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SAN JOAQUIN COUNTY 4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton■CA 95202-3029 <br /> •.'R<,. m_y ' V ter/ <br /> '• ' (209)46$-3420+Fax:(209)464-0138 + Web;wwwsjgov.org/ehd <br /> �4C o>e n <br /> NOTIFICATION OF ,HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL I x EHD LOG## <br /> B. SOURCE OF INFORMATION <br /> NAME- DGYfP.w' PHONE: <br /> COMPANY: [r,` i Gb . Cny: � p <br /> ADDRESS: 1'`q;� D C A 9 (. <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: Gr Ser t r f f h, ' CITY Inco orated <br /> sus,re, nma ���+�e .4.,a. N . Unincorporated <br /> DATE OF DISCHARGE: -pg <br /> DATE NOTIFIED: -#�,l-08 TIME: rr <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: ibi CD- <br /> CONTACT PERSON: �urf� PHONE: <br /> PHYSICAL ADDRESS: i f 1� gAve-, F(qkp CA.Cj 151 <br /> MAILING ADDRESS: �,d. x 43 F o CA <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: <br /> VOLUME: L <br /> CHEMICALS: a 4CrtM^ <br /> CIRCUMSTANCES: I2`caN} , <br /> F. ACTION TAKEN <br /> 55 �YpM's 6��� Ol�t� oN NeQ �-°cm"rimeof t7Nj�_ C&-lwp;I„w9e�} %114 kws �„ Ly <br /> UP&AGeaw w+ dick Ar d�5 clwill &o d�l,ce cw� <br /> SITE DISPOSITION <br /> iN r -27-Qa <br /> p f <br /> N-� �' dzr � s otiI ail (a 7-048 <br /> ER RECORD MODIFIED Revised 05/01/2007 <br />