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E 6 <br /> SAN JOAQUIN COUNTY <br /> }.: .o� FaI <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton-CA 95202-3029 <br /> t (209)468-3420•Fax:(209)464-0138 • Web:www.sjgov.org/eh <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> i <br /> k A. EMERGENCY LEVEL X I n Iv EHD LOG# 0-7—1 45 <br /> B. SOURCE OF INFORMATION <br /> NAME: 'G �j p� PHONE: <br /> COMPANY: ' lq ��f CITY: <br /> ADDRESS: Lj�q bq r U— <br /> DESIGNATED EMPLOYEE NAME: PHONE: <br /> REPORTING AGENCY NAME: a <br /> ADDRESS: <br /> IF <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: gme:.q+ S I;f AA3-7, 6%'+'? w,6aF- — CITY Incorporated <br /> '. Best Physical Descriprion CQA Grd RQq d Unlnco h orated <br /> DATE OF DISCHARGE: o <br /> DATE NOTIFIED: ( y �,-� -� TIME: r ...�. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: 942^q c+.� <br /> CONTACT PERSON: PHONE: <br /> PHYSICAL ADDRESS: `7 p c SZ! <br /> MAILING ADDRESS: 0SZ- <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: ., tw <br /> VOLUME: <br /> CHEMICALS: <br /> CIRCUMSTANCES: p -j at �I a <br /> F. ACTION TAKEN + <br /> V!r�a�� wt S '� �G4rr'r-•. w•►-�.� rtv� G�...�Vr�w �.. .�� <br /> �, J P <br /> M lrt7�a � 1,�Ji�� � Ir'Gf S►ri4 'rf.� o�-�-- •r p�a �'�+G��r�2-- <br /> ILII SI'Z'E DISPOSITION <br /> F / �►�/- -�- it�- !�. e, ��s� ha•�•(ar-. (��/lam e G.�sf- <br /> ER RECORD MODIFIED Revised 05/01/2007 <br /> r ` <br /> !h I <br />