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SAN JOAQUIN COUNTY _ <br /> NOTIFICG: `N OF I IAZARDOUS WASTE FIARGE <br /> i-MALTH & SAFL T Y CODE 2S 18C <br /> A. EMERGENCY LEVELS I I H III PHS-EH LOG # <br /> (Circle One) l/ <br /> B. SOURCE OF INFORMATION 5Gt <br /> Original Source: Arco 4Iyi * 7'7'q3 Telephone: (209) gZ18 -ce 38 <br /> Reporting Agency Name: �'/5 <br /> Agency Contact: Palm 1//b�� Telephone: (2m) q69 _ 3 q&(9 <br /> Address: U�5 X10 . Sanyc� � �f�c� ► <br /> C. LOCATION AND DATE OF DISCHARGE _ <br /> Location: O,S Ne Cen�r 6 Y-e / S CK <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: W)IMOW11) <br /> Date Notified: y f 316t I Time- <br /> D. <br /> 3U amD. RESPONSIBLE PER,SSON/BUSINrSS / <br /> Name of Business ag ez /-Te7 Y'01,ewln /�yb�cf,,l% S 6 <br /> Contact Person: 4an ef4 Ptj-, Telephone: I p 25 yyzlq <br /> � r o-Physical Address: RD , 6 o x `a i1 ma4G0 CA 9 00 3 <br /> E. DESCRIP'T'ION / / <br /> Type Release: - 1 a Ileal pr2C1516rl <br /> Volume: Un6L6zU ri <br /> Chemical U!'CZf 9 a <br /> F. ACTION TAKEN <br /> 4&rr 5 e's 5s 177, Ab'/l 6� Y -f-a <br /> EH 22 013 (Rev. 02/90) <br />