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SAN JOAQUIN COUNTY <br /> OVIRONMENTAL HEALTH DEPAI�ENTnr5 <br /> N.f C <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax. (209)468-3433 Web:www.sjgov.org/e NOTIFICATION OF HAZARDOUS WASTE DISCH <br /> California Health & Safety Code, Section 25180.7 <br /> EHD LOG <br /> A. EMERGENCY LEVELOI II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: R AY JOO r(LN- Phone: (2dq) <br /> Company: CA-( elkkeA-tn9/dt) 4' Sl., <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 /> 7ARGE ,/ <br /> Location: 'F- N , f . a' © 1 W. wdo(r AV-4t� l Citv�r County <br /> (Best Physical Description) 1 Circle One) <br /> Date of Discharge: U tJ bn()kn Date Notified: 2 D g Time: / ' 00 A.M. <br /> D. RESPONSIBLE PERSON/BUSINESSName of Business: C i T..-j 0-� E+t)( lGhNj <br /> Contact Person: atLAF L 4/J I S ho -/ L eA Phone: D-:D 13 — 72 <br /> Physical Address: I2S N EL Ml'Ab6 V, City: .S'LLCL—HI-, Zip Code: '912d-L <br /> Mailing Address: u a City: o Zip Code: �. <br /> E. DESCRIPTION rr <br /> Type of Discharge: Cpl- �b w-x L7 S T <br /> Volume: o N (L a Ly+.l <br /> Chemicals: <br /> Circumstances: dS T I C Pti lS U VL — "b 4 <br /> F. ACTION TAKEN: A r\ro, UIQ. S,-+L' /�� <br /> IC�*2, AILS V!/J rr� CI � IN j7 C, <br /> r-- <br /> SITE DISPOSITION: l Gk r �✓ <br /> � �kp; � .�� �. P x c a�t,✓a'�-rte,, <br /> EHD 22-03 Notification of Hu Discharge <br /> 11/26/2007 <br />