Laserfiche WebLink
0 6 <br /> SAN JOAQUIN COUNTY D <br /> z: <br /> 7 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton • CA 95202-3029 <br /> (209)468-3420 -Fax. (209)464-0138• Web:www.sigov.org/ehd <br /> 9(iF bw* <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL px I II ❑ III EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: LAPP- I DvA2CA J PHONE: <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 600 E. Main Street <br /> DESIGNATED EMPLOYEE NAME: L a-k 10A)CA/0 PHONE: <br /> REPORTING AGENCY NAME: San Joaquin County Environmental Health Department <br /> ADDRESS: 600 E. Main Street, Stockton,CA 95202 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: <br /> Best Phys <br /> h siplInca orated <br /> Deecri n 63 v /J - CALl l f-o Vk STIKOM- 01TY �T-OCIPCVU Unincorporated <br /> DATE OF DISCHARGE: <br /> DATE NOTIFIED: 13 TIME: 12- 1'I/I <br /> D. RESPONSIBLE PERSON/BUSIN, SS <br /> NAME OF BUSINESS: OU ATC 12.EC:O 1.15 G��l�C-FJ�L. <br /> CONTACT PERSON: K��� W(�-S (✓N PHONE: <br /> PHYSICAL ADDRESS: <br /> MAILINGADDRESS: <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: SF%L-L.. <br /> VOLUME: 1/kA)K Wp A) <br /> CHEMICALS: L7 aso I I F—( I -}o <br /> R�ll�w oF/� 4rC fT1GAL V��SIAC r5 F2ow� SoI� 5AI^+P/�5 <br /> CIRCUMSTANCES: <br /> F. ACTION TAKEN <br /> Lj 'X�bTIGE To Aft -A-rE' 1-0 RE1%,Lov0 -rff/=TAc v)L HAs I by tsEe v <br /> 155�t(✓D to T Fi i; 1°R-o psa---ry O Vjt% -tZ- <br /> SITE DISPOSITION <br /> fj ZV>01 LO A7AL- S.4IWP(-.1 A7G7 WlYS& mfr Wl i iv �T4N/L /5 R6wl— <br /> OVED 'I 1RARTtt1-TZ RcJIEGc) %on Rk�-POPRAt-Tv -rHg CbeIWLT i>c <br /> WAR2AA1"fE I�,, W ILL 6a DONE AfTE(Z TPrnX I S Re wkoxhm . <br /> NOTIFICATION OF HAZ WASTE DISCHARGE Page 1 o12 Revised 10/22110 <br />