN JOAQUIN COUNTY <br /> NO=('-IRP10N OF HAZARDOUS WASTE D[ %.r G <br /> HEALTH & SAFETY CODE 25180.7 00 ,� <br /> A. EMERGENCY LEVEL• t II III PHS-EH LOG �(� , ! Fs <br /> CCirrie One) <br /> B. SOURCE OF INFORMATION <br /> Name: MIKE COCKRELL Phone: 209 468-3962 <br /> Company: SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> Address: 222 E. WEBER AVE. <br /> Designated Employee Name: JERRY YCSEIOKA Phone: 0202 468-0335 <br /> Reporting Agency Name: 9AN JMQUIN COUNTY FUNIVIRONMENTAL HEALTH <br /> Address: 304 E. WEBER AVENUE STOCKTON <br /> LOCATION AND DATE OF DISCF-ARGE <br /> Location: a4an WELT WAT.NTTT (:ROVE VZAn <br /> (Best Physical Description) !Cry�r County) C rle One of Discharge: AUGUST 14, 1996 <br /> Date Notified: AUGUST 14, 1996 Time: 2358 hours <br /> D. RESPONSIBLE PERSON/BUSWESS <br /> Name of Business: PAYLESS DISTRIBUTION <br /> Conrad Persons DAVID DRAKE Telephone: <br /> Physical Address: L755 EAST BEAMER STREET, WOODLAND 4� 95776 <br /> Mailing Address: <br /> _. DESCRIPTION <br /> Type of Discharge: DIESEL FUEL RELEASE FROM DAMAGED FUEL TANK. <br /> Volume: APPROXIMATELY 200 gallons <br /> Chemicals: DIESEL <br /> Circuznsrances: TlMrV T12LMarVn RTTFT. TANTO WATT.R TRAVFT.TN(: ON TNTFRSTATF._ <br /> FUEL LEAKED FROM FUEL TANK ONTO SHOULDER OF INTERSTATE AND ON PARKING <br /> LOT. <br /> ACTION TAKEN SHOULDER OF ROADWAY SANDED. PARKING LOT SPILL AREA <br /> CORDONED OFF AND FREE LIQUID COVERED WITH DIRT <br /> SiIc. DISPOSLTION EXPOSED SOIL TO BE EXCAVATED AND REMOVED. SOIL SAMPLES <br /> ARE EXPECTED TO BE TAKEN AND CONTAMINATED SOIL TO BE PROPERLY DISPOSED <br /> SH 22 013 (Rev.4/91) <br />