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_ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMPref <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138- Web:www.co.san-joaquin.ca.us/ehd <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> California Health & Safety Code, Section 25180.7 <br /> EHD LOG#: <br /> A. EMERGENCY LEVEL: 11 III <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: Phone: ($101) 17Y-2?Oa <br /> Company: 2 Er` t v�cc r, n <br /> Address: n S City: o-roe m n Zip Code: q 4 7 ;.3 <br /> Designated Employee Name: <br /> Reporting Agency Name: <br /> Address: City: Zip Code: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 3 `1 4 l) N. 1 ro c,A- rk L4� City r County <br /> (Best Physic escription) (Circle One) <br /> Date of Discharge: bnkno,,J n Date Notified: '91-2510'3 Time: /0 P.m. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: T1_0t C-1A_ C,k, 4- A-v—A-b <br /> Contact Person: A ut l A Phone: ( ) <br /> Physical Address: 3' q 0 City: Zip Code: 530 <br /> Mailing Address: City: Zip Code: <br /> E. DESCRIPTION <br /> Type of Discharge: Le—c"K. <br /> Volume: IArK dLJ n <br /> Chemicals: tcs e 1 1 <br /> Circumstances: Ce J teed 6 Soot c5 1 e L&A A0-� its <br /> pe— <br /> G g-e. u fq,,- �Le.S <br /> F. ACTION TAKEN: j,rkles l-,o""_ 6-es., Ca r.J Ic_+ j . <br /> SITE DISPOSITION: LA-ST <br /> 11. 12dSS2C-eA 1 `. -('k- Loc.c' ( 6Je.r5toPc+ rejray,-� <br /> r �.t r-�'L�,� l r1 J e 3�-1 c, a-�-r d✓1 . <br /> EHD 22-02-003 Notification of Haz Discharge <br /> 10/22003 <br />