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r ke <br /> SAN JOAQUIN COUNTY ~' J <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> (Circle One) 0 <br /> B. SOURCE OF INFORMATION <br /> Original Source: `C f:)n- /-/, � l- Telephone: <br /> Reporting Agency Name: 54#V Z-1 .,I .Le eks h 1(4 t -iac7H CCS <br /> Agency Contact: •DajCj t4 A k f-�RAN Telephone: <br /> Address: P` Bax �? p 0 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 30 9 (Qz pot`-+.J 7LA-Ltf <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: Time: r a v <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business 5.k Ij :2h-A(Q("A f rJ %f Q-6�o <br /> Contact Person: . a „ I� i�,IC Telephone: <br /> Physical Address: 5 IR o /�-[ti - 7� <br /> r <br /> E. DESCRIPTION <br /> Type Release: iu I <br /> Volume: U �•U w _ <br /> Chemicals: o Ln �j ^o G A Lb 6 N I <br /> F. ACTION TAKEN <br /> SAIL VeS u /r��/ea �_ r,�v��►.� �,,.�.� �.,,. From t khdmgvo.-_,, <br /> --C4/1,'1 4M D `1 kO d u r f iii c� �-A10 L yz?-A�dyev s o n/ <br /> -- '1/?d4 P r S r � CESS 'i5 Im'P.rJ- �_..i�I be ► 64 i% c� r-z <br /> r ' <br /> r� .ildr021 i i OG 0 n 424 k oee W �E' A o/,/''Mori", <br /> EH 22 03 (Rev. 71d9) <br />