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., SAN JOAQUIN COUNTY COPY <br /> ENVIRONMENTAL HEALTH DEPARTMENT -- <br /> , 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420• Fax:(209)464-3433• Web:www.sioov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE EHDLOG# <br /> EMERGENCYLEVEL <br /> ❑X I-Nu EvacuaUm:txal Response 0niy ❑II-Evacuatton and/or In-county Mutual Aid Needed ❑III-Euawafion and/or Regpndf5tale Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME. Lisa Medina PHONE: (209)468-3455 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 1868 E. Hazelton Ave- <br /> DESIGNATED EMPLOYEE NAME: Lisa Medina PHONE: 209 466-3455 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS 1868 E. Hazelton Ave.. Stockton, CA 95205-6232 <br /> LOCATION AND DATE OF DISCHARGE <br /> LOCATION ® Incorporated <br /> Best Physical 1756 N. Wilson Way CITY Stockton <br /> Description ❑ Unincorporated <br /> 'ATE OF 8/30/2016 <br /> DISCHARGE: <br /> DATE 8/30/2016 <br /> NOTIFIED: TIME: 9:18 a.m. <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESSMy Mini Mart <br /> CONTACT PERSON: Joginder Lel 775 421-9978 <br /> PHONE: <br /> PHYSICAL ADDRESS: 125 East wiinnemuca Blvd.,Winnemuca, NV 89445 <br /> MAILING ADDRESS: 125 East Winnemuca Blvd., Wlnnemuca, NV 89445 <br /> DESCRIPTION <br /> TYPE OF DISCHARGE: Approximately 2+gallons gasoline spilled onto asphalt at Pump#4 <br /> VOLUME: "2 gallons <br /> CHEMICALS: Gasoline <br /> CIRCUMSTANCES: Customer pumping at Pump#4 allowed overflow onto ground <br /> ACTION TAKEN <br /> Employee cleaned most of spill are(s) with absorbent materia s entontte granu es), an <br /> removed clean-up waste materials to 5 - gallon Hazardous Waste Storage bucket on site. <br /> SITE DISPOSITION <br /> Notice to Abate issued on 8/31/2016 foor clean up o remaining absorbent left on ground from <br /> original clean-up on 8/30/2016. Facility directed to remove waste materials to HHW facility with proof <br /> of receipt to the EHD within 30 days. <br /> Revised&01/2016 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />