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� • 0 * RA . <br /> SAN JOAQUIN COUNTY 0_�� <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE �] <br /> HEALTH & SAFETY CODE 25180.7 r r-. � \/ <br /> A. EMERGENCY LEVEL: I III HEALTH DISTRICT LOG #��3_D/�� <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: ,G _ �/l_,��Telephone: )ZE2 <br /> Reporting Agency Name:, <br /> Agency Contact. Telephone: <br /> Address: //,r)/ fir • T,�� lj,� �l� %S 20 <br /> C. LOCATION AND DATE OF <br /> DISCHARGE <br /> Location: /9800 <br /> (Best Physical Description) (City of Ccunty) <br /> Date of Discharge: -7-,q <br /> jp <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> �� i <br /> Name of Business ///1PeCJ <br /> Contact Person: o Telephone: ,'(. ) , L -- <br /> Physical Address : Z2?R(56 `/'�jlo <br /> E. DESCRIPTION <br /> Type Release: o _e <br /> Volume: fve .4��A/Y�`vilp/�/LGyi/'v/��tf <br /> Chemicals : 1� L X�jrbi7 f7 — ( t�f/JHo>J�o��r� mai �iLv/ . <br /> F. ACTION TAKEN <br /> 4 <br />