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1 <br /> ` <br /> SA J O A Q U I N Environmental Health Departme OpY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> EMERGENCY LEVEL: EHD LOG# - <br /> 0 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: CONKGITOF <br /> Name: Kathy Phone: (209) 236-8100 <br /> Company: Ripon Fire Department City: <br /> Address: <br /> Designated Employee: Lydia Baker <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 Storm drain east of trucking fuel island at 1501 N. Jack Tone City: RIPON <br /> Physical Description: Road in Ripon. 0 Incorporated ❑ Unincorporated <br /> Date of Discharge: September 24, 2020 Date Notified: September 24, 2020 Time Notified: 9:05 am <br /> RESPONSIBLE PERSONIBUSINESS <br /> Name of Business: PILOT TRAVEL CENTERS LLC <br /> Contact Person: CHIP HUGHES Contact Phone: (865)474-2438 <br /> Mailing Address: PO BOX 54470 <br /> City: LEXINGTON State: KY ZIP: 40555 <br /> DESCRIPTION <br /> Material: Diesel Amount: 35.00 ❑ lbs 0 gal ❑ cu ft <br /> Type of Discharge: Truck backed into another truck puncturing saddle tank. <br /> Circumstances: SJC EHD notified on ER phone by Ripon Fire. <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 /> SJC EHD issued Notice to Abate to responsible party to abate contamination. Clean-up crew is en route. <br /> SITE DISPOSITION <br /> Surface area of spill is covered with absorbent and coned off. Storm drain has been surrounded by absorbent to prevent <br /> anything else from entering. Clean-up crew is en route. <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.sjgov.org/EHD <br />