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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT k� <br /> .i 1868 E. Hazelton Ave., Stockton • CA 95205 <br /> (209)468-3420•Fax:(209)468-3433 • Web:www.sjcehd.com <br /> cq�l o �P <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> A. EMERGENCY LEVEL 1XII I III I IIIII E—F LOG# <br /> B. SOURCE OF INFORMATION <br /> NAME: Alex Steele PHONE: 337-8902 <br /> I <br /> COMPANY: PG&E CITY: Angel Cam <br /> ADDRESS: 1 1108 Murphys Grade Road,Angel Cam <br /> DESIGNATED EMPLOYEE NAME: Jeffrey Wong PHONE: 468-0335 <br /> REPORTING AGENCY NAME: SJC EHD <br /> ADDRESS: 1868 E.Hazelton,Stockton <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: 0.r L pprU Yt, m1 CITY Incorporated <br /> Best Physical Description � /� L D d <br /> 6 LVn,S D'lr' 410 S�,Q x Unincorporated <br /> DATE OF DISCHARGE: C 24f © ( LF p <br /> DATE NOTIFIED: /Z-4-- / ( LA TIME: l M <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: PG&E <br /> CONTACT PERSON: Alex Steele PHONE: 736-6426 <br /> PHYSICAL ADDRESS: 1108 Murphys Grade Road,Angel Cam <br /> MAILING ADDRESS: 1108 Murphys Grade Road,Angel Cam <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: Unauthorized <br /> i� <br /> � C./ <br /> VOLUME: ( , <br /> CHEMICALS: Hydraulic Fluid <br /> CIRCUMSTANCES: _ <br /> F. ACTION TAKEN <br /> VC by P 67 <br /> 044 p <br /> SITE DISPOSITION <br /> C corny <br /> P <br /> PROP 65 Revised 07/27/12 <br />