Laserfiche WebLink
SAN JOAQUIN COUNTY <br />EN _z_ONNIENTAL HEALTH DEPARTI\ <br />600 E. Main Street, Stockton, CA 95202 <br />(209) 468-3420 • Fax: (209) 464-8392 • Web: www.co.san-joaquin.ca.us/ehd <br />TIFICATION OF HAZARDOUS WASTE DISCHARGE <br />California Health & Safety Code, Section 25180.7 <br />Ce) EMERGENCY LEVEL. <br /> EHD LOG #: <br />B. SOURCE OF INFORMATION <br />Name: CalvtiA Phone: (01) (-16 -9--/ 00,6 <br />Company: AA rA Le at C-?.e Et&r 0.4 p 74-rAl <br />Address: 3 3- SIN0 City: Sic, dr....1-eyL Zip Code: 9 s-2.,/ <br />Designated Employee Name: Lczr-i Nu - <br />Reporting Agency Name: .5ct JOar-IV ei!, ti IN 4. OPIA)1/•El &IA *Pi" 14-ca t-11" - <br />Address: 60 0 e . 0.Aczt. City: S-I0c1c4rt Zip Code: 9 s-2-0 <br />II III <br />(Circle One) <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: Ill '45 b‹ v <br />(Best Physical Description) <br />IS-3-111-01 <br />Date of Discharge: lAwc,v3t_ <br />/ (ir County <br />(Circle One) <br /> <br />Date Notified: tt I 0.10 9- <br /> <br />Time: jp-00 P.M. <br /> <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: Tyi tv.f LC vt <br />Contact Person: g <br />Physical Address: 15s-TO e' • mo,A S4--. City: S4-cck irp c.. Zip Code: c1 <br />Mailing Address: 5 Ffiivi e <br />DESCRIPTION <br />Phone: (zol) c3c - /0 0 <br />City: s 40c,e_c_ 4e, L__ Zip Code: rzcS <br />to, <br />Type of Discharge: <br />Volume: <br />Chemicals: <br />Circumstances: E"A t irren.n. tAA-1 ( <br />CA.101A.5 trrAl L }NA t/Jime.,k <br />.• - • P A Add <br />tTl". trb-tcpeA <br />tL k0 - <br />tityviC,NA01.1-01--- <br />F. ACTION TAKEN: Soot b_criAnAt sek4A,,f r cite rif-c Qv\ -112-610 <br />SITE DISPOSITION: DISPOSITION: e <br />EHD 22-02-003 <br /> <br />Notification of Hoz Discharge <br />05/04/07