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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420 Fax. (209)468-3433 Web:www.sioov.org/ehd <br /> WASTE DISCHARGE/SPILL RESPONSE <br /> NOTICE TO ABATE <br /> FACILITYTYPEINAME: c-�ir. DATE: <br /> SITE ADDRESS: 1-2-3)-, __IpueJ Ic CITY: I 5bH ZIP`CODEE/: <br /> OWNER/OPERATOR: /'L(�RY- TELEPHONE. 27 G.S."7 6'� D <br /> TYPE OF ❑WARNING CENTER RESPONSE ❑OTHER PROGRAM�/ (L/ RECORD 9 <br /> INSPECTION: COMPLAINT L3 CONSULTATION L3 ROUTINE ELEMENT: !iS Z b ID#: <br /> NATURE OF WASTE DISCHARGEISPILL RELEASE: -� ���_ p p (, („ 971// <br /> OBSEERRV(A�TIONS: tN r�/ s1��✓11 ,(�/� (� 0,C leIIL {/ �h t 44(4- "'>c <br /> /O\� ' /'7t7innU,Ts ci,- <br /> VIOLATIONS: <br /> Discharge of any Waste, including Sewage <br /> (CA Health and Safety Code 5411) <br /> ❑ Discharge of Waste or Sewage to Water or within 150' of Waterway <br /> (SJC Ordinance Code Sections 9-1125.3, 9-1125.4) <br /> ('Improper Disposal of a Hazardous Waste <br /> (CA Health and Safety Code 25189.5) <br /> ❑ Permitting or Maintaining a Nuisance <br /> (SJC Ordinance Code Section 8-5100) <br /> ❑ Other: <br /> CORRECTIVE ACTIONS/ORDER: <br /> Immediately contain, clean up, and dispose of the waste at an authorized, permitted location. <br /> Ensure that clean up personnel possess adequate training. <br /> Investigate and abate contamination under the oversight of the appropriate lead agency. <br /> CXSubmit copies of hazardous waste manifests/disposal records to the EHD within 3AA0 days. <br /> El Other: Correct By�edt j, <br /> COST RECOVERY:All EHD Staff Time Associated with this Spill Response is Billed to the Responsible Party at <br /> the Current Hoprty Rate. ilure Comly with this Notice may Result in Formal orceme t Action. <br /> INSPECTED BY: PRINT NAME' S <br /> IG) OF RO WAL HEALTH STAFF <br /> RECEIVED BY: DATE: 2 <br /> SIG UR O RIOPERATOR <br /> EHD 25-001 Rev.05/19/16 Spill Response NOTICE TO ABATE <br />