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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Sa;l Sa „ Rio t <br /> p Telephone: ( Z_`t) <br /> Reporting Agency Name: S a.. Lo,�l �Ae,H�, <br /> Agency Contact: V, d Ca,ls <br /> Telephone: (Zat ) yvg_ 3yyo <br /> Address : No S-k�4j ,., cA gSzo9 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> SN q.l "I-k, (,u <br /> Location: 6P Sgs r.,. I �,.„ St. <br /> I (Best enysical Description) (City or County) <br /> Date of Discharge: r.%O io 10115- 1?} <br /> Date Notified: — ! //9 /98 <br /> Time: �„k...o,..., <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Sa t'�o <br /> Contact Person: ( ag � , <br /> :Tele hone <br /> —�--- P (2o,-) <br /> ) was- sQi� <br /> Physical Address : Sas f li ,.r St . � � lo„ Gq g52oS <br /> E. DESCRIPTION <br /> Type Release: L„de✓�✓� d S {o A �,�k rel<.�e <br /> Volume : <br /> Chemicals : <br /> �10.5J <br /> V <br /> F. ACTION TAKEN <br /> ex{-r�yi- e� co✓ifam��afio�� to be dcte.� m� ec1 6 -fes. -p�.r <br /> Sim (ASSes <br /> SvvLcr�' ✓i�e asS?esw.e„i >�1..,;dL � ,�,., <br /> n,I `1 I - S V.• 1 lJ V VG✓S2Cti <br /> flap <br />