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SAN JOAQUIN COUNTY T-� 1;;�� JD <br /> J ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0�, k1~ i600 East Main Street Stockton o CA 95202-3029 <br /> r % 209 468-3420 • Fax: 209 464-0138 • Web: www.sigov.or /ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL 91 ❑ II ❑ III EHD LOG# <br /> B. SOURCE OF INFORMATION v <br /> NAME: LvdLI t > 0/0c[A/J PHONE: <br /> COMPANY: San Joaquin County Environmental Health Department CITY: Stockton <br /> ADDRESS: 600 E. Main Street �p <br /> DESIGNATED EMPLOYEE NAME: LwOO- 1 IJVA) CAI'J 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. - Incor orated - - <br /> Best Physical 63 o tJ _ CfALU �Fo2NlA- 5+KOEGT CITY STc'cep 'N <br /> Desai tion ❑ Unincorporated <br /> DATE OF DISCHARGE: "X-M0Ct)A3 <br /> DATE NOTIFIED: 13 1 k TIME: 12 �l'Vl <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: 6 pU ArC '2�CAR-lam C.rL. q <br /> CONTACT PERSON: N4 tE . 1/J /ksSltN PHONE:PHYSICAL ADDRESS; Z2,Z0 W 15e(Z- A'Va 4t�63'5 ST-OGCLMA) C,4 SZOZ- <br /> MAILING ADDRESS: 421r� <br /> E . DESCRIPTION <br /> TYPE OF DISCHARGE: 5 P ILC,. <br /> VOLUME: <br /> CHEMICALS: <br /> ny 6/WA <br /> (V-' 'UIEw OF /�Ndr(,`fTus3L4�, ��L-T5 P2ow` SolLsht�nP�S <br /> CIRCUMSTANCES: <br /> F. ACTION TAKEN <br /> /j 'nIOTICt To ArSAVT ' To F�EvwoVE IffE TftNl� F}qs �[ rCEA ny � Ee�U <br /> - . —1551 ( ,�; I �5 -J- D 17 IQKo PSR .Ty <br /> SITE DISPOSITION <br /> f� 171JIT"LOn7fFL spowultiC-/ WILL- Ywl DOA)E UJH"ENTf%('�' T9-A71L15 REY1't — <br /> oVEIJ IRARTL-YE7Z 1ie01 ecJ ANN R�FEVZIZ�LTc> 'Tj <br /> WARa AA/i e L> r W IGL 6E DCN M =ETE& -1"00 7A lJIL i s ROVv,-OU[�D . <br /> NOTIFICATION OF HAZ WASTE DISCHARGE Page t 0f2 Revised 10122110 <br />