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oPq 1" SAN JOAQUIN COUNTY <br /> COP <br /> 2 " ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton • CA 95202-3029 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.sieov.orWehd 7 <br /> gCiFp•RN <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL 1XII I JEHDLOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: I I PHONE: <br /> COMPANY: qe (,� CITY: yelp <br /> ADDRESS: <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE 11 <br /> LOCATION: ��'��"LeQst F�4 C CITY S'fOCk.-b, Incorporated <br /> Best Physical Description <br /> Unincorporated <br /> DATE OF DISCHARGE: <br /> DATE NOTIFIED: TIME: I Z :OU ./t•V <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: C a <br /> CONTACT PERSON: Aet.eh, q„Q km, I PHONE: Ul CQqp (?3-7-0&811 <br /> PHYSICAL ADDRESS: <br /> MAILING ADDRESS: Z�AI. O S'"f". /'C .3 {�. 4f-02-t 97 <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: <br /> VOLUME: <br /> CHEMICALS: L lUY4 GrG.Q Q�1�l a-�9 <br /> /�' <br /> CIRCUMSTANCES: /G� 'U ceAt A� �* <br /> F. ACTION TAKEN <br /> SITE DISPOSITION <br /> -�,�RFcoieu�.4oDlru u = <br />