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1vul '-AIIOty 01; 1-La-A .DOUS WA°"'C DISCl-IARGE <br /> HEALTH & SAFETY CODE AV <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 'Ft^c�Yl K A lea r e Telephone:Reporting Agency Agency Name: S1))AA7 rj I I �i Q� MFS F ,— N Dial <br /> Agency Contact: T)A-u n Telephone: 2p ) <br /> Address: - I-, • OfJX avo 9, S7'O' G06Y), C14 9sa o r <br /> C. LOCATION AND DATE OF DISCI-TARGE <br /> Location: 111 , ('D� -/�4010, / <br /> (Best Physical Desc ion) (City or County) <br /> Date of Discharge: <br /> Date Notified: �_ Time• 3 �O�,V71--11D. RESPONSIBLE PE SON/B SINE-SS <br /> P <br /> Name of Business <br /> Contact Person Telephone: 3 �— <br /> Physical Address: FLn a <br /> ]r. DESCRIPTION <br /> Type Release: 0.42,LZZi� <br /> Volume: <br /> 61 <br /> Chemicals: <br /> P. ACTION TAKEN <br /> #� � "i't I — A-) <br /> i <br /> EI 22 013 (Rev. 02 90) <br />