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SAN JOAQUIN COUNTY 40 Jt <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I�II III `'�pH LOG # <br /> (Circle One) U <br /> B. SOURCE OF INFORMATION <br /> Original Source: � Tu c% Telephone: <br /> , <br /> Reporting Agency Name: _Q^ soak %n PC, h/,° 44-4 rVti SPi✓.CPr <br /> Agency Contact: ('ate/ oL-- Telephone: zo p <br /> Address: 4S/S .✓ z5:�: Tc^a�y� <br /> C. LOCATION AND DATE OF DISC H_ tGE <br /> / s .�oa0 ec.Fies� <br /> Location:/G,: �r/wee., <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: -// —,-,? �2 - -�,i <br /> Date Notified: 21 - }a --?i Time: 9/ <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business P �.1�4,-s aze� Co <br /> Contact Person: ����7 7-k, < Telephone: 2a9 <br /> Physical Address: <br /> flruoo �n Q�l�l�s lew, <br /> E. DESCRIPTION <br /> Type Release: - <br /> Volume: 4 SO <br /> Chemicals: r ule ! <br /> F. ACTION TAKEN / <br /> D///""a IU <br /> u <br /> -CIZZ <br /> 4 G <br /> EH 22 013(Rev. 02/90) <br />