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SAN JOAQUIN COUNTY <br /> G� <br /> E4jkONMENTAL HEALTH DEPART*qTF&M 600 E.Main Street, Stockton,CA 95202 <br /> (209)468-3420•Fax:(209)464-8392• Web:www.co.sanjoaquin.ca.us/ehd <br /> SFO <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> California Health & Safety Code, Section 25180.7 <br /> EHD LOG#: <br /> A. EMERGENCY LEVEL II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: 8, It L.•(-f 1,4 Phone: (zdf !16 ?L-J oo.d <br /> Company: I*Crya 1A�e1_1( ern 11LAA101 <br /> Address: 4C2�1: City: 54vtf. 40�_ Zip Code: 9S Zf5- <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City: Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: l'&-& 1 E rykg, 14A 54— . 5 / r Cit4�r Countv <br /> (Best Physical Description) ucle One) <br /> Date of Discharge: V(AA46A AAA z Date Notified: -24 11 Sg Time: I?—' Dd A.M. P.M. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: T^%tA!m�1 e C91A 1 <br /> Contact Person: �)ay.A� l3 i� Phone: (2-M '13 9-lozo <br /> Physical Address: 5 4rck-/oi- Zip Code: 9.5`265 <br /> Mailing Address: City: Zip Code: <br /> E. DESCRIPTION <br /> Type of Discharge: O� IAla a— S&ofAAC ,r <br /> Volume: L1An L1..o,,,4 <br /> Chemicals: eCA-L.='(.AAAAA <br /> Circumstances: I . - e r- ar ed: st ti none &'4M 4 <br /> 1V ! oc,oG��v7w- a . - n74M A -drX4eej <br /> (S i 2� d 7 S u..,/.7✓,� <br /> F. ACTION TAKEN: <br /> SITE DISPOSITION: Sifg C(Fb)N c b.9. <br /> �•• .gin 12��-.c r'�IIMC�I�AQ 9 (ILA 0C by (1%)Q (AA <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 05/04/07 <br />