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o.�'QU I'�• c <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �qif oaN`c (209)468-3420 Fax: (209) 468-3433 Web:www.sjgov.org/ehd <br /> WASTE DISCHARGE/SPILL RESPONSE <br /> NOTICE TO ABATE <br /> FACILITY TYPE/NAME: koHbq DATE: <br /> SITE ADDRESS: W 9g Q CITY: ZIP CODE: <br /> OWNER/OPERATOR: �'Cj r0. '��,..t TELEPHONE' Zo6 W561-3 SS <br /> TYPE OF 'WARNING CENTER RESPONSE ❑OTHER7E'LEMENT._Z-5kf0 <br /> ROGRAM RECORD <br /> INSPECTION: L3COMPLAINT L3CONSULTATION ❑ROUTINE IDi'#: <br /> NATURE OF WASTE DISCHARGE/SPILL RELEASE: 1 1 r <br /> `Z'57 c�a �� O�•'�C-sw-( �i IP 1�l 40, D� rib G c.-(��ri� �" O✓�1 v 5o t � <br /> 9P <br /> o <br /> OBSERVATIONS: <br /> c>P�► l �-fb sb� I <br /> VIOLATIONS: <br /> Discharge of any Waste, including Sewage <br /> (CA Health and Safety Code 5411) <br /> ❑ Discharge of Waste or Sewage to Water or within 150' of Waterway <br /> (SJC Ordinance Code Sections 9-1125.3, 9-1125.4) <br /> ,P,-�rnproper Disposal of a Hazardous Waste <br /> (CA Health and Safety Code 25189.5) <br /> ❑ Permitting or Maintaining a Nuisance <br /> (SJC Ordinance Code Section 8-5100) <br /> ❑ Other: <br /> CORRECTIVE ACTIONS/ORDER: <br /> Immediately contain, clean up, and dispose of the waste at an authorized, permitted location. <br /> Ensure that clean up personnel possess adequate training. <br /> Investigate and abate contamination under the oversight of the appropriate lead agency. <br /> Submit copies of hazardous waste manifests/disposal records to the EHD within 30 days. <br /> ❑ Other: Correct By: <br /> COST RECOVERY:All EHD Staff Time Associated with this Spill Response is Billed to the Responsible Party at <br /> the Current Hourly Rate. Failure to Comply with this Notice may Result in Formal Enf rcement Action. <br /> INSPECTED BY: PRINT NAME: r►t� q G <br /> SI N E OF ENVIRONMEN AL <br /> RECEIVED BY: DATE: ( �� <br /> SIGNATURE OF OWNE PE <br /> E <br /> EHD 25-001 Rev.05/19/16 Spill Response NOTICE TO ABATE <br />