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U <br /> ° aG SAN JOAQUIN COUNTY <br /> b. 4 _-NIRCINMENTAL HEALTH DEPAR,.AENT <br /> 600 E.Main Street, Stockton, CA 95202-3029 _=� %'`� I r` <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.arg/e = ` L <br /> NOTIFICATION OF HAZARDOUS WASTE DISC> ) <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: R o 6R- IJwm- Phone: (2 e)-j) °153- (o Z06 <br /> Company: C 141) L11Z Mi L <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: I D 21 b r 5�0 G IL koJ / C( itv hr Countv <br /> - <br /> (Best Physical DescripItion) le One) <br /> Date of Discharge: 13 2— Date Notified: 4 23 ?i Time: 9 `Lfb <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: CDriJ PrC)DU&� < <br /> Contact Person: R.D f°" 1�D A k L. Phone: (Zo y) S LO- 92 3 3 <br /> Physical Address: I D 21 2Ntbu{}r; p r, City: Zip Code: '1_ YW(o <br /> Mailing Address: P. D 3 b x (,, 1201 City. Zip Code: 9 fZ&( <br /> E. DESCRIPTION <br /> Type of Discharge: h,GL 1 bQ4I fq, rO " w <br /> Volume: Sfel) 0ltov( 1^ 6 SeL GD1�4I,hK '� 2da e,l oryF+ A; Ia( <br /> Chemicals: told r� I w <br /> Circumstances: A leVZL CDn�-6L. on 4bL 4-A �'a' 1 AIv ,� v-*M, <br /> P A A VLk hu iL Is A h alt_. <br /> F. ACTION TAKEN: t& �Jy] ^ C') Lc' PQ1 0n <br /> MAQxIA'�, v�tiL4 lae, Lr In jUQ_ OrDLeSt Ui 41, rna,ts�ach <br /> J <br /> SITE DISPOSITION: ,A-4- M- i In 0 S f T 1^ r <br /> EHD 22-03 AdOwAl 7-Y <br /> I Ii=62007 F + Notification of Hu Discharge <br /> 414* <br />