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UAR/PROP 65_PRE 2019
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2300 - Underground Storage Tank Program
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PR0231066
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
4/1/2020 11:52:57 AM
Creation date
11/2/2018 6:07:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0231066
PE
2361
FACILITY_ID
FA0003819
FACILITY_NAME
Sprint United Managemnt Co.
STREET_NUMBER
3807
STREET_NAME
CORONADO
STREET_TYPE
Ave
City
Stockton
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
3807 Coronado Ave
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CORONADO\3807\PR0231066\UAR_PROP 65.PDF
Tags
EHD - Public
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* • SAN JOAQUIN COUNTY • �O'(=� <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE UUU <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: 0II 111 PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: Phone: ro 795-16ZD <br /> Company:- GA�,Pe,EGG <br /> Address: /(o Zde—kx vE So 37 , Ez—� <br /> Designated Employee Name: Phone �) <br /> Reporting Agency Name: <br /> Address: .I(. ;i—, . s ti_ A �S,a <br /> C. LOCATION AND DATE OF DI�SSCHARGE I <br /> Location: --,0P 7 /a <br /> (Best Physical Descripption) �r County) Circle One <br /> Date of Discharge: z/-AK�lowt j <br /> Date Notified: 9/iz Time: SZ:3o a. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: <br /> Contact Person: res r Telephone: (Zn) 9 /- o`PZ <br /> Physical Address: S-raCZa <br /> Mailing Address: 7a Cameo rc. s 95 0 <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: v ,l. rc��,y,j <br /> Chemicals: < vE <br /> Circumstances Sores Z�sr�e �S pr <br /> —T-Ai6 v 1. 7-;' <br /> �1 <br /> F. ACTION TAKEN !i�lgE,1C.,�'ov i[s; gso,2q �V�i� Geds ti D <br /> SITE STATUS 2 S. A-2-> <br /> -- <br /> 0 <br /> EH 22 013 (Rev.4/91) <br />
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