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) <br /> ^` <br /> SAN .JOAQUIN COUNTY � P,J\ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209)468-3420• Fax:(209)464-3433• Web:www.sigov.org/ehd <br /> � o <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL ❑x 1 ❑ II ❑ III EHD LOG# i0(0 <br /> B. SOURCE OF INFORMATION <br /> NAME: Michael Parissi PHONE: 209-982-4800 <br /> COMPANY: Carpenter CO. CITY_ Lathrop <br /> ADDRESS: 17100 S. Harlan Road <br /> DESIGNATED EMPLOYEE NAME: Cindy Vo PHONE: 209-468-8257 <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: L afh/6 ❑x Incorporated <br /> Best Physical 17100 S. Harlan Road CITY Steektoo. <br /> Description I Unincorporated <br /> DATE OF DISCHARGE: Wednesday, June 24, 2015 <br /> DATE NOTIFIED: Wednesday, June 24, 2015 TIME: 11:44AM <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: Carpenter Co. <br /> CONTACT PERSON: Michael Parissi PHONE: 209-982-4800 <br /> PHYSICAL ADDRESS: 17100 S. Harlan Road, Lathrop, CA 95330 <br /> MAILING ADDRESS: 17100 S. Harlan Road, Lathrop, CA 95330 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: liquid <br /> VOLUME: 2 gallon <br /> CHEMICALS: adhesive <br /> CIRCUMSTANCES: A spill of 2 gallons of adhesive onto ground. <br /> F. ACTION TAKEN <br /> Spill is stoppe an eing cleaned up. <br /> SITE DISPOSITION <br /> cleanup is completed. <br /> Revised 11/03/14 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />