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SAN JOAQUIN COUNTY <br /> 'IRONMENTAL HEALTH DEPAR ., 3NT <br /> 5 oD <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> r Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/elhd <br /> 9� FOfR�` 1 • . <br /> 1 <br /> NO T'TFICATION OF HAZARDOUS WAS'T'E DISC1FbAI�E1 (- <br /> California Health & Safety Code, Section 25180.7 <br /> EHD LOG #: V -O 5 <br /> A. EMERGENCY LEVELS [ J II III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: /AiGLS Aef r7 oiy Phone: (70�7) <br /> Company: IZDKetl Eee_r4n� jel/ viLeS <br /> Address: LILI 4rr s trt�.l A w . City: 60 +J ee 1 QA-rGCZip Code: <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 21 S ( bO^ Kld 6 { t Fvkv6 16hi%j / C r County <br /> (Best Physical Description) lrcle One) <br /> t <br /> Date of Discharge: UN (Ln a" Date Notified: s 3 U Time: <br /> i <br /> D. RESPONSIBLE PERSON/BUSINESS /7 <br /> Name of Business: Rdart, P' ,.-j b 2rh Th C ' 1 P t S • I` <br /> Contact Person: R D ar A Ni-mr-"oaJ Phone: ( ) <br /> Physical Address: City: Zip Code: <br /> Mailing Address: i Sg S L2Q � C City: Zip Code: VX / <br /> I <br /> E. DESCRIPTION <br /> Type of Discharge: ! *VrL t 1OLA'� <br /> Volume: U N )Ot tfwn <br /> Chemicals: 9e '1z &yL , T_ a uw^� t � � 11�j ( bet ��lC � Ky � eeKC <br /> Circumstances: A "a 6Iv UirD'1M" 1• ) L S%PL �l tr ¢ d halt %tel <br /> rutJ rediJ h be etil 12c - 6ASi) 1l aa50e, 0"�4eqo <br /> E. A1C.ITION�7TAKEN : A t4n � 16x. +1) PikL;r�'Jn 6eiz1 `1b6vczj > v <br /> a d St'oi �a..K r e.nov <br /> SITE DISPOSITION: Pl' 1 ^ i ll 1} ( 1 U ; k9 \ kAA {< rt/ <br /> (� 2 4 4 lam\ ink i 5 C 'r o . <br /> i <br /> i <br /> EHD 22-03 Notification orHaz Discharge <br /> 11/7,6/2007 <br /> t <br />