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+ 1 <br /> SA N J O A Q U I N Environmental Health Department <br /> I"-)Ij ^.d I 'Y' •.� <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE Q <br /> EMERGENCY LEVEL: EHD LOG# I e 1 <br /> ❑x I-No Evacuation/Local Response Only ❑II-Evacuation and/or In-County Mutual Aid Needed ❑III-Evacuation and/or State/Regional Mutual Aid Needed <br /> SOURCE OF INFORMATION: RECORD ID: C09JMB170 <br /> Name: Alex Bisbikif Phone: (209) 200-1614 <br /> Company: Sutter Home Winery City: Lodi <br /> Address: 18667 N Jacob Brack Rd <br /> Designated Employee: John Alaniz <br /> Reporting Agency: San Joaquin County Environmental Health Department <br /> Agency Address: 1868 E Hazelton Ave, Stockton, CA 95205 <br /> LOCATION AND DATE OF DISCHARGE: <br /> Location - Best Discharge occurred at the east end of the distribution center on City: LODI <br /> Physical Description: APN 01109017. <br /> ❑ Incorporated Z Unincorporated <br /> Date of Discharge: April 08, 2019 Date Notified: April 08, 2019 Time Notified: 4:10 am <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: Pacific Shipping <br /> Contact Person: Mark Respass Contact Phone: (303) 981-0206 <br /> Mailing Address: 6560 Vine Ct <br /> City: Denver State: CO ZIP: 80229 <br /> DESCRIPTION <br /> Material: Diesel Amount: 39.00 ❑ lbs (9 gal ❑ cu ft <br /> Type of Discharge: Spill occurred by a damaged saddle tank. <br /> Circumstances: EHD was notified by Cal OES <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> Material: Amount: ❑ lbs ❑ gal ❑ cu ft <br /> Type of Discharge: <br /> Circumstances: <br /> ACTION TAKEN <br /> Spill has been cleaned up by ACT Environmental. <br /> SITE DISPOSITION <br /> EHD is waiting for final disposal records. <br /> Page 1 of 2 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />