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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> fid (209)468-3420 • Fax: (209)464-3433• Web:www.siaov ora/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGEEHDLoG# <br /> EMERGENCYLEVEL <br /> (R I-NO Eveaaeam/Local nesponw Only II-Evaaabm and W In-ODUOYMade Aid Needed III-Evawabm andbr Regwnaustate Mutual AM Needed <br /> SOURCE OF INFORMATION <br /> NAME: gEMPLOYEE <br /> PHONE: 209 468-3455 <br /> COMPANY: tMedina <br /> tal Health Department CITY; <br /> Stockton <br /> ADDRESS: <br /> DESIGNATEPHON209 46$-3455REPORTINGounty Environmental Health Department <br /> ADDRESS: n Ave., Stockton, CA 95205-6232 <br /> LOCATION AND DATE OF DISCHARGE <br /> LOCATION: Approximate) 2+ gallons gasoline spill at ® Incorporated <br /> BeatPryscal y g g p CITY Stockton <br /> DA C'.jP on Northeast side of pump#4 onto asphalt ❑ unincorporated <br /> DATE OF 8/30/2016 <br /> DISCHARGE: <br /> DATE 8/31/2016 <br /> NOTIFIED: TIME. 9:16 a.m. <br /> RESPONSIBLE PERSON/BUSINESS _ <br /> NAME OF BUSINESS: My Mini Mart <br /> CONTACT PERSON Joginder Lel PHONE ;775 421-9978 <br /> : <br /> PHYSICAL ADDRESS: 12$East Winnemucca BIVd., WintlemUCCe, NV 89445 <br /> MAILING ADDRESS: 1125 East Winnemucca Blvd., Winnemucca, NV 89445 <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: WCustomer <br /> ly 2+gallo7Pum:p#4allowed <br /> nto asphalt at Pump#4 <br /> VOLUME <br /> CHEMICALS: <br /> CIRCUMSTANCE& pumping overflow onto ground <br /> ACTION TAKEN <br /> mp oyee c an most 0 spl area wit It soI nt materia s ntontta granu as , an <br /> removed clean-up waste materials to 5-gallon Hazardous Waste Storage bucket on site. <br /> SITE DISPOSITION <br /> Notice to A to issued 8/31/2016 or clean-up of remaining absorbent 1 on ground rom origin <br /> clean-up on 8/30/2016.Facility directed to remove waste materials to HHW facility with proof of <br /> receipt to the EHD within 30 days. <br /> Revised&012015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />