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11. HAS A Prop 65 NOTIFICATION BEEN SENT BY ANOTHER AGENCY? 12. AGENCY THAT PROVIDED A Prop 65 NOTIFICATION: <br /> [3YES ®NO <br /> (If"Yes" identify the agency in Box 12,if"No"proceed to Section III) (Skip to SECTION 111.4) <br /> SECTION III: DISCHARGE REPORTING <br /> 1. COUNTY HEALTH AGENCY: INITIAL CONTACT 2. COUNTY BOARD OF SUPERVISORS: INITIAL CONTACT <br /> DATE: 7/30/21 DATE: 7/30/21 <br /> TIME (MILITARY): 1600 TIME (MILITARY): 1500 <br /> CONTACT METHOD:Phone CONTACT METHOD:Email <br /> (Phone,Answering Machine, Conversation, Email) (Phone,Answering Machine,Conversation, Email) <br /> CONTACT NAME: Kimberly Blackwell CONTACT NAME: Tom Patti, Chair of the Board <br /> PHONE NUMBER W/AREA CODE: (209)468-3420 PHONE NUMBER W/AREA CODE: Unknown <br /> EMAIL: kblackwell@sjgov.org EMAIL: rdebord@sjgov.org <br /> WRITTEN NOTICE:This information may be supplied by the Proposition WRITTEN NOTICE:This information may be supplied by the Proposition <br /> 65 County Notification Unit. 65 County Notification Unit. <br /> DATE: 07/30/21 DATE:07/30/2021 <br /> POST OFFICE CERTIFIED MAIL NUMBER:via email POST OFFICE CERTIFIED MAIL NUMBER: via email <br /> NAME:c/o Kimberly Blackwell CONTACT NAME: Tom Patti, Chair of the Board <br /> AGENCY: San Joaquin County Environmental Health Dept. AGENCY: San Joaquin County Board of Supervisors <br /> ADDRESS: 1868 East Hazelton Ave ADDRESS:44 North San Joaquin Street, 6th Floor, Suite 627 <br /> CITY AND ZIP CODE:Stockton 95205 CITY AND ZIP CODE: Stockton 95202 <br /> PHONE: (209) 468-3420 PHONE: <br /> EMAIL: kblackwell@sjgov.org EMAIL: rdebord@sjgov.org <br /> 3. STAFF CONTACT FOR FURTHER INFORMATION 4. DESIGNATED EMPLOYEE <br /> NAME: Amber Ginorio, Engineering Geologist NAME: Christopher Flower, Supervising Engineering Geologist <br /> PHONE: (916) 464-4670 PHONE: (916) 464-4836 <br /> EMAIL:amber.ginorio@waterboards.ca.gov EMAIL:chris.flower@waterboards.ca.gov <br /> REFERENCE FILE (e.g. permit#): Digitally signed by Christopher Flower <br /> S. ADDITIONAL INCIDENT DESCRIPTION AND FOLLOW UP Christopher Flower Date:2021.07.3016:45:42-07'00' <br /> More information is available on the Stockton Metropolitan Airport's <br /> GeoTracker page (Case File T0000012778). Additional soil data is Signature of Designated Employee <br /> attached. DATE SIGNED:7/30/21 <br /> TIME SIGNED: 1500 <br /> 7/30/2021 <br />