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Boa U .cn SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600.East Main Street Stockton•CA 95202-3029 <br /> (209)468-3420•Fax.(209)464-0138- Web:www.sLov.org ehd <br /> qCi�pR <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL 1XIII In [ lull EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Randy May PHONE: 606-9921 <br /> COMPANY: Manteca Fire Department <br /> crrY: Manteca <br /> ADDRESS: <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 1172 Main St CITY MantecaInco rated <br /> Best Mysicat Description v. <br /> Unmt:D Orated <br /> DATE OF DISCHARGE: Au t 16,2009 <br /> DATE NOTIFIED: August 16,2009 TIME: 7:00am <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Save-Mart <br /> CONTACT PERSON: Fernando Andrade PHONE: 239-2267 <br /> PHYSICAL ADDRESS: 1172 Main St, Manteca CA <br /> MAILING ADDRESS: <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Leak <br /> VOLUME: 300-5001bs <br /> CHEMICALS: Freon <br /> CIRCUMSTANCES: Leak from Compressor unit <br /> F. ACTION TAKEN <br /> Employee called Technician. Technician fixed leak,fire department aired the building out and cleared for reoccupancy. <br /> I <br /> a <br /> SITE DISPOSITION <br /> No further EHD action at this time <br /> f <br /> ER RECORD MODIFIED Revised 05/01)2007 <br />