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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: I II III HEALTH DISTRICT LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: i (3evivle Telephone: (o 7 y3 SS S' <br /> Reporting Agency N//a''me: Sa/V ,Taf+Quri- La ora( I p 714 `�IS�IG� <br /> Agency Contact: �/�/iGL,N� /�„s AyFG✓ Telephone: {209) W-3y20 <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: j 3S f, /✓7�ri/L.�7 / c�7orej r✓� h 1S2U3 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: V/1/ 70kv/y <br /> Date Notified: Time: �/,w-4. +-- <br /> D. RESPONSIBLE PERSON/BUSINESS // �L� L/ <br /> Name of Business PG�E \TJld-ag,,✓ As o.4O Cu�4e <br /> Contact Person: IV?i F- 6 En/NE7? Telephone: qv-? 6� <br /> Physical Address : 53S S7OG/e7o ✓ 9S2o� <br /> E. DESCRIPTION //,, <br /> Type Release:// (//� A1474012/2CGl ry IMa e, <br /> Volume: 4j11y eya -v// <br /> Chemicals: /o?r/e-,4 y <br /> g&,jC,0-rje66 Ns ( CJn/Cew Pte( Jgt5a4.^rej <br /> /r <br /> F. ACTION TAKEN Q. _ a ,det5 /X,Y IC <br /> e,t c iA eGsS mssS,4 //.,/i!/ be i�a ineez /a <br /> D T�/2 km irn P T A e H a l o re A, twit e k4e,&-..4- G ( <br /> a M'tA,MrNfk-rid(N /N.'s vpr «ir2ec{ 6y fie. 6LPpr,1P1j,TL <br /> e <br /> Q�eHa\/f <br />