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o U' "' op, r SAN JOAQUIN COUNTY <br /> 2 EIONMENTAL HEALTH DEPART) <br /> 600 E. Main Street, Stockton, CA 95202 <br /> (209)468-3420•Fax:(209)464-8392• Web:www.co.san-joaquin.ca.us/ehd <br /> 1F0 <br /> ( DNOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> C California Health & Safety Code, Section 25180.7 <br /> O ✓ COPY EHD LOG#: <br /> A. EMERGENCY LEVEL II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: Oex1' lvjL (� Phone: (2dp !j6.4-�oo6 _ <br /> Company: Acc.)a�, ca,r l (-Ipn rk.Jr tr�±.a 04*14,43&( <br /> Address: <-263= 4i Rnrdl City: .S �6dc- <br /> {oc Zip Code: <br /> Designated Employee Name: t o ri NtA U,-a I <br /> Reporting Agency Name: 01.k rte,,. 14A" j5 stn fQ6&j ."u 40, ( /YL. a404 <br /> Address: 6 o F_ ]Molt " S I City: LS-6rtc 4gt Zip Code: q SLoZ <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: I s Z 3 t--' • fV%.a vA 5;4 Af,) : I s 3-o y o-l s" / ( City County_ <br /> (Best Physical Description) ircle One) <br /> Date of Discharge: IAAA cjAox9 t_ Date Notified: 1 t 6 d Time: W- 30 A.M. e.M. <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business: Trlteouo)Ls Cott <br /> Contact Person: Phone: (3q) !799- lo2U <br /> Physical Address: City: -'s r/j 16t Zip Code: q S->-O S— <br /> Mailing Address: Srr" F City: Zip Code: <br /> E. DESCRIPTION <br /> Type of Discharge: _ V A'2. <br /> Volume: dAAAbAAouq 1 <br /> Chemicals: -rej , T-n&L PAF r/ <br /> Cir_cums-t ncess: �L.•VInD Kw,aw�rn l�tiv� y y{ �oV�DUnr {--�GJ at-. ,7,o,-u, <br /> F. ACTION TAKEN: —Sok 1 VZlmw. 7, WC. ,I cctA a ifc((o�( 6 /02 <br /> SITE DISPOSITION: P A �Iov y k ( �/ fz .) M_q?. <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 05/04/07 <br />