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SAN JOAQUIN COUNTY <br /> _ ENVIRONMENTAL HEALTH DEPARTMENT <br /> n i i <br /> 1868 E. Hazelton Ave., Stockton •CA 95205 <br /> W. <br /> o (209)468-3420•Fax:(209)468-3433 • Web:www.sjcehd.com <br /> '9C%F OfRN\ <br /> NOTIFICATION OF HAZARDOUS WASTE DdSCHARGE <br /> A. EMERGENCY LEVEL Ix I II III EHD LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Jennifer Berjikian PHONE: 800)511-9300 <br /> COMPANY: I Advanced GeoEnvironmental CITY: Stockton <br /> ADDRESS: I 837 Shaw Road <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 1700 S EI Dorado Street CITY Stockton X Incorporated <br /> Bea Plrysicel Description <br /> Unincorporated <br /> DATE OF DISCHARGE: Unknown - - - <br /> DATE NOTIFIED: 4-2-15 TIME: <br /> D. RESPONSIBLEPERSONBUSINESS <br /> NAME OF BUSINESS: I Casa De Oasis <br /> CONTACT PERSON: San Joaquin Housing Investment Group LLC PHONE: (209)937-7625 <br /> PHYSICAL ADDRESS: 1700 S EI Dorado Street,Stockton 95206 <br /> MAILING ADDRESS: 1209 E 8'Street,Stockton 95206 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Unknown <br /> VOLUME: Unknown <br /> CHEMICALS: Naphthalene at 1.2 on report showing soil vapor probe results from Phase 2 investigation. <br /> CIRCUMSTANCES: Review of Phase 2 investigation report <br /> F. ACTION TAKEN <br /> Soil contamination documented to file. Site added to contaminated site database. Further investigation and remediation may <br /> be required. <br /> '+ SITE DISPOSITION <br /> Referred to CVRWQCB and to DTSC. <br /> PROP 65 Revised 07/27/12 <br />