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.e <br /> � + r <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY. CODE 25.180.7AWIL <br /> 'k <br /> A. EMERGENCY LEVEL•.'` II III HEALTH DISTRICT LOG # . 64—�� <br /> (Circle One) , 0 <br /> B. SOURCE OF INFORMATION <br /> Original Source: Diane. M. Ninspn _ Telephone: ) <br /> Reporting Agency Name: San Joa Uin Local Health District <br /> Agency Contact: Diane M. Hinson Telephoner Qo9 ) 46$-3441 <br /> Address : 1601 E. Hazelton Avenue• Stockton CA 95205 <br /> C. LOCATION AND DATE OF ,DISCHARGE <br /> '• Location: 110 W. Sonora Street <br /> / Stockton <br /> (Best Physical Description); (City or County) , <br /> Date of Discharge: Unknown ` <br /> Date Notified: May 23, 19$$** Time: <br /> r D. RESPONSIBLE PERSON/BUSINESS <br /> t Name of Business Fire Engine Company #2 <br /> Contact Person: James Escobar Telephone: { 209) 944-$282 <br /> Physical Address :' City Hall ; Public Works Department <br /> E. DESCRIPTION <br /> F <br /> Type Release : Unauthorized Rel ease from UGST <br /> Volume : Unknown <br /> Chemicals : Petroleum Hydrocarbons <br /> a F. ACTION TAKEN <br /> Further Site Assessment grill be required to determine the nature and extent <br /> of contamination, as required by the appropriate regulator agency. <br /> r <br /> 1 <br /> **tJotification is being made at this time due to reporting requirements of the <br /> State Water Resources Control Board. <br />