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r... SAN JOAQUIN COUNTY ./ <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVEL:I II III PHS -EH LOG # /� ✓� / <br />cle in <br />B. SOURCE OF INFORMATION <br />Original Source: Flo„�.n k L a -z . L "o rl m rrL Telephone: <br />Reporting Agency N e: -P,) hr, �i pn Q `A-) Sery ias <br />Agency Contact: 9oa , EI C4, Telephone: � ,G) <br />Address: 4ti r t I G c-- ci a- , -) <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: _Ecp 0. Q L t � n cC` / <br />(Best Physical Description) (City or County) <br />Date of Discharge: Ur bu—'oun <br />Date Notified: io/z4 O <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business A)LkW k 5em <br />Contact Person: <br />Physical Address: boo I42. <br />E. DESCRIPTION <br />F <br />Time: 1'30 PM <br />Telephone: (-20jg <br />ACTION TAKEN <br />EH 22 013 (Rev. 02/90) <br />