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SAN JOAQUIN COUNTY • <br /> _ ENVIRONMENTAL HEALTH DEPARTMENT <br /> H I I C <br /> 600 East Main Street Stockton•CA 95202-3029 <br /> (209)468-3420•Fax:(209)464-0138 • Web:www.sieov.orPJehd <br /> S�/FO'Ra <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL I X I—1 I EHD LOG# $7S <br /> B. SOURCE OF INFORMATION <br /> NAME: 1 Dt yfw PHONE: 64;9 9 8342 <br /> COMPANY: MM�'� e' 1 Co . CITY: F-ewb <br /> ADDRESS: 1`W:1 CA 9 (. <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: S <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 7c-4kwrow'l4'k &r $erlHtih Pei. " fr h at CITY L incorporated <br /> Bw ehyw� Dw � <br /> rio 6W of 1s ue 04- 00 .XIO�KRpN <br /> Unincorporated <br /> DATE OF DISCHARGE: -21"9 <br /> DATE NOTIFIED: -27-0$ TIME: M <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: LuIA WLwicpof CD <br /> CONTACT PERSON: I %•tyre✓ PHONE: 1 tw- y'Z <br /> PHYSICAL ADDRESS: .S Q / vea FirOWD CA 6MOL <br /> MAILING ADDRESS: p.d. So)( I+3 9 F kyo cA `I <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: <br /> VOLUME: <br /> CHEMICALS: <br /> CIRCUMSTANCES: �°4�•+(A'w <br /> F. ACTION TAKEN <br /> ( rwwGtCPVcojkA;Nwwf I , \ <br /> 5 b.� <br /> Pick uQ iPw disrw. 06114 PlAl oleo dh14C 4Mt aO jjaaNJ <br /> IS- I b <br /> SITE DISPOSITION / <br /> Ce�w IN f% . -2-7-(18 <br /> A � 4 *S ONam- hk4 9✓ 9n,,t"lz l-"s oN ails pleS 7-JO ag <br /> Ido Y'a►��re,✓ ��0�1 c,� ,}{��S �M`e-- �1__7`l�`O <br /> g <br /> ER RECORD MODIFIED Revised 05/01/2007 <br />