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r <br /> SAN JOAQUIN COUNTY � COPY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: <br /> N; < <br /> _. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �. P (209)468-3420• Fax:(209)464-3433- Web:www.sjcjov.orq/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE EHDLOG# _ L <br /> EMERGENCY LEVEL: <br /> ❑X I-No Evacuation/Local Response Only ❑ II-Evacuation and/or In County Mutual Aid Needed ❑ III-Evacuation and/or Regional/State Mutual Aid Needed <br /> SOURCE OF INFORMATION <br /> OADDRESS: <br /> ��� ' PHONE:� �'�'LCITY: -� ��//.� ^ <OYEE NAME: StaCyRiVera / PHONE: (209) 468-3440 <br /> Y NAESan Jin County Environmental Health Department 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> LOCATION AND DATE OF DISCHARGE <br /> LOCATION: <br /> Best Physical Q^ n n/� „�D / a a Incorporated <br /> Description D l./ J l.%NCl/ K(�/J CITY J �� <br /> DATE OF C� ❑ unincorporated <br /> DISCHARGE: Wednesday, May 11, 2016 <br /> DATE <br /> NOTIFIED: l( TIME: "Vb <br /> RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Of-D&-be 0 <br /> CONTACT PERSON: �` C. <br /> f_�•,-, PHONE: <br /> PHYSICAL ADDRESS: O�� S �b/_„ „ <br /> MAILINGADDRESS: OBJ <br /> DESCRIPTION ) C <br /> TYPE OF DISCHARGE: <br /> VOLUME: <br /> CHEMICALS: <br /> CIRCUMSTANCES: <br /> ACTION TAKEN <br /> SITE DISPOSITION <br /> Aga-12 ✓ uhll 1411ou.) t,/°fo ee�ru�t� <br /> Revised 6/01/2015 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />