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SAN JOAQUIN COUNTY <br />G <br />y (00 E. N4t, Ei, ✓IRONMENTAL HEALTH DEPARI 1.v1ENT <br />O <br />tockton, CA 95202-2708 <br />�P PY <br />(209) 468-3420 • Fax. (209) 464-0138 • Web: www.co.san-joaquin.ca.us/ehd <br />C 'PORE <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />California Health & Safety Code, Section 25180.7 <br />EHD LOG #: D:7 — 0 7 6) <br />A. EMERGENCY LEVEL) H III <br />(Circle One) <br />B. SOURCE OF INFORMATION <br />Name: S4(,V_ 13 ,Shop Phone: C20-1) 1/406- 3s"rcl <br />Company: CA -r4-0(- L A Ie S <br />Address: 1105 5. e( -661146b f!�- City: Zip Code: cl 5 <br />Designated Employee Name: <br />Reporting Agency Name: <br />Address: City: Zip Code: <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: 3 l 0 S_ S' C(- b0 "'A a S/-, j �oL lL kv'j / City or oz <br />(Best Physical Description) / (Circle One <br />Date of Discharge: 2 6 D __) Date Notified: 26c Time: 11,"00 4a P.M. <br />D. RESPONSIBLE PERSONBUSINESS <br />Name of Business: C A (S F a r u i A _t itt- L S ne S <br />Contact Person: Sw LV- 3 �S4 uln Phone: (Zos) ebb - 35'r�1 <br />Physical Address: 310S S • 1,C L DoAR,2o -&/,City: Zip Code: CrY204. <br />Mailing Address: 4' b , 3 D X (0 2 `'r �5 City: S ho C) e./� Zip Code: Cf,r2d6 <br />E. DESCRIPTION <br />Type of Discharge: 0 V er 4loW s - F � Am< A0 Se Lm^,0 4�`--1 Gon 4*f , ruv► <br />Volume: Qpbv. 1 OV S 4,G4' ( <br />Chemicals: SD D S um %4 y 4 ''O x i oe. <br />Circumstances: w (, y i, ArM sM Baf <br />A,\ OLsn Alu DGC.(�rKI - <br />F. ACTION TAKEN: QcPSrs h Sy 8Ar'#-' oc c, u r -d <br />SITE DISPOSITION: V l,JVL&q , 4 �U1S 4-S r'"y <br />EHD 22-02-003 Notification of Haz Discharge <br />10/2/2003 <br />