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oQ• :�"••c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ILJI L1 <br /> aa`� •• <br /> Ep ` 1868 E.Hazelton Ave., Stockton•CA 95205 <br /> (209)468-3420•Fax:(209)468-3433 • Web:www.sjcehd.com <br /> afiF ORF' <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL I x I I I 17—FTT-1EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: I Brett Cox PHONE: (801)771-2800 <br /> COMPANY: I Earth Touch CITY: Layton,Utah 84041 <br /> ADDRESS: 1 3135 North Fairfield Road,Suite"D" <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 1011 S Cherokee Lane CITY Lodi X incorporated <br /> Belt Physical Desv ption <br /> Unincorporated <br /> DATE OF DISCHARGE: I Unknown <br /> DATE NOTIFIED: 8-20-12 TIME: unknown <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: I Zion Bank—Lein holder for 7&D Auto body <br /> CONTACTPERSON: PHONE: <br /> PHYSICAL ADDRESS: 1 South Main Street,Suite 500 Salt Lake City,Utah 84133-1109 <br /> MAILING ADDRESS: <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Unknown <br /> VOLUME: Unknown <br /> CHEMICALS: TPH-DRO at 2900 mgjcg in boring#3 <br /> CIRCUMSTANCES: Review of soil results in Phase 2 report <br /> F. ACTION TAKEN <br /> Phase 2 report generated prop 65 reporting requirements <br /> SITE DISPOSITION <br /> Soil impact is undefined. Further site assessment to identify the nature and extent of the contamination may be required by <br /> the appropriate regulatory agency <br /> PROP 65 Revised 07/27/12 <br />