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0 SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street Stockton - CA 95202-3029 <br />(209) 468-3420 ■ Fax: (209) 464-0138 • Web: www.sigov.org/ehd <br />A. EMERGENCY LEVEL 1xil <br />B. SOURCE OF INFORMATION <br />IN X0 <br />memo' <br />.: ' , <br />rs► <br />EHD LOG# D — O°1 <br />NAME: <br />v, �aa�a,�e..-� <br />PHONE: <br />r(.5z <br />COMPANY- <br />Inporporated <br />CI'T'Y: <br />o <br />U* rated <br />ADDRESS: <br />d ,� <br />DESIGNATED EMPLOYEE NAME: <br />PHONE: <br />TIME: <br />REPORTING AGENCY NAME: <br />ADDRESS: <br />C'_ TI)rATION AND DATE OF DTS['HARC.F <br />LOCATION: <br />bi7'� �{ P )Zp- Q <br />PHONE: <br />5 $' <br />PHYSICAL ADDRESS: <br />Inporporated <br />Bess Physical Desch <br />U* rated <br />DATE OF DISCHARGE: <br />o <br />DATE NOTIFIED: <br />a <br />TIME: <br />T)_ RFWONSTBLF PF.RSONlATTSTNFCS <br />NAME OF BUSINESS: .r,a P /,} <br />CONTACT PERSON: <br />PHONE: <br />5 $' <br />PHYSICAL ADDRESS: <br />MA MG ADDRESS: <br />F.- T)17-4C'RTPrION <br />TYPE OF DISCHARGE: <br />l+c'�►/ <br />VOLUME. <br />CHEMICALS: <br />CIRCUMSTANCES: <br />Y. MA IVN 1 AlLEIN <br />SITE DISPOSITION <br />ER RECORD MODIFIED Revised 05/01/2007 <br />T <br />