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:j t� <br /> oP4uI" <br /> SAN .JOAQUINCOUNTY 4 <br /> y NVIRONMENTAL HEALTH DEPAR MENT <br /> ,( 600 East Main Street Stockton•CA 95202-3029 <br /> (209)468-3420•Fax:(209)4640138 • Web:www.sieov.ore/ehd <br /> 4C%FOPS` /1i1 <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL I x w')l EHD LOG# Og -09 —� <br /> B. SOURCE OF INFORMATION <br /> NAME: IDOYYP,✓ PHONE: 5sl C194 8342- <br /> COMPANY: <br /> 342COMPANY: isi Co . CITY: �(jykp <br /> ADDRESS: ( ;� CA 9 (. <br /> DESIGNATED EMPLOYEE NAME: ILAPHONE: <br /> REPORTING AGENCY NAME: S <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: >'cait{nipw }'brIh1 Pdnk.r. PrhdCITY X Inco rated <br /> B=Phy=W Dexripbn D eu l 0 <br /> 30�Q Unincorporated <br /> DATE OF DISCHARGE: -08 <br /> DATE NOTIFIED: TIME: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: I LAW, M46110� CD. <br /> CONTACT PERSON: 14AI, yHtwIW PHONE: SS9 99Y-S3tFZ <br /> PHYSICAL ADDRESS: '33P4 lhl2je Ave., Fivwo CA '5109 <br /> MAILING ADDRESS: P.O. Sox 'MOI 9 F tiro CA `i - tt7n <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: <br /> VOLUME: <br /> CHEMICALS: ICKM <br /> CIRCUMSTANCES: 2°ury(aW <br /> F. ACFION TAKEN <br /> drw,9 t� �4f fke� ON New `}-°'p"rimait fW61. C&-4x;piw� %,.,;1 65 <br /> up <br /> Gvw w11 Plik t•P �r d13F+sa(. c�erw w;ll uasa dxl�e B4SannPleavd <br /> w;q � C�ed n �• � gill alga V-44 di _reca <br /> SITE DISPOSITION / <br /> Uw 1 IN Y% . 6-77-UB. <br /> y�S s1 nlaN ee k ✓ ` �*kla l—e.,eQs DN a# SAvri S 7.16-68 <br /> g <br /> ER RECORD MODIFIED Revised 05/012007 <br />