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Q au N s� SAN JOAQUIN COUNTY FILE VPY <br /> G <br /> EN,,,&ONMENTAL HEALTH DEPARTMr-NT <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/eho <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> California Health & Safety Code, Section 25180.7 <br /> EHD LOGA. EMERGENCY LEVEIIG II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATIpON n_ <br /> Name: U IuI inq P Z/ ►-� Phone: ($�$) 8 77 - 726'7 <br /> Company: <br /> Address: City: Zip Code: <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City: Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE J _ <br /> Location: M C 41 A le 'v'J L, 4-t Cit &"Countv <br /> Best Physical Description) J (Cir <br /> Date of Discharge: 2 3 D Date Notified: 23/ Time: ^ P.M. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: l4 4 L A pbrAV_ -F guwS <br /> Contact Person: M 4x)JAS. Q t A /-44-(_, Phone: (1 ) 4747-Z 7772- <br /> Physical Address: City: Zip Code: <br /> Mailing Address: City: Zip Code: <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: Appy . 20 154'/1o'!( <br /> Chemicals: b 12 Se l r Ue�-c 4'-'j ec 4 2 ' <br /> Circumstances: Velni Ct,— 4(_& `<)uti C,q,.1/F4 K.,, <br /> F. ACTION TAKEN: A�or'�it wq-S P (*!� bA SP)l 1 <br /> SITE DISPOSITION: V tj 4fn <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 10/2/2003 <br />