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sAN JOAQUIN COUNTY <br /> NOTIFIC' ')N OF 1-lAZARDOUS WASTEr,"CHARGE <br /> -'Li -ACTH & SAFETY CODE 2S19,-,- <br /> A EMERGENCY LEVEL&' II III C,, S-EH LOG # ~ ' 90 D( n <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: rA'L Tkephone: 2L 3 <br /> Reporting Agency Name: (2VAt-ic f+ lr(l� s&kvlc�rj <br /> Agency Contact: �70e TrvM4 Telephone: 20 1 46T- 342 ( <br /> Address: 14415. Al- 54* �o�dQvinf <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /gZi� E ct4�P- U4k- / sr�r< rbrt A aSZoG. <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: /itis^ r°rte <br /> Date Notified: 2GBiu Time: &10 O <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business ,(eft L A�"(M,62Y C, --r-wt - <br /> Contact Person: 5,,r4t4zj Y Telephone: ( -,oci <br /> Physical Address: A n 901 `s c K <br /> E. DESCRIPTION <br /> Type Release: P.ELFd°£OF A0209, yr-PLtE Fw/ <br /> Volume: UVANOw4l <br /> Chemicals: yL' N �� <br /> F. ACTION TAKEN So L ee3uLr5 � ti� 2e�usti.9� �✓DicaTc <br /> so G Cor�ht.Hin�s}.idti/- <br /> FL/eP/4e 4 11-r1W41NF <br /> -TNS N vRF -4,yo -,x SOF conl�'�ttN,477t'h( �s l2F4A( tl- D Ig r' NF <br /> -40" /0,<)I�F ko--sI'G�TL?t <br /> EH 22 013 (Rev. 02/90) <br />