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OF`) <br /> `) <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> I <br /> A. EMERGENCY LEVEL: /IJ II III HEALTH DISTRICT LOG S� <br /> (Circle One) l/ <br /> B. SOURCE OF INFORMATION ./ pms,d�,k <br /> Original Source: I)AW7- 2# thMfLG'nli Telephone: (Z"i) <br /> e- L6l-SG�b <br /> Reporting Agency Name: . 'tN � (�Q.�U,�,I//�`� LbcAL, I"" 6PY Fl h Is�/uCT <br /> Agency Contact: �/I LL I A/V\ R• SN f" vTelephone: (041 � VV <br /> Address: /d�O/ G 17i;yk,&-%0vj S7,0r,,� C� 9S�Zm <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /O1/J- lye47 C <br /> (Best Physical Description) // (City o County) <br /> Date of Discharges: VN�bb l eey"v <br /> Date Notified: /—Z9—O u Time: <br /> D. RESPONSIBLE PERSON/BU/SINESS <br /> Name of Business NOMfGL%Ni (�Oi✓S�,et/G7/O/✓ / / r� <br /> Contact Person: SOA/ni\/ —JA, Telephone: <br /> Physical Address: /OC�7�,•r_ �/ur7, J7dG/�D7�,N <br /> E. DESCRIPTION / / L, <br /> Type Release: U/V4-r1-,roR/ZE/J - <br /> Volume: VA116A70AI/V \/ 1� /- <br /> Chemicals: 2 _hP� . 7D Luerle, , /\ �/�/9C a na( 70 <br /> F. ACTION TAKEN <br /> /"I s� QSSC�SS/�JPiY�1 G✓iGG 6e ✓��risZed /TO C{�8��'yy,/iie <br /> d&c a mein+ed a <br /> AA- 4-ke +-[M e o 17- <br /> L UtNjoU \iro tAv,,d �A �► Ic r-e w.ov c�,� <br /> COPY <br />