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�- SAN .JOAQUIN COUNTY 9 COPY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> IN! 260,._ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209) 468-3420 • Fax: (209)464-3433 • Web:www.sigov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE EHDLOG# jjU <br /> EMERGENCY LEVEL: <br /> I-No Evacuation/Local Response Only ❑ 11-Evacuation and/or In-County Mutual Aid Needed ❑ I I I-Evacuation and/or Regional/State Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> NAME I Garrett Backus PHONE: (209)468-2986 <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 11868 E. Hazelton Ave. <br /> DESIGNATED EMPLOYEE NAME. Garrett Backus PHONE: (209) 468-2986 <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 18662 N Hwy 88 CITY Lockeford <br /> Description ❑X Unincorporated <br /> DATE OF 2 22 16 <br /> DISCHARGE: <br /> DATE 2-23-16 TIME: 12:05 pm <br /> NOTIFIED. <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: I Georges BP Mini Mart <br /> CONTACT PERSON: Rupinder Padda - Operator PHONE: (209) 914-8735 <br /> PHYSICAL ADDRESS: 18662 N Hwy 88, Lockeford, CA 95237 <br /> MAILING ADDRESS: 18662 N Hwy 88, Lockeford, CA 95237 <br /> DESCRIPTION <br /> TYPE of DISCHARGE: I Leak from dispenser#10 dispensing hose <br /> VOLUME. Six gallons <br /> CHEMICALS: Diesel fuel <br /> CIRCUMSTANCES: Emergency Response <br /> ACTION TAKEN <br /> The store operator applied absorbent material to the spill, swept up the absorbent and placed in <br /> two 5-gallon covered buckets on 2-23-16. <br /> SITE DISPOSITION <br /> Cleanup complete. <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />