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-------- <br /> Fo7%7 <br /> SAN JOAQUN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave., Stockton-CA 95205 <br /> (209)468-3420-Fax:(209)468-3433 - Web:www.sjcehd.com <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL 1XII Iu Iu EHD LQG# L4 <br /> B. SOURCE OF INFORMATION <br /> NAME: U&C PHONE: <br /> COMPANY: CITY: <br /> ADDRESS: <br /> DESIGNATED EMPLOYEE NAME: IPHONE: 0n)� 68- �53 <br /> REPORTING AGENCY NAME: <br /> ADDRESS: I. 9 Ave <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOC,ATION�,",.. Incorporated <br /> Best Physical Il CA- SMt Uninmporated <br /> DATE OF DISCHARGE: <br /> DATE NOTIFIED: TIME: <br /> D. RESPONSIBLE PERSONIBUSINESS <br /> NAME OF BUSINESS: #VV- <br /> CONTACT PERSON: PHONE: <br /> PHYSICAL ADDRESS: CA 252% <br /> MAILING ADDRESS: 9- M"l N Y�Jv 11 1 CA I SIM <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: <br /> VOLUME: <br /> CHEMICALS: oll <br /> CIRCUMSTANCES: 't'lrj 6A7L - <br /> F. ACTION TAKEN <br /> JIN <br /> kN <br /> S SPOSITION N.1 TX <br /> PROP 65 Revised 07/27/12 <br />