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`A ' <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH 6 SAFETY CODE 2518U . 7 <br /> A. EMERGENCY LEVEL: fI / II III <br /> (Circle One) HEALTH DISTRICT LOG $ <br /> B. SOURCE OF INFORMATION <br /> Original Source: 7 ) tC}zekXe` Telephone: <br /> Reporting Agency Name: sC"-L- <br /> Agency Contact: tl h Rt=Cf h Tele p hone : <br /> Address : 7 , O/ �( <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: -3.f-23 6) C�-/, -�. <br /> (Best Physical Description) (City Or Co tyh ) <br /> Date of Discharge: <br /> 3 1 9S <br /> Date Notified: Time: _yi'60022L <br /> D. RESPONSIBLE PERSON/BUSINESS Y <br /> Name of Business De-I f q Fleet Ser of G(�— <br /> Contact Person: &L ce- LCJOd Se - Telephone: <br /> Physical Address : 3 �, <br /> E. DESCRIPTION <br /> Type Release; <br /> Volume: - a-11 <br /> Chemicals : �� � P� vQ <br /> P. ACTION TAKEN <br /> v <br /> SDS p� ga(� re klu af^ y ?So�ikL tC�.tc�Lp -��tc�/�c,�r'F'c�GS Ovt— <br /> f:( <br /> S S L <br />