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SAN JOAQUIN COUNTY ,© <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE �\ <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVELO II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION / <br /> Original Source: Pf'f j ate s C� Telephone: <br /> Reporting Agency Name: S24,7 In u FL"-� 7)/-/ 'S <br /> Agency Contact: Telephone: ) <br /> Address: ! I D D S'710 C <br /> C. LOCATION!AND DATE OF DISCHARGE /- <br /> Location: / ,/(/0 N � ,dnO�o / SSAQ G/\!�Y� <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: q / <br /> Date Notified: qTime: a 00pny <br /> D. RESPONSIBLE PERSONBUSINE/S.S/ A <br /> Name of Business /`�eQ 4-azl/%aa�Cr/Y!�f q <br /> Contact Person: / 1 Telephone: -Q/&—) <br /> Physical Address 0 Law <br /> E. DESCRIPTION I• / <br /> Type Release: IJ-41p2�(/( <br /> Volume: <br /> Chemicals: &4/tu <br /> F. ACTION TAKEN <br /> ± + <br /> t <br /> EH 22 03 (Rev. 7/89)"v <br />