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.� <br /> 71 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT CCS O <br /> 1$68 E.Hazelton Ave., Stock-ton ■CA 95205 <br /> (209)468-3420-Fax:(209)468-3433 - Web:wwri.�sjcehd.com <br /> NOTIFICATION OF HAZARDOUS WASH DISCHARGE <br /> A. EMERGENCY LEVEL X II 111 EHD LOG# �s <br /> B. SOURCE OF INFORMATION <br /> NAME: A ( z4c3 5 f 3�--- o Z <br /> PHONE: <br /> COMPANY: PG&E 1 MY: �-{'o G kf A <br /> ADDRESS: //00 M tw hs rot <br /> DESIGNATED EMPLOYEE NAME: Jeffrey Wong PHONE: 468-0335 <br /> REPORTING AGENCY NAME: SJC EHD <br /> ADDRESS: 1868 E.Hwlto Stockton <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: (6^30 CITYInco rated <br /> Hat W De�dipdm r Sf"oC� r► <br /> Um,,r,,ratd <br /> DATE OF DISCHARGE: Lf/ .A 2 �2 `3� <br /> DATE NOTIFIED: ? � Z p [� TIME: 3 3 d J4 <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: PG&E <br /> CONTACT PERSON: Alex Steele PHONE: 736-6426 <br /> PHYSICAL ADDRESS: 1108 Murphys Grade Ro An el Cam <br /> MAII,ING ADDRESS: <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Unauthorized <br /> VOLUME: a 5c) 5 a /u s a bSar &r-. 4 soj I <br /> CHEMICALS: Mineral Oil PCBrdikmwnS <br /> CIRCUMSTANCES: r- l r� <br /> F. ACTION TAKEN <br /> M rAk .:zl Is S a.�. ��C 7 s Ccs ; C <br /> +X10iK-- L sA;( P rho v at,�� �- C1 #� <br /> Ca,a~p y�,,�� 40 40 U�s� f� cea-r re&,da.•-- Huc� Lsf dsv-Q, . <br /> SITE DISPOSITION <br /> PROP 65 Revised 0727/12 <br />