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SAN JOAQUIN COUNTY v �0 <br /> NOTIFICATION OF HAZARDOUS WASTE DISCI-IA.RGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: 6) II III PHS-EH LOG # '70 - 04 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: �- ,ems; �ifANisi/, Telephone: <br /> Reporting Agency Name:f#,N Z&4 lie un Qw!/rc f is L-rh4 Seed/c of <br /> Agency Contact: L2^1WA fv� Telephone: ,4 ) <br /> Address: Q P, 8°X 2 00 5. S /O�, 64L <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /600 y, 4�^ <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: ()&t 1(V" Ww <br /> Date Notified: 212-6Icj 0 Time: S: O0 Ati <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business /�� GOOK�ES SA,R-V%ce <br /> Contact Person: elephone: ( ) <br /> Physical Address: - 00 In/ to K-"r, �—i� X22 e f %S�hzc, y S 37L <br /> E. DESCRIPTION <br /> Type Release: U � <br /> Volume: - UNKNOW W <br /> Chemicals: 1 v»I r uvv,, \V AyocA2-bo CJS <br /> F. ACTION TAKEN <br /> l o�� � �f�G1e!^9raHn� GIQ.SO�iY)Pi cS't�d�'tT.�c �ds `LS �/nOV¢� O� <br /> /6e r2g21,l e ea <br /> o4-74,?-e-mi�qe die /i rp A�vcG✓ e�fPH �/l/— <br /> 6V?4ay)'1,'7,g X70/7 i?>4 6r l4eZ( 6 ii �Li /.lA��oori Gc 9eh�1/ <br /> a: <br /> EH 22 03 (Rev. 7/89) <br />