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I � <br />w <br />11 <br />SAN JOAQUIN COUNTY <br />rr ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />'209,468-3420, Fax: 1209,4114-3433, Web: www.siaov.om/ehd <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />A. EMERGENCY LEVEL ®I ❑ it ❑ III EHD LOG# <br />I B. SnURriz nl= IAIFnPR9ATInKI <br />NAME: Alex Steele <br />PG&E <br />PHONE: <br />2093378902 <br />cOMPANY: PG&E <br />1108 Murphys Grade Rd. Angels Camp, CA 95222 <br />CITY: <br />Angels Camp <br />ADDRESS: 1108 Murphys Grads Rd. <br />DESIGNATED EMPLOYEE NAME: <br />Aris Cacapit PHONE: <br />(209) 468-3453 <br />REPORTING AGENCY NAME: <br />San Joaquin County Environmental Health Department <br />ADDRESS: <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />C. LOCATION AND DATE OF DISCHARGE <br />LOCATION: <br />Best Physical 835 S. Aurora St. ded <br />CITY <br />gtEwfion I ❑ Unincorporated <br />DATE OF DISCHARGE: Thursday, March 14, 2013 <br />DATE NOTIFIED: Thursday, March 14, 2013 TIME: 3:53PM <br />D. RESPONSIBLE PERSON/BUSINESS <br />NAME OF BUSINESS: <br />PG&E <br />CONTACT PERSON: <br />Alex Steele PHONE: 2093378902 <br />PHYSICAL ADDRESS: <br />1108 Murphys Grade Rd. Angels Camp, CA 95222 <br />MAILING ADDRESS: <br />1108 Murphys Grade Rd. Angels Camp, CA 95222 <br />E. DESCRIPTION <br />TYPE OF DISCHARGE: <br />oil <br />VOLUME: <br />-:X1 O <br />CHEMICALS: <br />r <br />CIRCUMSTANCES: <br />v&1111.�d'14. p/ <br />F. ACTION TAKEN <br />SITE DISPOSITION <br />Revised 08!02112 Page 1 of 2 NOTIFICATION OF HAZ WASTE DISCHARGE <br />