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t ° SAN JOAQUIN COUNTY <br /> pG <br /> / �,,' r, ENV MONMENTAL HEALTH DEPART ANT <br /> m1 % � 304 Past I- tockton, CA 95202-2708 <br /> Q (209)468-3420.Fax:(209)464-0138■ Web:www.co.san-joaquin.ca.us/ehdFARB <br /> r� <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE "An— <br /> California Health & Safety Code, Section 25180.7 <br /> EHD LOG#: G 7--00 7 <br /> A. EMERGENCY LEVEL H in <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: RkYµoMb VotJ Ru— Phone: (204 ) 069-rjM <br /> Company: S,�A­e, 4-1 1e0e,- 14cap <br /> Address: W v City: Zip Code: <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City: Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: C U 64 4 2 kSoli v/+ei / Cit r Count <br /> (Best Physical Description) trcle One) <br /> Date of Discharge: 13 16 Date Notified: N __Time: Rl(4 A.M. P.M. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: &h t C. Wo/'W,( "} r+, <br /> Contact Person: - N Nl` C ►-� Phone:r^ W O- 30 y � <br /> Physical Address: 4L c4 SAx[4k4NJ Zip Code: CiJ"L0r <br /> Mailing Address: City: Zip Code: <br /> E. DESCRIPTION <br /> Type of Discharge: Sp, t 1 <br /> Volume: ARJ2X, 10lans M"b— Moa& <br /> Chemicals: hqe 1. 12&C_ <br /> Circumstances: 4)IV(CA t*.,,u ,/aQ�sl�Ge, atm Ak1 <br /> F. ACTION TAKEN: <br /> SITE DISPOSITION: rt'S4iw VVQre. G@A 4i i Prl <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 10/2/2003 <br />