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a SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE COPY <br /> 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> P• (209)468-3420•Fax:(209)464-0138- Web:www.co.san-joaquin.ca.us/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> California Health & Safety Code,Section 25180.7 <br /> EHD LOG#: 0(0 - D SS 9 <br /> A. EMERGENCY LEVEL:( I J II III <br /> l/ (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: \101.1 Ca-, Te'> Phone: P'% 943-5-61-2 <br /> Company: V'Ate" �-f <br /> Address: 2941 t0kvK D4L. City: STrouc-TV�J Zip Code: 9S-L-0G <br /> Designated Employee Name:kp»l-LN �Jc� <br /> Reporting Agency Name: 7-0A-w-w ca'Wry Cr.hiLv.,nnE�- Ner+� N OEnf <br /> Address: 'may b• wee&-%0- A,* . ';Xv FC. City: STotA�"J Zip Code: 957-0-L, <br /> C. LOCATION AND DATE OF DISCHARGE ��\ <br /> Location: Z!Rg l hJ"4 UL r SToc-K-Toj /C City dr County <br /> (Best Physical Description) cle One) <br /> Date of Discharge: l2'Z(-06 Date Notified: 12 21-t 6 Time: 3'•51 A.M. t""'J <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business: VALE-P-0 LP <br /> Contact Person: V o) Phone: (Loq) 943-S%6'I- <br /> Physical Address: 2Y91 tj&M WL. City: S DO' Zip Code: 9'SIOL <br /> Mailing Address: City: Zip Code: <br /> E. DESCRIPTION <br /> Type of Discharge: Sp,Lk- <br /> Volume: (, GR Lt_en13 <br /> Chemicals: DAEset- <br /> Circumstances: D Ft t of rAC� IY+uc t� <br /> F. ACTION TAKEN: C-kf--Atr--O of gI R• P , <br /> SITE DISPOSITION: W V A RTNtrQ- A c--'n 0rJ e, rr"5 'n wt t- <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 10/2/2003 <br />