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SAN JOAQUIN COUNTY NOTIFICATION OF HAZARDOUS WASTE DISCHARGE (COPY <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:V II III PHS-EH LOG # q6-()o -I <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name- BRADD STATLEY Phone: (21( 426=2279 <br /> Company: RMC LONESTAR <br /> Address: 30350 S. Tracy Blvd. <br /> Designated Employee Name: Jerry Yoshioka Phone: (_�JO 468-0335 <br /> Reporting Agency Name: Public Health Services - Environmental Health Divison <br /> Address: 304 E. Weber Ave. , Stockton, CA 95201 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 30350 S . Tracy Blvd / Tracy <br /> (Best Physical Description) (City or County) Circle One <br /> Date of Discharge: <br /> nown <br /> Date Notified: 1-23-96 Time: 1430 hours <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: RMC LONESTAR <br /> Contact Person: Bradd Statley Telephone: ( 51 q 426-2279 <br /> Physical Address: 30350 S . Tracy Blvd <br /> Mailing Address: (0=5 <br /> E. DESCRIPTION <br /> Type of Discharge: Diesel and waste oil releases from two respective tanks <br /> Volume: Uffknown <br /> Chemicals: Diesel and Waste OIl <br /> Circumstances: Releases discovered during removal of diesel and waste oil <br /> tanks . <br /> F. ACTION TAKEN Tanks removed and soil samples taken. <br /> SITE DISPOSITION Tank excavations admitted to Localj,Oversight unit. <br /> EH 22 013 (Rev.4/91) <br />