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CO0038529
Environmental Health - Public
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CO0038529
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Last modified
12/22/2020 12:09:55 PM
Creation date
2/8/2019 11:27:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0038529
PE
2546
FACILITY_ID
FA0003775
STREET_NUMBER
1010
STREET_NAME
INDUSTRIAL
STREET_TYPE
WAY
City
STOCKTON
ENTERED_DATE
9/15/2014 12:00:00 AM
SITE_LOCATION
1010 INDUSTRIAL WAY
RECEIVED_DATE
9/15/2014 12:00:00 AM
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\I\INDUSTRIAL\1010\CO0038529.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY � D <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> . 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420 • Fax: (209)464-3433 • Web:www.s6gov.org/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL ❑x 1 ❑ 11 ❑ III EHD LOG# I - <br /> B. SOURCE OF INFORMATION <br /> NAME: Mark Handel PHONE: 209-367-3208 <br /> COMPANY: Tiger Lines LLC CITY: Lodi <br /> ADDRESS: 927 Black Diamond Way Lodi, CA 95241-1120 <br /> DESIGNATED EMPLOYEE NAME. AriS VeIOSO PHONE: 209-468-3453 <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: El Incorporated <br /> Best Physical 1010 Industrial Way CITY Stockton <br /> ❑ Unincorporated <br /> Description <br /> DATE OF DISCHARGE: 9-15-14 <br /> DATE NOTIFIED. 9-15-14 TIME: 9:30am <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Tiger Lines LLC <br /> CONTACT PERSON: Mark Handel PHONE: 209-367-3208 <br /> PHYSICAL ADDRESS: 927 Black Diamond Way Lodi, CA 95241-1120 <br /> MAILING ADDRESS: P.O. Box 1120 Lodi, CA 95241-1120 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: liquid <br /> VOLUME: Approximately 30 gallons <br /> CHEMICALS: diesel fuel <br /> Tiger Lines LLC truck was hit and released approximately 30 gallons of diesel fuel to the <br /> CIRCUMSTANCES: road, driveway, and shoulder. <br /> F. ACTION TAKEN <br /> Tiger Lines LLC personnel were on site to perform the clean up. <br /> SITE DISPOSITION <br /> No further action at this time. <br /> Revised 08/02/12 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />
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