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�� r'•` a"U4 JUAQUIN COON-1 Y <br /> No ATiON or <br /> I IAZA DO US WA:' �y DISCI L4RC>, C <br /> 11EALT1i SAFE,TY Col]L 3xU.7 i `7- <br /> A. EM R GBNCY LuvrL; Y u -,� Loc <br /> } ( Ono) � . � # g <br /> I3' SOURCE Or. INmRMAnox J <br /> Original Source: <br /> S Telephone: 6;01 W IY6—36 Y 7 <br /> Reporting Agency Name: ct <br /> Agency Contact: <br /> i� Telephone: <br /> c <br /> Address: �f <br /> s <br /> C. LOCATION AND DATC Or, DISCIL4RCr, ar <br /> Location: Ja357 <br /> (Best Physical Descri tion) (City or County) <br /> Date of Discharge; ,g <br />€. <br /> Date Notified: -] Z, . <br /> _ <br /> D. RLSPONSIBLE PERSON/BUSINESS • <br /> , <br /> Name of Business <br /> Contact Person: Tele 1� <br />€ phone; o�Q <br /> Physical Address: 1 pp— G C — a —10300 <br /> �. DESCIUMON <br /> Type Release: 7' <br /> Volume: <br /> E <br /> Chemicals: <br /> ,i <br /> r• ACTION AKF,N <br /> 01 <br /> 01-7 <br /> iN t <br /> • <br /> ri-I 22 013 (Rev. 02/90) <br /> 4 <br />