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0 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT COLE COPY <br /> 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 1 <br /> r (209)468-3420•Fax:(209)464-0138• Web:www.co.san-joaquin.ca.us/ <br /> � FOpt� <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> California Health & Safety Code, Section 25180.7 <br /> //�� EHD LOG#: O 4 - O Z3 <br /> A. EMERGENCY LEVEL ( I ) 11 III <br /> ��/ (Circle One) . <br /> B. SOURCE OF INFORMATION <br /> Phone: �4og) 712-- 2 4 t <br /> Name: Df e <br /> Company: <br /> Address: City: Zip Code: <br /> Designated Employee Name: F(4r <br /> Reporting Agency Name: <br /> Address: ity: 77 Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> P� F <br /> Location: 3;So pr; vim, i S�OL �� / City o Coun <br /> (Best Physical Descriptio ) (Cuc ne) //p/��/ <br /> Date of Discharge: Lt <br /> l) Date Notified: �{ () Time: 2 A.M.� . . <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business: S T <br /> Contact Person: Phone: ( ) <br /> Physical Address: Z C n s N A /� -06v#,1 City: �o�e�lL f•� Zip Code: <br /> Mailing Address: City: Zip Code: <br /> E. DESCRIPTION <br /> Type of Discharge: Sv i l <br /> Volume: _ Dol) <br /> Chemicals: 't'reac l ,W&8 v rkl ) !l A1e5 <br /> Circumstances: C01J� f4r/1�►ti- W+3AF �� G81�4►�A^� °� �' � <br /> (AAV- d. S`kr pyzr R0v-*� 9Py 9^w So ) <br /> F. ACTION TAKEN: <br /> SITE DISPOSITION: <br /> Notification of Haz Discharge <br /> EHD 22-02-003 <br /> .Armon, <br />