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SANiJOAQUIN COPY --COUNTY <br />Environmental Health Department <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />EMERGENCY LEVEL: EH D LOG # <br /> <br />I - No Evacuation/Local Response Only II - Evacuation and/or In-County Mutual Aid Needed 0 III - Evacuation and/or State/Regional Mutual Aid Needed <br /> <br />SOURCE OF INFORMATION. RECORD ID. <br />Name: Nathan Johnson Phone: (760) 602-8700 <br />Company: Verisk 3E City: <br />Address: <br />Designated Employee: Frederick Ernest <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 />25501 S. Gateway Blvd. City: TRACY <br />0 Incorporated CI Unincorporated <br />Date of Discharge: January 29, 2022 Date Notified: January 29, 2022 Time Notified: 10:48 am <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: COSTCO WHOLESALE #172 <br />Contact Person: SHARON SAKNIT Contact Phone: (425) 313-2334 <br />Mailing Address: P.O. BOX 35005 <br />City: SEATTLE State: WA ZIP: 98124 <br />RIPTION <br />Material: Anhydrous ammonia Amount: Xlbs 111 gal cu ft <br />Type of Discharge: Leak <br />Circumstances: Faulty valve of refrigeration unit <br />Material: Amount: 0 lbs 0 gal 0 cu ft <br />Type of Discharge: <br />Circumstances: <br />Material: Amount: 0 lbs 0 gal El cu ft <br />Type of Discharge: <br />Circumstances: <br />ACTION TAKEN <br />Release is stopped and in the process of being repaired. <br />SITE DISPOSITION <br />Release is stopped and in the process of being repaired. <br />Page 1 of 2 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD