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SAN JOAQUIN COUNTY < <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE ,� <br /> • HEALTH & SAFETY COD25180.7 <br /> E <br /> A. EMERGENCY LEVEL; <br /> (Circle One) I III PHS-EH LOG # <br /> B. SOURCE OF INFORMATION <br /> Original Source: bfp�,,,2,2 f �ehone: <br /> ,p <br /> Reporting Agency Name: �!<,nc. / /�y /, ,phone: <br /> Agency Contact: Telephone: -el c Y� , <br /> Address: zef S2 <�n <br /> U�orn� <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /ASO ,�� / o�>lac✓�/r y �� 9 <br /> ac i <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: //,-, <br /> Date Notified: _ //?/ � Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business /6J4/Ile <br /> Contact Person: �c�,�;o ( •� /f Telephone: <br /> Physical Address: <br /> E. DESCRIPTION <br /> Uh/ri r»<i1CL 7l•>� .C'f%<'tQc�.�� Ci<<CCC�� : !iu-..�1� �{C' ,. . <br /> i <br /> Type Release: L�fw/e-l-re or ! %, - �.•..% <br /> <» h�4CC / ��.Y� y4�n <br /> Volume: <br /> Chemicals: �l./r.e l�_ v �e� -,/ <br /> F. ACTION TAKEN <br /> 71 <br /> r <br /> EH 22 03 (Rev. 7/89) <br />