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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> ° P (209)468-3420•Fax.(209)464-0138• Web:www.co.san-joaquin.ca.us/ehd <br /> _,14OTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> �alth 11& Safety Code, Section 25180.7 <br /> w4opd <br /> 1 EHD LOG#: n:2 � <br /> A. EMERGENCY LEVEL II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: yGC��G�ri..dir�sscD� r�iAcc.�cric�� ,Gr�yne: (`�lp) 461-0 60 <br /> Company: .4-c <br /> Address: /040 City: Zip Code: /✓hTZ1 <br /> Designated Employee Name: �_ ,E <br /> Reporting Agency Name: V <br /> Address: City: Zip Code: <br /> C. LOCATION AND <br /> ► DATE OF DISCHARGE <br /> Location: CP ' 4r oz)e 5y V�� _ City County <br /> (Best Physical Description) (Circ <br /> Date of Discharge: Date Notified: /0— 74 Time: A.M. P.M. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: 444 Od P <br /> Contact Person: Phone: <br /> Physical Address: _ City: Zip Code: <br /> Mailing Address: - 0 1LS City: �x +� Zip Code: gYsPj <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: 16e. _Jk� <br /> Chemicals: 6", -� /-2 <br /> Circumstances: <br /> a;✓'cv�o-Cv-tOQ <br /> F. ACTION TAKEN: w1c,e /�Dlr� •{ <br /> SITE DISPOSITION: Gdi� <br /> 6fv�� a 067 �' A - d w <br /> IU.LE � tv�ti <br /> EHD 22-02-003 Notificadon of Haz Discharge <br /> 10/2/2003 <br />