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SAN JOAQUIN COUNTY FILE COrY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3"t Floor, Stockton, CA 95202-2708 <br /> (209)468-3420•Fox:(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#: Oho —01-q <br /> A. EMERGENCY LEVEL II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: Cin(-15 60� (t1Z Phone: (3/4 ).6/7- ay23 <br /> Company: \I 4( Cro <br /> Address: 2G1 t-1 ( N 4L-Y A/\ City: SAOCiZip Code: <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City: Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 201 Ll I N -4v`1 hr 1 .94L (G. -� rCounty <br /> (Best Physical Description) `(Circle One) <br /> Date of Discharge: 11 .1 2,(4[06 Date Notified: 1/ 2 ql6 b Time: 'r kS A.M.6m) <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business: SO 2. M . &6Mq f S0^1-C <br /> Contact Person: _5¢ 4 60 b r"1d-( Phone: (Zdw) 6 3 2 - 3 / 1 1 <br /> Physical Address: -72- 5 N- Tu ll`7 1? .City: ?TtU,,' ( aL1< Zip Code: ,3 SG <br /> Mailing Address: City: L4 Zip Code: 9( <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: 20 - 30 15,0/6-e 5 <br /> Chemicals: D f age--L <br /> Circumstances: 6y el4 t i l eel _r4wX _r/-V 4- <br /> F. ACTION TAKEN: C I La n UP b�:4 U Al/_r-D <br /> SITE DISPOSITION: UCwd 4,6 &gr 6- i- 014-&,4 d/1 d r <br /> Witt `gos4' a 1 4s X191A-kbois <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 10/2/2003 <br />