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AC <br /> SAN JOAQUIN COUNTY � D <br /> O <br /> ENVIRONMENTAL HEALTH DEPARTMENT C� p <br /> 600 East Main Street Stockton■CA 95202-3029 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.s' ov.or ehd <br /> 17) <br /> NOTIFICATION OF HAZARDOUS WASTE-DISCH A R <br /> A. EMERGENCY LEVEL X EHD LOG# p <br /> B. SOURCE OF INFORMATION <br /> NAME. pa( s PHONE: <br /> COMPANY: ' CITY: �[�N <br /> ADDRESS: <br /> DESIGNATED EMPLOYEE N I .PHONE: l <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION.- c>0 +k s4yeo�q Gmbw-.11 0n3 �Q.re3 <br /> -1151 <br /> 1GuS, V.yWeA-a <br /> Incorporated <br /> (-Try <br /> rty�Desuipfi= . �'NUit pk ( NQA/ U gY L�InWfbN i lk�idtrNiP,71 _ <br /> [V{ 7 UI11IIC0 oI'Rted <br /> DATE OF DISCHARGE: <br /> DATE NOTIFIED: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: C&N W 1 LLC, <br /> CONTACT PERSON: y o .� PHONE: n� <br /> PHYSICAL ADDRESS: `� SDN SWI <br /> MAILING ADDRESS: <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: V WN � d ri es <br /> VOLUME: <br /> CHEMICALS: CJ! <br /> CIRCUMSTANCES: 2A�x <br /> F. ACTION TAKEN .1,` h�Q <br /> c44 ' 4�k <br /> SITE DISPOSITION <br /> R,$'t CWC yod <br /> ER RECORD MODIFIED Revised 05/01/2007 <br /> I <br /> I <br /> I <br />