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(S <br />SAN JOAQUIN COUNTY, D <br />NOTIFICATION- -,> (0) , <br />OF HAZARDOUS WASTE DI , <br />HEALTH & SAFETY �cr ra.RGE -.. <br />TY CODE 25180.7 <br />A. EMERGENCY LEVE r II III <br />(Circle One) <br />B• SOURCE OF INFORMATION <br />Original Source:� frL,- <br />Reporting Agency Name: <br />Agency Contact.. <br />Address: 601 <br />P d� <br />Cf LOCATION AND DATE OF DISCHARGE <br />PHS -EH LOG # f 0 — d 7 <br />Telephone: d <br />Telephone: r, <br />Location: 3 I <br />(Best Physical bescription) (City or County) <br />Date of Discharge: r�ca, -o <br />Date Notified: Time: " o <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business a lc <br />Contact Person:NPLf Sr,�Pcrinx�A..7 <br />Physical Address: <br />E. DESCRIPTION <br />f <br />Type Release: <br />Volume: <br />Chemicals:�s o Gj e <br />F. ACTION TAKEN <br />EH 22 03 (Rev. 7/89) <br />Telephone: <br />0 <br />