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qu . SAN JOAQUIN COUNT <br /> �q:•• •.cam � <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 600 East Main Street Stockton•CA 95202-3029 <br /> (209)468-3424•Fax:(209)464-0138• Web:www.sjgov.org/ehd <br /> , <br /> NOTIFICATION OF HA7dARDOUS WASTE DISCHARLJLJ <br /> , . <br /> A.,,EMERGENCY LEVEL ixigl In I IT 1 IEHDLOG# O <br /> B. SOURCE OF INFORMATION G <br /> NAME: IA(a QN PHONE: 144 537-9 t d Z <br /> COMPANY: C F CITY; zwo <br /> ADDRESS: y-64 yaje- CA 9SUI <br /> DESIGNATED EMPLOYEE NAME: PHONE: 2OR 33 0 Z <br /> REPOR'nNG AGENCY NAME: <br /> ADDRESS: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> LOCATION: (, a cvo,4- C44+ �Tor! CA 45376 CITY TV�C Inco rated <br /> / Unincorporated <br /> DATE OF•DISCHARGE: <br /> DATE NOTIFIED: l°e'lG TIME: 2' <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> NAME OF BUSINESS: T6 i a, <br /> CONTACT PERSON: .416C VC& PHONE: 3 q0 <br /> PHYSICAL ADDRESS: <br /> MAILING ADDRESS: ¢ <br /> E. DESCRIPTION <br /> TYPE OF DISCHARGE: y Oil & A #J <br /> VOLUME: <br /> CHEWCALS: p' <br /> CIRCUMSTANCES: A yAlNew 01l fvr.,, a <br /> F. �ArCTION TAKEN P <br /> SITE DISPOSITION <br /> IrJ <br /> ER RECORD MODIFIED Revised 05/01/2007 <br />