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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton a CA 95202-302 «I o7 <br /> (209} 968--3920 ■ Fax: 1209} 969-0138 Web: www.sjgov.org/e _ 0 f <br /> NOTIFICATION OF HAZARDOUS WASTE.DISCHARGE <br /> A. EMERGENCY LEVEL EHD .LOG# 10'7—1 <br /> B. SOURCE OF INFORMATION . <br /> NAME: Dillon CoRins PHONE: 209 557-6426 <br /> COMPANY: I San Joaquin Valley Air Pollution Control District CITY: . Modesto. CA 95356-8718 <br /> ADDRESS: I 48DDEotcmiseW1Y <br /> DESIGNATED EMPLOYEE.NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 1 640 North Center Street CITY I Stockton X incorporated <br /> am vnyAa t .iq <br /> Uninca rated <br /> DATE OF DISCHARGE: November 1,2007 <br /> DATE NOTIFIED: I November 7.2007 TIME: 12:00 PM <br /> D. RESPONSIBLE PERSONBUSINESS <br /> NAME OF BUSINESS: Golden Bay Hardwood Floors and Roof <br /> CONTACT PERSON: Con oc Pham PHONE: 415 740-4263 <br /> PHYSICAL ADDRESS: 1382 4lph Avenue San Francisco CA 94122 <br /> MAILING ADDRESS: 1382 40'Avenue San Francisco CA 94122 <br /> E. DESCRIPTION <br /> TYPE OF DISCI-TARGE: Disposal <br /> VOLUME: Unknown <br /> CHEMICALS: Asbestos(approximately 60%-80% friable) <br /> CIRCUMSTANCES: Contractor removed roof containing friable asbestos and disposed of at municipal solid waste <br /> facility. <br /> I <br /> F. ACTION TAKEN <br /> Contractor hired a certified abatement contractor to conduct removal and cleanup activities at the facility. <br /> x <br /> i <br /> SITE DISPOSITION <br /> i Cleanup to be overseen by San Joaquin Valley Air Pollution Control District. EHD to follow up on disposal of waste. <br /> J <br /> r <br /> ER RECORD MODI€IED Revised 09/01/2007 <br /> t <br />