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" SAY JOAQU-LNCOUNTY FILE COPY <br /> YOTIFIG�TION OF HAZARDOUS WASTE D[SCMARGE <br /> aF_-�_L.TH 3c SAY= CODE �;:I30.7 <br /> A. E?iIERG-ENCY LEVEL:& E M ?F5-;-I LOC - O <br /> (Circle one) <br /> B. <br /> SOURCE OF uNI F'OR.vLA i<ON <br /> dame: YYlaz`z`tio ?'sane: (16n $1 _ oAQ 3 �{ <br /> Comnanv- it P Adaress f ,D S O z C .4 <br /> DesignaredEmploveaName: Le-l-.' a-, L ?hone: 709 4- - <br /> Rcportmg Agency Name: <br /> Address: <br /> C. LOCATION AND DATE OF D[SC-L R07 <br /> Location: 3 /3 C• ti GcJcw o <br /> (BeS ?hysiai Desi inaon) Cicv r County) Circe one <br /> Dare or Discimme: <br /> Datevo¢aed - - %mc: S,'OOorn. <br /> D. RESPONSIBLE ?ERSONBUSR ESS <br /> `iaraeor3usiness: dL61byL��.n-rgNDri ,SeS <br /> Con= ?=ca:K i=T 2 t1 A ?hon 7 5 y� - 3010 <br /> ?!rvsicr! ?.dams: <br /> N[:iIing .-.actress: <br /> E. DESC. i.ON <br /> T pc oiT�isc^arae: L <br /> va iume: <br /> Csemir..is: G � <br /> Cxcrms=ncs: Lc- <br /> F. ACTION TAiC-N <br /> SITE DIS?OSIMON <br /> � L <br /> 1-0P <br />