Laserfiche WebLink
°Pab!lf�.•.c SAN JOAQUIN COUNTY <br /> 4VIRONMENTAL HEALTH DEPA TIENT Q <br /> 600 E. Main Street, Stockton, CA 95202-3029 D <br /> �P • Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/eh <br /> PORE _ <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHA <br /> California Health & Safety Code, Section 25180.7 + 1 <br /> EHD LOG#: <br /> A. EMERGENCY LEVEL 10 II II1 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: Phone: (2cn) <br /> Company: Sb2C. y-[vQ 15 4 r'Q- fah�-' <br /> Address: City: Zip Code: <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City: Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 31 3 A r-CL, P'-J� , ( s hG cL C / City r County <br /> (Best Physical Description) ircle One) <br /> Date of Discharge: l 2`7 d 19 Date Notified: n b Time: 1/ .'J-/ A.M. P.M. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: D 1 eq S Lo M,�i l Con <br /> Contact Person: D 1 e 5 S« Phone: (2o-1 (612 - 0�S 5 <br /> Physical Address: City: Zip Code: <br /> Mailing Address: D , 0 k l 2 0-7 City: 914 ( , b -� Zip Code: 9 � 8 <br /> E. DESCRIPTION <br /> Type of Discharge: �7 Y4 r-61 v".4 k1'-L. C/' 1 <br /> Volume: h bk '3 b S-a .� ��o'3 C <br /> Chemicals: Q i e eL vC.L <br /> Circumstances: r u,s �( r1k- re 0�1� <br /> F. ACTION TAKEN: <br /> I-, S r- 3 k) C-IU.n up <br /> SITE DISPOSITION: fes- C 1 S�-O L tZ�a-�j Poo i--) e 11 a-- <br /> sn�rr, <br /> EHD 22-03 Notification of Haz Discharge <br /> 11/26/2007 <br />