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,oaq�IN•• o SAN JOAQUIN COUNTY ��f <br /> c <br /> i< AVIRONMENTAL HEALTH DEPAR . ENT D <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> c Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> 4�tFOR`' <br /> NOTIFICATION OF HAZARDOUS WASTE DISCH <br /> California Health & Safety Code,Section 25180.7 l J- <br /> EHD LOG#: <br /> A. EMERGENCY LEVEL: II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: ti (hot'j �1U2� Phone: V ej) <br /> Company: C a"� A-! (Z P'U^" A <br /> Address: City: Zip Code: <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City: Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: Eenc+ Nee. 4 '76 ( W• wJ,6 4ue-.� ALILO�A l City or County <br /> (Best Physical Description) Circle One) <br /> Date of Discharge: U N L'Ao" Date Notified: 2 / Time: (/ TL (A-9 P.M. <br /> D. RESPONSIBLE PERSON/BUr ppSTSINELSS 'I <br /> Name of Business: C 1 D OC.IL hp-j <br /> Contact Person: AUA ( An�V—bl lCeJVle:�' Phone: (Zo9) 9?7- 7Sc/7 <br /> Physical Address: I-/2'� N. r l . hWAA o SO'% City: S�dG lL/-oma, Zip Code: 2 2- <br /> Mailing <br /> Mailing Address: ' k " City: Zip Code: Il <br /> E. DESCRIPTION <br /> Type of Discharge: L QA l<- U"Ntr�5/WtiJ s4pl"g Z' <br /> Volume: UN 1Lgv" <br /> Chemicals: GAS&I lnx_ 16" zov , -roa l , <br /> Circumstances: VST aeMvL/11L 1^eSu //7 <br /> F. ACTION TAKEN: DU I&' S'15V - 6 2G' !'c�1 R h/K+�'L Ovl I i �j <br /> SITE DISPOSITION: kw eycilliEtt., L� ilie! <br /> t^il B�yC.Lpi Irz <br /> EHD 22-03 Notification of Hn Discharge <br /> 11/26/2007 <br />