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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> (Circle One) lJ <br /> B. SOURCE OF INFORMATION <br /> Original Source: d 4/,L C , 3 F/c Telephone: Zo <br /> Reporting Agency Name: SA,v (4 `w-rH S f d1 CC3 <br /> Agency Contact: D nI N A H 1%fA N Telephone: (Y= 4f//z-'L,3L20 <br /> Address: (40 , 6, x ?0 co `i 57bG�7u�i G �%�2a <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 309 ? <br /> (Best Physical Description (City or C unty) <br /> Date of Discharge: O N �I=U o ud rl <br /> Date Notified: I � . 3V- 91 Time: AfLt <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business 5A,,j ���,�<<� C f„ (ZCXo 2fi <br /> Contact Person: I/V'jIA,,n-,,, I� �i5lL Telephone: <br /> Physical Address: 3!? 36 5• 1 (/t OO AL v . kA&tl G 2L-, 7G <br /> E. DESCRIPTION <br /> Type Release: �1✓� .,t�ru 2 <br /> Volume: <br /> Chemicals: ALL 01 <br /> F. ACTION TAKEN <br /> Soil Ves U /f5 I eyea Co r, I v c-l� om Lkw4ft: rc,-,.-,.P <br /> 1( AMoy'Ey dMrI A �-Anl L ✓?_9A .oVey5 C) n/ /G,-2d -byel, <br /> rMR 614d A S fl-,.p -„i,/l he t24 i-ziAQck h, <br /> EH 22 03 (Rev. 7/ 9) <br />