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COPY <br />SAN JOAQUIN <br />_ <br />Environmental Health Department <br />EMERGENCY LEVEL: <br />El I - No Evacuation/Local Response Only <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EHD LOG # a 1 <br />D II - Evacuation and/or In-County Mutual Aid Neede III - Evacuation and/or State/Regional Mutual Aid Needed <br />• SOURCE OF IN FORMATION: <br />Name: Mike Masters Phone: 864-270-9157 <br />Company: C & S Wholesale Grocers City: Stockton <br />Address: 4199 Gibraltar Ct <br />Designated Employee: Carol Presto <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 <br />Physical Description: <br />4199 Gibraltar Ct, Stockton, CA 95206 City <br />backside property in trailer parking lot <br />-: Stockton <br />121 Incorporated Unincorporated <br />Date of Discharge: 11/11/2022 Date Notified: 11/12/2022 Time Notified: 12:53 PM <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: C&S Wholesale Grocers (Stockton Logistics) <br />Contact Person: Mike Masters Contact Phone: 864-270-9157 <br />Mailing Address: 10 Optical Avenue <br />City: Keene State: NH ZIP: 03431 <br />DESCRIPTION <br />Material: Diesel Amount: 10.00 D lbs X gal Cu1=l ft <br />Type of Discharge: Leak <br />Circumstances: Release from hose on reaper unit on trailer <br />Material: Amount: El lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs El gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />Absorbent placed on diesel, clean up company dispatched to conduct clean up <br />SITE DISPOSITION <br />Clean up completed <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD