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d <br /> N oa�l!dIN, c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave., Stockton•CA 95205 <br /> �.c.rP (209)468-3420•Fay;(209)468-3433- Web:www.sjcehd.com <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL I X I EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Malory Zaunius PHONE: (916)417-6856 <br /> COMPANY: AEI Consultants CITY: Walnut Creek <br /> ADDRESS: 1 2500 Camino Diablo <br /> DESIGNATED EMPLOYER NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCI IARGE <br /> LOCATION: 1919N Broadway Avenue CITY Stock-ton o orated <br /> Best Physical Description [jLn <br /> nco orated <br /> DATE OF DISCHARGE: Unknown <br /> DATE NOTIFIED: March 30,2015 TIME: 8:30 <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME,OF BUSINESS: Waldo Rose Storage <br /> CONTACT PERSON: Mallory Za unius—AEI Coonsultants PHONE: 925 746-6000 <br /> PHYSICAL ADDRESS: 2500 Camino Drive,Ste 100,Walnut Creek 94597 <br /> MAILING ADDRESS: 1 -same- <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: <br /> VOLUME: <br /> CHEMICALS: Dichloro ro ane 52 L,Nitrate as N 18 ,Nitrate as NO3 790 in water <br /> CIRCUMSTANCES: Phase 2 chemical analysis report received <br /> F. ACTION TAKEN <br /> SITE DISPOSITION <br /> Notified State water board and DTSC. <br /> Placed on Prop 65 Contaminated Site List <br /> i <br /> PROP 65 Revised 07/27/12 <br />